Thank you so much, I’ve been suffering from tmj for such a long time and I can’t believe none of the dentists I have seen ever mentioned getting a tmj splint.
You're welcome. Please watch my video called "Why TMJD is Often Difficult to Diagnose & Treat" for some answers about why dentists may not recommend a splint.
Thank you Priya. I got a new TMJ mouth guard yesterday from my dentist but wasn t sure why it was more expensive than the normal mouth guard. This video has explained it to me. I t s strange getting used to sleeping with a lump of plastic in your lower mouth but if it helps to ease the stiffness of my lower jaw, I ll be happy. It s very difficult to chew anything lately. Anyway, thanks again.
Thank you for making videos highlighting the condition which not many dentists are good with. Being a dentist myself, I would like to sincerely request you to make videos detailing the chair side work and lab work too. That would help other dentists like me manage patients too.
Great information. Thank you‼️ I'm a licenced massage therapist so I treat/massage TMJ clients. However, I just recently found out I have it as well. Your video makes perfect sense, I also wear glasses so I totally get what you're saying. Thank you, thank you, thank you‼️
TMJ OR OCCLUSAL SPLINT therapy is very helpful to my patients Sometimes they get relief within two to three days from pain which was lasting since months Nicely explained the difference between normal nigh guard and occlusal splint
I find a regular Dentists don't know how to help me@ all so I'm left in pain now I know thanks to your video I need to find a orthodontic specialist. I have popping/pain-in jaw/neck,headaches,ears-tinnitus etc
Wish me luck as I have to find a TMJ specialist in CT that takes my insurance. I've had TMJ for over half of my 30 years and am trying to get things better before I get much older. I just started wearing a basic night guard, but will probably be getting an orthopedic one once seen. Thanks for the videos!
Good stuff, Dr. Mistry. Also as an experienced TMJ/TMD practitioner, some of the best info I have seen. BTW, "Orthosis" is actually what an "orthotic" should be called but the public understands orthotic better. Best, IV
I wish I could find a doctor like you in town I can't even get a dentist to take care of my bad teeth because I have such bad TMJ and I've had over 30 years of not getting the right consistent treatment and I'm a mess I could have the surgery in '09 but anyways all this makes sense and I am scheduled with an holistic dentist in town that does a whole TMJ thing but yours makes more sense and I've been hearing a lot about my fashion release I also have a very bad neck and back issues but long time with chronic pain it all started early 20s after dinner work and now remember early 50s so I need help!
Had an appointment today with an oral surgeon and he is sending me to be fitted for a TMJ splint and physiology therapy...I look forward to these hopefully helping 🙏🏼🌞
Oh my gosh thank you so much for this video! I had initially gotten a mouth guard made at the dentist. It didn’t really seem to help so that’s when I saw an actual tmj specialist. As you stated, they also created a mold, however, I also noticed that they had taken measurements of my bite ect. I think they had suggested I wear a 24 hour splint because my issue has to deal with not only grinding but inflammation of the muscles. I now understand the difference and will move forward with the splint.
Very informative and helpful...I was given a custom-made night guard for grinding because 4 back molars were removed for orthodontia back in the 1970s. The tooth removal has caused a weird, uncomfortable bite my entire adult life. Anyway, the night guard, although very expensive at $790, is improperly made (the excess high area of plastic is clearly visible) which has caused shooting pain in my TMJ area, including eyes, cheeks, neck, etc. Going back to dentist this Thursday and will ask for help.
@@theTMJdoc hey dr. mistry, not sure if you already have vids about trigger point injections, dry needling, acupuncture, botox, etc. as various options for myofascial pain, but if you dont, would you consider making a youtube vid on info about that? your vids are tremendously helpful!
Great lesson. I have terrible jaw muscles pain, and neck discomfort, for 8 months now, after series of stressful events and this pandemic stuff. Every single day. Maxillofacial surgeon didn't saw problems in the TMJ with orthopan, altough he said my bite is totally off and that I need a splint. Also he said maybe my wisdom teeth are making problem with my bite (and genetics). I developed terrible tinnitus practically in the same time and I am going to see experts in Zagreb for this. Thanks for the video, very well explained.
@@theTMJdoc Thanks. I have just one question. Do you know if this 3D tehnique of making TMJ splint is same in USA and in Europe (Croatia)? In other words, you mentioned neuromuscular dentistry and how with computer simulation dentist can find best position for a jaw. Here in Croatia I don't think anybody mentioned this to me. Now, does every TMJ splint is done this way everywhere or? Thank you so much.
Seeing that you have replied to everyone (even if it is to explain that you cannot help without seeing them - best thing to do btw) i cannot express how refreshing it is to see. Truly altruistic. Thank you for being you.
Γειά σας...έχω παρακολουθήσει πολλές εκπομπές σας κ πιστεύω στη λογική σας στην εκπαίδευση σας κ στο έργο σας...βρίσκομαι στην Ελλάδα...έχω κάνει στην οδοντιατρική σχολή ενα night guard όπως το λέτε...περίπου δύο μήνες τώρα.. στην αρχή προσπάθησα να το φοράω πιο συχνά αλλά μετά άρχισα να μην το δέχομαι στο στόμα μου σα να με ανακάτευε...Κ σίγουρα είναι πλαστικός κ με το καλούπι απ τα πάνω δόντια.. Κ ίσιος από κάτω εννοείται...όχι σαν το Mora το δικό σας...έχω μάλλον το σύνδρομο του νερού του τριδυμου παίρνω φάρμακα αντιεπιληπτικα για τους πονους...πρωί μεσημέρι βράδυ...έχουν βελτιωθεί πολύ...ωστόσο υπάρχει ένα μούδιασμα κ κάψιμο στην.πλευρα δόντια αυτί κεφάλι...πείτε μου τι μπορώ να κανω; υπάρχει αντίστοιχος συνάδελφος σας εδώ στην Ελλαδα; μπορώ να σταματήσω την αγωγη; φτιάχνοντας σωστά μασελακια; σας ευχαριστώ...έχω χαρεί πολύ που είστε τόσο εξειδικευμένο κ αγαπάτε τη δουλεια σας...
Hi Dr. Mistry! Are you able to do a video explaining how you do those precise measurements for a splint? I just received mine yesterday and feel like there wasn’t a ton done to get the bite position precise. Thank you always!
Hi there. It’s really difficult to explain that in a video. I took many courses & had many hours of training from my mentor to learn how to do that. Something that’s not as complicated and that may get you in the ballpark is my video called “How to Take an Aqualizer Bite Updated”. I hope that helps!
@@theTMJdoc Have had migraines, TMJ and worn night guards since 1988 (tried OTC and professional custom made which caused more jaw pain because they are so hard). Have had 99% molars crowned from cracking, and have and replaced several of those crowns. Saw dentist again two weeks ago and told I need three new crowns since last year (when I had one replaced). Was told I'm microfracturing and crushing my teeth every night. I can't afford this and need to fix the root cause. Please advise! 🙏
Hello Doctor, I started treatment with a TMJ/Orofacial specialist. He mentioned when my right jaw makes a clicking sound it means the joint is popping into place. He said the treatment would consist of a custom-made night guard and stretching/moist heat. He instructed me to wear the nightguard and my top retainer every night. I began to notice I would drool excessively when I wore both appliances and actually felt myself clenching to try and make contact with both appliances. As a result, I wore the appliance inconsistently and eventually stopped wearing it for 6 weeks. When I went for a readjustment he said my teeth were contacting in the front (with the mouthguard and retainer in). I now have my front teeth making premature contact without the appliances and increased TMJ pain. I'm not so sure the night guard will really help address my issues.
I’m getting a TMJ orthotic next month to fix my bite. I already have upper braces at the moment. Seriously hoping it’s not super uncomfy to wear. Thank you for this info! 🌸
Thank you for the information. I got impressions for my teeth since I have a popping sound when I’m eating. I sometimes have pain on my lower teeth when eating as well and at times I wake up with a headache. I used to have an orthotic for TMJ back in 2000 and my headaches went away and didn’t use it for years and now it doesn’t fit. My dentist said I have TMJ and this Saturday I will get fitted but I’m not sure now since I saw your video if I’m getting a night guard or an orthotic. I do clench my teeth when I sleep. I don’t want my jaw and face to get out of alignment! 😟
Well explained! Thank you for this. I have questions. Can splint re-align jaw? Can it re-align the disc in its original position and stop the popping and clicking? Thank you!
It holds the jaw in a more ideal position for the the joints and muscles. Recapturing the disk typically takes more work, in my experience, which is why we also do myofascial release and osteopathic manual jaw manipulation. All of these combined can recapture the disk and eliminate joint noises within 4-6 months.
Hello! I love to watch your videos and find that each one I watch shows me I am not getting proper treatment. My locked jaw has improved in opening slightly since September but I am still having pain and can still only eat soft foods.. Do you know of any tmj specialists in the wisconsin area? Preferably near Milwaukee, WI? Thank you so much 😊
I clench my teeth and have migraines, have worn night guards since 1988. I've tried OTC softer ones (prefer) and custom made hard ones which cause more jaw pain and migraines/neck pain. Through the years I have cracked 99% of molars, which have been crowned, and have cracked many crowns that required replacement. Extremely expensive problem! Also my jaws have spasmed and locked after wisdom teeth removal at 19, tonsil removal at 32, or any regular or prolonged dentist appointment. Three weeks ago saw dentist for yearly exam and was told I'm microfracturing my teeth and crowns nightly, and need three new crown replacements ($1700.00 each!). I asked if there was any way to stop the source of the problem-the clenching! Dentist said he didn't know. I talked to my insurance to see if anything is available and was told to try oral surgeon. Saw him and he suggested Botox in masseter muscles. What do you think? Thank you.
Doc: Someone's head crashed into my ear some 2 decades ago and I've had all these awful symptoms since (ear pain, fullness, popping, tightness, redness of ear, etc.). I had a couple adjustments since, by both chiropractors and TMJ-savvy dentists. Most recently, I had an orthotic made here in the Bay Area of Cali (they took a virtual impression with lasers), that fits on my bottom teeth only. The instructions say to wear it at all times except for eating, but is that okay or should it be worn continuously for several months so that the back teeth never touch each other even for a second as the condyle readjusts? Like if they briefly touch does the healing process get reset?
Hi there, I watched another very helpful video of yours that talks about the pros and cons of botox. Does the tmj orthotic have any effect on slimming the jaw like botox does, since the tmj orthotic reduces the pressure of nighttime grinding? Thanks!
Hi! Thank you so much for your videos. I have one very strong massetter and one very weak. I have been getting jaw clicking since I was 15 when I found out I was grinding my teeth in my sleep. I started clenching more and now my the weaker side of my jaw pops out every time I open it wide. I have a lot of neck pain but very few headaches thankfully, but it still affects many parts of my life. I can’t sing for very long, crunchy things have to be in small quantities, and my face looks lopsided. I’ve been trying strengthening exercises but I worry it’s just making the stronger side stronger. I also wear a dental mouth guard every night. Do you have any tips for me? :)
Hello Dr. Mistry, thank you for such informative video, what do you recommend for easing in to using nightguard through the night. It's challenging to fall asleep with its bulkiness.
Hi There - it can take up to 3 weeks to get used to a new appliance. Give it time and if it's just too bulky, you can always ask to see if some of the bulk can be reduced.
Would you consider making a similar video on the difference between custom orthotics and a deprogrammer? Both sound as though they help the muscles relax over time, but I would be interested in the difference.
The term "deprogrammer" - what it is, what it means - can mean different things to different people, so I don't feel comfortable making a video on that.
Hi Pryra! Thanks for your superinformative video, as always! Is a «mandibular repositioning device» (sorry, I don't know how to translate it from Spanish exactly) an orthotic like the ones you mention in your video that are custom-made?
Hi Cecilia and thank you! It’s difficult to answer that question because we make our orthotics in a very specific way that respects the jaw joints but also puts the muscles in their relaxed position. Many mandibular repositioning appliances used for sleep apnea will hold the jaw forward to open the airway, but won’t respect the muscles and joints. I hope that answers your question?
@theTMJdoc After the last minor adjustment on my tmj appliance, I had terrible pain that night and several nights afterward & any time I clench at night. When my tmj dentist checks to do adjustments, he just has me tap my bottom teeth (with the appliance on) against my top teeth. Should he be "measuring" in some other way to know where to adjust in order to put the jaw in the best position to relax muscles? Thank you for your highly informative videos.
I really don't feel comfortable guessing at what he should be doing with adjustments without examining you with and without the orthotic. Sorry! Best of luck to you.
Thank you for the explanation. I have a question. Is the "Michigan" a splint or a nightguard? Or it can be both depending on the measurements they take (if they measure the position of the joints, or simply the mold of the teeth) Thanks!
Are you talking about recording the patient in CR? And how are you measuring this and building it into your prescription? Love your explanations; you definitely should consider a clinical CE lecture series
Thank you so much for the Information! I do have a question though. I’m just now realizing that it probably is TMJ what I have but need to find a doctor the specializes in this. Which type of doctor would you recommend I look for? Also once I find one how would I tell if they really know how to deal with this, what are usually the steps taken by the doctor to see what works for me, what the root of the problem is and what can be done? Thank you again for all the video!
These are not easy questions to answer because it really depends on what your symptoms are. finding a doctor that is skilled and experienced in treating your symptoms is important. The ICCMO website is a good place to start. Iccmo.org
Hi thanks. Is that Tscan that you're talking about? Do you have a video explaining diagnostic devices? A dentist i spoke to said they use it to test which orthotic is best for you. Thanks xxx
Me again so thankful for your beautiful explanation, but I have more questions, sorry. Is an orthotic more rigid than a night guard? Is has to be used forever or just for a period of time, is it painful to use it? Correcting the bite by brackets, can help with TMJ? Thank you so, so, so much.
Orthotics and nightguards can all be made from a variety of materials so it’s difficult to answer your first question. We typically recommend wearing our daytime appliance for 12-16 weeks and the nighttime one indefinitely. For most patients, they are not painful to use. We don’t recommend braces to correct TMJD - that’s considered phase 2 treatment.
I’ve been dealing with all the Symptoms for so long now. I finally have an appt may 24 with a tmj specialist and thanks to your video I’m a little bit more knowledgeable of what could help me. The tightness in my jaw and the severe headaches have sent me to the Er and I visit my neurologist often. I’m really hoping the tmj specialist will help me because I want to give up so bad. ( I clench my teeth a lot and realized I do it while I’m sleep)
@@Jackie1111 hello, I’m doing so much better. I get Botox from my neurologist every 12 weeks for my migraines and my TMD is so much better. I receive trigger point injections in my jaw, neck and shoulders as well. The DDS is who I see for that and he is awesome with providing helpful ways to avoid it getting so bad as it was. I haven’t been to the ER in forever and now only use my rescue migraine medicine about once a month if that. I was literally on the edge of losing my mind, but thank God I’ve found treatment that helps me. Another important tip is stress less, being outside in the sun with my child, going for walks and eating healthier has also benefited me tremendously.
I won't be making a video on this because seeing the appliances won't help. they look similar to a nightguard but the difference is the prescription built into them. kind of like glasses - they all look the same way and fit the same way, but it's the prescription built into them that makes all the difference to the person wearing them.
@@theTMJdoc It is extremely common in adult orthodontics. Many butchered by childhood orthodontics don't realise early back pain in their 30s is related :(
Hi Dr. Priya - Sorry if this a dumb question but when it comes to getting the right measurements to make the splint do you use a machine for that? Or how does that work? Thank you so much!
Hey Doc, thanks for the video,a TMJ specialistmade a TMJ orthotic for my sore jaw (crepitus sounds and clicking) I've been using it for a couple of weeks now but the pain is still there, I ask my dentist when I was going to see results , but he answered that he did not know, and I am starting to get desperate, I has beeen two years of tension headache pain and crepittus pain , I cannot bear this amount ods constant pain, I wish I had some measure of hope as for a good prognosis this pain is chronic and is ruining my life, my enjoyment
Hi there! Thank you so much for this video. I was wondering if an orthotic is something you’ll have to wear for the rest of your life for maintenance? Or does the orthotic fix the issue totally after wearing it for the specified period of time? My daughter was really hoping for surgery for a permanent fix but our dentist said that’s a last resort….
Surgery is definitely the last resort. I wean my patients off the daytime orthotic but many of them choose to or need to wear the nighttime one indefinitely 😊
Hi Dr Priya! I just subscribed and i am the lucky 100th likes 🙌🏻🌟⭐️ Thank you for explaining the difference, for splint/orthotic how will you start the diagnosis before developing one? Say one is needed to take a xray before a orthotic is made on that day? I mean what are the steps to making an orthotic? I think the orthotic help decompress jaw pain and also aids in healing.
Hi Audrey! It’s too long to explain via texting. You are correct that the orthotic helps decompress the joints and can therefore aid in healing. There’s much more to it! If you’d like we can set up a zoom consultation. If you’re interested please reach out to my office manager, Megan. Her email address is: officemanager@tmjdentaldoc.com
@@theTMJdoc Hi Dr Priya, just one more question and hope you can help. If a splint is made right, at the beginning stage of wearing it, is it normal to feel some muscles pain or we should be feeling comfortable instead? We often hear conflicting answer to this. I have a relative oversea in Oregon who have dentistry problem and i love to refer her to your service. Hope to see more of your channels ❤️
Such an informative video, thank you! I wish I could come to your office for treatment. I live in the DC/VA area, by chance would you know or be able to recommend any TMJ specialists in this area?
Hi Aleisha! I don't know anyone in DC specifically, but in Virginia I do have providers that come highly recommended - one is in Rockingham and one is in Burke. Are either of these a possibility for you and if so, which do you prefer?
@@theTMJdoc Hi Dr. Mistry, Burke is definitely near enough to drive to. Who is the provider there? Otherwise I am also not far from Maryland as well, if you know of anyone there. Thank you for your help!
Hello, I just got measured for my splint today for TMD and am worried that they weren’t thorough enough in measuring where my joints, ligaments, and muscles want to be positioned ideally. Is that typically something that is more so focused on once they already have the splint and are getting ready to make adjustments to it? Or should most of that have been done today during my appointment? Do you have a video on what is typically involved in discovering a persons ideal jaw position? Thank you!
I'm sorry but there's no way I can easily answer these questions via comments. I don't have a video on how I measure optimal jaw position. If you'd like you can email my office to set up a zoom meeting with me so we can discuss this all in more detail.
Very interesting, my dentist made me a nightguard for bruxism but this explains why it may not be helping me at all for TMJD. It appears that is it not easy to find dentist who specialize in TMJD. Are there splits to wear during the day too?
This is so interesting! Can regular dentists make TMJ orthotics or do you need to go to a TMJ specialist? If the latter, how to you recommend finding a good one in the area? TY!
It’s viral that you see a skilled and experienced TMJ dentist. The ICCMO website is a good place to start with your search. You can then call the dental office you find in your area and ask how they treat TMJD. Here’s the website: iccmo.org/what-is-tmj-tmd
Please, Can TMJ orthotic replace the joint in the right place? I have a subluxation of the left tmj and i wonder if it can be corrected. Thank you for your wonderful informations, you're the best 🤩
No typically centric relation and the relaxed state do not coincide in my experience. We determine the relaxed muscular position with TENS and neuromuscular dentistry concepts and the correct condylar position with CBCT.
Hi Priya, thanks for the video. Question for you. My dentist has prescribed a split that "for now should not be worn during the night, and taken out chewing, etc.." It is worn on the bottom teeth. What confuses me is that the dentist built the split as a night guard.. as you have mentioned here; with just the bite imprint but no TENS process. I understand that my muscled and ligaments will relax over time eliminating pain, discomfort etc... do you think it's her intention to modify the splint over time to simulate what the TENS process may do at the first screening?
Detailed info! U gave doc . wonderful. I already commented and asked my problem but couldn't found any where my comment. I have jaw problem . With cracking sound. kindly help what to do. Have headache, disturb sleep 😴 , pain n ear rings . I don't grind my teeth too much .what u advice for that. I don't want any surgery.
We treat this with orthotics, myofascial release and osteopathic manual jaw manipulation. Even then it takes 4-6 months with weekly or biweekly appointments for symptoms to resolve.
Now Im getting ur replies one by one . thank u .may Allah bless u. Wat u teach me I'll follow in Sha Allah! if it takes tym it's ok . But I want to get rid out of pain n fix the problem.
Just got splints, but my new position for my lower jaw doesn't feel "natural" to me. Does it just take time to adjust to? I've had the splint for four days now.
I just spent hundreds of dollars for a custom night guard at my dentist’s recommendation. Based on the description of a TMJ orthotic, I should have purchased this instead of the night guard!
Most of us dentists are not trained in how to diagnose and treat tmj/TMD OR in the difference between a tmj orthotic and a nightguard.. not to make excuses! It’s just a fact..
Thanks, Priya. This is great. Physio in NZ here. Just wondering if a TMJ orthotic can also be made to decrease snoring? I understand that those with TMJ issues and who snore tend not tolerate mandibular advancement splints. Just wondering if you have come across a solution when both are an issue?
Hi there! If the snoring is caused by collapse of the soft tissues in the throat, a TMJ orthotic can help. If the snoring is coming due to nasal obstruction, it cannot.
I've been wearing a nightguard and still have two cracked teeth. I mentioned that I think my nightguard is not doing the job and my dentist said the nightguard wasnt the cause. He didnt even suggest a tmj orthotic.
Hi Priya, great video very helpful. And also my jaw have been clicking/popping for about 2 years now and it's very irritating whenever I talk or open my mouth, so my question is can every dentist treat tmj or should I get it check up by an orthodontist ?
Most dentists and orthodontists are not trained to treat TMJD unfortunately. We treat clicking and popping with orthotics, myofascial release and osteopathic manual jaw manipulation. It takes 4-6 months of this treatment for clicking and popping to go away and for the disc to stabilize. I haven’t been able to find any dentists that do jaw manipulation. Sorry I can’t be of more help!
Interesting video! My TMJ orthotic is bottom teeth and a hard plastic and really uncomfortable so I find myself reaching for the regular dental night guard instead. Are they always bottom teeth and hard as a rock?
Hi Doctor Priya! im your new subscriber❤️ I just wanted to ask if TMJ splints expensive? coz Im afraid I cant afford it:(( and im suffering for almost 7months on my jaw i cant open it widely becoz i feel tightness/locking everytime I open my mouth but I dont do grinding my teeth and if im forcing it to widely open my mouth it hurst me so bad. Hope ill get a response. Thank u!
Hello Dr Mistry, do you recommend TMJ orthotics in hard or semi-rigid resin (soft interior with rigid exterior)? When fitting and adjusting spacers (on the back teeth) on the TMJ orthotics at the dental office (I live in France) is it normal to feel a very pronounced and unpleasant taste in the mouth?
Thank you for this video. I was diagnosed with TMJ disorder back in October and was finally able to secure an appointment with a TMJ specialist on May 25th, though I would've scheduled the appointment a lot sooner had I known I didn't need a referral. Right now though, I'm playing the waiting game because I don't know what to do in the meantime. I've been incessantly contacting the TMJ specialist to see if I can come in sooner because I keep getting new symptoms, but it's all for naught. Do you have any advice? Thank you in advance!
You can always watch my videos that start with "Releasing the..." These videos target different areas that can all cause a lot of pain and contribute to TMJD. Good luck!
Wow I’m in NC and I’m also waiting on my May appointment with a tmj specialist. I agree about the wait time, I was on a waiting list just to see this specialist. I hope all goes well for you.
How would you compare this device to the anterior deprogrammer? I understand the idea of putting your jaw in a more relaxed position for the muscle relaxation, but how does this device prevent you from continuing to clench and grind your teeth is the new position?
just a follow up question. As in tmj orthotic splint we need to find where the joint and muscle are relaxed and in that position is what we want to stabilize the mandible and tmj. How do we know which is the relaxed position for the mandible and tmj?? Just arbitrarily 2mm acrylic posteriorly will do? Pls share tips
Hi Dr. Priya Mistry, Thank you for all these informative videos. Do you happen to know of a dentist whom follows a similar methodology in Arizona? Particularly, that offers that same type of splint you describe in your video? If you don't, could you provide the manufacturer who makes the split so I can contact them directly to see whom purchases it in Arizona? Thank you.
Hi thank you for your comment! It’s not really about the type of splint. It’s the prescription that’s built into it which is unique to each person. Your question is similar to asking for a particular frame for eyeglasses but not the prescription. I don’t know anyone who does things exactly like me in Arizona. Which cities in Arizona are you close to? I can consult a directory I have for dentists who treat TMJD.
Hi, thank you for the video about TMJ orthotics and mouth guards, I've been suffering a lot TMJD and I consulted a orthodontist for the treatment and he suggested to go with braces for alignment. So can it help with TMJD?
Thank you very much Priya! I live in LA and i have had an orthotic for 6 years. I know I need to get new one, for this one is wearing down. The specialist I saw out here in LA, well... He didn't have good bedside manners, I felt really uncomfortable around him. Also I felt like the price was astronomical. it was 6 thousand dollars. Does that seem right to you? Also when I eat with it, it is SO MUCH better. My bite is off when I do not have it in. Do you know if there is a permanent orthotic that doesn't stand out, and doesn't impair my speech? I remember him saying something like he can make my teeth bigger in the back so my bite is always the way it it is in the orthotic? but that was like 20 thousand, and I didn't feel he was genuine. My gut says not to go back to him. I really appreciate your time if you are reading this, and respond. Your outer beauty reflects your inner beauty. I rarely comment on videos, but I appreciate your energy, and felt comfortable doing so. All my love, Dana
Thank you for your kind words! Your questions are very involved and I can't answer them thoroughly through typing/text. Please email patientcare@tmjdentaldoc.com if you'd like to set up a Zoom Meeting. Thank you!
Thank you for explaining the difference. I just received my TMJ splint and I don’t think it’s what it should be. The plastic is very abrasive on my real teeth, there’s no coating inside and it’s really hard to take off for cleaning. Im supposed to wear it while I’m eating etc.. I don’t want to ruin my teeth with the materials of the guard. I’m waiting for my Doctor to call me back. Please advise is this normal?
I'm sorry but I cannot advise anything without evaluating you in-person with and without the splint/orthotic in. It wold be best to consult with your doctor.
Hi. I've been having clicking sounds and headache sometimes and been prescribed to get nightguards but it was way too expensive so is it okay if i can just use the typical dental nightguards?
if you take the normal bite, how would a peace of plastic replicate that? that thickness will keep the back teeth in contact while the frontal teeth are in distance. I'm asking because I'm experiencing that. is it a good thing for the muscles? or all the teeth should be in contact?
A night guard replicates the normal bite in the right and left dimension, and in the forward and backward dimension, but not in the vertical dimension.
Hi Dr. About how much does an orthotic cost? I have slipped discs on both sides with quiet clicking/popping noises and little pain. If I get an orthotic, will this completely fix the discs and also make the noises completely go away? Thanks for your help.
It’s really difficult to give costs when our treatment involves not only orthotics but also weekly myofascial release and osteopathic manual jaw manipulation over a 4-6 month timeframe to recapture and stabilize the disks.
Hi Priya,I am from India and I have been suffering with TMJ around 2 years.Finally I could visit an TMJ Doc here and explained my problems ( which is little Jaw pain,constant Headache,Neck pain,shoulder pain and sleep apnea).He advised to start the phase 1 treatment (which to get orthotic splint) for six months along with 1 monthly checkup for doing adjuctments in the orthotic.Till this point I am finding more similarity with you and i am ready to start the treatment.But now my doubts are, 1.I am advised to wear the Orthotic 24/7 including while i am eating and except while Brushing.Lets consider after six months when i try to get rid of Orthotic and back to my normal routine will I get any pain more than what I had before or will it be the same pain as I had before taking the Orthotic? 2.Can we fix all the TMJ related pain permanently by using Orthotic for 6 months. 3.By using Orthotic 24/7 while eating after 6 months can I able to get back to my normal bite ? Thanks for all the informative videos🙂 Thanks in Advance !
These questions are very detailed and require in-depth answers that I cannot provide without my own follow up questions. If you’d like to discuss this via zoom, please email patientcare@tmjdentaldoc.com to set up a Zoom meeting.
This would be great, but my insurance likely won't cover it because it's a dental thing. I have Medicare, and Medicaid as secondary. I have Ehlers-Danlos as well, and have had TMJ Dysfunction since I was about 8. My current bite guard has made it so that my incisors don't even meet anymore. But I still have my teeth...
After wearing the tmj orthotic and the jaw is in the right place, will you more than likely have to get braces or add on to the teeth to get everything to fit?
Can we agree that until masticatory muscles are “relaxed”, the TMJ’s can’t be properly seated? Therefore the splint (orthotic) will need some adjustment amd refinement over time
Hi Dr! I was diagnosed with mild sleep apnea a couple years ago but never had symtoms until recently and my sleep dentist wanted me to try an NTI for me to stop clenching-- but wont that stop me from breathing if clenching helps one to breathe? Any advice or opinion on NTI I would greatly appreciate
Hi! The answer to this is not a quick one and is quite involved. If you'd like you can email my office to set up a zoom meeting. patientcare@tmjdentaldoc.com
Thank you so much, I’ve been suffering from tmj for such a long time and I can’t believe none of the dentists I have seen ever mentioned getting a tmj splint.
You're welcome. Please watch my video called "Why TMJD is Often Difficult to Diagnose & Treat" for some answers about why dentists may not recommend a splint.
I self diagnosed myself cos my dentist is useless. Mine started when i got wisdom teeth and they dont wanna touch wisdom teeth if thry can avoid it.
You Never talk about artroscopy or surgery...why?
@@patriciasalazar1116and you have pains anymore?
Thank you Priya. I got a new TMJ mouth guard yesterday from my dentist but wasn t sure why it was more expensive than the normal mouth guard. This video has explained it to me. I t s strange getting used to sleeping with a lump of plastic in your lower mouth but if it helps to ease the stiffness of my lower jaw, I ll be happy. It s very difficult to chew anything lately. Anyway, thanks again.
@@RogDow123 glad to help!
Thank you for making videos highlighting the condition which not many dentists are good with. Being a dentist myself, I would like to sincerely request you to make videos detailing the chair side work and lab work too. That would help other dentists like me manage patients too.
Hi and thank you for your comment! At some point I will have a series of courses for dentist but I cannot easily make TH-cam videos about this.
Hi Priya,
Thanks for explaining the difference between the Dental Nightguard VS TMJ Orthotic.
Great job as usual.
Thank YOU for watching :) and for the kind words!
This is so informative, thank you! I will start wearing my dental splint, fingers crossed no more pain for me. 💕
You’re welcome and good luck to you!
Hi there, how has your splint been helping you?
@@RelishWithReCheil my pain was reduced gradually, however I lost the 1st one so I feel I am back to square one.
@@maryappleverano4073 oh no. I hope you are able to get another one soon!
i never even knew an orthotic existed until recently. really wish more doctors were knowledgable on this topic and the problems tmj/tmd can cause.
Sorry to hear this :/
Great information. Thank you‼️
I'm a licenced massage therapist so I treat/massage TMJ clients.
However, I just recently found out I have it as well.
Your video makes perfect sense, I also wear glasses so I totally get what you're saying.
Thank you, thank you, thank you‼️
You’re very welcome!! :). Sorry to hear you have TMD!
TMJ OR OCCLUSAL SPLINT therapy is very helpful to my patients
Sometimes they get relief within two to three days from pain which was lasting since months
Nicely explained the difference between normal nigh guard and occlusal splint
I’m so glad it helps your patients but. Thanks for watching 😊. Please do Subscribe and share with your colleagues if you find it helpful!
I'm hoping that will be me next month, when I finally get to see a TMJ specialist...
@@theTMJdoc would you be in the Sf bay area
Very easy and simple way explanation for such a complex topic
I find a regular Dentists don't know how to help me@ all so I'm left in pain now I know thanks to your video I need to find a orthodontic specialist. I have popping/pain-in jaw/neck,headaches,ears-tinnitus etc
I didn't say to find an orthodontist :) I said to find a skilled and experienced TMJ dentist.
@@theTMJdoc ok thanks for reply and advice my mistake in not listening properly ❤
@@avaleonardava6139 no worries! Don’t forget to Subscribe!!
Wish me luck as I have to find a TMJ specialist in CT that takes my insurance. I've had TMJ for over half of my 30 years and am trying to get things better before I get much older. I just started wearing a basic night guard, but will probably be getting an orthopedic one once seen. Thanks for the videos!
Good luck!
How are you now?
Good stuff, Dr. Mistry. Also as an experienced TMJ/TMD practitioner, some of the best info I have seen. BTW, "Orthosis" is actually what an "orthotic" should be called but the public understands orthotic better. Best, IV
yes!
Very helpful, thank you. Headed in that direction and now I know what i need to seek.
You’re welcome! Be sure to subscribe and reach out with questions any time :)
I wish I could find a doctor like you in town I can't even get a dentist to take care of my bad teeth because I have such bad TMJ and I've had over 30 years of not getting the right consistent treatment and I'm a mess I could have the surgery in '09 but anyways all this makes sense and I am scheduled with an holistic dentist in town that does a whole TMJ thing but yours makes more sense and I've been hearing a lot about my fashion release I also have a very bad neck and back issues but long time with chronic pain it all started early 20s after dinner work and now remember early 50s so I need help!
Sorry to hear this and best of luck to you!
Had an appointment today with an oral surgeon and he is sending me to be fitted for a TMJ splint and physiology therapy...I look forward to these hopefully helping 🙏🏼🌞
Best of luck to you!!! 😊👍🏼
Oh my gosh thank you so much for this video! I had initially gotten a mouth guard made at the dentist. It didn’t really seem to help so that’s when I saw an actual tmj specialist. As you stated, they also created a mold, however, I also noticed that they had taken measurements of my bite ect. I think they had suggested I wear a 24 hour splint because my issue has to deal with not only grinding but inflammation of the muscles. I now understand the difference and will move forward with the splint.
You’re very welcome and best of luck to you! 😊
@@theTMJdoc Thank you so much and I wish you the best as well!
@@tristanblack1920 thank you 🙏🏼
Thank you for this informative video ❤️
Getting fit for a splint soon and I hope it takes my pain/numbness away 🤞🏼
I hope so too!!! 😊
How you feelin
Very informative and helpful...I was given a custom-made night guard for grinding because 4 back molars were removed for orthodontia back in the 1970s. The tooth removal has caused a weird, uncomfortable bite my entire adult life. Anyway, the night guard, although very expensive at $790, is improperly made (the excess high area of plastic is clearly visible) which has caused shooting pain in my TMJ area, including eyes, cheeks, neck, etc. Going back to dentist this Thursday and will ask for help.
sorry to hear that and best of luck to you!
That is a great explanation of difference between splint and nightguard. Dentist gave me a nightguard but I don't clench at night :(
sooo helpful & informative, wish my dentist explained all this to me! i now understand the diff bw the two, thank you, Dr. Mistry!!
Glad it was helpful!
@@theTMJdoc hey dr. mistry, not sure if you already have vids about trigger point injections, dry needling, acupuncture, botox, etc. as various options for myofascial pain, but if you dont, would you consider making a youtube vid on info about that? your vids are tremendously helpful!
Great lesson. I have terrible jaw muscles pain, and neck discomfort, for 8 months now, after series of stressful events and this pandemic stuff. Every single day.
Maxillofacial surgeon didn't saw problems in the TMJ with orthopan, altough he said my bite is totally off and that I need a splint. Also he said maybe my wisdom teeth are making problem with my bite (and genetics). I developed terrible tinnitus practically in the same time and I am going to see experts in Zagreb for this.
Thanks for the video, very well explained.
Thanks for your kind words and best of luck to you!
@@theTMJdoc Thanks. I have just one question. Do you know if this 3D tehnique of making TMJ splint is same in USA and in Europe (Croatia)?
In other words, you mentioned neuromuscular dentistry and how with computer simulation dentist can find best position for a jaw. Here in Croatia I don't think anybody mentioned this to me. Now, does every TMJ splint is done this way everywhere or? Thank you so much.
@@sanelprtenjaca9776 great question and unfortunately the answer is no - not all splints/orthotics are made the same way.
@@theTMJdoc Okay, thanks for this info. It isn't a great news, but I hope it will be all right in the end. Greetings
@@sanelprtenjaca9776how are you now? I’m from Romania and if you find any relief in Zagreb I would like to go there and find help
Seeing that you have replied to everyone (even if it is to explain that you cannot help without seeing them - best thing to do btw) i cannot express how refreshing it is to see.
Truly altruistic. Thank you for being you.
What a kind comment! Thank you! 🙏🏼💕
Γειά σας...έχω παρακολουθήσει πολλές εκπομπές σας κ πιστεύω στη λογική σας στην εκπαίδευση σας κ στο έργο σας...βρίσκομαι στην Ελλάδα...έχω κάνει στην οδοντιατρική σχολή ενα night guard όπως το λέτε...περίπου δύο μήνες τώρα.. στην αρχή προσπάθησα να το φοράω πιο συχνά αλλά μετά άρχισα να μην το δέχομαι στο στόμα μου σα να με ανακάτευε...Κ σίγουρα είναι πλαστικός κ με το καλούπι απ τα πάνω δόντια.. Κ ίσιος από κάτω εννοείται...όχι σαν το Mora το δικό σας...έχω μάλλον το σύνδρομο του νερού του τριδυμου παίρνω φάρμακα αντιεπιληπτικα για τους πονους...πρωί μεσημέρι βράδυ...έχουν βελτιωθεί πολύ...ωστόσο υπάρχει ένα μούδιασμα κ κάψιμο στην.πλευρα δόντια αυτί κεφάλι...πείτε μου τι μπορώ να κανω; υπάρχει αντίστοιχος συνάδελφος σας εδώ στην Ελλαδα; μπορώ να σταματήσω την αγωγη; φτιάχνοντας σωστά μασελακια; σας ευχαριστώ...έχω χαρεί πολύ που είστε τόσο εξειδικευμένο κ αγαπάτε τη δουλεια σας...
I’m sorry, I don’t know anyone in Greece!
Thank you for this!
My pleasure!
Hi Dr. Mistry! Are you able to do a video explaining how you do those precise measurements for a splint? I just received mine yesterday and feel like there wasn’t a ton done to get the bite position precise. Thank you always!
Hi there. It’s really difficult to explain that in a video. I took many courses & had many hours of training from my mentor to learn how to do that. Something that’s not as complicated and that may get you in the ballpark is my video called “How to Take an Aqualizer Bite Updated”. I hope that helps!
Thank you so much for all of your informative videos. You’re the type of dentist I need in Texas.
You’re welcome!!!
That's how I feel... Where in Texas has this...no where I've seen yet
We need you in Dallas specifically. Come help us please 🥺
@@godesofdnyte thank you. I wish I could come out there!
@@theTMJdoc Have had migraines, TMJ and worn night guards since 1988 (tried OTC and professional custom made which caused more jaw pain because they are so hard). Have had 99% molars crowned from cracking, and have and replaced several of those crowns. Saw dentist again two weeks ago and told I need three new crowns since last year (when I had one replaced). Was told I'm microfracturing and crushing my teeth every night. I can't afford this and need to fix the root cause. Please advise! 🙏
Hello Doctor, I started treatment with a TMJ/Orofacial specialist. He mentioned when my right jaw makes a clicking sound it means the joint is popping into place. He said the treatment would consist of a custom-made night guard and stretching/moist heat. He instructed me to wear the nightguard and my top retainer every night. I began to notice I would drool excessively when I wore both appliances and actually felt myself clenching to try and make contact with both appliances. As a result, I wore the appliance inconsistently and eventually stopped wearing it for 6 weeks. When I went for a readjustment he said my teeth were contacting in the front (with the mouthguard and retainer in). I now have my front teeth making premature contact without the appliances and increased TMJ pain. I'm not so sure the night guard will really help address my issues.
Sorry to hear that!
I’m getting a TMJ orthotic next month to fix my bite. I already have upper braces at the moment. Seriously hoping it’s not super uncomfy to wear. Thank you for this info! 🌸
You’re welcome!
Very good information! Thank you!!
Thank you! Please do Subscribe!
Thank you for the information. I got impressions for my teeth since I have a popping sound when I’m eating. I sometimes have pain on my lower teeth when eating as well and at times I wake up with a headache.
I used to have an orthotic for TMJ back in 2000 and my headaches went away and didn’t use it for years and now it doesn’t fit. My dentist said I have TMJ and this Saturday I will get fitted but I’m not sure now since I saw your video if I’m getting a night guard or an orthotic. I do clench my teeth when I sleep. I don’t want my jaw and face to get out of alignment! 😟
Sorry to hear this. It doesn't hurt to ask your dentist to clarify exactly what you're getting :)
Nice and simple explanation in layman terms Dr.Priya.
Thank you!
Well explained! Thank you for this.
I have questions. Can splint re-align jaw? Can it re-align the disc in its original position and stop the popping and clicking? Thank you!
It holds the jaw in a more ideal position for the the joints and muscles. Recapturing the disk typically takes more work, in my experience, which is why we also do myofascial release and osteopathic manual jaw manipulation. All of these combined can recapture the disk and eliminate joint noises within 4-6 months.
@@theTMJdoc Can chiropractor recapture the disk?
Hello! I love to watch your videos and find that each one I watch shows me I am not getting proper treatment. My locked jaw has improved in opening slightly since September but I am still having pain and can still only eat soft foods.. Do you know of any tmj specialists in the wisconsin area? Preferably near Milwaukee, WI? Thank you so much 😊
I’m so sorry but I don’t know anyone there.
Great video!
Thanks!
Hi Dr Mistry, thank you for the video. Could you please advise the effectiveness of the splint without regular myofascial treatment? Thank you.
If made properly, it will bring relief but will likely take longer without the myofascial release and osteopathic manual jaw manipulation.
I tried a night guard, and now I understand why it didn't work. It actually made things worse.
Yes! It can make things worse. Or it can randomly help if it gets in the ballpark of where the orthotic would put your jaw.
Very cool video. How do you determine what the optimal position for the jaw is? Is it a scan? Or just eyeballed by the dentist?
I use the technology and software that's used with neuromuscular dentistry.
I clench my teeth and have migraines, have worn night guards since 1988. I've tried OTC softer ones (prefer) and custom made hard ones which cause more jaw pain and migraines/neck pain. Through the years I have cracked 99% of molars, which have been crowned, and have cracked many crowns that required replacement. Extremely expensive problem! Also my jaws have spasmed and locked after wisdom teeth removal at 19, tonsil removal at 32, or any regular or prolonged dentist appointment. Three weeks ago saw dentist for yearly exam and was told I'm microfracturing my teeth and crowns nightly, and need three new crown replacements ($1700.00 each!). I asked if there was any way to stop the source of the problem-the clenching! Dentist said he didn't know. I talked to my insurance to see if anything is available and was told to try oral surgeon. Saw him and he suggested Botox in masseter muscles. What do you think? Thank you.
Hi! I don't really feel comfortable making suggestions without examining you in person. Sorry.
@@theTMJdoc Right, but could you tell me what type of doctor should I see?
you are a great dentist!
Thank you!
Doc: Someone's head crashed into my ear some 2 decades ago and I've had all these awful symptoms since (ear pain, fullness, popping, tightness, redness of ear, etc.). I had a couple adjustments since, by both chiropractors and TMJ-savvy dentists. Most recently, I had an orthotic made here in the Bay Area of Cali (they took a virtual impression with lasers), that fits on my bottom teeth only. The instructions say to wear it at all times except for eating, but is that okay or should it be worn continuously for several months so that the back teeth never touch each other even for a second as the condyle readjusts? Like if they briefly touch does the healing process get reset?
I’m sorry but I don’t feel comfortable answering that question unless you are my patient.
How are you now?
Hi there, I watched another very helpful video of yours that talks about the pros and cons of botox. Does the tmj orthotic have any effect on slimming the jaw like botox does, since the tmj orthotic reduces the pressure of nighttime grinding? Thanks!
Hi there! I haven't seen the orthotic have a significant impact on slimming the jaw.
You would be a GREAT teacher! 😉
Thank You!!! 🙏🏼
Hi! Thank you so much for your videos. I have one very strong massetter and one very weak. I have been getting jaw clicking since I was 15 when I found out I was grinding my teeth in my sleep. I started clenching more and now my the weaker side of my jaw pops out every time I open it wide. I have a lot of neck pain but very few headaches thankfully, but it still affects many parts of my life. I can’t sing for very long, crunchy things have to be in small quantities, and my face looks lopsided. I’ve been trying strengthening exercises but I worry it’s just making the stronger side stronger. I also wear a dental mouth guard every night. Do you have any tips for me? :)
I would recommend seeing a TMJ Dentist or TMJ Physical Therapist.
Great video. I've had TMJ for 2 years now. Will it take longer than a month to notice an improvement using the orthotic splint?
With my orthotics, people usually feel relief within 1-2 months.
@@theTMJdoc its almost two months and I havent felt any relief :(((
Hello Dr. Mistry, thank you for such informative video, what do you recommend for easing in to using nightguard through the night. It's challenging to fall asleep with its bulkiness.
Hi There - it can take up to 3 weeks to get used to a new appliance. Give it time and if it's just too bulky, you can always ask to see if some of the bulk can be reduced.
Would you consider making a similar video on the difference between custom orthotics and a deprogrammer? Both sound as though they help the muscles relax over time, but I would be interested in the difference.
The term "deprogrammer" - what it is, what it means - can mean different things to different people, so I don't feel comfortable making a video on that.
Hi Pryra! Thanks for your superinformative video, as always! Is a «mandibular repositioning device» (sorry, I don't know how to translate it from Spanish exactly) an orthotic like the ones you mention in your video that are custom-made?
Hi Cecilia and thank you! It’s difficult to answer that question because we make our orthotics in a very specific way that respects the jaw joints but also puts the muscles in their relaxed position. Many mandibular repositioning appliances used for sleep apnea will hold the jaw forward to open the airway, but won’t respect the muscles and joints. I hope that answers your question?
@theTMJdoc After the last minor adjustment on my tmj appliance, I had terrible pain that night and several nights afterward & any time I clench at night. When my tmj dentist checks to do adjustments, he just has me tap my bottom teeth (with the appliance on) against my top teeth. Should he be "measuring" in some other way to know where to adjust in order to put the jaw in the best position to relax muscles? Thank you for your highly informative videos.
I really don't feel comfortable guessing at what he should be doing with adjustments without examining you with and without the orthotic. Sorry! Best of luck to you.
Thank you for the explanation. I have a question. Is the "Michigan" a splint or a nightguard? Or it can be both depending on the measurements they take (if they measure the position of the joints, or simply the mold of the teeth)
Thanks!
The Michigan appliance is a nightguard and not an orthotic. :)
Are you talking about recording the patient in CR? And how are you measuring this and building it into your prescription? Love your explanations; you definitely should consider a clinical CE lecture series
No, I’m not talking about CR. I use Neuromuscular Dentistry methods and techniques to measure and record the optimal jaw position.
Thank you so much for the Information! I do have a question though. I’m just now realizing that it probably is TMJ what I have but need to find a doctor the specializes in this. Which type of doctor would you recommend I look for? Also once I find one how would I tell if they really know how to deal with this, what are usually the steps taken by the doctor to see what works for me, what the root of the problem is and what can be done? Thank you again for all the video!
These are not easy questions to answer because it really depends on what your symptoms are. finding a doctor that is skilled and experienced in treating your symptoms is important. The ICCMO website is a good place to start. Iccmo.org
Hi thanks. Is that Tscan that you're talking about? Do you have a video explaining diagnostic devices? A dentist i spoke to said they use it to test which orthotic is best for you. Thanks xxx
No, it's not a Tscan :) I use the K7 Myotronics Neuromuscular system.
Me again so thankful for your beautiful explanation, but I have more questions, sorry. Is an orthotic more rigid than a night guard? Is has to be used forever or just for a period of time, is it painful to use it? Correcting the bite by brackets, can help with TMJ? Thank you so, so, so much.
Orthotics and nightguards can all be made from a variety of materials so it’s difficult to answer your first question. We typically recommend wearing our daytime appliance for 12-16 weeks and the nighttime one indefinitely. For most patients, they are not painful to use. We don’t recommend braces to correct TMJD - that’s considered phase 2 treatment.
I’ve been dealing with all the Symptoms for so long now. I finally have an appt may 24 with a tmj specialist and thanks to your video I’m a little bit more knowledgeable of what could help me. The tightness in my jaw and the severe headaches have sent me to the Er and I visit my neurologist often. I’m really hoping the tmj specialist will help me because I want to give up so bad. ( I clench my teeth a lot and realized I do it while I’m sleep)
Your symptoms sound like they could be TMD. I sincerely hope you get relief soon!
@@theTMJdoc Thank you!
@@RelishWithReCheil you’re welcome! 😊
@@RelishWithReCheil hi how are how doing now? WhaT has helped you
@@Jackie1111 hello, I’m doing so much better. I get Botox from my neurologist every 12 weeks for my migraines and my TMD is so much better. I receive trigger point injections in my jaw, neck and shoulders as well. The DDS is who I see for that and he is awesome with providing helpful ways to avoid it getting so bad as it was. I haven’t been to the ER in forever and now only use my rescue migraine medicine about once a month if that. I was literally on the edge of losing my mind, but thank God I’ve found treatment that helps me.
Another important tip is stress less, being outside in the sun with my child, going for walks and eating healthier has also benefited me tremendously.
Sorry one more question can you make a video showing what your night time appliances look like please? Would love to see them thank you
Mary
I won't be making a video on this because seeing the appliances won't help. they look similar to a nightguard but the difference is the prescription built into them. kind of like glasses - they all look the same way and fit the same way, but it's the prescription built into them that makes all the difference to the person wearing them.
Why does nobody mention pain & damage below the neck right down to the feet (often caused by orthodontics) ?
I don’t think a lot of people make the connection that it can be related.
@@theTMJdoc It is extremely common in adult orthodontics. Many butchered by childhood orthodontics don't realise early back pain in their 30s is related :(
@@Demonstrably I totally agree!
@@theTMJdoc What do you think about Paletal Expanders to bring the mandible & Maxilla forward and free up the airway Priya?
Hi Dr. Priya - Sorry if this a dumb question but when it comes to getting the right measurements to make the splint do you use a machine for that? Or how does that work? Thank you so much!
Not a dumb question at all! Use the technology used in neuromuscular dentistry
@@theTMJdocthank you!
Hey Doc, thanks for the video,a TMJ specialistmade a TMJ orthotic for my sore jaw (crepitus sounds and clicking) I've been using it for a couple of weeks now but the pain is still there, I ask my dentist when I was going to see results , but he answered that he did not know, and I am starting to get desperate, I has beeen two years of tension headache pain and crepittus pain , I cannot bear this amount ods constant pain, I wish I had some measure of hope as for a good prognosis
this pain is chronic and is ruining my life, my enjoyment
I'm sorry to hear you're going through this! I don't really know how I can help over the internet. Did you have a specific question?
Hi there! Thank you so much for this video. I was wondering if an orthotic is something you’ll have to wear for the rest of your life for maintenance? Or does the orthotic fix the issue totally after wearing it for the specified period of time? My daughter was really hoping for surgery for a permanent fix but our dentist said that’s a last resort….
Surgery is definitely the last resort. I wean my patients off the daytime orthotic but many of them choose to or need to wear the nighttime one indefinitely 😊
Hi Dr Priya! I just subscribed and i am the lucky 100th likes 🙌🏻🌟⭐️ Thank you for explaining the difference, for splint/orthotic how will you start the diagnosis before developing one? Say one is needed to take a xray before a orthotic is made on that day? I mean what are the steps to making an orthotic? I think the orthotic help decompress jaw pain and also aids in healing.
Hi Audrey! It’s too long to explain via texting. You are correct that the orthotic helps decompress the joints and can therefore aid in healing. There’s much more to it! If you’d like we can set up a zoom consultation. If you’re interested please reach out to my office manager, Megan. Her email address is: officemanager@tmjdentaldoc.com
@@theTMJdoc Hi Dr Priya, just one more question and hope you can help. If a splint is made right, at the beginning stage of wearing it, is it normal to feel some muscles pain or we should be feeling comfortable instead? We often hear conflicting answer to this. I have a relative oversea in Oregon who have dentistry problem and i love to refer her to your service. Hope to see more of your channels ❤️
@@audreyling7242 yes for the first week or so it can be uncomfortable but should improve :)
Such an informative video, thank you! I wish I could come to your office for treatment. I live in the DC/VA area, by chance would you know or be able to recommend any TMJ specialists in this area?
Hi Aleisha! I don't know anyone in DC specifically, but in Virginia I do have providers that come highly recommended - one is in Rockingham and one is in Burke. Are either of these a possibility for you and if so, which do you prefer?
@@theTMJdoc Hi Dr. Mistry, Burke is definitely near enough to drive to. Who is the provider there? Otherwise I am also not far from Maryland as well, if you know of anyone there. Thank you for your help!
@@aj1534 I have someone in LaVale, Maryland. Would you prefer that or Burke?
@@theTMJdoc Burke is fine thank you!
@@aj1534 Dr Pamela Marzban comes highly recommended!
Hello, I just got measured for my splint today for TMD and am worried that they weren’t thorough enough in measuring where my joints, ligaments, and muscles want to be positioned ideally. Is that typically something that is more so focused on once they already have the splint and are getting ready to make adjustments to it? Or should most of that have been done today during my appointment? Do you have a video on what is typically involved in discovering a persons ideal jaw position? Thank you!
I'm sorry but there's no way I can easily answer these questions via comments. I don't have a video on how I measure optimal jaw position. If you'd like you can email my office to set up a zoom meeting with me so we can discuss this all in more detail.
Very interesting, my dentist made me a nightguard for bruxism but this explains why it may not be helping me at all for TMJD. It appears that is it not easy to find dentist who specialize in TMJD. Are there splits to wear during the day too?
Yes, I make a daytime one too
awesome information, thank you so much
Thank you for your kind words! Don’t forget to Subscribe 🙏🏼😊
This is so interesting! Can regular dentists make TMJ orthotics or do you need to go to a TMJ specialist? If the latter, how to you recommend finding a good one in the area? TY!
It’s viral that you see a skilled and experienced TMJ dentist. The ICCMO website is a good place to start with your search. You can then call the dental office you find in your area and ask how they treat TMJD. Here’s the website:
iccmo.org/what-is-tmj-tmd
Please, Can TMJ orthotic replace the joint in the right place? I have a subluxation of the left tmj and i wonder if it can be corrected.
Thank you for your wonderful informations, you're the best 🤩
Yes it can place the condyle in the right position, but that doesn't mean the articular disk will immediately go where it should be if it's displaced.
Informative video, how do you determine this relaxed TMJ state? Is this relaxed position same as when TMJ is in centric relation?
No typically centric relation and the relaxed state do not coincide in my experience. We determine the relaxed muscular position with TENS and neuromuscular dentistry concepts and the correct condylar position with CBCT.
Hi Priya, thanks for the video. Question for you. My dentist has prescribed a split that "for now should not be worn during the night, and taken out chewing, etc.." It is worn on the bottom teeth.
What confuses me is that the dentist built the split as a night guard.. as you have mentioned here; with just the bite imprint but no TENS process.
I understand that my muscled and ligaments will relax over time eliminating pain, discomfort etc... do you think it's her intention to modify the splint over time to simulate what the TENS process may do at the first screening?
I'm sorry but I have no way to guess what her intention may be. It's best to ask her directly :)
Thanks for sharing your video. Is there orthotics for sale in Philippines?
These orthotics are not "for sale". They are custom created for each patient after a series of records are taken.
Thanks! I hope to find a good TMJ specialist to get this.
Best of luck to you!
Detailed info! U gave doc . wonderful. I already commented and asked my problem but couldn't found any where my comment. I have jaw problem . With cracking sound. kindly help what to do. Have headache, disturb sleep 😴 , pain n ear rings . I don't grind my teeth too much .what u advice for that. I don't want any surgery.
We treat this with orthotics, myofascial release and osteopathic manual jaw manipulation. Even then it takes 4-6 months with weekly or biweekly appointments for symptoms to resolve.
Now Im getting ur replies one by one . thank u .may Allah bless u. Wat u teach me I'll follow in Sha Allah! if it takes tym it's ok . But I want to get rid out of pain n fix the problem.
Just got splints, but my new position for my lower jaw doesn't feel "natural" to me. Does it just take time to adjust to? I've had the splint for four days now.
Yes it definitely takes time :)
How you feel now?
Brilliant video.
Humbled by your words, Kris! I will respond to your message ASAP
I just spent hundreds of dollars for a custom night guard at my dentist’s recommendation. Based on the description of a TMJ orthotic, I should have purchased this instead of the night guard!
Most of us dentists are not trained in how to diagnose and treat tmj/TMD OR in the difference between a tmj orthotic and a nightguard.. not to make excuses! It’s just a fact..
Do you do different kinds of splints depending on the patient? Like stabilization, repositioning, anterior bite, etc? Or just one type?
Yes different types per patient
Thanks, Priya. This is great. Physio in NZ here. Just wondering if a TMJ orthotic can also be made to decrease snoring? I understand that those with TMJ issues and who snore tend not tolerate mandibular advancement splints. Just wondering if you have come across a solution when both are an issue?
Hi there! If the snoring is caused by collapse of the soft tissues in the throat, a TMJ orthotic can help. If the snoring is coming due to nasal obstruction, it cannot.
I've been wearing a nightguard and still have two cracked teeth. I mentioned that I think my nightguard is not doing the job and my dentist said the nightguard wasnt the cause. He didnt even suggest a tmj orthotic.
Most dentists don't know about tmj orthotics because most dental schools don't teach about them. Sorry you're going through this.
Hi Priya, great video very helpful.
And also my jaw have been clicking/popping for about 2 years now and it's very irritating whenever I talk or open my mouth, so my question is can every dentist treat tmj or should I get it check up by an orthodontist ?
Most dentists and orthodontists are not trained to treat TMJD unfortunately. We treat clicking and popping with orthotics, myofascial release and osteopathic manual jaw manipulation. It takes 4-6 months of this treatment for clicking and popping to go away and for the disc to stabilize. I haven’t been able to find any dentists that do jaw manipulation. Sorry I can’t be of more help!
@@theTMJdoc ok thank you so much 😇
@@Lalthanzualimizo you’re welcome!
Dr Mistry this is so helpful! May I ask who is your mentor? I’m trying to find someone to go to here in Virginia.
Dr Arthur Parker is my mentor! :) Dr Jeffrey Brown is wonderful - he is in Falls Church, Virginia.
@@theTMJdoc thank you!!! ❤️🩹
@@michelekincaid8093 you’re welcome! Be sure to Subscribe to this channel! :)
Interesting video! My TMJ orthotic is bottom teeth and a hard plastic and really uncomfortable so I find myself reaching for the regular dental night guard instead. Are they always bottom teeth and hard as a rock?
yes they are always bottom and hard. Soft appliances encourage more clenching/bruxing acitivity.
Hi Doctor Priya! im your new subscriber❤️ I just wanted to ask if TMJ splints expensive? coz Im afraid I cant afford it:(( and im suffering for almost 7months on my jaw i cant open it widely becoz i feel tightness/locking everytime I open my mouth but I dont do grinding my teeth and if im forcing it to widely open my mouth it hurst me so bad. Hope ill get a response. Thank u!
Hi there. I wouldn’t say orthotics are cheap. I don’t discuss my fees over the internet. Sorry to hear you’re going through this.
Hello Dr Mistry, do you recommend TMJ orthotics in hard or semi-rigid resin (soft interior with rigid exterior)?
When fitting and adjusting spacers (on the back teeth) on the TMJ orthotics at the dental office (I live in France) is it normal to feel a very pronounced and unpleasant taste in the mouth?
Thank you for this video. I was diagnosed with TMJ disorder back in October and was finally able to secure an appointment with a TMJ specialist on May 25th, though I would've scheduled the appointment a lot sooner had I known I didn't need a referral. Right now though, I'm playing the waiting game because I don't know what to do in the meantime. I've been incessantly contacting the TMJ specialist to see if I can come in sooner because I keep getting new symptoms, but it's all for naught. Do you have any advice? Thank you in advance!
You can always watch my videos that start with "Releasing the..." These videos target different areas that can all cause a lot of pain and contribute to TMJD. Good luck!
Wow I’m in NC and I’m also waiting on my May appointment with a tmj specialist. I agree about the wait time, I was on a waiting list just to see this specialist. I hope all goes well for you.
Thank you both!
@@RelishWithReCheil Hi. Whom are you going to see in NC? Which tmj specialist clinic?
How would you compare this device to the anterior deprogrammer? I understand the idea of putting your jaw in a more relaxed position for the muscle relaxation, but how does this device prevent you from continuing to clench and grind your teeth is the new position?
Nothing that’s appropriate for being worn long term can prevent clenching/bruxing.
My dentist ended up giving me a bite guard instead when my tmj specialist told me to get a splint. I see now why it hasn't helped at all :(
sorry to hear that!
Thank you for this video, is there anyone you recommend in the Chicago area that does tmj splints?
Hi there! Dr Ira Shapira treats TMJD.
just a follow up question.
As in tmj orthotic splint we need to find where the joint and muscle are relaxed and in that position is what we want to stabilize the mandible and tmj. How do we know which is the relaxed position for the mandible and tmj??
Just arbitrarily 2mm acrylic posteriorly will do? Pls share tips
no arbitrarily will not do. I use Neuromuscular Dentistry and its TENS therapy and jaw tracking software to help find this position.
Hi Dr. Priya Mistry, Thank you for all these informative videos. Do you happen to know of a dentist whom follows a similar methodology in Arizona? Particularly, that offers that same type of splint you describe in your video? If you don't, could you provide the manufacturer who makes the split so I can contact them directly to see whom purchases it in Arizona? Thank you.
Hi thank you for your comment! It’s not really about the type of splint. It’s the prescription that’s built into it which is unique to each person. Your question is similar to asking for a particular frame for eyeglasses but not the prescription. I don’t know anyone who does things exactly like me in Arizona. Which cities in Arizona are you close to? I can consult a directory I have for dentists who treat TMJD.
Hi, thank you for the video about TMJ orthotics and mouth guards, I've been suffering a lot TMJD and I consulted a orthodontist for the treatment and he suggested to go with braces for alignment. So can it help with TMJD?
I don't recommend braces as a first step to treat TMJD typically. having said that, I cannot comment on your specific situation.
@@theTMJdoc Thank you very much for the this. I just wish I could've futher consulted u about this.
Thanks anyway.
Thank you very much Priya! I live in LA and i have had an orthotic for 6 years. I know I need to get new one, for this one is wearing down. The specialist I saw out here in LA, well... He didn't have good bedside manners, I felt really uncomfortable around him. Also I felt like the price was astronomical. it was 6 thousand dollars. Does that seem right to you? Also when I eat with it, it is SO MUCH better. My bite is off when I do not have it in. Do you know if there is a permanent orthotic that doesn't stand out, and doesn't impair my speech? I remember him saying something like he can make my teeth bigger in the back so my bite is always the way it it is in the orthotic? but that was like 20 thousand, and I didn't feel he was genuine. My gut says not to go back to him. I really appreciate your time if you are reading this, and respond. Your outer beauty reflects your inner beauty. I rarely comment on videos, but I appreciate your energy, and felt comfortable doing so. All my love, Dana
Thank you for your kind words! Your questions are very involved and I can't answer them thoroughly through typing/text. Please email patientcare@tmjdentaldoc.com if you'd like to set up a Zoom Meeting. Thank you!
@@theTMJdoc I would LOVE THAT! Thank you!
Thank you for explaining the difference. I just received my TMJ splint and I don’t think it’s what it should be. The plastic is very abrasive on my real teeth, there’s no coating inside and it’s really hard to take off for cleaning. Im supposed to wear it while I’m eating etc.. I don’t want to ruin my teeth with the materials of the guard. I’m waiting for my Doctor to call me back. Please advise is this normal?
I'm sorry but I cannot advise anything without evaluating you in-person with and without the splint/orthotic in. It wold be best to consult with your doctor.
Hi. I've been having clicking sounds and headache sometimes and been prescribed to get nightguards but it was way too expensive so is it okay if i can just use the typical dental nightguards?
I wouldn’t recommend that because it likely won’t help with clicking or pain but it’s up to you :)
if you take the normal bite, how would a peace of plastic replicate that? that thickness will keep the back teeth in contact while the frontal teeth are in distance. I'm asking because I'm experiencing that. is it a good thing for the muscles? or all the teeth should be in contact?
A night guard replicates the normal bite in the right and left dimension, and in the forward and backward dimension, but not in the vertical dimension.
Quiero llorar! En Paraguay no hay profesionales así, me dieron una nightguard y no me puedo sacar no me sirve de nada
If you could translate this to English, I can reply :)
Hi Dr. About how much does an orthotic cost? I have slipped discs on both sides with quiet clicking/popping noises and little pain. If I get an orthotic, will this completely fix the discs and also make the noises completely go away? Thanks for your help.
It’s really difficult to give costs when our treatment involves not only orthotics but also weekly myofascial release and osteopathic manual jaw manipulation over a 4-6 month timeframe to recapture and stabilize the disks.
Hi Priya,I am from India and I have been suffering with TMJ around 2 years.Finally I could visit an TMJ Doc here and explained my problems ( which is little Jaw pain,constant Headache,Neck pain,shoulder pain and sleep apnea).He advised to start the phase 1 treatment (which to get orthotic splint) for six months along with 1 monthly checkup for doing adjuctments in the orthotic.Till this point I am finding more similarity with you and i am ready to start the treatment.But now my doubts are,
1.I am advised to wear the Orthotic 24/7 including while i am eating and except while Brushing.Lets consider after six months when i try to get rid of Orthotic and back to my normal routine will I get any pain more than what I had before or will it be the same pain as I had before taking the Orthotic?
2.Can we fix all the TMJ related pain permanently by using Orthotic for 6 months.
3.By using Orthotic 24/7 while eating after 6 months can I able to get back to my normal bite ?
Thanks for all the informative videos🙂
Thanks in Advance !
These questions are very detailed and require in-depth answers that I cannot provide without my own follow up questions. If you’d like to discuss this via zoom, please email patientcare@tmjdentaldoc.com to set up a Zoom meeting.
@kowsikarthi3646 where do you live in India? I am from India, I am in search of TMJ doc could you please provide details of TMJ doc
This would be great, but my insurance likely won't cover it because it's a dental thing. I have Medicare, and Medicaid as secondary. I have Ehlers-Danlos as well, and have had TMJ Dysfunction since I was about 8. My current bite guard has made it so that my incisors don't even meet anymore. But I still have my teeth...
Sorry to hear this! But glad you still have your teeth.
After wearing the tmj orthotic and the jaw is in the right place, will you more than likely have to get braces or add on to the teeth to get everything to fit?
Please watch my video “phase 1 vs phase 2 tmjd treatment “ and lmk if you have any questions 😊
Can we agree that until masticatory muscles are “relaxed”, the TMJ’s can’t be properly seated? Therefore the splint (orthotic) will need some adjustment amd refinement over time
Yes the orthotic definitely needs adjustments!!
@@theTMJdoc do you know how often you need to adjust orthotic?
@@kayashley6394 it varies a lot from patient to patient.
Hi Doc Friya,its recomended to wear braces after using mg tmj splint?
Orthodontia is considered phase 2 for many tmj patients.
Thanks doc. What happened if i didn't get phase 2,because the braces is so expensive.
Hi Dr! I was diagnosed with mild sleep apnea a couple years ago but never had symtoms until recently and my sleep dentist wanted me to try an NTI for me to stop clenching-- but wont that stop me from breathing if clenching helps one to breathe? Any advice or opinion on NTI I would greatly appreciate
Hi! The answer to this is not a quick one and is quite involved. If you'd like you can email my office to set up a zoom meeting. patientcare@tmjdentaldoc.com
@@theTMJdoc oh okay and thank you!
@@Jackie1111 you’re welcome!