Tooth Tip Tuesday

Afraid of the Dentist?

By Craig @ 2010-06-10 15:51:26 / 0 comments

Afraid of the Dentist?  Enough to get a tattoo about it?  Well a patient of ours shared his "dental tattoo" about a visit to a previous dentist.  And he gave us permission to share it.

Amazing!  We especially love the 1800's assistant in the back with a power drill.  And yes, the patient did have a favorable experience at our office.

Do worry?  We strive to give each patient a pleasant experience at the office.  If anxiety is too high, we offer nitrous oxide or conscious sedation.  We have yet to be the inspiration of body art.




Headaches Problems?

By Craig @ 2010-06-04 10:49:18 / 0 comments

Chronic symptoms of the head and neck can often be attributed to:

 Headache -- the temporalis muscle (it closes and clenches the jaw)

 Sinus pressure and pain -- the lateral pterygoid muscles (it moves the jaw side to side and/or forward)

 Neck stiffness and pain -- trapezius muscle (it stabilizes the skull during jaw clenching and grinding)

Dental offices have treated and helped more and more people with their headache problems. For years, we assigned all of these names to headaches, like muscle tension headaches, neuralgia, migraine and so on, and it seems that many headache patients share one very common trait- They clench or grind their teeth at night!

Most medical research has shown that headaches, even people with classical migraine headaches, have no physical reason, no vascular problems and no neurological problems; in fact their physician's exam will give no physical reason for the pain. Many patients have had CAT scans and MRI's that were negative, and find that drugs really don't help their problem; instead the medication makes them groggy and "drugged out."

What we have discovered is that people who can control their nighttime clenching and grinding will get tremendous relief for their headaches and neck aches. Many people do so much unconscious clenching of their jaw muscles that when they wake up, their teeth are sore, their muscles are already tired, and they are set up for the beginning of a headache from the start of the day, if they don't wake up with one.

One effective treatment utilizes an NTI appliance (short for nocioceptive trigeminal inhibition), a dental device that fits between the upper and lower front teeth. (Detailed information can be obtained from the website at www.headacheprevention.com) The simple fact is that this device reduces the intensity of nighttime parafunction by 70 percent immediately, which can explain why so many patients wake up feeling better very quickly.

A traditional dental mouthpiece, or splint, reduces the resistance to side-to-side movement, thereby, reducing the effort and resultant strain to the jaw joint and sinuses (so long as clenching intensity isn't too intense). However, the same splint also provides an ideal clenching surface, where maximum clenching intensity may increase and/or allow jaw joint problems to perpetuate.

Many patients run the gamut of the medical world's attempts to control their headaches- with multiple drugs, injections and so on, without ever thinking that the pain might be muscular in origin. But just like back pain is often muscle spasm, the pain we call TMJ, as well as headaches of many sorts are very much caused by overuse of the muscles of closing the jaws.

We would recommend that if you or a loved one has chronic headache problems, that you go to the web site, or give us a call and let us take a look. It can do no harm, and it might very well make a huge difference in your lives!

Dental Folklore

By Craig @ 2010-03-02 16:20:40 / 0 comments

People of ancient times believed that the stabbing pain of a toothache was caused by a toothworm, which either had appeared spontaneously or had bored its way into the tooth. If the tooth pain was severe, it meant that the worm was thrashing about, but if the aching stopped, then the worm was resting. Cultures all over the world, many of whom had no contact with each other, held stubbornly to this myth. The folklore of the toothworm persisted from ancient times to the beginning of the eighteenth century.

Folk Cures or Old Wives Tales

  • Bee: Honey, a product of bees, was used to coat an infected tooth in the Middle Ages. People smeared their aching teeth with honey and waited all night with tweezers in hand, ready to pluck out the toothworm.
  • Donkey: In ancient Greece, donkey’s milk was used as a mouthwash to strengthen the gums and teeth.
  • Fingernails:  Trim you fingernails on Friday, and that pesky toothache will be gone for a week.
  • Frog: Besides spitting in a frog’s mouth for toothache relief, these web-footed creatures were applied to a person’s cheek or to the head on the side of the ailing tooth.
  • Funerals:  Never eat anything when the funeral bell is tolling, or a toothache will follow.
  • Hard Boiled Egg:  If you placed a hard boiled egg anywhere in a teething baby's room, they would have an easier time.
  • Onion: In the Middle Ages a slice of onion was applied to the ear on the side of the aching tooth.
  • Rabbit:  A backwoods legend described helping a teething child.  Grandpa would go out and shoot a rabbit.  He would bring it back, slice the head open, and rub the "brain juice" on the baby's gums. 
  • Hard Boiled Egg:  If you placed a hard boiled egg anywhere in a teething baby's room, they would have an easier time.
  • Vanilla:  Poor pure vanilla extract from the bottle directly on the tooth.

If you've heard of some additional folklore or old wives tales, please let us know.  We highly recommend you don't attempt any of these treatments, but rather see a dentist for any dental complications.  They do not work especially the bunny brains on your teething child.

Reprinted with permission from "Toothworms and Spider Juice: An Illustrated History of Dentistry" – Loretta Frances Ichord, Millerbrook Press
Photo credit - Delta Dental

Dental Implant Important Facts

By Craig @ 2010-02-05 11:03:18 / 0 comments

Considering Dental Implants? 

Important Facts to Help Make Your Decision 

Many people are unaware of the consequences of losing their teeth or the effects of wearing partial or full dentures upon their jaws and bones. When teeth are lost, the surrounding bone immediately begins to shrink [atrophy]. Implant treatment, for tooth replacement therapy, can be the optimal treatment plan. Here are some important facts to take into consideration. 

 Wearing dentures [plates] accelerates bone loss, and old dentures become loose because of this bone loss. It is possible to watch and wait for bone to disappear to the point where treatment success of any kind is in doubt.

 At the end of a five-year period, only 40% are still wearing the original partial denture made for them. This is not a great testimonial for value and utility. Those lucky enough to have a functioning partial denture after 5 years are still losing valuable supporting bone.

 Of those patients who wear a partial denture, 50% chew better without it.

 One study showed that after 8 years, 40% of the supporting teeth [abutments] that the partial hooks onto were lost through tooth decay or fracture.

 Patients with natural teeth can bite with about 200 pounds of force. Denture wearers can bite with approximately 50 pounds of force. Those wearing dentures for 15 years or more can bite with only about 6 pounds of force, and their diet and eating habits have had to been modified accordingly.

 The average lower full denture shifts from side to side approximately ? inch during chewing and is a significant problem that new denture wearers must get use to and accept.

 Denture wearers have decreased nutritional intake, a ten year shorter life span, and 30% of denture wearers can only eat soft foods.

 The single tooth implant success rate is above 98%, and unlike a bridge, the teeth adjacent to the implant are no more at risk than if no teeth were missing.

 Implant-supported bridges or dentures have 95% success rates over 10 years without the severe loss of supporting bone.

For bone maintenance, the health of adjacent teeth, the longevity of the restoration and patient comfort, implant therapy is the treatment of choice. Implants can restore chewing function to the equivalent of someone with natural teeth. Insurance companies are beginning to realize the importance of dental implants and have start to include them as covered procedures.  If you have questions or want to know if you are a good candidate for implant tooth replacement therapy, please call our office.

Photo used with permission: NobelBiocare

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