I went to the dentist today expecting him to start working on a bridge to replace a molar I had extracted in January, but the visit turned into something very different. When the technician tried to get an impression they could use to create the bridge, I wasn't able to bring my teeth close enough to get a useable impression! This was my first time with Dr. G, but he works for/with my friend, Dr. K, the TMJ expert. Dr. G checked both sides of my mouth and the way my teeth were coming together--or, more accurately, *not* coming together. It seems that only my molars were touching, and since I have only two molars on the right side, that means I can only chew using the molars on the left side. I'd noticed recently that my bite felt strange when I tried to chew, but I hadn't made a big deal out of it since I'd had a similar problem to a lesser extent before, but it seemed to improve after Dr. K ground down one of my molars a little and after I had PT on my jaw. Dr. G wanted my friend Dr. K to take a look before proceeding with the bridge. (He'd already given me the anasthetic; in fact my jaw's still numb as I write this.) Anyway, Dr. K had a technician make some special X-rays of my head and jaw, and we went over the results as soon as the films were developed. Apparently, the ends of the bones in my jaw joints (one on each side) that are supposed to slide forward when you open your mouth have become flat when they're supposed to be rounded. Dr. K says the jaw joint isn't moving forward as far as it should to allow my teeth to come together. In addition, it seems that the distance between my jaw joint and my cheekbone is different on one side from what it is on the other. This apparently causes my jaw to shift over. The way he described it, it sounded as though my jaw is actually twisting! Dr. K suspects that a bacterial or viral infection in the jaw joint caused the flattening of the bones in my jaw. I have an appointment with him for "Omura testing," a noninvasive, alternative way to check for infections. (I've had this done before, and it seemed to work very well.) Unfortunately, it sounded as if I was in for a *lot* of dental work before they can even consider putting in the bridge. Meanwhile, it's very hard for me to chew--food that is; I seem to be very good at chewing the inside of my cheeks! :^( I was anxious about having the bridge work done, and now it seems I'm in for a lot more heavy-duty work on my molars--just what I need. Physical therapy helped me to get my jaw unlocked after my oral surgery, and I got to the point where I could open my mouth prettty well for a while, but I think it may have closed up again somewhat. And I tend to get bad headaches from keeping my mouth open for extended periods. (Dr. K described my jaw situation as "a nightmare.") And just to make things interesting, the x-ray showed that my airway is very narrow (5mm at its widest, Dr. K said). He suspected sleep apnea, but when I was tested for that last year, I didn't have a single apnea and only one hypopnea. None of the doctors I talked to about my breathing problems really thought apnea was very likely for me. But now I think I may ask to be tested again. At least the narrow airway is objective evidence that may help explain my breathing problems, where all of the other tests I took kept coming back as normal. Sorry this message is so long, but I wanted to write things down before I forgot them. I don't really expect anybody else to have this weird combination of things, but with FM, you never know. Maybe just some of this sounds familiar to someone. If so, I would appreciate any insight or ideas you might being willling to share. --Laura R.M. P.S. Are there any particular viral or bacterial things I should ask Dr. K to test for? I don't know whether he can check for mycplasma using the Omura system, but I was thinking about suggesting it if it seems possible that it could be in the jaw joint.