kimbell1
Enthusiast
Reged: 08/20/03
Posts: 274
Loc: Route 666, Painville, Texas 6...
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I am on disability due partlyt to stress since I was in an extremely high stress occupation. Since retiring, I still have a problem with clinching my teeth and jaws. I have tried the following.
1. 1 mgs twice a day of xanx. That did not work then 1 mg 2 times a day with xanx. Did not help. Tried 10 mgs of Valuim two times a day. Did not help. These types of drugs only worked if I went over my daily limit ( usually and extra one a day) and of course I ran out early. I am trying to be a good patient with my caring doctor and won't use ops to suppliment.
I have tried soma, flexeril (I think that was what it was called-I know that it was expensive and supposed to be very powerful according to the pharmachist that dispensed it). It didn't help but I got 90 pills but I don't know the strength. I took one other muscle relaxer but can't remember the name.
I also have severe back problems and I am on social security disability. I am taking generic norco 10/325 for years and this Friday, my doctor wanted me to use the Norco as break through medication and wrote me a class 2 pain killer called avinza which I was told by the pharmachist is pure morphine for my main back pain at one pill a day at 30 mgs. If this works, my doctor will increase the dosage to break the pain cycle in my back. But while he is trying, I am having no luck with my jaw clinching. I have lost 2 waist sizes and can't eat more than one meal a day. I thought that I was going to break a tooth over the last few weeks and one of my teeth has an infected gum because of the teeth clinching.
My doctor thinks that all my pain is related and it he can get it stopped then my jaw clinching should go away. I also have tried a mouth gaurd but I feel like I am chocking on it.
Any sugesstions like trying the strongest type of muscle relaxer that is normally presecribed? What do you remmend and the dosage and frequency? Or should I let him increase the avina to 60 mgs or more. i think that is what he has in mind when I see him in January.
I know that generic drugs have a bad reputation and all have been generic that I can remember with the exception of the avinza. The flexeril may have been a brand name. Also, I am geting head aches for several months due to home construction where i live with the dust being kicked up. These head aches didn't start until that damned construction (I live in a new subdivision)
My back, teeth/jaws/ and head aches may be the same problems. I know that this board is not composed of doctors, but any suggestions would be grateful since even that left side of my face hurts tonight.
Lastly, I know that a lot of these posts are bogus but while I can not prove the legitimacy of my post, this is all true.
Even I found it hard to beleive that he wrote me the class 2 pain killer and wants me to continue with the gneric norco for breakthough pain. I just don't want my doctor to get into trouble for over prescribing.
Thanking you in advance.
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Paranoia is just hightened awareness.
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kimbell1
Enthusiast
Reged: 08/20/03
Posts: 274
Loc: Route 666, Painville, Texas 6...
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I left out that before I tried xanx, I was taking 1 mg of Klonopin twice a day. And I have been to counselors, shrinks, metaphysics and even dated a counselor for 5 years-not that she ever treated me.
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Paranoia is just hightened awareness.
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Whatsnew
Enthusiast
Reged: 09/27/03
Posts: 205
Loc: S.E. USA
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Man, I really feel for you and certainly believe you are being truthful. Before I even read your post I was thinking muscle relaxers...Flexeril in particular, or Benzos...Valium in particular (Xanax can cause NASTY withdrawals when you stop taking it, even if it is not abused). Wish I could help, maybe the doc is right about it all being related?? I hope so. I hope you get relief soon.
D
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DBs member since Feb. '03
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DAdrian
Newbie
Reged: 11/05/03
Posts: 36
Loc: California
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The clenching is painful, I know. I went back to school about 3 months ago, and after about the first six weeks had pain in the right upper side of my jaw. I was sure I'd broken a filling or needed a root canal or something. I have low back pain from a badly torn ligament and some arthritis, and I've had neck surgery within the last 2 years, so I was already on pain medicine.
Finally figured out that I was probably stressing over school and clenching due to that. The dentist put me on Klonopin and made me a soft mouth guard for my lower jaw. This has really worked because when I can feel I'm biting on it, I can take a deep breath and relax my jaw. I did bite my way through one, but he made the second one a little stronger, and it's working well.
It's good that you have a doctor who's willing to prescribe for you. The medication you have is a combination of immediate and extended release morphine. I've had similar medication in the past (oxycodone) with Vicodin for breakthrough pain. I don't know that a muscle relaxer is what you'd really want, if it's stress-related.
If I could offer a suggestion, it would be to ask your dentist if there is someone in your area who specializes in TMJ problems, then see if your insurance will cover treatment. I'd venture a guess that some kind of mouth guard is going to help the most (at least it will protect your teeth), and if it was me, I'd find a good counselor to help deal with the stress. Of course, JMHO.......
Good luck!
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Devon :-)
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Sweetz
Diamond Mind

Reged: 05/11/02
Posts: 765
Loc: Texas!
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You should post this in the "meds, conditions, etc" section to receive more responses. Some people just look at certain sections of the board.
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"If you choose not to decide you still have made a choice."
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Horace
Journeyman
Reged: 11/22/03
Posts: 79
Loc: Earth
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Has your dentist recommended anything. You can get a mouth guard -- so your teeth will effectively "slip-off" the others rather than grind or whatnot. These are somewhat expensive w/o insurance ($300-$600) -- or you can try one of the types they sell OTC at an RX.
This might work -- I found that exercise and therapy (psycho) helped me reduce stress levels so I didn't have to clench jaw anymore.
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2muchpain
Enthusiast
Reged: 10/07/03
Posts: 274
Loc: USA
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Kimbell1, that is awful. I am glad you have a sympathetic doctor.
Since you are on disability, I realize money is a concern. I agree with Horace's advice. Why not talk to your doctor about getting a referral to an oral surgeon (I'm just thinking that would work better than DENTIST) You really need to see a dentist in addition to your MD. For your infection, go to the drugstore a buy some Amosan. It is truly nasty stuff but it gets rid of infection and sores in a flash! I'll bet someone on this board has a home recipe for it (hint hint)
I have all of the medical problems that you described AND a very high stress job. I have been clenching my jaw since I was a child. My dentist tells me I have worn down my teeth from it. The mouthpiece didn't work for me because I have a very high gag reflex. Even my custom made teeth whitening trays made me crazy:p But I digress...
Taking all of those meds is OK to cover up the severe pain you are experiencing but they will not fix the problem. That is where the dentist comes in. A couple of silly things I have come up with are to pretend I am a slackjawed idiot. (OK guys, so what if I AM one ) Just relax your facial muscles and allow your jaw to drop so your mouth is slightly open. You will feel instant relief. I just keep reminding myself, "slackjaw, slackjaw!" I also gently tap my jaw when I catch myself tensing up and go into slackjaw mode. It sounds stupid but it works for me. I still tense up but I try to play this little game for some relief. Obviously, I don't do this in front of people.
Hope this helps. Feel free to PM me any time.
2much
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kimbell1
Enthusiast
Reged: 08/20/03
Posts: 274
Loc: Route 666, Painville, Texas 6...
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I have been using some product called Kanka that i got at Walmarts. Its stronger than orajel and it helps heals kanker sores. i am allegic to floride and try to avoid tap water and floride toothpaste. My mouth is better today. Tried eating but it still hurts so I think that I will just drink liquids. I forgot to mention that the problem area is a tooth that I had capped about 2 years ago and kind of sticks up over the other teeth. I also had a root canal when I had this tooth capped which I suspected I did not need since I was having no pain as my tooth disintegrated. I had this work done at Castle Dental Center (a chain-avoid them). The part of my gun that is infected is where they made the incission for the root canal opening.
Thnaks again for responding. I am trying to cut down on the cost of medications since the pain killer is expensive. I also want to just cut down on the drugs since this pain killer is a lot on the medication scale and I don't want a pill for this and a pill for that. Having never taken this drug which is morhine , I would think that it would kill all pain. Maybe the dosage is too small. But it does work on my back. I at least sleep all night now.
Thanks for those who care about my problem.
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Paranoia is just hightened awareness.
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DAdrian
Newbie
Reged: 11/05/03
Posts: 36
Loc: California
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Quote:
Has your dentist recommended anything. You can get a mouth guard -- so your teeth will effectively "slip-off" the others rather than grind or whatnot. These are somewhat expensive w/o insurance ($300-$600) -- or you can try one of the types they sell OTC at an RX.
This might work -- I found that exercise and therapy (psycho) helped me reduce stress levels so I didn't have to clench jaw anymore.
My dentist took impressions and made mine in his own office for about $75. I chewed through the first one and needed another, which he made a little tougher, but he already had the impressions, and the cost was the same.
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Devon :-)
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wat853son
Member
Reged: 04/28/03
Posts: 150
Loc: USA
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Sorry to hear your pain! I also recommend a visit to reputable dentist; ortho work may be potential fix if alignment is root cause (most likely not). As you know stress can be the cause of clenching, my father does this but add pacing to it - so he is a pacing clencher - a dangerous combo. Sadly for him beer calms him down and yes I have tried to cure that but hes an old dog.
Try good old Soma, flexaril or zanaflex. Of the benzos valium has best muscle relaxing effect. I also could never do the guard would probably throw across room stomp & yell and then chew a norco . . .maybe a beer filled guard or a guard like those football helmet beer holders with hose assembly pumped to the guard. Now my father may like that idea LOL.
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Sweetz
Diamond Mind

Reged: 05/11/02
Posts: 765
Loc: Texas!
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I've been to Castle, they're 'iffy', I had a good doctor until she went and got knocked up and had to leave. Anyway, with a root canal, they go in through the top of the tooth, not the gum, that's messed up.
I used to clench and grind my teeth so much I completely wore down a bridge I had on my last 3 molars. metal was showing and it was completely smooth. I had to get it replaced, it got too thin. Anyway, what I did was get one of those kits to make your own dental guard. Now, this is not an easy task. I messed and messed with mine and had to reheat and melt it several times. I even cut off the back since it gagged me. But, I finally got it to at least fit, so I couldn't grind and clench. Stress is a bad cause of this. I think my mouth got trained not to do it. but, I don't have to wear the guard any more. The one you buy, it's a cast, and you soften it in boiling water and then fit it to your mouth. I contorted mine all sorts of ways, but got it to work for me. For 40 bucks, I can use duct tape if necessary. Try that to see if you can make it more comfortable for you, you can customize it. It took me about an hour, but it was totally worth it. OOps, I sound like a valley girl, like totally.
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"If you choose not to decide you still have made a choice."
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poco
Enthusiast
Reged: 03/11/02
Posts: 216
Loc: Northern New England
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Kimbell,
I understand your problems.. I have had TMJ disorder since '89.
Here's some helpful hints for you..
1. Some opiate medications can cause you to clench. It is the reason most Docs won't prescribe narcotics for this condition. I'm not sure I believe the Docs because in my case pain meds work.
2. If you can tolerate any kind of inflammation reducers like advil, motrin or the stronger Nsaids RXed by a doctor this will be a big help.
3. Heat on the affected muscles 20 minutes on- 30 minutes off, will give temp. relief and hopefully will reduce your pain level.
4. You can go to a sports store and buy a football mouth guard(the kind you have to boil then form to your mouth) this is a temp. measure until you can get a mouth guard built by a pro. I have found the mouth guards from the pros very irritating and I pull them out of my mouth while sleeping. In fact the last one was so misformed it set my jaw in position where my teeth couldn't meet. It hurt more than it ever did before..!
5. Valium helps me. I'm a light weight so I take just 2.5mg at night.
6. Remember this saying, "Lips together and teeth apart".
This is the most comfortable position and doesn't strain the muscles.
7. Do not chew any chewy foods like steak or chew gum! Cut everything into bite size pieces.
When it's really bad keep to soups, mashed food and drinks (without a straw!). And the ever popular do not smoke!
8. If you can do something relaxing, take a bath, meditate, enjoy a hobby.. Try it for the relaxation....
I hope this is of some help.... Poco
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DEA = Practicing medicine without a license
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537
Threadhead
Reged: 12/08/01
Posts: 766
Loc: west coast CA
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I can really appreciate those suggestions. I have terrible TMJ that causes my jaw to lock up periodically, which is terrifying to me. Then it makes it impossible to yell at my little monsters when they are being bad.
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Dan013
Stranger
Reged: 03/28/03
Posts: 20
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The condition is known as "bruxism"... I am very surprised that doctors don't do more reading when trying to combat the symptoms.
I'm no doctor, but I would suggest supplementing calcium and magnesium daily.
Try searching bruxism and magnesium on google and you will find many successful cases.
A short article.
Bruxism and magnesium, my clinical experiences since 1980
By
C. Ploceniak
(Translated from the French by James Michels)
Abstract: Bruxism and facial tics are most often atypical forms of tetany. Prolonged treatment by magnesium administration nearly always leads to their disappearance and also an improvement in associated functional disorders.
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Circumstances led me to be interested in anxiety (chairside observation being particularly useful here). Using massive doses of magnesium for the last ten years, I observed, in a few months, considerable improvements in unforeseen areas. Patients felt less anxious, more accepting of themselves, and less tired and irritable. Patients taking magnesium also experienced other problems disappear, such as episodes of tachycardia, tensional anomalies, and especially muscular contractions of the striated muscles, of the nape, of the trapezius, of cramps in the calves, or of the smooth muscles (spasmodic colitis, hiccups, or painful periods).
In our specialty, we are noting the disappearance of spasms, tics and especially of bruxism. I first understood that bruxism was only an atypical form of tetany and I treated all my cases of bruxism with magnesium with unfailing success.
Systematic investigation reveals that patients suffering from bruxism often suffer from similar problems. Or conversely, I was led to consider that facial tics were also atypical forms of tetany. The treatment of facial tics with magnesium has never failed. Tics progressively disappeared along with their associated manifestations, while, at the same time, an overall improvement in general health set in.
One must note however that stopping the administration of magnesium leads to the recurrence of the problems which existed before the beginning of treatment.
The Treatment
The best results were obtained with Solumag [Editors note: Solumag is the brand name of a medication whose sole active ingredient is Magnesium Pyrrolidone Carboxylate; for more information, follow this link: http://home.intekom.com/pharm/hexal/solumag.html] (one capsule, three times a day) [Editor's Note: with each capsule probably containing magnesium oxide equivalent to 150 mg of magnesium]. In case of problems, it was replaced with Spasmag [Editor: another magnesium-containing medication--magnesium sulfate].
Treatment must last at least six months, preferably a year, certain patients have been in treatment for ten years. After the dose takes effect, the patient adjusts it to his needs. This treatment does not involve addiction or risk if the renal system is functioning normally. With children, the most practical form is Magnespasmyl [Editor: another magnesium-containing mineral supplementmagnesium lactate] (a capsule of 50 mg or a teaspoon of granules morning and evening). Owing to the fact that, in children, magnesium deficiency has been of comparative short duration, their treatment can include breaks (at which time no magnesium is taken).
Conclusion
Bruxism and facial tics are atypical manifestations of tetany. Biological research is necessary to explain the clinical facts and their etiology, such as non-utilization of reserves through the lack of another trace element or of a hormone. We know, for example, that magnesium deficiency is accompanied by symptoms which are spontaneously corrected by the administration of magnesium. We know that the supply of vitamin D facilitates the intake of magnesium by the organism. This manuscript's only goal is to make known the clinical observations accumulated over the last ten years and to encourage practitioners to prescribe magnesium for the greatest good of their patients.
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Purple
Enthusiast

Reged: 07/15/03
Posts: 233
Loc: Midwest
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I clench my jaw and have been fitted with a guard. I also suffer from migraines. I read all the responses to this thread and I can't add anything new to what everyone else has said cause I have been there, done that. Sometimes you just have to keep trying until you get the "cure" you need to help you. I wear my guard everynight and still have migraines, I am still searching for the "cure", I may never find it but I am trying. Good luck!
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Julz
Enthusiast
Reged: 11/17/03
Posts: 222
Loc: NJ Shore
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Kimball~
Sorry to hear about your jaw pain.
I've been in the Dental Health field for 20+ years. I've also worked for a TMJ Specialist- that is a dentist who specializes in TMJ, which is Tempro Mandibular Joint; the joint that connects your jaw. This is what you are popping out of place when you clench & grind, resulting in the pain you are experiencing.
The best way to resolve this problem is to go to your dentist and have them make you a Nightguard. They will take impressions of your teeth so you will have a custom nightguard to fit your mouth. You wear it at night when you go to bed, and it prevents you from grinding and clenching. It SHOULD be most comfortable- if it isn't, then you should tell your dentist, and he/she can grind and/or adjust it to where it will fit you properly and be comfortable.
I hope this helps and that you feel better soon!
Peace,
Julz
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Love never fails. 1Cor 13:8
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