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12-12-2010, 12:34 PM
|  | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| |  Dislocation of jaw
Hi:
I have bruxism since ever and ocassionally I has had a short period of dislocation but usually with some movements and exercises, the jaw returned to normal, but now I have the right side of my jaw totally dislocated 
I went to the dentist and she couldn't fix the problem, I'm taking painkillers but is still painfull when I eat or when I wash my tooth, is a constant pain and I very depressed right now.
My dentist said I need to go to an specialist and she was talking about surgery, I don't want it, any kind surgery is extremely expensive and I don't have medical insurance, I'm a freelance.
Any idea?, should I go to a chiropractor or similar?, exercises?  |
12-12-2010, 12:57 PM
|  | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | | Whoa whoa whoa. Your jaw is CURRENTLY dislocated? If so you need to go to the emergency room or an oral surgeon asap if your dentist was unable to reposition it, and should be given muscle relaxants before re-attempt. I don't see how you would be able to eat at all if this was the case though. Dislocation means the eminence of your jaw bone is completely outside of the joint, meaning you should be unable to close or open (depending on what position it is dislocated in).
As for future options, keeping in mind this is without knowing about the actual status of your tmj:
1) do you wear a nightguard or splint of any kind at night?
2) do you have any other medical problem such as arthritis
3) have you ever been prescribed muscle relaxants. I find a good first choice to be lowdose muscle relaxants, before bed. 10mg Flexeril. |
12-12-2010, 01:20 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | thanks idalis! Quote:
Originally Posted by idalis  Whoa whoa whoa. Your jaw is CURRENTLY dislocated? If so you need to go to the emergency room or an oral surgeon asap if your dentist was unable to reposition it, and should be given muscle relaxants before re-attempt. I don't see how you would be able to eat at all if this was the case though. Dislocation means the eminence of your jaw bone is completely outside of the joint, meaning you should be unable to close or open (depending on what position it is dislocated in). | I can open my mouth a little (but weirdly I can't stick out my tongue) and I can close it, the dentist said that my right condyle is out of place, she prescribed me muscle relaxants for 4 days, Cyclobenzaprine, (this happened the last Monday), I when to the dentist again yesterday, and she couldn't fixed.
I have high tolerance to the pain, is painfull but I still can eat, bland food in small pieces.
.[/QUOTE] Quote:
Originally Posted by idalis As for future options, keeping in mind this is without knowing about the actual status of your tmj:
1) do you wear a nightguard or splint of any kind at night? | No, I don't think I can use it, I breathe by my mouth because I have allergies and my nose always is congested at night. Quote:
Originally Posted by idalis 2) do you have any other medical problem such as arthritis | I don't know if I have arthritis, I have psoriasis and I have the probability to have psorisis arthritis. I do have joint problems because my scoliosis Quote:
Originally Posted by idalis 3) have you ever been prescribed muscle relaxants. I find a good first choice to be lowdose muscle relaxants, before bed. 10mg Flexeril. | I'm taking Cyclobenzaprine 85mg) maybe I need 10 mg?  |
12-12-2010, 01:26 PM
| | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | | A splint will not prevent you from breathing with your mouth at all. As a matter of fact it holds your mouth OPEN. This should be #1 on your priority list.
Cyclobenzaprine is the generic name for Flexeril. You are on a high dose currently because of the acute issue. The 10mg dose is what I recommend as daily preventive therapy for those with severe tmj issues outside of severe flares like this.
You need to see an oral surgeon who specializes in tmj. Stat. |
12-12-2010, 01:33 PM
|  | Denim God | | Join Date: Dec 2006 Location: Here
Posts: 36,937
| |  i'm no dentist but this is no time to gauge your tolerance for pain. i have a high tolerance too, but i'd have my ass at the doctor yesterday.
please follow Pam's advice. |
12-12-2010, 01:36 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by idalis A splint will not prevent you from breathing with your mouth at all. As a matter of fact it holds your mouth OPEN. This should be #1 on your priority list.
Cyclobenzaprine is the generic name for Flexeril. You are on a high dose currently because of the acute issue. The 10mg dose is what I recommend as daily preventive therapy for those with severe tmj issues outside of severe flares like this.
You need to see an oral surgeon who specializes in tmj. Stat. | Thanks, I will try to see the specialist as soon I can, he have a huge waiting list  , I hope he can move the joint to the original place without surgery, I will take 10mg because the high dose make me sleepy all the time Quote:
Originally Posted by Dojoqueen i'm no dentist but this is no time to gauge your tolerance for pain. i have a high tolerance too, but i'd have my ass at the doctor yesterday.
please follow Pam's advice. | I will !
Last edited by Deketa; 12-12-2010 at 01:41 PM.
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12-12-2010, 01:45 PM
| | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | | Yeah, 85mg is going to wack the hell out of you. The 10mg is a good preventive dose because you won't have many unpleasant side effects from it or potential for addiction, but it will relax your joint.
When you call, tell them that you are currently dislocated and this is an emergency. The longer you wait like this, the more damaged and spasmed your muscles are getting. |
12-12-2010, 01:55 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by idalis Yeah, 85mg is going to wack the hell out of you. The 10mg is a good preventive dose because you won't have many unpleasant side effects from it or potential for addiction, but it will relax your joint.
When you call, tell them that you are currently dislocated and this is an emergency. The longer you wait like this, the more damaged and spasmed your muscles are getting. | I will take 10mg from now, I will try get an appointment with this Dr as soon as posible, the problem is that summertime here, time for vacation and a lot of doctors are on vacation or in seminars and so |
12-12-2010, 02:09 PM
| | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | | there should be an OS on call at every emergency room |
12-12-2010, 02:25 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by idalis there should be an OS on call at every emergency room | Not really, here emergency are for accidents, seriously injured people, and is for people with insurance, people without insurance like me only have access private doctors , I only went one time to the dentist at the hospital for an urgency dental extraction, but I had insurance at that time.
Here hospitals are a nightmare
I'm crossing my fingers that the specialist can give me an appointement for the next week. |
12-12-2010, 02:31 PM
| | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | I keep forgetting we're talking about another country here 
Be very very insistent that this is an emergency and you cannot close your mouth and are in severe pain |
12-12-2010, 02:47 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by idalis I keep forgetting we're talking about another country here
Be very very insistent that this is an emergency and you cannot close your mouth and are in severe pain | Yes, I will try to be convincing but I'm dealing with secretaries and apparently they don't care about emergencies  , I can talk and eat=no emergency.
It's possible that the jaw could move to the correct position by herself?, I mean do exist an exercise I can do, even if is painful, I kinda desperate right now. |
12-12-2010, 04:11 PM
| | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | | No, there is nothing to exercise here, and while it's possible to pop back in by itself, the chance is nearly zero with it out this long. The muscles become spasmed and used to the abnormal position they are in. You or someone else (generally this is near impossible to do on yourself) can try to move it back in (you need to push your jaw down and backwards to the back of your head), but you need to be really careful. |
12-12-2010, 04:22 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by idalis No, there is nothing to exercise here, and while it's possible to pop back in by itself, the chance is nearly zero with it out this long. The muscles become spasmed and used to the abnormal position they are in. You or someone else (generally this is near impossible to do on yourself) can try to move it back in (you need to push your jaw down and backwards to the back of your head), but you need to be really careful. | thank you, I hope I can get an appoinment with the specialist soon, I still have some hope, I tried to move my jaw slowly but the muscles are too much tensed
I have an awful open bite, this can be the cause of my problems?
Thank again for your advices  |
12-12-2010, 04:39 PM
|  | Jean Junkie | | Join Date: Jun 2006
Posts: 2,589
| | Oh Deketa, my jaw hurts just thinking about what you must be going through!!! I hope that you can get to a specialist quickly!
__________________ Hi! I'm Melina! Check out my items for sale by **fancy**pants**. I have lots of SFAM, COH, and Paige in sizes 24-26, some purses, and lots of Anthropologie clothing!
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12-12-2010, 04:52 PM
| | Administrator | | Join Date: May 2006 Location: Westchester, NY
Posts: 34,181
| | Quote:
Originally Posted by Deketa I have an awful open bite, this can be the cause of my problems? | Well, it is related, in that obviously you have an overall skeletal misalignment |
12-12-2010, 05:02 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by Marcano Oh Deketa, my jaw hurts just thinking about what you must be going through!!! I hope that you can get to a specialist quickly! | thank you  |
12-12-2010, 05:06 PM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by idalis Well, it is related, in that obviously you have an overall skeletal misalignment | that true I'm completelly misalignment, I have cervical and dorsal scoliosis |
12-16-2010, 08:46 PM
|  | Denim God | | Join Date: Oct 2006 Location: Sunny Florida
Posts: 4,013
| | | ouch. i just read this and i feel so badly for your situation. have you been able to get in w the doctor? i sure hope so. hugs to you!
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12-16-2010, 09:11 PM
|  | Denim God | | Join Date: Jun 2006 Location: California
Posts: 43,552
| |  OMG! i just read this.
you must be in incredible pain
i hope you're able to get this fixed asap! |
12-16-2010, 09:55 PM
|  | Denim God | | Join Date: Dec 2006 Location: Wilmington NC
Posts: 4,467
| | | I would be crying like a baby if this was me. I have very little tolerance for pain. I really hope you are able to get this fixed. Where are you located that no one has time to see you? Good luck.
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12-17-2010, 09:39 AM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by abeyer ouch. i just read this and i feel so badly for your situation. have you been able to get in w the doctor? i sure hope so. hugs to you! | thank you , i will go to the dentist again today, still I can't go to the specialist Quote:
Originally Posted by nnnola OMG! i just read this.
you must be in incredible pain
i hope you're able to get this fixed asap! | I don't know if my muscles are accostummed, but the pain is less right now  , it's weird Quote:
Originally Posted by nicole44 I would be crying like a baby if this was me. I have very little tolerance for pain. I really hope you are able to get this fixed. Where are you located that no one has time to see you? Good luck. | I'm from Temuco, Chile, we only have 2 specialist in TMJ in this city and none can give me an appointment soon. I tried to find a kinesiologist (physical therapist) but I don't found any specialist in TMJ or similar. |
12-17-2010, 09:57 AM
| | Denim God | | Join Date: Dec 2006 Location: Wilmington NC
Posts: 4,467
| | Quote:
Originally Posted by Deketa I'm from Temuco, Chile, we only have 2 specialist in TMJ in this city and none can give me an appointment soon. I tried to find a kinesiologist (physical therapist) but I don't found any specialist in TMJ or similar. | I really hope you can find someone soon. My jaw hurts just thinking about it. I cannot imagine how you feel. BTW, I have always wanted to visit Chile. My husband almost got stationed there recently, but we were not ready to pick up and move that far.
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12-17-2010, 10:11 AM
| | Denim Addict | | Join Date: Oct 2009
Posts: 1,089
| | Quote:
Originally Posted by nicole44 I really hope you can find someone soon. My jaw hurts just thinking about it. I cannot imagine how you feel. BTW, I have always wanted to visit Chile. My husband almost got stationed there recently, but we were not ready to pick up and move that far. | thank you
You need to visit Chile, is a beautiful country  |
01-15-2011, 11:30 PM
| | Denim God | | Join Date: Dec 2006 Location: Wilmington NC
Posts: 4,467
| | | Well, did you get it fixed yet?
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