Sunday, February 12, 2012

Worried about next ortho visit

For background, I have migraine disease, TMJ disorder and fibromyalgia. I have braces right now in the hopes that it will help me in the future because I grind and clench my teeth at night. I saw a TMJ specialist prior to the orthodontist, and I wore many different types of splints. (I was really hoping the one with the NTI-TSS device would have worked, too.)

 

My bite has worsened in the past year (before braces) in that one side (left) does not touch at all and my bite in front is open (teeth do not close). Ironically, my TMJ looks good now. When I first got the braces on, I thought I would not clench at night becayse the TMJ specialist said usually it stops. Nice thought, but I clenched away and woke at 5 a.m. in severe pain. The TMJ specialist prescribed valium, which I've been on since July when I got the braces on,

 

The latest treatment is that the orthodontist told me to wear this rubber band on the left side to force the teeth to move into place on top and bottom. The first night I work with a migraine. I called the orthodontist, and while the receptionist thought he'd say I have to wear it all the time, he actually said not to wear the rubber band at night. The problem now is that my daily headaches, facial and neck pain are worse with the rubber band sometimes, and I need to take it out. I know I'm not gaining the benefit of the treatment, but I also don't want to suffer. I suffer enough pain already, for Pete's sake. Yell

 

I see the ortho for another adjustment on Oct. 22 so I will have to tell him the truth. I have a feeling he might not be happy with me, and I know it might lengthen my treatment and I might have to pay even more for my treatment (I read that on the pamphlet they gave me to scare me into wearing my O-rings). I don't know if anyone else has had this problem, but I'd sure love some feedback. Thanks!

 

10/13/09 2:25pm

Hi Susie.

 

I've never had braces, but do have trouble with grinding...hopefully someone will be in to give you some input. Have you been over to the forum to see if anyone can help you there?  You can find our forum at http://forums.healthcentral.com/discussion/migraine/forums.

 

Anonymous
Jo
10/15/09 11:12pm

Have you been checked for sleep apnea?

I to have Fibro. I also would grind my teeth and snore so loud I could almost rattle the windows. Through my own research I found out that sleep apnea is common for people with fibro.

I asked my Dr. for a referral for a sleep clinic. I now have a machine called a CPAP which forces me to breathe and I no longer grind my teeth or snore.

I am still tired but not as bad I was.

This might give you something to try that doesn't involve more drugs.

I've got my fingers crossed for you.

Jo

10/16/09 8:24pm

I have not been checked for sleep apnea and, interestingly, my coworker has it and uses the CPAP as well. I will ask my neurologist when I see him next week. I would love a non-drug treatment for once!

10/16/09 2:10am

Dear grinder:

Seems I grind my teeth during sleep.  My dentist fitted me with a custom plastic teeth guard for sleep time use.  It covers all the teeth tightly on top.  This protects both uppers and lowers.  The over the counter types didn't work well.  He had a wire inserted into the plastic to add to it's strength.  They can break if you drop them.  Be sure to brush them daily to prevent mouth sores.

Regards, Chuck

10/16/09 8:28pm

I've had a hard orthotic for the top teeth, then a soft one for the bottom when that made the pain and headaches worsen. I then went to a TMJ specialist who made another mouth guard that is thinner and he added an NTI TSS device. It doesn't matter what these doctors put in my mouth it seems, I am determined to grind my teeth -- this even after the orthodontist put on braces. The TMJ doctor said the grinding usually stops and rarely does anyone need a guard. I don't think they want to put another guard on my teeth on top of braces, too, because I have a feeling the last guard assisted in making my open bite so much worse. (When I close my teeth, it looks like I haven't in front!)

10/17/09 4:29pm

Yep, a really tough case.  The guards will stop unusual abrasion of the teeth, but not the underlying cause.  Do you suspect that a nerve is having you clench, or an allergy?  Do you clench or grind during the day (as in a stress response)?  Do you have stressing dreams, that a sleep lab might help with?  Do you find that you compulsively chew your tongue during the day?

Chuck  

2/ 4/10 11:47pm

Well, here's something weird. My physical therapist said I am not clenching as I had thought. If I was, he would feel it in my facial muscles, and the pain I am experiencing is part of my neck muscles. At least the grinding has stopped. I can be happy about that!