Glad to have

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Glad to have found you very helpful site and thanks for pointers to bsos.org.uk. For the past 5 months or so I have been experiencing pain that fits more or less exactly with http://www.bsos.org.uk/cycle.html. It seemed to kick off around the start of a very stressful period at work. When I presented with chronic facial pain (cheekbones, bridge of nose, near temples, angle of jaw)as well as stiff shoulders and neck my Doctor referred me to an orthopaedic surgeon who ruled out any problems within his area of specialisation. There is some (painless) crepitus and my jaw devaites to one side on mouth opening. I then turned to an osteopath who produced some improvement and I have just started a course of acupuncture with him. (I understand that treatment is known to produced some alleviation of TMD problems.) Meantime, back to my doctor who arranged blood tests which came back clear, except for an elevated white cell count which he thinks might be suggestive of infection. He prescribed Co-amoxiclav. I have just started taking a one-week course. Seems like a shot in the dark. My mood is now pretty low since the whole experience had ground me down and destroying my quality of life. I have been prescribed a low dose of Amitriptyline(25 mg x 1 daily) which I haven’t yet taken. Although the ache/pain/discomfort is present more or less all of the day I’m still managing to sleep fairly well. The pain usually ‘switches on’ a little while after I wake. I haven’t lost any weight during any of this and – perhaps an odd thing to say – apart from the facial problem I don’t feel there’s anything wrong with me. My lower left 5 and 6 are missing. I have pre-molar crowns on each of my upper quadrants and I wonder if this is contributing to an occulsal problem.
A dentist did a resistance test. With my left arm outstretched horizontally I had to resist the downward pressure from his hand. He had no difficulty in pressing my arm down. He then placed some material between my upper and lower teeth, left side, over the missing teeth and I was able to push back and stop my arm being forced down. No idea whether this is as significant as the dentists believes in diagnosing a TMD problem.
I’m at my wits end in deciding where to turn next. I suspect the next obvious choice is a maxfax surgeon and an MRI scan; but frankly just at the moment I need some resassurance that the symptoms aren’t suggestive of something more serious than TMD.
Any advice on the basis of the above more than welcome.

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Asked on 28/10/2012 12:00 am
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Did it cover all the lower teeth so much so that when you moved your jaw forwards and from side to side the taps made you want to drop your teeth apart all the time?

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 14/11/2012 12:00 am
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Was your splint hard or soft?

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 12/11/2012 12:00 am
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How did you loose your other teeth?
Do you notice an improvement if you keep your teeth appart when it is bad , is stress is the cause then if your teeth were proprioseptive then they would seperate when you clench together .

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 11/11/2012 12:00 am
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You should try and have an occlusal evaluation,missing posterior teeth and fillings and crowns are an indicater of bone to bone miss-lignment , i would ask for a hard lower tanner appliance , after wearing an anterior deprogrammer for a day or so to see if you notice any improvement in your symptoms. CLICK on the t-scan advert to the right it will help you to understand it all a bit more clearly.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 30/10/2012 12:00 am
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It looks like you have researched your problem thoroughly but are yet to meet anyone who can help
From what you say it is possible that your symptoms have a TMD component and your bite could be a factor that in combination with your ongoing stress is leading to muscle overload
Please go back to www.bsos.org.uk and use the 'find a dentist' feature to find someone local to you who has been trained to diagnose if the cause of your problems can be treated in a logical and methodical fashion If necessary they can make reversible changes to your bite to test the benefit to you before offering a permanent correction

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 30/10/2012 12:00 am