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Salem, NH
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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Orthodontics
Languages spoken
English
Doctor Q&A
53 Answers
1 Agree
The number of answers this doctor has agreed with.
A 39-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Nothing: A retainer is used to maintain tooth position after braces and has no effect on the tm joints.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Possibly: Some of the more common symptoms are clicking or popping in the jaw joint, limited opening, pain on opening in the joint area, pain in the muscles ass... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Yes: The orthodontist is trained to treat complicated cases in a highly specialized learning environment. If i were choosing between elite providers i wou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Possibly: A nightguard can help if jaw joint issues are related to the bite.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
See your dentist: Your symptoms sound TMJ oriented but you need an evaluation by someone well versed in TMJ tharapy. If your dentist does not feel qualified he/she wil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Unlikely: It is unlikely that a permanent retainer would be the cause of a tmj/tinnitis issue.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Possibly: Some of the more common symptoms are clicking or popping in the jaw joint, limited opening, pain on opening in the joint area, pain in the muscles ass... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Deepbite: I find a deepbite with a retrognathic (small) lower jaw to be the most difficult.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Possible: Warm compresses to joint area, softer diet, no gum chewing and jaw joint exercise can help relieve mild issues but not cure.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 41-year-old female asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
?pinched nerve: Sounds like a possible pinched nerve or a postural issue. I would consider consulting with a chiropractor.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
TMJ: Sounds like you may have some displacement of the soft tissue internal jaw joint structures. You should consult with your dentist.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Multiple symptoms: Some of the more common tmd symptoms are clicking or popping in the jaw joint, limited opening, pain on opening in the joint area, pain in the muscles... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Multiple symptoms: Some of the more common tmd symptoms are clicking or popping in the jaw joint, limited opening, pain on opening in the joint area, pain in the muscles... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Schedule an exam: You need to schedule an exam with a dentist who is well versed in TMJ treatment. A good starting point would be to ask your dentist who they would rec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
See your dentist: Don't be scared. Often times if caught early the treatment can be very mild. The important thing is to have the appropriate exam. Do some research ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Hypermobility: Could be a hypermobility of the jaw muscles and ligaments.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Soft tissue: Soft tissue displacement in the joint often results in clicking.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Great question!: A dentist versed in occlusion or bite issues is best. Check credentials! how long in practice? Success rate ( speak to other patients). Is his/hers ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
In most cases, no: In most cases a molding can be made with the appliance in place.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Bell's Palsey?: Definitely have a consult with your dentist to rule out bell's palsey.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Could be, but...: Certainly could be but with no pain it could lso be structural from opening to wide. Try to limit opening that wide. Also discuss this with your den... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Very likely: In 35 years of practice i find the simplist answer is usually the correct choice. Have a dentist versed in TMJ treatment evaluate your issues.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Muscle strain: Sounds like your temporalis muscle might have been affected. This muscle is used in closing the jaw.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 20-year-old female asked:
What's the matter with my mouth? i can't open that wide, barley two fingers wide.what's the problem?
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
? TMJ: Sounds like you might have a jaw joint issue. Best to schedule with your dentist for an exam.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Distraction exercise: There is an exercise regimen that i've used on patients with some degree of success. It is referred to as a distraction exercise. Not enough space he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Schedule an exam: There are several factors that contribute to the cost of braces. Each patient is different and there should not be a cookie cutter approach with one ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Another opinion?: Betted, unfortunately it is not unusual to see conflicting opinions in this area. Tight muscles are a symptom not a cause. Clenching is a causitive fa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Anything is possible: Anything is possible but i don't typically find patients complaining of numbness. Discuss the possibility of bell's palsey with your dentist.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Yes: More invasive than arthrocentesis and needs a well trained oral and maxillo-facial surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Sinus or allergy ?: First question i would ask is do you have history of allergies? Or is their a possible sinus issue? Do you have sensitivity to light? And, what ki... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Questionable: Tmj refers to the physical joint space of the lower jaw. The appropriate term is tmd or temporo mandibular dysfunction. There are many symptoms that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Sevral treatments: There are several treatments including equilibration, splint therapy, surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Overloading the join: If you have TMJ symptoms the likelihood is that there is joint inflammation present. Chewing hard or tough food or opening to wide will aggravate the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Displaced disk: The internal anatomy of the TMJ has a soft tissue disk that prevents bone on bone function. If this is displaced it can get in the way and prevent no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Schedule an exam: You should schedule an exam and discuss your options with a trained orthodontist. If you have bite issues or aesthetic concerns he/she will give you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Great question!: A dentist versed in occlusion or bite issues is best. Check credentials! how long in practice? Success rate ( speak to other patients). Is his/hers ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Great question!: Do some research on the prospective dentist's credentials. How long in practice? Success rate ( speak to other patients). Is his/hers training a wee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Probably not.: Normal protocol is to make a mold to diagnose the orthodontic problems and have a record of the starting point. However if there are adequate photos ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A male asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Schedule an exam: You should schedule an exam with an orthodontist to discuss your options. Your general dentist is right. Braces or invisalign can often be used to u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Evaluate her bite: My experience treating TMJ has been that this procedure works for awhile then needs repeating to flush the joint. You don't mention any possible bite... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years agoMerged
A 25-year-old male asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
No. See a dentist.: Your first contact should be with a dentist trained in treating TMJ issues, especially if you are aware of biting too hard. You may be grinding your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
See your dentist: If you are experiencing a limited opening this could be indication of internal joint issues that can get worse with time. I personally have treated p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Tmj: Sounds like you may have some displacement of the soft tissue internal jaw joint structures. You should consult with your dentist.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Likely yes: By chewing only on one side you overcompensate and this can create adverse symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Call orthodontist: Call your orthodontist and he can have new aligner made if needed or possibly have you change into the next aligner.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Consult with dentist: First consult with your dentist to determine if surgery is indicated. He will recommend the surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Several treatments: There are several treatments including equilibration, splint therapy, surgery. Self help can include softer diet, warm compresses, no gum, limited op... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Could be: It could be but your first exam should be with an ENT doctor to rule out ear issues.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
Multiple symptoms: Some of the more common tmd symptoms are clicking or popping in the jaw joint, limited opening, pain on opening in the joint area, pain in the muscles... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Manuel Sousaanswered
Orthodontics 48 years experience
See a dentist: You should have it evaluated by a dentist and he/she can prescribe medication to relieve the pain if deemed appropriate.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
4
Recommendations
52
Thank you notes
Mar 19, 2015
Great Orhodontist!!
HealthTap member
Mar 31, 2015
Dr. Sousa is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Sousa is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Have been diagnosed just waiting to see oral surgeon
HealthTap member
Thank you, your answer was very helpful!
HealthTap member
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
Loyola School of Dentistry
Graduated 1975MD
Residency
Loyola School of Dentistry - Chicago
Awards
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