Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am having trouble with my front teeth hitting first. I can clench slightly to make my back teeth touch. I have worn two different appliances for over 20 yrs. I am a bruxer and prior to appliance therapy, had numerous headaches. I wore a full splint for about 11 yrs. and an NTI since. Both worked well. Recently I have been clenching a lot during the day as well as during sleep. I am "religious " about wearing my NTI. What do you think is going on in my joints to cause this ? Thanks.
[|AI|]  Hello, Thanks for writing to us. Clenching anterior teeth primarily may be due to-crossbite, posterior open bite, TMJ dislocation. I would advise you to get a thorough clinical as well as OPG investigation done for the jaws. Based on the radiographs, position as well as alignment of each tooth and treatment plan can be evaluated. To prevent the habit of bruise, habit breaking appliances has to be placed. Meanwhile, maintain oral care. Hope these suffices. Take care.