Tag Archives: LVI

Can a Dental Crown Cause TMJ

I’ve had a problem over the last month of my jaw aching, especially in the morning. I’ve been under some stress and have caught myself tensing my jaw some throughout the day. Then, I got a dental crown. It’s made the pain so much worse. I went back to the dentist…several times. He’s adjusted it several times, but the pain never seems to go away now, plus, it’s always hitting my other teeth before the others. Could this be causing TMJ?

Beatrice

Dear Beatrice,

Woman holding her jaw in pain

Yes, a poorly placed crown can certainly cause or exacerbate existing TMJ problems. There is a lot that goes into understanding how the bite should go together. Some dentists invest more time and training in that area than others. You may have a dentist who doesn’t invest much in it.

The fact that your teeth are not meeting uniformly is a cause of concern and he should know that. Some dentists who have trouble getting it right will just adjust and adjust until the patient is too embarrassed to keep complaining and drop it. This needs to be fixed.

The fact that your jaw had already had some minor pain and you’d noticed some clenching during the day worries me too. If you notice clenching during the day, you almost certainly are doing it at night as well. You should be wearing a nightguard. They’re custom fit to your bite and comfortable. Their function is to protect your teeth and jaw from the pressures of clenching and grinding.

Finding a TMJ Dentist

It doesn’t sound like your dentist is going to deal with this properly, so you need to see one who understands TMJ. While there isn’t a recognized TMJ Specialty, there are ways to know if a dentist has a good knowledge of the condition.

You’ll want to especially look at their post-graduate training. Don’t feel weird asking them about it. It’s important knowledge for you in choosing the right dentist. For instance, Dr. Stanley Burba invested significant training on TMJ Disorder. He’s studied at both the Spear Institute and the Dawson Academy.

Some other great centers are the Kois Center and the Las Vegas Institute for Advanced Dental Studies (LVI). If a dentist has trained at any of these institutes, they’re sure to be able to help you.

Additionally, if it turns out that your dental crown isn’t properly placed the new dentist can help you get a refund from your current dentist.

This blog is brought to you by Dr. Randall Burba.

Can You Get Dental Implants With Low Sinuses?

I’ve been told I have low sinuses. Am I able to get dental implants?

Mark S. – Utah

Mark,

If you’re othewise a decent candidate for dental implants, then I’ll say, yes, you can get dental implants with low sinuses–with a couple of qualifiers.

  1. Depending on how low they are, you may have to get a sinus lift and some bone grafting done.  I would really get this looked at. It’s not a step you’ll want to skip if it’s necessary.
  2. You’ll want to get a dentist with advanced dental implant training. Any dentist can place these. But, any dentist can perforate your sinuses too. There are plenty of dental implant horror stories out there. That will mean a trashed procedure and lots of pain, along with a likely infection for you.  Some training institutes you can look for are: LVI (The Las Vegas Institute for Advanced Dental Studies), The Kois Center, The Dawson Center. There are others as well, just make sure they have the training necessary to do this properly.

This blog is brought to you by Dr. Randall Burba.

Could an accident cause TMJ problems?

I was in a acr accident the other day and got knocked around quite a bit.  Now  I have a lot of jaw pain and my jaw keeps making a popping sound whenever I chew. Could I have developed TMJ from this? Someone told me that’s what the popping is.

Brenna L. – New Mexico

Brenna,

Popping is a symptom of TMJ and it is possible to get it from a car accident, if your jaw was knocked out of alignmet. The only way to know for sure is to see a dentist who treats TMJ.

Do not hesitate to ask about their TMJ training credentials. There is not a recognized  TMJ specialty. That means any dentist can call themselves a TMJ dentist even without additional training.

Some training qualifications will be Spear, Dawson Academy, The Kois Center, LVI (Las Vegas Institute for Advanced Dental Studies). Those are good qualifications and you can feel assured the dentist will have a valuable understanding of TMJ and how to properly treat it.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

If you grind your teeth, your mouth is NOT fine

I had a check up. I told my dentist that I’ve been having some pain in my teeth/gums. It’s kind of a low-value pain (say on a scale from 1-10 being about a 4 0r 5), but it feels like someone is grabbing my tooth and then letting go. He checked me over and even did some x-rays. He said it looks like I grind my teeth, but I have no cavities or anything and my mouth looks fine. What could be the cause of the pain?

Jen H. – Milwaukee

Jen,

Regardless of what your dentist says, if you grind your teeth everything is absolutely not fine. In fact, the grinding issue needs to be addressed. It’s obvious your dentist is just a cavity / filling type of dentist. However, there are some other dental issues that need to be addressed in your case, such as the strong possibility you have gum disease, TMJ, and possibly occlusion issues.  Some of these can be quite serious. Do not allow your dentist to brush this off.

You’ll have to bear in mind that I haven’t actually examined you and can only just make educated guesses from your descriptions. The pain could be from progressive gum disease or from your grinding. If either are left untreated you will lose your teeth. If it’s gum disease, your teeth will come loose and fall out. If it’s from the grinding, you will literally grind your teeth down to nubs. Additionally, this can lead to some serious TMJ issues.

If you treat this conditions early, it will be a lot simpler and a lot less expensive.  For gum disease, your dentist will have you come in for some extra cleanings. He’ll probably prescribe some fluoride to you as well.  He may suggest some other things as well, depending on the severity of your case.

Even if gum disease is what is causing your pain, you need to address the grinding. The simplest solution is to wear a night guard. If there are some other occlusal issues, some additional treatment might be necessary.

I don’t think your dentist is qualified to address your grinding/tmj issues. I strongly recommend you find a dentist with specific TMJ training. Look for someone who was trained with either the LVI, Dawson Academy, or Spear.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.