Acrylic Splint

by Dr. Spainhower

Hello Mags,

This question and comment page is new and I couldn't reply to your own page, so I started a new page with the same name.

I just happended to log on just after you posted your comment.

Now, it's difficult to diagnose the true cause of your discomfort in person, let alone through the internet. Having said that, I'll give you some points to consider.

Everyone has a bad bite to some degree. I would put the "Bad Bite" diagnosis on the shelf in your brains library and search for more information.

Your Dentist has great intentions, but it sounds like from your words that he/she may not be able to diagnose other possible causes as mentioned in this website. I used to be the Dentist that only saw a "Bad Bite" as the problem, then I recieved more training and experience and saw that most often the Bad Bite is not the primary factor.

If you indeed need to correct your bite, the Centric Relation splint is the way to go. If you believe that you need to correct your bite, you need to wear the splint 24 hours per day 7 days per week (24/7) for about 3 months to treat that.

Then after the 3-4 months records and impressions are taken to mount the cast models of your bad bite together for the Dentist to diagnose exactly which teeth need modifications so that the teeth can meet together when the Condyle is in Centric Relation.

Then depending on the diagnosis, the Teeth are modified to correct the bite.

Three to six appointments generally is necessary to diagnose and identify the degree of the "Off Biteness" or "Bad Bite". Your Dentist may be qualified to correct your bite, but you do need to explore the possibilities of other factors causing your discomfort.

The problem is there are many "TMJ Dentists" that in my opinion do not treat "TMJ" patients with the correct philosophy and treatments that are appropriate for the majority of TMJ patients.

Your Dentist is going in the right direction with the CR splint, but, it isn't the right direction if your Dentist believes that your discomfort is derived from your bad bite, when in fact it may be other factors that I've mention here in my website.

It will take me 1-2 hours of searching for a qualified TMJ Dentist in your area, I can hopefully work on that tomorrow. I'll need to know which County and Cities to search in and how many miles you are willing to drive outside the county to find the right Doc for you.

You need to decide yourself of the direction you will go...meaning...Do you believe that it's possible that Environmental stresses in the last 6 months or so could have played a roll in your muscle tightness? If so, seek another second opinions.

Well, let me rephrase that. The CR Splint will get you comfortable, and you may not necessarily need to correct your bite after your discomforts are gone. Sometimes we need a crutch for a while until our body recovers from Environmental Stressors.

One option you have is to wear the Splint at night time only to see if that's enough to relieve your discomforts during the day. And if you can get through the day fine, then correcting the bite may not be necessary.

I hope this helps.

Any other questions?

Dave Spainhower DDS

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Wear the Night Guard at Night only.
by: Dr. Spainhower


I forgot to tell you...Wear the Dentek Night guard at night only, then you won't have to wear it during the day. This should relieve your discomfort that you have enough for you to get through the day more comfortable.

Dr. Spainhower

Buy Dentek
by: Dr. Spainhower

Hello Mags, how are you doing?

I talked with Dr. Kanehl yesterday morning, and he's the real deal to correct your bite. He has a lot of experience.

But, reading your last comment about the stress that you have right now is a red flag to me. That red flag is saying...hold off on the bite correction right now.

You may indeed have an off bite, of course we all do to a certain degree. It's when more stress enter our lives that Jaw Pain often starts. So, if that is in the ball park to what's happening with you...let's take another road to recovery.

What I would recommend for you, now of course I'm making a recommendation based on the little information that I know about you, but it's pretty safe.

Go to, click on Products, then scroll down to the night guards. Order the "Custom Comfort" Night Guard. DON'T BUY the Comfort-Fit Night guard. The COMFORT-FIT is not going to be good for you.

I have recently been going through many popular mouthguards that you can buy on the internet and testing them. So far, the Dentek can work. It's not perfect, but the best so far. I would buy that (25.00) and wear it at night. But, cut off the back molar area for it to work better ( I explain how to do that on my TMJ Appliance page).

Leaving the back end on where the molars hit/are can actually cause more pain, But still may help initially. You'll get my complete evaluation soon when I post it.

If you don't want to go cheap, and want the best TMj Splint, then get that from Dr. Kanehl. It may cost you around 1000.00 but will work, It's a lot of dough but nothings better to relieve pain and diagnose any bite issues.

I'll continue working on finding an other TMJ Doc in your area since Dr. Kanehl seems to be a bite correction Doctor and maybe not focused so much on other Envronmental Stress factors. But, if I personally had to correct my bite, I would feel comfortable with having him correct my bite.

Good luck Mags.

David Spainhower DDS

Thank you!
by: Mags

Doctor Spainhower,
I appreciate very much you taking the time to respond.
I am putting a decision on the splint on hold because I have become way too stressed out
trying to make a decision.
I am one of those folks who doesn't do well
when there is too much going on at one time.
The thought of wearing a splint something like
24/7 is probably not a good idea for me right now.

The dentist who looked at me is Bruce Kanehl
in Jacksonville, FL., Duval County. He says he has 30 years as a THJ specialist. His web site is That is a 25 mile round trip for me, the outer limit of how far I am willing to drive.
If you would care to comment on his background
that would be really really helpful.
Thank you again for your thoughts.

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