Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc)

Hello friends! This video is all about the difference between a typical dental nightguard and a TMJ splint or orthotic. A dental nightguard will serve well to protect the teeth from the (enormous) forces of clenching and grinding, but does not typically treat or help the muscles, joints, or ligaments. A TMJ splint or orthotic protects the teeth AND treats the muscles, joints, and ligaments.
If you suffer from headaches, ear pain, neck pain, stuffy ears, vertigo, jaw pain, jaw joint noises (clicking, popping, crackling), or episodes of the jaw locking, then a TMJ orthotic is the way to go as this - along with myofascial release and jaw manipulation - is what gets our patients relief! If you ONLY clench and/or brux or grind your teeth without any of the symptoms listed above, then a dental nightguard will likely serve you well.
NOTE: There ARE instances when a typical dental nightguard can cause more harm than good in patients that already have TMJ problems (like those listed above). Please be careful and do your research before investing in an appliance!
Please feel free to reach out in the comments section with any questions!
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Other links:
WEBSITE: tmjdentaldoc.com/
FACEBOOK: / priya.mistry.942145
INSTAGRAM: / the_tmj_doc
TWITTER: / priyatmj
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#tmj #tmjd #tmjorthotic #splint #orthotic #jawpain #lockedjaw #dentist #aqualizer #headaches #earpain #stuffyears #neckpain
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This channel is all about TMJ disorders - what they are, how they manifest, what to do about them and how they relate to other issues that may be going unnoticed in the body such as tongue tie, sleep apnea, ADHD, and more! I will also be posting about being a dentist and a working mommy to two wonderful children. Thank you and I hope you enjoy my videos!

[@lpg8518]

Thank you so much, I’ve been suffering from tmj for such a long time and I can’t believe none of the dentists I have seen ever mentioned getting a tmj splint.

[@theTMJdoc]

You're welcome. Please watch my video called "Why TMJD is Often Difficult to Diagnose & Treat" for some answers about why dentists may not recommend a splint.

[@turbo8628]

I self diagnosed myself cos my dentist is useless. Mine started when i got wisdom teeth and they dont wanna touch wisdom teeth if thry can avoid it.

[@gabrieldegraze2773]

You Never talk about artroscopy or surgery...why?

[@MunteanuAdrianXD]

@@patriciasalazar1116and you have pains anymore?

[@avaleonardava6139]

I find a regular Dentists don't know how to help me@ all so I'm left in pain now I know thanks to your video I need to find a orthodontic specialist. I have popping/pain-in jaw/neck,headaches,ears-tinnitus etc

[@theTMJdoc]

I didn't say to find an orthodontist :) I said to find a skilled and experienced TMJ dentist.

[@avaleonardava6139]

@@theTMJdoc ok thanks for reply and advice my mistake in not listening properly ❤

[@theTMJdoc]

@@avaleonardava6139 no worries! Don’t forget to Subscribe!!

[@RogDow123]

Thank you Priya. I got a new TMJ mouth guard yesterday from my dentist but wasn t sure why it was more expensive than the normal mouth guard. This video has explained it to me. I t s strange getting used to sleeping with a lump of plastic in your lower mouth but if it helps to ease the stiffness of my lower jaw, I ll be happy. It s very difficult to chew anything lately. Anyway, thanks again.

[@theTMJdoc]

@@RogDow123 glad to help!

[@Kisha203]

Thank you so much for sharing ❤❤❤

[@theTMJdoc]

You are so welcome

[@maryappleverano4073]

This is so informative, thank you! I will start wearing my dental splint, fingers crossed no more pain for me. 💕

[@theTMJdoc]

You’re welcome and good luck to you!

[@RelishWithReCheil]

Hi there, how has your splint been helping you?

[@maryappleverano4073]

@@RelishWithReCheil my pain was reduced gradually, however I lost the 1st one so I feel I am back to square one.

[@RelishWithReCheil]

@@maryappleverano4073 oh no. I hope you are able to get another one soon!

[@prex327]

Great information. Thank you‼️ I'm a licenced massage therapist so I treat/massage TMJ clients. However, I just recently found out I have it as well. Your video makes perfect sense, I also wear glasses so I totally get what you're saying. Thank you, thank you, thank you‼️

[@theTMJdoc]

You’re very welcome!! :). Sorry to hear you have TMD!

[@noamanhussain2307]

Thank you for making videos highlighting the condition which not many dentists are good with. Being a dentist myself, I would like to sincerely request you to make videos detailing the chair side work and lab work too. That would help other dentists like me manage patients too.

[@theTMJdoc]

Hi and thank you for your comment! At some point I will have a series of courses for dentist but I cannot easily make KZbin videos about this.

[@jayapatil6079]

Hi Priya, Thanks for explaining the difference between the Dental Nightguard VS TMJ Orthotic. Great job as usual.

[@theTMJdoc]

Thank YOU for watching :) and for the kind words!

[@mar8193]

Γειά σας...έχω παρακολουθήσει πολλές εκπομπές σας κ πιστεύω στη λογική σας στην εκπαίδευση σας κ στο έργο σας...βρίσκομαι στην Ελλάδα...έχω κάνει στην οδοντιατρική σχολή ενα night guard όπως το λέτε...περίπου δύο μήνες τώρα.. στην αρχή προσπάθησα να το φοράω πιο συχνά αλλά μετά άρχισα να μην το δέχομαι στο στόμα μου σα να με ανακάτευε...Κ σίγουρα είναι πλαστικός κ με το καλούπι απ τα πάνω δόντια.. Κ ίσιος από κάτω εννοείται...όχι σαν το Mora το δικό σας...έχω μάλλον το σύνδρομο του νερού του τριδυμου παίρνω φάρμακα αντιεπιληπτικα για τους πονους...πρωί μεσημέρι βράδυ...έχουν βελτιωθεί πολύ...ωστόσο υπάρχει ένα μούδιασμα κ κάψιμο στην.πλευρα δόντια αυτί κεφάλι...πείτε μου τι μπορώ να κανω; υπάρχει αντίστοιχος συνάδελφος σας εδώ στην Ελλαδα; μπορώ να σταματήσω την αγωγη; φτιάχνοντας σωστά μασελακια; σας ευχαριστώ...έχω χαρεί πολύ που είστε τόσο εξειδικευμένο κ αγαπάτε τη δουλεια σας...

[@theTMJdoc]

I’m sorry, I don’t know anyone in Greece!

[@turbo8628]

Seeing that you have replied to everyone (even if it is to explain that you cannot help without seeing them - best thing to do btw) i cannot express how refreshing it is to see. Truly altruistic. Thank you for being you.

[@theTMJdoc]

What a kind comment! Thank you! 🙏🏼💕

[@prestonnorris9822]

Had an appointment today with an oral surgeon and he is sending me to be fitted for a TMJ splint and physiology therapy...I look forward to these hopefully helping 🙏🏼🌞

[@theTMJdoc]

Best of luck to you!!! 😊👍🏼

[@bonirabit4302]

I wish I could find a doctor like you in town I can't even get a dentist to take care of my bad teeth because I have such bad TMJ and I've had over 30 years of not getting the right consistent treatment and I'm a mess I could have the surgery in '09 but anyways all this makes sense and I am scheduled with an holistic dentist in town that does a whole TMJ thing but yours makes more sense and I've been hearing a lot about my fashion release I also have a very bad neck and back issues but long time with chronic pain it all started early 20s after dinner work and now remember early 50s so I need help!

[@theTMJdoc]

Sorry to hear this and best of luck to you!

[@radiantedentalfacial2086]

Good stuff, Dr. Mistry. Also as an experienced TMJ/TMD practitioner, some of the best info I have seen. BTW, "Orthosis" is actually what an "orthotic" should be called but the public understands orthotic better. Best, IV

[@theTMJdoc]

yes!

[@jerimandel9607]

Very helpful, thank you. Headed in that direction and now I know what i need to seek.

[@theTMJdoc]

You’re welcome! Be sure to subscribe and reach out with questions any time :)

[@freerunning2Him]

Wish me luck as I have to find a TMJ specialist in CT that takes my insurance. I've had TMJ for over half of my 30 years and am trying to get things better before I get much older. I just started wearing a basic night guard, but will probably be getting an orthopedic one once seen. Thanks for the videos!

[@theTMJdoc]

Good luck!

[@MunteanuAdrianXD]

How are you now?

[@sanelprtenjaca9776]

Great lesson. I have terrible jaw muscles pain, and neck discomfort, for 8 months now, after series of stressful events and this pandemic stuff. Every single day. Maxillofacial surgeon didn't saw problems in the TMJ with orthopan, altough he said my bite is totally off and that I need a splint. Also he said maybe my wisdom teeth are making problem with my bite (and genetics). I developed terrible tinnitus practically in the same time and I am going to see experts in Zagreb for this. Thanks for the video, very well explained.

[@theTMJdoc]

Thanks for your kind words and best of luck to you!

[@sanelprtenjaca9776]

@@theTMJdoc Thanks. I have just one question. Do you know if this 3D tehnique of making TMJ splint is same in USA and in Europe (Croatia)? In other words, you mentioned neuromuscular dentistry and how with computer simulation dentist can find best position for a jaw. Here in Croatia I don't think anybody mentioned this to me. Now, does every TMJ splint is done this way everywhere or? Thank you so much.

[@theTMJdoc]

@@sanelprtenjaca9776 great question and unfortunately the answer is no - not all splints/orthotics are made the same way.

[@sanelprtenjaca9776]

@@theTMJdoc Okay, thanks for this info. It isn't a great news, but I hope it will be all right in the end. Greetings

[@MunteanuAdrianXD]

@@sanelprtenjaca9776how are you now? I’m from Romania and if you find any relief in Zagreb I would like to go there and find help

[@arborside242]

Thank you so much for all of your informative videos. You’re the type of dentist I need in Texas.

[@theTMJdoc]

You’re welcome!!!

[@joyd4238]

That's how I feel... Where in Texas has this...no where I've seen yet

[@godesofdnyte]

We need you in Dallas specifically. Come help us please 🥺

[@theTMJdoc]

@@godesofdnyte thank you. I wish I could come out there!

[@Rollwithit699]

@@theTMJdoc Have had migraines, TMJ and worn night guards since 1988 (tried OTC and professional custom made which caused more jaw pain because they are so hard). Have had 99% molars crowned from cracking, and have and replaced several of those crowns. Saw dentist again two weeks ago and told I need three new crowns since last year (when I had one replaced). Was told I'm microfracturing and crushing my teeth every night. I can't afford this and need to fix the root cause. Please advise! 🙏

[@tristanblack1920]

Oh my gosh thank you so much for this video! I had initially gotten a mouth guard made at the dentist. It didn’t really seem to help so that’s when I saw an actual tmj specialist. As you stated, they also created a mold, however, I also noticed that they had taken measurements of my bite ect. I think they had suggested I wear a 24 hour splint because my issue has to deal with not only grinding but inflammation of the muscles. I now understand the difference and will move forward with the splint.

[@theTMJdoc]

You’re very welcome and best of luck to you! 😊

[@tristanblack1920]

@@theTMJdoc Thank you so much and I wish you the best as well!

[@theTMJdoc]

@@tristanblack1920 thank you 🙏🏼

[@jakec5618]

i never even knew an orthotic existed until recently. really wish more doctors were knowledgable on this topic and the problems tmj/tmd can cause.

[@theTMJdoc]

Sorry to hear this :/

[@greatlekhs]

sooo helpful & informative, wish my dentist explained all this to me! i now understand the diff bw the two, thank you, Dr. Mistry!!

[@theTMJdoc]

Glad it was helpful!

[@greatlekhs]

@@theTMJdoc hey dr. mistry, not sure if you already have vids about trigger point injections, dry needling, acupuncture, botox, etc. as various options for myofascial pain, but if you dont, would you consider making a youtube vid on info about that? your vids are tremendously helpful!

[@amaliapena2040]

Thank you for this informative video ❤️ Getting fit for a splint soon and I hope it takes my pain/numbness away 🤞🏼

[@theTMJdoc]

I hope so too!!! 😊

[@noelavalos2558]

How you feelin

[@drmanishmistry3923]

TMJ OR OCCLUSAL SPLINT therapy is very helpful to my patients Sometimes they get relief within two to three days from pain which was lasting since months Nicely explained the difference between normal nigh guard and occlusal splint

[@theTMJdoc]

I’m so glad it helps your patients but. Thanks for watching 😊. Please do Subscribe and share with your colleagues if you find it helpful!

[@vincem3748]

I'm hoping that will be me next month, when I finally get to see a TMJ specialist...

[@remybelleperez4444]

@@theTMJdoc would you be in the Sf bay area

[@v4ursmile]

Very easy and simple way explanation for such a complex topic

[@home-lovingpets8216]

Thank you for the explanation. I have a question. Is the "Michigan" a splint or a nightguard? Or it can be both depending on the measurements they take (if they measure the position of the joints, or simply the mold of the teeth) Thanks!

[@theTMJdoc]

The Michigan appliance is a nightguard and not an orthotic. :)

[@kalingkong4025]

Hi, Dr I would like to ask is dual arc anterior scribe appliance system considers as one of the TMJ splint to relax muscle & jaw ?

[@theTMJdoc]

I’m sorry but I don’t know what that is.

[@melodine3046]

Hello Dr Mistry, do you recommend TMJ orthotics in hard or semi-rigid resin (soft interior with rigid exterior)? When fitting and adjusting spacers (on the back teeth) on the TMJ orthotics at the dental office (I live in France) is it normal to feel a very pronounced and unpleasant taste in the mouth?

[@theTMJdoc]

I like soft interior with rigid exterior or just rigid. Definitely not soft all the way around.

[@melodine3046]

@@theTMJdoc Thanks a lot !

[@melodine3046]

@@theTMJdoc Thanks a lot !

[@annea549]

Hi thanks. Is that Tscan that you're talking about? Do you have a video explaining diagnostic devices? A dentist i spoke to said they use it to test which orthotic is best for you. Thanks xxx

[@theTMJdoc]

No, it's not a Tscan :) I use the K7 Myotronics Neuromuscular system.

[@toddwiner7072]

Hi Dr. Priya - Sorry if this a dumb question but when it comes to getting the right measurements to make the splint do you use a machine for that? Or how does that work? Thank you so much!

[@theTMJdoc]

Not a dumb question at all! Use the technology used in neuromuscular dentistry

[@toddwiner7072]

@@theTMJdocthank you!

[@acardinalconsideration824]

Hello, I just got measured for my splint today for TMD and am worried that they weren’t thorough enough in measuring where my joints, ligaments, and muscles want to be positioned ideally. Is that typically something that is more so focused on once they already have the splint and are getting ready to make adjustments to it? Or should most of that have been done today during my appointment? Do you have a video on what is typically involved in discovering a persons ideal jaw position? Thank you!

[@theTMJdoc]

I'm sorry but there's no way I can easily answer these questions via comments. I don't have a video on how I measure optimal jaw position. If you'd like you can email my office to set up a zoom meeting with me so we can discuss this all in more detail.

[@Tgshgkgh]

That is a great explanation of difference between splint and nightguard. Dentist gave me a nightguard but I don't clench at night :(

[@mrik7868]

@theTMJdoc After the last minor adjustment on my tmj appliance, I had terrible pain that night and several nights afterward & any time I clench at night. When my tmj dentist checks to do adjustments, he just has me tap my bottom teeth (with the appliance on) against my top teeth. Should he be "measuring" in some other way to know where to adjust in order to put the jaw in the best position to relax muscles? Thank you for your highly informative videos.

[@theTMJdoc]

I really don't feel comfortable guessing at what he should be doing with adjustments without examining you with and without the orthotic. Sorry! Best of luck to you.

[@vicvic1892]

What is best for deviated jaw? I have an upper splint but i think i need orthotic one. Have pain and lots of cracking, clicking and ringing in ears. My MRI was normal. Please give some advice. Thank you

[@theTMJdoc]

I’m sorry but I can’t make a specific recommendation for you over the Internet and without examining you.

[@AGVenge]

is it possible to have a tmj orthotic designed that also works like a sleep apnea splint? The sleep apnea splint i have pushes my lower jaw forward, and i fear this is what has caused my tmd :(

[@theTMJdoc]

This is not an easy question to answer via comments. If you’d like you can set up an online consultation with me via the link below: tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@johnjp5883]

Thank you for this!

[@theTMJdoc]

My pleasure!

[@annfung7404]

Very good information! Thank you!!

[@theTMJdoc]

Thank you! Please do Subscribe!

[@MichaelScott1812-m1h]

How would you compare this device to the anterior deprogrammer? I understand the idea of putting your jaw in a more relaxed position for the muscle relaxation, but how does this device prevent you from continuing to clench and grind your teeth is the new position?

[@theTMJdoc]

Nothing that’s appropriate for being worn long term can prevent clenching/bruxing.

[@pinkorchid333]

you are a great dentist!

[@theTMJdoc]

Thank you!

[@silentsentinel1]

Doc: Someone's head crashed into my ear some 2 decades ago and I've had all these awful symptoms since (ear pain, fullness, popping, tightness, redness of ear, etc.). I had a couple adjustments since, by both chiropractors and TMJ-savvy dentists. Most recently, I had an orthotic made here in the Bay Area of Cali (they took a virtual impression with lasers), that fits on my bottom teeth only. The instructions say to wear it at all times except for eating, but is that okay or should it be worn continuously for several months so that the back teeth never touch each other even for a second as the condyle readjusts? Like if they briefly touch does the healing process get reset?

[@theTMJdoc]

I’m sorry but I don’t feel comfortable answering that question unless you are my patient.

[@Sunshine-vz2on]

How are you now?

[@derekshaji8173]

just a follow up question. As in tmj orthotic splint we need to find where the joint and muscle are relaxed and in that position is what we want to stabilize the mandible and tmj. How do we know which is the relaxed position for the mandible and tmj?? Just arbitrarily 2mm acrylic posteriorly will do? Pls share tips

[@theTMJdoc]

no arbitrarily will not do. I use Neuromuscular Dentistry and its TENS therapy and jaw tracking software to help find this position.

[@angelas.9717]

Very informative and helpful...I was given a custom-made night guard for grinding because 4 back molars were removed for orthodontia back in the 1970s. The tooth removal has caused a weird, uncomfortable bite my entire adult life. Anyway, the night guard, although very expensive at $790, is improperly made (the excess high area of plastic is clearly visible) which has caused shooting pain in my TMJ area, including eyes, cheeks, neck, etc. Going back to dentist this Thursday and will ask for help.

[@theTMJdoc]

sorry to hear that and best of luck to you!

[@PerfeckPT]

Very cool video. How do you determine what the optimal position for the jaw is? Is it a scan? Or just eyeballed by the dentist?

[@theTMJdoc]

I use the technology and software that's used with neuromuscular dentistry.

[@tayloralisonswift9544]

Well explained! Thank you for this. I have questions. Can splint re-align jaw? Can it re-align the disc in its original position and stop the popping and clicking? Thank you!

[@theTMJdoc]

It holds the jaw in a more ideal position for the the joints and muscles. Recapturing the disk typically takes more work, in my experience, which is why we also do myofascial release and osteopathic manual jaw manipulation. All of these combined can recapture the disk and eliminate joint noises within 4-6 months.

[@tayloralisonswift9544]

@@theTMJdoc Can chiropractor recapture the disk?

[@san5a89]

if you take the normal bite, how would a peace of plastic replicate that? that thickness will keep the back teeth in contact while the frontal teeth are in distance. I'm asking because I'm experiencing that. is it a good thing for the muscles? or all the teeth should be in contact?

[@theTMJdoc]

A night guard replicates the normal bite in the right and left dimension, and in the forward and backward dimension, but not in the vertical dimension.

[@christyanderson9630]

I have been wearing a night guard & now I have lots of pain & sounds like I need an orthotic one. Do I need an specific dentist for this? Please advise.

[@theTMJdoc]

Yes - a skilled and experienced TMJ dentist 😊

[@allann7333]

Great video. I've had TMJ for 2 years now. Will it take longer than a month to notice an improvement using the orthotic splint?

[@theTMJdoc]

With my orthotics, people usually feel relief within 1-2 months.

[@redwhitebluedragon22]

@@theTMJdoc its almost two months and I havent felt any relief :(((

[@bubblebank]

Hi Priya, thanks for the video. Question for you. My dentist has prescribed a split that "for now should not be worn during the night, and taken out chewing, etc.." It is worn on the bottom teeth. What confuses me is that the dentist built the split as a night guard.. as you have mentioned here; with just the bite imprint but no TENS process. I understand that my muscled and ligaments will relax over time eliminating pain, discomfort etc... do you think it's her intention to modify the splint over time to simulate what the TENS process may do at the first screening?

[@theTMJdoc]

I'm sorry but I have no way to guess what her intention may be. It's best to ask her directly :)

[@Relesy]

Do you do different kinds of splints depending on the patient? Like stabilization, repositioning, anterior bite, etc? Or just one type?

[@theTMJdoc]

Yes different types per patient

[@omdentalclinicanjar4291]

mam night guard typically place the teeth at mip. ant. depregrammer places mandible forward by 3-4 mm.(in cases of tmj pain and sound) for the muscle pain and other pain it needs to keep ant teeth group cntact so as to reduce the muscle firing too low mam is it correct or m i missing the point. thank u.

[@theTMJdoc]

I don’t make a nightguard or an anterior deprogrammer :). I use the software of neuromuscular dentistry, the condyle placement in the CT scan, and my knowledge of the TMJ condition to find the prescription that I built into the orthotic.

[@angelicaperez1296]

Me again so thankful for your beautiful explanation, but I have more questions, sorry. Is an orthotic more rigid than a night guard? Is has to be used forever or just for a period of time, is it painful to use it? Correcting the bite by brackets, can help with TMJ? Thank you so, so, so much.

[@theTMJdoc]

Orthotics and nightguards can all be made from a variety of materials so it’s difficult to answer your first question. We typically recommend wearing our daytime appliance for 12-16 weeks and the nighttime one indefinitely. For most patients, they are not painful to use. We don’t recommend braces to correct TMJD - that’s considered phase 2 treatment.

[@kaylawilliamson8041]

Hello! I love to watch your videos and find that each one I watch shows me I am not getting proper treatment. My locked jaw has improved in opening slightly since September but I am still having pain and can still only eat soft foods.. Do you know of any tmj specialists in the wisconsin area? Preferably near Milwaukee, WI? Thank you so much 😊

[@theTMJdoc]

I’m so sorry but I don’t know anyone there.

[@rlga5571]

Thanks! I hope to find a good TMJ specialist to get this.

[@theTMJdoc]

Best of luck to you!

[@ashlynarcher923]

After wearing the tmj orthotic and the jaw is in the right place, will you more than likely have to get braces or add on to the teeth to get everything to fit?

[@theTMJdoc]

Please watch my video “phase 1 vs phase 2 tmjd treatment “ and lmk if you have any questions 😊

[@jaimecockey7040]

Hi there! Thank you so much for this video. I was wondering if an orthotic is something you’ll have to wear for the rest of your life for maintenance? Or does the orthotic fix the issue totally after wearing it for the specified period of time? My daughter was really hoping for surgery for a permanent fix but our dentist said that’s a last resort….

[@theTMJdoc]

Surgery is definitely the last resort. I wean my patients off the daytime orthotic but many of them choose to or need to wear the nighttime one indefinitely 😊

[@audreyling7242]

Hi Dr Priya! I just subscribed and i am the lucky 100th likes 🙌🏻🌟⭐️ Thank you for explaining the difference, for splint/orthotic how will you start the diagnosis before developing one? Say one is needed to take a xray before a orthotic is made on that day? I mean what are the steps to making an orthotic? I think the orthotic help decompress jaw pain and also aids in healing.

[@theTMJdoc]

Hi Audrey! It’s too long to explain via texting. You are correct that the orthotic helps decompress the joints and can therefore aid in healing. There’s much more to it! If you’d like we can set up a zoom consultation. If you’re interested please reach out to my office manager, Megan. Her email address is: [e-mail]

[@audreyling7242]

@@theTMJdoc Hi Dr Priya, just one more question and hope you can help. If a splint is made right, at the beginning stage of wearing it, is it normal to feel some muscles pain or we should be feeling comfortable instead? We often hear conflicting answer to this. I have a relative oversea in Oregon who have dentistry problem and i love to refer her to your service. Hope to see more of your channels ❤️

[@theTMJdoc]

@@audreyling7242 yes for the first week or so it can be uncomfortable but should improve :)

[@jacquelinedadis8842]

Thanks for sharing your video. Is there orthotics for sale in Philippines?

[@theTMJdoc]

These orthotics are not "for sale". They are custom created for each patient after a series of records are taken.

[@Hyapiee]

Will tmj splint correct the bite problem caused by tmj ? Please reply doctor or does it need braces ?

[@theTMJdoc]

No it won’t. Sometimes braces are needed as phase 2. Please watch this video for more information: Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj kzbin.info/www/bejne/kHe5indpqtFpn68

[@denisewhite-z8m]

Do you need to go to a special dentist for the TMJ orthotic, or should all dentist be able to have one made?

[@theTMJdoc]

A skilled and experienced TMJ dentist for sure!

[@swapnap5320]

Is custom night guard at dental office and tmj prescribed guard same?

[@theTMJdoc]

no they're not.

[@Alejandra-vj5ux]

Hello Doctor, I started treatment with a TMJ/Orofacial specialist. He mentioned when my right jaw makes a clicking sound it means the joint is popping into place. He said the treatment would consist of a custom-made night guard and stretching/moist heat. He instructed me to wear the nightguard and my top retainer every night. I began to notice I would drool excessively when I wore both appliances and actually felt myself clenching to try and make contact with both appliances. As a result, I wore the appliance inconsistently and eventually stopped wearing it for 6 weeks. When I went for a readjustment he said my teeth were contacting in the front (with the mouthguard and retainer in). I now have my front teeth making premature contact without the appliances and increased TMJ pain. I'm not so sure the night guard will really help address my issues.

[@theTMJdoc]

Sorry to hear that!

[@Wishbone1415]

Hi Dr Mistry, thank you for the video. Could you please advise the effectiveness of the splint without regular myofascial treatment? Thank you.

[@theTMJdoc]

If made properly, it will bring relief but will likely take longer without the myofascial release and osteopathic manual jaw manipulation.

[@kerry4250]

Hi there, I watched another very helpful video of yours that talks about the pros and cons of botox. Does the tmj orthotic have any effect on slimming the jaw like botox does, since the tmj orthotic reduces the pressure of nighttime grinding? Thanks!

[@theTMJdoc]

Hi there! I haven't seen the orthotic have a significant impact on slimming the jaw.

[@justinerealized]

Hi Dr. Mistry! Are you able to do a video explaining how you do those precise measurements for a splint? I just received mine yesterday and feel like there wasn’t a ton done to get the bite position precise. Thank you always!

[@theTMJdoc]

Hi there. It’s really difficult to explain that in a video. I took many courses & had many hours of training from my mentor to learn how to do that. Something that’s not as complicated and that may get you in the ballpark is my video called “How to Take an Aqualizer Bite Updated”. I hope that helps!

[@marymalm3346]

Hi there Doctor, I have a question to check correct bite on your patients do you put tens unit in super high until your teeth hits really hard they almost makes me cry? Plus do u make patients have tens unit on for a hour and half before you check for correct bite? It’s so painful. Thank you, For your time I watch all your videos trying to decide if I’m seeing the right dentist… Kindly, Mary

[@theTMJdoc]

hi there! no I don't turn up the TENS that high.

[@farahbrookins2569]

Great video!

[@theTMJdoc]

Thanks!

[@Jackie1111]

Hi Dr! I was diagnosed with mild sleep apnea a couple years ago but never had symtoms until recently and my sleep dentist wanted me to try an NTI for me to stop clenching-- but wont that stop me from breathing if clenching helps one to breathe? Any advice or opinion on NTI I would greatly appreciate

[@theTMJdoc]

Hi! The answer to this is not a quick one and is quite involved. If you'd like you can email my office to set up a zoom meeting. [e-mail]

[@Jackie1111]

@@theTMJdoc oh okay and thank you!

[@theTMJdoc]

@@Jackie1111 you’re welcome!

[@nickietadgell8835]

Thanks for the info, but how much do these specialized guards cost? I got a quote for $1200 which is way more than my specialized prescription glasses.

[@theTMJdoc]

I don’t list my fees online. If you’d like you can set up an online consultation with me and after that, I can provide you with a quote. My fees are higher than what you were quoted, that much I can tell you :)

[@nickietadgell8835]

Thank you! @@theTMJdoc

[@juliebarn3979]

I have severe Tmd. The night guard I'm wearing is making my jaw feel worse. Do you know if any dentists in New Jersey that would make an orthotic for me? Trying physical therapy too but not helping. Thank you!

[@theTMJdoc]

I'm sorry but I don't know anyone there.

[@juliebarn3979]

OK, thank you! Will the dentists know how to go about making an orthotic? I will ask at my next appointment.

[@bubba781000]

Hello. What is the typical cost for a TMJ orthodic? Does insurance cover? Thanks

[@theTMJdoc]

Insurance doesn't typically cover TMD treatment unless you're having surgery. And even then, it's not always covered. I don't discuss my fees online but you can email my office to set up a zoom meeting with me if you'd like more information.

[@allcedars]

Just got splints, but my new position for my lower jaw doesn't feel "natural" to me. Does it just take time to adjust to? I've had the splint for four days now.

[@theTMJdoc]

Yes it definitely takes time :)

[@MunteanuAdrianXD]

How you feel now?

[@Abdulbasit-he8hv]

If the patient has both tmj clicking and grinding which type of tmj splint should be used?

[@theTMJdoc]

It’s not about the type of splint, it’s about the prescription built into it.

[@malinaonicees.5156]

Hi Doctor Priya! im your new subscriber❤️ I just wanted to ask if TMJ splints expensive? coz Im afraid I cant afford it:(( and im suffering for almost 7months on my jaw i cant open it widely becoz i feel tightness/locking everytime I open my mouth but I dont do grinding my teeth and if im forcing it to widely open my mouth it hurst me so bad. Hope ill get a response. Thank u!

[@theTMJdoc]

Hi there. I wouldn’t say orthotics are cheap. I don’t discuss my fees over the internet. Sorry to hear you’re going through this.

[@GingerAlmanza]

Hello, question.. after completing bite splint therapy for tmj, do you have to get braces after that?

[@theTMJdoc]

No, you don’t have to :)

[@theTMJdoc]

@Parmar Gaurav Kumar phase 2 - braces or full mouth reconstruction- are considered optional. Many of our patients choose to wear a nighttime orthotic and not pursue phase 2.

[@theTMJdoc]

@Parmar Gaurav Kumar I really cannot advise you on treatment without evaluating you in person. You will have to make the best decision with the information you have. Sorry I can’t be more of a help.

[@theTMJdoc]

@Parmar Gaurav Kumar you’re welcome!

[@bugloverspiderlover8490]

@@theTMJdoc my back molars are pointing outward causing cheek biting and possibly braces might be next after the TMJ treatment

[@Demonstrably]

Why does nobody mention pain & damage below the neck right down to the feet (often caused by orthodontics) ?

[@theTMJdoc]

I don’t think a lot of people make the connection that it can be related.

[@Demonstrably]

@@theTMJdoc It is extremely common in adult orthodontics. Many butchered by childhood orthodontics don't realise early back pain in their 30s is related :(

[@theTMJdoc]

@@Demonstrably I totally agree!

[@Demonstrably]

@@theTMJdoc What do you think about Paletal Expanders to bring the mandible & Maxilla forward and free up the airway Priya?

[@tinadocal1389]

Hi Doc Friya,its recomended to wear braces after using mg tmj splint?

[@theTMJdoc]

Orthodontia is considered phase 2 for many tmj patients.

[@tinadocal1389]

Thanks doc. What happened if i didn't get phase 2,because the braces is so expensive.

[@seyn4832]

Hi. I've been having clicking sounds and headache sometimes and been prescribed to get nightguards but it was way too expensive so is it okay if i can just use the typical dental nightguards?

[@theTMJdoc]

I wouldn’t recommend that because it likely won’t help with clicking or pain but it’s up to you :)

[@yelinagato3211]

Thank you so much for the Information! I do have a question though. I’m just now realizing that it probably is TMJ what I have but need to find a doctor the specializes in this. Which type of doctor would you recommend I look for? Also once I find one how would I tell if they really know how to deal with this, what are usually the steps taken by the doctor to see what works for me, what the root of the problem is and what can be done? Thank you again for all the video!

[@theTMJdoc]

These are not easy questions to answer because it really depends on what your symptoms are. finding a doctor that is skilled and experienced in treating your symptoms is important. The ICCMO website is a good place to start. Iccmo.org

[@bookingbar-barney]

Dr. Priya, what would you do for a patient who has lost significant vertical height in teeth due to grinding so even if the jaw muscles are relaxed for a fitted orthotic, you don’t have the support from the teeth? Thanks!!

[@theTMJdoc]

it depends on what the symptoms are :)

[@EH_888]

Does the splint help with facial numbness? The primary focus for many seems to be pain, but my symptoms include facial numness and "hearing loss". Will my splint aid with those as well? I'm getting one crafted tomorrow. Thank you.

[@theTMJdoc]

If made correctly it should help with the numbness and maybe with the hearing loss if the hearing loss is in fact caused by tmjd.

[@EH_888]

@@theTMJdoc Thanks. I saw an ENT and they found no problem with my ears. I was referred to a dentist for TMJ. Hopefully the splint will help with the numbness. Could you make a video about TMJ numbness?

[@theTMJdoc]

@@EH_888 sure. I’ll do my best! :)

[@l.k.r7507]

Is this technology available in india..what kind of doctor should i visit to get tmj splint..orthodontist or maxofacial

[@theTMJdoc]

A skilled and experienced TMJ dentist. Yes some dentists in India know of this.

[@bruceshira3614]

awesome information, thank you so much

[@theTMJdoc]

Thank you for your kind words! Don’t forget to Subscribe 🙏🏼😊

[@joshlaw5597]

American here. What type of dentist should one look for to have a TMJ orthodic made? Is it something usually covered by medical or dental insurance?

[@theTMJdoc]

I don’t typically see coverage for this treatment unfortunately though it should be covered by medical insurance in my opinion. Look for a skilled and experienced TMJ dentist.

[@christi7849]

Hi Dr. About how much does an orthotic cost? I have slipped discs on both sides with quiet clicking/popping noises and little pain. If I get an orthotic, will this completely fix the discs and also make the noises completely go away? Thanks for your help.

[@theTMJdoc]

It’s really difficult to give costs when our treatment involves not only orthotics but also weekly myofascial release and osteopathic manual jaw manipulation over a 4-6 month timeframe to recapture and stabilize the disks.

[@IAmKaitHearMeRoar]

Hi! Thank you so much for your videos. I have one very strong massetter and one very weak. I have been getting jaw clicking since I was 15 when I found out I was grinding my teeth in my sleep. I started clenching more and now my the weaker side of my jaw pops out every time I open it wide. I have a lot of neck pain but very few headaches thankfully, but it still affects many parts of my life. I can’t sing for very long, crunchy things have to be in small quantities, and my face looks lopsided. I’ve been trying strengthening exercises but I worry it’s just making the stronger side stronger. I also wear a dental mouth guard every night. Do you have any tips for me? :)

[@theTMJdoc]

I would recommend seeing a TMJ Dentist or TMJ Physical Therapist.

[@joedimaggio3146]

Hi Priya, how exactly do you find out where the jaw's optimal position is? I am due to start phase 1 shortly and, to my understanding, my dentist will just put my front teeth in an edge-to edge position and go from there.

[@theTMJdoc]

I find this using neuromuscular dentistry software and technology

[@dchogue]

Hi. Do you have a recommendation of a TMJ dentist in Houston, Texas that has TMJ orthotics made? I currently see an oral and facial surgeon that only has night guards made.

[@theTMJdoc]

I’m sorry but I don’t know anyone there!

[@jannak9086]

Hi there! Did you find any TMJ specialists in Houston ?

[@Aahan-AR]

Hi, thank you for the video about TMJ orthotics and mouth guards, I've been suffering a lot TMJD and I consulted a orthodontist for the treatment and he suggested to go with braces for alignment. So can it help with TMJD?

[@theTMJdoc]

I don't recommend braces as a first step to treat TMJD typically. having said that, I cannot comment on your specific situation.

[@Aahan-AR]

@@theTMJdoc Thank you very much for the this. I just wish I could've futher consulted u about this. Thanks anyway.

[@alisonsimon5528]

Do you make a separate daytime and nighttime orthotic ? Or is there only one used for day and night ?

[@theTMJdoc]

I make two separate ones :)

[@alisonsimon5528]

Ok I am finally going to get an orthotic, but I think it is the same one for day and night. Hopefully that will help. I’ve only had splints and night guards in the past and they did not help with the tmj.

[@massoodn9410]

Well explained.

[@theTMJdoc]

Thank you!

[@Sunyt400]

Please, Can TMJ orthotic replace the joint in the right place? I have a subluxation of the left tmj and i wonder if it can be corrected. Thank you for your wonderful informations, you're the best 🤩

[@theTMJdoc]

Yes it can place the condyle in the right position, but that doesn't mean the articular disk will immediately go where it should be if it's displaced.

[@kapilyoutube]

Hello Dr. Mistry, thank you for such informative video, what do you recommend for easing in to using nightguard through the night. It's challenging to fall asleep with its bulkiness.

[@theTMJdoc]

Hi There - it can take up to 3 weeks to get used to a new appliance. Give it time and if it's just too bulky, you can always ask to see if some of the bulk can be reduced.

[@sakenu16]

Very interesting, my dentist made me a nightguard for bruxism but this explains why it may not be helping me at all for TMJD. It appears that is it not easy to find dentist who specialize in TMJD. Are there splits to wear during the day too?

[@theTMJdoc]

Yes, I make a daytime one too

[@minky114]

Detailed info! U gave doc . wonderful. I already commented and asked my problem but couldn't found any where my comment. I have jaw problem . With cracking sound. kindly help what to do. Have headache, disturb sleep 😴 , pain n ear rings . I don't grind my teeth too much .what u advice for that. I don't want any surgery.

[@theTMJdoc]

We treat this with orthotics, myofascial release and osteopathic manual jaw manipulation. Even then it takes 4-6 months with weekly or biweekly appointments for symptoms to resolve.

[@minky114]

Now Im getting ur replies one by one . thank u .may Allah bless u. Wat u teach me I'll follow in Sha Allah! if it takes tym it's ok . But I want to get rid out of pain n fix the problem.

[@thaitichi]

So the TMJ orthotic will change the way you bite over time? That means you will then need braces to align your teeth to the new bite? This sounds like it will take so much time, and will be expensive!😮‍💨

[@theTMJdoc]

No, not necessarily. Please watch this video. OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic kzbin.info/www/bejne/fZyTk6dodt6WbNU

[@thaitichi]

@@theTMJdoc Thanks for the link. So I see you cannot create an orthotic with the impression of your teeth alone. You need "optimal jaw position" as well. How do you determine where the "optimal position" for the jaw is? Is that based on the patient feedback, xrays/scans, or something else? It's still not clear to me how you can correct jaw alignment and then NOT need to adjust your teeth. I'm still misunderstanding something. Thank you for all your great quality videos on this topic!!!

[@bobbielouis7788]

10 years ago I had a car trunk that fell on my neck. Due to that I have multiple health problems. One of those problems is facial pain. I was told by my dentist that I have TMJ and by my neurologist that I have trigeminal neuralgia. My dentist made a nightguard for me, however its not working at all. I have headaches, ear aches, jaw pain, pulling and tighten in the face, drooping of the lips, facial spasms, and even at one point my nose hurt. I thought about getting braces to see if they would help, but I’m wondering if the splint will work better.

[@theTMJdoc]

a TMJ orthotic is drastically different than and superior to a dental nightguard :)

[@bobbielouis7788]

thank you@@theTMJdoc

[@theTMJdoc]

@@bobbielouis7788 youre welcome!

[@AshishVerma-bd5tu]

I had an cap in front 2 teeth 1.5 month ago but in an feeling pain in ear and heavyness in near neck area and frequently having headache and uneven bite . What should i do now please reply mam.🙏🙏

[@theTMJdoc]

I’m sorry but I cannot make a suggestion about your treatment over the internet and without examining you in person.

[@ashleym585]

What type of doctor is best to see for tmj and splints? Orthodontist, maxillofacial doc?

[@theTMJdoc]

A skilled and experienced TMJ dentist.

[@ashleym585]

@@theTMJdoc thank you

[@michellewood7183]

Hi. If I have severe TMJ with dizzines hearing and vision issues and neck pain headaches is a daytime orthotic going to help relieve my symptoms or do I need night one aswell and what type of night splint is needed.(night one currently flat plane splint) The bottom daytime one I think is called GELB orthotic.

[@theTMJdoc]

Dizziness, vision issues, and neck pain typically require a well made orthotic as well as body work. We make a lower daytime appliance and a nighttime MORA appliance (similar to a GELB) and work with TMJ physical therapists and/or NUCCA chiropractors and adjust the orthotics frequently for the best results. Dizziness and vision issues can take a while to resolve even with this comprehensive treatment regimen.

[@michellewood7183]

@@theTMJdoc I'm suffering the worst dizziness now hard to sleep as so dizzy and hard to walk too, seems to be getting worse as days go on because I cant find a neuromuscular dentist to help I have a dentist on central coast NSW who is going to try help me with daytime orthotic but if we need your help can this dentist message you as he is a dentist friend of Dr Steven Lim but my dentist name is Dr Kyle.

[@michellewood7183]

How long is the daytime orthotic worn for and do you eat with it too.

[@laurabridson1795]

I just had an mri and I have the articulate disk displaced without reduction. I can only open ,y mouth about an inch. Was wondering how would I even get a guard in my mouth. My dentist only mentioned a night guard.

[@theTMJdoc]

Please watch this video: kzbin.info/www/bejne/foPRmayiodWdd8U

[@sylvejean]

I had a consultation by an orthodontist who treats TMJ with a reshaping appliance and invisiline "Aligners" to move the teeth for 12 months. Is this an acceptable treatment to help relieve TMJ? The approximate cost would be $5,000.

[@theTMJdoc]

I’m sorry but I can’t advise you for your treatment over the internet and without examining you in person.

[@jacquizhu]

Could you kindly tell me the exact name or method of fabrication for your tmj orthotic? I would love to come to see you but I live in Sydney. I would like to find someone who does the same as you locally. Would you know someone similar to you in Sydney Australia?

[@theTMJdoc]

That is not something that's easy or quick to describe. If you'd like to set up a zoom meeting to discuss this at length, you can email Alex at [e-mail]

[@sujithasri5421]

I have this pain even now in my 20 but I really wanted to straighten my teeth for asethetic smile purposes so now will my tmj specialist help me to correct smile along with tmj braces treatment (widening palette etc) no pain beautiful smile.. My question is can I approach my doc with this? Will he able to help me?

[@theTMJdoc]

I would recommend seeing a TMJ Dentist that has a lot of experience with braces/palatal expansion.