Hello sir, I have a question, I would be very grateful if you give me feedback. There is a mandibular manipulation to realign the disc for disc displacement, can opening the condyle downwards a little too much while doing this manipulation cause any damage to our jaw? Can the structures there be damaged? Based on the jaw dislocation, it seems to me that there is no damage.
@DavidStrchld2 ай бұрын
Maybe this is beyond your field and into bio-med but why is not some flexibility build into implants to mimic that of natural teeth? I understand why it would not be in the bone to implant interface but anywhere above that, including between the crown and post can add a bit of cushion. And in that location if the flexible interface becomes damaged or torn is is much easier to repair than something deeper.
@BiteFX2 ай бұрын
It is beyond our field. It's good thinking to suggest some sort of cushioning in the crown but once somebody understands that crowns on implants shouldn't be set at the same level as the natural teeth, the solution of creating the crown fractionally shorter is much easier than having a crown with in-built cushioning. I suspect that is a disincentive to anyone creating such crowns.
@toffer-25412 ай бұрын
I have this shit, how to fix it permanently? Bite? Operation? Both of them? When i use Bite/Splint, symptoms disappear, but after some hours i am not using the splint during the day, symptoms start coming back, how to solve permanently?
@BiteFX2 ай бұрын
Whoever provided you with a splint that works to relieve your symptoms would be the best person to recommend a permanent solution. If that person is not available, look for another TMJ specialist in your area.
@toffer-25412 ай бұрын
@@BiteFX usually what are the options to fix it permanently? Surgery and/or orthodontics? In my case what caused my tmd Is a 2 class malocclusion
@BiteFX2 ай бұрын
@@toffer-2541 There's no single answer as it depends on exactly what the TMD problem is and how far off your teeth are from positions that will support a healthy TMJ. The fact that a splint can help relieve your symptoms gives hope that the changes required won't be too extreme - but that can only be confirmed by a TMJ-savvy dentist after diagnosing your bite and TMJ. Solutions range from making minor adjustments to a few teeth (adding or taking away small amounts of material), to orthodontics, to restoring multiple teeth, to surgery - depending on the severity of your problem. Lastly it's more likely that your TMD problem caused your class 2 malocclusion but that's for the dentist to determine and resolve.
@toffer-25412 ай бұрын
@@BiteFX mine its a skeletal 2 class malocclusion so it's more likely that It Is the cause and not the consequence
@NHIX-YT2 ай бұрын
Hi I'm 12 and last day(April 19)my jow lock for a second at school I was rlly scared so I told it to my parents and they said they have experienced it many times now but I'm still worried and kept praying that this will never happened again.
@BiteFX2 ай бұрын
Hi Yana. I'm sure this is a scary experience and not one you want to happen very often. I asked a TMJ specialist what he thought based on your comment. He said "Disc is displaced, needs to see a competent dentist in TMJ pathology to assess what may/should be done." In the meantime if you can recall what you did that caused your jaw to lock, like opening your mouth wide, try to avoid doing that. Wish you well.
@waly33023 ай бұрын
I have a question, I'm 23 years old and i had my jaw block for first time when i was 15 years old. After few months i had pain but it disappeared. Right now i noticed that my right side of the jaw doesn't move like it has to. After watching the video I'm worried because i feel like I have the worse case scenario right now and i really wanna know if there is a treatment or a surgery that can solve that. Please i wanna know... Edit: i also see a deviation described in the case of one condyle deterioration (right condyle)
@BiteFX3 ай бұрын
The answer to your question depends on finding someone who can diagnose what's going on with your TMJs. Look for a dentist who understands the TMJ and will do a CBCT scan or MRI of your joints. Without one of those scans a person can only guess at what's going on. Your symptoms strongly indicate that you have at least one displaced disc but the scans will show the state of your bones.
@waly33023 ай бұрын
I have a question, I'm 23 years old and i had my jaw block for first time when i was 15 years old. After few months i had pain but it disappeared. Right now i noticed that my right side of the jaw doesn't move like it has to. After watching the video I'm worried because i feel like I have the worse case scenario right now and i really wanna know if there is a treatment or a surgery that can solve that. Please i wanna know...
@BiteFX3 ай бұрын
Answered your question posted on the other video.
@anandsoni73014 ай бұрын
What is kois deprogrammer
@BiteFX3 ай бұрын
It's a type of splint designed by Dr. John Kois to help the jaw settle to its fully seated position. The "deprogramming" refers to helping the pterygoid muscles relax so the jaw can find that position. See www.koiscenter.com/kois-center-a-new-standard/kois-center-research/kois-deprogrammer/ for the full explanation.
@user-kz7gm5py2w4 ай бұрын
Thank you
@julnnarjulnnar9624 ай бұрын
Thaaaaaanks u really was helpful ❤
@ifyouknowyouknow69645 ай бұрын
Is there something more permanent? A permanent fix? Any expansion needed? I hate wearing shit in my mouth when I sleep I just can’t do it
@BiteFX5 ай бұрын
Understand. The occlusal splint should be a short-term measure. It allows your condyles (jaw bones) to settle into their fully seated position in the joints (can take a while as your muscles and TMJ disc adjust to the new position) and allows the dentist to confirm that they have the right jaw position and required tooth adjustments. Once that is done, the dentist can propose permanent changes to your teeth that negate the need for wearing a splint. One of the leading dentists who use BiteFX, Dr. Chris Toomey, has developed a technique in the last year or two in which he builds up the teeth instead of creating a splint. It's still a temporary measure but I'm sure would be more to your liking - I'm sure that's one of the reasons Dr. Toomey is having so much success with this technique. He's in Towson, MD, a suburb of Baltimore - a long shot that you're anywhere close to him.
@abhilove20818 ай бұрын
hi i have visted a tmj specialist and also went to dental college and shown my xrays of opg and tmj open and closed view , both people said to me your problem is not major and my tmj specialist suggested a hard/soft stabilization splint and dental college people said couple of jaw stretch and strengthening excercies enough to cure your problem and all you need to relax your jaw muscles i dont know what to do ,do i need to take that stabilization splint or excercises are enough to cure my problem, and my sympotoms are mild but constant there is always some little pain i am experiencing left side, what you gonna suggest me do i need to take a hard/ soft stabilization splint or excercises are enough ?
@BiteFX7 ай бұрын
First, know that I'm not a dentist, we've just worked with many top dentists to produce these animations and videos. Over the years we've gained good insights into how the TMJ works and how it can go wrong. The dentists and specialists who have the scans and can examine you are in the best position to diagnose your condition. That said, the dentists and TMJ specialists that we work with use CBCT scans or MRIs to discern exactly what is going on in the TMJ. A 2-D X-ray image does not provide sufficient information for a confident diagnosis. Pain in your TMJ indicates that something isn't right. Exercises may relieve the symptoms - and we had a physiotherapist on our monthly webinar last week describing how she helps TMD patients in collaboration with TMJ-savvy dentists. She was clear that patients need help from both physio and dentist to bring them to full health. A stabilization splint has a chance of resolving your issue so definitely worth considering. Ideally the TMJ specialist would take a CBCT or MRI to confirm the problem, but it may be that they are confident enough from examining you that they know your problem is minor and the splint is the way to go.
@abhilove20817 ай бұрын
@@BiteFX thank you for your reply
@littlelotta79758 ай бұрын
What is the splint called?
@BiteFX8 ай бұрын
The splint that Dr. Reid was describing is a permissive occlusal splint. There are several different types with slight variations in design, usually determined by your dentist.
@littlelotta79758 ай бұрын
@@BiteFX thankyou 🙋🇭🇲🇭🇲🇭🇲
@littlelotta79758 ай бұрын
With this problem it's hard to eat speak smile as it is not done as natural even yourning is easy, over 10 I've been told I'm grinding clenching, need braces all sorts and the other day I saw this and 😭 looking at the Graf's with only left back tooth touching and jaw out of alignment and it does take a toll on the old mental health 😒
@BiteFX8 ай бұрын
As far as you can, make sure that whoever is treating you has a good understanding of the TMJ - do you feel confident they "get" the concepts described in this video. Tonight we are hosting a webinar (for dentists) which features a physiotherapist, Carol Cote, who will describe how she works with dentists to help ease the symptoms being suffered by people like you. Unfortunately there aren't that many physiotherapists around who know the right things to do, but Carol tells me a key element is the CCTT qualification: Certified Cervical Temporomandibular Therapist. They can't cure your TMJ issues, but they can ease the pain and increase functional range.
@littlelotta79758 ай бұрын
@@BiteFX thankyou for your reply..the thing is I don't have any pain what so ever and good range and movement , this problem has left me confused and I have no trust in the system anymore.. all I do know is that when I Saw the video how it looks is exactly how my bite feels ..in my last comment to you I just noticed that I wrote yourning is easy..meant not easy thankyou
@myemailsempiternallysucks3 ай бұрын
@@littlelotta7975do u have condyle deterioration cause of an accident like in the video or not?
@littlelotta79753 ай бұрын
@@myemailsempiternallysucks no I don't no pain it just happened 🤷 specialists don't know, Joints are all good
@myemailsempiternallysucks3 ай бұрын
@@littlelotta7975 so its just like asymmetrical jaw? if yes we have same problem
@whitewolf96718 ай бұрын
I've had jaw problems for a few months now. Started from stress clenching. I feel my incisors touch more that before because my back teeth don't touch anymore. Why is that and what can I do ? I got a nightguard from my dentist but it doesn't fix my bite.
@BiteFX8 ай бұрын
I wanted to check with a TMJ specialist before replying to you so here's what he said: "Two reasons typically explain a forward bite. Posterior interferences that the body decides to avoid, or joint inflammation. An MRI should be done to diagnose the joints, and a clinical exam is a must." A simple nightguard might help protect the teeth at night but unless it is designed to help resolve whatever is going on with your TMJs, and you have other dental work done to complement whatever the splint does, the nightguard is not going to fix your bite.
@prashanishah3258 ай бұрын
Does splint work for clogged ears?
@BiteFX8 ай бұрын
Unlikely. I haven't heard any TMJ expert describe unclogging ears as an additional benefit of using a splint to improve TMD issues. You'd want an ENT doctor with a TMJ (dentist) specialist to confirm this was a viable treatment option.
@prashanishah3258 ай бұрын
TMJ orthotics works for clogged ears?
@BiteFX8 ай бұрын
@@prashanishah325 Same as previous reply. I was assuming you meant a TMJ orthotic when you said "splint".
@calalkazimov61798 ай бұрын
I have scoliosis but it is not very significant. I went to a doctor and he said that you have nearly nothing, but i insisted that i want to come to the treatment for 1 course. We did exercises and it is, i think, better now. Some people say that spine alignment could be the cause of tmj. I want to ask you lets say i have 1 lvl scoliosis and if i get splint for tmj, will it get fixed and not get worse when i stop to use that splint.
@calalkazimov61798 ай бұрын
Also, will fixing tmj will fix the assymetry of jaw?
@BiteFX8 ай бұрын
@@calalkazimov6179 I've certainly heard some dentists talk about correcting scoliosis by using splints, but it's not a common specialty. It seems logical that if you have a problem in one TMJ that is producing an asymmetry in the jaw, that will influence how you hold your head, perhaps tilting to one side, and that in turn will feed down to your back so your spine curves. If the TMJ issue can be resolved, one would hope that the head posture would correct and that the scoliosis would also correct - unless there is some other cause of the scoliosis. What's more certain is that if there is asymmetry in your jaw, it likely indicates a TMJ problem and that fixing that TMJ problem can correct the asymmetry - provided the TMJ problem is fixable and hasn't advanced to a state where repair is difficult. Worth finding a TMJ specialist who can tell you what is going on with that joint.
@hikerinpam338 ай бұрын
Where do I find a expert in Pennsylvania
@BiteFX8 ай бұрын
Fill the form in on this page: hubspot.bitefx.com/help-me-find-occlusally-aware-dentists and we'll send you a list of those we know of who are close to you.
@Soulchain8 ай бұрын
For six years I have been suffering from this. Multiple dentists, jaw surgeon, MRT, splints for bruxism. None of the "experts" could explain to me what was happening and what might be necessary to help me. The problem got so worse i started developing top down muscle problems in my neck, back, legs and my posture and life quality has deteriorated. Only after researching on my own for 9 months i could link everything together (Posturual restoration, AIC pattern, vestibular system). I had to reverse engineer everything from severe neck pain and a right shoulder that was hanging far lower than my left shoulder). It boggles my mind that a 10 year old video gave me the exact information I needed to find the right help. Thank you so much. I made an appointment with a jaw orthopedist who advertises in occlusion monitoring and creating special splints for CMD or TMJ. I hope I'm on the right track to getting my life back.. maybe someone in a similar situation finds this useful.
@BiteFX8 ай бұрын
Glad the video was helpful. We created a few new videos recently, some of which go into greater detail on the TMJ with new animations. For example: A Tour of the TMJ (Part 1) kzread.info/dash/bejne/lnWns6OpcZTUqso.html and A Tour of the TMJ (Part 2) kzread.info/dash/bejne/lXyaqJuykrCaZaQ.html. We broadcast a monthly webinar for BiteFX member dentists. This month we have physical therapist who specializes in orofacial pain and TMD, working alongside TMD-savvy dentists to help patients recover from the types of problem you describe. If you'd like me to tell you more about that, send an email to [email protected] asking that it be forwarded to Doug.
@igotsickieatlight8 ай бұрын
all the doctors who say they don't know, just don't want you to get healed so they can earn money on you. They all know. It's hard to say what the issue is from ur point, but make sure you don't have tongue tie, not mouthbreathing. If you have deviated septum then you have to fix ur septum first otherwise everything is useless. The problem is that when having one issue in ur body it will have a domino effect on other parts. The key is to find what is causing trouble eg uneven hips, muscle dysbalance. I advise you to start yoga everyday so you have no tight muscles in ur body. Also make sure you have correct tongue posture and correct swallow technique. It's a long journey and your body learned to compensate by doing unatural habits like clenching teeth or grinding. There are so many factors that it's hard to tell and average people who don't have the knowledge are not even aware of it.
@mddistribution302 ай бұрын
I'm 52 and I've been bothered by tmjd since I was 15. My lower jaw feels like it's clicking in and out of place. Do you know if there's a surgical solution for it?
@FunnySpiderman258417 сағат бұрын
Saya mengalami apa yang saudara rasakan . Sakit leher sakit kepala ,dan kualitas hidup memburuk . Bisa jelaskan pengobatan apa yang saudara jalani. Terima kasih
@antona36078 ай бұрын
Ask your dentist, why humans were designed by “the evolution “ to have 32 teeth? Most of them actually think that we don’t need wisdom teeth at all. LOL.
@rifleshooterchannel2088 ай бұрын
They’ll tell you that so you pay them to take them out (in many instances) needlessly.
@nitaphillips27528 ай бұрын
I was experiencing clicking sounds that I originally thought was maybe air bubbles escaping from my ears. Then I had my wisdom teeth removed...all 4 of them at same time. What followed was 4 weeks of pain that included my ears. They first thought I had dry sockets but the treatment was unsuccessful and pain returned as soon as pain meds wore off. The dental surgeon finally looked into the possibility of TMD and found that was the cause. It was muscle relaxers that finally brought pain under control. That was many years ago. Still I have occasional flare ups following dental visits or during seasons of elevated stress where Im apt to clench my teeth. And still I may hear the snap, crackle and pop of that joint when I swallow. But making myself familiar with what may trigger my TMD and knowing what can help a flare up has been a life saver. The pain may become quite excruciating but knowing what to do and what not to do makes all the difference in the world.
@BiteFX8 ай бұрын
Thanks for sharing Nita!
@tridiep45039 ай бұрын
Thank for share
@ExtranjeroyPeregrino.9 ай бұрын
My doubt is... how do I turn these thick dots into thin dots when checking the occlusion as the graphic show??? How do I know when to stop?🤔
@BiteFX9 ай бұрын
Obviously it takes a little training and practice (on models) to perfect that skill, but there are fairly simple rules that are taught which allow you to progress from only hitting on a single tooth to establishing point contacts on multiple teeth. CE institutions like Dawson, Pankey, Kois, Spear, OBI, BSOS, all teach these skills.
@bassamelreda42789 ай бұрын
Hello @bitefx , do you have a video about Tinittus and TMJ related issues?
@BiteFX9 ай бұрын
Hi Bassam - We don't have one that explicitly shows tinnitus but we have many on TMJ related issues that would be easy for a dentist to relate to tinnitus. That said, I'll check with our dentist advisory group to see they would support us creating an animation on tinnitus.
@tridiep45039 ай бұрын
Thank you for share
@ExtranjeroyPeregrino.9 ай бұрын
I believe that if the patient didn't get the right splint ... it won't get positive results??? The shape of the splint influence the position of the disk right?
@BiteFX9 ай бұрын
You are correct. The splint needs to be the right one for the patient's condition. Splints won't always influence the position of the disk, but they can do, particularly if they are designed to reduce the pressure at the condyle and give a displaced disk a chance to recapture.
@ExtranjeroyPeregrino.9 ай бұрын
@@BiteFX Thank you for your reply!
@maswiyat_i9 ай бұрын
Can you do some reverse bite animations? What happens to the teeth and jaw joints. Thanks
@BiteFX9 ай бұрын
Good suggestion. I'll add it to our list to consider for a future animation. Thanks.
@maswiyat_i9 ай бұрын
Thanks!
@mb596219 ай бұрын
Hi , i have a clicking sound from that joint on the left side. I notice that it gets stuck when i actually close my mouth , and it gets back to its normal position with a click sound when i open my mouth .what to do ?
@BiteFX9 ай бұрын
Sounds like your left TMJ disc is displaced when your mouth is closed and is recapturing when you open. Suggest you get to a dentist/TMJ specialist who can diagnose exactly what is going on and hopefully give you a splint that will help the disc to recover its normal position. The sooner you can do this the better so the disc doesn't deform in the displaced position.
@karimmamdouh624610 ай бұрын
so what is the solution plz ??
@BiteFX10 ай бұрын
The "simple" solution is to take the bite record with the condyle in its fully seated position then there won't be a a difference between the space available for the crown between taking the impression and fitting the crown. However, it's not quite that simple as you have to: a) Learn how to settle the condyle into its fully seated position - and know when that position is stable and won't change in the next few weeks. b) Know if there are adjustments required to other teeth to make the bite work with that fully seated position. c) Know when those adjustments are complete and you are ready to make and fit the crown. CE institutions like Dawson, Spear, Pankey, OBI, BSOS, Kois provide the training that will help you understand and master these skills.
@karimmamdouh624610 ай бұрын
@@BiteFX thanks alot
@Emmica3654 ай бұрын
Hello. I have this problem, but my dentis doesnt see this problem. When I wake up i bite on my back teeth- molars only, after one hour and more i bite on my front teeth - incisors.do I have to grind those back teeth or fill in the front ones? or wear braces? I have exactly the same situation as in your video under point 2.
@Scott-fg3fm10 ай бұрын
The skull with the proper bite isnt ideal its too back and down making it too small
@BiteFX10 ай бұрын
Thanks for the comment Scott. Since this video was created 10 years ago we've refined the animations and, I hope, resolved your concern.
@farawayfaerie882910 ай бұрын
Hi, can you discuss the formation of a pseudo disc please? Will a pseudo disc always form and if so will the degeneration of the joint be avoided? Thank you.
@BiteFX10 ай бұрын
A pseudo disc can be formed by scarring of the retrodiscal tissue making a tough enough barrier between the condyle and the fossa to prevent those boney structures rubbing on one another. If it forms, it may prevent further degeneration but there's no guarantee. It doesn't always form - for example, if the retrodiscal tissue has perforated it's unlikely new tissue will grow to stop bone rubbing on bone.
@adinaakbalayeva823811 ай бұрын
It took me 33 years to understand what is wrong with me I am glad I finally found this channel
@saikatghosh955111 ай бұрын
Occusal spirit cure TMJ clicking.
@BiteFX11 ай бұрын
Occlusal splints won't automatically cure TMJ clicking. If the goal is to address the cause of clicking, the design needs to be a little different.
@FM-dm8xj Жыл бұрын
is it possible to fully recover after wearing the splint?also is it possible to box with this issue?also is a splint a usable mouthguard?
@BiteFX Жыл бұрын
These are all questions that your dentist needs to answer based on a good diagnosis of your current situation. For minor TMJ issues full recovery may be possible; for more severe issues it's more a case of stopping continued deterioration rather than recovering to full health. A splint is serving a different purpose than a mouth guard so the two are not interchangeable. Whether or not it is wise to box when you have a TMJ issue would again be a question for your dentist. With a TMJ problem, one of the areas of your body that is a prime target for a boxing opponent is damaged - do you want to spend much time and money to have things repaired or stabilized in that area only to be destroyed by a well-aimed punch? But you may feel that is just part of the risk of boxing.
@FM-dm8xj Жыл бұрын
@@BiteFX by minor do you mean just muscular non clicking and lock jaw issues? Thanks, i might just shift to wrestling (also i really meant muay thai instead of boxing). My dentist said i should stop but was just getting a second opinion about if my tmj is cured can i start again.
@BiteFX Жыл бұрын
@@FM-dm8xj Some clicking and lock jaw issues are fixable. Sometimes you can have clicking, but it goes away, however, that can be a sign that things have got worse. Basically there's no hard-and-fast rule that says a particular set of symptoms you observe means your problem is fixable or not. Needs a TMJ-experienced dentist, with the appropriate scans, to diagnose and make that determination.
@iNeed2p0 Жыл бұрын
My both Tmj is brok🥺
@BiteFX Жыл бұрын
Might be worth seeing if you can find a TMJ specialist (or a dentist who understands TMJ) to see what they think. Perhaps they can do something to help you.
@sagarbirla2879 Жыл бұрын
Hey..! Dr. I want to talk to you, can we contact please 🙏
@BiteFX Жыл бұрын
First, I'm not a doctor, but we are connected with many dentists who inform us and comment on issues. You can send your contact information to [email protected] and ask that your request be forwarded to Doug.
@soularpower Жыл бұрын
Since early March, I've been having annoying hearing loss with discharge coming from my right ear. All this happened RIGHT after having a week long event of just chewing gum non-stop. All I noticed during that time was two loud 'snaps' or 'claps' sounds come from my jaw and after that I stopped chewing to "give myself a break". I experienced facial soreness/pain for a few days after that, accompanied by sensitive ears which led to muffledness/pressure in my ears. Now, I'm dealing with hearing loss at the moment and I'm trying to see an ENT. I don't know if it's directly related to TMJ, I have bruxism from teeth clenching at night and I do wear a guard nightly.
@BiteFX Жыл бұрын
Checked with some of our dentists and the advice is to first go through the ENT screening (as the discharge from your ear suggests an ear issue is part of your problem) and then go to a TMJ specialist as so many of your symptoms are related to the TMJ.
@Lolztrikenamewastaken10 ай бұрын
Are you still experiencing muffled ears?
@abhilove20818 ай бұрын
even i faced the same problem even i got tmj because of chewing gum , how is your symptoms by the way is everything okay?
@caseymckee2814 Жыл бұрын
🤩 "Promo sm"
@ninarsalman6012 Жыл бұрын
❤
@axstins Жыл бұрын
I've had this condition for 6 years. For the first 3-4 years, it was just clicking/popping sounds. About 1-2 months ago, I noticed that my disc started to click less and less, until, one day, it felt like part of my disc slipped in that socket. My fix for this was just to wait 10-20 minutes, and open my mouth to click it back onto the condyle. But recently, it has gotten to the point of where, clicks are almost gone, and if I open my mouth, it fully slips in the socket. This was because my disc popped 1 time very loudly (with no pain) and cracked 2 times very hard (felt a little bit of pain). I searched on the google "posteriorly dislocated tmj" and I barely found anything about my condition. Not even on KZread, I couldn't find any causes (because my disc was dislocated anteriorly previously), not even stages, just a few websites and images. I'm asking for advice here, as it is my only option left. Thanks!
@BiteFX Жыл бұрын
Hi Urban. The best advice we can give is that you should find a dentist who is also a TMJ or TMD specialist. They should be able to scan or arrange for a scan of your TMJs and give you an accurate diagnosis of the state of your joint(s) and how they got there. The fact that you are noticing these changes suggests you have a problem that needs to be addressed. Watch the other videos on the TMJ that we published on this channel recently for more information, but you really need to see a TMD specialist.
@axstins Жыл бұрын
@@BiteFX Thank you!
@user-fx2wg8or1q Жыл бұрын
If I have a over jet its will fix it?
@BiteFX Жыл бұрын
Splint therapy may be part of correcting an overjet issue but will not be all that is required. It may also be that no splint therapy is required. Only a TMJ/occlusally aware dentist, likely in collaboration with an orthodontist, can determine for sure.
@FirstUsername Жыл бұрын
I got a crown done and I think it was cut too short. So to correct this my dentist shaved down like 6-8 teeth on the opposite site and my bite has been awful ever since. Since then I’ve been recommended to see a to see a TMJ specialist, and I have an appointment set for several months from now, but I wonder if it’ll even help? Never had any issues before. After seeing this video I’m worried a TMJ specialist won’t even know what to do.
@BiteFX Жыл бұрын
I'd hope that a TMJ specialist would understand exactly what this video explains and know how to help you. There's a chance that your TMJs are mostly OK and that your problem is more with how your teeth are coming together when your condyles are fully seated. Changing the shape of the tooth that broke might have seemed sensible because it was sticking up and therefore taking most of the force and therefore broke, but that change allowed your condyles to take a different position when your teeth come together so that things don't feel the same as they used to. A dentist with a good understanding of occlusion (how the teeth come together, and how that relates to condyle position in the TMJs) should be able to diagnose what's going on and possibly give you some relief with a well-designed occlusal splint. I wouldn't let anyone reshape any more teeth until they've demonstrated that they can give you comfort (for several months) with a splint. You might be able to find an occlusally aware dentist who can see you much sooner than the TMJ specialist.
@FirstUsername Жыл бұрын
@@BiteFX Thank you for the reply. I had experienced extreme pain after the initial rework as it felt like my bottom teeth were digging severely into my front two, and it's just been a miserable experience since. I just regret ever having had the crown done, as I am fairly certain that dental office was the one that cracked it to begin with. Regardless, I will look into what you've written here, both the orthodontist and the initial dentist said to see the specialist, but perhaps a third opinion with a new dentist might be worth a shot. Thanks for taking the time to reply.
@cheesetomeetyou Жыл бұрын
I have no pain, but constant clicking on my left jaw. For like a year and a half now. One time I yawned, felt a lock I believe, then a pop, and had it ever since. No struggle to move jaw. No locking ever since. Just annoying clicking sounds.
@BiteFX Жыл бұрын
I'd say it's worth finding a dentist/TMJ specialist who can diagnose what's going on. Sometimes, if caught early enough, the dentist can design a splint that helps the disc settle back into place. Will stop the clicking and prevent things getting worse in your jaw.
@AL-mb4gs Жыл бұрын
How much would a splint cost…??
@BiteFX Жыл бұрын
That can vary widely depending on the type of splint required and the amount of support the dentist includes in the price of the splint. Several different problems can be eased by the use of splints, each one requiring a slightly different design and most of them require adjustments over a period of a few months when the lower lateral pterygoid muscle becomes more used to relaxing and allows the condyle to settle further back. We did a survey a few years ago on what dentists charged for splints and it varied from $500 to $4,000 with averages in the $1,400 to $1,700 range. However, it's not an item to be purchased based on price. It's more important that you are confident the dentist understands your problem and has a plan to give you a long term solution that works for you. If a $500 appliance doesn't give you full or long-term relief, you may be paying thousands for crowns or more major restoration work. If a $1,700 appliance delivers pain relief, confirms what a long-term solution should be, prevents further tooth breakages and gives you a year or two to plan for permanent work, you might see it as a great investment.
@AL-mb4gs Жыл бұрын
@@BiteFX thanks for all that information much needed!!🙏🏽🙏🏽
@AL-mb4gs Жыл бұрын
@@BiteFX another question sorry, will a splint work if I’m suffering from arthritis?
@BiteFX Жыл бұрын
@@AL-mb4gs I checked with one of the TMJ specialists that advises BiteFX and his answer was "it may" and went on to explain: The splint’s goal is to create an environment of less pressure on the TMJ. It’s somewhat like crutches for a sprained ankle, it takes some pressure off the joint. The splint doesn’t do the healing part, the person’s body has that responsibility. The splint creates better conditions for healing, the body heals according to its capacity to repair or adapt. So some patients heal great, others less. A well made splint does its job. Hope that helps.
@AL-mb4gs Жыл бұрын
@@BiteFX that’s great information thank you So do would you recommend a splint in this situation? Or what treatment will be necessary for this situation??
@andrejmilojeski7160 Жыл бұрын
Can a constricted envelope of function cause chronic aching in the lateral pterygoids? I can see in the video that both heads of the lateral pterygoid are activated once the mandible reaches the upper incisors and starts moving back... I have it and I can literally feel the two lateral pterygoids ache and as I saw on the Internet, trigger points in them can also refer pain to the sinus area, which is where I feel pain the most, right behind the nose. Thank you. 🙂
@BiteFX Жыл бұрын
The animations used in this video show fairly normal use of the lateral pterygoids. The lower muscle tenses to pull the jaw forwards, and the upper muscle tenses while the jaw is closing, to keep the disc in place between the condyle and fossa. Do you know that you have a constricted envelope of function? If you do, perhaps the pterygoids are fighting against the rearward push on the jaw by the constricted envelope, but it's not a consequence I've heard expounded. Overworking of the lateral pterygoids is more often attributed to holding the jaw forward to achieve comfortable tooth contacts. Maintaining that position means the lateral pterygoids are fighting against the closing muscles which pull the jaw up and into the fossa. That's a tough battle, likely to make the lateral pterygoids tired. The video "Bruxing" on this channel (kzread.info/dash/bejne/gKCpq6qxZtbLnJM.html) explains the concepts (you may or may not be bruxing, but it shows the pull-forward to avoid an uncomfortable contact). Both the constricted envelope of function and the pull-forward to avoid an early contact between back teeth can lead to the lower front teeth rubbing on the upper front teeth. Tooth-wise the effects may seem or feel similar, but I'd say your awareness of pain in the lateral pterygoids makes it more likely that you're pulling forwards. A dentist who understands occlusion and the functioning of the TMJ should be able to diagnose exactly what's happening. An occlusal splint may give relief to the pterygoid pain - but make sure that airway or any sleep apnea issues are considered as that can be another reason for pulling the jaw forward - to open the airway, and you don't want to do anything that will close off your airway!
@andrejmilojeski7160 Жыл бұрын
@@BiteFX I actually have a class 2 division 2 malocclusion, i.e. a deep bite. I am currently wearing a functional appliance (an activator) which places my lower jaw several millimeters forward to correct the deep bite. Now that I've been wearing two kinds of splints/appliances that moved my lower jaw forward, I do know that I have developed a constricted envelope of function as that is exactly how I move my jaw when I'm trying to put it into position to chew food (01:05 - 01:20). My upper incisors are also chipped and shortened by the deep bite I had all my life. So, in a way, yes the lateral pterygoids may be fighting against my closing muscles which are trying to place the mandible backwards so that I can chew my food. And yes, I am a big clencher, but not a grinder and I used to get big headaches from it. I also snore, and have seen from a CBCT image that my airway is very narrow from the deep bite I had. I am now looking to expand the airway by positioning the mandible forward, but first I will be doing upper incisor intrusion so that I can place the mandible as forward as possible. I am strongly against retractive orthodontics and anything that pulls the jaws backwards. In an ideal world I would do MSE (Maxillary Skeletal Expansion), to also widen my maxilla, thus widening my nasal cavity, making room for my tongue to rest on the roof of the maxilla and have jaws the size of a prehistoric man, the way nature intended.🙂 Thank you for your response.
@BiteFX Жыл бұрын
@@andrejmilojeski7160 Sounds like you're aware of and working on all the issues. Is it clear in your mind how you will establish a stable bite when your current and future functional position is to hold the condyle forward, out of its socket? Might pose this question to a mastermind group we are hosting next month as preliminary exchanges between the attending dentists suggest that "airway vs seated condyle - which is more critical?" will be one of the topics we discuss. (Everyone agrees that airway is more critical, but how do you resolve airway issues while establishing a stable bite?) Thanks for sharing!
@andrejmilojeski7160 Жыл бұрын
@@BiteFX That is an excellent question! Airway vs seated condyle? My current orthodontist had me do an X-ray of both condyles with and without the functional appliance. Logically, while wearing it the condyles are positioned forward by several millimeters. I cannot say how much, I tried measuring but I think the millimeters on the X-ray don't translate to the millimeters in real life. I could say 2-3mm, I guess. Maybe she was going for that "Gelb 4/7" condyle/fossa position, I suppose. When the orthodontist saw the X-ray, she said it was looking good. So, to answer your question, she plans to establish a stable bite by holding the mandible (and the condyle) a bit forward. She will first intrude the upper incisors a bit forward too (class 2 division 2) as they are positioned backwards and will then "lock down" the bite by bringing all the posterior teeth together with the mandible also positioned a bit forward. So yes, the condyles will be a few millimeters forward and a bit out of their socket but she saw nothing unusual about it and I don't feel any pain in my joints whatsoever. If I were a teenager and had been wearing the appliance then I know the condyles themselves would have grown into the new position (grown backwards and upwards). But I am a 34-year old man and that growing process may be finished for me. P.S. If it helps I could send you a few photos of the appliances and the X-rays I had to better visualize what I'm describing. Thank you for the debate so far. 😉
@BiteFX Жыл бұрын
@@andrejmilojeski7160 When you say "X-ray" was it actually a CBCT scan? The latter is better for assessing the state of the TM joint. Seeing photos and the "X-rays" would be great, but I need to give you a caveat: I would share these with a group of dentists (which includes one or two orthodontists, TMJ specialists, and airway specialists) who likely see things differently from your orthodontist - I don't think any of them would agree with the perspective that a condyle functioning forward of its fully seated position in the socket is a normal, stable position. They might accept it is the best position short of major surgery, but they'd want to monitor the bite fairly regularly (every couple of months to begin with, perhaps extending to 6 to 12 months over time if things don't change). So your case and info could be a very interesting example for the group to discuss, but what if they come back with a recommendation that's different from your current treatment plan? I'm sure they wouldn't want to interfere with your orthodontist, but I expect they'd want you to be aware of possible issues going forward. The situation could become difficult for you: your local specialist says one thing, and a remote group that can't treat you says another. Of course, they might come back confirming what you're doing is the right way forward but recommend things to watch out for in the future. And they might say you don't have the right scans for them to assess the situation. If you're happy to expose yourself to this analysis and possibly feedback that might put you in a quandary, then please email me at [email protected]. Best regards, Doug
@andrejmilojeski7160 Жыл бұрын
00:20-00:30 is exactly what happened to me. Wow!
@andrejmilojeski7160 Жыл бұрын
I started having TMJ problems two years ago, and your videos have helped me better visualize its entire anatomy. Being an engineer and of inquisitive nature, after many months of research on the Internet, I concluded that TMJ disorder is just the tip of the iceberg. Its maldevelopment is ultimately due to poor craniofacial development. In other words, TMJ problems are simply the result of a poorly developed face. Your videos have helped me put crucial pieces of the TMJ puzzle in place. Can't wait to see what you put out in Part 2. Again, I am so glad I subscribed to this channel a year ago to see this new content you're putting up. The visuals are simply stunning. Keep up the great work!
@preetsandhu1554 Жыл бұрын
Is there any solution for tmj?
@BiteFX Жыл бұрын
Hi Andrej - Thanks for the encouraging comment! Our plan is to put out videos regularly for the next few months at least. We have a rich library of animations and webinars presented by top dentists to draw on that is worth sharing. The issues are complex and often interrelated. Sometimes the TMJ disorder is the tip of the iceberg with other issues being the root cause; sometimes the TMJ disorder is the root cause. As an engineer you may come to understand the issues better than the average dentist!
@BiteFX Жыл бұрын
Hi Preet. What people describe as "TMJ", or more accurately "TMD", covers a wide array of ailments: deformity, a variety of diseases, misalignment of joint, teeth, or other associated structure. There are solutions to many of the problems - some simple, some very involved. Don't believe anyone who says they have a simple solution to all TMJ issues! The best solution requires a good diagnosis by someone who understands the TMJ well.
@NinoMaluri8 ай бұрын
Did you manage to solve your problem?
@andrejmilojeski71608 ай бұрын
@@NinoMaluri I'm currently wearing braces to fix my bite. I make contact on maybe 2-3 teeth randomly, otherwise none of my teeth touch. I still feel pain in my temporalis and lateral pterygoid muscles every day, but they ache on different days and the pain tends to subside as the day goes by, it's the strongest in the morning, so my orthodontist has concluded that my issue is now muscular, whereas before it was both joint-related and muscular. It's also very probable I clench my teeth at night. My facial muscles don't have a stable biting platform, so they brace and ache all the time. I hope once my bite is fixed everything will quiet down.
@kevinramirez538 Жыл бұрын
what bullshit science is this? molar teeth are designed to support tmjs not the blasting "anterior guidance" this is crap and will ruin your neck.
@fancc306 Жыл бұрын
Hi sir, I have been suffering from clicking jaw for one year. I think maybe I need a splint. Do you have any recommendations for Malaysia area? Thanks in advance.
@BiteFX Жыл бұрын
Whether you need a splint and what type of splint is best determined by a dentist with a good understanding of the TMJ - as I think you've already determined. I'm afraid we don't know of dentists we could recommend in Malaysia. Thailand is probably the closest. You could try the find-a-dentist functions provided by either the Dawson Academy or The Pankey Institute. I think they have wider international databases than we do.
@travellingdentist5101 Жыл бұрын
Thankyou soo much. Learned alot. Kindly make more videos it helps me alot to learn with these beautiful animations. Stay blessed.
@BiteFX Жыл бұрын
Thank you for the great comment. We're planning on producing a series of such videos, so watch out for them as they come out. Also consider looking at the BiteFX Study Aid for Functional Occlusion along with Dr. Dawson's book "Functional Occlusion"; together these will help you take a much deeper dive into the topics than we can put across in our videos.
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Hello sir, I have a question, I would be very grateful if you give me feedback. There is a mandibular manipulation to realign the disc for disc displacement, can opening the condyle downwards a little too much while doing this manipulation cause any damage to our jaw? Can the structures there be damaged? Based on the jaw dislocation, it seems to me that there is no damage.
Maybe this is beyond your field and into bio-med but why is not some flexibility build into implants to mimic that of natural teeth? I understand why it would not be in the bone to implant interface but anywhere above that, including between the crown and post can add a bit of cushion. And in that location if the flexible interface becomes damaged or torn is is much easier to repair than something deeper.
It is beyond our field. It's good thinking to suggest some sort of cushioning in the crown but once somebody understands that crowns on implants shouldn't be set at the same level as the natural teeth, the solution of creating the crown fractionally shorter is much easier than having a crown with in-built cushioning. I suspect that is a disincentive to anyone creating such crowns.
I have this shit, how to fix it permanently? Bite? Operation? Both of them? When i use Bite/Splint, symptoms disappear, but after some hours i am not using the splint during the day, symptoms start coming back, how to solve permanently?
Whoever provided you with a splint that works to relieve your symptoms would be the best person to recommend a permanent solution. If that person is not available, look for another TMJ specialist in your area.
@@BiteFX usually what are the options to fix it permanently? Surgery and/or orthodontics? In my case what caused my tmd Is a 2 class malocclusion
@@toffer-2541 There's no single answer as it depends on exactly what the TMD problem is and how far off your teeth are from positions that will support a healthy TMJ. The fact that a splint can help relieve your symptoms gives hope that the changes required won't be too extreme - but that can only be confirmed by a TMJ-savvy dentist after diagnosing your bite and TMJ. Solutions range from making minor adjustments to a few teeth (adding or taking away small amounts of material), to orthodontics, to restoring multiple teeth, to surgery - depending on the severity of your problem. Lastly it's more likely that your TMD problem caused your class 2 malocclusion but that's for the dentist to determine and resolve.
@@BiteFX mine its a skeletal 2 class malocclusion so it's more likely that It Is the cause and not the consequence
Hi I'm 12 and last day(April 19)my jow lock for a second at school I was rlly scared so I told it to my parents and they said they have experienced it many times now but I'm still worried and kept praying that this will never happened again.
Hi Yana. I'm sure this is a scary experience and not one you want to happen very often. I asked a TMJ specialist what he thought based on your comment. He said "Disc is displaced, needs to see a competent dentist in TMJ pathology to assess what may/should be done." In the meantime if you can recall what you did that caused your jaw to lock, like opening your mouth wide, try to avoid doing that. Wish you well.
I have a question, I'm 23 years old and i had my jaw block for first time when i was 15 years old. After few months i had pain but it disappeared. Right now i noticed that my right side of the jaw doesn't move like it has to. After watching the video I'm worried because i feel like I have the worse case scenario right now and i really wanna know if there is a treatment or a surgery that can solve that. Please i wanna know... Edit: i also see a deviation described in the case of one condyle deterioration (right condyle)
The answer to your question depends on finding someone who can diagnose what's going on with your TMJs. Look for a dentist who understands the TMJ and will do a CBCT scan or MRI of your joints. Without one of those scans a person can only guess at what's going on. Your symptoms strongly indicate that you have at least one displaced disc but the scans will show the state of your bones.
I have a question, I'm 23 years old and i had my jaw block for first time when i was 15 years old. After few months i had pain but it disappeared. Right now i noticed that my right side of the jaw doesn't move like it has to. After watching the video I'm worried because i feel like I have the worse case scenario right now and i really wanna know if there is a treatment or a surgery that can solve that. Please i wanna know...
Answered your question posted on the other video.
What is kois deprogrammer
It's a type of splint designed by Dr. John Kois to help the jaw settle to its fully seated position. The "deprogramming" refers to helping the pterygoid muscles relax so the jaw can find that position. See www.koiscenter.com/kois-center-a-new-standard/kois-center-research/kois-deprogrammer/ for the full explanation.
Thank you
Thaaaaaanks u really was helpful ❤
Is there something more permanent? A permanent fix? Any expansion needed? I hate wearing shit in my mouth when I sleep I just can’t do it
Understand. The occlusal splint should be a short-term measure. It allows your condyles (jaw bones) to settle into their fully seated position in the joints (can take a while as your muscles and TMJ disc adjust to the new position) and allows the dentist to confirm that they have the right jaw position and required tooth adjustments. Once that is done, the dentist can propose permanent changes to your teeth that negate the need for wearing a splint. One of the leading dentists who use BiteFX, Dr. Chris Toomey, has developed a technique in the last year or two in which he builds up the teeth instead of creating a splint. It's still a temporary measure but I'm sure would be more to your liking - I'm sure that's one of the reasons Dr. Toomey is having so much success with this technique. He's in Towson, MD, a suburb of Baltimore - a long shot that you're anywhere close to him.
hi i have visted a tmj specialist and also went to dental college and shown my xrays of opg and tmj open and closed view , both people said to me your problem is not major and my tmj specialist suggested a hard/soft stabilization splint and dental college people said couple of jaw stretch and strengthening excercies enough to cure your problem and all you need to relax your jaw muscles i dont know what to do ,do i need to take that stabilization splint or excercises are enough to cure my problem, and my sympotoms are mild but constant there is always some little pain i am experiencing left side, what you gonna suggest me do i need to take a hard/ soft stabilization splint or excercises are enough ?
First, know that I'm not a dentist, we've just worked with many top dentists to produce these animations and videos. Over the years we've gained good insights into how the TMJ works and how it can go wrong. The dentists and specialists who have the scans and can examine you are in the best position to diagnose your condition. That said, the dentists and TMJ specialists that we work with use CBCT scans or MRIs to discern exactly what is going on in the TMJ. A 2-D X-ray image does not provide sufficient information for a confident diagnosis. Pain in your TMJ indicates that something isn't right. Exercises may relieve the symptoms - and we had a physiotherapist on our monthly webinar last week describing how she helps TMD patients in collaboration with TMJ-savvy dentists. She was clear that patients need help from both physio and dentist to bring them to full health. A stabilization splint has a chance of resolving your issue so definitely worth considering. Ideally the TMJ specialist would take a CBCT or MRI to confirm the problem, but it may be that they are confident enough from examining you that they know your problem is minor and the splint is the way to go.
@@BiteFX thank you for your reply
What is the splint called?
The splint that Dr. Reid was describing is a permissive occlusal splint. There are several different types with slight variations in design, usually determined by your dentist.
@@BiteFX thankyou 🙋🇭🇲🇭🇲🇭🇲
With this problem it's hard to eat speak smile as it is not done as natural even yourning is easy, over 10 I've been told I'm grinding clenching, need braces all sorts and the other day I saw this and 😭 looking at the Graf's with only left back tooth touching and jaw out of alignment and it does take a toll on the old mental health 😒
As far as you can, make sure that whoever is treating you has a good understanding of the TMJ - do you feel confident they "get" the concepts described in this video. Tonight we are hosting a webinar (for dentists) which features a physiotherapist, Carol Cote, who will describe how she works with dentists to help ease the symptoms being suffered by people like you. Unfortunately there aren't that many physiotherapists around who know the right things to do, but Carol tells me a key element is the CCTT qualification: Certified Cervical Temporomandibular Therapist. They can't cure your TMJ issues, but they can ease the pain and increase functional range.
@@BiteFX thankyou for your reply..the thing is I don't have any pain what so ever and good range and movement , this problem has left me confused and I have no trust in the system anymore.. all I do know is that when I Saw the video how it looks is exactly how my bite feels ..in my last comment to you I just noticed that I wrote yourning is easy..meant not easy thankyou
@@littlelotta7975do u have condyle deterioration cause of an accident like in the video or not?
@@myemailsempiternallysucks no I don't no pain it just happened 🤷 specialists don't know, Joints are all good
@@littlelotta7975 so its just like asymmetrical jaw? if yes we have same problem
I've had jaw problems for a few months now. Started from stress clenching. I feel my incisors touch more that before because my back teeth don't touch anymore. Why is that and what can I do ? I got a nightguard from my dentist but it doesn't fix my bite.
I wanted to check with a TMJ specialist before replying to you so here's what he said: "Two reasons typically explain a forward bite. Posterior interferences that the body decides to avoid, or joint inflammation. An MRI should be done to diagnose the joints, and a clinical exam is a must." A simple nightguard might help protect the teeth at night but unless it is designed to help resolve whatever is going on with your TMJs, and you have other dental work done to complement whatever the splint does, the nightguard is not going to fix your bite.
Does splint work for clogged ears?
Unlikely. I haven't heard any TMJ expert describe unclogging ears as an additional benefit of using a splint to improve TMD issues. You'd want an ENT doctor with a TMJ (dentist) specialist to confirm this was a viable treatment option.
TMJ orthotics works for clogged ears?
@@prashanishah325 Same as previous reply. I was assuming you meant a TMJ orthotic when you said "splint".
I have scoliosis but it is not very significant. I went to a doctor and he said that you have nearly nothing, but i insisted that i want to come to the treatment for 1 course. We did exercises and it is, i think, better now. Some people say that spine alignment could be the cause of tmj. I want to ask you lets say i have 1 lvl scoliosis and if i get splint for tmj, will it get fixed and not get worse when i stop to use that splint.
Also, will fixing tmj will fix the assymetry of jaw?
@@calalkazimov6179 I've certainly heard some dentists talk about correcting scoliosis by using splints, but it's not a common specialty. It seems logical that if you have a problem in one TMJ that is producing an asymmetry in the jaw, that will influence how you hold your head, perhaps tilting to one side, and that in turn will feed down to your back so your spine curves. If the TMJ issue can be resolved, one would hope that the head posture would correct and that the scoliosis would also correct - unless there is some other cause of the scoliosis. What's more certain is that if there is asymmetry in your jaw, it likely indicates a TMJ problem and that fixing that TMJ problem can correct the asymmetry - provided the TMJ problem is fixable and hasn't advanced to a state where repair is difficult. Worth finding a TMJ specialist who can tell you what is going on with that joint.
Where do I find a expert in Pennsylvania
Fill the form in on this page: hubspot.bitefx.com/help-me-find-occlusally-aware-dentists and we'll send you a list of those we know of who are close to you.
For six years I have been suffering from this. Multiple dentists, jaw surgeon, MRT, splints for bruxism. None of the "experts" could explain to me what was happening and what might be necessary to help me. The problem got so worse i started developing top down muscle problems in my neck, back, legs and my posture and life quality has deteriorated. Only after researching on my own for 9 months i could link everything together (Posturual restoration, AIC pattern, vestibular system). I had to reverse engineer everything from severe neck pain and a right shoulder that was hanging far lower than my left shoulder). It boggles my mind that a 10 year old video gave me the exact information I needed to find the right help. Thank you so much. I made an appointment with a jaw orthopedist who advertises in occlusion monitoring and creating special splints for CMD or TMJ. I hope I'm on the right track to getting my life back.. maybe someone in a similar situation finds this useful.
Glad the video was helpful. We created a few new videos recently, some of which go into greater detail on the TMJ with new animations. For example: A Tour of the TMJ (Part 1) kzread.info/dash/bejne/lnWns6OpcZTUqso.html and A Tour of the TMJ (Part 2) kzread.info/dash/bejne/lXyaqJuykrCaZaQ.html. We broadcast a monthly webinar for BiteFX member dentists. This month we have physical therapist who specializes in orofacial pain and TMD, working alongside TMD-savvy dentists to help patients recover from the types of problem you describe. If you'd like me to tell you more about that, send an email to [email protected] asking that it be forwarded to Doug.
all the doctors who say they don't know, just don't want you to get healed so they can earn money on you. They all know. It's hard to say what the issue is from ur point, but make sure you don't have tongue tie, not mouthbreathing. If you have deviated septum then you have to fix ur septum first otherwise everything is useless. The problem is that when having one issue in ur body it will have a domino effect on other parts. The key is to find what is causing trouble eg uneven hips, muscle dysbalance. I advise you to start yoga everyday so you have no tight muscles in ur body. Also make sure you have correct tongue posture and correct swallow technique. It's a long journey and your body learned to compensate by doing unatural habits like clenching teeth or grinding. There are so many factors that it's hard to tell and average people who don't have the knowledge are not even aware of it.
I'm 52 and I've been bothered by tmjd since I was 15. My lower jaw feels like it's clicking in and out of place. Do you know if there's a surgical solution for it?
Saya mengalami apa yang saudara rasakan . Sakit leher sakit kepala ,dan kualitas hidup memburuk . Bisa jelaskan pengobatan apa yang saudara jalani. Terima kasih
Ask your dentist, why humans were designed by “the evolution “ to have 32 teeth? Most of them actually think that we don’t need wisdom teeth at all. LOL.
They’ll tell you that so you pay them to take them out (in many instances) needlessly.
I was experiencing clicking sounds that I originally thought was maybe air bubbles escaping from my ears. Then I had my wisdom teeth removed...all 4 of them at same time. What followed was 4 weeks of pain that included my ears. They first thought I had dry sockets but the treatment was unsuccessful and pain returned as soon as pain meds wore off. The dental surgeon finally looked into the possibility of TMD and found that was the cause. It was muscle relaxers that finally brought pain under control. That was many years ago. Still I have occasional flare ups following dental visits or during seasons of elevated stress where Im apt to clench my teeth. And still I may hear the snap, crackle and pop of that joint when I swallow. But making myself familiar with what may trigger my TMD and knowing what can help a flare up has been a life saver. The pain may become quite excruciating but knowing what to do and what not to do makes all the difference in the world.
Thanks for sharing Nita!
Thank for share
My doubt is... how do I turn these thick dots into thin dots when checking the occlusion as the graphic show??? How do I know when to stop?🤔
Obviously it takes a little training and practice (on models) to perfect that skill, but there are fairly simple rules that are taught which allow you to progress from only hitting on a single tooth to establishing point contacts on multiple teeth. CE institutions like Dawson, Pankey, Kois, Spear, OBI, BSOS, all teach these skills.
Hello @bitefx , do you have a video about Tinittus and TMJ related issues?
Hi Bassam - We don't have one that explicitly shows tinnitus but we have many on TMJ related issues that would be easy for a dentist to relate to tinnitus. That said, I'll check with our dentist advisory group to see they would support us creating an animation on tinnitus.
Thank you for share
I believe that if the patient didn't get the right splint ... it won't get positive results??? The shape of the splint influence the position of the disk right?
You are correct. The splint needs to be the right one for the patient's condition. Splints won't always influence the position of the disk, but they can do, particularly if they are designed to reduce the pressure at the condyle and give a displaced disk a chance to recapture.
@@BiteFX Thank you for your reply!
Can you do some reverse bite animations? What happens to the teeth and jaw joints. Thanks
Good suggestion. I'll add it to our list to consider for a future animation. Thanks.
Thanks!
Hi , i have a clicking sound from that joint on the left side. I notice that it gets stuck when i actually close my mouth , and it gets back to its normal position with a click sound when i open my mouth .what to do ?
Sounds like your left TMJ disc is displaced when your mouth is closed and is recapturing when you open. Suggest you get to a dentist/TMJ specialist who can diagnose exactly what is going on and hopefully give you a splint that will help the disc to recover its normal position. The sooner you can do this the better so the disc doesn't deform in the displaced position.
so what is the solution plz ??
The "simple" solution is to take the bite record with the condyle in its fully seated position then there won't be a a difference between the space available for the crown between taking the impression and fitting the crown. However, it's not quite that simple as you have to: a) Learn how to settle the condyle into its fully seated position - and know when that position is stable and won't change in the next few weeks. b) Know if there are adjustments required to other teeth to make the bite work with that fully seated position. c) Know when those adjustments are complete and you are ready to make and fit the crown. CE institutions like Dawson, Spear, Pankey, OBI, BSOS, Kois provide the training that will help you understand and master these skills.
@@BiteFX thanks alot
Hello. I have this problem, but my dentis doesnt see this problem. When I wake up i bite on my back teeth- molars only, after one hour and more i bite on my front teeth - incisors.do I have to grind those back teeth or fill in the front ones? or wear braces? I have exactly the same situation as in your video under point 2.
The skull with the proper bite isnt ideal its too back and down making it too small
Thanks for the comment Scott. Since this video was created 10 years ago we've refined the animations and, I hope, resolved your concern.
Hi, can you discuss the formation of a pseudo disc please? Will a pseudo disc always form and if so will the degeneration of the joint be avoided? Thank you.
A pseudo disc can be formed by scarring of the retrodiscal tissue making a tough enough barrier between the condyle and the fossa to prevent those boney structures rubbing on one another. If it forms, it may prevent further degeneration but there's no guarantee. It doesn't always form - for example, if the retrodiscal tissue has perforated it's unlikely new tissue will grow to stop bone rubbing on bone.
It took me 33 years to understand what is wrong with me I am glad I finally found this channel
Occusal spirit cure TMJ clicking.
Occlusal splints won't automatically cure TMJ clicking. If the goal is to address the cause of clicking, the design needs to be a little different.
is it possible to fully recover after wearing the splint?also is it possible to box with this issue?also is a splint a usable mouthguard?
These are all questions that your dentist needs to answer based on a good diagnosis of your current situation. For minor TMJ issues full recovery may be possible; for more severe issues it's more a case of stopping continued deterioration rather than recovering to full health. A splint is serving a different purpose than a mouth guard so the two are not interchangeable. Whether or not it is wise to box when you have a TMJ issue would again be a question for your dentist. With a TMJ problem, one of the areas of your body that is a prime target for a boxing opponent is damaged - do you want to spend much time and money to have things repaired or stabilized in that area only to be destroyed by a well-aimed punch? But you may feel that is just part of the risk of boxing.
@@BiteFX by minor do you mean just muscular non clicking and lock jaw issues? Thanks, i might just shift to wrestling (also i really meant muay thai instead of boxing). My dentist said i should stop but was just getting a second opinion about if my tmj is cured can i start again.
@@FM-dm8xj Some clicking and lock jaw issues are fixable. Sometimes you can have clicking, but it goes away, however, that can be a sign that things have got worse. Basically there's no hard-and-fast rule that says a particular set of symptoms you observe means your problem is fixable or not. Needs a TMJ-experienced dentist, with the appropriate scans, to diagnose and make that determination.
My both Tmj is brok🥺
Might be worth seeing if you can find a TMJ specialist (or a dentist who understands TMJ) to see what they think. Perhaps they can do something to help you.
Hey..! Dr. I want to talk to you, can we contact please 🙏
First, I'm not a doctor, but we are connected with many dentists who inform us and comment on issues. You can send your contact information to [email protected] and ask that your request be forwarded to Doug.
Since early March, I've been having annoying hearing loss with discharge coming from my right ear. All this happened RIGHT after having a week long event of just chewing gum non-stop. All I noticed during that time was two loud 'snaps' or 'claps' sounds come from my jaw and after that I stopped chewing to "give myself a break". I experienced facial soreness/pain for a few days after that, accompanied by sensitive ears which led to muffledness/pressure in my ears. Now, I'm dealing with hearing loss at the moment and I'm trying to see an ENT. I don't know if it's directly related to TMJ, I have bruxism from teeth clenching at night and I do wear a guard nightly.
Checked with some of our dentists and the advice is to first go through the ENT screening (as the discharge from your ear suggests an ear issue is part of your problem) and then go to a TMJ specialist as so many of your symptoms are related to the TMJ.
Are you still experiencing muffled ears?
even i faced the same problem even i got tmj because of chewing gum , how is your symptoms by the way is everything okay?
🤩 "Promo sm"
❤
I've had this condition for 6 years. For the first 3-4 years, it was just clicking/popping sounds. About 1-2 months ago, I noticed that my disc started to click less and less, until, one day, it felt like part of my disc slipped in that socket. My fix for this was just to wait 10-20 minutes, and open my mouth to click it back onto the condyle. But recently, it has gotten to the point of where, clicks are almost gone, and if I open my mouth, it fully slips in the socket. This was because my disc popped 1 time very loudly (with no pain) and cracked 2 times very hard (felt a little bit of pain). I searched on the google "posteriorly dislocated tmj" and I barely found anything about my condition. Not even on KZread, I couldn't find any causes (because my disc was dislocated anteriorly previously), not even stages, just a few websites and images. I'm asking for advice here, as it is my only option left. Thanks!
Hi Urban. The best advice we can give is that you should find a dentist who is also a TMJ or TMD specialist. They should be able to scan or arrange for a scan of your TMJs and give you an accurate diagnosis of the state of your joint(s) and how they got there. The fact that you are noticing these changes suggests you have a problem that needs to be addressed. Watch the other videos on the TMJ that we published on this channel recently for more information, but you really need to see a TMD specialist.
@@BiteFX Thank you!
If I have a over jet its will fix it?
Splint therapy may be part of correcting an overjet issue but will not be all that is required. It may also be that no splint therapy is required. Only a TMJ/occlusally aware dentist, likely in collaboration with an orthodontist, can determine for sure.
I got a crown done and I think it was cut too short. So to correct this my dentist shaved down like 6-8 teeth on the opposite site and my bite has been awful ever since. Since then I’ve been recommended to see a to see a TMJ specialist, and I have an appointment set for several months from now, but I wonder if it’ll even help? Never had any issues before. After seeing this video I’m worried a TMJ specialist won’t even know what to do.
I'd hope that a TMJ specialist would understand exactly what this video explains and know how to help you. There's a chance that your TMJs are mostly OK and that your problem is more with how your teeth are coming together when your condyles are fully seated. Changing the shape of the tooth that broke might have seemed sensible because it was sticking up and therefore taking most of the force and therefore broke, but that change allowed your condyles to take a different position when your teeth come together so that things don't feel the same as they used to. A dentist with a good understanding of occlusion (how the teeth come together, and how that relates to condyle position in the TMJs) should be able to diagnose what's going on and possibly give you some relief with a well-designed occlusal splint. I wouldn't let anyone reshape any more teeth until they've demonstrated that they can give you comfort (for several months) with a splint. You might be able to find an occlusally aware dentist who can see you much sooner than the TMJ specialist.
@@BiteFX Thank you for the reply. I had experienced extreme pain after the initial rework as it felt like my bottom teeth were digging severely into my front two, and it's just been a miserable experience since. I just regret ever having had the crown done, as I am fairly certain that dental office was the one that cracked it to begin with. Regardless, I will look into what you've written here, both the orthodontist and the initial dentist said to see the specialist, but perhaps a third opinion with a new dentist might be worth a shot. Thanks for taking the time to reply.
I have no pain, but constant clicking on my left jaw. For like a year and a half now. One time I yawned, felt a lock I believe, then a pop, and had it ever since. No struggle to move jaw. No locking ever since. Just annoying clicking sounds.
I'd say it's worth finding a dentist/TMJ specialist who can diagnose what's going on. Sometimes, if caught early enough, the dentist can design a splint that helps the disc settle back into place. Will stop the clicking and prevent things getting worse in your jaw.
How much would a splint cost…??
That can vary widely depending on the type of splint required and the amount of support the dentist includes in the price of the splint. Several different problems can be eased by the use of splints, each one requiring a slightly different design and most of them require adjustments over a period of a few months when the lower lateral pterygoid muscle becomes more used to relaxing and allows the condyle to settle further back. We did a survey a few years ago on what dentists charged for splints and it varied from $500 to $4,000 with averages in the $1,400 to $1,700 range. However, it's not an item to be purchased based on price. It's more important that you are confident the dentist understands your problem and has a plan to give you a long term solution that works for you. If a $500 appliance doesn't give you full or long-term relief, you may be paying thousands for crowns or more major restoration work. If a $1,700 appliance delivers pain relief, confirms what a long-term solution should be, prevents further tooth breakages and gives you a year or two to plan for permanent work, you might see it as a great investment.
@@BiteFX thanks for all that information much needed!!🙏🏽🙏🏽
@@BiteFX another question sorry, will a splint work if I’m suffering from arthritis?
@@AL-mb4gs I checked with one of the TMJ specialists that advises BiteFX and his answer was "it may" and went on to explain: The splint’s goal is to create an environment of less pressure on the TMJ. It’s somewhat like crutches for a sprained ankle, it takes some pressure off the joint. The splint doesn’t do the healing part, the person’s body has that responsibility. The splint creates better conditions for healing, the body heals according to its capacity to repair or adapt. So some patients heal great, others less. A well made splint does its job. Hope that helps.
@@BiteFX that’s great information thank you So do would you recommend a splint in this situation? Or what treatment will be necessary for this situation??
Can a constricted envelope of function cause chronic aching in the lateral pterygoids? I can see in the video that both heads of the lateral pterygoid are activated once the mandible reaches the upper incisors and starts moving back... I have it and I can literally feel the two lateral pterygoids ache and as I saw on the Internet, trigger points in them can also refer pain to the sinus area, which is where I feel pain the most, right behind the nose. Thank you. 🙂
The animations used in this video show fairly normal use of the lateral pterygoids. The lower muscle tenses to pull the jaw forwards, and the upper muscle tenses while the jaw is closing, to keep the disc in place between the condyle and fossa. Do you know that you have a constricted envelope of function? If you do, perhaps the pterygoids are fighting against the rearward push on the jaw by the constricted envelope, but it's not a consequence I've heard expounded. Overworking of the lateral pterygoids is more often attributed to holding the jaw forward to achieve comfortable tooth contacts. Maintaining that position means the lateral pterygoids are fighting against the closing muscles which pull the jaw up and into the fossa. That's a tough battle, likely to make the lateral pterygoids tired. The video "Bruxing" on this channel (kzread.info/dash/bejne/gKCpq6qxZtbLnJM.html) explains the concepts (you may or may not be bruxing, but it shows the pull-forward to avoid an uncomfortable contact). Both the constricted envelope of function and the pull-forward to avoid an early contact between back teeth can lead to the lower front teeth rubbing on the upper front teeth. Tooth-wise the effects may seem or feel similar, but I'd say your awareness of pain in the lateral pterygoids makes it more likely that you're pulling forwards. A dentist who understands occlusion and the functioning of the TMJ should be able to diagnose exactly what's happening. An occlusal splint may give relief to the pterygoid pain - but make sure that airway or any sleep apnea issues are considered as that can be another reason for pulling the jaw forward - to open the airway, and you don't want to do anything that will close off your airway!
@@BiteFX I actually have a class 2 division 2 malocclusion, i.e. a deep bite. I am currently wearing a functional appliance (an activator) which places my lower jaw several millimeters forward to correct the deep bite. Now that I've been wearing two kinds of splints/appliances that moved my lower jaw forward, I do know that I have developed a constricted envelope of function as that is exactly how I move my jaw when I'm trying to put it into position to chew food (01:05 - 01:20). My upper incisors are also chipped and shortened by the deep bite I had all my life. So, in a way, yes the lateral pterygoids may be fighting against my closing muscles which are trying to place the mandible backwards so that I can chew my food. And yes, I am a big clencher, but not a grinder and I used to get big headaches from it. I also snore, and have seen from a CBCT image that my airway is very narrow from the deep bite I had. I am now looking to expand the airway by positioning the mandible forward, but first I will be doing upper incisor intrusion so that I can place the mandible as forward as possible. I am strongly against retractive orthodontics and anything that pulls the jaws backwards. In an ideal world I would do MSE (Maxillary Skeletal Expansion), to also widen my maxilla, thus widening my nasal cavity, making room for my tongue to rest on the roof of the maxilla and have jaws the size of a prehistoric man, the way nature intended.🙂 Thank you for your response.
@@andrejmilojeski7160 Sounds like you're aware of and working on all the issues. Is it clear in your mind how you will establish a stable bite when your current and future functional position is to hold the condyle forward, out of its socket? Might pose this question to a mastermind group we are hosting next month as preliminary exchanges between the attending dentists suggest that "airway vs seated condyle - which is more critical?" will be one of the topics we discuss. (Everyone agrees that airway is more critical, but how do you resolve airway issues while establishing a stable bite?) Thanks for sharing!
@@BiteFX That is an excellent question! Airway vs seated condyle? My current orthodontist had me do an X-ray of both condyles with and without the functional appliance. Logically, while wearing it the condyles are positioned forward by several millimeters. I cannot say how much, I tried measuring but I think the millimeters on the X-ray don't translate to the millimeters in real life. I could say 2-3mm, I guess. Maybe she was going for that "Gelb 4/7" condyle/fossa position, I suppose. When the orthodontist saw the X-ray, she said it was looking good. So, to answer your question, she plans to establish a stable bite by holding the mandible (and the condyle) a bit forward. She will first intrude the upper incisors a bit forward too (class 2 division 2) as they are positioned backwards and will then "lock down" the bite by bringing all the posterior teeth together with the mandible also positioned a bit forward. So yes, the condyles will be a few millimeters forward and a bit out of their socket but she saw nothing unusual about it and I don't feel any pain in my joints whatsoever. If I were a teenager and had been wearing the appliance then I know the condyles themselves would have grown into the new position (grown backwards and upwards). But I am a 34-year old man and that growing process may be finished for me. P.S. If it helps I could send you a few photos of the appliances and the X-rays I had to better visualize what I'm describing. Thank you for the debate so far. 😉
@@andrejmilojeski7160 When you say "X-ray" was it actually a CBCT scan? The latter is better for assessing the state of the TM joint. Seeing photos and the "X-rays" would be great, but I need to give you a caveat: I would share these with a group of dentists (which includes one or two orthodontists, TMJ specialists, and airway specialists) who likely see things differently from your orthodontist - I don't think any of them would agree with the perspective that a condyle functioning forward of its fully seated position in the socket is a normal, stable position. They might accept it is the best position short of major surgery, but they'd want to monitor the bite fairly regularly (every couple of months to begin with, perhaps extending to 6 to 12 months over time if things don't change). So your case and info could be a very interesting example for the group to discuss, but what if they come back with a recommendation that's different from your current treatment plan? I'm sure they wouldn't want to interfere with your orthodontist, but I expect they'd want you to be aware of possible issues going forward. The situation could become difficult for you: your local specialist says one thing, and a remote group that can't treat you says another. Of course, they might come back confirming what you're doing is the right way forward but recommend things to watch out for in the future. And they might say you don't have the right scans for them to assess the situation. If you're happy to expose yourself to this analysis and possibly feedback that might put you in a quandary, then please email me at [email protected]. Best regards, Doug
00:20-00:30 is exactly what happened to me. Wow!
I started having TMJ problems two years ago, and your videos have helped me better visualize its entire anatomy. Being an engineer and of inquisitive nature, after many months of research on the Internet, I concluded that TMJ disorder is just the tip of the iceberg. Its maldevelopment is ultimately due to poor craniofacial development. In other words, TMJ problems are simply the result of a poorly developed face. Your videos have helped me put crucial pieces of the TMJ puzzle in place. Can't wait to see what you put out in Part 2. Again, I am so glad I subscribed to this channel a year ago to see this new content you're putting up. The visuals are simply stunning. Keep up the great work!
Is there any solution for tmj?
Hi Andrej - Thanks for the encouraging comment! Our plan is to put out videos regularly for the next few months at least. We have a rich library of animations and webinars presented by top dentists to draw on that is worth sharing. The issues are complex and often interrelated. Sometimes the TMJ disorder is the tip of the iceberg with other issues being the root cause; sometimes the TMJ disorder is the root cause. As an engineer you may come to understand the issues better than the average dentist!
Hi Preet. What people describe as "TMJ", or more accurately "TMD", covers a wide array of ailments: deformity, a variety of diseases, misalignment of joint, teeth, or other associated structure. There are solutions to many of the problems - some simple, some very involved. Don't believe anyone who says they have a simple solution to all TMJ issues! The best solution requires a good diagnosis by someone who understands the TMJ well.
Did you manage to solve your problem?
@@NinoMaluri I'm currently wearing braces to fix my bite. I make contact on maybe 2-3 teeth randomly, otherwise none of my teeth touch. I still feel pain in my temporalis and lateral pterygoid muscles every day, but they ache on different days and the pain tends to subside as the day goes by, it's the strongest in the morning, so my orthodontist has concluded that my issue is now muscular, whereas before it was both joint-related and muscular. It's also very probable I clench my teeth at night. My facial muscles don't have a stable biting platform, so they brace and ache all the time. I hope once my bite is fixed everything will quiet down.
what bullshit science is this? molar teeth are designed to support tmjs not the blasting "anterior guidance" this is crap and will ruin your neck.
Hi sir, I have been suffering from clicking jaw for one year. I think maybe I need a splint. Do you have any recommendations for Malaysia area? Thanks in advance.
Whether you need a splint and what type of splint is best determined by a dentist with a good understanding of the TMJ - as I think you've already determined. I'm afraid we don't know of dentists we could recommend in Malaysia. Thailand is probably the closest. You could try the find-a-dentist functions provided by either the Dawson Academy or The Pankey Institute. I think they have wider international databases than we do.
Thankyou soo much. Learned alot. Kindly make more videos it helps me alot to learn with these beautiful animations. Stay blessed.
Thank you for the great comment. We're planning on producing a series of such videos, so watch out for them as they come out. Also consider looking at the BiteFX Study Aid for Functional Occlusion along with Dr. Dawson's book "Functional Occlusion"; together these will help you take a much deeper dive into the topics than we can put across in our videos.
Excellent demonstration! Thank you