Is TMJ/TMD Post 18 Dental Veneers Curable with a Bite Guard and Adjustment?

Question

I had 18 teeth restored with veneers. In the front, he placed 360 degree veneers, top & bottom, all lasting 6 hours for the prep visit and 5.5 hours, two weeks later, for the installation. I needed 18 lidocaine injections. It has been 5-6 weeks since installation still with constant jaw, sinus, temple, headache pain (Tylenol/Aleve 24/7). My bottom front teeth "hit" the back of my top front teeth and my rt. molars hit precluding a full bite. Is this TMD? TMJ? Curable? Bite guard? Please help!

Ira Shapira, DDS · Answer

TMJ problems that occur following  dental procedures are almost always correctable. There are many types of TMJ problems and can be related to internal derangements in the joint, capsulitis or most commonly muscle pain.It is extremely import and to correct the occlusal issues as most TMJ disorders are a type of repetitive strain injury.  Once a healthy closing pattern for your jaw is established your body will begin healing.The good thing about most TMJ/TMD problems is they are relatively easy to diagnose and treat.Dr Ira L Shapira ThinkBetterLife.com

Pamela Marzban, DDS · Answer

I am sorry to hear about what yor are going through. It sounds you had a lor of work done and things can feel like is too much to deal with. By what you are explaning, it sounds like you can definetely have TMD/TMJ issues and it will get worse with time. First, go to your dentist and have them check your bite , its probably high and the interference are causing pain and discomfort. Once your bite is stable and you feel comfortable, all symptoms are gone you will benefit from a Hard/SOFT night guard, that will protect your new porcelain restorations and will give some freedom to the joints and muscles. Keep in mind in symptoms do not improve you should consider going to a consultation with a TMD specialist , Neuromuscular trained dentists are very good at this.

Robert Fields, DDS · Answer

Sounds to me like you have had a tremendous amount of dental work done in a very short period of time! Two things are likely the cause of your problem and, it does sound like you have TMJ. You need to see your dentist and have him check your bite and correct it. This will help the overworked muscles in your face. This make take sometime and a bite guard at night, would help if your clench or grind your teeth when sleeping. This will also protect your veneers at night, in case you are bruxing and clenching. You should have by now, six weeks later, recovered from the amount of time you had your mouth open while the veneers were placed.  Dealing with the pain,now, is your main problem.   Theraputic botox injections placed in your masseter and your temporalis muscle, which open and close the jaw, could help with the pain. They relaxe the muscle and allow your jaw to recover. It is by far a better solution then to continue with meds over a long period of time. My advise to you is go back to your dentist and make sure he does the right thing and corrects your bite and seek advice from a neuromuscular dentist who is a specialist in this area. Also check out sites and dentists who use theraputic botox to help people deal with the pain from TMJ everyday!  Good luck and I am assured once the bite is corrected and your muscle spasms cease, you will love your new smile!

Carlo Biasucci, DDS · Answer

With that amount of dental work, it is common to have a few adjustments to the way your teeth fit together, however if the front teeth hit when you close that needs to be corrected either by adjusting the restorations or remaking them to a comfortable bite.  A bite guard will not really help.  You should be able to close your teeth together comfortably without any specific teeth hitting first.

Gerry Curatola, DDS · Answer

TMD/TMJ (joint) related pain following the placement of Porcelain Veneers is generally the result of occlusal (bite related) interferences which is precipitating neuromuscular spasm and pain. This needs to quickly be eliminated such as anterior interferences (such as hitting the inside of your purer anterior (front) teeth and uneven posterior (back) occlusion such as hitting one side vbefore the other. A "balanced occlusion" is essential for proper jaw function. With that said, the amount of dentistry you have had (18 teeth) and the time you were under treatment with your mouth open can also precipitate TMD/TMJ pain especially if you had any underlying predisposition or para functional habit such as clenching or bruxism (grinding). A night guard or clenching suppression device can help symptomatically however it is essential to treat the cause which is most probably occlusal in origin by a dentist who is knowledgeable in occlusal function.

	As far as the pain, you should be aware that this may take some time to simmer down as neuromuscular spasm and pain can be very persistent and adjunctive therapy such as physical therapy, diet modification, and certain muscle relaxant medications can be helpful as well.

Is TMJ/TMD Post 18 Dental Veneers Curable with a Bite Guard and Adjustment?

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Answer: TMJ/TMD following complex dental treatment

Answer: TMJ/TMD following complex dental treatment

Answer: Curing TMD/TMJ related pain following placement of Porcelain Veneers

Answer: Curing TMD/TMJ related pain following placement of Porcelain Veneers

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Is TMJ/TMD Post 18 Dental Veneers Curable with a Bite Guard and Adjustment?

Answers (9)

Answer: TMJ/TMD following complex dental treatment

Answer: TMJ/TMD following complex dental treatment

Answer: Curing TMD/TMJ related pain following placement of Porcelain Veneers

Answer: Curing TMD/TMJ related pain following placement of Porcelain Veneers

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Recommended reading

Everything you need to know about Porcelain Veneers

Our mission is to create a world where every investment in modern beauty is Worth It.