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?

[@patriciasalazar1116]

Not ever my family doctor. I have to deal with this pain for year. My ENT doctor told me about it . Thank God. I have my split 24/7

[@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! 🙏🏼💕

[@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 :/

[@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!!

[@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!

[@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!

[@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.

[@Polo-xm9xk]

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.

[@Polo-xm9xk]

@@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]

@@Polo-xm9xk I totally agree!

[@Polo-xm9xk]

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

[@massoodn9410]

Well explained.

[@theTMJdoc]

Thank you!

[@mikamee5459]

I've been wearing a nightguard and still have two cracked teeth. I mentioned that I think my nightguard is not doing the job and my dentist said the nightguard wasnt the cause. He didnt even suggest a tmj orthotic.

[@theTMJdoc]

Most dentists don't know about tmj orthotics because most dental schools don't teach about them. Sorry you're going through this.

[@emilycarver595]

I have severe bruxism, my TMJ doctor wants me to purchase a night guard that just allows contact with my front teeth so that my back teeth will not touch, as a result, it will prevent me from grinding at night My question is, I have veneers on the front and I was wondering if this will damage them or cause undo pressure on the front of my jow and create other issues I don’t feel that this will align my jaw, so I have a concern about that, although my doctor said that I don’t have significant TMJ, however I can feel my jaw is off from a teenage struggle with bulimia, which I have thankfully conquered. I am now 44 and still suffering with the Pain from my struggles in my teens. I already have so many head, neck, and jaw issues. I want to make sure I am very careful before which treatment plan. I agreed to. I should also add that I have significant Tori as a result of my clenching Do you happen to have any insight on this, I would be absolutely beyond appreciative if so❤

[@theTMJdoc]

I’m sorry but there’s no way I can answer this without follow up questions and discussion. If you’d like you can set up an online consultation with me using this link 😊🙏🏼 tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@charlesh3362]

Informative video, how do you determine this relaxed TMJ state? Is this relaxed position same as when TMJ is in centric relation?

[@theTMJdoc]

No typically centric relation and the relaxed state do not coincide in my experience. We determine the relaxed muscular position with TENS and neuromuscular dentistry concepts and the correct condylar position with CBCT.

[@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.

[@joblu3302]

Hi Dr. Priya Mistry, Thank you for all these informative videos. Do you happen to know of a dentist whom follows a similar methodology in Arizona? Particularly, that offers that same type of splint you describe in your video? If you don't, could you provide the manufacturer who makes the split so I can contact them directly to see whom purchases it in Arizona? Thank you.

[@theTMJdoc]

Hi thank you for your comment! It’s not really about the type of splint. It’s the prescription that’s built into it which is unique to each person. Your question is similar to asking for a particular frame for eyeglasses but not the prescription. I don’t know anyone who does things exactly like me in Arizona. Which cities in Arizona are you close to? I can consult a directory I have for dentists who treat TMJD.

[@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!

[@samirjha1919]

Hi Priya! All your videos are very informative and it has helped me a lot to understand my problem. I'm from India and have been a TMJ patient after braces treatment. I consulted more than 20 orthodontists and so-called TMJ experts in India but nothing helped. I also had 4 sessions of digital bite adjustment using Tek Scan ,and JV scan done in New Delhi but I'm still struggling with pain. Could you please recommend me someone who is really skilled in TMJ in India as I cannot travel to Portland. Thanks!!

[@theTMJdoc]

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

[@samirjha1919]

@@theTMJdoc Thanks for the quick reply. Have a nice day !

[@rashisoni5026]

@@samirjha1919 hey are u on insta?

[@kirankumaribhushan]

In Delhi where you getting treatment?

[@kirankumaribhushan]

​@@samirjha1919plz reply

[@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.

[@taylorgeddes7075]

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.

[@swapnap5320]

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

[@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.

[@dennistheijs5941]

Informative video. Can i refer you to a chiropractic directory with over 1k members to publish your video? No charge

[@theTMJdoc]

Sure…

[@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 ?

[@lisalovuolo3606]

I was just diagnosed with tmj

[@theTMJdoc]

Sorry to hear this!

[@lisalovuolo3606]

@@theTMJdoc I had the bariatric surgery also. And I grind my teeth a lot

[@krobinson502]

Thank you for explaining the difference. I just received my TMJ splint and I don’t think it’s what it should be. The plastic is very abrasive on my real teeth, there’s no coating inside and it’s really hard to take off for cleaning. Im supposed to wear it while I’m eating etc.. I don’t want to ruin my teeth with the materials of the guard. I’m waiting for my Doctor to call me back. Please advise is this normal?

[@theTMJdoc]

I'm sorry but I cannot advise anything without evaluating you in-person with and without the splint/orthotic in. It wold be best to consult with your doctor.

[@jayrhodes3766]

So, I have hEDS, hypermobile Ehlers-Danlos Syndrome, and I’ve had clicking, pain, etc for my whole life. I’ve used a dental night guard, but that seemed to make things worse. I’ve also had braces 3 times and each time my teeth moved back to (close to) their original position. When I open my jaw, and I mean EVERY time, it seems to move down and to the right and then to move back it does the opposite. What I’m wondering is this: will an orthotic help with all of the above symptoms and why hasn’t anyone, either my GP or dentist, suggested it before? Thank you so much for your helpful information and wonderful channel!

[@theTMJdoc]

It’s hard for me to tell you if an orthotic will help without examining you in person.

[@jayrhodes3766]

@@theTMJdoc thank you so much for your reply!

[@theTMJdoc]

@@jayrhodes3766 you’re welcome!

[@andreyyaalexander1227]

How do we know if we should get a splint or braces? I suffer from frequent lock jaw and my molars are not meeting plus I have a slight deep bite

[@theTMJdoc]

In my opinion, stabilizing the joints and getting out of pain is phase 1. Phase 2 is them moving the teeth to that position.

[@anushavetisyan9759]

I just got fitted for a mouth guard but I’m thinking I should have gotten fitted for a splint instead! Oh no, have I wasted money on this mouth guard? Where do I go for the splint, would it still be my dentist?

[@theTMJdoc]

I would give the mouth guard a fair try :). As for a tmj orthotic/splint, I would recommend seeing an experienced TMJ dentist.

[@samamithasovita2664]

do you wear tmj orthotic only at night or the whole day?

[@theTMJdoc]

The night and day, except when eating or drinking anything but water.

[@brandonb3711]

How long does it typically take an orthotic to relieve congested ears/muffled hearing where TMJ is the only cause?

[@theTMJdoc]

I have had success with this symptom about 85% of the time and it can take between 1 week and a few months.

[@brandonb3711]

@@theTMJdoc I’m 1 week in with my orthotic..is it possible for symptoms to get worse before they get better?

[@theTMJdoc]

@@brandonb3711 yes that can happen.

[@caytlinnelson58]

Any recommendations for Columbus OH?

[@theTMJdoc]

Unfortunately I don't know anyone there.

[@magicerrr]

Hi doc, Got a question. Can we see a tmj oral surgeon to get a mouth guard/splint? I see an oral surgeon practice where they have an tmj specialist oral surgeon who does see only tmj patients. He do conservative approach like pt referral, medicine, give us a Mouth guard. This information is given in their website. Can we see an provider who is an oral surgeon who see only tmj patients? And can we get a mouth guard from them? I asked the front staff how their mouth guard is made and they weren't sure about it. Is getting a guard from an tmj provider in the oral surgeon clinic works same as tmj specialist dentist clinic? Any thoughts please.

[@theTMJdoc]

It's hard to say. It fully depends on their experience and training. Treating TMJD is not taught in most dental schools or post-graduate programs, so it really depends on the particular practitioner's experience level.

[@magicerrr]

@@theTMJdoc thank you doc. He is very experienced provider though. 40+yrs. The website says he has been focusing on orofacial pain and TMD since 1992. But there was no information given about how he do the splint or does he give only the normal mouth guard. Thanks for the response doctor.

[@theTMJdoc]

@@magicerrr you’re welcome and good luck!

[@magicerrr]

@@theTMJdoc do you have any doctor recommendations in Atlanta area?

[@theTMJdoc]

@@magicerrr Dr Rodney Baier comes recommended. I don’t know him personally or his methods of treatment.

[@rachelgrace1217]

My doctor gave me both. I have one to wear at night, and then I’m going to have one during the day that isn’t as thick. I have TMJ and my jaw is off center, but I am wearing the night guard 24-7 until I get the daytime one, and it isn’t shifting my jaw, just preventing grinding and clenching. Is this normal?

[@theTMJdoc]

It's hard to say too much without examining you myself. Sorry! I wish I had a better answer.

[@susiehill5131]

Is a tmj orthotic uncomfortable to wear?

[@theTMJdoc]

Yes 😊

[@laarnieborbon7620]

Helow Doc.Priya,im suferng wd my tmj for 7 mos .my problem dat tym was only my right jaw is clickng ...but after i wear orthotic dental splint nd several adjustments,my pain was not relieve and both sides now is clickng with ear poppng nd pain..any idea what can u recommend for me ,do i need to continue wd my treatment?hoping for a response frm u doc,

[@theTMJdoc]

Hi! Sorry to hear that you're going through this. I really can't make a recommendation without examining you in person.

[@manishpatil4029]

Hello man I have TMJ issue when I open my mouth there is a popping and clicking sound comes and also I feel discomfort in my ear I have consulted two MDS doctor's one said for MRI and may be surgery and other doctor said I have to use occulas splint . I am confused what to do I am taking medicines from one month but no relief kindly guide me.

[@theTMJdoc]

We treat the popping and clicking as well as ear discomfort with orthotics, myofascial release, and osteopathic manual jaw manipulation and even with this, it can take 4-6 months with weekly or biweekly appointments for the noises to resolve.

[@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.

[@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.

[@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 :)

[@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?

[@lioness021186]

Can you reccomend someone to see in Long Island New York? I got tmj issues 2 years ago after wisdom tooth removal however after a year of accupuncture the pain went away for about a year and now it is back, after having a filling done, getting that filling adjusted and then getting a chipped tooth adjusted. I am in agony and my dentist insists it has nothing to do with the bite, he checked my whole bite with the articulating paper and there are more marks on the left side teeth then right but I didn’t have him adjust those because he wasnt confident that would help and that’s not reversible..he just fitted me for a night guard said it will help the muscles and therefore the pain.. right now my teeth are constantly clenched and my bite feels all over the place though

[@theTMJdoc]

Dr. Laura Torrado comes highly recommended. I don't know her exact treatment methods.

[@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

[@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. :)

[@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.

[@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.

[@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!

[@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

[@21.shrutigoyal21]

Hey doc, I am also pursuing BDS and am a final year student. I have clicking in tmj, traumatic bite and clenched teeth. I was advised splint but after using it for some time I discontiued its usage. Recently my final exams are going on and i am experiencing severe pain around the temporalis muscle. For the time being, i am using muscle relaxant (myoril) and painkillers followed by the excercised you told and consciously am trying to not occlude the teeth, but i do need a proper treatment of this so please help me as i consulted many of our teachers but am not finding any relief. So please please help me out

[@theTMJdoc]

I’m sorry but I cannot help over the internet and without examining you.

[@21.shrutigoyal21]

@@theTMJdoc so what should I do now? There are no TMJ specialists here in Delhi( India)

[@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 😊

[@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.

[@ethanleong6006]

Hello i havebruxism at night so my dentist prescribed me a custom night guard. i wore my nightguard for the first night and the next morning my upper teeth were in pain. Is this normal for using nightguard for the first time or should i stop using it.

[@theTMJdoc]

it might be too tight. I'd recommend having your dentist check it.

[@lalitmahant4175]

Mam, Can I wear my 16months old anterior positioning splint now. My dentist has said that if it fits, you can wear it.

[@theTMJdoc]

I don’t feel comfortable giving you specific recommendations over the internet and without examining you.

[@MiguelGarcia-jr3nn]

Can you treat muscular mainly tmd with only physical therapy?

[@theTMJdoc]

Potentially yes

[@P0o083]

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

[@nadiraa1345]

who tryna send me $5500 CAD for my tmj orthotic, yo girl is sufferinggggg

[@theTMJdoc]

Sorry you’re suffering!

[@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

[@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.

[@bugloverspiderlover8490]

Years of undiagnosed clenching have made my teeth misaligned and now I probably need to get braces to fix that.

[@theTMJdoc]

Sorry to hear that!

[@bugloverspiderlover8490]

@@theTMJdoc yeah,well better to fix it now than let it get worse

[@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!

[@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!

[@tonygombas491]

How much would a dentist charge can you give a rough estimate.

[@theTMJdoc]

It depends on the severity of the condition and the dentists level of experience.

[@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!

[@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.

[@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!

[@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

[@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!

[@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.

[@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

[@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

[@gj9736]

I have to wear a night guard because of my bruxism, I cracked a molar because of it and have worn down the surface of my teeth. I also was diagnosed with TMJ decades ago and no dentist I have ever seen recommended a TMJ orthodontic device, I don’t even know anyone in our area that would be able to help me since I do get jaw pain and ear pain, particularly on the right side where I was told that my jaw joint was very bad.

[@theTMJdoc]

Are you able to come see me?

[@gj9736]

@@theTMJdoc No I am sorry I can not, I live to far away in Texas but if I could I would. I have a new dentist now whom I like very much, she made me a new mouthguard by scanning my mouth and all my teeth, it was a long process but the end result was worth it! This is the best fitting mouthguard I have had so far, of course the insurance wouldn’t pay for it because they will only pay for a new one every 5 years, even though the other mouthguard was ill fitting (a bottom one) and caused me to have mouth sores which made it impossible for me to wear. Dental insurance is not good, no matter what sort you have, it is pitiful to say the least. I paid for my new guard myself, it wasn’t cheap but worth every penny to me because my new upper mouth guard causes no sores in my mouth and fits perfectly, it is very easy to put on and doesn’t bother me at all, I can actually speak with it without sounding like I have marbles in my mouth and I have not had any ear pain or headaches, yay! 👏👏👏👍😁

[@theTMJdoc]

@@gj9736 ok sorry.. I don’t know anyone there .

[@gj9736]

@@theTMJdoc that’s ok, thank you though for asking me if I could come and see you.

[@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?

[@hnia0]

shouldn't we adjust the teeth before using the tmj splint.?

[@theTMJdoc]

no definitely not!

[@hnia0]

what I meant is : removing any wisdom tooth, and then align the teeth with Invisalign @@theTMJdoc thank you.

[@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!

[@getnew6133]

Madam.... Where I can buy TMJ orthotic guard?...

[@theTMJdoc]

It has to be made by a TMJ dentist.

[@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!

[@AntonioLiberato08]

Where are you located?

[@theTMJdoc]

Vancouver, Washington - near Portland, Oregon

[@thisisme2681]

I tried a night guard, and now I understand why it didn't work. It actually made things worse.

[@theTMJdoc]

Yes! It can make things worse. Or it can randomly help if it gets in the ballpark of where the orthotic would put your jaw.

[@Lifeofmeychelle]

I got my wisdom teeth removed about 2 weeks ago and now I’m persistently bitting my cheek is my jaw misaligned would I need a night guard? 🥺

[@theTMJdoc]

I can't make a specific recommendation over the internet. sorry.

[@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.

[@Tgshgkgh]

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

[@nicoservin2870]

Quiero llorar! En Paraguay no hay profesionales así, me dieron una nightguard y no me puedo sacar no me sirve de nada

[@theTMJdoc]

If you could translate this to English, I can reply :)

[@lioness021186]

Can an oral surgeon make the same kind of tmj orthotic you are talking about? I’ve been suffering from tmj pain since November 2020 and have been to a tmj specialist who was going to treat me with an orthotic for at least 6 months with weekly adjustments, however insurance doesn’t cover her treatment and there are no other tmj specialists near me. Insurance will cover an oral surgeon though..

[@theTMJdoc]

I would say that most oral surgeons do not make these orthotics, but some may.

[@muhammedowais3084]

Hi doc, I'm suffering from TMJ disorder, and my Dr advised me to wear a mouth guard on upper teeth only for three months, is it really usuful? Please reply

[@theTMJdoc]

Hi. I cannot really answer that question without examining you in person and seeing the mouthguard. Having said that, I will say that a TMJ orthotic is far superior to a typical dental nightguard, as I explain in this video.

[@tajheerasheriff5554]

Your problem is solved??

[@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!

[@kimcarey8260]

Can tmj occur suddenly? I’m 36 I’ve always had a good bite and no teeth or ear issues. 3 months ago I felt like my ears closed up and haven’t reopened. Ent says my ears look good and I may have tmj. Will getting a tmj specialist make a splint help these awful ear symptoms of ringing, popping all the time go away?

[@theTMJdoc]

Yes it can definitely come on suddenly. To answer your other questions, I would need to ask follow up questions and get a thorough history. If you’d like you can email [e-mail] to set up a zoom meeting with me :)

[@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 :)

[@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

[@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!

[@sofluffyunicorn]

Hi, I have a small open bite can a night guard make it worse. I'm going to a speech therapist for Omft therapie later this year to restore my habits and strengthen my tongue muscles because they are weak . My dentist scanned my upper and lower theet with a scan for a night guard. Since my orthodontics I have developed jain pain and ear pain.

[@theTMJdoc]

Sorry to hear this!

[@lilliearvizu9447]

Thank you for the information. I got impressions for my teeth since I have a popping sound when I’m eating. I sometimes have pain on my lower teeth when eating as well and at times I wake up with a headache. I used to have an orthotic for TMJ back in 2000 and my headaches went away and didn’t use it for years and now it doesn’t fit. My dentist said I have TMJ and this Saturday I will get fitted but I’m not sure now since I saw your video if I’m getting a night guard or an orthotic. I do clench my teeth when I sleep. I don’t want my jaw and face to get out of alignment! 😟

[@theTMJdoc]

Sorry to hear this. It doesn't hurt to ask your dentist to clarify exactly what you're getting :)

[@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.

[@liamcarr7889]

Hi Doctor, There is No neuromuscular dentist where I live actually their is not one in the whole country. My local dentist suggested a “ Michigan splint”. Is it worth trying for now, ? I am in a lot of pain so quite desperate for some relief. What are your thoughts on this?. Thankyou for you valuable time.

[@theTMJdoc]

I'm sorry but I cannot give you suggestions for your treatment over the internet and without examining you in person.

[@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.

[@TravelingWithKidsWorldwide]

What about dizziness? I have 24/7 dizziness like I’m rocking on a boat. My ENT says inflammation at the jaw joint can effect your inner ear. I also have ear fullness and jaw soreness.

[@theTMJdoc]

Please watch my video “stuffy ears, vertigo and ear pain explained” and lmk if you have any questions

[@TravelingWithKidsWorldwide]

@@theTMJdoc I will! Thank you!

[@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.

[@nehaaj8978]

Will tmj orthotic would would give some more space for the tongue. Plz reply mam

[@theTMJdoc]

If it’s made to fit on the lower arch, then yes.

[@nehaaj8978]

Thanq mam

[@theTMJdoc]

@@nehaaj8978 you’re welcome

[@luisjose7905]

hey good morning Dr priya im suffering from TMJ symptoms and i was also diagnose with sleep apnea cpap didn't help me i think is because my sleep apnea is coming from tmj. i have an appointment the 24 of may

[@theTMJdoc]

It’s usually tmjd that comes from sleep apnea. Please watch this video: Tongue Tie, Airway, & TMJD - Priya Mistry, DDS (the TMJ doc) #tonguetie #airway #tmjd kzbin.info/www/bejne/m6vQdHupZ9eZb9U

[@annarusso7278]

Can a TMJ orthotic cause an open bite?! I just had an arthroplasty done on the left joint 8 weeks so I’m going to need an orthotic once Invisalign treatment is done..?

[@theTMJdoc]

It can cause bite changes yes.

[@privatezone1515]

mAm can u tell me what type of problem i'm facing?. there is tension in my teeth in joining place.if a put coin into my mouth it feels relax. pls mam suggest something.

[@theTMJdoc]

I'm sorry but I cannot diagnose you or make recommendations over the internet. you can try the muscle releases in my KZbin Playlist "TMJ Exercises/Muscle Releases". Many people have said they've had relief from these.

[@princessKeithz]

My dentist ended up giving me a bite guard instead when my tmj specialist told me to get a splint. I see now why it hasn't helped at all :(

[@theTMJdoc]

sorry to hear that!

[@ruphaginfernandez5908]

Hello Doc , i would like to ask if tmj splint and expander are different? I am having tmjd but the doctor said I will be using expander instead of splint because my upper teeth is crowded. Im just confused🥺. Please help .thank you

[@theTMJdoc]

Yes they are different. An expander is an orthodontic appliance that is used to expand the dental arch. An orthotic treats the muscles and the joints.