Temporomandibular Disorders

OUR JAWS DO A LOT of work throughout the day, opening and closing over and over so that we can do ordinary things like talk, eat, and yawn. Ideally, all of the anatomy involved functions as it should and we can perform these tasks without trouble, but many people struggle with temporomandibular joint (TMJ) disorders because something has gone wrong.

The Anatomy Of The Temporomandibular Joints
The joints on both sides of our jaw, located between the ear and the cheekbone, consists of three parts: the socket (part of the temporal bone), the ball (the top part of the jawbone), and a small, fibrous disk that acts as a cushion between the two. The ball and socket are covered in cartilage to help keep movement smooth and comfortable.

If the disk erodes or moves out of its proper alignment, if the cartilage on the bone is worn away by arthritis, or if there is a traumatic injury to the joint, a TMJ disorder may be the result.

Symptoms Of TMJ Disorders
Common symptoms of a TMJ disorder include:

Clicking or popping sounds in the joint when chewing, or a grating sensation
Pain or tenderness of the jaw
Pain in one or both of the temporomandibular joints
Difficult or painful chewing
Aching pain around the face
Aching pain in and around the ear
Difficulty opening or closing the jaw due to locking of the joint
Tips For Relieving TMJ Pain
If you’re dealing with TMJ pain, there are a few things you can do to reduce it on your own:

Keep yawning and chewing to a minimum.
When possible, avoid extreme jaw movements like from singing or yelling.
If you have to yawn, control it by pressing a fist beneath your chin.
When resting, hold your teeth slightly apart rather than fully closed. This is the natural resting position for the jaw, even when the lips are closed.
Eat soft foods that require little to no chewing.
Treatment For TMJ Disorders
In most cases, TMJ pain is temporary and goes away on its own after a week or two, but not always. If it doesn’t, and especially if it gets worse, then it likely needs treatment, which varies depending on the cause.

These treatments include ice packs, exercise, and moist heat, medication, and splints, but if none of them are enough, then measures like transcutaneous electrical nerve stimulation (TENS), ultrasound treatment, or trigger-point injections may be necessary. If all else fails, jaw surgery may be recommended.

Talk To Us About Your Jaw Pain
If you’ve been experiencing persistent pain or tenderness in your jaw or difficulty opening and closing it completely, give us a call or stop by so that we can look for the cause and get you on the path to being pain-free.

Together, we can defeat TMJ pain!

The First Loose Tooth: A Rite Of Passage

DO YOU REMEMBER losing your first tooth? Maybe it happened later than for your classmates, or maybe you fell down on the playground and it came out before you knew it was loose. However it happens, losing that first tooth is a big deal for every kid. As parents, we want to make sure it’s a positive experience.

The Right Mindset Is Key
Even though losing our baby teeth is a perfectly normal part of growing up, it can be scary for a little kid, especially when it’s their first loose tooth and they aren’t used to the process yet. We can make it easier by helping them get in the right mindset: losing a tooth means they’re a big kid now! If you can help your child focus on how cool and impressive it is to lose a baby tooth, rather than how it might hurt a little bit, they’ll hopefully be less afraid and more excited.

How Parents Can Help With A Loose Tooth
Helping with a loose tooth isn’t just about mindset, it’s also about technique. Chasing your child around with pliers is not the best way to handle the situation, and neither is that old “I just want to feel it!” trick where you pull the tooth instead. A couple of good things to do are to encourage your child to gently wiggle the tooth on their own with a clean finger, their tongue, or a tissue. It’s also a good idea to let them set the pace and only help them pull the tooth if they ask you to.

Another way to make it fun is to think of an interesting way to pull the tooth!

Find Creative Ways To Reward Success
The Tooth Fairy is the standard way of giving a child a good incentive to take care of those loose teeth, but there’s no reason to reward them the same way everyone else does. Maybe your child would be more motivated by the promise of a trip to the ice cream shop or getting a new toy. Think of something your child would really appreciate.

Still Have Concerns? Bring Them To Us!
If your child is still afraid of losing a tooth after you’ve done everything you can to make it a fun and exciting rite of passage for them, then leave it to us! As a pediatric dental practice, we specialize in working with children. You can also bring them to us if their teeth aren’t becoming loose when they should or if a loose tooth doesn’t seem to want to come out.

We can’t wait to hear about your child’s loose tooth adventures!

Oral pH: A Delicate Balance

YOU MIGHT REMEMBER a little bit about pH from a science class you took years ago in middle school or high school. Even if you don’t, that’s okay; it’s time for a refresher course because pH plays a major role in our oral health.

The Basics (And Acidics) Of pH
We could go into some really complicated things about hydrogen ions, but the important thing to know is that a pH of 7 is neutral — neither acidic nor basic. For example, water has a pH of 7. As the numbers get smaller than 7, the substance becomes more acidic, and as they get larger than 7 (up to 14), it becomes more alkaline or basic. Make sense? Good. Now let’s look at what this has to do with our mouths.

Acid Versus Tooth Enamel
Tooth enamel is the hardest substance in the human body, so it’s pretty tough. It is, however, highly susceptible to acid erosion. All it takes is an environment of pH 5.5 or lower for the enamel to begin dissolving.

There are many ways our teeth can be exposed to acid. The most obvious is when we eat or drink something sour or tart because we can actually taste the acid. When we consume something sugary or starchy, oral bacteria eats the leftovers stuck between our teeth and produces acid as a waste product. Acid reflux and vomiting also expose our teeth to stomach acid, which is very strong.

Saliva: The First Line Of Defense
The best natural defense our teeth have against acids is saliva, which has a pH slightly above 7. Saliva washes food particles away and helps keep oral bacteria populations in check. This is why dry mouth is such a dangerous problem for oral health. The less saliva we have, the more vulnerable our teeth are.

Sipping soda or snacking throughout the day is also a problem for our teeth, because saliva needs time to neutralize our mouths afterward, and constantly introducing more acid makes that much harder.

A More Alkaline Diet Will Help Your Teeth
A great way we can help out our saliva in the fight to protect our teeth, aside from the usual methods of daily brushing and flossing and regular dental appointments, is to eat fewer acidic foods and trade them for alkaline ones. That means adding in more fruits and veggies and leaving off some of the breads, dairy, and meats — and we should definitely cut back on soda and other sugary treats.

We Can Fight Enamel Erosion Together!
If you’d like more tips for how to protect your tooth enamel, just ask us! We want you to have all the tools you need to keep your teeth healthy and strong so that they will last a lifetime.

Our top priority is our patients’ healthy smiles!

Dental Care For Baby Teeth

THE SMILE OF a happy child is one of the best things in the world. Unfortunately, dental caries (tooth decay) is the most common chronic disease of childhood. We want those smiles to stay as healthy as possible, which is why we’re dedicating a blog post to baby teeth dental care.

Baby Teeth Matter
Because baby teeth are temporary, you might be tempted to think they’re not very important, but don’t fall into that trap. Healthy baby teeth are essential for speech development, building self esteem, promoting good nutrition through proper chewing, and saving space in the jaw for the development and positioning of adult teeth.

Avoid Sipping On Juice Or Milk
The harmful oral bacteria in our mouths that cause tooth decay love sugar. Every time we eat or drink something sugary, they have a party, and it takes about half an hour for our saliva to wash away the leftover sugars. However, when we give our kids sippy cups or bottles of milk or juice to drink over a long period of time, their saliva doesn’t have time to wash away the residue and their oral bacteria gets to party nonstop.

This is such a common problem that it has a name: bottle rot. You can protect your child’s teeth from bottle rot by only giving them milk or juice at mealtimes and only giving them bottles or sippy cups of water to sip on while they play or when you put them to bed.

Thumbsucking And Pacifiers
It is perfectly natural and healthy for babies and toddlers to suck on their thumbs or fingers or use a pacifier. Doing so helps them feel safe and happy, and most children will stop on their own around age four. However, if they keep going after that, it can begin to impact their dental alignment, creating problems like an open bite. Come see us if you’re concerned about your child’s thumbsucking or pacifier habit.

Sealants
One great way to give your child’s teeth extra protection from cavities is sealants. These are typically applied to the chewing surfaces of molars. They cover deep pits and grooves that are so difficult to keep clean. The sealing process is quick and easy, with no discomfort, and the teeth will be protected for years.

Good Oral Health Habits
No matter what your child eats or drinks, if they have sealants, and if they grow out of using a pacifier or sucking their thumb on their own, nothing can replace good oral health habits like daily brushing and flossing. While your child is too young to do it themselves, you can do it for them and with them and explain why it’s so important for keeping their teeth healthy and happy.

Regular Checkups
Don’t forget that one of your best resources for keeping your child’s teeth healthy is the dentist! With regular checkups, we can make sure that everything is going well and answer any questions you or your child have about good dental care.

Let’s keep those teeth happy and healthy!

Straight Teeth: Not Just About Looks

THE MOST OBVIOUS impact of orthodontic treatment is a straighter, more attractive smile. While it is true that we tend to perceive people with properly aligned teeth as happier and more successful, the benefits aren’t just superficial.

Clearer Speech
Do you remember the lisp you had between losing your two front teeth and the adult ones growing in? Based on that, it shouldn’t be much of a surprise that our teeth are a crucial component to our ability to speak and enunciate clearly.

In order to make the right sounds, our lips and tongues have to maneuver around our teeth. When teeth are properly aligned, this is simple, but crooked teeth can result in a lisp, slurring, or difficulty making certain sounds that require tongue-to-tooth contact, such as the “t,” “s,” and “ch” sounds. Orthodontic treatment can solve these problems by moving the teeth into their proper positions.

Healthier Digestion
We don’t give our teeth enough credit for the role they play in good digestion. Chewing is a very important part of the process. It doesn’t just chop the food into small enough pieces to fit down the esophagus, it mixes the food with saliva, which begins the chemical digestion process.

When we wolf down our food without much chewing — or when we chew with misaligned teeth that don’t do the job effectively — it forces our stomachs to work harder than they should. If you already have straight teeth, put them to good use by chewing each mouthful for longer. If you don’t, your digestive system will thank you for getting orthodontic treatment.

Better Breathing
Having poorly aligned teeth can make it difficult or even impossible to comfortably close your jaws when you aren’t moving them, which can lead to habitual mouth breathing. Mouth breathing has a number of negative effects, including dry mouth, bad breath, snoring, chronic fatigue, and brain fog. The effects are an even bigger problem for kids, sometimes going as far as changing the development of their facial bone structure.

Straight Teeth For A Better Life
Not only do straight teeth make it easier to speak, eat, and breathe properly, they’re also easier to clean! Maybe you’ve been avoiding orthodontic treatment because you’re happy with the way your smile looks, but the many benefits of straight teeth are worth considering.

Straight teeth lead to better oral health and better overall health!

Canker Sores: Causes And Treatment

HAVE YOU EVER TRIED to enjoy one of your favorite foods, but that angry, swollen lump on your gums or the inside of your cheek kept stinging and hurting? Then you know what it’s like to have a canker sore.
These sores are round ulcers that can develop on the inside of the lips and cheeks, on the gumline, or even on the tongue, and spicy, hot, or acidic foods can painfully agitate them. Let’s take a look at what causes these sores, how we can avoid them, and how we can help them heal faster.

What Causes A Canker Sore
Canker sores can develop for a variety of reasons. They can be the result of a viral infection, a food allergy, or a mouth injury, but other factors like stress, hormonal fluctuations, and vitamin or mineral deficiencies can also make them more likely. Another factor that can contribute to the frequency of canker sores is braces. Dental wax can help shield sensitive oral tissues from the protruding pieces of an orthodontic appliance.

Treating A Canker Sore
If you have a canker sore, you want it to go away as quickly as possible. One way you can do that is by brushing with a soft-bristled toothbrush, because it is gentle on the gums. If your current toothpaste is painful, try swapping it out for a toothpaste without the ingredient sodium lauryl sulfate.

To relieve the irritation, you can use a topical medication, a special mouthwash, or oral pain relievers. Rinsing daily with salt water is also a great way to reduce inflammation and encourage faster healing (just make sure you don’t swallow it).

Preventing Future Sores
A few foods, such as salmon, kale, carrots, parsley, spinach, and yogurt, can help reduce future ulcer breakouts because of their high vitamin B12, iron, and folate content. Flossing daily and brushing your teeth twice a day also help reduce ulcer breakouts, because a clean mouth is healthier.

The Dentist Can Help Too!
If you’ve been struggling with canker sores, schedule a dental appointment! There may be an underlying cause that needs diagnosis and treatment with prescribed medications.

We love to see those healthy smiles!