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Jonathan at PatientBabble


My area of expertise from the patients point of view would be TMJ plus the speech challenges that these jaw and bite problems sometimes represent. Over the years I have seen a multitude of dentists, orthodontists, oral surgeons, speech therapists, neurologists and other health professionals who all had an opinion about my bite problem. I am not a doctor, but would purely be a patients point of view type person. I "get it" when people say they tried to explain to their dentist what their bite problem is and that they are misunderstood. I can listen to people's trials and tribulations and there is a good chance I have been down that road before. I can make suggestions as to what people can do at home, or what questions to ask their doctor or dentist when they visit. ////// I come from a family of dentists. My first house growing up was one of those residential/dentist combination homes and I was around the dental practice all the time. My teeth had always been perfect, and in many respects they still are. I have never had a cavity and my teeth are straight. About 25 years ago, I had my wisdom teeth out and since then my bite has never felt "normal." I have learned a lot over the years as I tried to figure out my problem from the Dentists, Speech Pathologists and assorted doctors that I have visited. I will try and recall information or experiences that may be helpful to you.

Experience in the area

Twenty-Five years ago after my wisdom teeth were removed, my bite did not feel right and then had trouble speaking. For whatever reason, the first sensation I remember was not that my bite was off.....but rather that my normal tongue and speech patterns had been impeded. The years of searching for proper treatment has underscored the importance of understanding the relationship between dental and speech methodologies.///// To this end, and to further my research, I recently attended the American Speech-Language-Hearing Association Convention (ASHA) in Atlanta. At ASHA I learned about a specialty within Speech Pathology termed “Orofacial Myology”. In laymen's terms Orofacial Myology Disorder (OMD) deals with the establishment of correct functional activities of the tongue, lips and jaw. OMD is a motor speech disorder that impacts the normal flow of speech, chewing or swallowing.///// If you believe that your struggles with your teeth also present speech, chewing or swallowing challenges, you may want to seek out a licensed Speech Language Pathologist.....preferably one that has training with Orofacial Myology Disorder.


Project Management Institute


Abridged Version of a Letter I Sent to a Health Care Professional (3/14/13): "..In my early 20's I had my wisdom teeth out. Almost immediately within a few days, something did not feel right in my mouth. I had trouble speaking. When I raised my tongue to try and touch my palate, I felt mostly just teeth. It is very cumbersome to talk and my bite also became a little bit off. If feels almost as if someone put a fork in my mouth and said "now try and speak." Very difficult. My articulation is fine, so to an observer I sound normal. But it takes a monumental effort, so I hate situations like talking on the phone or when somebody asks me to "tell them a story." ..I spent years going to different dentists, who lumped me into their generic version of what they knew about TMJ. They just automatically gravitate to what they have heard about TMJ and assume I am either stressed, or just imagining it. Years later, I look back at all those dentists and doctors and I am amazed at how little they really knew about my condition. I have seen the best dentists, including my dad who is a Orthodontist in New York, to TMJ Dentists in Atlanta and Florida. No one ever suggested that Speech Pathology may be a direction I should explore. ..And I was frustrated by the fact that several MRI's over the years, showed nothing. How could the MRI’s show nothing, and at the same time, I know something does not feel right? I do wear a night guard to sleep in, but it does not fix the trouble that I have when I try to talk. ..I went with a Speech Pathologist friend of mine to the American Speech Language Hearing (ASHA) Convention last October in Atlanta...There was a Speech Pathologist at ASHA who was saying that sometimes when you have your Wisdom Teeth taken out "late" that it could possibly cause damage to the Trigeminal Nerve and surrounding muscles.” POSTSCRIPT: At ASHA, I discovered OROFACIAL MYOLOGY (OMD) which is a specialty in Speech Pathology that addresses Oral Muscular Issues.


College Graduate with Bachelor of Arts Degree, Project Management Professional, Microsoft Certified Technology Specialist

What do you still hope to achieve/learn in this field?

I am focused on a specialty within Speech Pathology called "Orofacial Myology Disorder (OMD)". OMD is the establishment of correct functional activities of the tongue, lips & jaw. It has been my experience that most dentists are not aware of the impact that TMJ can have on normal speech patterns. I am looking to spread awareness regarding OMD to patients & encourage them to seek proper treatment.

Something interesting about this subject that others may not know:

Find the book, "The TMJ Healing Plan" by Cynthia Peterson. Excellent self help book with plenty of exercises. This is the best book that I have found on the subject of TMJ.

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    K = Knowledgeability    C = Clarity of Response    P = Politeness
Bill06/13/1610Vague, general answers. Not at all helpful .....
Julian04/13/161010Thanks! Haha, yeah, will try to not .....
Mary09/23/15101010Thank you very much for sharing your .....

Recent Answers from Jonathan at PatientBabble

2016-10-03 Many broken teeth:

Hi Jacquie,    I almost didn't answer this question, because I thought maybe this is one of those fake questions.  But I would like to give you the benefit of the doubt and give you my thoughts.    Obviously

2016-09-30 please help me:

Andrea,    I'm sorry you have been having all that trouble!    The occlusion that they are talking about is one of the most impossible dilemmas that I have heard many times.  It is almost impossible to

2016-07-27 TMJ Pain:

Hi Sarah,    Yes, TMJ can cause pain in your jaw, ears, in front of your ears, cause headaches and muscle twitching. It is also common for people to complain of neck pain and believe it or not, many other

2016-06-04 Strange problem with severe pain:

Hi Bill,    I am sorry you have been having so much trouble with your teeth.    How did you know specifically which teeth numbers are hurting you?  Most patients don't know that sort of thing.  And you

2016-04-12 Upper lip frenulum cut, what to do?:

Hi Jillian,    Oh My God!!  What happened?  Im sure it must have hurt when you got smacked on the side of the face with the soccer ball!    The good news is I think you are going to live.  And you have


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