Tongue Tie, Airway, & TMJD - Priya Mistry, DDS (the TMJ doc)

[@MichaelDeLaRosa]

I literally would have looked like a gigachad just like my dad if they snipped this when I was kid. Thanks for the info, I have 3rd level tongue tie and I have/ had all the symptoms you mentioned. I’m getting it snipped soon

[@theTMJdoc]

I had to look up "Gigachad". haha.

[@Aeizium]

This video should be mandatory education for all parents in the USA.

[@colleennaseem7680]

I've been struggling with this my whole life. This is the best, clearest explanation I've found, and I will be sending it to everyone who asks why I had jaw surgery! For others still in the process, widening my palate and have my jaws advanced actually fixed me! I am jaw-pain free for the first time in over 30 years.

[@theTMJdoc]

Wonderful!!! I’m so happy to hear you are well 😊

[@Natalie-ft1en]

Can you specify which procedure you had done? Was your palate narrow due to a tongue tie or just naturally like that?

[@sisball4299]

What else did you experience outside of pain free jaw? Did other symptoms resolve as well? If so, which ones and which didn't it resolve?

[@weiss27md]

Priya, I'm in the Austin area. I have a history of reflux, sinus issues, TMD, bruxism, headaches and anxiety. 7 years ago though I developed chronic fatigue. I've had everything involving lab work ruled out. I've had 2 in lab sleep studies but they were inconclusive. Along with my chronic fatigue I have tired heavy eyes. I had 2 nasal surgeries but still have fatigue.

[@theTMJdoc]

I'd recommend seeing a TMJ Dentist or TMJ Physical Therapist.

[@balsam8368]

What happened with you? Did you get a tongue tie release?

[@jayapatil6079]

Awesome job of explaining the Tongue Tie, Airway & TMJD Dr. Priya.

[@theTMJdoc]

Thank you!

[@PrettyPatriciia]

Binged so many of your videos this evening. Thank you thank you!!

[@amyhoop9651]

Excellent! This explains alot of my symptoms. This is the best video. Thank you!

[@theTMJdoc]

You’re welcome!!

[@samanthamahler4943]

Hi! I watch all your videos on KZbin and I find them extremely helpful as I’m going through a bit of a rough time with my jaw. I opened my mouth too wide and heard my jaw “pop” and ever since then I’ve had pain. I went to the dentist and she told me I have TMJ and sent me home with some muscle relaxers but I wasn’t getting any better.. I was getting worse. I waited 10 days of getting worse before I went to the ER because I was getting numbness and tingling down my neck ( my posture has been thrown off since this jaw problem) I wanted to make sure it wasn’t more serious. When I got to the ER they told me I have Trigeminal Neuralgia. I of course almost collapsed because I am familiar with with TN and I read how painful it is and how it’s a chronic issue. I know my bite is off because my bottom teeth have shifted and I clench my jaw when I sleep and when I am stressed. I really feel like I am misdiagnosed with TN because I do not have sharp, stabbing pain that goes away and comes back. My pain was consistent and dull but it has lessened. I do have a little bit of numbness where my jaw is on my right side and I still have numbness and tingling down my neck. I’m just not sure where to go from here. If I should see an oral surgeon or an orthodontist? Get an MRI? A splint? The dentist I went to didn’t even look at my jaw, look at my bite. I’m just terrified that this won’t go away. Thank you for any advice!!

[@theTMJdoc]

Hi Samantha! Sorry you’re going through this - it sounds to me like a combination of TMD (muscle dysfunction causing the numbness and tingling) and an issue within the TMJ (the disc coming in and out of alignment causes the popping/clicking). Unfortunately, dental and medical schools don’t train us practitioners in TMJD so it often goes undiagnosed or misdiagnosed. If you were my patient, I would treat you with custom orthotics, myofascial release, and osteopathic manual jaw manipulation. With this regimen, we see numbness, pain, and tingling go down within a month and clicking/popping go down within 4-6 months. Where do you live? How did you find my channel? 😊

[@samanthamahler4943]

@@theTMJdoc Thank you so much for your reply! Even if this is the first time my jaw popped out can I still have TMJ/TMD? I did have a panoramic x-ray which didn’t show anything. Should I look into getting a night guard or a splint? I live in Florida! If I lived in Oregon I definitely would come to see you. When I was searching TMJ and TN I came across your channel. Your videos are extremely informative and helpful.

[@theTMJdoc]

Yes definitely still possible even though it’s the first time it popped. There are some great practitioners in Florida. I would start with a TMJ physical therapist or dentist if I were you. Robert Murdocco is a physical therapist in Miami Beach. Not sure where in Florida you are? Please be sure to Subscribe to my KZbin channel as well! I’m trying to increase awareness about tmj disorders 🙏🏼😊

[@theTMJdoc]

@@samanthamahler4943 you’re welcome! Please be sure to Subscribe and share if you find my videos helpful 😊🙏🏼

[@samanthamahler4943]

@@theTMJdoc I absolutely will! Hope you have a Happy New Year! 😁

[@Fivedollarhug]

I immediately felt better implementing a slight suction with my tongue at the roof of my mouth. Wow. My tongue had been feeling crowded recently and I found myself grinding my teeth, and sometimes accidentally painfully biting my tongue and inner lip. I also notice that I feel better with my lips slightly apart, but still nose breathing because my tongue is sealing the nasal airway. We get thin lips as we age and I want to avoid this flattening. There are a lot of facial exercises to help tone the neck and jowl area and this tongue placement is a foundation for the breath, and posture, plus facial tone.

[@theTMJdoc]

Yes there are some great facial exercises!

[@christianepaquet9193]

Very very useful information on your channel. Why nobody ever told us that there is a right way to hold your tongue and that nose breathing is the right way to breath ? I will practice it for the rest of my life now. I am having some light issues with TMJ and since I don't what it to get worse I am watching all your videos and I will be doing the exercices and the massages daily from now on. Thanks a lot !

[@theTMJdoc]

Best of luck to you!

[@christianepaquet9193]

@@theTMJdoc If I may, I have a question for you : When exercicing, as in when I work-out, do you still recommend exclusive nose breathing, or can we breath in by the nose and breath out through the mouth. Thanks again for your very useful channel that I am happy I discovered and suscribed to.

[@air2ear]

Thank you Doc, I've been suffering from having a tongue-tied since I love narrating and I wanted to apply as CSR but always got rejected because I often mispronounce words.

[@theTMJdoc]

Sorry to hear this.

[@herz11]

hi! i love this video, you covered many topics that I'm interested in. when i was about 6 i started mouth breathing, because there was no other way for me, i had a lot of allergies. i've been to many doctors but no one told me that mouth breathing is bad. about two years ago, when i was 14 i realized that my jaw joint hurts and I also found out i have receding jaw, so since then i like to research these topics. i often feel inferior, because of my problems. besides what you mentioned i also have swallowing problems, but i try to get better every day. i hope I'll recover one day, maybe someday. have a nice day!

[@theTMJdoc]

Best of luck to you!

[@herz11]

@@theTMJdoc thanks!

[@theTMJdoc]

@@herz11 you’re welcome!

[@raymondmabhens3038]

Wonderful indeed thanks very much for your input God bless you

[@theTMJdoc]

Thank you!

[@broadcastdave]

I just got diagnosed with TMD. this video was helpful.

[@theTMJdoc]

Glad it helped!

[@nirajsinghkarki9556]

Thnxx so much I was too confused where to rest mu tongue 😅 after know about so many things like some people facing breathing problems because of tongue during night etc

[@theTMJdoc]

You’re welcome!

[@AlexisWallace1984]

Smart and gorgeous! Another incredibly helpful video. Thank you Priya! I need to find a Dr near me who can see if I have a tongue tie. 💜

[@theTMJdoc]

Thank you 🙏🏼 you are so pretty yourself, Alexis! 😊

[@sisball4299]

Great video and willbe consulting with a tmj dentist as your explanation was spot on for what I've been deling with. Than you!

[@theTMJdoc]

You are so welcome!

[@amylevine4204]

Hi Priya! Great video! I was @ my dentist & 2x both the Dr & hygienist mentioned teeth should never be touching, except when we ate eating. I have watched many videos to learn more. However , I must ask you, (so far since last Tuesday, I have kept w this discipline) but I really want to make sure I am doing it correctly. What I am hearing is the tip of my tongue rests lightly right in front of the gum of the upper teeth, not touching the teeth, & the rest of the tongue rests on the roof of the mouth. I thought you said, the tip of the tongue & tongue rests on the roof. That would make it much easier. Which is correct. It seems more work for the 1st one bc I'm trying to do 2 things, the tip & the rest of the tongue. Tks for your video, I just subscribed! 😁

[@theTMJdoc]

the entire tongue should be up against the roof of the mouth with a light suction. however, I would NOT recommend forcing it there if that's not its natural rest position without seeking out myofunctional therapy.

[@amylevine4204]

Tks so much, that really helps bc all this time I was just placing the tip of tongue top, just behind the front teeth on gum not touching the teeth. But when you mentioned the entire tongue on top w the tip first, it relaxed the rest of my tongue to a more natural position on the roof of the mouth, not just the tip doing all the work, if you know what I mean. All of this is new to me, it's quite fascinating. Tks again! 😀

[@theTMJdoc]

@@amylevine4204 you’re welcome!

[@zsszerencsi3851]

Hi, thanks for the explanation. God bless you.

[@theTMJdoc]

Thank you! 🙏🏼

[@Alex-ik6pu]

that of the nasal breathing is complemented with the "mewing" Can you make a video giving your opinion of the mewing and how it is complemented with your knowledge of the TMJ?

[@theTMJdoc]

Yes! I will add that idea to my list and start working on it.

[@Alex-ik6pu]

@@theTMJdoc ❤

[@theTMJdoc]

@@Alex-ik6pu thank you for the video idea! 🙏🏼 and please be sure to Subscribe and share if you find these videos helpful!

[@seasonswithu]

So educational! :) Priya, could you please, let me know if anything can be done about the jaw itself, please, the jaw which never grew, as you said, to the proper position (and became retracted, causing TMJ issues later in life)? Thanks

[@theTMJdoc]

Hi there! It can be a tall task to get the jaw to the "proper" position as an adult. It could involve surgery, and/or orthodontia, and/or oral appliances.

[@humanperson1881]

What have you seen with TMJ and patients who have had extractions for orthodontic treatment? Unfortunately I had 4 premolars extracted but was always afraid it would worsen my bite and TMJ since I already have pretty bad TMD with joint involvement. Have you seen extractions causing or worsening TMD in patients? I asked my ortho a million times and he seemed to not think it could affect my TMD at all or even my face which I found questionable.

[@theTMJdoc]

Yes yes and yes!!!!!! I think I address this in my tongue tie and tmj disorders video.... the extraction retraction orthodontia, for some patients, can affect the airway and the joints as well as the muscles of the head, neck and jaw in a negative way.

[@humanperson1881]

@@theTMJdoc thank you so much for your reply, i appreciate it a lot! i’ll check out the video asap, if i can ask, what’s something i could do now? I had them extracted about 2 months ago and have not had any gaps closed yet. I’m stuck in a box because I always knew it was a great risk and then I had to do it. Edit: I had actually already seen your video on airway, tongue tie and TMJ. It’s how I found you! Do you have a video specific on extractions? (:

[@theTMJdoc]

@@humanperson1881 I did one JUST on tongue tie and tmj disorders. Not airway.. :) hope that makes sense. So you’re teeth have been pulled? Do you have any tmjd symptoms right now?

[@humanperson1881]

@@theTMJdoc yes, unfortunately i got 4 premolars removed which i was really hesitant about and voiced my concerns over it many many times to my ortho and he A) didn’t believe it could cause me/worsen my TMD issues and B) change or affect my face and breathing. I was mostly blackballed because I had already been on ortho treatment and at first they told me they could fix my teeth without extractions so I went for it but then I had to because of the flaring and crowing. I already had TMD before braces which is why I decided to get braces to see if it could help. I can’t tell if it’s been worse or not but the gaps from the extractions haven’t closed and my bite hasnt changed much. Again, I appreciate your time, thanks so much (:

[@theTMJdoc]

Sorry you’re going through this. Extraction and retraction orthodontia CAN cause a more narrow airway and it can certainly affect the jaw joints in a negative way. I, myself, had this type of orthodontia done and I haven’t had most of the negative side effects that I see in my patients every day. So it can be variable. It’s hard for me to tell you what to do from this point forward because I would need to evaluate you myself to gain more information.

[@robertp.wainman4094]

So well explained - I learnt a lot. Thank you.

[@theTMJdoc]

You’re welcome!!

[@mrssibelius]

O my word, I am 70 years old with a "short" tongue, which is constantly pressing agains my lower teeth, sometimes until my tongue tip feels raw. It probably leads to a very dry mouth with typical consequences. Most of you wil probably say it's too late to fix by Mewing. But I'm determined to crush this habit, which also caused weird lines on the sides of my mouth, reminding me of the Citroën logo! I'm curious to know if my tongue needs clipping or whether mewing will remedy the tt.

[@theTMJdoc]

I'm recommend meeting with a practitioner who provides Myofunctional Therapy.

[@rajarajanperiasamy7474]

What an excellent excllent explaination, you put the WHOLE thing together. Does not having your tongue on the roof also not switch on your para sympathetic state? Part of my overall diagnosis was that. I find that as a place my tongue on the roof on my mouth, my facial muscles start relaxing also. Is this related?

[@theTMJdoc]

Yes!!!! It’s all connected!

[@christinal434]

So how do you treat a tongue tie? Is using a sleep apnea machine, having a jaw orthotic and physio, and possibly NUCCA chiropractor help enough? Plus possibly enlarging the jaws with expanders? or is something else needed? Thank you!

[@theTMJdoc]

I cannot easily answer your question without knowing the full extent of your symptoms, questions, and discussion. If you'd like, you can email my office to set up a zoom meeting with me. [e-mail]

[@rohits2986]

Hi I have tongue and very much crooked tooth but recently I did tongue ie surgery and taking tooth alignment treatment

[@theTMJdoc]

Best of luck to you! 😊

[@kellyziffra1567]

Hi Dr. I am 37yo have TMD, a clencher and have a tongue tie. My doctor wants to do an orthotic first, then once things are settled introduce myofunctional therapy and tongue tie release. Then try to wean off the orthotic with a chance of further bite changes with either ortho or mouth reconstruction. I can't get the middle and back of the tongue up on my arch as it's tied and feels too narrowed. I read that as an adult we cannot expand the jaw because we are done growing and the bones are fused. There have been lawsuits over appliances such as the AGGA, FAGGA, ARA and more which aim to expland adult palates as it caused severe health issues. So if we cannot expand the jaw with such devices what will fix my problem?

[@theTMJdoc]

I'm sorry, but I cannot answer this question thoroughly without follow up questions and discussion. If you'd like, you can email my office to set up a zoom meeting with me. [e-mail]

[@zakariaanouar9182]

Hi doc, thank for those useful video, I have seen most of them. I have a question, my mom just finished the protocol of chimiotherapy for a tumor on the base of the tangue, but actually she cannot open her mouth, she can not chew or even eat, she just drink liquids. What to do suggest you to help her reopen her mouth and become able to chew and eat normally. Thank you in advance.

[@theTMJdoc]

I'd recommend seeing a TMJ Dentist or TMJ Physical Therapist.

[@goodvibesxox]

I’m looking to start the tongue tie revision journey. I have a posterior tie and my jaw does pop/deviate a bit when opening. Had ortho as a child for underbite. Now I’m wondering… you don’t necessarily always need expansion in these cases right? And do toothborne appliances only move teeth and not safe? (Hear differing things and that only mse works in adults) Also, you don’t necessarily need to spend on an orthotic do you? I assume those are temporary too, and even myo therapy and a tie release can help fix tmj? thanks!!

[@theTMJdoc]

Myofunctional therapy and tongue tie release will not fix moderate or severe TMJ cases which is what I regularly see. What do mean by “toothborne” appliances?

[@KeshBad]

I would love to hear your thoughts on oral ties and cleft palates? Any correlation?

[@theTMJdoc]

I don’t know enough about that to comment on it! Sorry!

[@suzannebenda5728]

I'm an SLP. I use proper lingual placement as a foundation for all speech sounds & make the students learn it before moving on with speech sound production. I'm looking for a good carry over video of lingual placement exercises to to facilitate the work we do in therapy at home. Do you have any or can you steer me in the right direction?

[@theTMJdoc]

I’m sorry, I don’t know 🤷🏻‍♀️

[@natmonkey03]

Growing up I’ve had a pretty bad allergy which I think leads me to having poor tongue posture. Right now my tongue lies flat in my mouth, not touching the roof of the mouth at all. I’m currently 19 yearsold. What can still be done now?

[@theTMJdoc]

I’d recommend consulting with a practitioner who provides myofunctional therapy. Megan Van Noy is great and can treat your virtually!

[@bartsonson]

great video Dr Priya! however towards the end it seems to suggest that clenching is the effect of TMJD .. is that accurate? ive always thought of clenching being a cause and so we feel better with botox or muscle relaxants

[@theTMJdoc]

Clenching can cause TMD. Not the other way around :)

[@bartsonson]

@@theTMJdoc ​ @theTMJdoc first of all thanks so much for your reply and all that you do! I feel like a celebrity has replied to me lol at 6:30 you say, 'it can lead a lot of us to clench or grind our teeth to bring the mandible into proper position' This part has me confused as it indicates mandible being retracted is leading to clenching.

[@theTMJdoc]

@@bartsonson the mandible being retracted can lead to sleep apnea. We will then grind the jaw forward to open the airway. The grinding and clenching causes TMD. Does that make sense? And thank you for your kind words!

[@bartsonson]

@@theTMJdoc thank you. that kinda makes sense now. this is such a complex horrible condition. wish it never existed lol

[@mmayojr]

Is it possible to have good mobility of the tongue and still have a tongue tie? I cannot keep my tongue to the roof of my mouth without it feeling very difficult. My physical therapist believes that I have a posterior tongue tie, with the posterior fascia of my tongue creating restrictions. I have breathing issues along with constant tension in my neck and shoulders. How difficult is it to diagnose a posterior tongue tie?

[@theTMJdoc]

Yes, absolutely that's possible. I'd recommend getting evaluated by a practitioner who provides myofunctional therapy. They are trained in diagnosing tongue ties.

[@sampadhota3598]

Hello Priya, Thanks for posting this video! I've done a tongue tie Grade-4 release on my 35th year adulthood (~Feb/Mar'21). I keep doing some tongue exercises almost daily, but not able to get the suction done properly yet - I can only get the front tongue touching the higher pallet and the roof is narrow/arched as you said - also got a nasal septum surgery before 2 months. This is impacting my way of life like mouth breathing while sleeping and while awake, bad long face/jaw shape etc.. Are there any recommendations on how can I get rid of this life-long struggle ?

[@theTMJdoc]

I would highly recommend seeing a Myofunctional Therapist to help you with this.

[@bluef.2473]

and intraoral massage to widen your palate, or a palatal expander.

[@tropicaldimitri7374]

If dentists around here were this beautiful I'd probably show up every month instead of once a decade 😂

[@theTMJdoc]

Thank you for your kind words.

[@chandarvictoria1963]

Hi Doctor.. By use tmj splint.. Can i breathe normal with my nose.. Because I'm having tmj problems

[@theTMJdoc]

Yes, you can! Sorry to hear you're having problems.

[@chandarvictoria1963]

@@theTMJdoc thanks doctor

[@theTMJdoc]

@@chandarvictoria1963 you’re welcome! Please be sure to Subscribe!

[@jaspritsidhu3966]

great video, i wanted to ask about whether is it too late for myofunctional therapy 4 weeks post frenectomy (for my 18 week old baby), we are based in the UK, and MFT wasn't mentioned to us during the procedure. My sons tongue function still isn't normal as he isn't breastfeeding normally (unable to empty the breast) and needs supplemental feeds to maintain his weight.

[@theTMJdoc]

myofunctional therapy is difficult for a baby. but there are tongue releases and stretches that the parent can do after the frenectomy. were these shown to you?

[@akhilsantosh4332]

I have a tongue tie and also a clicking sound in my right jaw whenever I open my mouth in addition I get pain whenever I yawn so Is this TMJ ? also My right eye twitches a lot and I am sensitive to sunlight

[@theTMJdoc]

I’m sorry but I cannot diagnose you without a full comprehensive examination.

[@akhilsantosh4332]

@@theTMJdoc okay doctor, :) a small query, can you tell me does TMJ causes twitching in eyes and eye lids ?

[@illyariddell1032]

Is there an orthotic or non-surgical solution if you have tongue-tie and are beginning to have serious discomfort with TMJD?

[@theTMJdoc]

@@illyariddell1032 yes there often is.

[@VanessaWagemaker-tc8mh]

Can this also create turbinate hypertrophy? I did have jaw surgery when I was younger, 17. Last year I got Covid and my jaw went into hyperdrive including a ton of different symptoms. I now suffer with constant nasal obstruction and it’s taking my life away, along with neck and shoulder pain. Help🙏

[@theTMJdoc]

Nasal obstruction and breathing difficulties can actually lead to TMJ issues...

[@arineemickle]

I was recently diagnosed with sleep apnea and my doctor told me that I have a very small airway. I was born with a tongue tie, but it was cut. Could this still be the reason I'm having difficulty now as an adult?

[@theTMJdoc]

It’s hard to say. It could be related, yes but I can’t tell you for sure over the internet and without examining you.

[@learningrooots]

I have released this before two years but i have the tight tissue under my tongue sometimes feels pain in my jaws and cannot speak clearly what is the reason

[@learningrooots]

Please reply madam

[@theTMJdoc]

Did you do myofunctional therapy before and after the release?

[@learningrooots]

@@theTMJdoc I have done some exercises myself

[@learningrooots]

Only exercises done after the surgery for a few days only

[@learningrooots]

@@theTMJdoc I was waiting for your reply

[@melaniereselva4452]

Dear Priya, we just found out my 12 yr old son has tongue tie. Also now He has high arch narrow palate and underbite. I guess this was because of his tongue tie. What do you think the priority to treat. His tongue tie first or wear palata expander? Thank you so much

[@theTMJdoc]

I'm sorry but I don't feel comfortable advising on your son's treatment over the internet and without examining him.

[@aimeemiller8659]

Will having the tie released help tmj issues?

[@theTMJdoc]

@@aimeemiller8659 not necessarily. But it may.

[@syed407]

I've just one question to ask , my tounge works properly I've no issue while eating and taking a breathe as well. But I've two frenulums down to my tounge.... can you tell me should I operate ??????

[@theTMJdoc]

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

[@syed407]

@@theTMJdoc do you have Instagram account please if you use so give me. I just wanna send you a pic of my tounge my all family member says that you have normal frenulum (lingual frenulum) but I don't know why I think that I've two frenulums..... However please give me your Instagram account so i can send you a pic of tounge....

[@ankitaminhas4372]

So this clicking and popping has been going in since at least 10 years and I’m so used to popping it myself. I have no idea what to do. I did go to ear doc and he told me to not to talk loudly or something cuz it affects that somehow. I never went back to him after that and I just let it go. Now Imm wondering if I should really get it checked out. There’s no pain or anything but it’s a problem. He didn’t recommend any scans or anything too. Maybe he thought not talking loudly would help but it hasn’t.

[@theTMJdoc]

Hi Ankita! Where do you live? I don't think talking loudly would affect this but opening as wide as you can potentially could, especially if you're hyper-flexible or loose-ligamented. The clicking/popping could stay this way without pain forever OR it could progress to a locked jaw.

[@ankitaminhas4372]

@@theTMJdoc I live on entirely the opposite side of the globe from your place. Haha. This video was really helpful in somewhat understanding what was really going on. I’m not a bio major or anything. I never really bothered to know what was happening. You speak so clearly and in the simplest vocab. Thank you so much. This happened suddenly- one morning i woke up and I couldn’t open my mouth entirely to yawn and I forced it open and it made a tik sound and it’s been that way ever since. I’ll surely get it checked just in case to know if there’s a solution to this problem. This time Im not gonna go to that doc again lol. There was also major language barrier back then. Thanks again! ❤️

[@theTMJdoc]

@@ankitaminhas4372 you’re welcome! Please subscribe and share if you find my videos helpful as I’m trying to increase awareness about tmj disorders 😊

[@theTMJdoc]

@@ankitaminhas4372 Thank you for your kind words! :)

[@nimzie8263]

I feel so demotivated as my face shape appears to be changing from oval to square and i keep have swelling on one side of my face 😢

[@theTMJdoc]

Sorry to hear this!

[@BeefyGaylord]

Can the shape of your upper mouth and lower jaw be corrected as an adult with tongue tie release or only when young?

[@theTMJdoc]

It requires more than a tongue tie release as an adult :). Check out the Breathe Institute in LA for more info.

[@sunshineinhereyes3559]

Thank you for the video so getting a tongue tie taken care of would that help breathing? I have tmj bad on olmy left side and I have had testing wverything came back normal. Still have a hard time breathing out of left noseteil. Would elevating the tongue tie help me to breathe at night? I still am searching for a tmj specialist covered by my insurance.

[@theTMJdoc]

No getting the tongue tie taken care of will not automatically help with breathing through the nose. There’s a correct way to do this and it should be done in the proper order. Please watch this video for more information. Tongue Posture - Dos and Don'ts! - Priya Mistry, DDS (the TMJ doc) kzbin.info/www/bejne/gqGve6yvqaijipI

[@lichas6876]

Will tongue tie release (removal) help my tmj issues also????

[@theTMJdoc]

Not necessarily but it may

[@coriolson725]

Can you suggest someone in Virginia?I have major problems with my TMJ.

[@theTMJdoc]

Dr. Pamela Marban :)

[@SantoshYadav-fp1xr]

What will have tongue position while smiling top, bottom or middle?

[@theTMJdoc]

Still top :)

[@SantoshYadav-fp1xr]

You mean, in resting face tongue will have top and while smiling will have top am I right ? And while laughing, eating and talking time could change accordingly?

[@theTMJdoc]

@@SantoshYadav-fp1xr yes but it’s important to remember not to force your tongue where it doesn’t feel comfortable. If it doesn’t naturally rest on the roof of your mouth, then Myofunctional therapy is imperative.

[@SantoshYadav-fp1xr]

@@theTMJdoc yes thanks

[@air2ear]

I also have those popping sounds on my jaw.

[@theTMJdoc]

Sorry to hear this.

[@wendyapp648]

Same for me, tied tongue and those popping sounds..

[@melancholy_dude]

Can clicking stop? Then once on the splints, can the clicking come back?

[@theTMJdoc]

Yes and yes.

[@juganesther7347]

Doc, after braces I have this problemTMJ so what should I do know

[@theTMJdoc]

sorry to hear this. I'd recommend seeing a tmj dentist or tmj physical therapist.

[@nilampawar7306]

my baby have tongue tie can i do surgery .whether it heart to salivery glands

[@theTMJdoc]

I cannot advise you over the internet without examining your baby. Best of luck to you!

[@simo-dv5xk]

Hi there Dr, im curious, have you come across patients who tell of symptoms of waking up in the middle of the night from bizarre vivid dreams and having to catch their breath back? This happens to me sometimes and I have TMJ disorder, with moderate high tongue tie and suspected misaligned atlas/axis. Im wondering if this is my nervous system venting out from all the built up tension from jaw, upper neck (occiput area)? Also, it seems to happen when I've been sleeping on my back position, I can't remember this happening when I sleep on my sides.

[@theTMJdoc]

Yes - that’s likely related to sleep disordered breathing. Have you consulted with a sleep doctor or had a sleep study?

[@dianadumitru6922]

Dear doctor, i just discovert you. Please, if we are already adults, with tmjd, and with lower jaw not fully developed like you described, will help the correct tongue posture? Or is it to late if we didn't keep it corectly in childhood?

[@theTMJdoc]

Its best if done since childhood. as an adult, often times expansion and orthodontia are needed.

[@moef8975]

If I start nasal breathing and adopt proper tongue posture now at the age of 23, will it make a difference and help my TMJ?

[@theTMJdoc]

Not necessarily. I’ve found it’s best to treat the tmjd first and then do the myofunctional therapy for nasal breathing and tongue posture.

[@15.sujalrewadikar48]

Maam how can I get proper tongue posture and swallowing

[@theTMJdoc]

Please watch this video and lmk if you have any questions: kzbin.info/www/bejne/gqGve6yvqaijipI

[@15.sujalrewadikar48]

@@theTMJdoc thank you so much maaam

[@theTMJdoc]

@@15.sujalrewadikar48 you’re welcome!

[@hulk2406]

Is it too late to get the tongue tie surgery in late 20s?

[@theTMJdoc]

No but I’d highly recommend myofunctional therapy before getting the tongue tie released.

[@soumipaul4866]

After tongue tie release do adults have speech difficulty??

[@theTMJdoc]

if they do myofunctional therapy before and after, no.

[@fridaychukwuemeka9354]

Thank you ♥️ when I place my tongue towards the roof of my mouth I feel slight pains all around what can I do

[@theTMJdoc]

Please do not try to change your tongue position on your own. This is best done with the guidance of a practitioner who provides Myofunctional Therapy. I highly recommend Megan Van Noy. I've linked her website below: www.orofacial-myology.com/

[@Natalie-ft1en]

I do not have a tongue tie but have been told I have too narrow of a palate which is causing upper airway resistance syndrome. Is it common to develop this for no reason and with no history of tongue tie? And do you recommend MARPE procedure to correct it? My only symptoms are terrible nonstop masseter pain/fatigue and this is the only possible cause we have been able to identify thus far.

[@theTMJdoc]

What is the MARPE procedure?

[@Natalie-ft1en]

@@theTMJdoc Miniscrew-Assisted Rapid Palatal Expansion. It’s basically a procedure to expand the upper palate in adults thus increasing the nasal airway. This is supposed to allow for better nose breathing (as opposed to mouth breathing) and allow for better tongue posture because the tongue cannot rest in the proper position if the the upper palate is too narrow for it to fit. The thought is that proper nose breathing and tongue in the proper position will reduce the incidence of sleep apnea or upper airway resistance syndrome (UARS) which will subsequently reduce bruxism. Apparently clenching and grinding is a mechanism the body uses at night to try to get more oxygen and maintain the airway. This is supposedly the link between why some people with sleep apnea or UARS also have TMJ/TMD. Any thoughts?

[@nadrosso]

And it is any solution to all this problems? :(

[@theTMJdoc]

Yes but it takes time and the right team of providers!

[@kimberlywusstig2783]

I'm getting my tongue clipped next week. If it don't help me I will call your office and make a appointment

[@theTMJdoc]

Good luck to you.

[@clashofclansshield8583]

This is a great video but is there a way to cater this information for a 5 year old? How can we help correct this in a child?

[@theTMJdoc]

Id recommend seeing a professional who provides myofunctional therapy. This is very difficult to correct without guidance.

[@joogaloo929]

What are your thoughts on where overbiters should rest their teeth?

[@theTMJdoc]

on a well made TMJ orthotic :)

[@michaeldolotanora1117]

how much is the cost for cutting the tongue tie

[@theTMJdoc]

I don’t know. I don’t do that procedure.

[@TInyK12]

I don't have tongue tie but my tongue always rested at the bottom. Wish I knew you when I was much younger. My teeth are overcrowded and even invisalign won't correct my narrow arch. Ever since I started "mewing" I've felt much less headaches. Maybe mewing aligned my jaw in a better resting position?

[@theTMJdoc]

It’s hard to say. Did you also do myofunctional therapy?

[@TInyK12]

@@theTMJdoc I did not. My orthodontist said I have lip incompetence but didn't tell me about correcting it. So I did my own research and discovered mewing. That corrected my headaches and now my mouth stays shut. I'm surprised my ortho didn't spot my tongue posture issues. Anyway, my son has tongue tie so that's how I found you! I will definitely look into myofunctional therapy though to see if I have anything else going on now. Thank you for your informative video!

[@theTMJdoc]

@@TInyK12 yes myofunctional therapy can only help! I’m glad my videos provided good information for you 😊

[@kimberlywusstig2783]

If you fix a tongue tie will your tmj symptoms go away?

[@theTMJdoc]

not necessarily. if the muscles are trapped in a chronic pain/spasm cycle or if the disks in the joints are displaced, it will take more work to correct these issues.

[@dukkhamanavar9857]

Can this still be fixed at later ages?

[@theTMJdoc]

Yes it can but it’s easier when younger :)

[@ricksahota1372]

Do you have any tips to keep the tongue on the roof of the mouth?

[@theTMJdoc]

I wouldn't encourage trying to do so unless you've been evaluated by a myofunctional therapist first. If you have a tongue tie (even if it's not obvious), it will strain the muscles that support your tongue too much to force the tongue against the roof of the mouth.

[@BGLito]

Can deviated septum cause TMJD?

[@theTMJdoc]

Not just a deviated septum alone, but the whole breathing system. Please watch my video - “tongue tie, airway, and TMJ disorders” - and lmk if you have any questions.

[@BGLito]

@@theTMJdoc what does one do, i been told i grind my teeth and have left deviated septum. i currently use a over the counter mouth guard. i have no pain but i experience crackling when swallowing, tinnitus in both ears.

[@theTMJdoc]

@@BGLito I would recommend an examination with a tmj dentist or tmj physical therapist.

[@erikalenoeye8925]

Thank you beautiful ☺

[@theTMJdoc]

You’re welcome and thank you for your kind words.

[@TheBreatheInstitute]

Great content Dr. Mistry, if you'd ever like to collaborate on some informative videos, we would love to chat.

[@theTMJdoc]

Sounds great! Lmk what you’re thinking and how to contact you :)

[@kumarkrishnam1791]

500th like 😁😁😁

[@theTMJdoc]

Thank you!

[@kumarkrishnam1791]

@@theTMJdoc 😊

[@Alex-ik6pu]

V 4:13

[@theTMJdoc]

Not sure what this means but thank you for your comment!

[@jacobmartinelli7496]

unlucky... this video is not what it should be

[@theTMJdoc]

What?

[@matchpoint14]

I can guarantee you 99 percent of the people do not have a tongue that rest up in the upper part of the mouth.

[@theTMJdoc]

That’s just not true. I treat patients all the time with their tongues in the right place. How can you guarantee anything unless you’re treating people?

[@matchpoint14]

@@theTMJdoc everybody has different size gums and teeth and mouth structure, the tongue natural position can vary widely from person to person. When I try this it puts pressure on my jaws and cheeks and nothing seems natural about it at all. It is probably is some fad someone came up with. Show me in medical books that it is the natural position. If it is I can still say with 100 percent certainty that it is not the natural position for everyone. But as I type I just noticed my tongue was resting up in the upper part of my mouth, maybe it does and I just do not realize it, But I do know when I try to do it, it does not feel natural and it is painful. Maybe mine is some where in between. BTW, I do think you have a great channel and do a great job. I am just Mr Critical over here. For all I know it could be the cause of all my severe disabling head aches and jaw problems.