Posts for category: Oral Health
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Chronic pain and reduced function of the jaw joints, muscles and other surrounding tissues is generally known as a temporo-mandibular joint disorder (TMJD or TMD). It’s also possible that sufferers of TMD may also experience chronic pain in other parts of the body.
TMD affects from 10 million to 36 million American adults, mostly women of childbearing age. Although the exact causes are still elusive, most researchers believe this family of conditions arises from a combination of gender, genetic, environmental and behavioral factors. This may also hold the key to its connection with other painful conditions in the body.
About two-thirds of patients with some form of chronic jaw pain or disability also suffer from three or more similar medical conditions, including fibromyalgia, chronic fatigue syndrome, rheumatoid arthritis, headaches or sleep disturbances. Investigating the connections between these conditions is a fertile area for developing treatment strategies that would benefit all of these associated conditions.
In the meantime, there are both thermal and surgical treatments for alleviating and managing pain associated with TMD. About 90% of TMD patients respond well to thermal treatments, including hot and cold compresses applied to the jaw area and hot baths. Surgical treatment, however, has a mixed result: some studies show only a third of those undergoing surgical procedures experience noticeable pain relief and restored function and nearly half indicate worse symptoms after the surgery.
The best approach is to begin with an examination by your primary physician or specialist to be sure you are not suffering from a medical condition mimicking the symptoms of TMD. If this should eventually lead to a diagnosis of TMD, you should first try thermal techniques with over-the-counter pain relievers to ease the symptoms. A diet with softer foods that don’t require strenuous chewing may also prove helpful.
If you receive a recommendation for extensive bite treatment or surgery, you should discuss this thoroughly with your dentist, or even seek a second opinion. Surgical treatments in particular are not reversible and the results may not be favorable.
For more information on TMD and networking opportunities with other patients, be sure to visit the TMJ Association (www.tmj.org) on the Web.
If you would like more information on chronic jaw pain, 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.”
Even before your infant's first tooth emerges, you can take steps to reduce the risk for cavities!
Cavities occur when decay-causing bacteria living in the mouth digest carbohydrates (sugars) introduced into the mouth via food and beverages. This produces acid, which can eat through the protective enamel surface of teeth and attack the more vulnerable dentin below. Infants aren't born with decay-promoting bacteria; however, they can acquire them from their caregiver(s) through close contact, for example:
- Kissing on the mouth
- Sharing food
- Sharing eating utensils (e.g., a spoon or glass)
- Cleaning off a pacifier by mouth
Tooth decay is the most common chronic childhood disease! It can start as soon as the first tooth erupts — which generally happens around age 6 to 9 months but can be as early as 3 months or as late as 1 year. Besides being potentially painful, severe tooth decay may cause your child to lose the affected primary (baby) tooth before it's due to fall out on its own. That, in turn, can raise the risk of orthodontic problems because primary teeth maintain space for permanent teeth, which also use them as their guide for coming in properly.
It's important to clean your child's teeth regularly once they appear and to refrain from certain feeding activities that have been linked with early tooth decay. For example, use of a sleep-time bottle containing a liquid with natural or added sugars, such as formula or juice, can result in a pattern of severe decay once referred to as “baby bottle tooth decay.” These days, the term early childhood caries (ECC) is more commonly used to also encompass decay linked to continuous sippy-cup use, at-will breast-feeding throughout the night, use of a sweetened pacifier, or routine use of sugar-based oral medicines to treat chronic illness.
We recommend that you schedule a dental visit for your baby upon eruption of his or her first tooth or by age 1. This first visit can include risk assessment for decay, hands-on instruction on teeth cleaning, nutritional/feeding guidance, fluoride recommendations, and even identification of underlying conditions that should be monitored. Your child's smile is a sight to behold; starting early improves the odds of keeping it that way!
If you would like more information about infant dental care, 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 “Age One Dental Visit.”
It’s a recognized goal of modern dentistry to help you keep your natural teeth clean and disease-free, so you’ll be able to enjoy them for your whole life. But dentists can’t accomplish that goal by ourselves — we need your help! Maintaining good oral hygiene is the best way to ensure that your smile stays as healthy as it should be. Here are a few simple tips that can make a big difference in your dental health.
- Use the right brush, and change it as needed. What’s the right brush? Generally speaking, it’s one with soft bristles that’s small enough to fit your mouth comfortably. However, if you have trouble using a manual brush effectively (because of arthritis, for example), consider getting a good-quality electric brush. Change your brush when its bristles begin to stiffen or wear out. Ask us about proper brushing technique if you have any questions — and, of course, make sure to use a toothpaste with fluoride.
- Floss — every day. Because no matter how hard you try, you simply can’t reach all the areas in between your teeth with a brush alone — and that’s where many cavities get started. Plus, when it comes to preventing periodontal (gum) disease, flossing may be even more important than brushing, since it can actually remove plaque (a bacterial film) from under the gums. So no more excuses — OK?
- Stay away from sugary drinks and between-meal snacks. That includes sodas, cookies, and so-called “energy” drinks, which often pack a damaging one-two punch of sugar and caffeine. If you eat sugary treats at all, do so only after a meal. This will give your mouth plenty of “free time” to neutralize the acids that result when sugar is processed by oral bacteria. It’s these acids that are the primary cause of tooth decay.
- Avoid bad oral-health habits. Some you already know: smoking (or using tobacco products of any kind); excessive consumption of alcohol; chewing on pencils, fingernails, or anything else that doesn’t belong in your mouth. But some you may not know: A clenching or grinding habit at night can cause serious tooth damage without you even realizing it. Getting an oral piercing increases your chance of chipping a tooth, and can lead to other problems. And playing sports without a mouthguard is risky business.
- See your dentist regularly. You can do plenty on your own to keep up your oral health — but it’s also important to see us regularly. When you come in for an office visit, we will check you for early signs of problems, and take care of any that we find… before they get bigger and harder to treat. We’ll also make sure you leave with a sparkling smile that has been thoroughly and professionally cleaned.
If you would like to learn more about maintaining good oral hygiene, please contact us or schedule an appointment for a consultation. For more information, see the Dear Doctor magazine articles on “How to Help Your Child Develop the Best Habits for Oral Health” and “Oral Hygiene Behavior.”
Growing up with a dentist stepdad, Cheryl Burke of Dancing with the Stars heard a lot over the years about the importance of good oral hygiene — in particular, the benefits of using dental floss.
“My dad would say, ‘make sure you floss,’ but I never really listened to him. I was very, very stubborn,” Cheryl told Dear Doctor magazine recently in an exclusive interview. Cheryl admits this stubbornness took its toll, in the form of tooth decay. “I definitely had my share of cavities,” Cheryl recalled.
Cavities can form when food particles, particularly sugar and carbohydrates, are not effectively cleaned from the spaces between teeth. These particles are then broken down by bacteria naturally present in the mouth, resulting in the production of acids that attack the tooth enamel.
When she reached her twenties, Cheryl decided she really needed to step up her oral hygiene and cultivate an asset so important to a professional dancer: a beautiful smile. And once she did, cavities became a distant memory.
“I think when you do floss frequently, it helps to reduce the chances of getting cavities,” Cheryl said. “It took me a while to figure it out.” Now Cheryl flosses after every meal. “I carry floss with me wherever I go. I have no shame busting out my floss in the middle of a restaurant!” She declared.
Dental decay is actually a worldwide epidemic, especially among kids. Untreated, it can lead to pain, tooth loss, and, because it is an infectious disease, it may even have more serious systemic (whole body) health consequences. The good thing is that it is entirely preventable through good oral hygiene at home and regular professional cleanings here at the office.
If it has been a while since you or your children have seen us for a cleaning and check-up, or you just want to learn more about preventing tooth decay, please contact us to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Cheryl Burke, please see “Cheryl Burke.” Dear Doctor also has more on “Tooth Decay: The World's Oldest & Most Widespread Disease.”