Message Font: Serif | Sans-Serif
No. of Recommendations: 0
Hi Mdag,

Sorry for the delay in responding to your question but I don't visit this part of the Fool very often.

I am a little skeptical of drugs that are used to "cure" what I perceive to be a mechanical discrepancy.

First of all bruxism is partly due to stress and to discrepancies or interferences in one's occlusion. Either one or any combination of these two factors can lead to the kind of pain that you are apparently experiencing. In my experience I have never seen a case of bruxism that didn't exhibit some sort of occlusal interference or deficiency.

There are three important components to consider when treating an individual's occlusion. One is the conformation of the joint and the surrounding musculature. Nothing can easliy be done to this area. Second is the position of the teeth and how they interdigitate. Generally problems in this area result in sore teeth, but it is not uncommon to have a patient experience muscle spasms or joint pain. And thirdly there is incisal guidance. This factor is (simply put) how much the upper front teeth come over the lower teeth. If the upper front teeth come over the lower teeth enough upon function then the back or posterior teeth will be forced apart and generally no pain or pathology will result. On the other hand dentists frequently see problems with one or more of these three components without the patient exhibiting any symptoms what so ever.

Examine your hard splint to determine if there is what amounts to an incline plane in the front of it that causes your back teeth to clear completely as you move your lower teeth in any direction away from the straight up and down position. If as you move your lower teeth laterally and they continue to contact the splint in the back without the incisal guide in the front forcing the teeth apart, then you should have a new splint made with an adequate incisal guide plane. This solution generally solves most TMJ pain. Of course there are always exceptions.

Now for my disclaimer. This is just an educated guess based upon the information I gleaned from your recent post. I have never seen you as a patient and therefore am unable to give you a more definitive diagnosis. You should be seen in person by a knowledgeable practitioner in order to get an accurate diagnosis.

I hope this is helpful.

Print the post  


What was Your Dumbest Investment?
Share it with us -- and learn from others' stories of flubs.
When Life Gives You Lemons
We all have had hardships and made poor decisions. The important thing is how we respond and grow. Read the story of a Fool who started from nothing, and looks to gain everything.
Contact Us
Contact Customer Service and other Fool departments here.
Work for Fools?
Winner of the Washingtonian great places to work, and Glassdoor #1 Company to Work For 2015! Have access to all of TMF's online and email products for FREE, and be paid for your contributions to TMF! Click the link and start your Fool career.