Some joint displacement and pterygoid hypertrophy are the result of chronic nocturnal clenching. These nighttime events create tremendous muscle force and activity that can be at play. Find a dentist trained in treating tmd pain with a nti devise.
Answered Dec 9, 2013
Treatment is available to return pterygoid muscles to a physiologically-neutral condition. In my practice, i will fabricate an orthotic that will help to "relax" the pterygoid muscles; in turn, the disc that sits in the TMJ will be relocated by to their normal position.
Answered Jun 19, 2015
The pterygoid does not cause a joint problem. The ball of the joint may be too far up and back in the socket, causing the cartilage to be distorted and / or dislocated. See if you can find someone that can help you find a stable joint position and then treat to that position. If the joint pops into place when you open you have a good chance you can recover a more normal function.
Answered Jan 26, 2013
A bite appliance that allows the disc to be recaptured and maintained in the correct position will allow for pain reduction, for the muscles to relax and for improved function and range of motion. These conditions are related as the pterygoid is attached to the disc. Recovery is possible without surgery.
Answered Jun 7, 2013
Most patients with TMJ can be helped. Comples problems. See a TMJ expert. Any dentist can be a TMJ expert with the proper training and experience. Most commonly, oral surgeons, prosthodontists, and orofacial pain specialists. Ask your MD, your dentist and your dental society for referrals.
Answered Mar 20, 2015
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