Love, As Always, Pete

The Weekly Letters, by A. Pedersen Wood

July 1, 1999

Dear Everyone:

Back some time in January, my right jaw joint began to make a kind of a popping sort of thing when I opened my mouth too wide or too suddenly.  Some times it would feel almost as if the joint had “locked” and I had to wiggle it a little to get the joint to open.  In time, I could even feel the joint ball feeling as though it was actually moving in and out of the socket. 

After a while, around the end of February, I realized that this wasn’t just happening every once in a while.  It was happening more and more and showing no inclination to go away on its own.  So I decided to do something about it. 

“Jeannie” cheerfully told me (from her experience in taking depositions from medical experts) that I probably had a slight inflammation near my jaw that was causing some swelling.  I should go to the doctor and get a prescription anti-inflammatory that would fix everything up in a week or so. 

So I went to see the doctor.  He checked my jaw and cheerfully told me that there was nothing he could do.  The problem was dental, and he didn’t do dental.  Referral to dentist. 

“Jeannie” cheerfully insisted that the dentist could clear it all up in a matter of days, or weeks at the most.  However, the dentist informed me that this was special dentistry and he only did general dentistry.  Referral to specialist with a temporary diagnosis of TMJ, to be confirmed or re-diagnosed by the specialist.  (TMJ is short for Totally-Messed-up-Jaw.) 

Went to see the specialist who explained that TMJ really stands for Temporomandibular Joint Problem.  In other words, I have a slipped disk in my right jaw joint. 

After all those years of the health and safety people carping on protecting our backs (“You don’t want to get a slipped disk in your back!!!”), how come no one ever warned about getting a slipped disk in your jaw? 

The Good News Is:  This is not really serious.  We caught it early.  Surgery is not indicated. 

The Bad News Is:  It may take years of treatment to correct, if ever.  The first order of treatment is to use a Night Guard.  This is a piece of plastic that fits into your mouth at night, while you’re sleeping, and prevents you from inadvertently grinding your teeth, or clenching your jaw. 

“Jeannie” cheerfully informed me that absolutely no one is capable of keeping a Night Guard in their mouth if they want to be able to sleep at night.  This is based (again) on her experience of dealing with people who are suing either the dentist or the insurance company (or both) because they haven’t been cured of TMJ. 

We shall have to wait and see.  I won’t even get the pesky thing for another couple of weeks.  On the plus side, it looks like my dental insurance will pay for at least some of the cost.  In the meantime, I just wiggle my jaw a lot to try and “unlock” the joint. 

And try to remember not to clench my teeth, even when watching a rerun of Earthquake on TV. 

Love, as always,

 

Pete

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