Posts for: January, 2014
Many people suffer from problems with the temporomandibular joint (TMJ); this can result in chronic pain and severely limit the function of the jaw. Yet exactly what causes the problems, how best to treat them… and even the precise number of people affected (estimates range from 10 million to 36 million) are hotly debated topics.
There are, however, a few common threads that have emerged from a recent survey of people who suffer from temporomandibular joint disorders (TMJD). Some of them are surprising: For example, most sufferers are women of childbearing age. And two-thirds of those surveyed say they experienced three or more associated health problems along with TMJD; these include fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, rheumatoid arthritis, chronic headaches, depression, and sleep disturbances. The links between these threads aren’t yet clear.
The survey also revealed some interesting facts about treating TMJD. One of the most conservative treatments — thermal therapy (hot or cold compresses) — was found by 91% to offer the most effective relief of symptoms. By contrast, the most invasive treatmentâ??surgeryâ??was a mixed bag: A slightly higher percentage reported that surgery actually made the condition worse compared to those who said it made them better.
So what should you do if you think you may have TMJD? For starters, it’s certainly a good idea to see a dentist to rule out other conditions with similar symptoms. If you do have TMJD, treatment should always begin with some conservative therapies: moist heat or cold packs, along with over-the-counter anti-inflammatory medications if you can tolerate them. Eating a softer diet, temporarily, may also help. If you’re considering more invasive treatments, however, be sure you understand all the pros and cons — and the alternatives — before you act. And be sure to get a second opinion before surgery.
If you would like more information about temporomandibular joint disorders (TMJD), call our office for a consultation. You can learn more in the Dear Doctor magazine articles “Chronic Jaw Pain And Associated Conditions” and “Seeking Relief from TMD.”
Are you ready to suit up for sports? Mouthguards have been called the most important part of an athlete's uniform. Designed to absorb and distribute the forces of impact received while you participate in athletic activities, your mouthguard is a protective appliance that covers and cushions your teeth and gums to prevent and reduce injury to your teeth, jaws, lips and gums. A properly fitted protective mouthguard is comfortable, resilient, tear resistant, odorless, tasteless, not bulky, fits well, and has sufficient thickness where needed. If you wear it when engaging in contact sports it can prevent injury, pain, suffering and years of expensive dental treatment.
Here's why athletes need mouthguards:
- Sports related dental injuries account for more than 600,000 emergency room visits each year. Mouthguards are recommended particularly for contact sports such as boxing, football, hockey and lacrosse.
- An athlete is 60 times more likely to suffer harm to the teeth when not wearing a mouthguard. It is estimated that mouthguards prevent more than 200,000 injuries each year.
- Properly fitted mouthguards protect the soft tissues of the lips, cheeks, gums and tongue by covering the sharp surfaces of the teeth that can cause lacerations on impact. They also reduce the potential for tooth injury, jaw damage or jaw joint fracture and displacement by cushioning against impact — absorbing and distributing the forces that can cause injury.
- Custom-fitted mouthguards are made from exact and precise models of your teeth. They are effective, comfortable, easy to clean, and do not restrict breathing. The best mouthguard is custom designed to fit your mouth and made in our office after your athletic needs have been assessed. For a growing child or adolescent, a custom made mouthguard can provide space for growing teeth and jaws.
- A mouthguard properly fitted in our office costs little in comparison to the cost of treatment after injury. If your teeth are knocked out and are not properly preserved or replanted you may face lifetime dental costs of as much as $10,000 to $20,000 per tooth.
The American Dental Association recommends the use of custom mouthguards in 27 sports/exercise activities. Make an appointment to consult with us to find out more about mouthguards. You can also read the Dear Doctor magazine article “Athletic Mouthguards: One of the most important parts of any uniform!”
Cancer is never a pleasant topic. Yet, rather than wish it away, many people have chosen to take an active and positive role in the prevention and early detection of the disease. Did you know that you and your dentist, working together, can help identify a major class of cancers in the early stages? Let's spend a few moments discussing oral cancer.
Oral cancer is dangerous. Although it accounts for a relatively small percentage of all cancers, it isn't usually detected until it has reached a late stage. And at that point, the odds aren't great: only 58% survive 5 years after treatment, a rate far less than that of many better-known cancers. It is estimated that in the United States, this disease kills one person every hour, every day.
Oral cancer used to be thought of as an older person's disease — and it still primarily strikes those over 40 years of age. But a disturbing number of young people have been diagnosed with the illness in recent years, making them the fastest-growing segment among oral cancer patients. This is due to the sexually-transmitted Human Papilloma Virus (HPV16). So, while long-time tobacco users and heavy drinkers still need screenings, most young people do too.
What's the good news? When it's detected early, the survival rate of oral cancer goes up to 80% or better. And having an oral cancer screening is part of doing something you should be doing anyway — getting regular dental checkups. That's one more reason why coming in to our office regularly for your routine examination is so important.
Of course, if you notice any abnormal sores or color changes in the tissue around your mouth, lips, tongue or throat — especially if they don't go away in 2-3 weeks — come in and see us right away. They could be just cold sores — or not.
An oral cancer exam is fast and painless. It involves a visual inspection of the mouth and surrounding area (face, lips, throat, etc.), during which we may also feel for lumps. We'll also gently pull your tongue from side to side, and check underneath it for early signs of a problem. If needed, we can schedule a biopsy for any suspicious areas. Sound easy? It is! So don't ignore it — remember that early detection could save your life.
If you think cavities are an inevitable part of childhood, think again; tooth decay, which is actually an infectious disease caused by bacteria, is completely preventable. This is a good thing, because tooth decay can be painful and interfere with a child's ability to eat, speak, and focus in school. Parents have a big role to play in helping their children's teeth stay healthy. Here are some things you can do:
Establish an oral hygiene routine. Good oral hygiene practices should start as soon as the first tooth appears. An infant's teeth should be wiped with a clean, damp washcloth each day. Starting at age 2, a brushing routine should be established using a soft-bristled, child-sized brush and just a smear of fluoride toothpaste. Children need help brushing until around age 6, when they have the dexterity to take over the job themselves — and learn to floss.
Limit sugary drinks and snacks. Sugar is the favorite food of decay-causing oral bacteria. In the process of breaking down that sugar, the bacteria produce tooth-eroding acid. Too much exposure to this acid will leave a small hole, or cavity, in the tooth and create an entry point for the bacteria to reach deeper inside the tooth. Beverages that are sugary AND acidic, such as sodas and sports drinks, are particularly harmful.
Make sure your child sees the dentist regularly. Routine exams and cleanings are a must for good oral health. Even if your child is doing a good job maintaining an oral hygiene routine, there are places where bacterial plaque can build up beyond the reach of a toothbrush and floss. These areas require professional attention. We can also give your child an in-office fluoride treatment to strengthen enamel and reverse very early decay. In some cases, we will recommend dental sealants to smooth out the little grooves in a child's back teeth. This is a quick and easy in-office procedure that will keep out food debris and bacteria for years. And, of course, we can monitor your child's dental development.
If you have any questions about tooth decay or the development of your child's teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Dentistry & Oral Health for Children” and “How to Help Your Child Develop the Best Habits for Oral Health.”