What Causes TMJ Disorders? - Priya Mistry, DDS (the TMJ doc)

[@yisel6686]

WOW I am amazed at all this videos, they are so informative and helpful, STRESS is the enemy :( I have had issues with TMJ on and off since 2009. I have done it all seen oral surgeons, doctors, Chiropractors, I use a night guard, and for me it all comes down to having issues with TMJ only during stressful times. I try Hard to limit stress, sleep well, and take magnesium it makes a world of difference. Recently, I did have a few stressful days and had lots of pain on my left side and watched all your videos. I think I have pretty much applied every single technique you've shown, pain was gone after 2 days, and my popping has surprisingly stopped. I plan to continue applying all I have learned on a daily basis, YOU are awesome!!!!!!!!!!!!!!!

[@theTMJdoc]

I’m so so happy to hear this! Can I share your comment on my other social media platforms? I will hide your name and picture :)

[@yisel6686]

@@theTMJdoc Yes, absolutely! I am sure it will help so many other people! Yes, just hide name and pic👍 and Thank you again for so much helpful information!!!❤️

[@theTMJdoc]

@@yisel6686 thank you! 🙏🏼

[@yisel6686]

@@theTMJdoc you are welcome.

[@jayapatil6079]

Dr. Priya, Thanks for informational Video on What causes TMJ disorders!!

[@theTMJdoc]

Glad it was helpful!

[@smokinguns]

i can so relate to thinking a long dental appt was rhe straw that broke the camels back. only today did i have some backing that it likely was. like you said the problem was already brewing for some rime, i just didn't know it. i don't know what motivated you to make these videos, but you are an angel. please keep these up. you are such a clear concise speaker.. thank you

[@theTMJdoc]

thank you for your kind words!

[@rahimpirbhai7109]

Awesome video Dr. Priya. I just love how you break things down into simple and understandable terms. I really love your informative videos. Thank you Dr.

[@theTMJdoc]

Thank you!

[@2kallday284]

Hi friend, thanks for all the great tips! 3 videos in and I'm hooked

[@theTMJdoc]

You’re welcome! Thank you for the kind words! 🙏🏼

[@RileyHoover-f7g]

My TMJD headaches/migraines have lasted 8 months and the only thing I could link them to was weaning my breastfed daughter. I never knew that hormonal changes could make TMJD so much worse.

[@theTMJdoc]

Yes they truly can!

[@michellewood7183]

Mine all started after a bad surgeon lied telling me I had something wrong when I didnt, told me I needed surgery these injections into jaw joints I honestly dont know what he did but now left with all these debilitating symptoms and he has also ruined many other patients lives too with damaged jaws here in Australia. (Had second opinion after the fact he said there was nothing wrong my jaw before surgery)

[@theTMJdoc]

Sorry to hear this!

[@andrejmilojeski7160]

My class II division 2 malocclusion caused my TMJD. So frustrated that my dentist didn't warn me in time, when my right TMJ started clicking, popping and getting stuck. She just told me to gently open my mouth. Dentists should be the "first line of defense" in TMJD cases.

[@theTMJdoc]

sorry to hear that and I totally agree! Unfortunately, most of us dentists are just not taught much about TMJD in dental school.

[@rohitventrapragada1632]

Thanks so much for this Dr! Question - if the cause is neck issues, will an orthotic still help? Or should the cause be addressed?

[@theTMJdoc]

Since one can affect another so much (neck and jaw), they should ideally both be treated.

[@upload2352]

That's helpful info. I'm 1 year out from a series of 3 dental visits (including an extended root canal) that triggered a TMJ problem that was possibly preceded by head-forward posture over several years. Symptoms (muscle weirdness, asymmetry (affected side), malocclusion (affected side), tinnitus, hyperacusis, no pain, no lock) have improved with PT, therapeutic massage, hot/cold packs, releases of pterygoids and masseter, and, of course, postural correction, but there's more to undo, and I understand "normal" may be but a memory. Hypothetically speaking (like a dental school exam), if a patient presented with that history, and one side's condyle excessively/visibly protruded much more on the affected side than the other side upon jaw protrusion, what muscle(s) would a dental student think might be involved, in need of release, or similar? Same patient, but he sometimes has difficulty bringing molars together on the affected side (malocclusion) unless he loosens up the muscles on that side with some massage/manipulation, after which, contact is achieved, but things still feel tight around the jaw just below the condyle. What muscle(s) might need attention, hypothetically speaking?

[@theTMJdoc]

This is really detailed and I can't really answer without examining the patient in question. Sorry.

[@upload2352]

@@theTMJdoc No worries. I'm thinking the muscle potentially at issue is the lateral pterygoid's upper head insertion at/near the joint capsule, possibly with some concurrent damage to the capsule, itself. If so, then the condyle's hyperextension on protrusion could be due to some remaining excess synovial fluid within the capsule that may be reduced over time. Thanks for responding, in any case.

[@theTMJdoc]

@@upload2352 you’re welcome. Best of luck to you!

[@kimgovia3716]

Excellent explanation! It was so helpful!

[@theTMJdoc]

Glad it was helpful!

[@marybao3514]

Hi Priya, Thank you so much for your videos! I have found them very helpful. I am wondering if have you dealt with any patients that have developed TMJ in the middle of their Invisalign or other clear aligner treatments? I was wondering what is the correlation between aligner treatments and TMJ (if any). Thank you so much.

[@theTMJdoc]

Yes I have seen this. Well, the health and function of the muscles and joints is related to how the teeth fit together. It’s impossible to predict if tooth movement will affect the health and function of the muscles and joints. For some people it will, and for others it won’t.

[@marybao3514]

@@theTMJdoc Thank you! Is it possible for you to do a video on this? I feel like this risk and occurrence with clear aligner treatment are not widely discussed.

[@robinw3909]

Thank you so much! I developed my left sided TMJD (progressing to closed jaw without reduction), after a visit to the dentist for an upper left crown; have you ever found that perhaps the needle/shot of novocaine in that region could be a precipitating cause of TMJD? I seemed to have had more pain and swelling in my left jaw TMJ area after this particular visit (versus prior dental work requiring a shot of novocaine). He did use a nice block to help keep my mouth open during the procedure (but it really stretches my mouth open anyway! I'm not trying to pass blame, just trying to figure out why I am having this issue.

[@bartsonson]

Thanks for the valuable info again Dr Priya! One question - if sleep apena is a cause , can CPAP fix everything or is it more complicated than that and splints may still be required?

[@theTMJdoc]

Much more complicated unfortunately. A CPAP will address oxygen saturation but not the muscles and joints contributing to the TMJ dysfunction.

[@bartsonson]

@@theTMJdoc Thank you ! I am assuming it still recommended to also address the sleep apnea in addition to treating TMJD?

[@theTMJdoc]

@@bartsonson yes definitely!

[@kelcis4244]

I struggled with anorexia, chewing on average 4-6 pieces of gum every day for the last year before i went into recovery. I’ve now been struggling with tmj disorder for two years, and no one has helped. Your videos have given me a little bit of relief

[@theTMJdoc]

I'm so glad to hear the videos have helped some.

[@belindatilley3653]

This video was super helpful.

[@theTMJdoc]

I’m so glad!!

[@JosephMusuguri]

Thank you, doc, for the video,

[@theTMJdoc]

You are very welcome!

[@tan17391]

Hi Dr Priya, do you have more information of the connection between hyperacusis and TMJD? I developed H prior to the onset of TMJD. I don’t think i used to ever clench my teeth, but this has started after being diagnosed with the sound sensitivity.

[@theTMJdoc]

I’m sorry I don’t. That’s not a symptom I commonly see so I haven’t made a video on it.

[@RealAmazonReviews]

This is great information. Can you provide citations? or the research where you got some of this information? Thank you so much!!!

[@theTMJdoc]

there's little to no research on TMJD.

[@AngelMalakim]

I have TMJD/trismus and I do believe it is due to a multitude of factors. Upper cervical spine stretches, lots of fresh fruit, and less computer times all seems to be helpful. Have you any experience with herpes zoster/shingles virus inflaming the trigeminal nerve? I'm not sure if my root issue is viral or postural or just stress...

[@theTMJdoc]

No I don’t have experience with this.

[@АннаШироких-х4ф]

Dr. Mistry, can excessive dental work cause TMJD? For example, I have many (10-11) cavities filled throughout my life. And each filling slightly changes shape of the tooth and then the bite (at least that's how I've felt). So muscles have to change and adapt to new bite, I think they can become dysfunctional. Not to mention we have to sit for about an hour with open mouth to let a dentist do the filling, it can overstrain the muscles too

[@theTMJdoc]

Excessive dental work alone cannot typically cause TMD. The muscles are usually already compensating.

[@АннаШироких-х4ф]

@@theTMJdoc thank you🙂

[@Elle77777]

I have Hyperacusis With Pain in which sound causes my right ear muscle to be in a constant state of tension. Could this affect the TMJ? I noticed you have videos on relaxing/massaging places in the mouth. Is there one to relax a muscle connected to the ear? I appreciate your work!

[@theTMJdoc]

It’s difficult to prove an exercise that specifies a muscle connected to the ear, but if I had to choose one I would say “releasing the lateral pterygoid” would be most helpful

[@Elle77777]

@@theTMJdoc much appreciated!

[@theTMJdoc]

@@Elle77777 😊

[@Sigmacook4]

Who would diagnose UARS? I have had to sleep on my back recently due to an injury, and I have been waking up a few times a night with a snort. Last night, I did not go back to sleep, and I kept noticing a stuff feeling in my throat. I do not have a problem if I go to my side, but cannot last long due to my injury. I have been suffering with TMJ for years (anxiety, SSRI use, poor posture...all contributing). This whole snorting thing is new since having to sleep on my back.

[@theTMJdoc]

a sleep doctor can diagnose this for you. sorry you're going through this.

[@RajatRawat21]

Hi Priya, Thanks a lot for the valuable information. I have a bite issue with my bite being canted (occlusal cant). This made my jaw shifted to one side with causing opposite side's masseter muscle to bulk more than the left (due to clenching and more eating on one side) Currently, I'm wearing a dental splint and it helping me with jaw pain but not the masseter muscle pain. Should I go for braces to fix my occlusal cant? And how can this masseter hypertrophy on one side can be reduced? Can this be reduced after the bite correction? Thanks in advance 🙏🏼

[@theTMJdoc]

I’m sorry but I really cannot answer such specific questions over the internet and without examining you in person.

[@shankar0cr]

Where are you located? I have a similar problem.

[@Ridhii19]

You're appreciated 💜✨

[@theTMJdoc]

Thank you 🙏🏼

[@yanad100]

Hello Dr. Mistry, I have a question- does TMJ and PTSD related? Does PTSD can lead to TMJ? I suffer from PTSD and I have nightmares about it and after i wake up my face hurts so bad…

[@theTMJdoc]

Any type of stress can increase clenching and grinding activity. This can then lead to TMJD.

[@michellewood7183]

Wish you were in Australia to help me as being like this for year now with all my horrible debilitating symptoms more so the inability to walk unsteady on feet dizziness and being single mum my little boys just want their mumma back. I wish I could just get to walk again without feeling I'm wanting fall over as floor feels like water. Love your vlogs.

[@theTMJdoc]

Sorry to hear all this. Wish I could help more!

[@shankar0cr]

Sorry to hear about your condition. If you are in Sydney, then you could probably visit Derek Mahoney. He is a knowledgable person about TMJD and SDB.

[@michellewood7183]

@@shankar0cr Hi. Do you know if he can treat with orthotic splint?

[@shankar0cr]

@@michellewood7183 I honestly don't know if he used the orthotic splint. I know that he does the MSE appliance for sleep apnea along with Dr Isabel Drewling. There is another dentist named Trevor Baret in the Blue Mountains, who claims that he has treated many cases of TMJD on Facebook(Not sure if it's again using a orthotic splint). So it's probably best to give a call to both these practices and convey your concerns before you make an informed decision.

[@michellewood7183]

@@shankar0cr I have rang many dentist who dont know how to make orthotic only a night splint which is very frustrating. And the ones who make night time sleep apnea appliances say you cant use them in TMJ patients......so every dentist I have rang in NSW......will only offer a flat plain night splint which doesnt help me at all with symptoms unfortunately. It's getting to the point being unable to do simple things like walk shower care for my little boys it's not living is just coping best I can but honestly feel everyday might be my last due to maluation from unable eat much mostly liquids for a year now.

[@nileshshinde62]

Hi Priya While chewing I face pain near my right ear does it TMJ ? Another question is TMJ disorder can be cured by implanting not permanent braces to teeth

[@theTMJdoc]

I’m sorry but I cannot diagnose you or give you treatment advice over the internet and without examining you in person.

[@job1195]

Have you heard of people getting this from an ear infection/covid. I have never had a problem and 3 days in to covid i woke up with one side of my face i flames, swoll n lymph nodes and an ear infection. Once I got rid of the ear infection i had tmj symptoms and they have continued to worse. 2 people I know are dealing with the same thing sickness, ear infection, jaw problems after. Was just curious if you have seen other people with that cause where you are. I saw jaw problems can be a long covid thing. All my symptoms line up with sever tmjd

[@theTMJdoc]

Yes, I have seen people get TMD after Covid or after a series of ear infections. But it is my belief that there were already underlying issues even if there wasn’t pain and the ear infections or Covid were the straw that broke the camel’s back.

[@preetibansal3314]

I have TMJ from past 4 years..i am 18 years old now! Will my tmj will ever get curred or not?

[@daneenaslam5274]

Can be possible TMJ after antidepressants ?

[@theTMJdoc]

Please watch this video and lmk if you have any questions! kzbin.info/www/bejne/b5iyg4KnesmknZY

[@Cameronsvintage]

Hi Priya, I recently had an MRI which showed I had narrowing of my joint spacing and both discs are perforated. I’ve tried physio, soft diet, heat, ice, muscle relaxants, and currently take 900mg/per day of Gabapentin as well as use a occlusal splint. What are your thoughts on a MORA appliance? I’ve seen a few oral and maxillofacial surgeons and they are considering an arthrocensis. Any thoughts would be great!

[@theTMJdoc]

Hi Eric! MORA is the most common appliance I use. Having said that, it’s not about the appliance - it’s about the prescription that’s built into it which is specific to each individual.

[@T-wreckz]

I'm in a similar situation. U getting sunlight, exercise, reduce sugar, stretching and trigger point therapy?

[@k-isfor-kristina]

@@theTMJdoc how do these work? I had an appliance years ago and it was awful, it was for bruxism which literally made me wanna squeeze and squeeze and chomp down on it which just exasperated my muscular pain so I threw it out

[@theTMJdoc]

@@k-isfor-kristina please watch my video “dental nightguard vs tmj orthotic” and lmk if you have any questions!

[@michellewood7183]

Sorry for my posts but with jessica how did you strengthen her neck muscles?

[@theTMJdoc]

HI! We utilized the skills of an upper cervical chiropractor.

[@AngelMalakim]

I've been trying a yoga series called the five rites, it does seem like it strengthens the upper cervical spine.

[@mar8193]

Thank you for everythink you say....I dont know if I have TMJ problem or the pain I have at tooth ear neck and head are from nerve of tridimus...if I say it right...I take anti epiliptik drugs...for one year...

[@theTMJdoc]

sorry to hear this.

[@sweetoctober3336]

I am the same !! I have TMJ but its been a month i started with Ear pain and nerve pain thinking it was my Wisdom tooth but all the dentist say is not that😢But i always bite my right side of the cheek

[@allinonephysics267]

Hi madam Mala tmj cha problem zala ahe pain nahi ahe pan away yeto Kay karu xray opg normal ahe

[@theTMJdoc]

English please :)

[@swathisree6124]

Hi doc Im suffering from tmj after my lower wisdom teeth got extracted at once 4 years back.Now i have overbite and got braces for my upper teeth and using mouth guard for lower teeth.so far no change in tmj clicking sounds on both sides and no change in bite but from past 1 week,my entire right side all through neck,ear and shoulder is in constant pain. Didnt get any solution from my doctor. Can you please advice. can i continue this braces treatment. any suggestions from u would be really helpful. Thanks

[@theTMJdoc]

I’m sorry but I cannot advise you over the internet and without examining you in person.

[@soft_threads]

I have had suffered from scoliosis and even undergone surgery twice I never any problems with my jaw at that time can it be bacausr of that I am not sure.

[@theTMJdoc]

I’m sorry but I don’t understand your question ?

[@soft_threads]

@@theTMJdoc well I was trying to explain you that I had scoliosis but at that time frame never had any jaw joint pain or such but after about 17 years now after my scoliosis is good I am having issues with my jaw joints so can my jaw pain be because of my scoliosis or not and just about 4 years I came to know that I have rhuematoid arthritis too so what could be the cause scoliosis or is it arthritis please tell me thank you in advance.

[@theTMJdoc]

@@soft_threads it could be related to the scoliosis but I can’t tell you more without examining you in person.

[@cvcv5067]

Great video,thanks

[@theTMJdoc]

You’re welcome! Don’t forget to Subscribe!! 😊🙏🏼

[@cvcv5067]

@@theTMJdoc ,im trying to contact you to have a zoom meeting I really need help it's been 2 years of miss information with me seeing neurologist, dentist, hospitals, emergency rooms And I had no clue, until I started watching your videos

[@cvcv5067]

And I'm subscribed

[@cvcv5067]

Thanks very much for the great work 👍 😀

[@theTMJdoc]

@@cvcv5067 you’re welcome!!!

[@dhanampackiavathy1270]

@Priya Mistry, DDS - the TMJ doc mam does anterior disc displacement without reduction can be cured by splint therapy

[@theTMJdoc]

Please watch my videos "Jaw Locked Closed" parts 1 and 2 and lmk if you have any questions as I address this condition specifically.

[@Relesy]

Do you think being slapped in the ear and trauma maybe? The first doctor I went to said my eardrum was retracted but every doctor after said it wasn’t. I’m thinking maybe it was TMJ idk. Or maybe it was retracted and then unretracted

[@theTMJdoc]

it's really hard to say without examining you in person.

[@SgtD1981]

Medical marijuana, that’ll help with the stress. Botox in your masseter muscle on both sides of the jaw. These two things help me a lot.

[@theTMJdoc]

Glad to hear this! :)

[@vaniav4737]

Omg.......i can't believe it. All this factors and all the consequences that create. I appreciate 🙏🧡 💛🤗👍 so much all this information that you provide. I been lost for 2 years trying to figure out this and no dentist seen here in Mn were helpful ( finding the real-root problems). Now I just wonder where can I go to fix it. 🤔? I'm pretty sure I have sleep apnea and chain in balance. 🥲🥲

[@theTMJdoc]

MN? Minnesota?

[@vaniav4737]

@@theTMJdoc Yes, Minnesota.