Do you find yourself waking up in the morning with a headache? Does it hurt to chew tough or hard foods? Have you noticed any popping or clicking sounds when you open or close your mouth? If you are experiencing any of these things, then you may be affected by temporomandibular joint disorder. 

Temporomandibular joint disorder, often referred to simply as TMJ or TMD, is a term used to describe dysfunction in the bones, muscles, tendons, and nerves that make up the temporomandibular joint. Although the exact cause of TMD is not known, there are several factors that can contribute to its symptoms. In most cases, excessive strain on the jaw joint can result in the development of TMD. 

TMD can cause a range of symptoms such as: 

Treatment for TMD is primarily intended to alleviate these symptoms in terms of frequency and severity. Depending on your individual case, your dentist may recommend one of the following TMD treatments: 

1. Mouth Guard

Woman wearing a mouth guard on her lower dental arch

Many people develop TMD as a result of teeth grinding or clenching. Together, these behaviors are known as bruxism. Teeth grinding consists of moving the bottom teeth in  a side to side motion against the top teeth, while teeth clenching is squeezing the top and bottom teeth firmly together. Both of these behaviors place additional strain on the jaw joint that can eventually result in TMD. 

To prevent this from happening, a dental mouthguard is commonly prescribed.A dental mouthguard can sit on the upper or lower arch of teeth. It acts as a barrier between the top and bottom teeth. Although mouth guards will not stop teeth grinding or clenching, it will reposition the jaw so that less pressure is exerted, as well as protect the teeth from fracturing or cracking in response to the additional pressure.  

2. Dental Crowns

Some cases of TMD can also be caused by an uneven bite that places additional strain on the jaw joint. Teeth that are decayed, damaged, or worn down often have an altered shape that affects the entire bite. To correct this, a dental crown or cap is placed over one or more teeth in order to allow the top and bottom teeth to meet up more evenly, reducing strain on the joint. 

Before and after orthodontic treatment

3. Orthodontic Treatment

Another way to properly align the bite, as well as the teeth, is orthodontic treatment. Many dentists offer clear aligner orthodontics in order to gradually move the teeth in a more optimal position. They may also correct minor malocclusion issues such as an open bite, crossbite, overbite, and underbite. Correcting bite issues and properly aligning the teeth and bite, will help reduce stress on the joint.  

4. Implant-Supported Dental Bridges

Missing teeth can also affect the alignment of the teeth and bite. When missing teeth are not replaced, the surrounding teeth may shift to fill the space left behind. This will cause the entire bite to change and can place additional strain on the jaw joint. In order to prevent this from happening, it is important to replace missing teeth as soon as possible. 

One common restoration method for replacing missing teeth is an implant-supported dental bridge. Implant-supported bridges are like traditional dental bridges, however they are secured in place using dental implants rather than crowns cemented to natural teeth. This type of restoration works best to replace multiple missing teeth, however there are also various options to replace a single missing tooth. 

As you can see, there are different treatment options for TMD including mouth guards, dental crowns, orthodontic treatment, and implant-supported bridges. Depending on your symptoms and potential causes, there are certain types of treatments that may work better for you than others. In order to determine the best TMD treatment, schedule a consultation with your local TMD dentist. 

Dr. Dennis Laurich

Dr. Dennis Laurich has been practicing dentistry for over 40 years. He received his DDS degree from the University of Michigan Dental School and regularly attends oral health care conventions to continue his dental education. This allows him to treat patients with the leading dental technology and methodologies. Additionally, he is a member of the American Dental Association, Michigan Dental Association, and the Detroit District Dental Society. 

Whether you are restoring a single tooth or planning an entire smile makeover, choosing a restorative dental treatment is a big decision. The variety of restorative dental treatments offers many different options in terms of how the restoration is placed, what it can restore, how it looks, if a recovery period is needed, the cost, and many other factors. While it is nice to have options, these options can also make things more overwhelming. 

However, there is one option that stands apart from the rest and is recommended by many general and cosmetic dentists for restoring a single tooth or multiple teeth. Dental implants are artificial tooth roots that support a dental prosthesis and are the closest restoration method to natural teeth. If you are considering restoring a single tooth or having a smile makeover, here are six reasons to get dental implants: 

1. Variety of Sizes

In order to be used for different locations in the mouth, dental implants are available in three different sizes. The most commonly used are standard size dental implants because they are able to adequately support a dental prosthesis in varying locations. However, dental implants are also available in wide or mini sizes. Wide dental implants are slightly larger in circumference than the standard size and this larger size allows them to be used for molars that absorb a great deal of force. Mini dental implants are slightly smaller in circumference than the standard size and are used in tight spaces or for areas with decreased bone mass. 

Subperiosteal implant

2. Two Types

In addition to coming in different sizes, there are also two types of dental implants. Endosteal dental implants are placed in the jawbone and are the most commonly used type of dental implant. In fact, many people only know about this type of dental implant. Subperiosteal implants, on the other hand, sit on top of the jawbone, just below the gums. This type is rarely used and is much less well known.

3. Quick Placement

On average, dental implants can be placed in as little as 1-2 dental appointments. This generally consists of a single appointment to place the implant screw and connector piece, as well as a temporary restoration. Once the implant has healed, a second appointment is generally needed to place a permanent restoration. However, in some cases, both steps can be completed in a single appointment. 

Dental implant in jaw next to natural tooth

4. Fuses with the Jawbone

Dental implants are the only restorative dental treatment that are capable of fusing with the surrounding jawbone. This happens about 3-6 months after they are initially placed into the jawbone. Their ability to fuse with bone is what allows them to be strong and highly durable. 

5. Extremely Long Lasting

In addition to strength and durability, fusing with the surrounding bone also allows dental implants to last longer than any other restoration method. On average, dental implants can last about 10-15 years, however, there have been more and more cases that have lasted for about 20 years. 

6. Prevent Bone Loss

Fusion with the jawbone also allows the implants to prevent bone loss through stimulating the jawbone. In order for the jawbone to maintain its bone mass, constant pressure from chewing and biting is required. When a tooth is lost, stimulation is also lost, which results in bone loss. By acting as a substitute root and providing stimulation, dental implants preserve bone mass. 

As you can see, there are many great reasons to get dental implants such as their variety of sizes and types, quick placement, and the fact that they can fuse with the jawbone to be strong, durable, long-lasting, and to prevent bone loss. While there are plenty of other effective restoration methods, only dental implants are capable of offering particular benefits. Whether you are restoring a single tooth or planning an entire smile makeover, you should definitely consider dental implants. 

Dr. Dennis Laurich

Dr. Dennis Laurich has been practicing dentistry for over 40 years. He received his DDS degree from the University of Michigan Dental School and regularly attends oral health care conventions to continue his dental education. This allows him to treat patients with the leading dental technology and methodologies. Additionally, he is a member of the American Dental Association, Michigan Dental Association, and the Detroit District Dental Society. 

Did you know that fluoride has been a part of dentistry for over 70 years? In fact, fluoride may just be a general dentist’s best friend because it helps to strengthen the tooth enamel and prevent dental decay. For this reason, fluoride is used in dental products such as toothpaste and mouthwash. It is also applied topically after a teeth cleaning and can be found in drinking water. 

But, why exactly is fluoride so popular in dentistry? And is it safe to consume and expose ourselves and our families to so much fluoride? Recently, there has been some controversy regarding the addition of fluoride to the drinking water. During any controversy, it is important to evaluate the facts. Therefore, here are four facts about fluoride: 

Calcium Fluoride Mineral rock

1. A Common Element

Contrary to what some may believe, fluoride is a mineral not a medication. Fluoride is derived from fluorine, which is a natural component of the earth’s crust. It is found in soil, rocks, and water, and is the 13th most abundant element in the world. Fluoride used for water fluoridation, as well as phosphoric acid used for Coke and Pepsi are both found and extracted from a phosphate rock. 

2. Makes Your Teeth Stronger

Fluoride is an ion, meaning that it is an atom that holds a negative or positive charge and is actively seeking another atom to combine with in order to balance that charge.  Tooth enamel is composed of calcium and phosphate, which both have positive charges. Since fluoride has a negative charge, it combines with calcium and phosphate to form a compound called fluorapatite. This compound is much stronger than simply calcium and phosphate, meaning that your teeth will be more resistant against the bacterial acid erosion that causes cavities. 

Young girl drinking water from a glass

3. Fluoridated Water Improves the Oral Health of Communities

Adding fluoride to the drinking water has been proven to be largely beneficial in reducing tooth decay. In fact, the Centers for Disease Control and Prevention  considers water fluoridation as one of the greatest health achievements of the 20th century. Since the introduction of fluoridated drinking water, many studies have been performed to test this theory. One study in particular was conducted by the U.S. Department of Health and Human Services in order to determine which community-based health programs were effective and those that were not. Their conclusion was to continue recommending communal water fluoridation due to its ability to reduce tooth decay. Not only does in increase communal oral health, but it decreases expenses paid to treat dental problems. 

4. Fluoride is safe

Since fluoride is found in the earth’s crust, it  is a naturally occurring substance in water and air. In fact, a person gets about 75% of their fluoride uptake by water, soft drinks, and juice. The amount of fluoride added to drinking water is about 1.4 mg to 3.4 mg, however the exact amount  can vary depending on the community. To determine how much fluoride is in your drinking water, check out your local water district website. Additionally, over 3,200 studies have been conducted on fluoride’s use in drinking water providing evidence that it is safe. Furthermore, various medical and health organizations have stated that fluoridated drinking water is safe. 

As you can see, fluoride is a highly beneficial mineral that is added to dental products and drinking water in order to safely strengthen your tooth enamel and improve the oral health of the community. Despite the recent accusations against fluoride, the scientific evidence proves that it is both highly effective and safe. For more information, you can check out the American Dental Association’s pamphlet on “Fluoridation Facts”. 

Dr. Dennis Laurich

Dr. Dennis Laurich has been practicing dentistry for over 40 years. He received his DDS degree from the University of Michigan Dental School and regularly attends oral health care conventions to continue his dental education. This allows him to treat patients with the leading dental technology and methodologies. Additionally, he is a member of the American Dental Association, Michigan Dental Association, and the Detroit District Dental Society. 

If you have crooked teeth and are looking into orthodontic treatment, there are many options for you to choose from. One of these options is Invisalign clear aligners. Invisalign treatment is both discrete and convenient, which has made it a popular choice for many people. By simply wearing your clear aligners for a minimum of 20 hours a day, your teeth will gradually shift into their proper positions. 

Not only will Invisalign correct crooked teeth, but it will also correct misaligned bites. Misaligned bites are formally known as malocclusion. Malocclusion can cause a range of dental issues depending on its type and severity. In order to prevent future dental issues, many dentists highly recommend seeking orthodontic treatment to correctly align the bite. Luckily, Invisalign can correct four types of malocclusion: 

Cross Bite

A cross bite occurs when the top and bottom jaws simply do not meet up properly due to a lateral misalignment of the upper and lower arches. It is usually characterized by some of the top front teeth sitting inside the front lower teeth. Cross bites almost always require orthodontic treatment because they can cause major issues like gum recession, bone loss, or chipped/cracked teeth. Some crossbites can be treated with Invisalign, however other types may require another treatment approach. 

Open Bite

An open bite occurs when the top and bottom jaws do not meet up at all. In cases of open bites, there is generally a gap between the top and bottom teeth. As you can probably guess, this makes biting and chewing highly difficult. By closing your bite through Invisalign orthodontic treatment, your dentist will close the bite and restore proper chewing function. 

Overbite

An overbite, or deep bite, occurs when the top front teeth overlap the bottom front teeth by more than 25%. Many people have a slight overbite that is known as class one malocclusion. However, cases over 25%  are known as class two malocclusion or retrognathism and usually require corrective treatment to prevent future jaw pain and premature tooth wear. 

Underbite

An underbite is basically an overbite reversed. With an underbite, the lower front teeth overlap the top front teeth because the lower jaw is too far forward. Underbites are also known as prognathism and are considered a class three malocclusion. They often make it difficult to chew and speak properly, and may also wear down the teeth. For these reasons, dentists recommend orthodontic treatment to resolve an underbite. While Invisalign can treat underbites, severe cases may also require surgery in coordination with Invisalign treatment. 

In conclusion, Invisalign can properly align teeth while also correcting crossbites, open bites, overbites, and underbites. The final result is a smile that looks amazing and functions properly. Correcting malocclusion will also reduce the risk of developing dental issues down the road. However, in order to find out how Invisalign can improve your smile, it is recommended to schedule a consultation with a local Invisalign dentist for more information. 

Dr. Dennis Laurich

Dr. Dennis Laurich has been practicing dentistry for over 40 years. He received his DDS degree from the University of Michigan Dental School and regularly attends oral health care conventions to continue his dental education. This allows him to treat patients with the leading dental technology and methodologies. Additionally, he is a member of the American Dental Association, Michigan Dental Association, and the Detroit District Dental Society. 

If you have made the decision to get dental implants, you can trust that you will receive the best of care with our [city] dental practice. We have the skill and experience to help you achieve optimal results from your new teeth.

Did you know…

The dental implant process has come a long way since it was first introduced? In fact, dental implants have been used in some capacity since at least 600 A.D., when the Mayans used stone and seashell fragments as artificial tooth roots. Fast forward 1,400 years, and modern dentistry has developed dental implants that are extraordinarily strong and successful in most patients.

Getting Dental Implants

The first step of the dental implant process is the consultation. This important visit sets the foundation for a successful treatment. During the consultation, you will meet with your dental surgeon to discuss treatment goals and your eligibility for dental implants as a patient. This is also the time when you will discuss any questions you may have and reasonable expectations of treatment.

You will arrive on the day of your dental surgery having followed all pre-operative instructions, such as avoiding food and drink in the hours prior to your procedure. You will be placed under sedation, during which time titanium dental implants will be placed beneath your gum line and into the underlying bone. Finally, the gums will be sutured shut, with only a small part of the implant post visible above the surface. You will be sent home to allow time for new implants to integrate with the surrounding bone. You may be fitted for temporary teeth during this recovery period, which may last several months.

During the final stage, your dentist will ask you to return so that you can be fitted for and receive a permanent prosthetic. Depending on the number of teeth you are replacing and your personal preferences, this may be a fixed crown, bridge or a removable denture. The teeth will be custom made to fit the proportions of your face and match any surrounding teeth you may have. The result is a beautiful, natural-looking and functional smile you will be proud to show off.

Dental implants are artificial tooth roots embedded into the jaw, taking the place of one or more missing teeth. They are used to permanently anchor a prosthetic tooth, such as a crown, bridge or denture. Though they are not for everyone, most people who get dental implants experience a successful outcome that often lasts several decades.

Dental implants are always personalized to the functional and cosmetic needs of a patient. They are sized, shaped and color-matched for aesthetics. Implants are often chosen by patients seeking the most natural looking and feeling of tooth replacement options, primarily because dental implants are fixed and designed to match the surrounding teeth.

Did you know…

Dental implants are typically made of titanium? This metal is known for its light weight, strength, and biocompatibility. Furthermore, titanium easily fuses to the surrounding jaw bone in a process known as osseointegration. This allows the implant to become stronger with time and eliminates the need for adhesives.

Dental implants are an option for qualifying patients who are either partially or totally edentulous, whether due to gum disease, tooth decay, trauma or some other cause. For more information about dental implants in [city], contact our office to schedule a consultation.

The days and weeks following an oral surgery are an integral part of the recovery process. It is important to follow all of the surgeon’s instructions for care to promote healing and reduce the risk of post-surgical difficulties. Most patients experience a complication-free recovery and can return to work or school within one to two days following surgery.

Did you know…

that discomfort following oral surgery is usually minimal? Though you may be given a prescription-strength pain reliever for the first day or two after surgery, most patients find that an over-the-counter ibuprofen is enough to relieve post-operative discomfort after the initial recovery period. Pain typically becomes less and less by the day, completely subsiding within one to two weeks.

Frequently Asked Questions

How should I care for the surgical site on the day of my oral surgery?

A responsible driver will need to accompany you to your surgical appointment and drive you home after surgery. It is normal for the surgical site to bleed and swell during the first few hours after surgery. You may be instructed to bite down on gauze packs, changing them as needed. Get plenty of rest, do not drive, and be careful not to disturb the surgical area on the day of surgery. Follow your surgeon’s instructions for pain relief, and apply an ice pack to the cheek to reduce swelling. If possible, limit your foods to liquids and soft foods that require minimal chewing.

What should I expect on days two and three?

You can begin gently brushing your teeth on the day after surgery so long as you avoid the surgical area. You may gradually begin to incorporate solid foods into your diet, rinsing food from the mouth with an irrigating syringe after eating as instructed by your surgeon. Apply hot and cold compresses to the cheeks intermittently to reduce swelling, and continue to take pain medication only as needed.

Is there anything else I should know about the post-operative period?

After your oral surgery, we ask that you do not smoke for at least 48 hours. Doing so could cause clots to dislodge, resulting in a painful condition known as ‘dry socket’. You should also avoid using a straw. Please do not hesitate to contact our office with any questions or concerns you may have about your personal healing process.

A periodontal operation is a surgery to restore gum tissue lost to periodontal disease, improve the cosmetic appearance of one’s smile, or otherwise prepare the teeth for restorative prosthetics. Periodontal surgery is performed under local anesthesia – usually from the comfort of a dental office. Though there is little or no discomfort associated with the actual procedure itself, patients must follow very specific instructions for care during the post-operative period.

Did you know…

Periodontal disease is the leading cause of tooth loss among U.S. adults? The American Dental Association recommends twice-yearly screenings for periodontal disease – even if you have already been treated for the condition. Not only can regular check-ups help save your gums and teeth, but it may also help reduce your risk of developing certain systemic diseases that have been linked to a periodontal disease, such as heart disease.

Frequently Asked Questions

I am having periodontal surgery. What types of instructions will I need to follow on the day of my operation?

Someone will need to drive you home after your surgery. A periodontal dressing may be applied to the surgical site, hardening after a few hours. This dressing will remain in place until your follow up appointment, though it is normal for parts of it to fall off before then. The periodontal dressing is designed to withstand the pressure of chewing, but it should not be brushed over with a toothbrush.

At home, you can take pain medications as prescribed to help manage discomfort at the surgical site. Apply an ice pack to your cheek intermittently to reduce swelling in the initial hours after your operation. You may eat soft foods and liquids, but avoid hot items, such as coffee. Do not disturb the surgical site and avoid rinsing your mouth the first day if possible.

When will I start to feel like ‘myself’ again?

You may return to your regular activities 24 hours after a [city] periodontal surgery, but avoid exercise or over-exertion for several days. It is normal for swelling to persist for a few days after surgery, often not completely subsiding for up to a week. Continue to apply ice and hot compresses to the outside of your face as necessary to keep swelling at a minimum. Pain should gradually subside day by day. You may find that over-the-counter medications are enough to keep you comfortable after day two of your recovery, but do not hesitate to contact our office if your pain is not manageable.

Is there anything I need to do to facilitate the healing process?

Most patients have successful surgeries with complication-free recoveries. You can improve your chances of a simplified healing process by not smoking and remembering to irrigate the mouth with a salt water rinse following meals beginning the day after surgery. If you feel that your gums are not healing properly or you experience excessive bleeding, pain or a fever, contact our office immediately.

Digital x-rays are a more streamlined way of taking dental radiographs. Like traditional x-rays, digital versions provide an in-depth view of the structures of the mouth, helping dentists detect complications and develop effective modes of treatment. Digital x-rays are capable of revealing hidden caries, bone erosion, and even tooth decay hiding beneath restorations.

Requiring less radiation and no film to process, digital x-rays have become the standard for oral imaging. These systems produce instant digital images that can easily be enhanced and enlarged for a more accurate diagnosis. The images are captured, stored, and even transmitted via in-office computers. In fact, dentists can easily print or email copies of x-rays in just seconds.

Dental x-rays make for a better and more efficient patient experience. Office visits are faster, patients are exposed to less radiation, and radiographs can be sent to a specialist for review in a fraction of the time necessary for traditional film x-rays.

Did you know that you have thousands of naturally-occurring bacteria in your mouth that love to live on the surface of your teeth and share the same food you eat? Gross, isn’t it? The good news is that excess bacteria can be removed from your teeth through regular brushing, flossing, and dental cleanings. 

To prevent bacteria populations from growing and causing dental issues like tooth decay and gum disease, the American Dental Association advises individuals to visit their local dental practice once every six months for a dental exam and cleaning. Dental exams will allow your general dentist to evaluate the health of your teeth and gums, while professional teeth cleanings will remove excess plaque and tartar. Since bacteria live in dental plaque and tartar, this also removes large amounts of bacteria. 

Closeup of the bacteria that is found in dental plaque

Depending on the amount of plaque and tartar on your teeth, your dentist will perform one of the following four types of dental cleanings: 

1. Prophylaxis Dental Cleaning

The word prophylaxis means “to prevent disease”. Therefore, prophylaxis dental cleanings are used to clean healthy teeth in order to prevent them from becoming affected by tooth decay or gum disease. Prophylaxis cleanings remove plaque and tartar from the front, back, and sides of teeth using a dental scaler or water stream. Most dental patients only require a prophylaxis cleaning, especially if they have kept up on daily dental hygiene and semi annual dental appointments. 

Scaling and root planing cleaning

2. Scaling and Root Planing Cleaning

Scaling and root planing cleanings, also known as deep cleanings, are used to both the teeth and gum pockets in order to treat gingivitis and periodontitis. Deep cleanings for gingivitis are usually completed in a single dental appointment. Deep cleanings for periodontitis, on the other hand, may require multiple appointments and local anesthetics depending on the severity. Scaling is the process that removes plaque and tartar from the tooth’s surface and in the gum pockets below the gum line that form as a result of gum disease. Not only does this remove bacteria, but it also helps to reduce gum inflammation. Root planing is the process of smoothing the tooth roots, which helps the gums reattach to teeth and eliminate gum pockets. 

3. Periodontal Maintenance Cleaning: 

Periodontal maintenance cleanings are also dental cleanings designed to treat gum disease. Like scaling and root planing, they remove excess plaque and tartar from the tooth surface and gum pockets, then smooth out the roots if needed. The main thing that sets periodontal maintenance cleanings apart is that they are usually performed more often than other types of dental cleanings. This is because gum disease is progressive and will continue to get worse if not effectively treated. 

4. Gross Debridement Cleaning: 

Gross debridement cleanings are the most heavy-duty of teeth cleanings designed to clean teeth with copious amounts of plaque and tartar. These cases are generally individuals that struggle to maintain an oral care routine or who have avoided the dentist for a significant amount of time. Since plaque hardens into tartar and large amounts of tartar are especially hard, an electrical tool is used to loosen tartar during gross debridement cleanings. Once the excess plaque and tartar have been removed, a prophylaxis cleaning is performed to further clean the teeth. 

As you can see, there are different types of dental cleanings that your dentist may choose to use depending on what they find during your dental exam. While all of these cleanings have the same basic premise, they each offer a slightly different approach based on certain situations. Now that you know the four types of dental cleanings, only one question remains: how long has it been since your last teeth cleaning?

Dr. Dennis Laurich

Dr. Dennis Laurich has been practicing dentistry for over 40 years. He received his DDS degree from the University of Michigan Dental School and regularly attends oral health care conventions to continue his dental education. This allows him to treat patients with the leading dental technology and methodologies. Additionally, he is a member of the American Dental Association, Michigan Dental Association, and the Detroit District Dental Society. 

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