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What doctor would I star with for this ent, dentist, pediatrician


lynn
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I noticed today that ds15 jaw pops when he chews. He says it'd been happening a while, it does not hurt or ache and has become stuck for a moment when he yawns. He has said nothing to me about this until I heard it at lunch. Who do I start with. He was at the dentist a few months ago and had a full set of trays and nothing was said then

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We started with a GP and got a referral to a 'jaw specialist' who on this case was a dentist - the GP said it's a bit of a grey area who deals with this. (Actually we started with a physio, but this only made a very short term different). This guy was clearly riding the wave of success with his overseas specialisations and all the rest, but his confidence was contagious.

 

Basically the problem was that the disc that sits between the jaw joint had slipped out of place. This is quite common (15% I think he said) but often doesn't bother people. The solution was jaw exercises (stretching) which should be done 6 times a day (dd probably reliably did it 4 times a day) and a bite splint for the lower teeth which released pressure on the joint while she slept. He was sceptical about those who suggest any worth to a surgical approach - he aimed to give the joint time to heal and essentially form a pseudo disc.

 

It took about 6 months to resolve the issue, and for the most part it is fine now. She'll always be susceptible to problems though.

 

(He said she clenches her teeth in an extreme way, and basically said if he couldn't see she / we were fine there'd be concerns of some major issue - he was circumspect with her there, but I think he meant drug use or mental health issues. In fact I also have a lot of teeth clenching issues, although they're more headache and tooth damage than jaw related.)

 

ETA: This was important: we were told to fix a few bad habits - NO nail biting and NO leaning the jaw/chin on a hand while at a desk. They are both very damaging to the jaw.

Edited by nd293
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