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Q: TMJ symptoms after dental adjustment
asked by: cheeky1 on August 27th, 2009
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Hi,

I would really appreciate peoples advice!

I started having a lot of issues with stiff necks and eye tension and sometimes feeling a bit off balance. This all started when i started working full time in IT sitting behind a pc all day and then on the couch after that... before that i was so healthy, fit and active. I worked in IT for about 6 years, hen after blaming all my problems on pc's recently went back to uni to change career. The past 6 years was pretty much a downward spiral in how i felt.

I looked into all sorts of things as to why i was feeling that way and one thing i always wondered about was TMJ. I recently went to an ENT guy and he did all the tests including ear and balance checks and and MRI. Everything came back fine which was great.

Now here is where things went bad! A couple of weeks before my ENT tests i went to my dentist for a checkup and while i was there i asked him about TMJ and whether it could be the reason for my issues... he had a look at my bite and said that it slides to the left a bit as the teeth contact... next thing i new he was telling me to sit back and then he would make a small change and that it wouldnt make anything worse... WRONG!! after he made a "minor occlusal adjustment" everything felt weird! felt like my jaw was all over the place almost as if beforehand my teeth were pulling themselves into a secure position and now they werent. He took some off the inside edge of my left top teeth which is where it was contacting and dragging to the left.

Since then i became obsessed with my bite and did a lot of clenching... i also did something i shouldnt have done and in frustration knocked my jaw from left to right resulting in a pop and crackling noise in my right jaw... it didnt hurt but started making crackly noises after that.

trying to wrap up this story...

since then i have been to a dentist with special interest and knowledge on tmj... he said it doesnt look like much was taken off my teeth but that he cant know for sure... he made me a splint which i have only just started wearing.

since all of this happened i have had pressure around my ears, at times feeling more off balance than before, tinnitus noticeable when there isnt much else noise, and just feel crappy cos of it all! my bite also seems to be touching on the left before the right now, which i dont understand cos that is the side he changed. and my ears crackle all the time which i can do on call... i thought i would also note that i have been told that i dont have any noticeable tmj clicking in my jaw.

im starting to think that maybe the issue was my neck and head alignment and that the dentist cut the string that was barely stopping all of these problems from getting to what they are now!

now im worried this is going to be a problem i have to live with forever and im only 27! keep regretting letting the dentist do what he did!!!!

any suggestions would be greatly appreciated!
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cheeky1
replied on September 11th, 2009
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no comments or advice???

update***

since wearing the splint and not clenching (as much) i have noticed my bite seems to be changing again... the splint only covers the top teeth and doesnt go all the way around (last 2 molars are exposed)... i have now been noticing that my back teeth seem a bit more prominent... maybe because i am not clenching and puching them into the gum? im pretty sure my jaw is slightly crooked as my teeth centre lines are slightly off... i am now noticing that my front teeth are contacting more...

i went to an orthodontist and they said there isnt any major issues but i do have some minor crowding... more with the top teeth... they suggested braces to line things up and create a bit of space between the front top and bottom teeth... they said this may relieve some of the strin on the tmjoint...

i also had a ct scan of the tmj which came back okay but the left one was a bit closer to the ear...

i am now trying to figure out how to move ahead with all this...
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alpha99
replied on September 15th, 2009
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Hi cheeky1: I know you are a lot younger than me and I have had "tmj" for 20 years. Except - my jaw joints are fine, my problem is that I have facial spasms and my jaw goes to the left or right. I've had occlusal adjustments by dentists that have changed my bite each time. My clenching at night became worse. I've been to Neurologists who say it is Trigeminal Neuralgia - which it is not, the medicine didn't work, I've been to Oral Surgeon who gave injections in jaw joints which did not work or affect positively any spasms, I've been to ENT doctors, reumotologist, different dentists (some who claim to be "TMJ" specialists -- beware -- there is no such "specialist" (and this can be a money maker). Even a Prosthodontist that messed my bite royally. My current dentist now wants me to see an Orthodontist. If my old dentist of years ago was still practicing (he had experience and was older) I would be okay. He used to check my bite plate, grind down high spots on bite plate, take his time, and gave me Valium which took the pain completely away because it relaxed my muscles. I wish I could give you a solid honest answer as to your next step. To me, it sounds like of the ct scan of your tmj joints looked okay, I'd say you have more of the myofacial pain like I do. Currently, the only lifesaver in my situation is my doctor who is an Internest and she prescribes Ativan for me which is similar but not the same as Valium. I took Motrin 800mg three times a day before (with my wise and older dentist) and I was doing well. Just remember that each specialty will say they can fix it with their specialty. Be wary of any treatment that is permanent and could change your bite. I am not going to the Orthodontist because again, it is for "TMJ" and my MRI and Catscan stated that it was my mandibles that are the trouble. The mandibles cause muscle pain and clenching. Your safest bet is wear the bite plate, but if it makes your muscles hurt more, then it may not be the answer. Mine makes me clench more. Have your regular dentist give you "Flexeril" a muscle relaxant if he will. It seems today that doctors are skiddish about giving medications that will allow a person to feel no pain. My suggestion from the heart is for you to be careful, seek out the myofacial pain spasms first with your doctor or dentist. Getting braces may not be the answer. I am not a doctor, just a person suffering for many years with this pain. Oh, there was one oral surgeon years ago who gave me a shot in the back of my mouth on each side where the muscle is. That worked for many years. Unfortunately, he is no longer practicing or I would go back to him. Hope this helps.
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