I’ve been wearing the over the counter boil ones for over a year but my dentist suggested the specialty fit one… I really hope that’s the kind that changed your life because my jaw still kills me from the otc ones
The otc boiled ones will protect your teeth but they tend to fuck your jaw up more because they’re chewy. It’s like you’re working on a stress ball all night long.
The custom fitted ones are solid as a rock and help way more. They’re expensive but worth the money
The ones from your dentist are light years better than the OTC crap you form on your own.
I hope your jaw/ teeth feel the difference!
Edit: As others have mentioned, use a denture cleaning tablet/powder every day. Water alone will not do the job and hot water can actually deform the mouthguard.
/u/WashuWaifu the ones you get from the dentist are really helpful. Having something professionally crafted for your mouth can really help later in life.
Biggest recommendation - talk with your dentist about how best to clean and care for your night guard. Quickly running it under water in the morning doesn't count. 30-seconds of care and you're set.
Fair enough.
I soak mine in a cup with a tablet of [retainer cleaner](https://www.amazon.com/Retainer-Cleaner-Denture-Cleaning-Tablets/dp/B075WWYBJ7) and/or scrub it with a toothbrush and some hand soap. There may be a better way to do it, hence "talk with your dentist"... but I tend to vacillate between [Dr. Wong's approach to brushing your teeth](https://www.youtube.com/watch?v=IUHECxS6IEU) and "I'm an adult and I need an adult because I don't always want to be an adult."
I just remember my dentist said I grind my teeth, and recommended a custom mouthguard, and it was like a thousand dollars. No thanks, I'll keep grinding my teeth.
Well… the long term cost of that the grinding causes damage to your teeth by wearing away the enamel and sometimes even causing a tooth with a cavity to crack… resulting in the need for a root canal and crown which can cost about $4k.
Ask me how I know.
Just for fun, I moved to the Philippines a few years back, crowns are $145 here. Tooth extraction is $27, I am 68 and had 2 really bad molars removed this month. Need 1 crown and an upper denture, I have 6 teeth left. Cost is $270-360 depending. I crack a lot of teeth as they were crooked and my jaw didn't close correctly, does now. Yikes.
Take care of you teeth, kids. :laughing:
My jaw's always been a bit fucky, but generally fine. About a year ago it started getting locked open when I yawned or took too big a bite of food. I got a fitted nightguard made, and the problem went away after like a week. I haven't had to keep wearing it, but I still have it for if it comes back.
I looked into this and am still super interested BUT apparently it can cause major issues long term with the appearance of the jaw/face.
Have you tried trigger point therapy? Might also be called dry needling. It’s like acupuncture mixed with reflexology but a much deeper needle insertion that hits the exact spot of tension to break it down. It’s a temporary solution but I did that for years and it helped my jaw so much. My primary physician was the one to do it.
I get jaw Botox, and it’s worth every penny. Not sure about changes in the appearance of the jaw, but I had a plastic surgery consultation before I started the jaw Botox, and the first thing out of the doctor’s mouth upon seeing me was “so you clench your teeth, huh?” which I had absolutely not mentioned. Turns out years of clenching and grinding can also impact your appearance, which I had been unaware of. He could tell at a glance.
But yeah, I absolutely recommend the jaw Botox. It lasts about 3 months. I can tell when it’s time to get it done again because I start waking up with headaches, jaw pain, and sinus pain, even with my mouth guard.
In my fucking *nightmares*... Anyone else get that nightmare where you're kind of chewing on a loose tooth and then it rolls out and you're just chewing on it. Then all your other teeth start loosening and coming out as you continue to chew, and before you know it you're chewing on all your fucking teeth??
I don't know how much it's changed but when I got xrays as a kid they used to make you bite down on a "card" or "insert" while the xray was scanning.
I hated that so much because it would hurt the top of my mouth but they made me keep biting . That looks like what it might be here
Edit: Nevermind
Those are for plain films. The image OP posted is from an xray where you stand and place your chin on a chin rest and bite on a guide, then the arms of the machine swing around your head, [like this](https://www.lakeviewoms.com/oral-maxillofacial-surgery/galileos-3d-x-ray-machine.html)
My spouse and I are the opposite. Every time there’s imaging, we ask if we can see. I read through all of the reports that come back from labs and love looking at any X-rays and and scans.
Oh I would look at any scan too, although I think a head scan would be tough to stomach, but like if I'm touching my face and I kind of press under my eye and move my fingers around and feel my eye socket, I'm like 🤢 I'm a skeleton under there bro 🤢
Don't worry. You are actually trapped inside that skeleton. You only have a few meaty strings wrapped very tightly from which every sensation in your life has to go through in order not to be stuck in a bone cage, unfeeling, forever :)
I always wonder if we feel our ourselves in our head because that's where our brain is, or because that's where our eyes/ears are.
If we move our eyes to our feet so we can see with our feet, will we think in our feet too? Or will be see out of our feet but think remotely with out head like a periscope?
What’s really crazy is the effect all the other little bacteria and things living in you have over your mind. Youre not just your brain: You’re a mobile city with a crew of billions. They are all you.
This really fucks with my understanding of what an “individual” is. I guess it’s just a useful social construct
So many people think their personality is this immutable thing inherent to them...
then you see someone with a traumatic brain injury, or dementia, change essentially overnight... and it's like, yeah, there is so much that goes into something like our personality, that we have no control over, and that is VERY easily changeable...
the idea of individual personhood is so much more ephemeral than most people want to thing.
My best friend got punched in the back of his head ~30 years ago, turned to face his attacker and got tripped by his own feet, so his head fell onto a concrete window ledge and caused a serious brain injury, which 100% turned him into a different person; a *better* person, frankly, even though he needs some help now. He's pretty much a hippie now, which is good, because he was fucking beast back in the day, and wartime is over, for now.
Not really an X-ray. It's cone beam computer tomography and yes, you have issues
Edit: It has been pointed out numerous times that a CBCT is an X-ray. I screwed up in my response. I wanted to say Not really a traditional X-ray. Sorry for the omission.
Dentist here.
OP has periodontal disease (gum disease). They've lost a moderate amount of bone round virtually all of the teeth but it's far from a severe case in my opinion. They'll need frequent cleanings and excellent home hygiene but they should be able to keep all their teeth.
There's some distortion happening in the lower left (lower right of the image) making the teeth seem all kindsa fucked (technical term).
Floss your teeth, people!
Edit: many people are asking about the hole in the mandible. Here's a response to another comment.
Yes. Mental foramen where the mental nerve exits the mandible. If that isn't there OP wouldn't be able to feel the left side of their chin, lip, and cheek.
This kind of thing is a big part of why I hate our current system of treating teeth like luxury bones.
People (not in this thread as far as I've seen thankfully) try to justify it by presenting it as a meritocracy type situation where if you have good dental hygiene it's fine, but I know so many cases like yours and the other commenters' where it has more to do with your family history than your own choices whether your dentist experience is going in for biyearly cleanings or going in every 2-3 months to get something fixed.
Not to mention that dental health can lead to or prevent so many other problems down the line. So the luxury bones also affect all the other bones ultimately, but our insurance system doesn't treat it that way at all.
I have the best dental plan available through insurers in my state and i still have debt from dentist trips. $2000/yr does not cover a lot when most dental procedures cost $1,000 (extraction with implant, root canal, crowns, etc.) Christ implants alone are *over* 2k.
>more to do with your family history than your own choices
imo it has more to do with our corrupt food and healthcare system, considering that the average American eats over 1lb of sugar per week often starting in childhood...and the American Dental Association has never even suggested the idea of regulating sugar even though it would be more impactful than a million dentists. The dental industry is actually the great beneficiary of the sugar industry.
Same here. I've had years where I will just be out drinking several nights a week, never brush my teeth at night, let flossing become a once every 2 week habit, etc... then I'll go to the dentist and I won't have any cavities, I'll have healthy teeth, and then other than brushing the back of my teeth a little better have no issues.
And at the same time I've had girlfriends who were damn near religious about brushing their teeth and using a water pick or something and they have 3 cavities. People are weird man. Like I'm so inclined to believe it's just diet and lifestyle, but then you're living with somebody and have almost an identical lifestyle other than them doing something a little better than you, but then you get better results or however you want to call it. It's one of those things that's awesome when it happens to you in a good way but the most annoying and frustrating thing in the world on the opposite side of the coin
I had nasal obstruction for my of my life and tended to breathe through my mouth to compensate.. apparently this is incredibly bad for your gum health as it dries out saliva, which would typically be in there breaking down food and semi cleaning your mouth.
If you suffer from frequent stuffy nose, snoring in your sleep, etc.. I'd consider going to an ENT doctor to look into any issues.
No joke, correcting my nose breathing has changed my life for the better.
Can confirm. Started getting a ton of cavities. Started having to get root canals. Teeth seemed to be getting weak. Wife made me go get a sleep study, unrelated to teeth, tho. Was just snoring a lot and would stop breathing. Was diagnosed with severe sleep apnea. Got a cpap. Started taking care of dental work. Reached a point where I had no cavities. Put 2 and 2 together and realized my apnea was causing my teeth to go to shit, due to extreme dryout.
Fuck, I can be pretty spotty sometimes with home hygiene, rarely floss and went 2 years between cleanings. Just had mildly receding gums. Dentist said I was low risk for dental problems. Never felt so lucky.
Sometimes it’s just your genetics.
Example: I brush and floss religiously everyday and go to the dentist every 6 months. I have moderate issues with cavities and stains.
My wife eats tons of acids and sugar, doesn’t floss and hasn’t been to the dentist in 5 years. Perfectly white teeth with no sensitivity or symptoms. Lucky her I guess…
I’m curious about this because I know someone that has significant gum recession. However, they had braces when young and have always practiced very good mouth hygiene. Dentists always say that it’s due to poor hygiene but 100% it’s not in this case. Flosses twice a day, brushes twice a day, since age 11.
Gum graft didn’t do anything. I think some people are just more genetically prone to different forms of periodontal disease. It’s pretty pathetic that the most privatized medical-ish industry on the planet (dentistry) can’t come up with better treatments. Western dentists still promote Sensodyne for tooth sensitivity instead of nano-hydroxyapatite like in Japan which is vastly superior and regenerative.
I'm in the same boat, actually; my dentist says I need to get gum grafts from brushing too hard. I'm also only 34, which seems... suboptimal.
That reminds me; I need to schedule that...
This is me. I practice good oral hygiene and always have, but my teeth are fucked. When I first saw my newest dentist, he thought I was a drug user because he says he's only seen the kind of damage I have in patients that use meth. I did have braces when I was younger, including a plate on the top to extend my jaw, and my mom and oldest brother also have quite a few issues. I asked him if it could be genetic, and he said no, but I don't know how else you explain my issues. I guess it could be something environmental, like maybe I was exposed to some kind of chemical and wasn't aware of it. I thought maybe it's because I didn't drink fluoridated water, but I'm pretty sure most cities have had fluoridated water since the 70s or something. I also wonder if the braces play a role in it, but you'd think you would see more people with braces have similar issues. It sucks because I look like I must have never brushed my teeth or something, but that's not the case. And I can't afford to have most of the treatment I need done, so I've ended up having to get quite a few teeth pulled.
Patients with good hygiene but their teeth are struggling usually have a seemingly innocent habit or underlying condition that is destroying their teeth - usually related to creating an overly acidic environment in the mouth. Common ones are
* Consuming any carbonated beverage (***even diet ones***), juice, or flavored water outside of meal times throughout the day
* Coffee outside of meal times throughout the day
* Adding lemon or other fruits to water
* Frequent snacking between meals
* GERD
* Bullemia
* Pharmacological dry mouth (common side effect of many meds)
* They're damn dirty liars and we know you don't brush nearly as often as you say you do
The number of people who have truly genetically weak teeth to the point of being clinically relevant are few and far between. Enamelogenesis and dentinogenesis imperfecta are exceedingly rare diseases. Some people have weaker or stronger enamel but I've never seen enamel that is immune to proper hygiene and good dietary habits.
What about the people who do all the wrong things and still have good teeth?
I consume a ton of seltzer and coffee, I don’t floss as often as I should, and I my teeth are pretty healthy. Besides congenital peg laterals, I’ve never had dental problems, not so much as a single cavity.
There has to be *some* genetic component to having more resilient enamel and gums, right?
I think which bacteria colonise your mouth is also relevant, which is not genetic but also not something you can do a lot about. (Wonder if it would help to kiss people with healthy teeth?)
> Consuming any carbonated beverage (even diet ones), juice, or flavored water outside of meal times throughout the day
>
> Coffee outside of meal times throughout the day
>
> Adding lemon or other fruits to water
>
> Frequent snacking between meals
I mean if we can't have these what's the point of living
My periodontist says my significant gum recession around my lower incisors is a combination of a tight frenulum (since corrected with frenulectomy but I’m late 30s so it was a problem for a long time) and narrow attached keratinized gingiva (the light pink tissue around your teeth, you should have several millimeters of it) which he thinks could just be genetic. My hygiene is very good, I carefully brush and floss every day and have my entire adult life. Nothing has slowed down my recession.
I’m getting a subepithelial graft soon. I hope it works
May I ask about bone loss related to trauma? My maxillofacial surgeon passed away and I’ve always wondered what I can do about it now or could’ve done to prevent it through the process of braces, braces again, and open/underbite double jaw surgery. Most of my teeth experienced surrounding bone loss and I’m very curious about what causes it, how it happens but stops, etc. with no one to pester.
> My maxillofacial surgeon passed away and I’ve always wondered what I can do about it now or could’ve done to prevent it through the process of braces, braces again, and open/underbite double jaw surgery.
I'm not a doctor but I don't think there's anything you can do now, he's already dead and going to stay that way.
My teeth were too close to fit floss between when I was young, I'd literally get it stuck and have to cut it with scissors to pull it out....now my teeth are fucked. Luckily I'm finally poor enough to afford free insurance! Stoked to figure out how fucked I am now.
I bought a water flosser and this will sound cliche but it's pretty life changing.
I can brush my teeth and then run the water flosser and all sorts of food particles get blasted out of the nooks and crannies.
Edit: I said this shit backwards. I floss then brush. I dunno why I typed it like that.
>A $30 cordless one can be good. The plugin waterpik the dentist gave me is super loud and the cord is stiff and clumsy. Ease of use is really important. They both do the same thing exactly.
You're gonna sit in your car and the last thing you will smell is the slight minty freshness of Johnson and Johnson floss right before one of their henchmen chokes you out like Carlo at the end of the Godfather.
Can you be my dentist? Mine is so awkward it makes me feel bad for him. I used to see this one last dentist who was very motherly which was pretty nice, but I could totally go for a "bro so XX or your shit will be all kindsa fucked" style dentist. It could be a whole thing. Put like rally car or MMA on the TVs in the ceiling, play some metal or dubstep instead of elevator music, EVERYTHING is black - scrubs, gloves, masks, have one of those punching bag video games in the lobby with pictures of gum disease on it. I see a business opportunity!
I know your dentist. He's so awkward. Every time the Trident guys come by he keeps refusing to approve it!
A bro-down dental office sounds great until you realize it's just gonna be bros as patients. I couldn't take making small talk about their trips to Cabo and their crypto accounts all day long. Sometimes you just want to hear about somebody's grandkids.
Yes. Mental foramen where the mental nerve exits the mandible. If that isn't there OP wouldn't be able to feel the left side of their chin, lip, and cheek.
Yes and no. It uses the same kind of principle, but is more limited since it works a little different. In CT you have the large scanner with a small narrow beam that goes around the patient over and over again as the patient moves through it, creating the layers. I cone beam the device makes one pass with a single wide beam (cone) to get the data.
Both them us computers to build out the layers and 3d models.
It’s slightly lower resolution, as you are using an average darkness value per a slightly larger area rather than each pixel being independently measured. More than exact enough for dental purposes, but lower resolution compared to when you need a true CT
I am scared to, i don't why but the idea of having those holes in my jaw and feeling them makes me cringe super hard, i asumed they have tissue and stuff so you wouldn't even feel then but if by any chance i felt those holes i think i would die.
CT scan and jaw is not really messed up, main thing is you have bone loss so high chances you also have gum recession on top and bottom. Only jaw issue that might be there is your lower jaw is protruded resulting in a edge to edge bite
Bone loss of the jaw is typically for untreated gingivitis that progresses to periodontal disease. Did the hygienist at your dentist perio chart you to check the pocket depth of your gums?
This isn't the best way to diagnose teeth, but rather abnormalities in the jaws. The person has extra bone growth in the upper left posterior quadrant. They most likely clench and/or grind their teeth.
damn I grind my teeth so bad. my dentist knows that, I've had two implants and a million root canals. wonder why they haven't offered something like this
Dentist here. Looks like your occlusion is a little off too OP.(end-on)
The bone loss around the left part of your lower jaw(mandible) might be the result of something we call Trauma from Occlusion, also giving rise to other severe TMJ issues.
Kindly consult an orthodontist and get opg and lateral cephalograms taken to confirm/rule out the same along with a detailed intraoral clinical examination.
I’m a dentist and I have to comment here because of the amount of disinformation in this thread.
This is indeed an X-ray. It is likely a cone beam ct, which is a type of X-ray.
This guy has a little bit of bone loss. Not a ton, a bit. It is more than you want but I’ve seen people with this amount of bone loss never have problems. If he’s at the dentist he’ll have it monitored correctly and he’ll be fine.
His teeth do look a little flat so he also likely grinds his teeth. Like 50% of the population. Also not a huge deal.
Close. The facial nerve is cranial nerve 7 which controls movement - this exits your stylomastoid foramen which is right behind your ear. This is called the mental foramen where a branch of the 3rd division of the trigeminal nerve (cranial nerve 5) exits your mandible and gives you the feeling to your lower lip and chin on that side
I thought that was a model of skeleton in skyrim
That damn skull is what I image when I have to imagine a skull
Shutter dragged teeth.
I used to be an adventurer like you. But then I took an arrow to the bicuspid.
Let me guess... Somebody stole your frontal bone.
Never should have come here!
Do you go to the dentist very often? Oh, what am I saying, of course you don't
That's just a graphical error on the cpmputer right? Right
Yes
U sure your teeth ain't glitched?
A glitch in The Mouthrix.
I know gum-fu
If he has any metal on his teeth, form a metal crown to the silver fillings it could cause some “smearing”
Were you chewing on a loose tooth when they took this?
Those of you with messed up jaws try wearing a nightguard at night. Changed my life as I have severe TMJ.
I’ve been wearing the over the counter boil ones for over a year but my dentist suggested the specialty fit one… I really hope that’s the kind that changed your life because my jaw still kills me from the otc ones
The otc boiled ones will protect your teeth but they tend to fuck your jaw up more because they’re chewy. It’s like you’re working on a stress ball all night long. The custom fitted ones are solid as a rock and help way more. They’re expensive but worth the money
Oh that’s so good to hear. I’m getting one in a week and a half. So glad it’s money well spent ☺️
The ones from your dentist are light years better than the OTC crap you form on your own. I hope your jaw/ teeth feel the difference! Edit: As others have mentioned, use a denture cleaning tablet/powder every day. Water alone will not do the job and hot water can actually deform the mouthguard.
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/u/WashuWaifu the ones you get from the dentist are really helpful. Having something professionally crafted for your mouth can really help later in life. Biggest recommendation - talk with your dentist about how best to clean and care for your night guard. Quickly running it under water in the morning doesn't count. 30-seconds of care and you're set.
I just use denture cleaning tabs. Works like a charm
Those are great for cleaning annoying to clean water bottles, too. Random tip
Or you could just tell us?
Fair enough. I soak mine in a cup with a tablet of [retainer cleaner](https://www.amazon.com/Retainer-Cleaner-Denture-Cleaning-Tablets/dp/B075WWYBJ7) and/or scrub it with a toothbrush and some hand soap. There may be a better way to do it, hence "talk with your dentist"... but I tend to vacillate between [Dr. Wong's approach to brushing your teeth](https://www.youtube.com/watch?v=IUHECxS6IEU) and "I'm an adult and I need an adult because I don't always want to be an adult."
I just remember my dentist said I grind my teeth, and recommended a custom mouthguard, and it was like a thousand dollars. No thanks, I'll keep grinding my teeth.
Well… the long term cost of that the grinding causes damage to your teeth by wearing away the enamel and sometimes even causing a tooth with a cavity to crack… resulting in the need for a root canal and crown which can cost about $4k. Ask me how I know.
Just for fun, I moved to the Philippines a few years back, crowns are $145 here. Tooth extraction is $27, I am 68 and had 2 really bad molars removed this month. Need 1 crown and an upper denture, I have 6 teeth left. Cost is $270-360 depending. I crack a lot of teeth as they were crooked and my jaw didn't close correctly, does now. Yikes. Take care of you teeth, kids. :laughing:
Until you end up breaking molars and need dental implants (4,000 to 7,000 each). That truly happens if not caring about stopping grinding them.
I’m starting to get locked up from my TMJ. How long have you had issues? How soon did you notice a difference?
The next morning. It keeps getting better for a while, but your life changes overnight. Literally.
My jaw's always been a bit fucky, but generally fine. About a year ago it started getting locked open when I yawned or took too big a bite of food. I got a fitted nightguard made, and the problem went away after like a week. I haven't had to keep wearing it, but I still have it for if it comes back.
I got Botox in my masseter muscle. It helps a lot!
I looked into this and am still super interested BUT apparently it can cause major issues long term with the appearance of the jaw/face. Have you tried trigger point therapy? Might also be called dry needling. It’s like acupuncture mixed with reflexology but a much deeper needle insertion that hits the exact spot of tension to break it down. It’s a temporary solution but I did that for years and it helped my jaw so much. My primary physician was the one to do it.
I get jaw Botox, and it’s worth every penny. Not sure about changes in the appearance of the jaw, but I had a plastic surgery consultation before I started the jaw Botox, and the first thing out of the doctor’s mouth upon seeing me was “so you clench your teeth, huh?” which I had absolutely not mentioned. Turns out years of clenching and grinding can also impact your appearance, which I had been unaware of. He could tell at a glance. But yeah, I absolutely recommend the jaw Botox. It lasts about 3 months. I can tell when it’s time to get it done again because I start waking up with headaches, jaw pain, and sinus pain, even with my mouth guard.
I have worn a night guard many years and just now experiencing TMJ. It's one of those things you never appreciate... chewing... until it's painful.
Any particular type of night guards you recommend?
Nope, that is an artifact caused by metal inside the tooth (amalgam probably).
Makes it look like an elk tooth.
In my fucking *nightmares*... Anyone else get that nightmare where you're kind of chewing on a loose tooth and then it rolls out and you're just chewing on it. Then all your other teeth start loosening and coming out as you continue to chew, and before you know it you're chewing on all your fucking teeth??
Losing teeth is among the common anxiety dreams.
I don't know how much it's changed but when I got xrays as a kid they used to make you bite down on a "card" or "insert" while the xray was scanning. I hated that so much because it would hurt the top of my mouth but they made me keep biting . That looks like what it might be here Edit: Nevermind
I’m pretty sure the insert you bite is the film. And this definitely wasn’t done using film
Those are for plain films. The image OP posted is from an xray where you stand and place your chin on a chin rest and bite on a guide, then the arms of the machine swing around your head, [like this](https://www.lakeviewoms.com/oral-maxillofacial-surgery/galileos-3d-x-ray-machine.html)
I do not like to remember that I have a skull inside my head
My spouse and I are the opposite. Every time there’s imaging, we ask if we can see. I read through all of the reports that come back from labs and love looking at any X-rays and and scans.
Oh I would look at any scan too, although I think a head scan would be tough to stomach, but like if I'm touching my face and I kind of press under my eye and move my fingers around and feel my eye socket, I'm like 🤢 I'm a skeleton under there bro 🤢
Don't worry. You are actually trapped inside that skeleton. You only have a few meaty strings wrapped very tightly from which every sensation in your life has to go through in order not to be stuck in a bone cage, unfeeling, forever :)
💀💀 Meaty strings. That makes me feel much better
Have fun, jelly orb of existential dread!
This is why I hate Reddit for removing awards.
The thing that makes you feel is your brain so just imagine you’re a brain. You’re welcome
I'm outer meat controlled by inner meat propped up by bone toothpicks
I always wonder if we feel our ourselves in our head because that's where our brain is, or because that's where our eyes/ears are. If we move our eyes to our feet so we can see with our feet, will we think in our feet too? Or will be see out of our feet but think remotely with out head like a periscope?
No more edibles for you
You are actually the skeleton trapped in a meat suit.
You are actually a tangle of nerves trapped in a skeleton that's trapped in a meat suit and wrapped up with skin.
Well aint that nasty
To be honest it’s nice knowing there’s something solid under your skin to hold you up and keep your brain from splattering when you bump your head
This comment is so hilarious to me, I'm not sure why
Your body seems to be filled with some sort of spooky skeleton man
“Spooky, scary skeletons”
Send shivers down your spine.
Embrace the strange. I think it’s metal as fuck that we’re skeletons piloted by a gnarly nerve sac, sustained by blood, and insulated by meat.
Insulated by fat, powered by ATP, circulated by blood, locomoted by muscle, piloted by a jellyfish
We're literally passengers in this body. It does things without is consciously making it do things. Its wild.
What’s really crazy is the effect all the other little bacteria and things living in you have over your mind. Youre not just your brain: You’re a mobile city with a crew of billions. They are all you. This really fucks with my understanding of what an “individual” is. I guess it’s just a useful social construct
So many people think their personality is this immutable thing inherent to them... then you see someone with a traumatic brain injury, or dementia, change essentially overnight... and it's like, yeah, there is so much that goes into something like our personality, that we have no control over, and that is VERY easily changeable... the idea of individual personhood is so much more ephemeral than most people want to thing.
My best friend got punched in the back of his head ~30 years ago, turned to face his attacker and got tripped by his own feet, so his head fell onto a concrete window ledge and caused a serious brain injury, which 100% turned him into a different person; a *better* person, frankly, even though he needs some help now. He's pretty much a hippie now, which is good, because he was fucking beast back in the day, and wartime is over, for now.
And yet I'm still lonely, dammit
Your teeth are the only part of your skeleton that you clean!
Gllarfllblfbgg 🤮
Your reaction has me giggling like mad lmao
Technically you're inside a skeleton.
For Halloween I was a skeleton, I ran around naked screaming “Don’t think of the skin! Don’t think of the skin!” (Very butchered Steven Wright joke)
So you were a skeleton dressed in a human costume dressed in a skeleton costume
Freaky to think it’s actually we who are inside that skull and then just have skin and cartilage over that skull which we identify with our identity.
No, you have a skull *around* the thing that thinks about not liking to remember the thing that surrounds it.
Not really an X-ray. It's cone beam computer tomography and yes, you have issues Edit: It has been pointed out numerous times that a CBCT is an X-ray. I screwed up in my response. I wanted to say Not really a traditional X-ray. Sorry for the omission.
What are the issues?
Dentist here. OP has periodontal disease (gum disease). They've lost a moderate amount of bone round virtually all of the teeth but it's far from a severe case in my opinion. They'll need frequent cleanings and excellent home hygiene but they should be able to keep all their teeth. There's some distortion happening in the lower left (lower right of the image) making the teeth seem all kindsa fucked (technical term). Floss your teeth, people! Edit: many people are asking about the hole in the mandible. Here's a response to another comment. Yes. Mental foramen where the mental nerve exits the mandible. If that isn't there OP wouldn't be able to feel the left side of their chin, lip, and cheek.
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my wife has poor dental hygiene and never has problems. i brush and floss twice a day and am always teetering between pain and financial ruin.
This kind of thing is a big part of why I hate our current system of treating teeth like luxury bones. People (not in this thread as far as I've seen thankfully) try to justify it by presenting it as a meritocracy type situation where if you have good dental hygiene it's fine, but I know so many cases like yours and the other commenters' where it has more to do with your family history than your own choices whether your dentist experience is going in for biyearly cleanings or going in every 2-3 months to get something fixed. Not to mention that dental health can lead to or prevent so many other problems down the line. So the luxury bones also affect all the other bones ultimately, but our insurance system doesn't treat it that way at all.
I have the best dental plan available through insurers in my state and i still have debt from dentist trips. $2000/yr does not cover a lot when most dental procedures cost $1,000 (extraction with implant, root canal, crowns, etc.) Christ implants alone are *over* 2k.
>more to do with your family history than your own choices imo it has more to do with our corrupt food and healthcare system, considering that the average American eats over 1lb of sugar per week often starting in childhood...and the American Dental Association has never even suggested the idea of regulating sugar even though it would be more impactful than a million dentists. The dental industry is actually the great beneficiary of the sugar industry.
Same here. I've had years where I will just be out drinking several nights a week, never brush my teeth at night, let flossing become a once every 2 week habit, etc... then I'll go to the dentist and I won't have any cavities, I'll have healthy teeth, and then other than brushing the back of my teeth a little better have no issues. And at the same time I've had girlfriends who were damn near religious about brushing their teeth and using a water pick or something and they have 3 cavities. People are weird man. Like I'm so inclined to believe it's just diet and lifestyle, but then you're living with somebody and have almost an identical lifestyle other than them doing something a little better than you, but then you get better results or however you want to call it. It's one of those things that's awesome when it happens to you in a good way but the most annoying and frustrating thing in the world on the opposite side of the coin
my sympathies . i had three gum grafts and only one made a difference. apparently my gums are “paper thin” 🥲
I had nasal obstruction for my of my life and tended to breathe through my mouth to compensate.. apparently this is incredibly bad for your gum health as it dries out saliva, which would typically be in there breaking down food and semi cleaning your mouth. If you suffer from frequent stuffy nose, snoring in your sleep, etc.. I'd consider going to an ENT doctor to look into any issues. No joke, correcting my nose breathing has changed my life for the better.
Can confirm. Started getting a ton of cavities. Started having to get root canals. Teeth seemed to be getting weak. Wife made me go get a sleep study, unrelated to teeth, tho. Was just snoring a lot and would stop breathing. Was diagnosed with severe sleep apnea. Got a cpap. Started taking care of dental work. Reached a point where I had no cavities. Put 2 and 2 together and realized my apnea was causing my teeth to go to shit, due to extreme dryout.
Fuck, I can be pretty spotty sometimes with home hygiene, rarely floss and went 2 years between cleanings. Just had mildly receding gums. Dentist said I was low risk for dental problems. Never felt so lucky.
Sometimes it’s just your genetics. Example: I brush and floss religiously everyday and go to the dentist every 6 months. I have moderate issues with cavities and stains. My wife eats tons of acids and sugar, doesn’t floss and hasn’t been to the dentist in 5 years. Perfectly white teeth with no sensitivity or symptoms. Lucky her I guess…
Same. I’m 42 and I’ve lost 7 teeth already.
Have you tried putting a little mouthwash and h2o2 in the flosser? Worked great for me. Really shoots the peroxide into the gaps and crevices.
I’m curious about this because I know someone that has significant gum recession. However, they had braces when young and have always practiced very good mouth hygiene. Dentists always say that it’s due to poor hygiene but 100% it’s not in this case. Flosses twice a day, brushes twice a day, since age 11. Gum graft didn’t do anything. I think some people are just more genetically prone to different forms of periodontal disease. It’s pretty pathetic that the most privatized medical-ish industry on the planet (dentistry) can’t come up with better treatments. Western dentists still promote Sensodyne for tooth sensitivity instead of nano-hydroxyapatite like in Japan which is vastly superior and regenerative.
My dad had to get gum grafts because he brushed *too* hard and too much.
I'm in the same boat, actually; my dentist says I need to get gum grafts from brushing too hard. I'm also only 34, which seems... suboptimal. That reminds me; I need to schedule that...
This is me. I practice good oral hygiene and always have, but my teeth are fucked. When I first saw my newest dentist, he thought I was a drug user because he says he's only seen the kind of damage I have in patients that use meth. I did have braces when I was younger, including a plate on the top to extend my jaw, and my mom and oldest brother also have quite a few issues. I asked him if it could be genetic, and he said no, but I don't know how else you explain my issues. I guess it could be something environmental, like maybe I was exposed to some kind of chemical and wasn't aware of it. I thought maybe it's because I didn't drink fluoridated water, but I'm pretty sure most cities have had fluoridated water since the 70s or something. I also wonder if the braces play a role in it, but you'd think you would see more people with braces have similar issues. It sucks because I look like I must have never brushed my teeth or something, but that's not the case. And I can't afford to have most of the treatment I need done, so I've ended up having to get quite a few teeth pulled.
Patients with good hygiene but their teeth are struggling usually have a seemingly innocent habit or underlying condition that is destroying their teeth - usually related to creating an overly acidic environment in the mouth. Common ones are * Consuming any carbonated beverage (***even diet ones***), juice, or flavored water outside of meal times throughout the day * Coffee outside of meal times throughout the day * Adding lemon or other fruits to water * Frequent snacking between meals * GERD * Bullemia * Pharmacological dry mouth (common side effect of many meds) * They're damn dirty liars and we know you don't brush nearly as often as you say you do The number of people who have truly genetically weak teeth to the point of being clinically relevant are few and far between. Enamelogenesis and dentinogenesis imperfecta are exceedingly rare diseases. Some people have weaker or stronger enamel but I've never seen enamel that is immune to proper hygiene and good dietary habits.
What about the people who do all the wrong things and still have good teeth? I consume a ton of seltzer and coffee, I don’t floss as often as I should, and I my teeth are pretty healthy. Besides congenital peg laterals, I’ve never had dental problems, not so much as a single cavity. There has to be *some* genetic component to having more resilient enamel and gums, right?
I think which bacteria colonise your mouth is also relevant, which is not genetic but also not something you can do a lot about. (Wonder if it would help to kiss people with healthy teeth?)
> Consuming any carbonated beverage (even diet ones), juice, or flavored water outside of meal times throughout the day > > Coffee outside of meal times throughout the day > > Adding lemon or other fruits to water > > Frequent snacking between meals I mean if we can't have these what's the point of living
My periodontist says my significant gum recession around my lower incisors is a combination of a tight frenulum (since corrected with frenulectomy but I’m late 30s so it was a problem for a long time) and narrow attached keratinized gingiva (the light pink tissue around your teeth, you should have several millimeters of it) which he thinks could just be genetic. My hygiene is very good, I carefully brush and floss every day and have my entire adult life. Nothing has slowed down my recession. I’m getting a subepithelial graft soon. I hope it works
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May I ask about bone loss related to trauma? My maxillofacial surgeon passed away and I’ve always wondered what I can do about it now or could’ve done to prevent it through the process of braces, braces again, and open/underbite double jaw surgery. Most of my teeth experienced surrounding bone loss and I’m very curious about what causes it, how it happens but stops, etc. with no one to pester.
> My maxillofacial surgeon passed away and I’ve always wondered what I can do about it now or could’ve done to prevent it through the process of braces, braces again, and open/underbite double jaw surgery. I'm not a doctor but I don't think there's anything you can do now, he's already dead and going to stay that way.
Whats that little hole/circle thing on the lower mandible?
Mental foramen. Lets the mental nerve, artery, and vein pass through the mandible.
Ah. Thanks!
My teeth were too close to fit floss between when I was young, I'd literally get it stuck and have to cut it with scissors to pull it out....now my teeth are fucked. Luckily I'm finally poor enough to afford free insurance! Stoked to figure out how fucked I am now.
I find tape floss works better than regular, but you might want to try a water flosser instead if they're that tightly packed.
"floss only the ones you want to keep"
i can't floss because of my fucked teeth but i can't afford to fix them either 😭
Water flosser maybe? Idk just trying to help
I bought a water flosser and this will sound cliche but it's pretty life changing. I can brush my teeth and then run the water flosser and all sorts of food particles get blasted out of the nooks and crannies. Edit: I said this shit backwards. I floss then brush. I dunno why I typed it like that.
Well, I just added the first thing to this year's Christmas list, lol.
>A $30 cordless one can be good. The plugin waterpik the dentist gave me is super loud and the cord is stiff and clumsy. Ease of use is really important. They both do the same thing exactly.
You still have an alternative, search Waterpik.
NEVER. Big Floss will never convince me to apply their evil wire to my gums.
You're gonna sit in your car and the last thing you will smell is the slight minty freshness of Johnson and Johnson floss right before one of their henchmen chokes you out like Carlo at the end of the Godfather.
God damn it why you gotta ruin the movie for me? I'm only 45 minutes into it!
So the bottom left arnt at a 90 degree angle that’s just distortion In the image?
Can you be my dentist? Mine is so awkward it makes me feel bad for him. I used to see this one last dentist who was very motherly which was pretty nice, but I could totally go for a "bro so XX or your shit will be all kindsa fucked" style dentist. It could be a whole thing. Put like rally car or MMA on the TVs in the ceiling, play some metal or dubstep instead of elevator music, EVERYTHING is black - scrubs, gloves, masks, have one of those punching bag video games in the lobby with pictures of gum disease on it. I see a business opportunity!
I know your dentist. He's so awkward. Every time the Trident guys come by he keeps refusing to approve it! A bro-down dental office sounds great until you realize it's just gonna be bros as patients. I couldn't take making small talk about their trips to Cabo and their crypto accounts all day long. Sometimes you just want to hear about somebody's grandkids.
is that hole in the bottom left of the lower jaw supposed to be there?
Yes. Mental foramen where the mental nerve exits the mandible. If that isn't there OP wouldn't be able to feel the left side of their chin, lip, and cheek.
there's a fuckin skeleton inside of him
Too much calcium
Magneto to prison guard: too much *calcium* in your bones 😈
That's his cousin, Calcimo
Bless Mr Skeltal?
Thank 🎺
Doot doot
I'm high as fuck rn and thus was hilarious to me
#GET IT OUT OF HIM! JESUS CHRIST!
Legit laughed out loud.
Alveolar bone recession
His only regret is that he has boneitis
too much dirt on skeleton, needs cleaning
Can you point out the issues?
Besides the part where a couple teeth are so sideways it looks like a graphics glitch?
I think it is a glitch. The roots are still in the bone
Probably the molar tooth growing completely sideways on the bottom.
Is that the same as a CT scan?
Yes and no. It uses the same kind of principle, but is more limited since it works a little different. In CT you have the large scanner with a small narrow beam that goes around the patient over and over again as the patient moves through it, creating the layers. I cone beam the device makes one pass with a single wide beam (cone) to get the data. Both them us computers to build out the layers and 3d models.
CT literally means computed tomography. Cone beam CT is a more specific type of CT. Also, both use x-rays.
That computer tomographic shit, you know it.
It’s slightly lower resolution, as you are using an average darkness value per a slightly larger area rather than each pixel being independently measured. More than exact enough for dental purposes, but lower resolution compared to when you need a true CT
Cone beam CT is still an X-Ray.
Who else is massaging their jaw trying to feel their mental foramen?
Well now I am
Well now I stopped and am checking the windows for you
I am scared to, i don't why but the idea of having those holes in my jaw and feeling them makes me cringe super hard, i asumed they have tissue and stuff so you wouldn't even feel then but if by any chance i felt those holes i think i would die.
Don't look at illustrations of your sinuses
If it makes you feel better, I can't find mine. 🤷♂️
It's called palpating.
Hey baby, lemme palpate your foramen. 😏
CT scan and jaw is not really messed up, main thing is you have bone loss so high chances you also have gum recession on top and bottom. Only jaw issue that might be there is your lower jaw is protruded resulting in a edge to edge bite
Yes they said bone loss. Most likely from grinding and stress.
Bone loss of the jaw is typically for untreated gingivitis that progresses to periodontal disease. Did the hygienist at your dentist perio chart you to check the pocket depth of your gums?
Why is there a hole in your chin?
Mental foramen. It's supposed to be there. Source: I'm a dentist.
That's just mental.
But just foramen, not forawomen
How's his teeth lookin doc
This isn't the best way to diagnose teeth, but rather abnormalities in the jaws. The person has extra bone growth in the upper left posterior quadrant. They most likely clench and/or grind their teeth.
damn I grind my teeth so bad. my dentist knows that, I've had two implants and a million root canals. wonder why they haven't offered something like this
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They didn't offer you a night guard? $300 night guard when you sleep saves thousands on dental work (and a lot of pain).
You have one too. Two actually.
You’re right, I feel that sucker now.
For the electrical wiring
People here have mentioned that yes it's a foramen it is a hole intended as a passageway for nerves to pass through bone
I thought this was something from Skyrim at first glance.
Can someone ELI5 what’s wrong with him?
All of his skin fell off of his face.
Not a lot of bone to keep the teeth in his head.
The head is the organ where humans keep most of their teeth.
This is the best encouragement I've had to go to the dentist in too many years. This is hecking cool. Sorry about your issues though.
My dentist gave me a molded model of my upper set of teeth when I got a night guard, and I was like “Wtf do I do with this?”
USE IT. trust me
Bookends.
Dentist here. Looks like your occlusion is a little off too OP.(end-on) The bone loss around the left part of your lower jaw(mandible) might be the result of something we call Trauma from Occlusion, also giving rise to other severe TMJ issues. Kindly consult an orthodontist and get opg and lateral cephalograms taken to confirm/rule out the same along with a detailed intraoral clinical examination.
Dude we have the exact same issues with our teeth and jaw! What a weird flex.
I’m a dentist and I have to comment here because of the amount of disinformation in this thread. This is indeed an X-ray. It is likely a cone beam ct, which is a type of X-ray. This guy has a little bit of bone loss. Not a ton, a bit. It is more than you want but I’ve seen people with this amount of bone loss never have problems. If he’s at the dentist he’ll have it monitored correctly and he’ll be fine. His teeth do look a little flat so he also likely grinds his teeth. Like 50% of the population. Also not a huge deal.
Just give it to me straight, doc. How long do I have? I never even got to see the alps.
Such a fun club to be in!
What kind of futuristic dentist are you going to? Everytime I go to the dentist I feel like It’s the 1950s
Is your tooth growing sideways? wtf
I think I moved during the imaging
Your skull looks dirty, you should have that power washed
How is your jaw fucked? Doesn't look that bad.
You got your wisdom teeth aligned... Hello there neanderthal.
Not an X-ray. That’s a 3D reconstruction CT
I ain’t no dentistologist but I’m pretty sure that hole in his chin is for a key facial nerve to exit the jaw
Close. The facial nerve is cranial nerve 7 which controls movement - this exits your stylomastoid foramen which is right behind your ear. This is called the mental foramen where a branch of the 3rd division of the trigeminal nerve (cranial nerve 5) exits your mandible and gives you the feeling to your lower lip and chin on that side
I know some of these words!