A 21-year-old female asked:
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i have herniated disc in my tmj &dr.said use a night guard &for 6 months every night for an effect to occur is there anything more to do is it enough?

8 doctor answers
Dr. Bruce Pope
45 years experience Dentistry
Rest: Surgery. But that is a last resort. The injury needs rest but that is hard to do. Night guard, may need to wear full time, soft foods, no wide opening. Rest at least 3 weeks before you "test it".
Answered on Mar 22, 2015
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Dr. Majid Jamali
26 years experience Oral and Maxillofacial Surgery
Disc: Staying on soft diet for the first few weeks might help. However, if your MRI shows disc adhesion and excess scarring, the night guard will not help and would need arthroplasty.
Answered on Mar 22, 2015
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Dr. Mike Deldar
24 years experience Cosmetic Dentistry
Yes: Find a neuromuscular dentist in your area and have consult with them. Let them help you to find your proper physiologic bite and jaw position for you, this is very important to your long term prognosis.
Answered on Mar 22, 2015
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Dr. Artashes Avakian
35 years experience Cosmetic Dentistry
Nightguard for TMJD?: It is very unclear what 'herniated disc' means. There is no such a term for the disc in the tm joint. I think you have been misdiagnosed. It can't be considered a treatment option for tmjd any use of night guard. Find a dr. That have been trained in tmjd and get complete work up. There are tests that you'll need to have done before you will be diagnosed with certain stage of joint problem.
Answered on Oct 23, 2017
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Dr. George Ayoub
18 years experience Cosmetic Dentistry
Splint: Try a splint stay away from chewing gums and eating hard food.
Answered on Mar 22, 2015
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1 thank
Dr. Jerry Hu
Dr. Jerry Hu answered
23 years experience Cosmetic Dentistry
Orthosis: Try to have an orthosis made that allows your retrodiskal tissue and bilaminar zone to be free from being pinched. Also, you may want to work with atlas orthagonist with a dentist on your head/neck muscles along with your TMJ issues.
Answered on Mar 22, 2015
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Dr. Marc Gainor
40 years experience Cosmetic Dentistry
Bite splint: A simple bite guard may not be sufficient. A full arch bite splint, adjusted precisely with bilateral simultaneous even intensity contacts and shallow 'anterior guidance' (slight ramping) is a normal approach to treatment. Sometimes a guard that anteriorly positions you lower jaw to 'recapture' the disk is used, but your best bet is to have a dentist well trained in bite splint therapy evaluate you.
Answered on Mar 22, 2015
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Dr. Louis Gallia
45 years experience Oral and Maxillofacial Surgery
TMJ expert: Yes. Make sure you're being managed by a TMJ expert. Other treatments possible. 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 on Mar 22, 2015

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