There are a variety of TMJ symptoms and the severity and affects tend to vary from one patient to the next. The American Dental Association (ADA) cites the tempromandibular joint (TMJ) as one of the most complex joints in the body. Involved in it’s function are several muscles, ligaments and bones. The joint itself is comprised of a disc between a ball and socket, and that disc cushions the forces on the joint, enabling the jaw to move and function normally. Any conditions that prevent these components from working properly may cause a TMJ disorder.

CAUSES OF  TMJ DISORDER:

There are several TMJ disorders which can result from multiple causes. According to the Academy of General Dentistry, trauma to the jaw or jaw joint-such as a jolting injury to the head, face, or neck—sometimes play a role in TMD (temporomandibular disorder) and in most instances the cause is unknown.

The most common factor contributing to TMD is a bite problem affecting the joint itself. Interferences in the structure of individual teeth may force displacement of the lower jaw, leading muscles to reposition the joints out of their sockets to force the upper and lower teeth to fit together. Also, wear and tear on the teeth caused by aging, teeth grinding and clenching, or activities outside of normal function—called para function—which may cause uneven surfaces on the teeth, leading to interferences in the bite and improper jaw closure.

Anatomical factors within the joint or surrounding muscles also may interfere with the bite and cause TMD. Some TMJ disorders may be caused by arthtitis and dislocation, while other instances result from disease. For example, low-level infections and auto-immune disease are among the possible causes of TMD. In addition, some people may be genetically predisposed to TMD.

If you are having pain in your joint area, which can be triggered by stress, resulting in overuse of the jaw muscles (such as clenching or grinding of teeth) have Dr.Shlafer evaluate you.

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Q: Why do I first need to see the dentist if I only want my teeth cleaned?

A: Comprehensive is a term used to describe Dr.Shlafer for a very good reason! He always wants to ensure everyone receives the very best care for their unique situation. Just as you would never let someone work on your car without first looking under the hood and running tests,  Dr. Shlafer would never want to diagnose a treatment plan for you without a complete understanding of your overall situation. An exam with Dr. Shlafer ensures he has all the necessary information to address your concerns and determine the proper steps in which to proceed.

There are at least 4 different types of dental cleanings. Your hygienist will be prepared for which type of cleaning you need once Dr.Shlafer has  diagnosed the presence of or absence of periodontal disease.  All too often, periodontal disease symptoms can be overlooked by patients, therefore not mentioning it when scheduling for a hygiene appointment. This leaves everyone unprepared to complete the proper treatment  you need.

Dr.Shlafer assures that you will leave feeling well cared for and confident in your upcoming appointment. All because he spent that special time with you!

Q: Beyond simply changing the color of my teeth, what options are available to change the shape of them or how my smile looks?

A: Several different options are available to change the shape of your teeth. They can be made to look longer, any spaces between them can be closed  and chipped or cracked teeth can be repaired. Among the options are bonding, crowns, veneers and re-contouring.

Dental bonding is a procedure in which a tooth-colored resin material is applied to the tooth surface. It is hardened with a special light which ultimately “bonds” the material to the tooth. A dental crown is frequently made of porcelain and fits over your natural tooth. After your  crown is returned from the lab, it is then permanently cemented into place. Veneers are wafer-thin, custom-made shells of tooth colored materials that are designed to cover the front surface of  teeth. Re-contouring or reshaping of the teeth is a procedure in which small amount of tooth enamel is removed to change the tooth’s length, shape or surface.

Each of these options differ with regard to cost, durability, stain resistant qualities and appointment time necessary to complete yourprocedure. Why not schedule a complimentary visit with Dr.Shlafer today? Together you can discuss what cosmetic approach is best for resolving your individual concerns.

Q: I have a terrible fear of going to the dentist yet I recognize the importance of seeing the dentist to maintain good oral health. What should I do?

A: If you fear going to the dentist, you are not alone. Between 9 and15% of Americans state they avoid going to the dentist due to fear and anxiety. Because it is so important to address your oral health, the first step is to talk to Dr.Shlafer and discuss your fears. This is the best way to cope with your dental anxiety. Dr.Shlafer and his team will work with you to determine the best way to make you more comfortable.

The good news is, there are a number of strategies that can be tailored to your individual needs to reduce fear and anxiety. This may include the use of oral medications to help you relax along with numbing the treatment area and/or nitrous; more commonly know as “laughing gas.”

If fear is keeping you away from the dentist, consider making that call to come in for a complimentary visit and we’ll talk about how we can help you comfortably get the care you need.

Q:  What are dental sealants? Who should get them and how long do they last?

A: Sealants are a thin, plastic coating that is painted onto the chewing surfaces of the teeth—usually the back teeth–to prevent tooth decay. This painted on, liquid sealant quickly bonds into the depressions and grooves of the teeth, forming a protective shield over the enamel of each tooth.

Typically, children should get sealants on their permanent molars and pre- molars as soon as these teeth come in. This way the dental sealant can protect teeth through the cavity prone years of 6-14. Adults without decay or fillings in their molars can also benefit from sealants.

Sealants can protect teeth from decay for up to 10 years and as part of your regular dental check up, Dr. Shlafer will check your sealants for any chipping or wear.

Q: What health problems are associated with bad breath?

A: Persistent bad breath or a bad taste in your mouth may be warning signs of gum disease. Gum disease is caused by the buildup of plaque and bacteria on teeth. This buildup causes toxins to form in the mouth , which irritate gums. If gum disease continues untreated it can damage your gums and cause tooth loss.

Other dental causes of bad breath include poorly fitting dental appliances, yeast infections of the mouth, and cavities.

The medical condition, dry mouth (also known as xerostomia) can cause bad breath. Saliva is necessary to moisten and cleanse the mouth by neutralizing acids produced by plaque and washing away dead cells that accumulate on the tongue, gums and cheeks. If not removed, these cells decompose and can cause bad breath. Dry mouth may be caused by the side affects of some medications, salivary gland problems or continuous breathing through the mouth.

Many other diseases and illnesses may cause bad breath. Here are some to be aware of: respiratory tract infections such as pneumonia or bronchitis, chronic sinus infection, postnasal drip, diabetes, chronic acid reflux, and liver or kidney problems.

If  you have a bad breath concern and would like to be evaluated, we can help! Please schedule an exam with Dr. Shlafer today.  

Q: How do I know if I have wisdom teeth?

A:  Dr.Shlafer takes a special x-ray called a Panorex which shows a view of your whole jaw. This allows him to see if your wisdom teeth are present and how they are positioned in your jaw. Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes these teeth are valuable to keep when healthy and properly aligned, but more often they are misaligned and require removal. They can position themselves horizontally, be angled toward or away from the second molars or even be angled inward or outward. Dr. Shlafer will discuss with you if removal of your wisdom teeth is necessary and what that procedure  involves.

Toothache keeping you up

What is a toothache?

The most common cause of a toothache or pain in the jaw and face is, pulpitis–which is inflammation in the pulp of the tooth. Short, sharp pains usually occur in response to hot, cold or sweet stimuli.

What causes a toothache?

• Dental decay
• A fractured tooth
• A cracked tooth. This may be difficult to see and requires confirmation from Dr.Shlafer
• Irritation following dental treatment — your bite may need to be adjusted so please call right away as recommended. An uneven bite will not resolve itself on its own!
• An exposed root, which can occur if the gums recede or are damaged by over-vigorous brushing.

Other problems that can cause symptoms similar to a toothache:

• An abscess in the gum
• Ulceration of the gums
• Inflammation of the gum around a tooth which is in the process of growing/breaking through–like a wisdom tooth
• Inflammation of the sinuses can be mistaken for a toothache in the upper jaw.

It is worth remembering that nerves supplying your teeth sometimes give the wrong message to the brain. This means, although you feel pain in a particular tooth, the problem may actually be in a different tooth–this is known as referral pain.

How do I avoid a toothache?

The best way to prevent a toothache is to keep your teeth and gums healthy. Try to avoid cavities by reducing your intake of sugary foods and drinks. Brush your teeth twice daily using a fluoride toothpaste and don’t forget to floss! Keep on schedule with your dental check ups- this way, problems can be diagnosed and addressed early.

What should I do if I have a toothache?

If you have a toothache, you will want to call the office right away. Keeping in mind, your Family Dentist Dr. Shlafer is always available by phone after hours as well as weekends to advise you what the next step should be. He may even want to meet you at the office, if necessary.
In the meantime:

• Avoid hot, cold and sweet stimuli
• If the pain is prolonged or severe, taking Ibuprofen may provide some relief.
• Warm saltwater rinses can soothe irritated gums.
• If the pain is caused by an exposed root surface, toothpaste for sensitive teeth (like Sensodyne) may be helpful.

Visit us as soon as possible and remember, we’re here to help!