How Soon Should You Return for TMJ Issues After Noticing Bite Changes?

How soon should I return for a follow-up appointment after noticing an open bite while wearing an occlusal splint?

Hello, Doctor.
I have been undergoing treatment for temporomandibular joint (TMJ) disorder with an occlusal splint for over a year.
I have been paying special attention to changes in my occlusion since I found some information about TMJ disorder treatments online.
Around the beginning of this year, I started to feel that my teeth were not right, but I thought I might be overthinking it, especially since I have no prior experience with open bite.
I have regular follow-up appointments every three months, but during my most recent visit, I didn't mention my concerns about changes in my occlusion.
However, the doctor advised me to wear the splint every other day instead of daily.

Today, when I visited my general dentist for a cavity filling, he noticed that my occlusion was off.
He advised me to inform my oral surgeon during my next TMJ follow-up about my concerns regarding the change in my occlusion.
It was at this point that my dentist confirmed that my feeling of something being wrong with my teeth is indeed related to an open bite.
My next appointment for my TMJ disorder is scheduled for early June.
I'm uncertain if my oral surgeon is aware of my open bite.
Given this situation, do you think I should schedule an earlier appointment to address the open bite issue? I'm worried that my surgeon might already know and that's why he advised me to wear the splint every other day, and I don't want to unnecessarily rush for an earlier visit.

Niming, 20~29 year old female. Ask Date: 2017/04/13

Dr. Huang Tingfang reply Dentistry

Dear Anonymous,
Hello! If you notice an open bite while wearing the occlusal splint, it is important to return to the clinic promptly.
If the open bite persists while wearing the splint, adjustments can be made to the splint; however, if you remove it and still have an open bite, it may be more complicated.
Please communicate with your dentist frequently.
Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/04/13

More Info

When dealing with temporomandibular joint (TMJ) issues, especially after noticing changes in your bite, it is crucial to communicate any concerns with your healthcare provider as soon as possible. TMJ disorders can manifest in various ways, including changes in bite alignment, jaw pain, and discomfort while chewing or speaking. Given your history of using an occlusal splint and the recent observations from your dentist regarding your bite, it is advisable to prioritize a follow-up appointment with your oral surgeon or TMJ specialist.

Changes in bite can indicate a progression of the underlying TMJ disorder or may suggest that the treatment plan needs to be adjusted. The fact that your dentist has identified an issue with your bite is significant and should not be overlooked. While you have a scheduled appointment in June, if you are experiencing discomfort or if the changes in your bite are affecting your daily life, it would be prudent to seek an earlier consultation.
In TMJ treatment, timely intervention can prevent further complications. For instance, if the occlusal splint is no longer effective or if your bite has shifted significantly, your healthcare provider may need to reassess your treatment plan. This could involve adjusting the splint, considering physical therapy, or exploring other therapeutic options to alleviate symptoms and restore proper alignment.

Moreover, the recommendation from your oral surgeon to reduce the frequency of wearing the splint from daily to every other day may have been based on their assessment of your condition. However, if you feel that your bite has changed and you are experiencing discomfort, it is essential to communicate this to your healthcare provider. They may not be fully aware of the changes you are experiencing, and your input is vital for them to make informed decisions about your treatment.

In summary, if you have concerns about changes in your bite, especially after receiving feedback from your dentist, it is advisable to schedule an earlier appointment with your TMJ specialist. Open communication about your symptoms and any changes you have noticed is key to effective management of TMJ disorders. Your health and comfort should always come first, and proactive engagement with your healthcare team will help ensure that you receive the best possible care.

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