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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Appliance Therapy For Headaches. Have Clenching Problems. What Is Going On?

Hi, I am having trouble with my front teeth hitting first. I can clench slightly to make my back teeth touch. I have worn two different appliances for over 20 yrs. I am a bruxer and prior to appliance therapy, had numerous headaches. I wore a full splint for about 11 yrs. and an NTI since. Both worked well. Recently I have been clenching a lot during the day as well as during sleep. I am "religious " about wearing my NTI. What do you think is going on in my joints to cause this ? Thanks.
Mon, 19 Aug 2013
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Dentist,  's  Response
Hello,

Thanks for writing to us.

Clenching anterior teeth primarily may be due to-crossbite,posterior open bite,TMJ dislocation.

I would advice you to get a thorough clinical as well as OPG investigation done for the jaws.

Based on the radiographs,position as well as alignment of each teeth and treatment plan can be evaluated.

To prevent the habit of bruxism ,habit breaking appliances has to be placed.

Meanwhile,maintain oral care.

Hope this suffices.

Take care.
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Dentist, Orthodontics,  Dr. Mrunal Meshram's  Response
HELLO
THANK YOU FOR SHARING YOUR CONCERN IN HCM FORUM
TO GET RID FROM BRUXISM , YOU WILL HAVE TO USE HABIT BREAKING APPLIANCES.
NOW CLENCHING CAN BE DE TO MANY REASONS INCLUDING POSTERIOR OPEN BITE , CROSS BITE , PROBLEMS RELATED TO TMJ(TEMPERO MANDIBULAR JOINT).
YOU NEED TO GET THROUGH CLINICAL EXAMINATION DONE FROM ORTHODONTIST AND GET OPG DONE FOR RADIO LOGICAL EVALUATION.'
ACCORDING TO THIS , YOUR TREATMENT PLAN WILL NE PLANNED
IF ANY DOUBT WRITE US BACK
REGARDS
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Dentist,  Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Clenching of teeth is medically termed as Bruxism it occurs due to various reasons few are stress, posterior cross bite, TMJ problems, bad dreams, sleep disorders.
Clenching of teeth causes TMJ disturbances, muscle pain, wear of teeth surfaces and hypersnesitivity.

Bruxism is treated with a appliance called as NIGHT GUARDS.
I would suggest you to visit to an Dentist and get the examination done.
Take an OPG rdaiograph.
If necessary take impressions of both the jaws.

Avoid anxiety and stress.
Take complete balanced diet.
Start with multivitamin suplements.
Maintain a good oral hygiene.

Hope this helps out,

Regards...
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History Of Appliance Therapy For Headaches. Have Clenching Problems. What Is Going On?

Hello, Thanks for writing to us. Clenching anterior teeth primarily may be due to-crossbite,posterior open bite,TMJ dislocation. I would advice you to get a thorough clinical as well as OPG investigation done for the jaws. Based on the radiographs,position as well as alignment of each teeth and treatment plan can be evaluated. To prevent the habit of bruxism ,habit breaking appliances has to be placed. Meanwhile,maintain oral care. Hope this suffices. Take care.