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Old Yesterday, 06:07 PM
 
18 posts, read 8,228 times
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I notice that whenever I sleep on my left side, my lower jaw slides down. My teeth misaligned (dentists called it CR/CO discrepancy), and then I clench my teeth.

whenever I sleep on my right side, my jaw does not slide, but I naturally and immediately start clenching.

Both of these issues happen as soon as I lie down and doesn't matter if I am asleep or not.

If I sleep on my back, my shoulder are relaxed and my lower jaw is relaxed and I don't clench while I am awake.
I do clench if I fall asleep though while sleeping on my back and doctors say that sleep apea might be causing this.
Curently I wear a CPAP machine for sleep apea and sleep on my back which results in me not clenching while asleep.
However if I turn to either of the sides, with CPAP mask on, I do start clenching.

Any thoughts on why I clench when sleeping on my side and any ways I can stop it?

I am 37 years old, male, with low stress job and married life. I am 6 feet tall with 175 lbs weight and exercise 2 to 3 times a week.

Thanks a bunch in advance.
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Old Yesterday, 06:25 PM
 
Location: Nantahala National Forest, NC
7,692 posts, read 687,846 times
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That's a question for your dentist.
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Old Yesterday, 06:41 PM
 
18 posts, read 8,228 times
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Thanks greatblueheron for reading and replying to my post.

I have talked to about 6 different dentist and specialists in last one year, and there is no resolution yet,
The issue is not strictly related to teeth, but more with jaw joint (TMD/TMJ) and sometimes dentist and even TMJ specialists just raise their hands and say they don't know.

I have tried numerous solutions - CPAP, MAD device, different mattress, different pillows, weight loss, exercises - but to no avail so far.

Just wanted to tap on the collective wisdom of the forum on this,. Thanks in advance.
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Old Yesterday, 06:57 PM
 
Location: Tennessee
2,019 posts, read 1,158,023 times
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since you are on CPAP you must have a sleep medicine specialist. What did he/she say about it?
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Old Yesterday, 06:58 PM
 
18 posts, read 8,228 times
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Sleep specialist says teeth clenching is outside of his area of expertise.
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Old Today, 06:21 AM
 
Location: Tennessee
2,019 posts, read 1,158,023 times
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Quote:
Originally Posted by jarahatake View Post
Sleep specialist says teeth clenching is outside of his area of expertise.

Sounds like you are getting the runaround.
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Old Today, 01:53 PM
 
18 posts, read 8,228 times
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Is this something that a physical therapist can look into?

I wonder there are some muscles/nerves in the my shoulder/neck/jaw area that I am stressing/pinching, which is causing my lower jaw to move in certain way promoting clenching.

My PCP would not refer me to PT without solid reason,
so I am try to get some idea before I try to convince my PCP.
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Old Today, 02:24 PM
 
Location: Texas
3,244 posts, read 2,275,804 times
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Have you ever used a mouthguard at night for bruxism or TMJ problems? I would think that would have been one of the very first things your dentist recommended. I wore one for about a year about 15 years ago because I was clenching my teeth at night. I didn't have any major stressors in my life, weight issues or health problems. I have always exercised regularly etc. I guess it was just one of those things.

Oh, and I would recommend moving this to the dental sub forum. Might get better answers there.
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Old Today, 02:52 PM
 
Location: on the wind
1,306 posts, read 425,141 times
Reputation: 4885
Quote:
Originally Posted by jarahatake View Post
Is this something that a physical therapist can look into?

I wonder there are some muscles/nerves in the my shoulder/neck/jaw area that I am stressing/pinching, which is causing my lower jaw to move in certain way promoting clenching.

My PCP would not refer me to PT without solid reason,
so I am try to get some idea before I try to convince my PCP.
When I started having symptoms related to TMJ and went to my dentist, he fitted me with a night guard to prevent grinding damage and also referred me to a PT. I learned exercises to relieve jaw muscle, neck and shoulder tension. It helped a lot, partially because I learned more about the whole situation, how to prevent some of my own symptoms, recognize when I was tensing up too much, and how to interrupt motion habits. Its been years since I've had TMJ symptoms, but sometimes when I am very tired (that totally slack-jawed-drool on the pillow tired ) and sleep on the side that had worse TMJ pain I notice some achiness the next morning. I assume its because I didn't shift the position of my jaw for a longer period than usual. A few moments of those jaw and neck-relaxing exercises and I'm good to go. Sometimes being "reminded" of old habits is enough.

Last edited by AllisonHB; Today at 03:47 PM..
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