@Chelles that is how i feel but it is hard to stop thinking that they have all the answers when I really thought they did...
@glynis I have seen my dentist and they said that it was not out of place and my physiotherapist proces Them wrong so I do nat have much fare in them anymore... And I do not think that my country have a maxillofacial therapist! I have only been tested jaw wise for sclerosis I do not even think my country have heard about TMJ since my ENT said that a jaw could NEVER cause T
The issue with ENT's in 95% of them have no ideal whats behind your ear drum. If they can't see it with a flashlight, it doesn't exist. The jaw alone cannot cause tinnitus but the muscles that connect to the jaw can create situation the result in tinnitus.
The masseter muscle for example can go into spasm from excessive clenching. An example of this can happen if you have an bad underbite. The underbite can induce sleep apnea, you brain responds by clenching. this tightens masseter, the over time the bit gets pulled back by the overdeveloping masseter inducing even worse apnea and harder clenching. then you open you mouth wide for some reason, flossing, eating an apple or a dental visit. the masseter being so tight at this point gets pulled, it hurts so minor you might not think twice, but that night as always you clench and aggravate this pulled muscle. a few night of this aggravation on this pulled muscle, it goes into spasm.
This spasm results in neuron firings in the dorsal cochlear nucleus that takes all the nerves from muscles in the face to the brain. This dorsal cochlear nucleus is part of the cochlear nucleus. All acoustic information that enters the brain goes through the cochlear nuclei. These somatosensory neurons stir excessive neuron activity in the cochlear nucleus and create a the sound of tinnitus.
You see the dorsal cochlear nucleus is the first stop in the brain for sound signals arriving from the ear via the auditory nerve system. It's also a hub where "multitasking" neurons process sensory signals from other parts of the brain.
So it like if you were on a big highway and there was one line for face and neck never, and the next lane over was auditory nerves. The muscle spams is like a car spinning out of control and the neuron firing are police and ambulances racing to the scene, the cochlear nucleus is the hub where they all crash into each other. in this case you are hearing sirens of police neurons scrambling all over the place.
In these cases what needs to happen is we find what muscle is in spams and treat it. This can be a time consuming and costly process but if this is where your T is from finding and treating the source could reduce or eliminate the T.
No to find and to find the right treatment is no easy task, I have some ideals on mind but I assume most are different. The issue with TMJ dentist is the focus a lot on the joints not the muscle, the why the doctor need to be
a neuromuscular dentist or maxillofacial specialist and therapist. Finding the right one in the proximity to where you live is taxing as well.
Let me know some of you symptoms and I'll take a guess where you might want to look.
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