Open UP: A TMJ Discussion

Dr. Pamela Marzban and Dr. Mac Lee
Open UP: A TMJ Discussion

Open Up: A TMJ Discussion Welcome to "Open Up: A TMJ Discussion," where your hosts, Dr. Pam Marzban and Dr. Mac Lee, bring over 65 years of combined clinical dentistry experience to help unravel the mysteries of TMD (Temporomandibular Joint Disorder). TMD is often called the “imposter syndrome” because its symptoms can mimic numerous health conditions in both medicine and dentistry. Unfortunately, this leads to TMD being frequently under-diagnosed. Many healthcare professionals are unaware that TMD can cause a myriad of symptoms, including headaches, ear-related concerns, visual problems, and posture issues. In each episode, we delve into the complexities of TMD, shedding light on its wide array of symptoms and their underlying causes. Our mission is to educate patients and provide the necessary tools to help you find the right healthcare professionals who can diagnose and treat TMD accurately and effectively. TMJ isn’t complicated—it just needs the right diagnosis and treatment. By "opening up" on crucial topics, we aim to help TMD patients who are in chronic, debilitating pain start their journey towards a pain-free life. If you find our podcast useful, please click "follow" and subscribe to our YouTube channel for more insightful discussions and updates: DrPamelaMarzbanDDSBurke. Thank you for tuning in!

  1. MAR 19

    Finding the right TMJ Dentist (Ep 24)

    In this episode, Dr. Mac Lee and Dr. Pam Marzban discuss one of the most challenging aspects of TMD treatment: determining whether symptoms are truly related to TMD or caused by something else. They explore the importance of differential diagnosis and share practical strategies for identifying when symptoms like headaches, vertigo, and tinnitus are linked to jaw dysfunction versus other medical conditions. Dr. Lee shares insights from his book, "Life-Robbing Pain: TMD," emphasizing the value of simple, common-sense approaches to understanding TMD symptoms. He also discusses his upcoming book, designed to empower patients by guiding them through self-assessment techniques and helping them identify whether TMD might be the root cause of their pain. They also touch on the importance of patient education, building trust, and finding the right neuromuscular dentist who truly understands TMD treatment. Plus, learn about Dr. Lee’s efforts to bridge the gap between different dental philosophies to create a more unified approach to TMD care. Book and Podcast Info: 📚 Books by Dr. Mac Lee and Dr. Pam Marzban: Life-Robbing Pain: TMD Craniofacial Development by Dr. Pamela Marzban 🎧 Podcast: https://carekp.podbean.com/ #TMD #TMJ #NeuromuscularDentistry #HeadacheRelief #Vertigo #Tinnitus #JawPain #OralHealth #PainManagement #PatientEducation #FindTheRightDentist #DifferentialDiagnosis #Podcast #HealthTips #ChronicPain #DentalHealth #DrMacLee #DrPamMarzban

    17 min
  2. FEB 24

    Bed Wetting and Night Terrors (Ep 22)

    Mouth breathing and sleep issues in children can contribute to bedwetting (nocturnal enuresis) and night terrors due to poor oxygenation, nervous system imbalance, and disrupted sleep cycles. Listen to Pam and Mac on how it all connects: 1. Mouth Breathing and Poor Oxygenation When a child breathes through their mouth instead of their nose, the airway tends to collapse more easily. This can lead to obstructive sleep apnea (OSA) or hypoxia (low oxygen levels) during sleep. When the brain senses oxygen deprivation, it triggers a “fight-or-flight” stress response, activating the sympathetic nervous system. This stress response can: Increase urine production (causing bedwetting) Interrupt deep sleep, making night terrors more likely 2. Nervous System Imbalance and Bedwetting Bedwetting occurs when the body doesn’t properly control the bladder during sleep. This happens when there’s a dysregulation of the autonomic nervous system due to repeated oxygen drops and sleep disturbances. The brainstem controls both breathing and bladder function, so if breathing is impaired, bladder control can also suffer. Additionally, when the body is in chronic stress mode from poor sleep, it releases more cortisol and adrenaline, which can interfere with the hormone (vasopressin) that tells the kidneys to slow urine production at night. 3. Night Terrors and Disrupted Sleep Stages Night terrors occur during deep non-REM sleep, often when a child is overtired or experiencing disrupted sleep. If a child struggles to breathe properly due to mouth breathing or airway blockages, their body may frequently pull them out of deep sleep to restore normal breathing. This incomplete arousal can trigger night terrors. 4. The Role of Nasal Breathing and Nitric Oxide Breathing through the nose is essential for healthy sleep because it: Filters, warms, and humidifies the air Produces nitric oxide (NO), a gas that helps open airways, improve oxygen exchange, and regulate blood pressure Nitric oxide plays a key role in brain function, blood circulation, and nervous system balance. Without it, children are more prone to: Poor oxygen delivery to the brain Increased airway resistance Higher stress levels in the body 5. How to Address the Issue To reduce the risk of bedwetting and night terrors caused by mouth breathing: Encourage nasal breathing by addressing allergies, enlarged tonsils, or chronic congestion Check for sleep-disordered breathing like snoring or apnea Use myofunctional therapy or orthodontic treatment if needed to correct mouth posture Promote good sleep hygiene with a regular bedtime and reduced screen time before bed By ensuring proper nasal breathing and healthy sleep, children can experience better oxygenation, balanced nervous system function, and improved sleep quality, reducing both bedwetting and night terrors #bedwetting, #nightterrows, #mouthbreathing, #nitricoxide

    22 min

Ratings & Reviews

4.3
out of 5
6 Ratings

About

Open Up: A TMJ Discussion Welcome to "Open Up: A TMJ Discussion," where your hosts, Dr. Pam Marzban and Dr. Mac Lee, bring over 65 years of combined clinical dentistry experience to help unravel the mysteries of TMD (Temporomandibular Joint Disorder). TMD is often called the “imposter syndrome” because its symptoms can mimic numerous health conditions in both medicine and dentistry. Unfortunately, this leads to TMD being frequently under-diagnosed. Many healthcare professionals are unaware that TMD can cause a myriad of symptoms, including headaches, ear-related concerns, visual problems, and posture issues. In each episode, we delve into the complexities of TMD, shedding light on its wide array of symptoms and their underlying causes. Our mission is to educate patients and provide the necessary tools to help you find the right healthcare professionals who can diagnose and treat TMD accurately and effectively. TMJ isn’t complicated—it just needs the right diagnosis and treatment. By "opening up" on crucial topics, we aim to help TMD patients who are in chronic, debilitating pain start their journey towards a pain-free life. If you find our podcast useful, please click "follow" and subscribe to our YouTube channel for more insightful discussions and updates: DrPamelaMarzbanDDSBurke. Thank you for tuning in!

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