How much years i have before tmd

Head forward posture

Hello doctor , Before 3 years my jaw blocked i was at dentist i open my mouth for a long time because that its blocked
Also Head forward posture (not too much)
In the beginin of 2017 after stressfull periode i had some clocking in right tmj ( in the x ray is the side where there are the red ligne
Now after 7 month i have pain at morning and sometimes all the day
Not huge pain
Dentist say that i should get a splint also remove the wisdom Tooth
Because im in Algeria and i know how much is difficult to treat tmjd
I wouldn’t have any intervention here
Please doctor what do you see
How much years i have before tmd start ( i mean how much time have before that will be complicated)


Discussion


Ying Bu
The X-ray show the problems are in your left side

Aldh Abderrahman
Whats the problem in the left side ??

Ying Bu
Aldh Abderrahman frist the picture right side in fact is your left side. Like to look the mirror.specular reflection principle.

Aldh Abderrahman
Yes but what is the problem

Ying Bu
Aldh Abderrahman if you can see Facebook my friend all the Europe friend they are my teachers I ‘m student I wish you can get some help from them. Because the right answer is very important.

Ying Bu
The wisdom teeth maybe the reason.I introduce VieSID school to you. There many dentist reach the dynamic function treatment to the patient all over the world. I just a student of VieSID

Ying Bu
Impacted wisdom tooth changed your spee curve. From the picture I notice your both side spee curve asymmetry

Aldh Abderrahman
Ying Bu do you speak french ?

Aldh Abderrahman
Luis Redinha Brian McDowell Sören Linge Clayton A. Chan helll doctor any answers please

Brian McDowell
Aldh, is your pain mainly on the right? I can see a change in the head of the condyle on the right… As for how long before a complex problem, that is unknown… It may already be a complex problem, or it may never become one. It will worsen over time, but can’t definitively say when… It appears there is a reverse curve to your bite- slopes from higher in the front to lower in the back- looking at the lower jaw…

Aldh Abderrahman
Yes pain in right tmj and some migraines
And after swimming session clicking disepear for a short time and return (maybe 2 houres)

Brian McDowell
Aldh, probably due to holding your jaw more forward, then as you relax, jaw collapses back causing the clicking again…

Aldh Abderrahman
Yes , What i should do ,Your opinion pleasz

Brian McDowell
Aldh, I would try to find a physiologic dentist to figure out exactly what is happening and develop a plan to treat. Not sure if there any near you, but that would be my recommendation…

Aldh Abderrahman
Okey thank you so much doctor

Brian McDowell
Aldh, your welcome!!!

Aldh Abderrahman
Should start with nm dentist ??

Brian McDowell
Aldh, yes, that would be a great start!!!

Aldh Abderrahman
Okey in Algeria we dont have , We just have a orthodontiste and occlusodentiste .But without any material , Only axiographie and diode laser . What do you think ..They could help me or i should see directly nm dentist

Brian McDowell
Aldh, not sure if they can help as I don’t know the training they have had…. I am always skeptical if the doctor doesn’t have a K7/Biopak to check muscle activity…

Aldh Abderrahman
Okey thank you so much doctor i know some nm dentist in germany also in France i will see , Thanks

Aldh Abderrahman
Jeffrey Brown hello doctor , any help please

Aldh Abderrahman
Lvi Bill Dickerson hello doctor any help please

Aldh Abderrahman
Javier Vasquez hello doctor any anwser please ?

Javier Vasquez
A panoramic X-ray is not an resource to. Diagnostic Tmj unfortunately.. clinical examination is a must ..is different types of pain ,, is a fact that that wisdom teeth in that position can be also a source of pain .. the other can be concomitant to other situation
Unfortunately that X-ray is not a TMD analysis tool

Aldh Abderrahman
Should do diagnostic with K7 ?

Javier Vasquez
Aldh Abderrahman that also is just a little part of it ! CBCT. Dynamic cervicalSpine X-rays . U need a open mind physician.. that understand that is more than just a mandibular position , with training in cervical spine and posturology ..

Jeffrey Brown
Hello Aldh Abderrahman- that missing tooth has caused the molar to tip down things have shifted a lot. If you can get an MRI of the TM joints that would tell about how much damage there might be in the joints. The wisdom teeth do not look great, but this is not a good film to diagnose. This is tough to figure out what is going on without more information.

Ying Bu
He need a big Data to analysis

Aldh Abderrahman
Should i start with nm dentist ?

Ying Bu
Dear Dr. from the X~ray I can see because of the impact wisedom teeth in left side they let the lower jaw spee curve flatten than the right side,so when the mandible do border movement, function movement,the right side have a big pressure in TMJ,Especially bilaminar zone. Yes He need a lot Data to analysis then to make the Scientific and rigorous diagonsis

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