Your Bite and TMJD - Priya Mistry, DDS (the TMJ doc)

[@hannahv5234]

I'm so glad I found you! I just watched several videos and found your information relevant and very helpful. I have had TMJ for years and am finally seeking help to get it under control.

[@theTMJdoc]

Thank you for your kind words and I’m glad you are finding the information helpful! 😊

[@cpodgorelec]

You are such a sweetheart and very smart. Thank you. South Australia ✨

[@theTMJdoc]

Thank you!!! 💝

[@jayapatil6079]

Dr. Priya, Thanks for the information on your Bite & TMJD

[@theTMJdoc]

You’re welcome!

[@jordantdds]

Your videos and explanations are so wonderful for the lay-person. I would like to see more explanation about how jawbone relationships may also predispose to TMJD, since the teeth are housed in the bones, and for most people, this cannot be altered. For example, do patients with truly smaller mandibles have more likelihood of developing TMJD because they have deep bite or excessive overjet?

[@theTMJdoc]

Yes, they do have a higher likelihood of developing TMJD. I have a number of videos on tongue ties, orofacial development, airway, and more which cover your questions. Please check them out :) I've linked one here: kzbin.info/www/bejne/pH-4qp1vZtyjbtE

[@90xolove]

I just started on Invisalign a few weeks ago to correct my bite and straighten my teeth. The orthodontist I went to said my TMJ should go away if my bite is corrected or if I wear a night guard. I have slightly overjetted front teeth and a deep bite as well. I have had ear problems like ringing and crackling for a few years and slowly started getting TMJ pain and stabbing pain in my ears over a year ago. I still have some TMJ pain and clicking noises 4 weeks into the treatment but just having my teeth squeezed together in the trays somehow relieves some of the stress and pain especially since I’m not clenching at night as much. I’m hoping it will help in the long run- I have 16 weeks of trays to go!

[@theTMJdoc]

Best of luck to you!

[@andrejmilojeski7160]

I have/had the same situation as you did, and I'm thinking of putting braces on to expand my lower jaw forward, which has already been suggested by 2 different orthodontists. You didn't mention wearing a splint before you started Invisalign. Did you go straight to wearing Invisalign? How are you feeling now? Have your symptoms improved? Thank you.

[@90xolove]

​@@andrejmilojeski7160 No, I did not wear a splint. Just went straight into the Invisalign. I finished my set of Invisalign, but unfortunately towards the end I developed an open bite on both the left and right sides- worse on the left. The TMJ pain was very bad during that time. I'm now in the refinement stage which is supposed to correct the open bite and fix some of my teeth that are still slightly crooked. I'm on the 8th tray and the open bite doesn't seem any better and my front teeth are hitting each other hard when i bite down so I don't know if maybe the over jet/ over bite was overcorrected.. I am going to the orthodontist this week to see what's next in the refinement. Overall my teeth just look nice and the TMJ pain is still there, but I haven't had as many "bad" days as before.

[@melissaquintero7201]

@@andrejmilojeski7160 did you ended on putting on the braces? My tmj specialist recommended me to go with braces as well.

[@andrejmilojeski7160]

@@melissaquintero7201 Hi Melissa. I am currently wearing a functional appliance which puts my lower jaw forward and yes, afterwards my orthodontist plans on putting braces on me to correct the deep bite that I have.

[@d.s.1339]

I binged watch all of your videos, so helpful!! What dental treatment do you usually recommend for those with a deep bite?

[@theTMJdoc]

Please watch this video and lmk if you have any questions: Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj kzbin.info/www/bejne/kHe5indpqtFpn68

[@angies49]

So helpful!

[@theTMJdoc]

Great!

[@lavintella]

Very well explained! Thank you :)

[@theTMJdoc]

You’re welcome!

[@melss94ish]

This was so helpful! No one has ever told me specifically why my bite may be causing joint issues. I've had xrays done and it looks like the temporomandibular joint itself isn't compromised. It's more of the jaw muscles that feel "stuck". My teeth are overjet so what you're saying makes sense now. Do you think braces to bring the teeth back into place would help alleviate my jaw pain?

[@theTMJdoc]

I wouldn’t recommend braces as a way to alleviate jaw pain because it could help but it could make it worse. please watch this video and lmk if you have any questions. Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj kzbin.info/www/bejne/kHe5indpqtFpn68

[@TheNoepje]

I had my back molar extracted cause an impacted wisdom tooth was pressing against it. The pressure was relieved but I started getting severe tmj pain. With every symptom you can Inmagine. (neckpain & tightness, scm muscle tightness, shoulderpain, tinnitus, clogged ears, popping clicking crunching, locked jaw, and recently a flare up that's lasting for weeks with pressure headaches and eye socket pain severe fatigue, vertigo and brain fog. Also developed severe sleep apnea) I've seen many dentists for a 2nd opinion and only now I start wondering if this missing tooth is affecting my bite. I'm not using that molar since it's gone so I chew on one side. And my bite has gotten misaligned. No dentist has ever told me that I need a replacement of that tooth. Yet they all see me suffer and shrug their shoulders. Would a bridge or implant that corrects my bite help my tmjd?

[@surajsekar]

Awesome!!

[@theTMJdoc]

Thank you!

[@justinerealized]

Also! Could you do a video explaining the different orthotics/splints used in TMJD treatment?

[@theTMJdoc]

Thank you for your comment. I don’t want to make a video about different orthotics because it’s not about the name of the orthotic, it’s about the prescription built into it - perhaps I can make a video on that 😊

[@mcpablo8123]

Thank you! I was hoping you could comment on whether a Botox injection into the Masseter would help my long standing TMJ issues? Thank you for your videos which I find helpful!

[@theTMJdoc]

I can’t really answer that. It may help or it may have no effect at all. I’ve seen it go both ways.

[@hinaynihorvath3926]

Priya Mistry thank you

[@theTMJdoc]

You’re welcome!

[@roryknox5439]

Hey Priya, thankyou for sharing this interesting video! I have a class 3 occlusion and have been diagnosed with TMD. I also have experienced jaw locking and clicking noises in the jaw. I'm wondering whether I should get a splint made to correct my occlusion and whether it will relieve my pain. What are your thoughts?

[@theTMJdoc]

Hi there! I cannot give you treatment advice over the internet and without examining you in person. Sorry!

[@roryknox5439]

@@theTMJdoc fair enough

[@Ridhii19]

Thank you doctor fantastic information 😁✨

[@theTMJdoc]

My pleasure!

[@ramyasamiksha4546]

Ma'am your videos are very helpful to understand the cause of TMJ, May I know the meaning for your last statement, "You can never have TMI about TMJ" please tell me

[@theTMJdoc]

TMI = Too Much Information 😊

[@Mikec80]

Which specialist diagnosis an issue with the bite? Dentist, orthodontist, endodontist?

[@theTMJdoc]

I’d start with your dentist :)

[@nicolem.9354]

Thank you for this! Is there a specialist you recommend in the LA / Ventura area? I have been looking for a new one to consult.

[@theTMJdoc]

I would try John Kim in Irvine! :) that’s the closest I know.

[@nicolem.9354]

Thank you!

[@theTMJdoc]

@@nicolem.9354 you’re welcome!

[@paulswan155]

Great channel and some great information. Question though,After getting patient in correct biting position,where the joints are stable and the bite balanced, what specifically keeps the lower jaw in the correct position when the teeth are not occluding and the jaw is resting.

[@theTMJdoc]

Great question. Please watch this video and lmk if you have any questions: Phase 1 vs. Phase 2 TMJD Treatment - Priya Mistry, DDS (the TMJ doc) #tmjd #headaches #tmj kzbin.info/www/bejne/kHe5indpqtFpn68

[@paulswan155]

@@theTMJdocYeah got it thanks that would be part of phase 2 treatment. My dentist demonstrated something amazing when looking at my bite When he positioned my jaw in a optimal position my hip pain was gone . He explained the easiest way to examine would be to check if the hips are level when the teeth are occluded according to my current bite. then place the jaw in the correct position( optimum) and you will see the hips levelling out. Thought this was amazing.

[@theTMJdoc]

@@paulswan155 awesome! I would love to know the name and location of your dentist if you feel comfortable sharing that information.

[@paulswan155]

@@theTMJdoc Dr Amir,London. Sadly he's not practicing anymore :( Absolute genius of a Dentist. As his patient he taught me so much. UK dentists are well behind the US in this topic, trying to find a dedicated specialist in the UK is like a needle in a haystack.

[@theTMJdoc]

@@paulswan155 oh! Too bad. He sounds like he truly understands the full body connection when it comes to TMJD!

[@charleneparent9944]

Should a overbite be fixed before getting specially made mouth guards?

[@theTMJdoc]

There’s a big difference between a tmj orthotic and a dental nightguard. Which are you referring to? And also no, the overbite does not have to be fixed before getting a tmj orthotic

[@NinoMaluri]

If the cause for someone's TMD is a bad bite, and the TMJ is only clicking on one side (where the dental work was done that caused the TMD), could correcting the bite revert the problem? Say the problem has been present for 2 months. Thank you :)

[@theTMJdoc]

Potentially yes

[@NinoMaluri]

@@theTMJdoc yeah, ill have to try that by having a few crowns changed. In the meantime im wearing an anterior deprogrammator as much as i can. To my surprise, while i wear it i cant produce the clicks by moving my jaw to the right. I either get a tiny click or nothing. But when i take the deprogrammator off, click, Click, CLICK :'(

[@patrickkasson9462]

Dr. Mistry, how often do patients present with numbness connected to TMJ?

[@theTMJdoc]

Not often but it happens.

[@prashantmorvekar]

My bite is not perfect, upper and lower jaws are not in order. so I have left side facial pain from long time, Doctors suggest MRI, OPG x ray, all reports are normal ,migarine medicine also taken by me. nothing is working I am tired.

[@theTMJdoc]

Sorry to hear this:/

[@ridashakeer9508]

Hi dr my name is arshi age 38 I am been suffering headache past 2 years. And now landed to aconclusion that it's a TMJ problem went to a orthodontic and past one mth in treatment with a transparent slint pain is less now but have tiredness from my slint use

[@theTMJdoc]

Sorry to hear that

[@ridashakeer9508]

I have head pain relief but sometimes feeling pain also does this happen while using splint Dr says next I'll be using another hard splint will all this work

[@johnjp5883]

Can a bad bite cause dizziness, I have been missing rear molars on one side for many years and my opposite side jaw is sore and giving me TMJ / TMD. Oral Surgeon says that joint can effect a lot of things including being dizzy. Dr Priya do you agree? Thank you !

[@theTMJdoc]

Yes I do agree. Please watch this video for more information: Stuffy Ears, Vertigo, & Ear Pain Explained - Priya Mistry, DDS (the TMJ doc) #stuffyears #earpain kzbin.info/www/bejne/jJ_KZKeje6-Ders

[@johnjp5883]

Thank you so much Dr.!

[@sarmishthatiwari8951]

Braces retraction to treat my overjet n slight crossbite caused deepbite n TMJ, treatment is still ongoing n dentist is working on deepbite now.

[@theTMJdoc]

Great!! 👍🏼

[@melissaquintero7201]

Sarmishtha Tiwari wait are you saying your TMJ got treated with braces? If so how are you now? My TMj specialist wants me to do braces as well

[@sarmishthatiwari8951]

@@melissaquintero7201 well I already had tmj, which was limited to throbbing headache on left side, migraine like pain, at that time i didn't know what caused it, later when I got into braces, the problem worsened, symptoms got worse, jaw locked for months,throbbing headache out of nowhere,it was an extreme case, since my bite was so off and lopsided, but now I'm over with my treatment and i no longer have headaches or anything,just tinnitus which my Dr has said will fade over to an extent, let's see. In my case extraction were necessary, I hope you won't have to go through that.

[@sarmishthatiwari8951]

@@melissaquintero7201 so I got braces to treat malocclusion not tmj pain,but it cured that too.

[@alisonsimon5528]

Should AGGA or vivos DNA appliance be apart of the treatment plan or will an orthotic appliance be enough? I know that both can chance your bite. I’m wondering what the difference is between these appliances and the orthotic? And if they should be apart of treatment ? If so, when ? Could you do a video on these? I’d like to learn more about them to see if they can help with tmj in addition to orthotic treatment?

[@alisonsimon5528]

If also heard of an airway and jaw expansion appliance … not sure what the difference is between all these appliances ?

[@theTMJdoc]

Hi there! TMJD treatment is traditionally done in 2 phases. Phase 1 - Orthotics and relieving muscles and joints. Phase 2 - airway, orthodontia, balancing bite. I only do Phase 1. Please watch this video for more information: kzbin.info/www/bejne/kHe5indpqtFpn68

[@alisonsimon5528]

Thank you so much ! I am in phase 1. I learn so much from your videos .

[@theTMJdoc]

@@alisonsimon5528 glad to help! 💝

[@IRebukeTheDevil]

The TMJ specialist I am seeing put me on an orthotic that improved my condition drastically however the orthotic wore out and my jaw symptoms came back, thankfully milder than before. He said I need braces to correct my bite. I saw you said braces could worsen the condition, I'm hesitant to go through. Do you think In this incidence braces is appropriate? Thanks!

[@theTMJdoc]

I don’t feel comfortable making specific recommendations for your treatment unless you’re a patient of mine.

[@IRebukeTheDevil]

@@theTMJdoc understandable thanks

[@charleneparent9944]

Does a open bite require orthodontics to fix or can a TMJ dentist fix this? My dentist is trying to close my open bite with bonding to make my eye teeth longer so the touch taking most of the pressure then she’s grinding down my last two molars on the top that are root caneled and crowned to take pressure off them. Not sure if this is a good safe place would I be better off with a TMJ expert or orthodontist?

[@theTMJdoc]

I’m sorry but I don’t feel comfortable advising you on your specific treatment over the internet and without examining you in person. Best of luck to you.

[@weiss27md]

Priya, can extracted molars cause TMJD? I have the last molars removed on one side when I was younger and I developed TMJD on the same side. I also developed bruxism and GERD.

[@theTMJdoc]

This video many answer your question: kzbin.info/www/bejne/iF62pX18mqxkq5Y

[@yogeshji9396]

Can long-term Unilateral chewing cause TMJD ? the preferred side tooth are already weared up than other side

[@theTMJdoc]

yes it can.

[@Pramos1123]

Can you do a video on tmjd causing misaligned bite i had a normal bite and then when i got tmjd it has caused my whole jaw misaligned with an open bite and over bite my teeth dont fit together the same so i could show my mom so she could understand

[@theTMJdoc]

Please have her watch these videos: Jaw Locked Closed - Part 1 - Priya Mistry, DDS (the TMJ doc) #jawlockedclosed #lockjaw #jawpain kzbin.info/www/bejne/ZqrRfnquppaFjMU Jaw Locked Closed - Part 2 - Priya Mistry, DDS (the TMJ doc) #jawlockedclosed #lockjaw #jawpain kzbin.info/www/bejne/Y3TOqX2pltJ2bJI

[@appumsd7834]

can class 3 underbite, midline shift and posterior crossbite cause temporal muscle pain and pain in back of eyes?

[@theTMJdoc]

It certainly can!

[@harshithnagula5102]

can u do 1 video about atypical facial pain please and is it cure?

[@theTMJdoc]

I'm sorry but no, because I don't necessarily have a cure.

[@modelgamingtm7938]

I come clicking sound when I open my mouth TMJ clicking sound and my teeth are crossbite this what froblem crossing bite

[@theTMJdoc]

I'm sorry but I cannot really determine that over the internet and without examining you in person.

[@islammohamedaminul3412]

I removed my 1 impected wisdom teeth 1 month ago .After that my bite misaligned. My teeth meet differently different time.and I have limited mouth opening. What is the cause.please help

[@theTMJdoc]

Please watch my videos “jaw locked closed” parts 1 and 2 and lmk if you have any questions!

[@dawnkupka5123]

I have a slight overbite. Is that going to be a major problem?

[@theTMJdoc]

A major problem for what specifically?

[@DrToonces1989]

Thank you for this video! It definitely appears I have an overjet bit. However, it wasn’t always like that. Within the last year, I have gone from being able to easily grasp a piece of dental floss between by top & bottom front teeth to now where it just slides between them with no contact. Is it possible to re-correct the bite to its initial, proper position? Thank you!

[@theTMJdoc]

Hi! I cannot answer your question over the internet and without examining you in person. I’d recommend seeing an orthodontist.

[@DrToonces1989]

@@theTMJdoc thank you very much for your response! I will look into it 😊

[@mdkabeer1711]

Hi there. I am from India and a big fan of u r videos. I am having a deep bite problem which led to tmjd and head and neck muscle stiffening which is making muscle spasm for my whole body. Here my doctors don't know what to do. Please can u help me out with my treatment atleast by suggesting the treatment that i should follow. Thanks in advance.. 🙏🙏

[@theTMJdoc]

I'm sorry but I cannot recommend treatment over the internet and without examining you in person. Best of luck ot you.

[@mdkabeer1711]

@@theTMJdoc .. Any least any video of yours which can help me out.

[@theTMJdoc]

@@mdkabeer1711 any or all of the videos in my KZbin playlist: “TMJ Exercises/Muscle Releases” may help.

[@mdkabeer1711]

@@theTMJdoc any good doctor in India that u know of whom I can visit in India for my problem. Here doctors don't have much idea about this problem

[@umshoug]

👌🏻👌🏻👌🏻👌🏻👌🏻

[@theTMJdoc]

👍🏼

[@shakedbeker5449]

Can an openbite cause TMJD?

[@theTMJdoc]

Yes it can

[@aeera786]

This bite things happens to me after teeth filling for tooth cavity.. can this be a reason for TMJD ?

[@theTMJdoc]

Not necessarily

[@D1fferent-one]

Can this bite also cause the jaw joint, (condyle) to slide and pop outward? Away from th middle of face for example. My condyle is pushing forward and outward. I also have this overbite.

[@theTMJdoc]

Not that I know of.. ?

[@D1fferent-one]

@theTMJdoc what holds the joint/bone together from sliding out to the side? I think I have trauma from a fall. One side is fine and stable and the other is loose and pops out of place. Grinding sensation closing. Feels like something wrong with condlye, cornroid process or mandible. Idk

[@sourpatchkid3]

Hi doctor! Thanks so much for your videos. I got told that my bite is not evenly distributed on each side (40% vs 60%) - could that cause an issue? I am currently using a splint to recapture the disc.

[@theTMJdoc]

That could be a contributing factor to the whole issue.

[@mamatapandey6073]

hey update?

[@charmiegenobis140]

How about open bite? I have open bite

[@theTMJdoc]

There are a few reasons for an open bite - one is tmjd, the other is a tongue thrust. I’d recommend seeing a skilled and experienced tmj dentist

[@riyas4229]

Can a deep bite be painful?

[@theTMJdoc]

Painful where?

[@riyas4229]

@@theTMJdoc i dont know maybe to the jaw and or ear/neck/shoulder area. I don't know the typical symptoms of a deep bite..

[@Soso-ou2mz]

I have an open bite and TMD 😂

[@theTMJdoc]

This is a great topic to make a video on! Thank you for the idea. It's not the most common bite pattern I see, which is why I didn't include it in this video.

[@Soso-ou2mz]

@@theTMJdoc I had it because I had TN for four years now and it came with it because I used to clinch my teeth together before I got diagnosed with TN

[@theTMJdoc]

@@Soso-ou2mz sorry to hear that!

[@user-sn5yz6fh2s]

Open bite here too! Except it was due to ICR lol.