Monday, August 4, 2014

Post Wisdom Teeth Foods

Getting your wisdom teeth removed doesn't have to mean a recovery of only eating pudding. In fact, it’s important to make sure your body is still getting the protein and nutrients it needs for quicker healing. Here are some soft-food ideas for your post-surgery diet:
Muscle Milk or protein shakes. These are great options for getting the extra protein you need, but in liquid form! Try a few flavors to give yourself some variety during recovery.
Mashed potatoes. This is a great option for lunch or dinner because it’s a bit more filling.
Mac ‘n’ cheese. Small bites will be your friend, so this might be a better option toward the end stages of your healing process.
Popsicles. Natural fruit popsicles are a great treat because of the cool temperature. Plus, they can help curb any sweet-tooth cravings.
Hummus. Creamy hummus is another great source for protein and can even be eaten with small pieces of pita bread, as it can become gummy while you’re eating it.
Ice cream or sorbet. Your mouth will thank you for this cold treat, plus, who needs to be told twice to eat ice cream!
Soup. Clear broth soups will likely feel best, but as you heal more and more, eating chunkier soups is OK, too.
Remember, while you’re healing, avoid straws and foods that require a lot of chewing!

Tuesday, May 20, 2014

TMJ

 (TMD) happen as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw. These disorders are often incorrectly called TMJ, for temporomandibular joint.

What Causes TMD?

The cause of TMD is not clear, but dentists believe that symptoms arise from problems with the muscles of the jaw or with the parts of the joint itself.
Injury to the jaw, temporomandibular joint, or muscles of the head and neck, such as from a heavy blow or whiplash can cause TMD. Other possible causes include:
  • Grinding or clenching the teeth, which puts a lot of pressure on the TMJ
  • Dislocation of the soft cushion or disc between the ball and socket
  • Presence of osteoarthritis or rheumatoid arthritis in the TMJ
  • Stress, which can cause a person to tighten facial and jaw muscles or clench the teeth

What Are the Symptoms of TMD?

  • Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide
  • Limited ability to open the mouth very wide
  • Jaws that get "stuck" or "lock" in the open- or closed-mouth position
  • Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth (which may or may not be accompanied by pain)
  • A tired feeling in the face
  • Difficulty chewing or a sudden uncomfortable bite -- as if the upper and lower teeth are not fitting together properly
  • Swelling on the side of the face
Other common symptoms of TMD include toothaches, headaches, neckaches, dizziness, earaches, and hearing problems.

Basic Treatments for TMD

  • Apply moist heat or cold packs. Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple stretching exercises for your jaw (as instructed by your dentist or physical therapist). After exercising, apply a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times each day.
  • Eat soft foods. Eat soft foods such as yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans, and grains. In addition, cut foods into small pieces to lessen the amount of chewing required. Avoid hard and crunchy foods (like hard rolls, pretzels, raw carrots), chewy foods (like caramels and taffy), and thick and large foods that require your mouth to open wide to fit.
  • Take medications. To relieve muscle pain and swelling, try nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen (Advil, Aleve, Motrin), which can be bought over-the-counter. Your dentist can prescribe higher doses of these or other NSAIDs or other drugs for pain, such as narcotic pain relievers. Muscle relaxants, especially for people who grind or clench their teeth, can help relax tight jaw muscles. Anti-anxiety drugs can help relieve stress that is sometimes thought to aggravate TMD. Antidepressants, when used in low doses, can also help reduce or control pain. Muscle relaxants, anti-anxiety drugs, and antidepressants are available by prescription only.
  • Wear a splint or night guard. Splints and night guards are plastic mouthpieces that fit over the upper and lower teeth. They prevent the upper and lower teeth from coming together, lessening the effects of clenching or grinding the teeth. They also correct the bite by positioning the teeth in their most correct and least traumatic position. The main difference between splints and night guards is that night guards are only worn at night and splints are worn full time (24 hours a day for 7 days). Your dentist will discuss with you what type of mouth guard appliance you may need.
  • Undergo corrective dental treatments. Replace missing teeth; use crowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem.
 

      • Avoid extreme jaw movements. Keep yawning and chewing to a minimum (especially with gum or ice) and avoid extreme jaw movements such as yelling or singing.
      • Don't rest your chin on your hand or hold the telephone between your shoulder and ear. Practice good posture to lessen neck and facial pain.
    • Keep your teeth slightly apart as often as you can to relieve pressure on the jaw. To control clenching or grinding during the day, place your tongue between your teeth.
  • Learning relaxation techniques to help control muscle tension in the jaw. Ask your dentist about the need for physical therapy or massage. Consider stress reduction therapy, including biofeedback

    More Controversial Treatments for TMD

    When the basic treatments for TMD listed above prove unsuccessful, your dentist may suggest one or more of the following:
    • Transcutaneous electrical nerve stimulation (TENS). This treatment uses low-level electrical currents to provide pain relief by relaxing the jaw joint and facial muscles. This treatment can be done at the dentist's office or at home.
    • Ultrasound. Ultrasound treatment is deep heat that is applied to the TMJ to relieve soreness or improve mobility.
    • Trigger-point injections. Pain medication or anesthesia is injected into tender facial muscles called "trigger points" to relieve pain.
    • Radio wave therapy. Radio waves create a low level electrical stimulation to the joint, which increases blood flow. The patient feels relief of pain in the joint.

    TMD Surgery

    TMD surgery should only be considered after all other treatment options have been tried and you still have severe, persistent pain. Because surgery is irreversible, it is wise to get a second or even third opinion from other dentists.
    There are three types of surgery for TMD: arthrocentesis, arthroscopy, and open-joint surgery. The type of surgery needed depends on the TMD problem.
    • Arthrocentesis. This is a minor procedure performed in the office under general anesthesia. It is performed for sudden-onset, closed lock cases (restricted jaw opening) in patients with no significant prior history of TMJ problems. The surgery involves inserting needles inside the affected joint and washing out the joint with sterile fluids. Occasionally, the procedure may involve inserting a blunt instrument inside of the joint. The instrument is used in a sweeping motion to remove tissue adhesion bands and to dislodge a disc that is stuck in front of the condyle (the part of your TMJ consisting of the "ball" portion of the "ball and socket").
    • Arthroscopy. Patients undergoing arthroscopic surgery for TMD first are given general anesthesia. The surgeon then makes a small incision in front of the ear and inserts a small, thin instrument that contains a lens and light. This instrument is hooked up to a video screen, allowing the surgeon to examine the TMJ and surrounding area. Depending on the cause of the TMD, the surgeon may remove inflamed tissue or realign the disc or condyle. Compared with open-joint surgery, this surgery is less invasive, leaves less scarring, and is associated with minimal complications and a shorter recovery time. Depending on the cause of the TMD, arthroscopy may not be possible, and open-joint surgery may be necessary.
    • Open-joint surgery. Patients undergoing open-joint surgery for TMD also are first given a general anesthesia. Unlike arthroscopy, the entire area around the TMJ is opened so that the surgeon can get a full view and better access. There are many types of open-joint surgeries. This treatment may be necessary if:
      • The bony structures that comprise the jaw joint are deteriorating
      • There are tumors in or around your TMJ
      • There is severe scarring or chips of bone in the joint
    Compared with arthroscopy, open-joint surgery results in a longer healing time, and there is a greater chance of scarring and nerve injury.
 

Thursday, January 2, 2014

Baby Teeth - how to take care of them






Baby teeth may be small, but they're important. They act as placeholders for adult teeth. Without a healthy set of baby teeth, your child will have trouble chewing and speaking clearly. That's why caring for baby teeth and keeping them decay-free is so important.

You should start cleaning your baby's teeth as soon as the first tooth  erupts, usually around the age of 4 months. Use a piece of gauze moistened with water to wipe plaque from your baby's teeth and gums. You don't need to use toothpaste, but try to clean your baby's teeth twice a day.

Once your baby has several teeth, you might try using a small toothbrush with just two or three rows of very soft bristles. Ask your pediatrician whether to use toothpaste, and what type of toothpaste. If you live in an area where the water is fluoridated, he/she might advise against using toothpaste that contains fluoride. If your water isn't fluoridated, he/she might prescribe fluoride drops or tablets and recommend fluoridated toothpaste. Either way you should know that fluoride can be toxic to children if ingested in large quantities.

Keep toothpaste out of your child's reach, and use only a half-pea-sized drop when brushing. Encourage your child to spit out the toothpaste rather than swallow it.

You should brush your baby's teeth until he or she is old enough to hold the brush. Continue to supervise the process until your child can rinse and spit without assistance. That usually happens at around age 6.
 
Keep on the lookout for any signs of decay -- brown or white spots or pits on the teeth. If you or your pediatrician notices any problems, take your child to a  dentist for an exam.
Even if there isn't a problem, your child should go for his or her first dental visit by age 1. The dentist can give you advice about:
  • baby tooth care
  • teething
  • fluoride
  • thumb sucking