Temporomandibular Joint Disorder and its Treatment

TMJ (Temporomandibular joint) disorders are a family of problems related to your jaw joint, which lies just in front of your ear canal. If you have had symptoms like pain or a "clicking" sound, you'll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles (muscles of mastication) do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your lower jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.

No one treatment can resolve all TMJ disorders completely and treatment may take time and your cooperation to be effective we can help you have a healthier and more comfortable jaw.

Trouble with your jaw?

TMJ disorders develop for many reasons. You might clench or grind your teeth, tightening your jaw muscles and stressing your TM joint. You may have a damaged jaw joint due to injury or disease. Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the “cushion” of the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking, or grating noise when you open your mouth or trouble opening your mouth wide.

Do You Have A TMJ Disorder?

·          

     Are you aware of grinding or clenching your teeth?

·         Do you wake up with sore, stiff muscles around your jaws?

·         Do you have frequent headaches or neck aches?

·         Does the pain get worse when you clench your teeth?

·         Does stress make your clenching and pain worse?

·         Does your jaw click, pop, grate, catch, or lock when you open your mouth?

·         Is it difficult or painful to open your mouth, eat, or yawn?

·         Have you ever injured your neck, head, or jaws?

·         Have you had problems (such as arthritis) with other joints?

·         Do you have teeth that no longer touch when you bite?

·         Do your teeth meet differently from time to time?

·         Is it hard to use your front teeth to bite or tear food?

·         Are your teeth sensitive, loose, broken or worn?

The more times you answered "yes", the more likely it is that you have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.

Treatment

We have successfully treated hundreds of patients with TMJ disorders without surgery. Our philosophy is to try all conservative treatments before considering a surgical option. There are various treatment options that we can utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, we will determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care joined with professional care.

The initial goals are to relieve the muscle spasm and joint pain. This is usually accomplished with a pain reliever, anti-inflammatory, or muscle relaxant. Steroids can be injected directly into the joints to reduce pain and inflammation. Self-care treatments can often be effective as well and include:

Restingyour jaw

·        

          Keeping your teeth apart when you are not swallowing or eating

·        Eating soft foods

·        Applying ice and heat

·        Exercising your jaw

·        Practicing good posture

Stress management techniques such as biofeedback or physical therapy may also be recommended, as well as a temporary, clear plastic appliance known as a splint. A splint (or night guard) fits over your top or bottom teeth and helps keep your teeth apart, thereby relaxing the muscles and reducing pain. There are different types of appliances used for different purposes. A night guard helps you stop clenching or grinding your teeth and reduces muscle tension at night and helps to protect the cartilage and joint surfaces. An anterior positioning appliance moves your jaw forward, relives pressure on parts of your jaw and aids in disk repositioning. It may be worn 24 hours/day to help your jaw heal. An orthotic stabilization appliance is worn 24 hours/day or just at night to move your jaw into proper position. Appliances also help to protect from tooth wear.

Sinus Lift Procedure

The aim of this procedure is to raise the sinus floor in order to develop bone for the placement of dental implants. Several techniques can be used to raise the sinus and allow for new bone to form. Depending on your individual needs, we normally wait four to 6-8 months before putting the implants into place. After the implants are placed, an additional healing period is required. In some cases, the implant can be placed at the same time the sinus is augmented. This treatment could be suitable if you have lost one or several teeth and an important amount of bone.

Lots of people who have lost teeth in their upper jaw vigorously the back teeth, or molars and do not have worth bone for set to be placed. This is mainly due to the rupture of the skull; the back of the upper jaw has less bone than the lower jaw. In many people bone may have been missing because of periodontal or gum disease.

Sinus Lift Procedure

With age and tooth loss, the upper jawbone shrinks and the sinus enlarges. This often makes a patient a poor implant candidate. The maxillary sinuses are behind your cheeks and on top of the upper teeth. These are air-filled spaces that everyone has. Often the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. Often the remaining bone is not enough to stabilize a dental implant.

There is a solution and it’s called a sinus graft or sinus lift graft. Dr. Singh carefully enters the sinus from where the upper teeth used to be. The sinus membrane is then gently lifted upward and donor bone is inserted into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.

If enough bone between the upper jaw ridge and the bottom of the sinus is available to stabilize the implant well, sinus augmentations and implant placement can sometimes be performed as a single procedure. If not enough bone is available, the sinus augmentation will have to be performed first, then the graft will have to mature for several months, depending upon the type of graft material used. Once the graft has matured, the implants can be placed.

Zoom Teeth Whitening - What Can You Expect?

Do You Want to Zoom!?

The Zoom! Chair side Whitening System is a scientifically advanced. Patent pending, tooth whitening procedure. It's safe, effective and fast, very fast. In less than an hour your teeth will become dramatically whiter. Zoom! Chair side Whitening is ideal for anyone looking for immediate results. The convenience of Zoom! In comparison to days of wearing trays or strips, make it the perfect choice for the busy individual.

Get ready to zoom!

The Zoom! In office Whitening System will make your teeth dramatically whiter in less than an hour. The Procedure is simple. It begins with a short preparation to cover your lips and gums, leaving only your teeth exposed. The Zoom! Clinician then applies the proprietary Zoom! Whitening Gel, which was made to be used with a specially designed light? The Zoom! Light and gel work together to gently penetrate your teeth, breaking up stains and discoloration. With proper care your smile will sparkle for years

Tune in to zoom!

Take your first step to feeling good, looking great and making a memorable impression every time you smile. You owe it to yourself!

What causes tooth discoloration?
There are many causes. The most common include aging and consumption of staining substances such as coffee, tea, colas, tobacco, red wine, etc. During tooth formation, consumption of tetracycline, certain antibiotics or excessive fluoride may also cause tooth discoloration.

Who may benefit from tooth whitening? 

Almost anyone. However, treatment may be as effective for some as it is for others. Your dental professional can determine if you are a viable candidate for this procedure through a thorough oral exam,

Is Whitening Safe?
Yes Extensive research and clinical studies indicate that whitening teeth under the supervision of a dentist is safe. In fact, many dentists consider whitening the safest cosmetic dental procedure available. As with any tooth whitening product zoom! is not recommended for children under 13 years of age and pregnant or lactating women.

How long do the results last?
By following some simple post whitening care instructions, your teeth will always be lighter than they were before. To keep your teeth looking their best, we recommend flossing, brushing twice daily and occasional touch-ups with Zoom! Weekender or Nite White gel. These are professional formula products designed specifically to keep your teeth their brightest. They are available only through your dental professional.

How does the Zoom! In-office system work?
The Zoom! Light active whitening gel's active ingredient is Hydrogen Peroxide. As the Hydrogen Peroxide is broken down, oxygen enters the enamel and dentin, bleaching colored substance while the structure of the tooth is unchanged. The Zoom! Lights aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth. A study has shown that use of the Zoom! Lamp increases the effectiveness of the Zoom! Improvement of eight shade*.

How is Exposure to the Zoom! Light controlled?
The Zoom! Procedure requires that all soft tissue in and around the mouth be protected .The clinician is required to monitor the procedure to insure any exposed skin or tissue is isolated and protected. Protective is required during the procedure. Light sensitive individuals, including those undergoing PUVA therapy (Personal +UV radiation) or other photo chemotherapy, or patients with melanoma, should not undergo the Zoom! In office procedure. Also patients taking any light sensitive drugs or substance, whether over the counter their primary care physician prior to the procedure. Anyone who is not eligible for Zoom! Chair side Whitening for these reasons may be an excellent candidate for Zoom!.

Are there any side effects?
Sensitivity during the treatment may occur with some patients. The Zoom! Lights generate minimal heat which is the usual source of discomfort. On rare occasions, minor tingling sensations are experienced immediately after the procedure. But always dissipate.

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Digital X-rays is a new method being used in some dental offices that allows dentists to reduce radiation exposure associated with traditional X-rays. To take digital X-rays, a small sensor unit is used that sends pictures to a computer to be recorded and saved. X-ray pictures allow you to view any potential problems such as cavities, hidden dental structures, and bone loss that cannot be detected during a visual examination.

Digital X-rays are scheduled when you need them based on your age, risk for disease, and signs of disease. They may also be done as follow-up after dental treatments. The real-time dental information provided by digital X-rays will help you make more informed decisions of you treatment with regards to your dental health.

Digital x rays can be modified electronically to increase contrast, display certain structures in color or three dimensions, or subtract areas that interfere, allowing clearer pictures of structures such as veins and arteries. Very small differences in density may be amplified for even clearer viewing. This may be important in cases in which a contrast medium is injected into veins or arteries; enhancing small differences allows the use of smaller amounts of the contrast medium, lessening the danger to patients.

After digital x-ray images have been obtained, they may be easily copied, displayed, stored electronically, shared with patients, or sent to remote locations for examination by highly trained technicians. The images may be conveniently linked to other equipment or processes such as CAT (computer axial tomography) scans or three-dimensional displays. Digital technology may also be employed in security applications for the remote scanning of packages and luggage.

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Porcelain Veneers Servies In India

Porcelain veneers are thin shells of fired porcelain that are placed on the front and side surfaces of the teeth. Offering a natural look and feel, veneers allow the cosmetic dentist to dramatically change the length, width, color and shape of a tooth. They are the cosmetic dentist's greatest tool for enhancing a smile.Versatile and strong, porcelain veneers are used for a variety of smile enhancements, from complete smile makeovers to repairing a chipped tooth. Restoring teeth to their natural beauty, veneers also resist staining, creating an enduring white, bright straight smile.

Porcelain veneers, also known as dental veneers or dental porcelain laminates, are porcelain shells of variable thickness that are custom shaped for each individual patient. Porcelain veneers are meticulously affixed with a special, very resistant adhesive on the prepared anterior teeth. This method of aesthetic enhancement can completely transform your smile into one that you will be proud of for many years.Porcelain is an extremely durable and the most adequate material for dental reconstruction that has similar properties to the enamel of natural teeth and is very resistant. It has a smooth and non-porous surface that is not susceptible to decay and resists staining while maintaining a natural appearance. Once veneers are permanently placed, they feel like a natural part of the teeth, and can be used in the same way as natural teeth.

Porcelain veneers are sought by many people who find it hard to smile due to chipped, stained, misaligned, misshapen or discolored teeth. Porcelain veneers can help patients with these problems to attain white, straight, and natural looking teeth. Moreover, with veneers there are instant results that will last for decades. Thus, they are very cost effective in their longevity and customization. Most veneer procedures require at least two appointments to be completed, and the length of time necessary at each appointment will depend on the extent of the procedure. Veneers are minimally invasive and relatively pain-free restorations done in the dentist's office under local anesthetic.

The first appointment involves removing a small portion of the face and top edge of a tooth to achieve a proper preparation design so that the porcelain veneer can bond to the teeth better. An impression of your teeth is then taken, and is sent to the lab along with accompanying photos and models. The lab fabricates porcelain shells which fit onto your teeth perfectly. At a second appointment, your veneers are trial fitted and assessed for aesthetic and functional success before final cementation. If necessary, further shaping and trimming can be done before continuing. After this, the teeth are thoroughly cleaned, and then the veneers are permanently cemented onto your teeth using a composite resin. Be sure to leave plenty of time for your second appointment, since placing veneers is a meticulous and delicate procedure. If performed correctly, your smile will look so natural after this procedure with the prepared teeth and veneers, it will be almost impossible to identify it from your original teeth.

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Composite Fillings Composite resin dental fillings were created as an alternative to traditional metal dental fillings. Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings and are made of a plastic dental resin combined with glass particles. These types of fillings are, durable and are way more natural looking than amalgam fillings.

If you have a cavity in a tooth or broken fillings or if your teeth are full of silver fillings you may want to ask your dentist about changing to composite dental fillings. Silver fillings can easily be removed and replaced with far more attractive colored fillings. Research shows that composite fillings actually strengthen your tooth and further protect it from decay.

In a normal, healthy mouth, chewing function is well balanced since each upper tooth has proper contact and function with corresponding lower teeth. Because of this natural proper balance, undue strain or irritation on the gum tissue and bone is non-existent. Drifting or spreading of teeth does not occur and oral hygiene is easily maintained. But, this natural proper balance is quickly destroyed when a tooth is lost. The loss of teeth is associated with diminished self-confidence and of course chewing difficulties. So, it is necessary to replace the missing teeth as early as possible with something that resembles your natural teeth to the maximum. With recent developments in dentistry, a number of options are now available to the patients to choose from.

Dental bridges are meant to replace missing teeth by "bridging" the gap between two remaining teeth. This involves creation of a Pontiac, or false tooth's with a dental crown on either side. The crowns are fitted over the remaining teeth to hold the false tooth in place.
When there are only teeth on one side of the gap, cantilever bridges may be given. cantilever bridges consist of two side-by-side crowns and only one is connected to the pontic.

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Our teeth are among our most durable & hard working-body parts. And only that, when they are treated to life long tender loving care, they give us bright, happy welcoming smiles! But just like the rest of us, our teeth are vulnerable not only to neglect, but also to natural process of aging.When you look at your teeth, what you see is the white enamel which covers the crowns of the tooth. Over the years your natural crown can be damaged or altered by many factors. It may be become cracked or weekend by decay. Discolored by root canal treatment of by health factors & medical influences or become unsightly due to larger older fillings. Their strength, longevity is greatly improved with individually custom fitted & manufactured porcelain crown which allow us to achieve the tone & contours of natural teeth. All porcelain crown have a natural translucency that makes them hard to tell from your other teeth.

This an alternative system of coding encompassing all visits subsequent to orthodontic diagnosis and treatment planning. The item refers to a complex course of treatment of active fixed appliance therapy in both arches and retention as required. If removable and/or fixed retention, functional appliances, headgear, or any other complementary auxiliary appliances are utilized,they are an intrinsic part of this item number.

The process of planing the root surface to remove rough or contaminated cementum or dentine, including deposits of calculus; also curetting the soft tissues of the periodontal pocket and removing granulation tissue.Local anaesthesia is normally used.A non-invasive test used to determine the clinical status of the pulp. It involves the application of external stimulation to the pulp to determine its response. Other teeth are generally tested for comparison. This item should be used once for each visit when pulp testing is performed.

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