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All Posts in Category: TMJ Billings MT

Temporomandibular Joint Disorders (TMD, TMJ)

Temporomandibular Joint Disorders (TMD, TMJ)

TMJ, which is short for temporomandibular joint and muscle disorders—we’ll simply refer to it as TMJ from here on out, is a condition that can cause pain and or improper function of the muscles, which control the jawbone. For most people this isn’t a serious problem, although it can be more serious for some, while merely an annoyance for others. Often pain from TMJ is temporary, although it can continually occur in cycles.

Temporomandibular Joint Disorders (TMD, TMJ)

Several different things could cause TMJ disorders. Firstly, TMJ is caused by trauma to the jaw. But often TMJ just appears even if no trauma has occurred. It’s possible that oral disorders such as an overbite or other alignment issues can cause TMJ. Even orthodontic braces can cause TMJ to occur.

There are several symptoms that a person has TMJ: a radiating pain in the jaw or in the neck or the face, or, more obviously, in the jaw; if the jaw muscles feel overly tight; if the jaw is locked, or a person’s ability to move the jaw is limited—this could also be a symptom of a worse condition and treatment should be sought immediately; there’s a pain at the jaw when a person opens or closes their mouths and with the pain is a clicking feeling or sound; if a person’s teeth suddenly change, and the rows of teeth fit differently. These symptoms could all be signs of other oral issues, so it’s important to not jump to conclusions if you’re suffering from one or more of these symptoms. But, how will you know? It’s important if you’re suffering from any of these symptoms to consult your periodontist.

Treatments for TMJ vary with severity. For some, simple jaw-stretching exercises could relieve the pain, while others may require pain medications to subside the insistent cycles of pain. Anti-inflammatories and muscle relaxants can be used for worse case scenarios.

If you believe that you have TMJ disorder, it’s important to not immediately panic—remember the discomfort in your face or jaw could be from anything besides TMJ like, for instance, a sinus infection which is easily treatable. If you are suffering from TMJ please visit Periodontal Specialists of Montana today!

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periodontic services billings mt

Procedure Focused versus Problem Focused Dentistry

The first decision you must make is what dentist you are going to see. While individual practitioners have their specific approach to treatment, the fundamental issue for you is the choice between the Procedure Focused practices versus a Problem Focused office. Procedure focused offices tend to look at individual tooth problems, i.e drill and fill. You have pain from a particular tooth, the dentist treats that particular issue with minimal regard for other issues you may be unaware of. For many people the course of dental diseases is protracted over many years. This fact allows you to get away with a procedure focus for a while. However, this approach will often lead to more work needing to be redone in the future.

Problem focused practices (sometimes called Holistic practices) take into account the overall dental and medical conditions as well as potential future dental problems as part of making treatment decisions for the immediate concerns. This approach emphasizes the treatment and control of dental disease and the overall function of the dentition. Such an approach tends to address more than your immediate perceived problems but leads to more predictable restorations and avoidance of large-scale failures. Such practices emphasize a long term Doctor/Patient relationship compared to the episodic relationship of Procedure Focused practices based on emergent dental problems. This approach focus’ on the establishment and maintenance of dental health.

Is one approach better?
That depends on many factors. If your needs are minimal, procedure focused practices are very efficient in treating the few isolated concerns you may have. However in the early stages, most dental disease has minimal symptoms so patients are usually in a bad position to assess their needs. Waiting for symptoms such as pain and swelling means problems have progressed much further than they should have and treatment will be far more complicated.

Patients with several different dental problems tend to do better with Problem Focused practitioners. In this setting finding treatment solutions that achieve a harmony in addressing the multiple concerns is best. As we get older the complications from the accumulation of multiple past dental procedures tends to magnify. In adults the need to view cases in the entirety is essential to achieve the highest levels of success.

By their very nature, some dental specialties are more procedure oriented. Orthodontists, Oral Surgeons and Endodontists are specialty-trained dentists that are seen only when specific procedures are needed. Once the specific treatment is completed you return full time to your general dentist to continue care. Periodontists, Pedodontists, Prosthodontists tend to have longer-term relationships with their patients due to nature of the problems they deal with. You may still see your general dentist as part of your care as well.

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Periodontal Disease Billings MT

The Diseases: Decay, Occlusion/TMJ and Periodontal disease

First a definition:
Disease: disease is a particular abnormal condition, a disorder of a structure or function that affects part or all of an organism. It may be caused by factors originally from an external source, such as infectious disease, or it may be caused by internal dysfunctions, such as autoimmune diseases. Diseases usually affect people not only physically, but also emotionally, as contracting and living with a disease can alter one’s perspective on life, and one’s personality.

In our every day lives we do not often consider dental disease to be the same as Medical diseases. This is false. In fact dental diseases are the most common diseases that affect people.

Decay
Dental decay or caries (caries is Latin for “rottenness), also known as cavities, is a breakdown of teeth due to acids produced by bacteria that live on and around the teeth. In a sense, teeth are essentially a form of limestone. If you have ever put an acid like vinegar or lemon juice on limestone the solution will bubble and fize. This action is the result of the acids eating away the calcium/phosphate structure of the rock. The same happens to teeth.

Where do acids come from?
Regarding decay, the acids come from the bacteria in the mouth fermenting residual sugars left over in your mouth after you eat. This fermentation produces acids that are held close to the tooth surface. The more sugar you eat and the more frequently you eat or drink the more opportunity the bacteria have to produce acids.

They are what you eat…Not all bacteria are equal.
The bacterial in your mouth is past on to you by your parents as is most of the bacteria that live on and around you. If you routinely eat a diet that has a high amount of refined carbohydrates the bacterial will shift to include more of the most efficient fermenters, which equals more acids and higher risk for decay. If you limit simple sugars in your diet the bacteria will shift away from this group. This is one reason why two people with equally poor oral hygiene can have very different decay rates.

Dietary and stomach acids can play a role in amplifying the effects of bacterial action. Just as acids produced by bacteria, acids in foods and drink also dissolve and weaken tooth structure. Most often damage from these agents affects the smooth surfaces of teeth. Bacterial activity affects the grooves and other surfaces where bacteria can hide.

Teeth are bathed in saliva and have a coating of bacteria on them (biofilm) that continually forms, almost from the moment they are cleaned. The minerals in the hard tissues of the teeth (enamel, dentin and cementum) are constantly undergoing processes of demineralization and remineralisation. Dental caries results when the demineralization rate is faster than the remineralisation and there is net mineral loss. This happens when there is an ecologic shift within the dental biofilm, from a balanced population of micro-organisms to a population that produce acids and can survive in an acid environment.[5] This shift to a cariogenic microbiological population (one which causes caries) is driven by (eaten) sugars. So, bacteria break down the hard tissues of the teeth (enamel, dentin and cementum) by making acid from food debris or sugar on the tooth surface.[6] Simple sugars in food are these bacteria’s primary energy source and thus a diet high in simple sugar is a risk factor.[6] Risk factors include conditions that result in less saliva such as: diabetes mellitus, Sjogren’s syndrome and some medications.[6] Medications that decrease saliva production include antihistamines and antidepressants among others.[6] Caries are also associated with poverty, poor cleaning of the mouth, and receding gums resulting in exposure of the roots of the teeth.[2][7]

Prevention includes: regular cleaning of the teeth, a diet low in sugar and small amounts of fluoride.[4][6] Brushing the teeth two times per day and flossing between the teeth once a day is recommended by many.[2][6] Fluoride may be from water, salt or toothpaste among other sources.[4] Treating a mother’s dental caries may decrease the risk in her children by decreasing the numbers of certain bacteria.[6] Screening can result in earlier detection.[2] Depending on the extent of destruction, various treatments can be used to restore the tooth to proper function or the tooth may be removed.[2] There is no known method to grow back large amounts of tooth.[8] The availability of treatment is often poor in the developing world.[4] Paracetamol (acetaminophen) or ibuprofen may be taken for pain.[2]

Worldwide, approximately 2.43 billion people (36% of the population) have dental caries in their permanent teeth.[9] The World Health Organizations estimates that nearly all adults have dental caries at some point in time.[4] In baby teeth it affects about 620 million people or 9% of the population.[9] They have become more common in both children and adults in recent years.[10] The disease is most common in the developed world and less common in the developing world due to greater simple sugar consumption.[2]

 

 

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Restorative Dentistry Billings MT

Restorative Dentistry

Restorative Dentistry Billings MT

Most people that take the time to brush and floss their teeth regularly and practice preventative dental care, may never experience severe dental problems. However, some people won’t brush regularly, develop oral diseases or have an accident and require restorative dentistry. Fortunately, dentistry techniques have come a long way and improved greatly. Learn what restorative dentistry is all about and how you might benefit.

What is Restorative Dentistry?

Many people don’t realize that gums and teeth just don’t have the ability to heal themselves when they become damaged or develop gum disease. What may start as a simple cavity that could easily be filled could turn into a broken tooth down the road. Gum disease won’t heal on its own; periodontal disease requires treatment. In many instances, the problems don’t go away, but actually worsen with time. These are just a couple of examples where people can benefit from restorative dentistry once damage occurs.

Restorative dentistry can greatly improve or enhance your smile, repair or replace missing teeth and improve the health of your gums.

  • Dental Bridges and Crowns

Bridges and crowns can be used to eliminate spaces where teeth are missing and greatly improve your chewing function as a result. This type of restorative dentistry not only improves functionality, but it improves aesthetics as well.

  • Dentures

Dentists can easily restore functionality to improve your bite with the installation of dentures. This restorative procedure is a radical change that can improve oral health.

  • Mouth Reconstruction

Thanks to improved dental procedures, dentists can make restorative changes for crowded teeth, blemished or decaying teeth and split or missing teeth.

  • Dental Implants

Dental implants are another popular option for people with missing teeth. Once they are properly fitted, patients can talk, eat and laugh easier and be assured they are tightly fastened to the jawbone.

The Benefits of Restorative Dentistry

  • Restore the health of your teeth.
  • Resolve and correct bite issues.
  • Alleviate pain.
  • Prevent the spread of decay.
  • Restore dental functions back to normal.
  • Stop and prevent teeth from shifting when teeth are missing.
  • Reduce or stop pain all together when chewing.
  • Correct speech impediments caused from missing teeth.
  • Help you to regain your self-esteem and self-confidence.
  • Improve your looks with a beautiful smile.

Whether you have a missing tooth or could benefit from a full mouth restoration, it might be worth a consultation with your dentist. Restorative dentistry has come a long way, and you might just be pleasantly surprised at the results.

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