Dentist - Cumberland
2138 Mendon Rd, Suite 202
Cumberland, RI 02864
401-723-0350

Posts for: January, 2015

By Dental Associates of Cumberland
January 28, 2015
Category: Oral Health
Tags: tmd   tmj   tmj disorders  
TreatingTMDLikeOtherJoint-RelatedProblems

After ruling out other causes for your jaw pain, your doctor or dentist has made a diagnosis: a temporomandibular joint disorder (TMD). With TMD, your pain symptoms and other dysfunctions are due to a problem associated with the temporomandibular joint (TMJ) that connects your lower jaw (mandible) to your upper skull (cranium).

There are a number of treatment options, but most can be classified as either aggressive or conservative. Aggressive treatments are more interventional and target problems with the teeth such as bite problems or jaw relationships as they relate to the bite, which are thought to be underlying causes for TMD. Such treatments include orthodontics to realign teeth, crown or bridgework, or surgical treatment to the jaw or joint itself. These treatments are controversial and irreversible — with no guarantee of symptom relief.

It’s thought by many to be appropriate, then, to start with more conservative treatments. Many of these are based on treating the TMJ — which is a joint, a moveable bony structure connected by muscles and tendons — with an orthopedic approach, using treatments similar to those used for other joint problems.

Here, then, are some of those conservative therapies that may relieve your TMD pain and other symptoms.

Physical Therapy. Commonly used to treat pain and dysfunction in other joints, physical therapies like manual manipulation, massage, alternating hot and cold packs or exercises can be used to relax, stretch or retrain the muscles that operate the TMJ while reducing pain and inflammation.

Medications. Medications may be incorporated into the treatment plan to relieve pain, reduce inflammation or relax tense muscles. Besides prescription drugs, over-the-counter anti-inflammatory drugs (such as ibuprofen or acetaminophen) are also commonly used.

Bite Appliances. If night-time teeth grinding or clenching habits are a primary cause for the TMD, you may benefit from wearing an occlusal bite guard while you sleep, designed to specifically fit your upper teeth. Because the lower teeth can’t grip the guard’s smooth plastic surface when biting down, they’ll more likely produce less force. This gives the jaw muscles a chance to relax during sleep.

Diet changes. Changing to softer foods, which don’t require strenuous chewing, and eliminating the chewing gum habit will further help reduce stress on the TMJs and also give your muscles a chance to relax and heal.

If you would like more information on TMD and treatment options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Seeking Relief from TMD.”


By Dental Associates of Cumberland
January 13, 2015
Category: Dental Procedures
JamieFoxxGetsIntoCharacterWithHelpFromHisDentist

If you were a well-known actor, how far would you go to get inside the character you’re playing in a movie? Plenty of stars have gained or lost weight to fit the role; some have tried to relate to their character by giving up creature comforts, going through boot camp, even trying out another occupation for a time. But when Jamie Foxx played a homeless musician in the 2009 film The Soloist, he went even further: He had part of his front tooth chipped out!

“My teeth are just so big and white — a homeless person would never have them,” he told an interviewer. “I just wanted to come up with something to make the part unique. I had one [tooth] chipped out with a chisel.”

Now, even if you’re trying to be a successful actor, we’re not suggesting you have your teeth chipped intentionally. However, if you have a tooth that has been chipped accidentally, we want you to know that we can repair it beautifully. One way to do that is with cosmetic bonding.

Bonding uses tooth-colored materials called “composite resins” (because they contain a mixture of plastic and glass) to replace missing tooth structure. The composite actually bonds, or becomes one, with the rest of the tooth.

Composite resins come in a variety of lifelike tooth shades, making it virtually impossible to distinguish the bonded tooth from its neighbors. Though bonding will not last as long as a dental veneer, it also does not require the involvement of a dental laboratory and, most often, can be done with minor reshaping of the tooth.

Cosmetic Bonding for Chipped Teeth
A chipped tooth can usually be bonded in a single visit to the dental office. First, the surface of the tooth may be beveled slightly with a drill, and then it is cleaned. Next, it is “etched” with an acidic gel that opens up tiny pores. After the etching gel is rinsed off, the liquid composite resin in a well-matched shade is painted on in a thin layer, filling these tiny pores to create a strong bond. A special curing light is used to harden this bonding material. Once the first layer is cured, another layer is painted on and cured. Layers can continue to be built up until the restoration has the necessary thickness. The bonding material is then shaped and polished. The whole procedure takes only about 30 minutes!

If you have questions about cosmetic bonding, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Artistic Repair of Chipped Teeth With Composite Resin.”




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