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Is my orthodontic treatment feat to give me TMJ?


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Post On: 2010-09-04 22:25:29

 Is my orthodontic treatment feat to give me TMJ?
User: Tiago
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I know this might seem like something very specific and complicated for you to answer without sight me personally but I've seen very knowledgeable answers on the site recently so I wanted to give it a try (if you're datum this, tooth975, I would love to see your answer). I'm a 15 assemblage older male and TMJ sort of runs in my family (my care has it so my brother and sister hit it likewise - though it's never severe and they seem to live with it) my utter has clicked and popped before and I believe I've seen it modify lock when I was younger but I can't remember. Right today it's not likewise bad as I can fit 3 finger knuckles in between my top and lower teeth and modify 4 today and then. I do hear whatever clicking ocasionally. I never had any pain. I got braces when I was 12 and I had a class II ache at the instance with crooked teeth. Fortunately NO EXTRACTIONS were prefabricated (thank god) and I was fitted with a palatal expander instead which I worn for about 6 months. I wasn't given any contrivance that brings the utter forward though, but I conceive it wouldn't be a bad idea because my chin doesn't rattling protude (I still conceive my jawline is ok though). I asked my orthodontist about this and was told my overjet was not big/wide sufficiency for him to fit me with such appliance. So essentially I've been act braces for all these years after my palatal expander was removed, and I'm about to hit them condemned off. I today hit allied teeth and precise Class I ache as I was recently given Class II foam bands (been act them nearly 24/7 for 3 months now. My next designation is in a some days and my dentist said I would possibly hit to wear the foam bands on the right side of representative another month to sleep exclusive and then hit my braces removed). Is it fair to feature that I conventional the precise treatment? No teeth were extracted so it should be fine TMJ-wise, correct? Is my TMJ going to embellish worsened when I hit the braces off? If TMJ persists, what communication can I hit if my ache remains correct? P.S: On a side note, I've seen grouping here feature bites corrected with foam bands would yet recidivate into wrong ache again as the lower utter ''is likewise strong to be brought forward by foam bands'' but from what I've read foam bands wage exclusive dental changes by moving the dental arches on the activity bone as opposed to appliances which come into endeavor by making skeletal changes. I don't rattling know how it works though, as much of the instance I was act them my representative was open or I didn't ache down completely so is it possible that my upper teeth got pushed in more than they're questionable to during that instance thus forcing my lower teeth backwards further as well when I ache down? I'm a bit confused. Sorry for making my question so long. I wish it's not hard to follow. Any thoughts?
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 Post On: 2010-09-04 22:51:57
User: MegLeigh
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Okay! I hit had braces before. Do you comminute your teeth? Teeth friction is a cause of TMJ. Your dentist should give you the right treatment. BUT my dentist told me I was effort my braces off that month, but had to wait to the incoming month! Also, they crapper attain hooligan relaxers for it! A someone of mine has horrible TMJ. I hit it sometimes. The noises you said you attain in your jaw---that is TMJ! I would contact your dentist and hit him wager if he crapper presribe you something. Although, the medicine will not support it go absent completely.. It will support take the pain away!
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 Post On: 2010-09-05 01:05:07
User: tooth975
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The orthodontic communication you conventional did not make any exiting TMJ disorder worse but may not have "fixed it" either. The fact that you had expansion instead of angulate extractions is a BIG PLUS. Since you said you had a Class II bite, the jowl MUST be brought down and nervy to stabilize the articular disk to preclude dislocation and the ache must also be unsealed up to decimate any overbite. The Class II elastics you are wearing is increasing your vertical dimension or ache and that is a good thing. However, the jowl module ease requirement to be modern in most cases. The prizewinning thing to do at this point is to have a progress cephalometric x-ray condemned and an orthodontic psychotherapy finished by the orthodontist. This module tell him (and you) just what problems have been corrected and what ease needs to be reinforced or corrected. It is extremely important that you are treated to a SKELETAL CLASS I utter relation and not a dental Class I. A skeletal Class I means your jaws are in a Class I whereas a dental Class I means your set are. The two are not needs the aforementioned because set crapper ever be made Class I with the jowl ease retruded and in a Class II relationship. Traditional orthodontists do this all the time when they extract bicuspids. That is why a cephalometric psychotherapy should be finished to see just where your skeletal landmarks are. BTW, a tissue shield module requirement to be utilised when the ceph is condemned so that all the relevant boned landmarks module be visible on the x-ray and not "burned out." Progress cephs are standard procedures finished to ensure communication is going as planned. When your orthodontist told you there was not sufficiency overjet to advance the mandible, the jaw crapper be modern to obtain the necessary room if needed. This crapper be finished using a Reverse Face Mask or a sagittal appliance. A cephalometric psychotherapy module tell the orthodontist if the jaw is right positioned and if not, it should be modern and this module give him the room to bring the jowl forward. From your symptoms and its frequency, it sounds like you may be borderline TMJ so not such advancement module be needed (perhaps less than 1-2 mm). And you have read aright that elastics cannot advance mandibles although traditional orthodontists seem to think so. There is a saying that whenever there is a effort between muscles and elastics, muscles ever win. The time to correct your TMJ disorder is now and the ceph psychotherapy module provide the necessary agency map on what ease needs to be finished to fulfill that. An ideal overbite and overbite is 1/2 to 1 mm or less. Patients with TMJ should get as close to 1/2 mm or less, however.
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