How I Treat TMJD - Priya Mistry, DDS (the TMJ doc)

[@bradstein8776]

Dr. Parker is the best!!! I moved to Vegas and 7 years later, im dealing with all kinds of problems. I wish 1 of you were here. 😢

[@theTMJdoc]

Aww sorry! You can always fly to see me :)

[@bradstein8776]

@@theTMJdoc I wish I would have known about you 3 weeks ago.. I was in portland for 2 days. Thanks 👍 😊

[@mariakrauss4553]

I just had my appliance inserted for my tmj. The Dr. didn’t explain or tell me what MORA and ARA stands for and what they ment, until I found this video! Thank you Dr. Mistry!!!

[@theTMJdoc]

@@mariakrauss4553 you’re welcome! ☺️

[@Linda-mp8co]

I'd be in your office next week it I were in your area - thank you so much for the info. I didn't know what my tinnitus, neck & jaw pain and vertigo was caused from 15 years ago. After seeing many other specialist I went to a TMJ doctor. Unfortunately the splints that were made kept me awake at night and tend to make me grind even more. I'll check with my Dr. about the other two modalities. Thank you so much for sharing this content!

[@theTMJdoc]

Best of luck to you!!!

[@islammohamedaminul3412]

Did you vertigo go away.does it happened everyday?

[@ab.hamiddar7739]

Brilliant information & precise description by an intelligent professional doctor...Respect you

[@theTMJdoc]

Thank you! 🙏🏼😊

[@GREENBUDDHAA]

This is the most useful and well presented explanation of TMJD.

[@theTMJdoc]

@@GREENBUDDHAA thank you!!

[@Jackie1111]

Hi Dr. Just want to say I think you are an angel doing God's work. Helping a problem that does not get talked about or people dont know how to treat. And providing information and taking the time to answer questions on youtube when you are already busy is so kind! Do you know long tmj episodes can last usually? As far as weeks or months?

[@theTMJdoc]

Thank you for your kind words! The episodes can last from days to weeks to months. It can vary a lot.

[@Jackie1111]

@@theTMJdoc okay thank you♥️

[@doloresshaffer6971]

Thank you. Much Appreciated

[@Dhana77728]

What is the cost for locked jaw treatment with the history of clicking? I have given 4 lakh rupees approx to a tmj specialist

[@theTMJdoc]

I don't discuss my fees online :)

[@aanshulgoyal]

Consult RS dental and implant centre, gurgaon, search on google

[@aanshulgoyal]

Contact RS dental and implant centre, gurgaon ,search on Google

[@dr.amansharma3312]

it's great to learn from your video's. Very much informative, here we don't have specific TMJ doc so we have to learn own our own. I have already recommended your channel to my fellow doctors . Kindly give more information regarding tmd so we together make world better. May god bless you TMJ doc.

[@theTMJdoc]

thank you for your kind words! Much appreciated :)

[@bennybenny7382]

I have learned soo much from this channel!

[@theTMJdoc]

glad to help! Dont forget to subscribe!

[@kirtisoma3211]

Extremely grateful for your channel I have not found relief neither have I found a dentist that can help me

[@theTMJdoc]

Sorry to hear you haven't found relief!

[@JayOhhTheKing]

Does it resolve the problem? I don’t want treatment, I want it fixed 😖.

[@theTMJdoc]

Yes of course!

[@vimalpethani3999]

Thanks for sharing 👍

[@theTMJdoc]

No problem 👍

[@jayapatil6079]

Thanks for the important information.

[@theTMJdoc]

You’re welcome!

[@droidean]

Can't wait to recieve this treatment in just a couple weeks! :D

[@theTMJdoc]

Wonderful!

[@genie395]

@@theTMJdoc .my tooth hurts and my jaw:(

[@theTMJdoc]

@@genie395 sorry to hear that!

[@Ivy.yt17]

I've had this for 5 years😭😭😭and it's just not going away. I think it's gotten worse because I get the worst migraines on the side of the tmj and I have started to get motion sickness as well. Please tell me what to do. I don't want to to get surgery. I'm scared

[@theTMJdoc]

I cant tell you what to do over the internet and without examining you. Can you come see me?

[@mountaindweller9118]

Great information! Is it possible to not have TMJ pain, only popping on one side but have terrible pulsatile tinnitus- on the opposite side that gets louder when you apply resistance to jaw? Tinnitus also gets louder pressing on scalp same side and also get facial numbness. Ears constantly stuffy as well. I saw ENT, they did a CTA and everything is normal. No one can offer up an explanation. Thanks

[@theTMJdoc]

Yes it's possible to have all of this in relation to TMJ/TMD.

[@mountaindweller9118]

@@theTMJdoc Thank you!

[@finnobrien6846]

I’m getting fit for a splint on Monday, I live in Washington and think I will call and see if I can get an appointment with you also!

[@theTMJdoc]

Yes come see me!

[@lailadkalagyan3742]

Txn you for sharing Relly I need did

[@theTMJdoc]

You're welcome!

[@root.li.23]

You sound very competent and dedicated. Do you have any practices in London where I need (desperate) help?

[@theTMJdoc]

I’m so sorry I don’t! I’m working on it though!

[@mauriciogadalupe]

Thank god I found your channel.

[@theTMJdoc]

I'm glad you did! Don't forget to Subscribe!

[@absolutelynot5xc7789]

Thank you for the video. Can you please do a video on what you recommend for those living with a chronic lock meaning there’s no hope for the disc to recapture since the condyle has been remodeled?

[@theTMJdoc]

You’re welcome! It depends on pain level, range of motion, quality of life, etc.

[@zakvince7425]

What do you mean by the condyle being remodeled? I think I may have this. I basically don't have that bony nob on the right side of my Jaw unlike my left side. This makes my jaw just hard to control. It feels loose and it gets tired quickly. Sometimes you try to talk and it just does dosent operate like I'm telling it to.

[@absolutelynot5xc7789]

@@zakvince7425 When the disc is displaced without reduction and you are bone on bone the condyle changes shape with time it can become flatter. I have never met a dentist who knows how to treat disc displacements without reduction

[@zakvince7425]

@@absolutelynot5xc7789 well thats just great

[@kateginger]

​@@absolutelynot5xc7789 I know this is a super late reply, but maybe this helps someone. I had the same issues for 2 months (so not for too long). Dentists and jaw surgeons said everything was "fine" and only gave me pills to relax the muscles. Took me 2 months to persuade them to get an MRI scan to find out that my disc was forward and didn't return as it should. Every jaw surgeon said nothing can help me. I got a teeth guard (nothing too special because of where I live there were no expert dentists, my right side bites down and the other side doesn't even touch, not that great). Moved for a weak to a big city and found a physiotherapist tmj specialist and an osteopath also tmj specialist ( so not dentists or jaw surgeons). In just one week there was a loud clic and my muscles feel a lot better. The osteopath said that we got the disc unstuck. Also, my pain and muscle pain and tightness and also my jaw opening, all improved already from just the 1st appointment of osteopathy. Physiotherapy and mouth guards are also essential because these results are temporary if you don't have healthy function and habits and my mouth can lock again. In just one week I feel almost normal. I hope I manage to keep these results. But everyone was telling me that nothing would help which is a lie.

[@madelenesagelidhallinder7294]

very helpful information.

[@theTMJdoc]

Glad it was helpful!

[@alisonsimon5528]

Great advice ! I am getting myofacial release on my jaw today from massage therapist. Also, what are you thoughts on lidocaine injections or the trigger point injections ??

[@theTMJdoc]

I've heard that these injections work well but I don't do them at my office :)

[@mayrac7778]

You are an an angel I live in Chicago please can you recommend a good doctot

[@theTMJdoc]

Dr Hitesh Patel and Dr Ira Shapira come highly recommended. I don’t know their exact treatment methods.

[@gurtejsandhu5216]

I own you my life. Thanks for help mam

[@theTMJdoc]

Glad to help!

[@adrianseditz4168]

8:20 can you elaborate a bit more what you mean by jaw manipualtion and what does it ential? Does it mean chewing gum or something?

[@theTMJdoc]

It does not mean chewing gum. Its an osteopathic technique my mentor taught me that I do for my patients. Its gentle but effective.

[@adrianseditz4168]

@@theTMJdoc Cool, would i have to pay to get told what the osteopathic technique is? 😭 *Or do you have a video?* _(If you tell me for free, that would be greatly appreciated im young and broke kind of)_

[@AmberRob-ny6ui]

So glad i found your page ive been suffering way to long i think my TMJ comes from my anxiety and panic attacks will this help me?

[@theTMJdoc]

I’m sorry - will what help you? I don’t understand your specific question..

[@debwhite9432]

hi. thanks for this Dr Mistry. Have you seen tmg or teeth clenching to be the reason for tinnitus or even worse hearing loss? thanks

[@theTMJdoc]

Yes and yes!

[@debwhite9432]

thank you and what are my options here without pulling all my teeth tho I am actually ready to do that. @@theTMJdoc

[@ArroganceClause]

Excellent! Do you have some sort of resource to refer us to doctors that are as good as you in different parts of the US? I bet some form of accreditation you could provide to those dentists would be really great

[@theTMJdoc]

I wish I did! Where do you live? I may know someone in your area, but there is no specific directory I know of for providers who do this the same way I do.

[@ArroganceClause]

@@theTMJdoc thanks! I’m in the Raleigh Durham area in NC

[@theTMJdoc]

@@ArroganceClause the closest I know is Dr Sandra Fuller in Greensboro. She comes highly recommended. I don’t know her exact methods of treatment. Best of luck to you!

[@canigetawitness1992]

@@ArroganceClause Hi Flemington, I also live in North Carolina and was wondering if you've been able to find a treatment provider yet. I'm also looking for someone whose treatment is similar to Dr. Mistry's.

[@ArroganceClause]

@@canigetawitness1992 I haven’t looked yet

[@christianamackoul6265]

Do you know any TMJ specialists in the Northern VA area?

[@theTMJdoc]

Dr Pamela Marzban - Burke, Virginia 😊

[@knb243]

Wish I could go see you, Dr. Priya. Do you know any TMJ specialists in Louisiana or possibly Houston, TX? Thanks for all your helpful videos!

[@theTMJdoc]

I’m sorry but I do not.

[@knb243]

@@theTMJdoc Do the orthotics work well for treating deviation?

[@christinal434]

Can you recommend someone near Toronto Ontario Canada? Thank you so much for your amazing videos 😊

[@theTMJdoc]

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

[@sofdemi8042]

Would love to know if you found a good specialist in Toronto

[@IBeVibin]

Do you recommend any of your patients to get braces or Invisalign after the orthotic? Is it ever required to fix tooth positioning after correcting the jaw positioning?

[@theTMJdoc]

Sometimes I do.. :)

[@shannonhoran8761]

So the appliances help recapture the disks? Or to form a pseudo disk?

[@melancholy_dude]

I have started wearing day and night orthotic for about a week now. I dont notice any change. Feels like more pain at the jaw. How long before I notice any changes?

[@hlnr4817]

You may want to talk to the dentist that fitted it. It may need to be adjusted. When I was fitted for mine, it took a little time for my jaw to adjust at first. Don’t give up hope. I have been wearing my daytime orthotic for 3 months and am almost pain free, and I was in a LOT of pain to start with. Praying the same outcome for you!

[@theTMJdoc]

I really can't answer this without examining you with and without the orthotic in. I'd recommend asking the provider who made this for you. Best of luck!

[@kimc.5625]

My symptoms got worse after i received a temporary crown. I have had tmj issues in the past but ever since i got prepped for the crown i had a headache on the same side as that crown. I now have the permanent crown in and still having headaches. I have an appointment with a chiropractor to see if that will help.

[@theTMJdoc]

Sorry to hear that! I hope you feel better soon.

[@user-zk8ck3my3l]

Is an orthotic different from a custom dental guard?

[@theTMJdoc]

Yes drastically different. Please watch this video for more info: OTC Nightguard vs. Dental Nightguard vs. TMJ Orthotic - Priya Mistry, DDS (the TMJ doc) #tmjorthotic kzbin.info/www/bejne/fZyTk6dodt6WbNU

[@Monzajeje]

Wish I were there in Vancouver or you in India😊

[@theTMJdoc]

best of luck to you!

[@pushpendrakulshresthafan]

I live in India do you travel India sometimes i want to get treatment from you 😢

[@vidhyaravi200]

Thank you! How do you keep your patients' spirits up while they go through treatment. It took me several months to realize this is TMD pain and now it will be two more weeks before I get my orthotic splint. Sometimes I don't know how I can keep it together pain wise and I keep worrying what if this treatment doesn't work for me?

[@theTMJdoc]

it can be hard but if my patients are having severe pain I usually see them weekly for TENS treatment and craniofacial therapy until they feel better.

[@vidhyaravi200]

@@theTMJdoc I finally got my occlusal flat plane splint. I wish I could be your patient but I live in south Florida. Thank you.

[@theTMJdoc]

@@vidhyaravi200 I hope it helps and best of luck to you!

[@zotai.5855]

Hello! Doctor how much you charge for a night guard anh how much is cost fir each time therapy? I live in Portland, where us your clinic location .Thanks.

[@theTMJdoc]

I don't make nightguards. I make TMJ orthotics. I also don't discuss my fees online. You can call my office to make an appointment. Here's my website: tmjdentaldoc.com/

[@Mayday31]

Hi Dr. Priya, thanks for your video, I am just curious, for the 10% that cannot be helped, what is usually the reason? Is it that they need surgery? Thanks!

[@theTMJdoc]

No, they don't typically need surgery because it's usually the muscles that we just cannot calm down. I'm getting trained in using TekScan (also called T Scan) and I'm hopeful that that will be the solution for at least some of those 10%!

[@Mayday31]

Great, thank you!

[@theTMJdoc]

You’re welcome!

[@sarahbennett1904]

So glad I found this video. So eye opening and informative plus you're so pretty! 😍

[@theTMJdoc]

Thank you so much!!

[@margaretmicherda6136]

You are awesome! Do you know anyone in Boston area? I wish I could see you on regular basis.

[@theTMJdoc]

I’m sorry I don’t

[@GeorgetaLester-q3i]

Have you seen in your clinic cases when TMJD causes hearing loss?

[@DennisZimmer-t7j]

Thanks Doc for the video. My wife has suffered with TMJ for years. Unfortunately, she has dentures and the uppers most often hurt her gums (which seem to swell). Any suggestions for TMJ self treatment (or ??) for denture wearers?

[@theTMJdoc]

An orthotic can still be made for denture wearers!!

[@JamiesLife]

​@@theTMJdoc ohh thank God that's amazing t hear

[@erinjacobson6185]

Hi Dr! I know this is a weird question but do you know any drs that know what you know in the Chicagoland area? I wish I lived near you,. Thank you for all of your videos! ❤

[@theTMJdoc]

Dr. Hitesh Patel in Napierville comes highly recommended. I don't know his exact methods of treatment.

[@simo-dv5xk]

Can you show these osteopath adjustments?

[@theTMJdoc]

No, I don’t show these because they’re very technique sensitive and I don’t want people hurting themselves or others trying to do them at home.

[@amys4636]

Hi Dr., thank you for your videos, what is your opinion on Botox in the masseter to treat bruxism and day time clenching? Thank u

[@theTMJdoc]

Please watch this video :) kzbin.info/www/bejne/kIicmoCgqLF-nsU

[@lorerodri1]

Hi Dr Mistry, please how many stages of severity has the TMJD?

[@theTMJdoc]

Well, I diagnose four different levels of severity according to what I learned from my mentor.

[@lorerodri1]

@@theTMJdoc Thanks doc for you reply. I visited a Maxillofacial surgeon, he claims Im level 2, but I dont really want a surgery for this. I want another option although it takes longer to solve it.

[@natalifi]

Did you find another solution, any relief? I wish it's so.

[@Hazard33]

I received Orthotics when i was done wearing braces but i repeatedly got them broken on accident and the waiting period between each time made my TMJ worse. It's located on my left joint mostly and a little at the righ joint. It feels like my jaw is being pushed to one side by the pressure. I've been living with this problem for over 12 years, it messes with my orientation too like i can't tell where my front middle is and i need to focus extra hard to walk straight. Balance is completely off.

[@theTMJdoc]

Sorry to hear that!

[@paulagardner8720]

hello, is Dr Parker located in Houston, just wondering if he is the same Dr I visited thanks

[@theTMJdoc]

Nope - Portland, Oregon :)

[@paulagardner8720]

thanks for replying

[@Dianne-u4y]

So grateful for your information that you bring to us. I do have muscle pain on my right side of jaw which I believe TMJD. I wear a nightguard, but feel an orthotic would be better for me. I have had the nightguard for quite a few years, and the guard has indentations from my bites at night. Will the orthotic help with not only the muscle pain but also from grinding? I am also diagnosed with Trigeminal Neuralgia. In your opinion, is it possible that the jaw pain from TMJ could cause TN?

[@amiegoetz3019]

I have been putting a small piece of cotton in my painful ear with lavender essential oil on it. It works and if I don’t have it in the pain comes back. I take it out at night and it doesn’t bother my hearing at work.

[@amiegoetz3019]

It’s not a cure but it saved my life. I wear a nightguard that my dentist made every night. I have tried everything else

[@theTMJdoc]

I don’t think TMD can cause TN but it can mimic it.

[@unityofmohavevalley]

How do I find a doctor using this protocol that is closer to me? Las Vegas is the closest large city to me…

[@theTMJdoc]

I don't know anyone that uses this exact protocol. Sorry!

[@lorerodri1]

Thanks Dr for sharing this useful information with us. I'd like to know if you have treated TMJ patients with tinnitus, if so, have they improved their symptoms?

[@theTMJdoc]

Hi there! Unfortunately, I've found that tinnitus is the one symptom that does not respond predictably to treatment.

[@nesademuja4623]

​@@theTMJdoc it is a bad nwes for me becauseI have a stron rining nois in my ears and after I sow you videos,I had hope that this treatmant can improved my simptoms😢😢😢

[@chandamitaborah4252]

Hello Doctor, good to know the healing rate at your clinic. I am based in India and suffering severe TMJ pain after a physical trauma and also accompanied by Neuralgia due to TMJ. Is there a way you can treat me and will the neuralgia worsen with the above TMJ treatment techniques you mentioned? I am currently taking ultrasound physiotherapy for some relief. Thank you! Regards!

[@theTMJdoc]

Hi there! It’s hard to say if I can help you without follow up questions and discussion - if you’d like you can email my office to set up a zoom meeting: [e-mail]

[@chandamitaborah4252]

@@theTMJdoc Thank you Doctor for your response. I have been feeling slightly better since the ultrasound physiotherapy sessions. However, I will see if this further heals or else take an appointment with you. God bless you!

[@hanslain9729]

Hello - is trigger point injection something you do for your patients with TMJ / neck issues?

[@theTMJdoc]

No I do not :)

[@ramanasketches]

what do you ment by jaw manipulation ? is it through a surgery ?

[@theTMJdoc]

Nope it’s not surgery! Gentle Manipulation using my hands.

[@ramanasketches]

@@theTMJdoc Thank you

[@christiea.6778]

What’s the difference between the TMJ mouth guard and the kind that a regular dentist makes?

[@theTMJdoc]

kzbin.info/www/bejne/fZyTk6dodt6WbNU

[@philonavis792]

Hi Doc thank you so much for the genuine video. I have been having tmj issue since 2017. I tried splints. And doing chiropractor as well. But lately if I wear my splint my neck stiffness won't let me live and if I don't wear my splint jaw kills me.. not sure what to do ? Do you have any suggestions? I have been searching answers my whole life and please let me know if have any advise. Thank you so much

[@theTMJdoc]

I’m sorry but I can’t really make a great recommendation without examining you in person.. have you tried any neck stretches?

[@natalifi]

Did you find any solution for symptoms relief?

[@sourabhkulkarni1731]

Hi Priya namaste, do we need surgery to resolve TMJ on my right jaw? Please advise. Thank you.

[@theTMJdoc]

I cannot advise you on your specific condition over the internet and without examining you.

[@sourabhkulkarni1731]

@@theTMJdoc ok, thanks for the advise.

[@natalifi]

It's a big risks and a very little hope for situation changing for better.

[@sourabhkulkarni1731]

@@natalifi Ya, no worries now. I have accepted it and I have started living with it.

[@ramanasketches]

those custom orthotics to be used for lifetime?

[@theTMJdoc]

The nighttime one, yes. The daytime one, no.

[@SaturdaySoul]

I almost died because i have this and didn't know. I had constant chronic migraines and was taking up to 15 excedrin migraine pills per day. I ended up with 4 ulcers which I'm still recovering from. I'm the only parent of a special needs child. We're both on disability and on public insurance. Almost nobody treats this and nobody at all that takes my insurance. I'm barely hanging on as it is and can in no way afford getting to another state for this. I'm so desperate and in so much pain all the time.

[@NinoMaluri]

What kind of diagnostics do you do to determine what's causing someone's TMJD? Thank you

[@theTMJdoc]

A full history, muscle palpation exam, joint palpation exam, postural exam, CBCT, occlusal exam, medical history, etc.

[@NinoMaluri]

@@theTMJdoc That's awesome. Thanks :)

[@nancyrosas5768]

what are the results for people whose main or only symptom is a dull burning pain inside of the ear?

[@nancyrosas5768]

Also, is there anyone that you recommend in the bay area? More so around the San Jose area.

[@theTMJdoc]

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

[@theTMJdoc]

I have a 90% success rate treating the pain in the ear.

[@amiegoetz3019]

I did Botox and it worked

[@juanitabenavidez4785]

Do you treat patients who live in a different state? I’m from New Mexico and there are no dentists here that specialize in TMJD.

[@theTMJdoc]

If you can travel to see me, I can treat you :)

[@maxime6221]

Do you have a good success rate with toothache associated to TMJD ?

[@theTMJdoc]

Yes :)

[@natalifi]

Any relief?

[@jorgevillacis8127]

Dr. Could you please recommend a dentist you can trust in south Florida please !!!

[@theTMJdoc]

I don’t know a dentist there but Dr Robert Murdocco is a wonderful TMJ Physical Therapist and he likely knows a good TMJ dentist in the area 😊

[@danaallen6946]

How do I get the orthotics? My daughter wear a night guard. Should she wear both?

[@theTMJdoc]

It’s not possible to wear both :)

[@theTMJdoc]

You can get orthotics from a skilled and experienced TMJ dentist 😊

[@danaallen6946]

@@theTMJdoc I wonder why the dentist didn't offer this in the first place.

[@danaallen6946]

@@theTMJdoc are there any outpatient dental service that assist patients remotely?

[@theTMJdoc]

@@danaallen6946 most dentists are not trained in treating TMD.

[@bridgetbean79]

I had custom orthotics made but my jaw was never relaxed with them because my teeth wouldn’t “rest together” right. I would constantly grind on the orthotic and move my teeth around to find a good position to relax in, but couldn’t. Would you say that’s because the orthotic perhaps just wasn’t made right or the right kind, or that I would just need a much longer time wearing it for my mouth to become used to it? It was made after connecting sticky measuring devices to my face to see on a screen where my jaw seemed comfortable most. The orthotics also began shifting my bite, so my bottom teeth would close right under my top teeth, making my smile no longer aligned then. My regular dentist urged me to stop wearing it immediately (the orthotic was made by a neuromuscular dentist).

[@theTMJdoc]

I’m sorry but there’s no way I can answer this over the internet and without examining you with and without the orthotic in..

[@kingbaboon1145]

I have no pain or popping, but my mouth sways off to one side if I open or close really wide.

[@theTMJdoc]

Sorry to hear that!

[@user-pe9lv8fx2f]

Hi Dr how to select which type of splint to be used ?

[@theTMJdoc]

It’s not about the name or type of splint, it’s about the prescription built into it that is unique to each individual. Kind of like all prescription eyeglasses looking similar but it’s the prescription built into it that makes the difference. 😊🙏🏼

[@mindyhardy5426]

Is your night orthodic worn on the upper or lower teeth. Where are you located?

[@theTMJdoc]

Most of mine are made for the lower arch. I'm in Vancouver, Washington.

[@doloresshaffer6971]

Headaches. What do I about headaches? Please refer me to a Dr here in Chicago. I wish I lived near you. This evening is my first time experiencing a headaches. I agree with you about checking the orthopedic. My orthopedic is hard. Should be that way?

[@theTMJdoc]

You can see Dr. Hitesh Patel - Napierville, Chicago.

[@bethsmith9787]

Would a massage therapist do myofascial release?

[@theTMJdoc]

Not necessarily.. only if they’re trained it. try to find a tmj massage therapist!

[@1963Annette]

I have arthritis so I'm using an Orastretch press

[@theTMJdoc]

was this recommended to you for arthritis?

[@bilgekagan2828]

Hİ.I am a oral surgen frm Turkey.How can I learn Jaw manipulation technique?Advice?Thanks alot

[@theTMJdoc]

I really don't know how to teach that unless you're here in person

[@bilgekagan2828]

May be webinar if it possible?Espicially from your mentor?

[@normaledezma5790]

Hi Dr. Priya, My daughter had a cavity filled, and that same day her jaw starting poppin. Did her ligaments maybe stretch to much? Do you think exercises will Help? Thank you

[@theTMJdoc]

It's hard to say what caused it. There are typically many factors involved. I wouldn't recommend doing jaw exercises as this can make things worse.

[@tomwhite9966]

In your experience, is it possible for a patient to end up with an open bite or their teeth coming together differently, after wearing these removable orthotics for several months? If so, is there any way to prevent this or minimise the chance of creating long term / permanent changes in occlusion, as a result of orthotic therapy? As you know, some patients cannot financially afford Phase 2 orthodontics and this is why I'm asking this question. Also, why do different TMD dentists use different types of orthotic treatment protocols? Neuromuscular and ICCMO dentists such as you, use the removable day time and night time orthotics which are protrusive and bring the mandible forward and decompress the joint. Orthopedic dentists use a removable single orthotic which the patient must wear 24/7. Some dentists such as your colleague Dr Alex, use a fixed single orthotic which must be worn 24/7. And some dentists recommend stabilisation splints such as the Tanner appliance because they are the most conservative and have the lowest chance of causing any long term changes in occlusion. For patients like me it is very difficult to make an informed decision regarding which type of orthotic is best for us. What is your advice for patients who need to determine which type of orthotic is best for their particular case? If I ask the dentists in my country they never give me any clear answers.

[@theTMJdoc]

My method - which involves removing the orthotic when eating - minimizes chances of the bite changing. However, there's about a handful of patients per year whose bites change through treatment. For a few of these patients, we can do minor occlusal adjustments at the end of treatment to balance the bite to match the muscles and joints. For the rest, orthodontic or crown work is needed. As for which orthotic is best for you, it truly depends on the severity of your TMJ problem.

[@tomwhite9966]

@@theTMJdoc Thank you very much for your reply. I really appreciate it. For patients with debilitating TMD pain and disc displacement, who have clicking/popping and episodes of the jaw catching/locking, how can these patients eat safely and properly without their day time orthotic? I have all of these same symptoms and eating food is one of the main times that I would need the stability and support of the orthotic and so logically I'm thinking it will be necessary to wear the orthotic when eating? What are your thoughts on this?

[@theTMJdoc]

Yes but if you wear the orthotic when eating, your bite will definitely change.

[@tomwhite9966]

@@theTMJdoc Okay, thank you very much for confirming. And thank you so much for providing this channel and videos. They give hope for millions of TMD sufferers like me.

[@theTMJdoc]

@@tomwhite9966 you’re welcome. 🙏🏼

[@rekhasharma-jy8xh]

Hi is tmj happened due to artharitics and what is the solution plz suggest

[@theTMJdoc]

I cannot give you a solution over the internet and without examining you. Sorry.

[@PamelaBehnk]

Is it normal to have swelling right in front of your ear and right under the ear with TMJ? Or would this be more likely something else?

[@theTMJdoc]

I wouldn't say it's the most common sign of TMD, but it can happen yes. I'd definitely recommend seeing a doctor to rule out infection!

[@test-nature]

my doctor suggesting phase 1 and phase 2 treatment. 1) phase 1 orthodontics alignment slipnt= 6 months 2) braces treatment= 1 year Total cost 2 Lakhs Can I belive on that

[@theTMJdoc]

I'm sorry, but I cannot answer this question over the internet and without examining you. Sorry!

[@gdevine8186]

Hello Dr. Mistry, How do I know if I need an orthotic or just myofacial release? I don't have clicking or popping, just tight, sore masseter and temporalis muscles. They give me a nonstop "tension headache" affecting the forehead, temples and sometimes down to my left upper jaw and molars. Thx for any guidance you have. G from Ontario Canada

[@theTMJdoc]

Everyone needs both in my opinion.

[@natlygonzalez4809]

Will orthotics help with arthritis? I went to orofacial pain clinic and they think that’s my cause . My face feels tense around cheek area, neck pain, headaches on forehead . Already schedule an appt with tmj specialist to see if this is the cause or not . Do you have any recommendations in Southern California ? Im between orange and Los Angeles county . I want to explore my options .

[@theTMJdoc]

Yes an orthotic can still help. Dr John Kim in Irvine comes highly recommended. I don’t know his exact methods of treatment

[@natlygonzalez4809]

@@theTMJdoc thank you ! This is who I schedule my appointment with 😊. Sadly his out of the office and won’t see me till July 😭

[@natalifi]

Did you find any solution for arthritis symptoms relief?

[@Mandajb]

Hi there! Dental Hygienist turned Doctoral Nurse Practitioner student here. As I am completing a neurology clinical rotation mostly dealing with headaches/migraines I have noticed such a major overlap with my dental career. I wish there were more overlap between dental and medical fields and professionals. I would like to be able to refer more patients to TMD specialists throughout WA. Thank you so much for posting all of these great videos to show just how much of a cross-over there is!

[@theTMJdoc]

thank you for your kind words and yes, there’s quite an overlap!

[@ashiqueikbal3192]

My nightime orthotic muscle reluxes but my left joint constant pain...what should i do ?

[@theTMJdoc]

I’m so sorry, but I can’t advise you over the Internet and without examining you.

[@rachelsanelli3482]

Would you ever suggest an arthroscopy for displaced disc with reduction? And do you have patients that the clicking/popping never goes away even once disc and pain is stabilized?

[@theTMJdoc]

I don't believe that an arthroscopy can help DDWR long term. Yes, I have some patients where the click/pop remains even after the pain is gone.

[@lalitmahant4175]

Mam can i wear anterior positioning splint over a root canal tooth.

[@theTMJdoc]

I would recommend speaking to your TMJ dentist about this. I cannot advise you unless you are a patient of mine.

[@monowararoshid4029]

Will these treatments work on radio they induced TMJ?

[@theTMJdoc]

I don’t understand your question..?

[@droidean]

Would this treatment be effective for temporal tendonitis as well?

[@theTMJdoc]

Yes 😊

[@ramyasamiksha4546]

Ma'am am watching all your videos, very much helpful, I wish you were in chennai, I would get treated for my TMJD. May I get an online consultation with you.

[@theTMJdoc]

Yes please email [e-mail] to set up a zoom meeting

[@Peacefulbeing9]

Hi Ramya. U can also fb group TMJ-India. To get to know hospitals in India from our patients.

[@chandarvictoria1963]

Doctor this splint (orthotic) wear it on upper teeth or lower teeth?

[@theTMJdoc]

I typically make mine to fit on the lower teeth :)

[@michellewood7183]

@@theTMJdoc Do you make both day and night to fit on lower teeth??? Not upper teeth

[@comicdoctor]

Hey there Doctor Mistry....No braces?

[@theTMJdoc]

Nope! Please watch this video: kzbin.info/www/bejne/kHe5indpqtFpn68si=kFGi745LoAc0-Ij5

[@PoojaSharma-ev4oq]

Hello Mam, My dentist suggested me for splint..Is splint is good of jaw headache pain...???

[@theTMJdoc]

if it's a regular nightguard, it likely won't help with pain. if it's a tmj orthotic that's made correctly, it will. the term "splint" can be used to describe a nightguard or an orthotic, so it's hard for me to answer your question.

[@kaylatrujillo7467]

Do night guards help? I have one from the dentist but no one takes insurance for TMJ in CO and I have spent so much just with tmj consolations. I get headaches dizziness and popping and clicking.

[@theTMJdoc]

No a nightguard does not help with TMJ/TMD..

[@revanthgowda5300]

thanks for the info and your soo beautiful ❤i love u

[@theTMJdoc]

Thank you for your kind words!

[@margaretmicherda6136]

How often in a period of 5 months do you see a patient? Does it need to be once a week or less? How long is the session for the mayofacial release? Just wondering if traveling is possible

[@theTMJdoc]

I typically see my patients once every 1-3 weeks depending on the severity of the tmjd. :)

[@giftyflorence1133]

How do you give treatment to indians is there any online appointment kindly please contact

[@theTMJdoc]

I have to see people in person for treatment but I can do an initial consultation online. 😊

[@alison-ip8ky]

What do you do if someone has a very serious gag reflex and can't wear orthotics? I have a lot of sensory issues and am autistic.

[@theTMJdoc]

I’m sorry but I don’t have a solution beyond the orthotics and therapy I offer

[@muslimnoori2162]

Did you recaptured disc with reduction with these treatments on your patients ? Will the disc remain in recaptured position after the treatment for years?can one live normal life after disk is recaptured.? hope you will answer

[@muslimnoori2162]

People says it's only clinically possible

[@theTMJdoc]

Yes, I recapture the disc with these treatments - sometimes with reduction and sometimes it's fully reduced.

[@muslimnoori2162]

@@theTMJdoc thanks for replying