Needing expert help. i have tmj, and my orthodontist is going to give me a twin block to keep my jaw forward?

Are you sure?: Many patients that have "tmj" do not but have mfd (myfacial pain dysfunction). Regardless, its important to get tomograms of the joints to determine if its truly tmj. After such, using a splint to keep the bite open can assist in both tmd/mfd symptoms, unless there is severe active damage to the joint itself. I personally do not use twin blocks for these symptoms. I prefer upper splints.

Might work: Unfortunately TMJ is one of the last great mysteries of our profession. Some treatments work for some people and then won't work for others. As long as you are aware that it may or may not work, its worth a try.

TX can vary: The cause of your tmj/tmd, if known and the duration of your problem, may dictate the treatment. Often treatment for TMJ can vary from person to person and also may sometimes involve seeing other doctors. Physical therapy, tens, ultrasound therapy, exercises, and mouthpieces are the most standard types of treatment. You may need combinations of all.

What is the cause: Tmj problems have multiple causes. Just "keeping a jaw forward" may not be appropriate. You need to know what are the reasons you are having a problem(s). If you jaw is dislocated bringing it forward without recapturing the disc may not be appropriate. You need to find a functional position and be stable for a couple of months before your finalize treatments.

Need a consult: You need to be examined by a TMJ specialist to determine the cause of your TMJ and to tell you if what the orthodontist wants to do is going to help you or not. X-ray and c t scan can't be done online..

WAIT!!!: Some orthodontists are knowledgeable with TMD. Others not. I would recommend seeing a TMJ expert in your area to get a second opinion about the best way to treat your TMD.