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Should I Get a Second Opinion from a TMJ Specialist?

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I mentioned to my dentist that I wish my teeth were whiter. He mentioned because I have two crowns, I’d need to get those re-done first to match. He also looked closer at all my teeth and said my bite is off which means I have TMJ and need to get all the teeth crowned to fix it. This seems a bit excessive to me. Plus, it really surprised me to hear my bite was off. I had braces in my middle school years and didn’t feel like anything had changed since then. I’m thinking I should get a second opinion. What do you think?

Carla

Dear Carla,

Woman in pain with TMJ

I’m a little concerned with what I’m hearing. Let’s start with the teeth whitening. You don’t crown teeth to whiten them. Yes, you have a couple of crowns and they will have to be re-done to match but that will be AFTER your teeth are whitened. Not before. Otherwise, how will he know what shade of white to make them?

Now, about this crowning every tooth. This is called a full-mouth reconstruction and is usually reserved for more severe TMJ Cases. You haven’t mentioned any symptoms of TMJ Disorder. Without that, you should have serious doubts about this recommendation.

TMJ Symptoms

  • Jaw Pain
  • Popping in Your Jaw
  • Clicking in Your Jaw
  • Migraines, especially in the morning
  • Teeth Grinding or clenching

See a TMJ Dentist

I agree you need a second opinion. There isn’t a recognized specialty in TMJ Disorder. As such, there aren’t really any TMJ “Specialists”. However, there are dentists who have invested a great deal of time in studying TMJ Disorder and the different treatment options. Treatment is determined by first finding the underlying cause.

You want a dentist who has studied TMJ and occlusion at one of the reputable post-doctoral schools, such as The Dawson Academy, the Las Vegas Institute of Advanced Dental Studies, and The Kois Center.

Dentists who’ve studied at one of these schools are qualified to help diagnose your problem and come up with a good treatment. Most dentists prefer to start with the most conservative treatments first to see if that solves it before delving into something as invasive (and expensive) as a full-mouth reconstruction.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.

Thinking about Leaving Your TMJ Untreated? 5 Risks that Will Make Your Jaw Drop

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The temporomandibular joint is like a sliding hinge that connects your lower jaw to your temporal bone (on the side of your head). Joint disorder or dysfunction is commonly referred to as TMJ.

Why Some People Choose Not to Treat TMJ

Some people who think they have TMJ ignore the signs and symptoms. They don’t necessarily think the issue will go away, but they might choose to handle it on their own without seeking medical or dental advice. Why? The reasons vary, but some of them are below.

  • Too busy – Like many medical or dental appointments, you might feel that your schedule is too busy. What if you need follow-up appointments? What if you’re prescribed therapy? A busy schedule can cause you to delay or avoid seeking professional advice.
  • The cost – The cost of a co-pay, coinsurance, or out-of-pocket expenses can cause you to delay or avoid treatment.
  • DIY works for you – A common way to relieve most types of pain and discomfort is with over-the-counter pain reliever, so you might choose to take ibuprofen when symptoms become intense and skip a dental visit altogether.
  • Afraid of the dentist – If you have dental anxiety, it can keep you out of the office. Period. Your fear of the dentist might be greater than fear of what can happen if your TMJ signs and symptoms are left untreated.

What Are the Risks?

Diagram of the temporomandibular joint with the mandibular condyle resting in the articular fossa of the skull and the disk and the ligament between are attached to the muscle; for information on dentists in Philadelphia treating TMJ disorder.
Temporomandibular joint moves whenever your jaw does

Experts agree that TMJ symptoms should be treated conservatively. At-home care often provides relief and can include resting the joint, applying heat and cold packs to your jaw, and doing gentle jaw exercises.

But if you ignore the signs and symptoms and decide to do nothing, what are the risks? Five of them are reviewed below.

  1. Chronic pain – Untreated TMJ can get worse. As your jaw joint becomes increasingly stressed, headaches, earaches, jaw pain, and neck pain will also increase. Your quality of life can eventually become affected by chronic pain.
  2. Tinnitus – Tinnitus (ringing in the ear) can result from TMJ dysfunction. Tinnitus can be stressful and disturb your sleep.
  3. Dizziness – A poorly aligned jaw can put pressure on the sensors in your inner ear that are responsible for balance and make you feel dizzy.
  4. Sleep disturbances – The pain and discomfort from TMJ can disturb your sleep. Insufficient sleep can result in anxiety, depression, lack of concentration, impaired memory, and a variety of medical conditions.
  5. Misaligned bite – Joint dysfunction can cause your bite (the way your upper and lower teeth fit together) to be misaligned. A misaligned bite can create painful and costly orthodontic issues that, if left untreated, will last a lifetime.

What Should You Do?

Schedule an appointment with a dentist who has advanced, post-graduate training in occlusion, bite, and TMJ therapy. If you have dental anxiety, let the receptionist know it when you schedule your appointment. Accommodations will be made to ensure you are comfortable.

An examination will be needed to determine if your symptoms are related to TMJ disorder. You’ll learn about conservative treatment options that will give you relief.

This post is sponsored by Philadelphia, PA dentist Dr. Michael Weiss.