Posts for: June, 2021
Temporomandibular joint disorder (TMD) is an umbrella term for a number of chronic jaw problems. These conditions cause recurring pain for 10 to 30 million Americans, especially women of childbearing age.
But even after decades of treatment and research, a full understanding of TMD's underlying causes eludes us. That doesn't mean, however, that we haven't made progress—we have indeed amassed a good deal of knowledge and experience with TMD and how best to treat it.
A recent survey of over a thousand TMD patients helps highlight the current state of affairs about what we know regarding these disorders, and where the future may lie in treatment advances. Here are a few important findings gleaned from that survey.
Possible causes. When asked what they thought triggered their TMD episodes, the top answers from respondents were trauma, stress and teeth clenching habits. This fits in with the consensus among experts, who also include genetic disposition and environmental factors. Most believe that although we haven't pinpointed exact causes, we are over the target.
Links to other disorders. Two-thirds of survey respondents also reported suffering from three or more other pain-related conditions, including fibromyalgia, rheumatoid arthritis and chronic headaches. These responses seem to point to possible links between TMD and other pain-related disorders. If this is so, it could spur developments in better diagnostic methods and treatment.
The case against surgery. Surgical procedures have been used in recent years to treat TMD. But in the survey, of those who have undergone surgery only one-third reported any significant relief. In fact, 46% considered themselves worse off. Most providers still recommend a physical joint therapy approach first for TMD: moist heat or ice, massage and exercises and medications to control muscle spasms and pain.
These findings underscore one other important factor—there is no “one size fits all” approach to TMD management. As an individual patient, a custom-developed action plan of therapy, medication, and lifestyle and diet practices is the best way currently to reduce the effects of TMD on your life.
If you would like more information on TMD management and treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Chronic Jaw Pain and Associated Conditions.”
We're all tempted occasionally to use our teeth in ways that might risk damage. Hopefully, though, you've never considered anything close to what singer, songwriter and now social media persona Jason Derulo recently tried in a TikTok video—attempting to eat corn on the cob spinning on a power drill. The end result seemed to be a couple of broken front teeth, although many of his followers suspected an elaborate prank.
Prank or not, subjecting your teeth to “motorized corn”—or a host of other less extreme actions or habits—is not a good thing, especially if you have veneers, crowns or other dental work. Although teeth can withstand a lot, they're not invincible.
Here, then, are four things you should do to help ensure your teeth stay healthy, functional and intact.
Clean your teeth daily. Strong teeth are healthy teeth, so you want to do all you can to prevent tooth decay or gum disease. Besides semi-annual dental cleanings, the most important thing you can do is to brush and floss your teeth daily. These hygiene tasks help remove dental plaque, a thin biofilm that is the biggest culprit in dental disease that could weaken teeth and make them more susceptible to injury.
Avoid biting on hard objects. Teeth's primary purpose is to break down food for digestion, not to break open nuts or perform similar tasks. You should also avoid habitual chewing on hard objects like pencils, nails or ice to relieve stress. And, you may need to be careful eating apples or other foods with hard surfaces if you have veneers or composite bonding on your teeth.
Wear a sports mouthguard. If you or a family member are regularly involved with sports like basketball, baseball/softball or football (even informally), you can protect your teeth from facial blows by wearing an athletic mouthguard. Although you can obtain a retail variety in most stores selling sporting goods, a custom-made guard by a dentist offers the best protection and comfort.
Visit your dentist regularly. As mentioned before, semi-annual dental cleanings help remove hidden plaque and tartar and further minimize your risk of disease. Regular dental visits also give us a chance to examine your mouth for any signs of decay or gum disease, and to check on your dental health overall. Optimizing your dental health plays a key part in preventing dental damage.
You should expect an unpleasant outcome involving your teeth with power tools. But a lot less could still damage them: To fully protect your dental health, be sure you practice daily oral care, avoid tooth contact with hard objects and wear a mouthguard for high-risk physical activities.
If you would like more information on caring for your cosmetic dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “An Introduction to Sports Injuries & Dentistry.”
The traditional June wedding season hit a bump last year during the COVID-19 pandemic as many couples down-scaled or postponed their ceremonies. But with hopes that the virus is finally waning, this year the early summer tradition shows signs of reviving. If you're one of those happy couples, you're no doubt working right now to look your best—and that would include your smile.
And there's no time like the present to make sure your teeth and gums are spruced up for the big day. True, some cosmetic enhancements can take weeks or even months to complete. But some can give you a brighter, more attractive smile with just a dental visit or two.
Here are 3 procedures that could help your smile match that once-in-a-lifetime moment.
Dental cleaning. The main purpose for visiting us every six months is to remove any harmful plaque and tartar missed with daily hygiene. But an added benefit for these single-visit dental cleanings can be a brighter, fresher smile. To take advantage, schedule a dental cleaning within a week or so of your wedding.
Teeth whitening. If you want to take your smile brightness to another level, you may want to consider professional teeth-whitening. The professional bleaching solutions we use can restore shine and translucence to dull, yellowed teeth that could last for months or, with touch-ups, a few years. We can also fine-tune the level of brightness you're most comfortable displaying to your wedding guests.
Dental bonding. Do you have a chipped or disfigured tooth that puts a damper on your smile? We may be able to make that defect disappear in just one visit with dental bonding. Using a dental resin material matched to your natural tooth color, we can fill in your tooth flaw and then sculpt it to look as natural as possible. The end result is a life-like, durable finish that will have you beaming on your big day.
Like we said, if your wedding is just around the corner, these particular techniques can make a big difference for your smile. If, however, you still have a few months before your wedding, you may be able to take advantage of other therapeutic and cosmetic measures like dental veneers, crowns or even possibly orthodontics.
To learn more about your cosmetic options, see us for a full evaluation of your smile needs. We'll work with you to help you achieve the most attractive smile possible for your once-in-a-lifetime day.