tinnitus and tmj

TechBoyJK

Lifer
Oct 17, 2002
16,699
60
91
My mom has TMJ and for my entire life (been seeing the same dentist), my dentist has been warning me about TMJ and that it could be hereditary. I had a terrible underbite as a kid, and that was corrected by orthodontics.

Over the past few years, I developed severe TMJ problems. I'm now 27.

If you are not aware of what TMJ is, or better yet, what THE TMJ is, it is the Temporal Mandibular Joint. Basically, your jaw joint. You have two, left and right, obviously, and the joint is usually right in front of your ear canal.

Several years ago I noticed discomfort in my left TMJ. I initially thought it was stress related. Over time, the discomfort turned into a mild grinding sensation of bone on bone. That eventually turned into a clicking sound, which eventually turned into a popping sound, which eventually started locking my jaw up. I didn't have health insurance through most of this time, so I just dealt with it. About 6 months ago I received dental and health insurance again through a new employer. About 4 months ago, the jaw discomfort had reached its pinnacle. I was waking up with my jaw locked, and I would either have to pop it open (you could hear the pop across the room, much louder than a knuckle pop) or I would have to hold a warm rag on the side of my face and massage it open.

Then it started locking throughout the day. I wouldn't talk for a while, and when I went to open my mouth, I could only open it about half an inch before it would stop. I started getting bad headaches, and ringing in my left ear (the side that was damaged)

I finally realized this wasn't going to go away, so i went back to my dentist. He took some xrays and told me I could follow one of two paths. Create a mouth guard that I would wear at night and hope that over a year or two the problem would be corrected, (cost $50), or go see a surgeon about possible procedures to correct it. He warned me that TMJ issues were often uninsured. Why? Health care pointed the finger at Dental and Vice Versa. Basically, health care insurance providers would say it was a dental issue, and Dental insurance providers would say it was a health care issue. Eitherway, it was often uninsured, even with the best available policies, and any TMJ surgery simply had to be paid out of pocket.

Fortunately in the past year, Missouri was one of a few states that declared it a health insurance issue and something that could pose a serious health threat. Can't open mouth = can't eat. Can't eat = die.

I live in Illinois, but I work in Missouri. Fortunately the surgeon my dentist recommended was licensed in Missouri and Illinois, and had an office in Missouri as well as Illinois. What I found out from my health insurance provider (dental told me to fvck off), was that if I had the procedure done in Illinois, I had no coverage. (no laws in illinois). But if I had it done in Missouri, it was covered.

So I start the pre-op sessions with the surgeon. Just from my symptoms he said the ailment was beyond "using a mouth guard" and it was a loose bandaid at best. The surgeon, who is a TMJ specialist, basically told me the TMJ disc (between your skull and the jaw bone) was out of place, slipping into the path of the jaw and blocking the jaws movement. Correcting it is a simple procedure where he simply sticks a needle into my face, pushes the disc back into place, flushes the tract out, and pumps in steroids and antiinflamattories. However, he needed an MRI so he didn't have to do much exploration. Without the MRI, he would need to make an open cut because he would have to explore. With the MRI, he could know exactly where to stick the needle..

So, insurance immediately approved the MRI. Get the MRI results back, and the surgeon says He was right and he can fix me up in a 30 minute operation. Health Insurance declines with reason saying "Its a cosmetic procedure"

Both Surgeon and I, along with the surgeon's office are basically in a "WTF position"

So they promptly appealed, with a nasty letter stating I couldn't even open my mouth and that if they didn't approve the procedure as they said the would and used "cosmetic procedure" as an excuse they were going to promptly file a lawsuit on my behalf.

Surgery was approved.

I went in the following week, went under anesthesia, and woke up no more than 40 minutes later. Jaw was sore, but not much sore than it already was, and while my jaw movement was very tight (structure was incredibly inflamed), I didn't feel any obstruction.

Surgeon came out and told me everything was as he expected. He was able to draw out some loose cartilage shavings (caused from me popping the jaw back into place and chipping off small pieces of the disc), and he easily slid the disc back into place. He said I still had over 90% of the disc left, but I did break off a good amount, considering.....

Anywho... my headaches are gone, and the severe ringing in my ear was since gone away. I thought I was getting tinnitus....... It took two weeks for my jaw to not be so tight, but now everything is back to normal....

PSA. If your jaw starts clicking, get that shit checked out!! It will only get worse and the symptoms will drive you bat shit insane because what is affected is basically the side of your face, the joints in your mouth, and all of your temporal muscles. It all gets irritated. The reason for my surgery was actually classified as "dislocated jaw"







 

DestinyKnight

Senior member
Jul 1, 2003
269
0
0
Techboy, great post. Every once in a while I'll get a clicking sound in my ear that is slightly painful. I also have an underbite. I've never experienced problems opening/closing my jaw but I wonder if this could be whats going on. Guess I should get it checked out.
 

BoomerD

No Lifer
Feb 26, 2006
65,907
14,308
146
Oer the years, I've experienced the occasional jaw "mis-alignment" thing where the jaw feels like it's out of alignment, but never had any kind of bad TMJ issues till one dentist used a hydraulic jack or some kind of dammed torture device to force my big mouth open even farther so he could park his work truck inside while he worked on one of my wisdom teeth. Ever since he spread the jaw open that far, I now get serious TMJ issues where the bite is offset and it feels like the jaw is out of joint. THAT hurts like hell when it happens, and now can be triggered by something as simple as a BIG yawn...(prick...he was a horrible dentist...did pretty shoddy work and we later found out he was over billing the insurance companies for work that had never even been done...I was kind of glad when he crashed his ultra-light...it forced me to go find a new dentist!)
 

clamum

Lifer
Feb 13, 2003
26,252
403
126
You definitely had it worse than I did. Last summer it started and I couldn't open my mouth fully. No pain really, except if I really tried to force it. It kept getting worse and I could barely open my mouth to eat, even eating a little spoonful of cereal was difficult. I finally went to the dentist and they said that the TMJ disc was inflammed, due to stress or grinding my teeth or something. Well it wasn't stress, it was probably teeth grinding which I sometimes due without noticing it. I took some ibprofen and it got better and hasn't come back since.
 

effowe

Diamond Member
Nov 1, 2004
6,012
18
81
I get this occasionally, but it seems to stem from sleeping on it wrong. Some mornings I'll wake up and feel it out of place, and I have to shift my jaw to the other side to get it to pop into place. It can be quite painful sometimes, but it doesn't happen that often. If it becomes worse, like what you experienced, I'll be sure to check it out. Thanks.
 

edro

Lifer
Apr 5, 2002
24,326
68
91
I have pretty bad tinnitus... and have had my whole life.
I have no jaw problems though.

I just started taking ginkgo biloba because numerous websites say it helps some people.
 
Feb 24, 2001
14,513
4
81
I've had tinnitus as long as I can remember, but in the past 6 months or so have been having tremendous jaw problems. Exactly like you describe. Locked, can't open more than a half inch, extremely loud popping sounds, etc.

Unfortunately my insurance is shit so everything would be out of pocket. My dentist said I needed to see some TMJ specialist in Dallas (about 2 hours away). But I work M-Sat right now from dawn till dark and can't take off right now. Maybe in another month or two :(
 

moshquerade

No Lifer
Nov 1, 2001
61,504
12
56
i'm glad you were able to get relief from your TMD. it can be a terrible burden for some people.

edit: i'm sure they've told you not to chew gum and to try to not open wide when you yawn or when you eat (like biting into a hoagie or something).
 

40Hands

Diamond Member
Jun 29, 2004
5,042
0
71
I had a minor case of TMJ that went away with time. One morning I woke up and opened my jaw and it popped and hurt to bite down. That went away over time. Until one day I was slapped in the face by this girl :D which made the popping return. That went away within a few weeks and has never returned.

Don't get slapped in the face if you have any sort of jaw problems. :laugh: