Posts for: December, 2011
Temporomandibular Disorder (TMD), which was formerly known as Temporomandibular Joint Disorder (TMJ), is an interesting condition because it can be hard to diagnose and often mimics many other conditions. It arises when there are problems inside the temporomandibular joint, and the muscles attached to it, causing pain. When treating TMD, we typically start by relieving the symptoms of pain and discomfort with heat, mild pain medications, a diet of soft foods, and some simple jaw exercises. We feel that it is critical to address your pain issues as soon as possible before preceding any further with treatment.
Once we have provided some pain relief and after having completed a thorough history and examination, we can move to the next phase of treatment. This may include the introduction of a bite guard or some form of oral appliance therapy. A bite guard is an unobtrusive yet rigid plastic horseshoe-shaped appliance that fits snuggly over the biting surfaces of the upper teeth. When in place and properly adjusted, this custom-made appliance allows your muscles and therefore jaw joints to relax. And it will prevent you from grinding your teeth, another contributing factor to TMD. We will probably ask you to wear it when sleeping or in times when you are feeling stressed when clenching or grinding habits may be active. We may also suggest that you obtain some relaxation therapy and/or biofeedback from a licensed therapist, as this can prove helpful in treating TMD.
If you have suffered from frequent jaw pain in the past and suspect that you may have TMD, please let us know so that we can address it at your next appointment. Or if you are currently in constant or severe pain, contact us immediately to schedule an appointment. You can learn more about the signs, symptoms, and treatment options for TMD by reading “TMD — Understanding The Great Imposter.”
Considering that over 90 million Americans suffer from chronic bad breath and everyone else has dealt with some form of it at one time or another, we want to address some common causes and cures so you are prepared if it happens to you.
What are the most common causes of bad breath?
Halitosis or bad breath most often occurs when you have poor oral hygiene and/or routinely consume odorous foods and drinks. In fact, 90% percent of mouth odors come from the food you eat or bacteria thatâs already there, according to the American Dental Association. Other causes for halitosis include:
- Excessive bacterial growth in the mouth and especially on the tongue
- Known and characteristically odor producing foods and drinks such as onions, garlic, coffee, tobacco and alcohol products
- Diabetes and diseases of the liver and kidneys
- A poorly hydrated body (and mouth) from not drinking enough water everyday
What should I do if I feel (or people tell me) I have chronic bad breath?
Contact us to schedule an appointment for a proper diagnosis and plan of action for returning your mouth to optimal health.
What are some tips I can do to prevent occasional bad breath?
In most cases, bad breath is totally preventable when you follow the tips below:
- Brush your teeth in the morning and at bedtime using a fluoride toothpaste and a proper (and gentle) brushing technique.
- Floss your teeth at least once a day.
- Clean your tongue after brushing your teeth with either a scraping tool you can purchase at a drug or discount store or by gently brushing it with your toothbrush.
- Keep your mouth moist by drinking plenty of water during the day.
- Be prepared by having some mouth cleaning tools (floss, a toothbrush, toothpaste or some sugar free gum) handy to freshen your mouth after consuming bad smelling foods, drinks or using tobacco or alcohol.
- Eat fresh fruits and vegetables to increase saliva production in your mouth and help remove food particles that can lodge between teeth.
- Maintain regular dental check-ups.
Want to learn more?
Whether you have worn dentures for years or they are new to you, knowing the proper way to care for them is critical. This is why we have put together this fun and insightful test so that you can see just how much you know.
After reading each of the following statements below, determine whether you think the statement is true or false. See below for the answers.
- Boiling your dentures at least once a week is an excellent way to sterilize them.
- With a proper fit, it is perfectly acceptable to wear your dentures continuously (24 hours per day).
- The bacterial biofilm that accumulates under a denture causes inflammation referred to as denture stomatitis.
- You should store your dentures immersed in water after cleaning or when not in your mouth.
- Once you have dentures (and no longer have any teeth), you really only need to schedule a dental appointment if you have a problem with your dentures or damage them.
- To best clean a denture, you should use a slightly abrasive cleanser and a firm toothbrush.
- The pressure from wearing dentures causes jawbone loss over time.
- The optimal method for cleansing your gums is to take a moistened washcloth and gently massage your gums two times each day.
- If you are careful, you can use denture cleaners while your false teeth are in your mouth.
- You should never use sodium hypochlorite bleach to clean your dentures.
1. False. You should never boil dentures. 2. False. You should not wear your dentures 24/7. 3. True. 4. True, as this prevents your dentures from warping. 5. False. Even though you may not have teeth, you need to visit our office at least once a year for a thorough examination and to ensure your dentures are fitting and functioning properly. 6. False. You should never use a firm toothbrush OR any type of abrasive cleanser to clean your dentures. 7. True. This is unfortunate, but a fact nonetheless. 8. True. 9. False, you should only use a denture cleanser outside of the mouth. 10. False. Sodium hypochlorite bleach is an excellent cleanser; however, you should never soak your dentures in this solution for periods that exceed 10 minutes.
Nearly everyone who has ever played a sport, or had a child participate in one, has had that panic-filled moment when they witness an injury. And when you consider that there are more than 22,000 dental injuries each year in children younger than 18 years of age, you see there is fact to backup this concern. This is just one reason why we strongly encourage all of our patients who are involved in activities such as football, soccer, hockey, wrestling, lacrosse, skateboarding, field hockey and more to wear one of our custom-fitted professional mouthguards. It is especially true for basketball and baseball, which are responsible for the largest number of dental injuries.
The following are some key issues to help you understand the importance and advantages mouthguards offer.
Is there a way to determine who is at the highest risk for sports injuries?
Yes there are several. Age, gender, dental anatomy, and the type of sports being played are the four categories used to measure the risks for dental injuries. Young male teens still top the list of most likely to be injured; however, the gap is closing with more females getting involved in sports. Learn which sports or exercise activities made the American Dental Associationâs list of recommendations for using a custom mouthguard, when you continue reading “Athletic Mouthguards.”
What's the difference between a “boil and bite” mouthguard and a professionally made mouthguard?
We are often asked this very important question. While some over-the-counter (OTC) mouthguards provide what is advertised as a “custom-fit” to your teeth, it is nowhere near the fit — and thus protection — you receive from our mouthguards that are crafted from precise molds of your teeth. Additionally, because all aspects of our mouthguards are tailored to each specific mouth, they provide much more protection and comfort. This important fact can enhance performance as the athlete can literally breathe easier while wearing one of our mouthguards.
What can I do if I witness a dental injury?
The first important fact to know is that you do not have to be a dental or healthcare professional to assist. However, before jumping in to help out, consult Dear Doctor's Field-Side Guide to Dental Injuries. This pocket-sized, quick-reference guide details what you should do at the scene of a dental injury based on the type of injury. But best of all, it is available to you free of charge from Dear Doctor.