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Ughthedentist,
A pre fabricated mouth guard from the store is not going to help you at all as it is not meant to fit your misaligned bite. In fact, it could do more harm than good. I had suggested that you consult with your dentist about having a night guard made which would fit your mouth properly. I understand that you feel trapped into using your dentist through your insurance. However, if you do not want to see her, then you need to find another one. My opinion of your dental problem based on the information that you have provided, including the x-rays has not changed. So I will re-post what I wrote previously. THE JAW TRAUMA FROM THE EXTRACTIONS CAN CAUSE A TEMPORARY TMJ PROBLEM. HOWEVER IN YOUR CASE THE LOSS OF ALL OF YOUR POSTERIOR MOLARS ON BOTH SIDES (EXCLUDING TOOTH #32) IS PROBABLY WHAT IS CAUSING OR CONTRIBUTING TO A MUSCULAR PROBLEM WHICH IS AFFECTING THE TMJ. PEOPLE WHO HAVE NO POSTERIOR TEETH IN ONE OR BOTH ARCHES RELY ON THEIR ANTERIOR TEETH FOR CHEWING WHICH MAKES THE JAW MUSCLES WORK A LOT HARDER. BRUXISM HABITS ARE COMMON IN PEOPLE WHEN MISSING THIS MANY POSTERIOR TEETH AS THE NATURAL CURVATURE OF THE ARCHES BEGIN TO COLLAPSE CAUSING THE OCCLUSION TO BECOME ABNORMAL. THE TEETH ARE NOT HITTING IN A NATURAL PATTERN TO SUPPORT EACH OTHER SO THEY ARE TRYING TO CREATE A PLACE TO REST. THUS THE BRUXING HABIT. THIS PUTS A LOT OF STRAIN ON THE VARIOUS MUSCLES, LIGAMENTS, NERVES.... ETC., IN THE HEAD, FACE, NECK, SHOULDER, ETC. Quote:
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Bryanna I'm confused
Why do I need a night guard? What is the purpose of this? If the missing teeth are causing a temporary tmj problem will a partial denture be all I need? Will the tmj and muscular issues resolve themselves with a partial denture?
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Ughthedentist,
I did not say your missing teeth are causing a temporary tmj problem. I will re-post my statement. The purpose of the night guard is to help your existing teeth find a comfortable place to rest against while you sleep. Right now your teeth are not resting comfortably because they have no opposing teeth to rest against so your jaw muscles are being overworked as you sleep. The muscles are fatigued and this is why when you eat a certain way or eat something hard or chewy your jaw hurts. Teeth help support the bone structure from deteriorating, which helps support the ligaments and muscles from being overworked. You have compromised support in your posterior region on both sides of your mouth due to the removal of those teeth because you never replaced them with anything. The longer you go without replacing those posterior teeth, the more the supporting structures will collapse. Meaning more bone loss, more muscle fatigue and eventually more teeth will be lost due to poor occlusion causing too much stress on your existing teeth. The longer the teeth are missing the more difficult it is to get a partial denture to fit comfortably because the supporting bone structure becomes misaligned with the rest of your mouth. My re-post: THE JAW TRAUMA ""FROM THE EXTRACTIONS CAN CAUSE A TEMPORARY"" TMJ PROBLEM. ""HOWEVER IN YOUR CASE THE LOSS OF ALL OF YOUR POSTERIOR MOLARS ON BOTH SIDES (EXCLUDING TOOTH #32) IS PROBABLY WHAT IS CAUSING OR CONTRIBUTING TO A MUSCULAR PROBLEM WHICH IS AFFECTING THE TMJ."" PEOPLE WHO HAVE NO POSTERIOR TEETH IN ONE OR BOTH ARCHES RELY ON THEIR ANTERIOR TEETH FOR CHEWING WHICH MAKES THE JAW MUSCLES WORK A LOT HARDER. BRUXISM HABITS ARE COMMON IN PEOPLE WHEN MISSING THIS MANY POSTERIOR TEETH AS THE NATURAL CURVATURE OF THE ARCHES BEGIN TO COLLAPSE CAUSING THE OCCLUSION TO BECOME ABNORMAL. THE TEETH ARE NOT HITTING IN A NATURAL PATTERN TO SUPPORT EACH OTHER SO THEY ARE TRYING TO CREATE A PLACE TO REST. THUS THE BRUXING HABIT. THIS PUTS A LOT OF STRAIN ON THE VARIOUS MUSCLES, LIGAMENTS, NERVES.... ETC., IN THE HEAD, FACE, NECK, SHOULDER, ETC. |
Dear Dr. Bryanna,
I had ten teeth removed, under sedation, a couple weeks later my knees to toes went partially numb to touch but painful joints. My knees are wobbly and don't work properly, ankles are stiff and nearly immobile. The last week or so the swelling isn't too bad if I keep them elevated. Afraid to drive because cannot trust my legs and feet to do what they are supposed to do!! Been to chiropractor, no results. Natureopath gave electrical treatments which helped a little but the pain is relentless. Ever hear of this result after having teeth pulled? |
Hi Suzilla,
First let me clarify that I am not a doctor. My brief bio is at the bottom of this post. I have a few questions, if you care to answer them. Do you have a chronic medical problem or take medications? Did you have any problems with your knees or legs prior to the oral surgery? Did you have the oral surgery performed in a dental office or the hospital? Do you know what medication they used for the sedation? Were all of the teeth in one arch or from both arches of your mouth? Was an immediate denture placed after the surgery? Are you or did you take pain meds, if so what did you take and how often did you take them? Do you have any known allergies to anything including medications? Have you ever had any swelling episodes in the past that seemed odd or unrelated to anything in particular? Bryanna Quote:
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