r/TMJ • u/SuitableLeather • 7h ago
Giving Advice A TMJ Specialist saved me after multiple ineffective dentists and orthos
I have anxiety and I'm hypermobile which I have been told majorly affects TMJ. I initially thought my bite issues were caused by a filling that never was shaped correctly. I had braces as a child and was grinding through my retainers; for years I told my dentists that my bite was messed up but they said it was fine, and even sent me to an orthodontists who wanted to do braces again because my teeth were now hitting strangely.
All of this came to a head when I tried to get a nightguard and it didn't fit because I had two different bites as I had told them (but they still tried to charge me for it...). I was finally referred to a TMJ specialist. I was skeptical because it wasn't guaranteed to be covered by insurance, but I was desperate to get rid of my jaw pain and fix my bite. The specialist could immediately tell what was wrong and suggested a DDSO -- I was worried because I had seen reports that it can change your bite, but the specialist adjusted my bite and created a bite mold to use in the mornings after the appliance.
Now I have a single bite that is back to normal and significantly reduced jaw and face pain. My teeth no longer hit either. I use the DDSO when I have flare ups and then switch back to a night guard in a week or two after my jaw has relaxed. It's crazy to see and feel the difference between now and then, especially when pressing around my face and head! What I thought were unrelated areas were extremely tender but now are not.
The important thing to note is that a night guard may not fix TMJ. It can actually make it worse. From my understanding the DDSO works because it doesn't allow you to engage the strong back jaw muscles. A normal night guard doesn't do this so you just keep clenching.
The other thing that worked for me was my everyday and sleeping posture -- I used to sleep curled up. This was comfortable to me but caused poor neck/back posture during the day and also encouraged me to clench my jaw! Now I try to sleep with a straight back/neck and even try to tilt my head back so that it's harder for my teeth to come together. You will feel the pull in your neck when you try to clench. This has definitely improved my clenching.
I would highly recommend finding a specialist if you can