Braces and TMJ problems
May 2nd, 2011
+2
Just read the posts by several doctors and you'll get the idea that
you've touched on a hot topic. Scientific research has shown that most
TMJ problems are multifactorial, meaning that a number of things
contribute to the problem. The reason that carefully controlled studies
with careful methodologies are needed in medicine and dentisty is to
dispell the type of thinking that is represented in some of the
responses to this often complex topic, especially ones based on"
anecdotal" evidence. Bad orthodontics can contribute to TMJ problems
just like bad dentisty can contribute to tooth problems that require
root canals. A well trained orthodontist will be able to ascertain
where the jaw is comfortable and healthy and will put the teeth in a
bite that is in harmony with this position. Instead of trying to decide
on your own if you need splint therapy, ask your doctor about how
he/she plans to deal with your bite and your TMJ issues.
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TMJ Dysfunction can result from improper use of braces.
May 1st, 2011
+2
Your question about braces causing TMJ Dysfunction is a hotly debated
one: The answer is yes, braces can cause TMJ Dysfunction if the
practitioner is ignorant about the relationship of teeth to the TMJ.
Sadly, most orthodontic programs teaching specialists have a void in
their programs when it comes to the understanding of the TMJ's.
Although it is not possible to diagnose exactly what your problem is and
what the solution is, the following would be true: Any treatment that
causes the lower jaw to retrude can precipitate TMJ Dysfunction.
Therefore treatment should protect against this movement and encourage
the jaw to be held in a forward position. Repositioning splints,
orthotics (mouth ones), bite plates, bite ramps can help this
forward position and can all be used with braces, however the most
important thing for you is to work with a competent
dentist/orthodontist., i.e. one who has a great deal of experience with
braces and treating TMJ Dysfunctions. Then he/she would create an
appropriate plan, and explain it to you so it makes sense.
Unfortunately this is a very common problem. Good luck to you.
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Treat the TMJ First
May 1st, 2011
+2
I treat a lot of TMJ patients and 80% have had prior orthodontics.
Hmmm. Coincidence? I think not. In the past orthodontists have
treated to a nice smile and a bite based on the molars lining up. Maybe
the body developed and placed the relationship between teeth, muscles,
and joints in a manner to make them all work together, but this
relationship didn't "look" good. I always treat patients who have TMJ
issues and want ortho with caution. I would find a comfortable
neuromuscular position for your lower jaw and make a splint or orthosis
at that position. Getting you comfortable first is the first priority,
then move the teeth to that position.
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TMJ and braces
May 1st, 2011
+1
Reading over the other reviews I see that there are many dentists who
still believe that there is a strong correlation between braces and TMJ
problems. Problem is, all of the most recent scientific studies do not
show this to be true. What they usually fall back on is: I see a lot of
people who had braces and now have TMJ problems so it must be
true!...well there are just as many who never had braces and still have
TMJ problems.
Anyway....this is a very controversial issue so get a few opinions before you give up on the ortho!
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Anyway....this is a very controversial issue so get a few opinions before you give up on the ortho!
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Robert Waxler, DMD, MS
Saint Louis Orthodontist
Saint Louis Orthodontist
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