Why Is My Bite Off? - Priya Mistry, DDS (the TMJ doc)

[@Amber-oe6kz]

Muscles in dysfunction can also pull the maxilla and connected facial bones down too. Happened to me and I’ve found approx 20 other people have this happen to them too

[@vidhyaravi200]

How can we better protect ourselves from incorrect diagnoses our treatment. After a year of pain, I figured out that during an Invisalign treatment gone wrong with my previous dentist - she had shifted a crown in my mouth and it was now hitting incorrectly. When I told her there was a problem, she never checked my bite. She told me Botox will help. It didn’t. I saw a TmJ specialist / orafacial pain. She never checked my bite for inferences or prematurities. I suffered through splint treatment that didn’t fully resolve pain because every time I took the splint out to eat, the bite was off because of the crown. She said this may be the best we can do. 😢. I hurt my hip (luckily) and was put on strong muscle relaxers. This relaxed the jaw and the crown not placed correctly was obvious. I went to my new dentist. He did a bite check, fixed the crown and one other prematurity. In just 10 days 75% of the pain gone. Given it was a year - the dentist said there could be damage/ I may have pain that will happen. How can we make sure that dentists check this? So many professionals - so much money - so much pain and ongoing damage, for something that could have been avoided if when I first said there was pain, my dentist checked my bite.

[@theTMJdoc]

I wish I had a good answer for you! Sorry you went through that.

[@vidhyaravi200]

I’m concerned that TMD due to poor dental work or incorrect protocols on checking the bite wasn’t part of your list. Sadly, situations like this do cause TMD and if a dentist is unaware and the patient (rightfully doesn’t know) it causes a lot of pain

[@theTMJdoc]

@@vidhyaravi200 dental work altering the bite - that alone does not cause TMD. It can exacerbate an underlying issue. That’s why I didn’t include it on this list.

[@vidhyaravi200]

@@theTMJdoc isn’t it worth saying that? I never had TMD before and now mine is going away once the crown was adjusted. Doctors not checking the bite early on lead to things getting worse than they needed to be. Even just saying this could make things worse may help one person know go and insist on getting your bite checked if you had recent dental work. I wish someone had told me that - I had to figure it out.

[@theTMJdoc]

@@vidhyaravi200 for this video, NO. I’m explaining in this video how your bite can be off DUE TO TMD.

[@MaxCarusofan]

So how would you solve muscular TMJD causing my bite to feel off? Should i chew gum to build muscle or do exercises, stretches?

[@theTMJdoc]

This can correct with TMJ orthotic therapy. However sometimes braces or bite adjustment are needed after that. Exercises will not help.

[@Jose-lk8or]

Hi I think I'm having the same issue. I have no pain but my bite is off looks like an open bite and have. A lot of spams . I have had braces in the past and wear my retainers every night a oral surgeon said I just need braces again so waiting and see. Seeing the orthodontist in May.

[@Jose-lk8or]

How does you bite look like?

[@thecscallan]

Hi Dr. Mistry, Thanks as always for your videos and responses to comments! Sorry if you've addressed this elsewhere; if you have could you please direct me? Have you encountered disk displacement without reduction occuring only at night where eventually the disk can be reduced in the morning and the jaw has normal operation, without clicking, throughtout the day? If so, do you find any commonality between cases (for example mainly attributable to muscle imbalance)? Thanks again!

[@theTMJdoc]

Hi there. yes I see this a lot! It’s usually due to clenching/bruxing activity at night.

[@thecscallan]

@@theTMJdoc thank you for your reply! Is it difficult to find the root cause of nocturnal bruxism? Do you have a standard order of things to try that you suggest to patients or is it really a case by case basis?

[@jessedebrouwer1435]

Hey, do you think secondary breathing muscles like the scalenes can also cause malocclusion? Love the content :)

[@theTMJdoc]

I don't think those muscles alone can do it. But working with the rest of the muscles, yes.

[@deepzepp4176]

Great video. The thing i’ve noticed with myself is that when I look down or lean over, my lower jaw moves forward and my bottom teeth overlap my upper front teeth. Any ideas?

[@theTMJdoc]

Your jaw is moving with gravity. If your tilt your head backwards to look up, your jaw will shift back.

[@deepzepp4176]

@@theTMJdoc Thank you for the reply. I asked my partner to do the same thing - look at her phone - and her jaw doesn't move.

[@theTMJdoc]

@@deepzepp4176 she might be clenching together. It will move if your teeth are apart.

[@mustardtiger374]

Hi Priya, Thanks so much for your informative videos. I was wondering whether you could recommend a TMJ dentist in the Reno, Nevada area? I am currently shopping around between a few TMJ dentists, to have an orthotic created. The first dentist (from a TMJ/sleep center) quoted a price of $7500, to have a day and night time orothic made. Does this seem excessive, in your opinion? Thanks again for all that you do!

[@theTMJdoc]

Hi there, I’m sorry I don’t know anyone there. As for pricing, I’ve seen $9800 for only 1 orthotic.

[@csell871]

Hi Priya, hope you are checking on these comments. You replied to one of mine in the past and I am hoping you will see this. In this video you talk about cervical vertebrae being rotated. I had a chiropractor tell me my C2 was turned in comparison to C1. In the last 1.5 years or so I have had 2 teeth (molars 18 and 14) extracted on the same side. Do you think the bite change from the extractions can effect the C2 to be turned or would you say it is more likely that the C2 turned is causing my TMJ issues? Thank you for these videos.

[@theTMJdoc]

Honestly it can go either way!!

[@csell871]

@theTMJdoc thank you. I go to a TMJ doc today, someone who specialized only in TMD issues.

[@theTMJdoc]

@@csell871 best of luck to you! 💝

[@Marilyn-h4m6f]

Do you ever recommend Xanax for very serious TMJ in an older person, I’m 84 and really suffering after 2 tooth extractions and my move open for a very long time. Thank you! Love your videos… very helpful. Xanax has helped but I don’t want to rely on it long term.

[@praneethdegala4461]

"Hello, I hope this message finds you well. I wanted to share with you some concerning symptoms I've been experiencing since an accident I had in 2021. Initially, I didn't feel much, but around 5-6 months later, while sleeping on my left side, I suddenly felt pain in the left side of my collarbone accompanied by dizziness, numbness, and blurry vision, which lasted for about 15-20 minutes. Recently, I've been having severe vertigo, depression, anxiety, and stomach problems, which I believe might be related. I understand seeking medical help can be daunting, but I'm feeling quite anxious about it. Could you please offer some guidance or support on how I can best address these issues? Thank you."

[@theTMJdoc]

I cannot really answer questions without follow up questions and discussion. If you’d like you can set up an online consultation with me with this link: tmjdentaldoc.janeapp.com/#/staff_member/1/treatment/8

[@kelvinmacedo5615]

Hi, Priya Mistry! Do you know the relationship between TMJ problems and Eagle syndrome? I was diagnosed with disc displacement with reduction and Eagle syndrome. I used to feel severe pain in the neck, masseter muscle, and in the TMJ. After I started treatment with TMJ orthotics, the pain in the TMJ and masseter has improved significantly, but I felt no improvement in the neck pain due to Eagle syndrome. Do you treat this condition in your office? Is there a non-surgical approach for it? Thank you very much for all your content! It has helped me a lot!

[@theTMJdoc]

Unfortunately there’s not much that can be done outside of surgery for Eagles Syndrome. Sorry!

[@liamcarr7889]

Hi Priya, doing a great job!… Can you do a demo on how to palpate an elongated styloid process?… cheers

[@theTMJdoc]

this is not something I do often so I don't feel comfortable making a video about it. Sorry!

[@queenmilly6697]

Hello, I’ve had my daytime orthotic for almost 3 weeks to correct my joint/jaw placement and I’ve noticed slight muscle twitching, tingling and soreness. It’s nothing extremely discomforting, but it can be noticeable. Is this normal and part of the process? I’m assuming this is because my jaw is getting put into its correct position and my muscles, jaw, etc. are getting used to and adjusting to it.

[@theTMJdoc]

I’m sorry but I really cannot comment because I have no idea how this orthotic was made, what precise condition it’s treating or the prescription built into it. I’d recommend speaking with your TMJ dentist.

Hello if its muscular how would the bite look like? And how would a doctor determine if its muscular or not? MRI?x ray?

[@theTMJdoc]

Muscular problems do not show up on imaging unfortunately.

@@theTMJdocwhat equipment would a doctor use?

[@theTMJdoc]

A K7, CbCt and my knowledge of the TMJ condition

@@theTMJdoc awesome thanks

[@theTMJdoc]

You’re welcome!

[@KevinHu-eh9cg]

Hi Priya. If the lateral pterygoid is shortened, can this be undone with releases?

[@theTMJdoc]

Yes it can be! :)

[@jordynbaxter6561]

hi Dr Priya, I saw a TMJ dentist earlier this year becuase my jaw locked and I was in a ton of pain - they had me wear two splints, a day time one all day even while eating and a night time one. My TMJ symptoms are gone but I have weaned off the day time retainer and my bite is off - only my back molars touch. my dentist said this should correct itself on its own - do you know anything about this? and how likely this is? I am happy to be out of pain but now so worried about my bite and future problems

[@theTMJdoc]

The bite may self correct and it may not. It’s impossible to say what the likelihood of either scenario is. Many people move on to phase 2 TMJ treatment - braces or full mouth reconstruction to build a balanced bite.

[@jordynbaxter6561]

@@theTMJdoc interesting! I've found plenty of information online regarding how splints can "permanently" change a bite, but I haven't been able to make sense of how or why this happens. if the splints cover all the teeth so they can't move, how would a change in the bite be permanent? my bite pre-splint had good occlusion and my joints were in a fine position - my symptoms were primarily from clenching and muscle tightness. how can a bite change be permanent if the teeth dont move?

[@adrianseditz4168]

Please tell me this can be reversed to how i was before, if so how?! 🥺 I have muscular i think... Which video is best to see?

[@theTMJdoc]

It’s impossible to say what will reverse it over the internet and without examining you.

[@adrianseditz4168]

@@theTMJdoc Fair enough, what would you suggest I do regarding Muscular causing my bite to feel off? A video on this would be amazing!

[@Jose-lk8or]

​@@adrianseditz4168how does your bite feel off. I think I'm having the same issue. My bite appears as N open bite. I have no pain but muscle spasms. I saw a oral Surgeon that specializes in TMJ and he says I just need braces again

[@adrianseditz4168]

Like my left side feels like it has a slight open bite on 1 set/line of teeth if that makes sense (And thats the side that pops) And i have a bit an overbite aswell And i have no pain aswell, but yes i do rarely have muscle spasms@@Jose-lk8or Did you notice your masseter muscle atrophy a little bit? Im thinking of getting an orthotic MORA, but idk maybe a boblic biobloc stage 1

[@Jose-lk8or]

@@adrianseditz4168 no I don't notice that on my muscle. I have done an MRI on my TMJ joint and everything came out normal and is in place but on my right side which is limited movement but I can open and close my mouth just has a little bit of tightness. I told the oral surgeon about the spams and he's like that's because of your bite being off. He's like you just need braces. I went to my previous orthodontist and he was like how weird but he thinks they are the retainers and I was just biting down on them at night so I'm not wearing them for two months to see how that goes. I'm only biting on one tooth on my left side and one tooth on my right. Have you seen anyone?? My left side pops to buy everything came out in the MRI in place so idk. My spasms sometimes make my teeth tap like a twitch Any ear sensitivity?

[@Safely2024]

Dr Priya my bit is off after wearing orthotic for 6 months What to do?

[@theTMJdoc]

Im 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

[@PEN15ISHARD]

Hi, can occlusal splint help all this symptoms or any of them need surgical intervention?

[@theTMJdoc]

It depends on what’s causing the bite to be off.

[@brittneybarrow7603]

So I’m had TMJ issues for the last two months the and have been doing chiropractic treatments but my jaw bite is off Is braces really necessary or can I just live with it ?

[@rpurushothampuru9492]

What are the causes for malocclusion from child hood (since formation of teeth)

[@theTMJdoc]

Please watch this video: kzbin.info/www/bejne/pH-4qp1vZtyjbtEsi=M6UZeOxK7j9nLI_m

[@rpurushothampuru9492]

@@theTMJdoc thank you

[@rpurushothampuru9492]

@@theTMJdoc can tongue tie cause bruxism

[@newwavebrazil]

Forward head posture?

[@theTMJdoc]

Yes maybe - but it’s a “what came first” - the malocclusion or the forward head posture? But they’re usually related.

[@shiv5706]

I have a assymetrical face due to enlarged one side masseter and under developed other side masseter Can you please tell me how can I fix this???

[@theTMJdoc]

I don’t have a solution for this. Sorry!

[@shiv5706]

Can I increase one side of my face by any exercise or chewing more and any other method

[@saisravani2625]

Could you please make a video for TMJD patients who are going to remove their wisdom teeth on upper and lower sides what precautions or tips and diet to be taken before and after wisdom teeth removal and how to make heal quickly and how to manage TMJD during that time it would be helpful mam❤ and what questions to be asked to dentist during that time to make sure that it wont hurt jaw joints.

[@theTMJdoc]

Check out this video: TMJD Patients: Upcoming Dental Appointment? How I Can Help YOU! - Priya Mistry, DDS (the TMJ doc) kzbin.info/www/bejne/lYelk4ugibBml68

[@Waltaere]

Priyaa 😃

[@theTMJdoc]

Hi!

[@Waltaere]

@@theTMJdoc Henloos 🐶

[@janetrogers1285]

I have

[@theTMJdoc]

?

[@ashs9803]

What causes jaw to deviate right?

[@theTMJdoc]

It could be muscular issues, intracapsular issues, or some combination of both.

[@rainbow20112011]

Dr. Priya, are you a vampire? :)

[@theTMJdoc]

Yes! 😂🧛‍♀️

[@kitkat3138]

She loves scaremongering and bringing Doom & gloom 🤦🏼‍♀️🙄

[@theTMJdoc]

How is this scare mongering? Its a silly picture of me as a vampire!

[@theTMJdoc]

@@sarahlabbett4626 thanks Sarah!