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I lost two 1st premolars (upper & lower) from one side of my mouth almost a month ago.

Questions

I lost two 1st premolars (upper & lower) from one side of my mouth almost a month ago. I am not using any dentures , so will I develop TMJ disorder?
Will teeth restorations help in avoiding any chance of developing TMD in future? How soon should I do it as it’s only 4 weeks since I have lost my teeth?
Also does 4 premolar removal for braces cause TMJ dysfunction for sure? I heard a that lot of TMJ specialist doctors talk about this and as my cousin is getting her teeth removed for braces, I am concerned therefore.

Our Answer

I must congratulate you for a set of very intelligent questions. Wish all dentists also possessed this quest.

Let me try to answer all your questions.

1.) Not all Premolar extractions or for that matter any extraction or loss of tooth tissue lead to TMJD. However, it can said be said for sure that any loss of tooth material pushes one in that direction of getting TMJD. Those with situations that easily cause TMJD, if they have any tooth structure loss or over build up, they experience almost very quickly start TMJD. Whether you will develop it can be ascertained by a visual and BioJVA examination and some more tests.

2.) Replacement of any imbalance must be done as quickly as possible, however, the artificial replacement may not exert exactly the same loads as nature intended. For this some FDA approved sophisticated devices exist to , provided doctor is well trained . They have a very steep learning curve. Some of them are BioJVA, JT3D, EMG,, T-scan, MATSCAN etc. Incorrect pressures may be more dangerous as they can leave residual pressures in the TMjoint, and as the body adapts quickly, we may not experience those abnormal pressures.

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