Full Dentures and TMJ Treatment

by Nancy
(Austin, TX)

I've been wearing full dentures for about 15 years (with relines and new sets) but the last two years have found both new sets of dentures intolerable to wear for even a brief few minutes.

I have many symptoms of TMJ and burning mouth syndrome, suffering chronically 24/7.
Question is, do I get tmj treatment PRIOR to being fitted for a new set of *hypollergenic*, hopefully lighterwight, thinner dentures.

Or do I get the dentures first. My last two dentures supposedly fit fine, but I've become hypersensitive- and quality of life is severely impaired at this point.

Thank you for any treatment advice.

Hello Nancy,
Making dentures is like fabricating orthotics; it's an art and it sounds like your latest orthodontist is no artist.

It's hard to be sure whether it's the dentist, or the person who made dentures. Either could be at fault.

My best advice is to go to a totally new practice that used a different technician to make the dentist. Unless you have a lot of confidence in the current place where you are.

I'm not too sure how to answer your question; it's an interesting one and has got me thinking. If one TMJ is fixated and not moving in harmony with the other, would it affect the mould? Yes, maybe, so perhaps it would be best to have the TMJ treatment prior to having your dentures made.

Let me know how you get on.

Dr B

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Mar 01, 2017
by: Dawn

Did physio really help you? My jaw is always hanging open and can't seem to close it comfortably; I've been thinking about physio but not sure if it's a waste of my time.

Hello Dawn,
Find someone, physical therapist or chiropractor, who works regularly with the jaw joint.

Dr B

Apr 27, 2016
tmj treatment or new denture first?
by: Nanc

Thank you for the response. It seems I have developed chronic, 2+ yrs, dysesthesia with hyper tongue and jaw movements. Received physical therapy for "tmj" recently which helped allow my jaw to close vertically rather than a "C" shape.

I'll be fitted for another low end denture this week. It's all I can afford right now.

My fear is I am now a 'crazy patient' who will never again be able to tolerate all that hard plastic in my mouth.
....a whole 'nother issue I suppose.

Thanks so much for your thoughts and input.

Hello Nanc,
It does give one cause to stop and consider before making huge irreversible steps in life; what would you give to have those lousy teeth back?

No, not a crazy patient at all, but just another once bitten twice shy when it comes to the excesses of health care; sometimes the devil you do know is better than the one you don't.

Our TMJ exercises might help, I don't know.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti-inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He is doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost pain-free. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily stroll has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift; he has a short leg.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. X-rays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65-year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88-year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done. 

10. Mr X is a 71-year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a few months ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he could not sleep on that shoulder.

13. Mr D, a 71-year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors should not be treating the elderly most medical sites state but that is so much bunkum.

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