Hello all, back in August I got jumped, guy hit me real hard, at full sprint... I'm fairly certain my jaw dislocated/subluxated briefly, then went back... Xrays came back negative no fracture, but I didn't have an MRI immediately after like I should have... I went a few weeks dealing with the clicking and soreness, then I seen an oral surgeon consultant; he gave me a few weeks of eating soft foods and resting the jaw to see if it got better, it did a bit but not totally..
Hes looking to charge me 900 for a mouthpiece, I'm not looking to do that... I wanted an MRI at this point, he wouldn't give me one... I already have a retainer from HS so I figured I would just wear this in place of a mouthpiece since it keeps my jaw aligned good... But I have my hands in the air now... What should I do? This doctor wouldn't give me an MRI, thats what I feel I need to see what the apporpriate action would be *surgery, irrigation, etc...
First, it is good that you were already seen by an oral surgeon and jaw rest was initially prescribed. In some cases there is inflammation within the jaw joint (TMJ) itself that persists and requires additional therapy. Antiinflammatory medictions and oral appliances are a safe and effective method for treating TMJ when fabricated properly and used as directed.
Additional imaging such as an MRI may be indicated if you do not respond to conservation therapies. Regardless of the MRI findings, the oral appliance is most likely indicated based on what you have described.
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