TMJ Disorders 

Glad the video was helpful. We created a few new videos recently, some of which go into greater detail on the TMJ with new animations. For example: A Tour of the TMJ (Part 1) ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-dAsQApA1nzg.html and A Tour of the TMJ (Part 2) ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-cHfF9ybM45A.html. We broadcast a monthly webinar for BiteFX member dentists. This month we have physical therapist who specializes in orofacial pain and TMD, working alongside TMD-savvy dentists to help patients recover from the types of problem you describe. If you'd like me to tell you more about that, send an email to info@bitefx.com asking that it be forwarded to Doug.

all the doctors who say they don't know, just don't want you to get healed so they can earn money on you. They all know. It's hard to say what the issue is from ur point, but make sure you don't have tongue tie, not mouthbreathing. If you have deviated septum then you have to fix ur septum first otherwise everything is useless. The problem is that when having one issue in ur body it will have a domino effect on other parts. The key is to find what is causing trouble eg uneven hips, muscle dysbalance. I advise you to start yoga everyday so you have no tight muscles in ur body. Also make sure you have correct tongue posture and correct swallow technique. It's a long journey and your body learned to compensate by doing unatural habits like clenching teeth or grinding. There are so many factors that it's hard to tell and average people who don't have the knowledge are not even aware of it.

I'm 52 and I've been bothered by tmjd since I was 15. My lower jaw feels like it's clicking in and out of place. Do you know if there's a surgical solution for it?

Saya mengalami apa yang saudara rasakan . Sakit leher sakit kepala ,dan kualitas hidup memburuk . Bisa jelaskan pengobatan apa yang saudara jalani. Terima kasih

I've never heard this condition and I googled it and I have it... wow.

Wow what the hell... I've been studying tmj for years and had never heard about this! Can you give us more information? Thanks

did you get it cured?

An G sufering from same in how much tym u recovered it ....? Nd how ...?

Don't worry

How are you doing now?

How are you now Ang R????

I have a question, I have a perfect bite and I am getting double jaw surgery for a gummy smile and lip incompetence. I never had TMJ, do you think jaw surgery could be a cause of TMJ disorder ? (Getting my upper jaw moved up, and bottom jaw moved back)

" A double jaw surgery needs to begin with understanding the actual position of your TMJ with the upper bony fossa where it sits.If you are comfortable and have no TMJ issues and a proper and comfortable bite now, the TMJ position needs to be maintained and then after the surgery the doctors must insure you have a perfect, as best as possible, bite with all the elements of a stable bite that we discuss and show in our BiteFX animations. The double jaw surgery should not invoke a re-positioning of your TMJ" Dr Reid..Co creator of BiteFX animations "

Thanks for sharing Nita!

Was the disc replacement successful. I've read that most that have disc removal end up requiring a total tmj joint replacement

And now u feeling any better?

Pleaseee can you give me more info about this surgery I need jt

I would love to hear more too please??? Did you suffer hearing loss due to it???

how r u now

yhea how are you

I have the same thing since I was 16 to Im 18 now and need this fixed 😭

How are u now?

Massage it get a nightguardd

Hi Yana. I'm sure this is a scary experience and not one you want to happen very often. I asked a TMJ specialist what he thought based on your comment. He said "Disc is displaced, needs to see a competent dentist in TMJ pathology to assess what may/should be done." In the meantime if you can recall what you did that caused your jaw to lock, like opening your mouth wide, try to avoid doing that. Wish you well.

did it got solved?

​@@mathijskikkers4482: v

Hi Urban. The best advice we can give is that you should find a dentist who is also a TMJ or TMD specialist. They should be able to scan or arrange for a scan of your TMJs and give you an accurate diagnosis of the state of your joint(s) and how they got there. The fact that you are noticing these changes suggests you have a problem that needs to be addressed. Watch the other videos on the TMJ that we published on this channel recently for more information, but you really need to see a TMD specialist.

@@BiteFX Thank you!

If you want to use our animations with your patients, we would much rather you purchased BiteFX. That will give you the ability to explain much more, have control over the presentation and enhance your relationship with your patients. See the info at our website, BiteFX.com. By-the-way, what country are you in?

Douglas Brown Thanks Douglas, for your answer. I have been looking at the site but I believe there is no portuguese version. Am I wrong? I am in Portugal

Bruno Montenegro BiteFX is designed as a clinical tool - so the dentist gives the narration. Consequently its use is language independent. Where it becomes language dependent is with the help information and menu texts, so as long as the dentist understands those items a language-specific version is not needed. We have built in support for adding other languages to BiteFX (and a couple of dental students in Portugal did take on the task of making a Portuguese translation but didn't produce anything) so far, however, we haven't had a demand for language-specific versions.

+S Maria You are welcome. Thanks for the comment!

Everyone with TMJ disorders should try this! ==> tmjn0m0re.blogspot.fr Click it, hope it helps

ɷɷɷɷ I Havee Watcheddd Thiss Movieeee Leakedddd Versionn Here : - t.co/EQMyZQlo5e

Has your doctor taken a scan of your TMJ (such as a CBCT or MRI) or given you a splint (a specially designed piece that fits over your teeth)? Those are typical first steps in diagnosing what's going on and testing whether muscles can be relaxed by changing tooth geometry. Physiotherapy may reduce the symptoms but isn't addressing the root cause of the problem. Many dentists we know have success in reducing the types of pain you describe, so I'd say there is hope, if you can find someone like them close by. You can use our "Find a Dentist" form at hubspot.bitefx.com/help-me-find-occlusally-aware-dentists to see if we know someone in your vicinity who might be able to help - though unfortunately experts in this area are thinly spread! Make sure you say on the form that you're looking for a TMJ specialist!

Do you get creaking and cracking sounds in your neck?

@@tia7765 yes i do

@@shayma95 I get bad vertigo as well. Is there any thing you found that helps? My neck and shoulder pain is the worse

@@tia7765 if you have dizziness i think it’s better to see a doctor, do you have tmj or only neck and shoulder pain?

Sounds like your condyle came off your TMJ disc which is now behind your condyle and causing the pressure in your ear. I'd get to a TMJ-aware dentist or specialist as soon as possible to see if they can get the condyle back on the disc before it becomes a permanent condition.

Any updates ? How are you now?

So what is the treatment? What has to be done then? What the dentist will do?

@@innominadojustis2224 The dentist first needs to diagnose what the state of the jaw joint is. There's no one solution that works for all jaw joint problems. A minor problem may be correctable with splint therapy; a major problem may require surgery or a strategy of stabilizing the damaged jaw so the problem won't get worse even though it can't be fixed.

It's tough for anyone to say what is going on without examining you. What you are feeling (with your condyle) does happen. It could be caused by a knock or something more serious happening within your left TMJ. Look for a TMJ/TMD expert in your area and at least get an examination, preferably a scan of some form, so they can tell you what is going on. You need to know whether it's a short-term issue they can help restore to normality or if it's as serious as a tumor in your TMJ (hopefully not, but I checked with a TMJ expert and he mentioned this as something you'd want to rule out). Worth spending money now to be sure. See if they can give you a finance option.

I have the same thing, have you checked it out? is it gone?

Eww Oppp: Put your issue to one of the top BiteFX dentists and he responded with the following: Makes me think of a blocked salivary gland. Possible Parotid Gland. What are the symptoms of parotid duct obstruction? If you have parotid duct obstruction, you may have symptoms such as pain and swelling near the back of your jaw. Some people have only swelling or only pain. Symptoms may often come and go. They are often worse during eating, when your salivary gland makes more saliva. How is parotid duct obstruction diagnosed? Diagnosis begins with a health history and exam. Your healthcare provider will examine the inside of your mouth. They will also likely touch the skin outside your gland to see if it is sore. In some cases, your provider may be able to feel the stone during the exam. They will need to rule out other conditions that can cause similar symptoms, such as inflammation of the parotid gland from some other cause. You may also need imaging tests for diagnosis, especially if your provider can’t find the stone during the exam. Possible imaging tests include: • CT. This is currently the test of choice. X-rays and computer technology create cross-sectional images of your body. The images are analyzed by a computer. • X-rays. Electromagnetic radiation waves create images of your organs and other structures inside your body. • Ultrasound. High-frequency sound waves are used to see tissue and organs inside your body. • Sialography. This test takes X-rays of your salivary gland. It is better at finding sources other than stones. Hope that helps. Although you're feeling pain near your TMJ, the eating of different types of food wouldn't affect what's going on in your actual TMJ.

What we show for the fossa is something that approximates "normal", but individuals can differ widely from that. Particularly if you have something else going on then the geometry of your situation will be different. The animations might help you understand some of the symptoms you are experiencing but they won't match your exact situation. Also it is quite common for people to have different things going on on their left and right sides, whereas this video is just looking at symmetrical situations. I'm not the dentist (just the producer of the BiteFX software and videos) so I won't attempt to explain your diagnosis, but the symptoms you describe such as jaw popping, pain in the jaw, teeth hurting are all consistent with what I've heard many dentists describe as symptoms related to TMJ problems.

I do have a lot more problems in the brain then just the Bilateral ....Arachnoid Cysts. Are you a surgeon? I got a question for you, but if you're not in any of that field, I don't know if I can ask you. Please let me know what field you work in? Thank you.

What age are you?

Checked with some of our dentists and the advice is to first go through the ENT screening (as the discharge from your ear suggests an ear issue is part of your problem) and then go to a TMJ specialist as so many of your symptoms are related to the TMJ.

Are you still experiencing muffled ears?

even i faced the same problem even i got tmj because of chewing gum , how is your symptoms by the way is everything okay?

A pseudo disc can be formed by scarring of the retrodiscal tissue making a tough enough barrier between the condyle and the fossa to prevent those boney structures rubbing on one another. If it forms, it may prevent further degeneration but there's no guarantee. It doesn't always form - for example, if the retrodiscal tissue has perforated it's unlikely new tissue will grow to stop bone rubbing on bone.

Iam too rey brother

I checked with a TMJ expert who says he and the surgeon he works with do a lot of i-PRF injections . He hasn't seen the disc grow back but believes they probably have an anti-inflammatory effect that stimulates tissue healing. We'd be interested to know if the treatment works for you so please come back and make another comment when you've been through the treatment.

Yeah for sure ill be back to let you know or anyone know about my results that I get from either prp or prolotherapy im most likely going for the prolotherapy, it's gonna take probably 2 months for me to heal the tmj joint or longer but eventually ill be back.

hows your tmj now?

here's the link => tmjn0m0re.ml

I'd hope that a TMJ specialist would understand exactly what this video explains and know how to help you. There's a chance that your TMJs are mostly OK and that your problem is more with how your teeth are coming together when your condyles are fully seated. Changing the shape of the tooth that broke might have seemed sensible because it was sticking up and therefore taking most of the force and therefore broke, but that change allowed your condyles to take a different position when your teeth come together so that things don't feel the same as they used to. A dentist with a good understanding of occlusion (how the teeth come together, and how that relates to condyle position in the TMJs) should be able to diagnose what's going on and possibly give you some relief with a well-designed occlusal splint. I wouldn't let anyone reshape any more teeth until they've demonstrated that they can give you comfort (for several months) with a splint. You might be able to find an occlusally aware dentist who can see you much sooner than the TMJ specialist.

@@BiteFX Thank you for the reply. I had experienced extreme pain after the initial rework as it felt like my bottom teeth were digging severely into my front two, and it's just been a miserable experience since. I just regret ever having had the crown done, as I am fairly certain that dental office was the one that cracked it to begin with. Regardless, I will look into what you've written here, both the orthodontist and the initial dentist said to see the specialist, but perhaps a third opinion with a new dentist might be worth a shot. Thanks for taking the time to reply.

Most "mouth guards" are not properly made and many can make the problem worse. Properly made orthotics (mouth guards) involve a separate day and night appliance that position the lower jaw down and forward according to neurological/physiological tests (Motor reflex tests) Surgery is a last resort and can make things worse especially if the surgeon employs steroids in the solution. Lawrence D Singer DMD, Director Capital TMJ Sleep Therapy Centre

Did you have arthrocentesis

I suggest this TMJ treatment t.co/s5Or7HLh0w guide to those individuals battling with TMJ. The truth is, those who have read it can verify the effectiveness of its guidelines by presenting recommendations on how the book altered their lives. I have found this program to be much more useful than all of the material I`ve collected..

Me too😭

Tmj total joint replacement surgery

A properly designed mouth guard should help. By "properly designed" I mean one that fits your teeth well and takes account of your tooth/jaw geometry which I suspect is what your dentist has delivered. I.e. not just any old mouth guard. Most BiteFX dentists will offer carefully designed mouth guards (or "splints") as a first step in stabilizing your bite.

Douglas Brown Yes he made a custom mouth guard for my jaw/Teeth. Thanks

ART000747 Hey ART this was 6 months ago now, I have everything the same like you, how are you doing now? Did it help or could you find a way to solve the pain?

Joseph Levi em01joc Sorry for the late reply, just saw it. Unfortunately I couldn't get used to applying it during night. However I do wear it when my jaw hurts and yes it relieves the discomfort.

ART000747 No problem, thank you for the answer. I hope it will get better for us my friend. Greetings Joseph

how are you now my dood?

Update?

Answered your question posted on the other video.

Right now, I could ultimately have a life totally free from bruxism and TMJ, my spouse even said that I stopped grinding my own teeth while I sleep at night. I no more clench throughout the day and my teeth look and feel significantly better. Absolutely, the TMJ treatment t.co/s5Or7HLh0w gave me a break from pain. 4 nights after, my face pain and jaw was totally vanished..

Sorry for slow reply - have been off for a couple of weeks. Your best action is to find a dentist who understands the TMJ (and its disorders called TMD - temporomandibular disorder). If you are in the US, the Find a Dentist function on the bitefx.com website may be able to help.

Hi Akhil - First, you should know I'm not a doctor, just the guy who has directed the creation of the animations with input from many dentists. The best advice I can give is for you to see a TMJ specialist as soon as possible. Obviously something has changed in your joint, possibly so that the condyle is not sitting on the disc but instead is squeezing the tissue that's normally behind the disc - but there could be other explanations. You need an expert to analyze exactly what is going on so they can recommend the best way forward.

hi akhil what's your condition right now

I'd say it's worth finding a dentist/TMJ specialist who can diagnose what's going on. Sometimes, if caught early enough, the dentist can design a splint that helps the disc settle back into place. Will stop the clicking and prevent things getting worse in your jaw.

Worth seeing if you can find a dentist who understands TMD (temporomandibular disorder) or a TMD specialist to see if they can figure out the cause and advise you on the best course of action.

Suggest you go to a dentist who specializes in TMJ problems (usually referred to as TMD - temporomandibular disorder). He/she should know how to ease your pain and perhaps correct what is happening.

@@BiteFX dentists can't correct tmj without reduction which is what they are describing. If it's a finger opening the disc is blocking movement... the longer it's displaced the more deformed it becomes..mouth opening will improve as the disc thins, perforates or as the condyle flattens (erodes). Options: wait for psuedo disc to develop, arthroplasty, arthocentisis, discectomy or tmj replacement. They need to see a maxillofacial surgeon not a dentist

I understand what you are saying and you're most likely right. The reason I point people to a dentist who specializes in TMD is that I've seen friends have jaw surgery when their issue possibly could have been resolved by a tooth adjustment. A TMD expert will know when to refer to a maxillofacial surgeon and should know a surgeon who understands how the bite should come together in harmony with the jaw position.

@@scarlettrubyrose hi. I have a finger opening as well but it increases with exercises and jaw massage. The maxillofacial surgeon says my MRI does not show any joint issue I spite of my pain n decreased opening. How should I proceed?thanks

@@shumyb4436 get a flat splint so your jaw can move around. I unlock with a flat split

How are you today Veronica??? Mine is bad. Healthcare is so poor .

Sorry to be slow in replying - noticed your request but forgot to add it to my "to do" list. Our references for bone rubbing on bone and beaking of the condyle were input from several TMJ specialists and images they either provided or that we saw them share in presentations. Email this request to info@bitefx.com and I can send you some scans like those that guided us.

Sounds like your left TMJ disc is displaced when your mouth is closed and is recapturing when you open. Suggest you get to a dentist/TMJ specialist who can diagnose exactly what is going on and hopefully give you a splint that will help the disc to recover its normal position. The sooner you can do this the better so the disc doesn't deform in the displaced position.

Yes tmj cause tinnitu

Bro for tmj wear pheledelfia collar, it support the chin and it can move back the jaw on the place, can give immense relief from clenching, and facial pain cause by tmj

Are you okay now?

Hello Amani. The best solution needs to be determined by a dentist who has a good understanding of the TMJ and its relationship to how your teeth come together (your bite, or your occlusion). There are several factors to be considered such as whether your TMJ and bite are stable despite having a displaced disc (where it might be appropriate not to do anything), and whether your TMJ disc is still in a healthy enough state for it to be recaptured, and other details that you need a qualified dentist to diagnose. There's no one solution to the brief diagnosis you've shared.

@RedaBe Have you seen a TMJ specialist? Or anyone who has taken a scan of your jaw joint - could be CBCT or MRI? If they haven't looked at your joint it would seem they are guessing at the solution - and you're right: if you can't get your teeth together, your problem probably isn't primarily the bite; it's in your jaw joint. Possibly a bite problem has exacerbated a joint problem, but you need to have a good diagnosis of the jaw joint before determining the appropriate treatment.

@RedaBe It's good that you've had an x-ray of the joint. That gives you information about the hard "tissue", namely the bones; it doesn't show the viewer what's going on with the soft tissue - such as the TMJ disc. That may not be essential as the dentist may be able to gain enough information from the X-Ray. However, there's still the issue that your bite problem doesn't explain the jaw locking. The dentists we work with all say that joint issues need to be resolved/stabilized before any long-term work can be done on sorting out the bite (otherwise, if your joint is unstable, things can change up there, invalidating any work done to fix the teeth). When your jaw locks open, is it quite wide open? Is it "unlocked" by pulling the jaw down a bit and moving it backwards (gently)? If so the issue is one called "subluxation of the temporomandibular joint" - basically the jaw is being pulled too far forward over the front part of the jaw joint (called the eminence) and is getting stuck on the far side of that. That problem would be independent of your bite and, I think, mainly "fixed" by you not pulling your jaw that far forward. Anyway, if you'd like to email info@bitefx.com and ask that it be forwarded to me, I can send you some snapshots that can illustrate different states that you and I have described.

Antonina Braun what sergury ????

how??

Tell us how please?

@@maivutan1 I think she means massage of muscles in your jaw of otherwise heat treatment.

Hi Gabriel - You should try to find a dentist who is also a TMJ/TMD specialist. They should be able to tell you what your options are. Just be aware that treating a problem in the TMJ can be difficult - sometimes it's "just" a matter of wearing the right splint for a while, other times it's much more involved. Depending on where you are in the country/world we might be able to point you to a suitable dentist. Use our "Help Me Find an Occlusally-Aware Dentist" form here: hubspot.bitefx.com/help-me-find-occlusally-aware-dentists

@@BiteFXthanks Douglas for you advise I’ll take it in consideration seriously thanks I’m trying to avoid surgery

@@TheGbass87 Usually dentists who are TMJ specialists don't do surgery. They might tell you that is one of your options if it's really necessary, but I'd hope they would offer a less invasive solution first.

Hi Lauren - I passed your question to a TMD specialist (Dr. Alain Aube from Quebec who has helped BiteFX for years) and this is what he said: "There is no exercise to fix a broken joint…no exercise exists that will sew a torn knee meniscus…a clicking tmj has its ligaments stretched/torn, and that will always be, and it also comes with a poor bite. Exercise may loosen the tight muscle so that the person/patient may feel somewhat better, but by no means has the true problem been resolved. Poor bite leads to degradation of teeth, periodontium, and joint, whether painful or not." The reason he adds the comment about "poor bite" is that when things go wrong in the TMJ, the position of the condyles changes and consequently the teeth are going to meet differently with the likely onset of the various problems Dr. Aube lists. I also asked him about "FoKemKem Ta" that others have posted about. In the past I've assumed they were spam posts, and they may be as they always have similar forms, but recently checked to see it is actually a thing. Here's Dr. Aube's comment: "For Fo kem kem ta all I found was either the Kem Moser dds site, or a couple of physios suggesting exercises. The exercises are classic physio exercises. They are good to help with muscle tension. But again, when the tension and pain are gone, only half the problem has been addressed." Hope that helps.

@@BiteFX thank you for this,much appreciated. 🙂🙂

Guys I found the best program on the internet that can helps you to relief from tmj disorder here TMJDisorders5447.blogspot.com

Genma Jinguji Good morning; The pain is caused by the ligaments being stretched and the disk or cartilage in your TMJ being out of it's proper position. Be careful biting on very hard foods. like carrots,beef jerky etc. If you current bite is straining the TMJ when you close on all your teeth, a properly made splint may be helpful. Best to avoid surgery if things can be resolved by simpler means Dr Reid

Don Reid DDS​ Good morning too. Thank you very much for the reply. And I will be careful not to bite very hard foods. Thanks.

@Genma jinguji are you feeling any better?

Sounds like things are progressing/deteriorating, which I think you are fully aware of. I'd get to a dentist with good TMJ experience/credentials and ask them to determine what is going on. A scan of some sort (CBCT or MRI) will likely be required so the true state of your TM joint and disc can be assessed. Depending on which part of the country/world you are in, we may be able to suggest a dentist with the right skills. Go to our website, bitefx.com, and at the bottom of the home page, on the right hand side, under "Other BiteFX Resources" there's a link saying "Patients! Find an occlusally aware dentist!". That will take you to a form you can complete. It doesn't have a comments section, so reply to this post if you complete the form, so we'll know to only send you TMJ specialists.

@@BiteFX i think it's getting worse but i am hoping to heal it fast so that I won't feel the pain everytime I eat. I miss eating so much. I already sign the details on your provided link. Thank you

Hi Jerz. Sorry to hear you're in such pain. As you've clearly deduced you have issues in your left TMJ. I'd recommend finding a dentist who understands the TMJ (temporomandibular joint) and TMD (temporomandibular disorder) and who will do either a CBCT scan or MRI to discern exactly what is going on. Only when you, and the TMJ specialist, understand the situation can any treatment be determined. The problems with air pressure sound like it's affected your eustachian tube which might be more in the realm of an ENT specialist, but I think I'd still start with a TMJ expert as that is likely to be the root cause.

@@BiteFX thank you very much very helpful & will do .

I am..5 years...

Found any solution? Had mire than 20 dr torturing me with splints...no succes only pain and gaslighting.

Please use the "Help me find an occlusally aware dentist" page that we support: hubspot.bitefx.com/help-me-find-occlusally-aware-dentists (also accessed from a link at the bottom of our website's home page). We'll respond to that with up to 3 dentists in your area.

Isaac - first note that I'm the guy who directs the creation of our animations on TMD and other topics, not a dentist, but I have been working with dentists for over 15 years and listening to them explain what is going on throughout that time. Any proper diagnosis of what is going on will require a doctor, preferably a TMD specialist, to look at you and take appropriate scans. However, what it sounds like is that during the dental procedure the TMJ disc on your left slipped out of place, likely with stretching or breaking of the ligament that helps it stay in place. The disc is now blocking normal movement of the condyle. Normal movement is that when we open wide both condyles come out of their sockets and move a little way down the front wall of the sockets (called the "eminence"); the TMJ discs that sit between the condyles and the sockets track with the condyles "lubricating" the motion and preventing bone-on-bone contact. With your left disc now in front of the condyle it's likely blocking the condyle from moving as far forward as it normally would so, when you try to open wide, your jaw veers to the left. What you describe as "dislocate if I don't pay attention" could be that your left condyle rides up on the disc which is no longer has its original shape, so the condyle doesn't sit nicely in the disc. Instead the condyle sits on the deformed disc or goes over the deformed disc making it feel dislocated and requiring special movements to move the condyle off the disc and back into its socket. That's likely what is going on, but to be sure you don't have anything else happening - like some other growth in your joint - you should see a doctor for a proper diagnosis.

@@BiteFX Thank you.

That's because there are many different forms of TMJ disorder that need to be diagnosed at the same time as your bite. It needs a well-informed dentists or TMJ expert to do that diagnosis and determine what treatment is appropriate. There's no single solution that applies to all cases.

Whoever provided you with a splint that works to relieve your symptoms would be the best person to recommend a permanent solution. If that person is not available, look for another TMJ specialist in your area.

@@BiteFX usually what are the options to fix it permanently? Surgery and/or orthodontics? In my case what caused my tmd Is a 2 class malocclusion

@@toffer-2541 There's no single answer as it depends on exactly what the TMD problem is and how far off your teeth are from positions that will support a healthy TMJ. The fact that a splint can help relieve your symptoms gives hope that the changes required won't be too extreme - but that can only be confirmed by a TMJ-savvy dentist after diagnosing your bite and TMJ. Solutions range from making minor adjustments to a few teeth (adding or taking away small amounts of material), to orthodontics, to restoring multiple teeth, to surgery - depending on the severity of your problem. Lastly it's more likely that your TMD problem caused your class 2 malocclusion but that's for the dentist to determine and resolve.

@@BiteFX mine its a skeletal 2 class malocclusion so it's more likely that It Is the cause and not the consequence

I'm afraid there's no simple answer to this question as it depends how badly your disc is displaced and how deformed it is. Treatment can vary widely from using a splint, to surgery and sometimes doing nothing even with badly displaced discs as the system has adapted well enough to provide a stable system. Only way to know for sure is to consult with a TMJ specialist.

@@BiteFX my teeths are shifting (inclined) i dont have any pain but deviation on opening mouth Is this a problem of disc displacement or something else,, Please reply with possible treatment for this

@@aashajain7376 Firstly, be aware that I am not a dentist, I've just learned much from the top dentists and TMJ specialists in putting the animations together. Your inclined teeth are strongly suggestive of deteriorating condyles and the deviation on opening your mouth suggests a displaced disc one one side interfering with the normal opening of your jaw - but I think you've already concluded that. Only a dentist or TMJ expert who has scanned your jaw joints will be able to figure out exactly what is going on and recommend appropriate treatment.

Go to our website (bitefx.com) and click on the link "Find a dentist who understands" (in a circle at the top right of the home page) and we'll let you know if we have suitable dentists we can recommend in your area.

It's verry painfully condition to us .you are right we dnt knw what to do but in this situation we have to avoid hard bite or any hard food chewing soft things or better to do steam of jaw outside it helps to joint and muscles of jaw specially in cool weather .

6 years later...did it get better?

Clicking indicates that at least part of your TMJ disc is not fully seated on your condyle some of the time. Your jaw may continue in that state for a long time without causing you any problems - unless the clicking becomes annoying or uncomfortable. If the clicking stops and you experience pain in your jaw, you'll know that the situation has deteriorated with the disc fully displaced and not being "recaptured" by the condyle on opening. If you visit a dental practice regularly, you might ask them what they think of the clicking and see if they give you a helpful response.

I'd recommend finding a dentist who is a TMJ expert who can diagnose exactly what is going on in your TMJ and recommend a suitable course of treatment.

100 percent

I believe that the general concensus is that tooth problems do not cause TMJ deterioration but they may cause the TMJ to be out of its fully seated position when the teeth are brought together. However, TMJ deterioration will cause tooth problems - so it's possible that a misplaced tooth might be influenced by a TMJ disorder. It needs a dentist who understands the possible connection between the two to diagnose what's going on.

Tension in your jaw muscles might put too much pressure on your TMJ. Therefore I think he might have a point.

After opration how much feel better ?? can u share your condition before and after treatment.

Operation need in which condition ?? like... clicking sound or popping , tmj joint displace etc

The displacement of the disc is not always accompanied by pain. Although the above video shows a disc displacement being caused by a pulling of the muscle, since producing the video several years ago I've come to understand that disc displacements are more often caused by trauma. For example, you might have fallen as a child hitting your chin and causing one of your condyles to come off the disc. Ligaments having been stretched at that time, the disc continues to be off the condyle when it is seated, with the condyle clicking back on to the disc as you open your jaw. You may have experienced pain at the time of the injury but your memory of that is long gone. Some people can live with clicks without things deteriorating further; others may think they're getting better when the click stops happening, but in fact that's more likely an indicator that things are getting worse. Best to find a dentist who understands the TMJ-tooth relationship and who can assess whether you're in a stable state or your displaced disc is causing other issues in your mouth (such as molars that keep breaking).

@@BiteFX Yeah I'll better go to tmj dentist. Thanks

@@norubi how r u now

Yes, it will affect the chin (if the jaw is back the chin is likely to be back too) and the jaw line, though the latter may not be as obvious a difference as there isn't as clear a reference point (whereas you can compare the chin with the upper lip position). However, the chin being back doesn't necessarily imply the jaw is pushed back; if the growth of the jaw has been impeded at some stage in its healthy development, the jaw may not be as long as it should be and that would also show a retruded chin.

@@BiteFX i already have a receded chin. That is why i am more concerned about this thing

@@simransetia1 Understand. You need a dentist or TMJ specialist who can tell you why you have a receded chin. It's difficult to self-diagnose that sort of thing. If it's significant, it's more likely to be an issue with the growth of your jaw bone, but there are many variables so best to have a dentist look at it.

Put your problem to some (top) dentist friends. Here's what a couple of them said: My guess would be hyperextension of joint due to being "pried" open during extraction. More commonly if patient is sedated and lacks reflexes during procedure. I would say anti inflammatory medication, ibuprofen and even consider medrol dose pack (steroid) to reduce inflammation more quickly [Doug comments: expect that would be a prescription but you can check]. Soft diet, try to avoid extreme opening, including care during yawning. Also: Would also warn about possible splint therapy [Doug: i.e. that you might need splint therapy to help resolve the issue.] Good news is that it sounds like the problem can be resolved if you act quickly and follow the soft diet/no extreme opening recommendation.

@@BiteFX thank you so much, i’m taking ibuprofen for 5 days now and I’ll have my dental appoint on Tuesday.. I’ll keep your advise :)

@@santidiaz8675 Some more of the dentists I polled weighed-in on the issue with some further comments. First, note that they're all giving opinions without knowing the full details of your case, so your dentist is in the best position to help you. Hopefully this just gives you information on what you might expect. One of the dentist's was keen that I stress that what's happened is part of "informed consent - as everything could have been performed correctly and subsequently we have post operative issues such as this". I.e. it's not the fault of the person who did the extraction, the extraction may just have triggered something that was about to happen anyway. So the other comments: "Would add muscle relaxants as well for about 10-15 days. We also sometimes use a temporary, 10 days, light advancement splint to prevent the condyle from pushing upwards behind the disc inducing an even more forward position of the disc, and hopefully preventing the displacement from becoming permanent." And two or three others agreeing with the diagnosis and treatments communicated. Hope this all helps!

Hi Victoria. First, I'm not a dentist, just someone who has worked closely with many dentists and TMJ experts for many years, and it's tough for anyone to say exactly what has happened even when knowing your history and being able to examine you. However, here are my answers to your questions. Why would you be checking your bite if something wasn't wrong? Therefore it seems more likely your disc displaced, causing you to feel discomfort and have the desire to check your bite. Constantly checking the situation may have exacerbated the problem in the TMJ - seems likely if you're continually working the jaw in its disc-displaced state, but it's not a certainty. The disc being out of place would cause your bite to be off. The most concerning part is the mention of early degenerative joint disease. You want something done about that as it means your condyle, the top of your jaw bone, is likely to continue deteriorating (losing bone) so your bite will be constantly changing. Dr. Alain Aube, mentioned in the post I'm seeing below, is seeing encouraging success in stopping degeneration and achieving stable joints. Once the joints are stable then your occlusion/bite can be stabilized. I don't know how many other dentists or TMJ specialists know how to do what Dr. Aube is doing. He is going to be presenting his technique and results on our November webinar so we're working on helping spread the news.

@@BiteFX where can I find what dr. Alain aube does? Im extremely interested and would even consider travelling to visit him. Right now my tmj specialist is getting me stable with a splint that he adjusts every month and once he believes things are stable he plans on doing occlusal equilibriation to adjust my bite.

@@BiteFX your comment is very helpful. My bite IS constantly changing and was prior to seeing my tmj specialist it feels extremely off constantly, we noticed the early djd and the misplaced disc in the mri he ordered.

@@BiteFX I live in Quebec by the way

@@victoriaboland4662 It sounds like your TMJ specialist is on the right track and may be doing exactly what Dr. Aube would do. What Dr. Aube is doing is using an appropriately designed splint - we'd need to have your TMJ specialist talk to Alain to understand the details which might just involve a tweak to what your specialist is doing, or confirm that he is doing the same thing. Email me at doug.brown@bitefx.com and I'll send you a paper Dr. Aube published about his results a couple of years ago which you could share with your TMJ specialist. I should also say that it takes Dr. Aube about a year to see significant results and they, of course, depend on the patient wearing the splint consistently.

Seek a dentist who indicates they understand TMD - temporomandibular disorders.

Sorry to hear of your issues but excessive grinding and clenching while on drugs like speed or methamphetamine may well have had an effect on your TMJ. Worth checking with a TMJ specialist - sometimes they can reverse what's happened or at least help the jaw stabilize so your problems don't get worse.

Douglas Brown oh without a doubt its a causal effect. I wasnt aware until i watched your video that this affects your hearing ive had problems hearing on the effected side for awhile now. Again thanks for the video and info.

Since creating this video I think that even the dentists who gave us input saying that occlusal factors cause TMJ disorders have revised their statements. So today I would say that occlusal factors do not cause TMJ disorders, though they may contribute to the worsening of a disorder once it has started. Your comment reminds me that I should remove this video and create a more accurate replacement.

@@BiteFX thank you for the reply. I think just putting it in the text below the video would do. Because the video content in itself is still very usable :)

@@mahdinaimi6413 I like that suggestion! Much easier to implement! Thanks!

Mine resolved on its own. Now another side started to hurt and make sounds... I guess I'll have to go through pain again.

Parth - I'm not sure anyone can tell you how long it would take a pseudo disk to form without giving you a pretty thorough examination that would ideally include an MRI so the could assess the state of the disk and joint. If you are experiencing pain, it will be worth looking for a dentist or TMJ specialist who can diagnose your problem.

@@BiteFX My orthodentis said it is totally normal and pain will go away within q weak true???

@@parthmandale54 Hopefully your orthodontist knows your situation. Have they examined or scanned your TMJ? How long have you had the pain? Do you know what event started the pain? Why does the orthodontist think the pain will go away in a week? Is that their experience of the time it takes for a pseudo disk to form? Are they confident of the formation of a pseudo disk and that it will give you a stable bite? (If the geometry of the jaw joint is changing, the way your teeth come together when the jaw is fully seated will change.)

@@BiteFX sir, I don't have any problem while opening my mouth at my best... But the bone(joint) near my ear, it gives me ringing sound and blurry pain... That's it.... He has suggested me to take medicine name - Norkiv GB 100 TAB....AND....THIOPAIN MR TAB.... Sir... What do u think abt these medicines? Will they help.... Sir pls do reply.... Thank you so much for responses till now... U r really good I also look after for ur channel Viewers....thx a lot.... Btw I Sub:-)

@@parthmandale54 what's your tmj condition at Now

My doctor made a medical diagnosis according to my symptoms calling it TMJ and that he informed me to read through this TMJ treatment. I heed his recommendation and proceeded to read through the guidebook for 11 days and it has been successful. I obtained fast relief right after following the exceptional set of exercises. I am now pain and ache free from the face and jaw. The guidebo.ok I am talking about, I found it on Google. visit here t.co/s5Or7HLh0w

Might be worth seeing if you can find a TMJ specialist (or a dentist who understands TMJ) to see what they think. Perhaps they can do something to help you.

Best to talk to TMJ expert before committing to braces. Braces typically move teeth but a misaligned jaw is likely caused by problems in the jaw joints or the condyles (the arms of the jaw that go into the jaw joint). For example, if one condyle is shorter than it should be, your jaw would tilt towards that side. You want someone to figure out the underlying cause before you opt for a particular solution. Moving your teeth with braces to correct the problem could be like having a house whose foundation is cracking leading to cracks in the walls and attempting to fix the problem by patching up the walls - they'll continue to crack because the underlying problem hasn't been addressed. It's possible that moving the teeth with braces might be part of a complete solution, but you should feel confident the underlying problem has been dealt with as well.

@@BiteFX so, I should go to the tmj expert before deciding to get braces on right?

@@uimyass Right!

Hi Jack. Interesting question! I'll give you a quick answer based on my experience of working with dentists over the last 15 years, always wanting to learn more so that we can improve our animations and develop new ones that will help both patient and dentist understanding of complex concepts. I had never heard of mewing in this context until I saw your question. But now I've looked it up, here's my view: 1. If you have a healthy TMJ-tooth relationship, by which I mean that when you bring your teeth together your condyles are both fully seated in their joints, mewing is not going to cause TMD. Your jaws are in a stable position and don't have any muscles trying to pull them out of position. 2. If your TMJ-tooth relationship isn't perfect, so that to bring your teeth together you have to shift one or both condyles out of their fully seated, stable position, then the answer isn't quite so clear. To hold the jaw forward in that out-of-fully-seated position while your teeth are clenching, requires your to tense a muscle (called the lower lateral pterygoid). Do that for a long time, and that muscle is going to get sore! Some dentists say that prolonged tensing of the lower lateral pterygoid can cause its close partner, the upper lateral pterygoid to tense as well (when it usually does the opposite of what the lower is doing); this can pull on the TMJ disc and make it more likely that it becomes displaced which is one form of TMD. This is what we show in the TMJ Disorders video. Since creating this video, I've heard other dentists say that the upper lateral pterygoid doesn't have enough of an attachment to the TMJ disc for it to be pulled out of place by that muscle. Therefore, I would say that it is NOT certain that mewing will cause TMD. 3. If you already have TMD, you'll likely have the situation described in #2 above. The tensing of the lateral pterygoid muscles probably won't help the TMD problem, more likely will be accentuating the problem. Therefore if you know you have TMD or suspect it, you'd better check with someone who understands TMD before you try mewing. Lastly, how do you know if you're a #1 or a #2? A little tricky as, unfortunately, many dentists don't know how to make this distinction. Ideally you go to a dentist who does understand the TMJ-tooth relationship and they can give you an appropriate diagnosis. A simple, though not 100% certain (because it can be difficult to deprogram your muscles and not unconsciously guide your teeth together in the manner you always do) is to keep your teeth apart for a while, possibly putting something soft like cotton rolls between them. It is important that they don't contact as any contact will likely trigger the lower lateral pterygoid to pull your jaw forward to avoid the contact. After 2-3 minutes take out anything you put in your mouth (I'd try it without first), put your thumb on your chin and push gently in the direction of your jaw joint, then very slowly close your jaw, concentrating on which teeth touch first. If you decide that several touch at the same time and it feels like your normal bite, you're likely in the category I described in #1. If you decide that there's only a single point of contact between rear teeth, your likely in the category I described in #2. Probably more than you wanted to know, but hope that helps!

@@BiteFX thanks a lot! I don't experience any pain but I have noticed the popping sound which led me to you. I have been mewing I guess but not hard just trying to rest the tongue on the pallet. Over time I noticed that my left part of the pallet is little bit smoother and started noticing that I rest the tongue too much to the left side - at the moment I am trying to work on that but after some time I noticed this tmj "cracking". In the past, could be 9 years, I had a problem with molar - it started growing and was inflicted, so they had to remove it. I had braces, only on left side (bottom), so the hole closed a little bit. It's still there but smaller (of course the left side doesn't connect as well as the right one) Maybe it's not the cause of mewing at all, I will bring it up when visiting my dentist, if it remains a problem. Never really chewed a gum just recently, though I don't think I chewed to the point of damaging tmj, I am really new to this type disorder, never really looked it up. Much appreciate your response, thanks! Also excuse any mistakes and overall my English, it's not my main language

Pops don't necessarily (or usually) come with pain. The pop happens as the jaw is opening and the condyle moving forwards so it doesn't put pressure on the tissue behind the condyle that would cause you pain.

Hey Carly, I think you should seek a maxillofacial surgeon not a normal dentist, and as a suggestion, i think you should massage your muscles and take a muscle relaxant.

Ty I'm seeing massage therapist. Doctors won't prescribe me anything :(

I'm the producer of BiteFX and know from our target market that only about 10% of dentists really understand occlusion and put it into practice. "Average" dentists might say that your teeth are fine as they're intact but an occlusally-aware dentist might see other signs and symptoms. If you are lucky, the dentist may be able to do less intrusive work than a maxillofacial surgeon. We offer a free referral service to BiteFX dentists who are likely to be able to give you a better diagnosis: hubspot.bitefx.com/help-me-find-an-occlusally-aware-dentist/

I would say that less than 2% of dentists understand and treat the TMJ effectively. Surgery should be avoided at all costs. You should be in separate daytime and nighttime orthotics. Your pain is caused by inflammation. Ibuprofen can help. Lawrence Singer DMD, Director TMJ and Sleep Therapy Center, Washington DC

Carly, I also suggest you go see a physical therapist. As an expert in the musculoskeletal system a PT is very well equipped to treat problems with TMJ.

This was a new question to me, so I sent it to a top TMJ specialist we know well. He responded [my comments inserted in brackets]: Yes it is possible. The tension in the temporalis muscle can affect the eyes. The temporalis attaches anteriorly in the infra-temporal fossa which is in fact the posterior external part of the orbit. The orbit bone in this area is eggshell thin and a cramped or tense temporalis can actually alter the shape of the bone and of the eye. Pete Dawson [a world famous dentist who was a leader in this area, sadly no longer with us] spoke of a patient that no longer needed glasses after his equilibration [a process of balancing the teeth which helps relax the muscles].

Hi Eliza - I'd let your dentist know that things have got worse since wearing the night guard. Preferably see if you can talk over the phone so you can hear what he suggests. He may realize that you have TMD and refer you to a TMD specialist. It also gives him the feedback he needs to hear that the mouth guard has caused you problems. If he doesn't talk in terms of TMD (temporomandibular disorder), you might search for a TMD specialist yourself.

Whether there is a solution, or what the solution is, depends on how serious your TMJ has deteriorated. The best person to assess this is a TMJ or TMD specialist, probably coming from a dental background. I haven't heard of any general doctors treating TMJ problems.

Douglas Brown I went to the National Dental Clinic and the professional rejects assessment of my tmj. I’ve all symptoms of tmj like jaw clicking and sometimes I had a closed jaw lock (fortunately I managed to unlock myself and seem to understand how it work and actively prevent its reoccurrence). I’m very confident of my tmj and now it detoriates worse… sound is softer… and other side of my jaw now has early symptom of my tmj. I’m going through same process for other side, while my left side continues to detoriate. I don’t think I clench my teeth while sleep. And neither the doctor nor the professional could prescribe me a solution. The doctor gives me anti-inflammation drugs but I’m not really in pain, I just dw it detoriate. The professional gives me x-ray and insists I’m perfect 😣. And he say even if it isn’t, there is no solution other than making useless braces for me. I paid >$70 to the professional at National Clinic Centre haiss

Mai Vu - I sent your description of your problem to a TMJ specialist and friend, Dr Alain Aubé, and his response was: YES YOU HAVE A PROBLEM!!! Unfortunately it sounds like your National Dental Clinic is not going to be able to help you. Which country are you from? We can try to recommend a TMJ specialist in your part of the world (if we know of one) but it will probably involve travel and could be much more expensive than your national clinic.

Douglas Brown Singapore 🇸🇬. I prefer if it’s Vietnam 🇻🇳 because it’s cheaper there 😝. But I guess Vietnam doesn’t have enough technologies or medical knowledge/professional in this field? 😔

Neither countries seem to be familiar with TMJ. TMJ seems to be something rare among medical professionals 😕

Doubtful unless you do regular exercises that apply force to your chin. A blow to the chin either from a punch or falling and knocking your chin is a more likely cause of TMJ issues.