Ill-fitting bridge caused my TMJ?

TMJ is not a disease but a body part, like a knee or elbow.  What you have is referred pain to your head and ears that is connected to your jaw function.  Establishing a cause and effect relationship can be difficult, luckily it is usually possible to correct the problem with Neuromuscular Dentistry.  Most pain in patients with TMD (temporomandibular dysfuction) is actually from muscle not  from the TM Joint proper.

You stated that "the teeth were having a lot of contact with the teeth below it."  This may be due to a displaced disc or by muscle contration that shortens the muscle and causes early contact.  A common problem is when a bridge is made that includes the last posterior tooth.  If the patient closes even one time without posterior support it can immediately create a displaced disc.   More common is to have MPD, Myofascial Pain and Dysfunction where there are taut bands and trigger points in the muscles that cause chronic pain and muscle shortening.

The first step in treatment is to have a Diagnostic Neuromuscular Orthotic  made to attempt resolution of symptoms.  If this is successful a long term solution can be explored.  It is essential that a thorough differential diagnosis be considered as part of your evaluation.  I Hate Headaches.org has excellent information about Neuromuscular Dentistry and the treatment of chronic pain.  

Their is debate over this issue in the dental community... I personally believe an ill fitting bridge, removable bridge, or filling can be a precipitating event. In most cases the patients will have predisposing issues and the ill fitting bridge makes the issue worse. Remember TMJ is a catch all term, the pain can be caused by muscles, damage to the joint, or neurogenic in nature. Proper diagnosis is the key and remember that a patient can have a combination of issues. A decrease in range of motion or popping and clicking many times indicates muscle and or joint damage. Good luck

 

Kevin Coughlin DMD, MBA, MAGD  CEO of Baystate Dental PC.

Anytime a person's occlusion (the way upper and lower teeth meet) is not perfect, the TMJ can suffer. You mit have been right on the brink of TMJ disaster, and the alteration of your bite by the new bridge might have sent you "over the cliff".