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Medical Forum / Diseases and Disorders / Epilepsy / May 2005

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TMJ

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PIPER - 29 Apr 2005 18:39 GMT
Has anyone here developed tmj from their seizures? i have had 2 seizures in
2 years and i think now i may have tmj.it could also be from being on cpap
machine where i have to keep my mouth closed all night.i just didnt know if
when you have a seizure you clench your teeth to the poin that it could
damage the joint.
thanks
piper hall
Tinker - 29 Apr 2005 19:30 GMT
: Has anyone here developed tmj from their seizures? i have had 2 seizures in
: 2 years and i think now i may have tmj.it could also be from being on cpap
[quoted text clipped - 3 lines]
: thanks
: piper hall

I've broken three teeth during seizures and will have jaw pain for days. I
could see it as a possibility.

Tinker
G.Ross - 29 Apr 2005 21:00 GMT
> : Has anyone here developed tmj from their seizures? i have had 2 seizures
> in
[quoted text clipped - 10 lines]
> could see it as a possibility.
> Tinker

There's a Dental Appliance you could get a quote for.   It's called an
'Occlusal Splint' -- a clear plastic semi-circular curve, that fits over the
Top teeth at night.  It prevents tongue or tooth damage if you had a
Nocturnal Seizure.
   My dentist said a cheaper version for 'kids' or as a test version can be
made from Mouthguards that sporting stores sell for Hockey or Soccer
goalies.   That type (plastic too) covers both top and bottom teeth in one
piece.   He said to cut it in half where the parts join, then you have 2 as
you only have to cover the Top Teeth to prevent above damage.
   The Dental version in Canadian Dollars costs about $200-250 for Lab
Fees, Fitting, plus the first Splint.   This type is better as it is made
specifically for your mouth size and fits snuggly over top teeth.   It's
about as thick as a coin, and after first night you won't notice it's there.
Each one lasts 12-20 months depending how many nocturnal seizures you have,
and new ones can be made from above imprint (the expensive part above) for
another ~$40.   A new impression is usually done after 2-3 years to correct
for jaw/ tooth movement during that time.
  (I didn't reply to first post above since I didn't know what 'tmj' was
code for. )      G./
Tinker - 29 Apr 2005 22:32 GMT
: > : Has anyone here developed tmj from their seizures? i have had 2 seizures
: > in
[quoted text clipped - 30 lines]
:    (I didn't reply to first post above since I didn't know what 'tmj' was
: code for. )      G./

I do have a dental appliance, unfortunately I've only had about 6 sleep
seizures in the life and the broken teeth have happened during the day :( I
haven't bitten my tongue off yet, but I have a hard time sleeping with it
in. Call me a wimp, but it wakes me up with that WTF is in my mouth
feeling.)
My most recent night time seizure happened ( I think) because of a change
in meds. Now I'm having trouble sleeping because I keep expecting it to
happen again.

Tinker
G.Ross - 30 Apr 2005 13:53 GMT
> : > "PIPER" <> wrote in message
> : > : Has anyone here developed tmj from their seizures? i have had 2
[quoted text clipped - 29 lines]
> happen again.
> Tinker

I intended that reply for 'piper' but hooked onto your message in the queue
in error since I thought you both were having Nocturnal seizures, which some
of us had either exclusively or as we got closer to full control.   Their
seizures (piper post) sounded like they were happening at night.   Ignore my
reply.  Without full information, it's hard to be any help to a specific
case.    /G/
  Earlier extract I replied to -->

: Has anyone here developed tmj from their seizures? i have had 2 seizures
in
: 2 years and i think now i may have tmj.it could also be from being on cpap
: machine where i have to keep my mouth closed all night.i just didnt know
**********************************************
if
: when you have a seizure you clench your teeth to the poin that it could
**********************************************
: damage the joint.
: thanks
: piper hall

/////////////////////////////////////  Didn't intend reply to below,
although it followed the nocturnal post, but didn't specify timestamp of
seizures -- day vs. night time. ///

I've broken three teeth during seizures and will have jaw pain for days. I
could see it as a possibility.
Tinker
Tinker - 30 Apr 2005 19:39 GMT
No worries

I just replied because I had had my first sleep seizure in quite a long
time, and it was unnerving to say the least. I just felt the need to babble.

Tinker
PIPER - 02 May 2005 19:16 GMT
No, I don't think I have night time seizures.I think after my last seizure
(15min) that the pain i feel in my jaw might be tmj.
"
PIPER - 02 May 2005 19:15 GMT
Wow, I'm sorry to hear that.

> : Has anyone here developed tmj from their seizures? i have had 2 seizures
> in
[quoted text clipped - 10 lines]
>
> Tinker
Tinker - 03 May 2005 06:26 GMT
: Wow, I'm sorry to hear that.

Could be worse. Had a friend break her hand during a fall. I bought her some
roller bladeing wrists guards to wear until she healed. She wore them for a
couple of years.
'Just in case'

Tinker

: > : Has anyone here developed tmj from their seizures? i have had 2 seizures
: > in
[quoted text clipped - 11 lines]
: >
: > Tinker
CyberCafe - 30 Apr 2005 01:06 GMT
> Has anyone here developed tmj from their seizures? i have had 2 seizures in
> 2 years and i think now i may have tmj.it could also be from being on cpap
[quoted text clipped - 3 lines]
> thanks
> piper hall

My TMJ in my left joint came from a sneezing bout (allergies). You know
how you clamp down with your teeth at the end of a sneeze. After the
sneezing was over, I noticed my teeth on the left side didn't touch each
other when I closed my mouth, and I couldn't open my mouth very much
either.  There was just a bruiselike feeling over the left joint but
nothng more, so I ignored it.  It stayed that way for about a month and
then the joint slid back into place by itself.

Next time I went to the dentist, he could hear the joint clicking when I
opened or closed my mouth, and he told me it was TMJ.  The dentist gave
me exercises, which helped tremendously.  Once in a while I still have
to do the exercises, and always, always, always before going to the
dentist.  Another dentist showed me how to pull the jaw to get the hinge
to go back into place if it popped out again, but I've never had to
resort to that (don't even think I remember how anyway).

Barb
Dave ©¿©¬ - 30 Apr 2005 21:01 GMT
Howdy!

I don't see how a protective device would make any difference.

If you are going to clamp down hard enough to do damage to a jaw muscle,
bone or tendon I can't see where it would make any difference what you clamp
down on.

Signature

Dave ©¿©¬

http://www.howdydave.com

> > Has anyone here developed tmj from their seizures? i have had 2 seizures in
> > 2 years and i think now i may have tmj.it could also be from being on cpap
[quoted text clipped - 21 lines]
>
> Barb
Dave ©¿©¬ - 30 Apr 2005 21:21 GMT
I'm looking at this as a simple problem in PHYSICS.

The FORCE, TENSION and RESISTANCE are the same whether you have:

TEETH pressing against TEETH
or
TEETH pressing against a RESTRAINER pressing against TEETH!

Signature

Dave ©¿©¬

http://www.howdydave.com

> Howdy!
>
[quoted text clipped - 32 lines]
> >
> > Barb
G.Ross - 30 Apr 2005 22:39 GMT
The ride in a car is the Same whether you have rubber tires on wheel rims or
*just the steel rims?

The plastic retainer (splint) I described earlier is 1/8 inch thick and
compresses under pressure. It's intended for night time use.
  Whatever type of effect he got that affected jaw muscles he later said
were caused during daytime szrs.   Earlier, I was describing an appliance
that could be used at night, since our 'guards' tend to be lower then, and
**some seizure types are more likely to happen then (while asleep).
 Their Dr. would have to decide if the Nocturnal version would help with
'tmj' during the *night-- it obviously *couldn't during the daytime, and can
be costly if they don't have insurance.

   The 'jaw thing' and dislocation condition happening (in one poster's
case),  at *any time during the day, came out in Later Posts after the
thread had run to about 4-6.  It was at that point that we discovered what
'tmj'  was (subject line above).    styg.  //aptaltbc --> 'avoid pneumonics
that are likely to be confusing' :-< .

(And below - Resistance or tension *both change with a *compressable soft
plastic guard in your formula, so item 2 assumption is incorrect.)  G/

> I'm looking at this as a simple problem in PHYSICS.
>
[quoted text clipped - 12 lines]
> clamp
>> down on.
Dave ©¿©¬ - 02 May 2005 19:16 GMT
Howdy GR!

I'd have to disagree with your statement about resistance and tension
changing.

The DISTRIBUTIONS may change but the resistance and tension will remain the
same whether you are pressing down on your teeth, a piece of wood or a piece
of rubber.

To use your analagy:  I'm not talking about the ride in the car, I'm talking
about where the rubber meets the road. These forces are not going to change
just because you put in some new shock absorbers.

Signature

Dave ©¿©¬

http://www.howdydave.com

> The ride in a car is the Same whether you have rubber tires on wheel rims or
> *just the steel rims?
[quoted text clipped - 34 lines]
> > clamp
> >> down on.
G.Ross - 03 May 2005 15:07 GMT
> Howdy GR!
> I'd have to disagree with your statement about resistance and tension
[quoted text clipped - 5 lines]
> piece
> of rubber.
**G* So what? That has no effect, see below./

> To use your analagy:  I'm not talking about the ride in the car, I'm
> talking
> about where the rubber meets the road. These forces are not going to
> change
> just because you put in some new shock absorbers.

***G.*** Your nerve endings are not 'where the rubber hits the road' but
inside your gums.  Bite into a ball of Cotton and a Rock and tell me about
the forces being the same.
 I don't *care if the force at source is the same,  it's the effect on the
patient where the nerves are.

  The splint reduces effect of impacts like a Tire or Shock absorber do in
my analogy.   Not having any protection if the jaw slams shut (tooth on
tooth or tongue) during a Nocturnal Seizure, is like the example without a
Tire on the wheel casing, and just the metal bouncing along the road
surface. G. //

>> The ride in a car is the Same whether you have rubber tires on wheel rims
>> or
[quoted text clipped - 42 lines]
>> >> down on.
>> >> Dave ©¿©¬
Dave ©¿©¬ - 04 May 2005 01:31 GMT
Howdy!

Sounds like were talking about opposite ends here.

You're talking about broken teeth and I'm talking about pulled muscles and
torn cartalege.

When you chomp down with all of your might on the cotton ball, mash it flat
and end up chomping your teeth together with a thin, flat layer of cotton
between them; you still end up with the same resistance as you do when you
chomp down on a rock with all of your might without changing the shape of
the rock.!

Signature

Dave ©¿©¬

http://www.howdydave.com

> > Howdy GR!
> > I'd have to disagree with your statement about resistance and tension
[quoted text clipped - 71 lines]
> >> >> down on.
> >> >> Dave ©¿©¬
PIPER - 02 May 2005 19:17 GMT
What kind of excercises?
"
 
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