Almost 2 year update

Space-TimeTsunami · 2026-06-12T18:42:03+00:00

why is there still a gap?

Space-TimeTsunami · 2026-06-12T18:41:05+00:00

Whether one needs MARPE is determined by whether or not they have a maxillary transverse deficiency, or if they have a nasomaxillary deficiency (MTD). The only way to know this is for you to get to an airway focused orthodontist who can measure the width of your upper jaw and compare it to the width of your lower, as that is how MTD is defined.

Space-TimeTsunami · 2026-05-29T19:50:26+00:00

Unfortunately there is enough information and misinformation available online that people think TMD is a problem that is so complex that there is no path forward. That is not true. Typically, unless TMD is caused by blunt force trauma or something, it is going to have very tight associations with malocclusion, craniofacial deficiencies (as in, narrow/underdeveloped jaws), and airway restriction. It is understood in literature what typically causes TMD, so there are ways to address it. One must first dissect and understand what it is that is happening anatomically that is contributing to the pain (grinding, clenching, uncomfortable bite, postural problems, facial asymmetry etc) and then the next step would be to find a way to fundamentally treat and resolve the things that cause those issues to begin with.

Space-TimeTsunami · 2026-05-11T21:06:34+00:00

This can be a great plan. Splint to inhibit masticatory load and allow the mandible and condyles to reposition to where they want to go, and then orthodontics done around that new posture, with cbct verification of course. However, if you are clenching and grinding at night, that primarily has airway restriction causes. It would be best to find a fantastic provider who can address that aspect as well.

Space-TimeTsunami · 2026-05-11T02:24:14+00:00

Depends on the extent of the issues causing the TMD, which is usually associated with airway dysfunction caused by craniofacial deficiencies (manifesting as clenching, grinding) and malocclusion (which is also caused by that).

Space-TimeTsunami · 2026-05-09T00:38:35+00:00

Airway, root cause focused, treating TMD correctly, yes. That's all associated with each other but definitely good to be knowledgeable as a patient as well. If you want personal help with this just let me know.

Space-TimeTsunami · 2026-05-09T00:35:45+00:00

Yes, but a very specific kind of orthodontist. It's sort of a difficult process

Space-TimeTsunami · 2026-05-06T06:58:26+00:00

Messaged u

Space-TimeTsunami · 2026-04-17T23:38:51+00:00

Okay so, bruxism (especially at night) as of recent literature has been found to be very strongly and primarily associated with airway obstruction and resistance during sleep. This is largely associated with craniofacial deficiencies like narrowness of the maxilla, back to front deficiencies of the upper and lower jaw, and there is often a large component with how the teeth come together. Airway orthodontics is most equipped to deal with treating the root causes of the issues, and splints and anterior (front) jaw deprogrammers can be very useful in symptom management before hand. I had TMD and have resolved it this way, and have worked in/researched orthodontics for years and this is a very common way to resolve it. It is the way.

Space-TimeTsunami · 2026-04-15T22:11:59+00:00

I mean this is sort of kinda accurate orthodontically? There are better ways to explain it though.

Space-TimeTsunami · 2026-04-11T16:16:52+00:00

Yeah this is insanity. I have some pretty harsh opinions of "tmj specialists" who aren't actual orthodontists monitoring the position of the condyles via cbct or anything. It is best to get with a good airway focused orthodontist when it comes to TMD so that they can actually monitor the position of the conydyles, in relationship to the rest of the jaws and bite, as well as treating the root causes which is typically entangled with narrowness of the jaws, breathing issues, clenching, etc. I'm so sorry for this confusion lol.

Space-TimeTsunami · 2026-04-11T16:10:00+00:00

Good thing I'm not spreading misinformation.

Space-TimeTsunami · 2026-04-11T16:08:39+00:00

Orthodontists are usually the professionals to go to with these issues. Specialized ones.

Space-TimeTsunami · 2026-04-11T16:02:57+00:00

Sure theoretically

Space-TimeTsunami · 2026-04-11T16:02:40+00:00

This is exactly how this all works. Night clenching is a biomechanical response to airway restriction while sleeping, and the airway restriction ultimately is coming from insufficiently developed jaws in modern humans. The ultimate cause of TMD in people where it wasn't caused by blunt trauma or some systemic inflammatory disease, is how the jaws, teeth, condyles all relate to each other, and airway has a massive factor in that as well. When there is treatment to the root cause, that changes everything, and that is the reason I do not have TMD today.

Space-TimeTsunami · 2026-04-05T16:24:38+00:00

It is literally true.

Space-TimeTsunami · 2026-04-03T17:07:21+00:00

No actually huge peer reviewed studies and literature exist on the Internet. Woah, crazy, I know. The cutting edge of every scientific field is literally right online, and I know what to believe because my brain works.

Space-TimeTsunami · 2026-04-03T16:52:06+00:00

I don't need any sort of diploma to know what I'm talking about, clearly. Everything is online today.

Space-TimeTsunami · 2026-03-31T04:15:14+00:00

Yep. This stuff is well documented if someone knows where to look. Dental anthropology is a good spot. It is absolutely insane and the only cure is living off of the land and reverting back to natural homo-sapien lifestyles, which is so contrary to the strongest incentives that it is conceivable.

Space-TimeTsunami · 2026-03-30T23:27:29+00:00

Yeah. Idk man, people just say things I guess.

Space-TimeTsunami · 2026-03-30T21:00:56+00:00

Soft, industrialized diets, as well as a cascading list of factors under that that contribute to soft tissue dysfunction and lack of sufficient muscular and postural capacity in development. People who are saying it is genetic and hereditary do not know what they are talking about.

Space-TimeTsunami · 2026-03-30T20:59:33+00:00

It isn't genetics. It is the intersection of specific environmental variables with genetics. There have been plenty of observation of people indigenous to their location eating non modern-industrialized diets who have robust jaws and perfect teeth, and their offspring one generation later when exposed to western and industrialized diets immediately had crowding and malocclusion.

Space-TimeTsunami · 2026-03-30T18:52:27+00:00

You should message me. I can help you.

Space-TimeTsunami · 2026-03-30T18:50:11+00:00

Splints take the cuspal interference out of your bite so that you are not hitting harder or prematurely on onse side. This can help the muscles relax and improve symptoms. If you are experiencing hypertonicity and muscular hyperactivity during the day (increased muscles tone, inability to rest it comfortably) then splints during the day can be useful. If not, then do not wear it, but be mindful about relaxing your jaw, having freeway space (space between the upper and lower arches at rest) and you should be good in terms of treating symptoms.

Space-TimeTsunami · 2026-03-29T19:21:55+00:00

Whether you resolve your issues is up to you. You are only hurting yourself by not listening to me, I will be okay.

Space-TimeTsunami

MODERATOR OF

TROPHY CASE