Why Do We Clench & Brux? - Priya Mistry, DDS (the TMJ doc)

[@Themoaningcupcake]

I suffer from anxiety, so i constantly clench my jaws to the point it hurts after a while. I really have to think to not clench

[@theTMJdoc]

Please watch my video "How to Stop Clenching/Bruxing". It's helped many people stop clenching during the day.

[@ksp423]

Thanks for the shout out (and specifying I’m not a nun 😂). 100% stress as the cause of my jaw clenching!

[@theTMJdoc]

Love you!

[@mikescudder4621]

One of the best explanations i've seen on youtube.

[@theTMJdoc]

Thank you!

[@quancho3484]

its really such a tricky problem to solve. so many contributing factors from postural/alignment issues to airway. and approaching this holistically is the best way.

[@theTMJdoc]

Yes! I agree.

[@nefarioussagittarius8906]

Stopped by to say that everything you said about posture makes so much sense. I have instability in my lower body and strengthening the deep core muscles aid a lot in taking the load off of your neck. You’d never think there was a connection, but there is.

[@theTMJdoc]

Yes - it's all connected!

[@quancho3484]

i feel there needs to be more advocacy from patients as well as providers to get insurance coverage for therapy such as the orthotic and imaging.

[@theTMJdoc]

Yes!

[@someasiankid6323]

I'm so depressed because I didn't know I was clenching my teeth until recently and it totally changed my face shape from a oval to a square. I don't want to live while looking like a block. I wish there is a cure for this

[@theTMJdoc]

Sorry to hear this.

[@shankar0cr]

Hello Dr Priya, I think this list is spot on . I completely agree that sleep-disordered breathing causes clenching and bruxism. Felix Liao, an orthodontist mentions this in his books, and bruxism is kind of similar to CPR to the body when we aren't getting enough oxygen during sleep. Also, Prof John Mew constantly mentions that proper tongue posture, and teeth kept in close contact during the day with the lips together,actually prevents all sorts TMD problems. But, I've noticed that when I keep my teeth in close soft contact during the day, actually encourages bruxism. Why is that, could you shed some light on it?

[@theTMJdoc]

Yes! I love the analogy of bruxism as CPR when we aren’t getting enough oxygen. I believe that proper resting posture is lips together, teeth apart (2-4 mm), and tongue against the roof of the mouth with a light suction (proper tongue position may not be possible with a severely arched & narrow palate).

[@lordchris1095]

Why she is so pretty

[@theTMJdoc]

Thank you!

[@theredfaceofficial]

Dr Priya is very beautiful and knowledgeable - suddenly my jaw and teeth pain has slightly reduced just listening to her. I suffer from health anxiety and always stress out. These videos should help me deal with my clenching issue. Thank you ☺️💙🙏🏼

[@theTMJdoc]

Please try the muscle releases in my KZbin playlist “tmj exercises/muscle releases”. Many people have gotten relief with these! Thank you for your kind words.

[@theredfaceofficial]

@@theTMJdoc Thank you so much. I’m just hoping I don’t damage anything while doing these massages inside the cheeks. Also when feeling inside my cheeks, is it normal for my right side cheek to feel thicker than my left side, it’s like as if it has more inner fat or muscle on the right side cheek. I know that I have always chewed more on my right side, and that’s also the clenching / grinding side too. Thanks Dr Priya 🙏🏼

[@치과윤원장]

I agree your opinons. I learned a lot. key point in treatment disease is understanding normal function. nomal airway and tongue position is very important. your check point is very nice.

[@theTMJdoc]

Yes!! 🙌🏼

[@mike_lightz]

wow the stability one

[@theTMJdoc]

Yes!

[@dawnkupka5123]

I enjoyed your video. I've been clenching my teeth and I'm in so much pain. My teeth and cheeks hurt. Almost in tears. Don't know what to do. I wear a mouth guard at night. The oral surgeon called the mouth guard a splint. I'm confused on what to do. I'm going to watch your videos to help me out. Thank you!

[@theTMJdoc]

Sorry to hear that! A splint or mouthguard is not the same thing as a neuromuscular TMJ Orthotic and may not be appropriate to treat your TMJD. For pain relief, try the muscle releases in this Playlist. I hope they help! :) kzbin.info/www/bejne/rYbXY3R6pJJ-f5o

[@SweetSassStyle]

Hi Dr Priya, would you share treatment and advice on TMJ problem with Tinnitus, there are loads of patients suffering ear ringing arise from jaw problem. Can you help and give advice in your video?

[@theTMJdoc]

Hi Jarene! I wish I had an answer for Tinnitus. This is the one symptom that does not respond predictably to any kind of treatment that I'm aware of. I believe it's because the causes for Tinnitus are multifactorial so it is very difficult to treat. It doesn't respond the same way that vertigo, ear pain, and stuffy ears respond to our orthotics and therapy. I'm sorry I don't have more answers for you!

[@quancho3484]

ur vides are very insightful and helpful in navigating how one can get help n try to guide their treatment. Ever since my symptoms began, i have been on a quest to solve the root underlying causes. the education n tips u provide provide assurance that it can be fixed lol. for a while i gave up

[@theTMJdoc]

Glad you find the videos helpful!

[@frankfurt629]

some good infos. thank you

[@theTMJdoc]

You’re welcome!

[@pallavipatra8006]

I got a high bite post a filling and developed TMJ. I don’t know how else to resolve this but to give the jaw ample of rest. So far, it seems to be working. However, I hope it hasn’t done any irreversible damage to my jaw. Thanks for the lovely information and you are very beautiful!

[@theTMJdoc]

Thank you and best of luck to you!

[@Redgascan]

I'll apologize in advance for getting off topic. I just have to respectfully say, you are just incredibly beautiful. Now back on topic. I take Zoloft and never knew that could cause clenching. I have been on this SSRI for more twenty years and I would like to stop. The problem is, it's not safe to stop abruptly. I'll talk to my doctor about it. Thank you for the information.

[@theTMJdoc]

Thank you for your kind words and yes it’s not safe to stop abruptly. I’m glad you are consulting with your doctor about it.

[@anna_m59]

Very informative. .. thank you !

[@theTMJdoc]

You’re welcome!!!

[@christinapratt8101]

i have four crowns currently, and I constantly clench my jaw, it hurts so bad and I try to stop.

[@theTMJdoc]

Please watch my video "How to Stop Clenching & Bruxing" and lmk if you have any questions. The method I describe in the video works well to train yourself to stop daytime clenching :)

[@protrusive]

Hi again Priya! Great points - I have been evaluating the literature for the aetiology of parafunction. Whilst airway, psychosocial and medication side effect is well and widely documented - the stability theory is not addressed or welcomed as far I can see from the papers of Manfredini, Lavigne, Labbezzoo etc - I am not (yet) disputing it can play a part, but would you kindly be able to point me to any evidence, should any exist? I do appreciate the evidence quality in this area is poor an there is a huge role here for clinician experience - bravo for another great video

[@theTMJdoc]

I haven’t looked into the research about this at all, to be totally honest. I’m going off of my experience and the experience of my mentor who has been doing this work for 40+ years. We work with NUCCA chiropractors and TMJ physical therapists as needed to address the postural dynamics that play into TMJD. TMJ Disorders can often be a whole-body problem and in my opinion, dentists can be much to focused on teeth and we are finally accepting airway and medications as factors; stress was considered the only factor for far too long! Modern medicine is far too dependent on research based evidence and while this is important I believe that experience, common sense, and an open mind are vital as well. With patients whose jaws are locked closed we work closely with NUCCA chiropractors because often the upper cervical vertebrae are misaligned which feeds up and affects the jaw. So a long answer to your question. I don’t have research but am potentially looking into doing some in the future. Feel free to dispute away, but after treating between 75-100 locked jaws (my mentor has treated thousands) I can tell you that postural dynamics are certainly a causative factor. 😊🙏🏼

[@protrusive]

@@theTMJdoc thanks for your reply. I appreciate it. I think its great you work as part of a multidiscplinary team for this - as the saying goes 'You don't know what you don't yet know!' - we as Dentists need to understand more about the masticatory system. Hope you did not take offence with my question - I really do believe there is more to it than what the evidence suggests. Happy New Year, Priya!

[@theTMJdoc]

@@protrusive not offended at all! 😊. You have to have thick skin to have a KZbin channel and people (not you) have posted incredibly rude comments since I started making my videos. I’m so glad you have an open mind to seeing things from a different perspective. Thank you and I do appreciate questions as they keep me thinking! Happy New Year and Cheers to 2021!!

[@theTMJdoc]

@@protrusive also check out the website of dramir.com. I believe he’s in the UK and seems to have a great understanding of how TMJD can often involve the whole body!

[@protrusive]

@@theTMJdoc I will check it out. Priya - I would love to host you on my podcast one day (www.protrusive.co.uk ) - please let me know if you are interested 🤘

[@jayapatil6079]

Great job Dr.Priya.

[@theTMJdoc]

Thank you!

[@keturahgrace3422]

0qq

[@quancho3484]

awesome video very informative thank you so much. i have a follow up question if you dont mind. in patients where SDB was the main contributing factor, upon treatment with either CPAP or oral appliance therapy, did the nocturnal bruxism stop? I know there can be other factors as you pointed out as well but assuming one is not on SSRI's and when the airway is suspected to be the main cause.

[@theTMJdoc]

I have seen it lessen but not stop entirely. :/

[@quancho3484]

@@theTMJdoc i see, well thatd still be welcome relief not to mention the benefits of proper sleep

[@Truck-kun__.....619]

I just don't know why but there are times notice I was clenching my teeth. Most of the time I noticed them was when I feel my teeth hurts. This only started a month ago. Sometimes I woke up with my jaw and teeth hurting

[@theTMJdoc]

Sorry to hear this.

[@tawnytirado143]

Thank you thank you !!!!!! I have this and I’m taking lexapro and I’ve had jaw pain making me think I’m having a heart attack thank you soooo much!!!!!!

[@theTMJdoc]

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

[@tawnytirado143]

@@theTMJdoc thanks for reminding me. Yes I had jaw pain and I thought “ omg I’m having stroke” then I did some research and found out my popping jaw has a name and that lexapro can trigger this. You have me ☮️ of mind when I needed it most !

[@theTMJdoc]

@@tawnytirado143 I’m so glad to have helped!

[@stephanszwajcar2287]

Dr. Mistry, what do you think about mouth taping? This becomes more and more popular.. but might it not provoke more grinding?

[@theTMJdoc]

I’m not sure how mouth taping would affect grinding but I think it’s great if you can breathe through your nose, if you don’t have a tongue tie, and if you’re trying to achieve proper tongue posture.

[@stephanszwajcar2287]

@@theTMJdoc i thought because it hinders the jaws to open up freely during sleep, so it might induce more biting. But thanks a lot!

[@theTMJdoc]

@@stephanszwajcar2287 it certainly could!

[@OC3707]

What if I clench my jaw without touching my teeth together when awake? It's making my jaw muscles ache.

[@theTMJdoc]

Please watch my video "How to Stop Clenching/Bruxing" and lmk if you have any questions. The method I've described in that video has helped many people stop daytime clenching/bruxing activity.

[@Peters8749]

This was very helpful

[@theTMJdoc]

I’m glad!

[@Brownnproud91]

When you say stress, is that anxiety as well? Also is night time clenching associated with anxiety?

[@theTMJdoc]

Yes and yes 😊

[@genwe1894]

What about having an underbite? Does that cause clenching?

[@theTMJdoc]

An imbalanced bite can increase the chances of clenching, yes.

[@lukethenuke7265]

Does clinching jaw change face shape not grinding but clinching

[@mikescudder4621]

Hi Dr Mistry... "flat, ground down, canine to canine" at the front is something you see more associated with sleep disorders or could it be equally associated with stability issues? Interestingly i noticed that the 6x6 exercise position is exactly the position where i'll brux, on the rare occasion i sleep without my splint.

[@theTMJdoc]

Yes, that front area being ground down is often associated with sleep disorders.

[@christopherodonnell2375]

Coud it be to do with your nerves?

[@theTMJdoc]

yes.

[@quancho3484]

i feel like my case is sorta tricky, i know i have postural issues (also have been to a PT who worked with my posture and muscle imbalances as well as gave me some jaw exercises, they definitely helped but not curative), i also developed an open bite (i previously did not have that) i feel this contributes as well, and suffer mostly from nocturnal bruxism. i don't really clench during the day unless stressed or in bad postural positions for a length of time. i did a sleep study but did not have osa but the dr did believe i had SDB just less then wut would warrant treatment. i feel the poor unrefreshing sleep is due to the bruxing/clenching and well as possible airway contribution. i want to get an orthotic but i also want to address the open bite and really not sure how to go about this. any thoughts are very welcome. thanks again.

[@theTMJdoc]

Hi! Your questions are great and very involved and therefore difficult to answer easily and quickly over the internet. If you’d like to set up a zoom meeting, please email: [e-mail]

[@iceysunflower8936]

Heya :) I have been grinding and clenching my teeth all the time until my sister said that our teeth shouldn't be touching all the time until we are eating so i was confused bc i have been doing it for nearly forever :/ and i do have a overbite bc of it i think and 'relaxing my jaw' just feels so uncomfortable :/

[@theTMJdoc]

Sorry to hear this.

[@quancho3484]

i wish there was a better to get medical coverage for TMD issues. in regards to the postural issues i know one can see a PT or chiropractor however the orthotics ppl may need such as myself arent covered on the dental side n there is a lack of medical coverage even when insured. i personally think thats crap. for ex, when one has a problem with any other joint in the body, one can obtain imaging, wrkup and treatment thru insurance. however when it comes to TMD, on the dental side of coverage there is limited help. there has to be some way to change this situation.

[@theTMJdoc]

It’s very difficult because many insurances don’t recognize tmj/TMD. I believe this is because there’s a lack of evidence based research on this condition.

[@jakec5618]

@@theTMJdoc Just because the evidence is not there now, doesn't mean it't not true. I believe sometimes science has yet to catch up. Often, it is difficult to create research that is representative of all the variables accounted for in patients. although having evidenced based medicine is protective by nature, it also misses many aspects of healthcare.

[@theTMJdoc]

@@jakec5618 totally agree!

[@felix1978ify]

Can you do a video about. Why tmj give you tinitus pulsatil

[@theTMJdoc]

The causes of tinnitus are multi-factorial and it does not respond predictably to treatment. I don't feel comfortable making a video about it because I have not had success treating tinnitus.

[@aluralur9855]

What doctor do we need to see for instability?

[@theTMJdoc]

I would try a physical therapist to look for imbalances throughout the body.

[@errorcode866]

I hope this reaches you. Im sorry for the book but i have a coulpe questions i hope you can help me with. I was told i have tmj when i was a small child and im 32 now. I was 13 when I had some type of procedure done where they made an incision by my ear and I believe to move my disc. I don't know if it worked at the time but not long after it was back to the way it was. My jaw makes a loud clicky sound every time I open but the only jaw pain I have is if I have to keep it open or try to correct the way my mouth is supposedto rest. The last few years I've been trying to figure out how to relax my jaw and my tongue. I haven't heard anything about the tongue. I went to a tmj Dr 2 years ago and they said they couldn't help me since I've had the procedure done once it wouldn't work, I should just get a mouth guard. My teeth have always been perfectly straight and now my two bottom teeth have completely shifted outwards and often feel loose. My tongue is always pushing on them and my jaw is now resting sideways. What should I do with my tongue and how could I stop resting my jaw sideways without and possibly without pain? When it isn't sideways that's when I feel discomfort then it just becomes pain. I've tried mouth guards in the past but I cant get past the pain and discomfort i think comes mostly from how thick the guard is. The clear thin one the Dr made me after my tmr procedure was ok after a long time getting used to but it cost too much. If you know what type of mouth guard im talking about Is there anyone similar that you can recommend? Thank you for your time.

[@theTMJdoc]

Hi! Your comments and questions are quite involved. I can’t answer them quickly over the internet. If you’d like to set up a Zoom meeting, please email [e-mail]

[@asmabintismail6058]

How to keep teeth away while lips together ?

[@theTMJdoc]

You just have to try.. I don’t really know how else to answer this..

[@asmabintismail6058]

@@theTMJdoc yeah i m trying Its possible Can dental crown increase tmjd pain ?

[@RADITZMANGADOKKAN]

Hi Dr Priya , What we can do to improve stability for curing tmj ?

[@theTMJdoc]

By “improve stability” what do you mean? In the joint itself?

[@RADITZMANGADOKKAN]

@@theTMJdoc Yes in the joints Dr

[@theTMJdoc]

@@RADITZMANGADOKKAN yes we treat with custom orthotics, myofascial release and osteopathic manual jaw manipulation and we see stabilization of the joints typically within 4-6 months :)

[@annaharris2870]

Oh dear, ticking *all* those boxes plus ADHD with stimulant therapy. It definitely started during COVID. I stopped nail biting, I couldn't touch my face - cue the bruxism.

[@theTMJdoc]

Sorry to hear that!

[@jmac9741]

I started SSRI and four weeks after I started having ear stuffiness and pain, and then développed all the other symptoms. It has been really stubborn, I do myofacial release, osteopathic adjustments, massage, physical therapy, acupuncture and Botox and still the pain persists I do wear an orthotic made by a tmj dentist but I don’t think it’s working for me

[@annacarr9579]

I’m on the lowest dose of Prozac possible and am having a rough time with TMJ currently. I’ve developed so much more pain and discomfort since starting it. Going off it soon and switching to another medication not in the ssri family. Wish I could see Dr. Mistry, I saw Dr Parker as a kid but can’t really afford to see her now as she’s not covered by insurance so I’m hoping switching meds does the trick for me. You might want to consider trying a antidepressant form a different family too.

[@theTMJdoc]

Sorry to hear this!

[@raghavshukla7961]

Do the teeths touch at rest or not

[@dknohoward6933]

Thanks hun😊

[@theTMJdoc]

You’re welcome!

[@Luke-pd7xj]

Just thinking about it makes me cringe. I’ve been told I grind in my sleep, such a pain. I can definitely feel the aching in my jaw in the morning. I definitely find stress as the main contributor

[@theTMJdoc]

Sorry to hear this :/.

[@DinkyGaming]

Im finding that i grind and clench so hard in the night the pain wakes me..but it seems to be my wisdom teeth and back molars that are getting damaged. Atm its top right thats getting broken

[@theTMJdoc]

Sorry to hear this

[@luveuall]

if your disc is dislocated .does it come back to its original position ?

[@theTMJdoc]

typically not on it's own. we treat this with orthotics, myofascial release and osteopathic manual jaw manipulation and we can usually recapture the disk within 4-6 months with all of this and weekly or biweekly visits.

[@stevenicoloff6775]

If I do some daytime clenching is it ok to wear a guard that only covers the molars for a few hours at a time? Thx

[@theTMJdoc]

definitely ask your dentist. I don’t feel comfortable giving advice on that if you aren’t oh patient and I haven’t examined you in person. :)

[@jinglupos8310]

Hi Dr. Priya. When I sleep at nigh I follow your advice with the relax position of the mouth. However when I fell asleep and im still conscious theres a tendency to clench or to touch my upper and lower teeth. Theres kinda pressure to touch the upper and lower teeth. Btw Im wearing a splint already. Hope you could answer me. Tia

[@theTMJdoc]

Yes, many of us clench or brux in our sleep without being aware of it. I don't have a good solution for that, unfortunately.

[@saja6075]

Hi I am from Iran and I speak Persian. Please put the caption of your videos as a file for translation below the videos.

[@theTMJdoc]

Every single video has captions. 😊

[@gerbster14]

I just started lifting weights again, and I bet I am clenching my teeth when I brace before I lift...

[@theTMJdoc]

Yes! Next time you work out, check where your teeth are!

[@seansmith5214]

Sleep disordered breathing is not about oxygen, it's about airway collapsibility and the autonomic nervous system struggling to prevent airway collapse. children and people with upper airway resistance syndrome can have very disruptive SRDB, but will not have oxygen desaturation. I believe hypercapnia, which can be present without oxygen desaturation, can by itself be a primary contributor to myofascial pain.

[@theTMJdoc]

Agreed! But my videos can only be so long (peoples attention spans) but I will do an UARS vs Sleep Apnea video soon! Hope you’re well Sean and Merry Christmas. You still have the best TMJD definition I’ve ever seen!

[@shankar0cr]

Interesting. So when the autonomous nervous system is struggling to prevent airway collapse, does it activate the sympathetic nervous system (SNS) instead of the parasympathetic nervous system (PNS) during sleep? And, is there a price to pay when SNS is activated instead of the PNS during the entire sleep duration? Like, does it show up in the form of daytime symptoms like fatigue, headaches and other Neurological problems?

[@seansmith5214]

@@shankar0cr Yes. You're understanding it quite well. There's this push-pull in persons with SRDB that manifests in some as sleep onset and maintenance insomnias. Airway collapse is an emergency, and the brain stem-limbic system responds accordingly. In some people this leads to significant day-time symptoms well outside of the sleep deprivation/disruption. The push to sympathetic dominance reinforces limbic sensitization. in myself I often likened it to a shouting match, where the SNS is shouting, so the PNS shouts louder, and on and on it goes, and in the end you get a very noisy ANS where it gets hard to tell what's going on. This manifests in some people as dissociation/derealization/depersonalization/impaired interoception. A basic example of a 'price being paid' is how digestive issues tend to co-occur in many people with TMD and SRDB, or how TMD patients are often dismissed as having 'psychological issues' and pretending the neurobiological impact of the TMD and SRDB is somehow not of relevance to the patient, instead just regarding TMD patients as 'neurotic'. That obsessive neuroticism is a direct reflection of how balance in the autonomic nervous system is greatly perturbed, has been so for a very long time, and those physicians who can recognize this know to pay great attention to affective and cognitive domains as a means of assessing the severity of a persons TMD.

[@theTMJdoc]

Yes the SNS is activated and this stresses the body and can certainly lead to more clenching/bruxing activity which then leads to more TMJ Disorders.

[@theTMJdoc]

Sean! Check your FB messages! I want to get your permission to use your TMJD definition in an upcoming video 🙏🏼

[@chrisc414]

Dr. MIstry, my jaw can get super tired from talking. I'm not sure if it's because of clenching at night, general tension, or improper jaw posture. Could I please get your thoughts on that third one? I'm hearing conflicting information from speech therapists and chiropractors. The former say to open the lower jaw down and back when speaking. The latter say to open it down and forward. Who is right? I would just experiment and try to find out for myself, but my jaw seems to hurt either way. But maybe I need to strengthen it. However, I don't want to work on that by using the wrong technique. What are your thoughts?

[@theTMJdoc]

Hi there - I cannot really give you my opinion or advice on this without examining you in person. You can watch my KZbin Playlist "TMJ Exercises/Muscle Releases" and try these at home to see if they help with your jaw fatigue.

[@chrisc414]

@@theTMJdoc I'l check it out. But I'm not so much asking about myself. I'm asking about proper jaw posture in general. Is the jaw supposed to come down and back or down and forward? If you're still not able to answer, that's okay. Just wanted to clarify what I was asking.

[@theTMJdoc]

@@chrisc414 When speaking, I would say the jaw it comes down and forward AND down and back depending on what you’re saying… does that make sense?

[@fawzialzyoud1025]

Hi doctor , Can severe nasal congestion “ deviated septum and hypertrophy of turbinates “ cause UARS.

[@theTMJdoc]

They can contribute yes.

[@AsOfYetUnnamed]

Are clenching fists day and night similar in nature? I've been clenching my jaw for years and started with the fists about 2 months ago.

[@theTMJdoc]

No I wouldn’t say they go together necessarily..

[@experimentwithscience9118]

How to stop clinching or brux at night sleep

[@theTMJdoc]

i don't have a solution for this. sorry.

[@Brownnproud91]

Can stability issue cause clenching during day only? I am clenching every night for about a year now but it's okay at night not during the day. Please answer

[@theTMJdoc]

Yes it can.

[@linamartinez4612]

Please help me !! What do I do ? I’d be lying if I said I haven’t grinder my teeth and clench my jaw every night while I’m asleep mostly since I was born ... can the doctors help me ?

[@theTMJdoc]

Usually nighttime clenching and grinding activity is related to sleep disordered breathing. Have you had a sleep study?

[@Brownnproud91]

Does pelvis misalignment fall under stability?? I have a rotated pelvis and for the past year I can't relax my jaw.. it always has tension and it's taking a toll on my tmj..trying to see if the pelvis is causing this

[@theTMJdoc]

Yes. Try to see a TMJ physical therapist!

[@Brownnproud91]

@@theTMJdoc I already saw a tmj specialist and he said my TMJ is ok and all he did was made me a custom stabilizing night splint.. the clenching and jaw tension has not stopped. Around the same time all this started happening I think I injured my pelvis lifting wheels to a 3rd floor.. I went to a chiropractor and he did xrays and said my pelvis is rotated.. I just find a strange coincidence that started having tension and tight jaw muscles around the same time I injured my pelvis. There has to be a connection. Clenching is killing me every night

[@Brownnproud91]

@@theTMJdoc btw I am a male and I've read that mainly woman deal with this issue although I'd like to know if men too can suffer from pelvis issues and tmj

[@theTMJdoc]

@@Brownnproud91 yes they can.

[@theTMJdoc]

@@Brownnproud91 sorry to hear this and best of luck to you.

[@ASKYAZ]

Hi Dr Priya , Is there a link between masseter hypertrophy and tmj problem ? If yes ,there is an cure ? Thanks for responding PS : you are the best TMJ doctor on KZbin ,keep going !

[@theTMJdoc]

I would say yes there’s a connection. When the masseter muscle has hypertrophied it indicates it’s been overused with clenching/bruxing activity. Getting a custom orthotic is a long term solution in that it makes it so the masseter likely won’t get larger. Botox is a short term solution that can actually make the masseter smaller; the downside of Botox in the masseter is that it can cause too much relaxation and cause the mandible to drop back, narrowing the airway. Thank you for your kind words and please be sure to Subscribe and share! 🙏🏼 Happy Holidays!

[@khushib.7002]

I have prblm of clenching jaw when im fully sleeping I dont know what to do ? Plz help dr.

[@theTMJdoc]

I have no good solution for this. You can try hypnosis or cognitive behavioral therapy.

[@khushib.7002]

@@theTMJdoc 😔😔 my fate is really decomposed

[@theTMJdoc]

@@khushib.7002 I'm sorry.. I don't understand this comment?

[@khushib.7002]

@@theTMJdoc um actually my prblm is that i clench my jaw while sleeping and because of it my jaw shape is changing , my jaw was v shaped but now its changing to squar shape and i hate that 😔 my face look bad

[@superburstmega721]

Actually a half decent list Two words for the solution are mewing and Buteyko

[@theTMJdoc]

Thanks!

[@shankar0cr]

I don't think Mewing will work in adults whose sutures have already fused, and for those who especially have no space for their tongue in the upper palate. Same goes with Buteyko, I think anatomical deficiencies (like a narrow maxilla and a recessed mandible)need to be addressed first before practising Buteyko breathing and doing something like mouth taping. For example, I practised Buteyko for over 6 months, got my CP to around 25-30, and yet I continue to have sleep apnea. I don't believe that lower air intake can work inspite of a narrow airway. Have you had Buteyko work for anyone who's had major anatomical issues?

[@theTMJdoc]

Mewing could work to expand the palate if it is shallow enough. It’s a tall order to stop clenching/bruxing activity while sleeping, in my professional experience.

[@superburstmega721]

@@shankar0cr Agreed that mewing is a tougher road for individuals with severe oral issues. However, if possible it should be everyone's default position. Basically everyone for good health should chew more (chewing gum works best) keep their lips and teeth together etc. Other approaches include minimizing allergies (no carpet) good posture, healthy diet etc. NM

[@superburstmega721]

@@theTMJdoc Agreed that mewing is a tall order for some but it should be undertaken as the default position anyway. It is free and easily available to everyone. If it doesn't work it is hardly a big deal.

[@rajatmahale6133]

my friends always complains about me

[@theTMJdoc]

sorry to hear this.

[@rajatmahale6133]

@@theTMJdoc any solution for this?😟

[@theTMJdoc]

@@rajatmahale6133 for clenching or bruxing? You can watch my video called “how to stop clenching & bruxing”

[@rajatmahale6133]

@@theTMJdoc alright thanks for help😃

[@theTMJdoc]

@@rajatmahale6133 good luck to you!

[@ericbromund4328]

Butif You always bittes your teeth you will have a perfekt jawline?

[@theTMJdoc]

No I don’t think that’s true

[@sushilthakur2190]

Koy video to Hindi Mai banya Karo hum ko b samaz aye

[@theTMJdoc]

I would love to but I don’t speak Hindi. Sorry!