Because it requires jaw movement, eating can be difficult and painful if you have a temporomandibular joint disorder (TMD). During flareups you may switch to foods that are easier to eat but may be less nutritious than those you're giving up.
But there are ways to keep healthier foods in your diet while minimizing TMD discomfort. In many cases, it's a matter of preparing your food differently. Here are a variety of food groups known for their nutritional value and what you can do to prepare them for easier eating with TMD.
Fruits and Vegetables. You should peel any fruits or vegetables with hard or chewy skin like apples, peaches or cucumbers. Try chopping or pureeing fruits and vegetables you can eat raw to reduce their size and make them easier to chew. Vegetables like carrots, potatoes, broccoli or cauliflower can be cooked, then chopped or mashed.
Legumes and nuts. Pod-based vegetables like beans or peas provide a number of nutritional elements, as do nuts with their healthy fats. Your motto with these foods should be "Not too large and not too hard." Be sure then to cook, mash or puree legumes that are larger than a pea. With nuts, try nut butters for a softer serving than eating them out of the shell.
Protein and Dairy. Any meats like poultry or beef should be cut into bite-sized pieces; you can also moisten them with broths, gravies or sauces for easier chewing, or braise or stew them in liquid to tenderize them. You can also consume most milk, yogurt or cheese products you can tolerate. If you can't, try alternatives like meal replacement or whey protein beverages.
Grains. Prepare grains by cooking them until they're softened. Hot cereals like oatmeal offer a lot of nutrition and they're relatively easy to eat. Toast your bread and cut the slice into smaller pieces to minimize jaw movement.
One last tip: take your time while eating. A slower rate not only helps you enjoy your food more, it reduces the amount of work your jaws perform while eating. Less jaw work can help further ease the discomfort of TMD.
If you would like more information on how to relieve TMD pain and dysfunction, 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 “What to Eat When TMJ Pain Flares Up.”
Dental implants are all the rage—and for good reason: They’re incredibly “tooth-like,” both in appearance and function. They also have a stunningly high success rate: More than 95% of implants still function after ten years. This means out of thousands of implants installed each year, only a handful fail.
But although that’s an amazingly low number, they’re still failures for real people who’ve suffered a loss. If you’re considering dental implants the chances of that being your experience are quite low. But it could still happen.
Here’s a few things you can do to make sure your implants don’t fail.
Stop smoking. Of the small percentage of implant failures, an inordinate number are smokers. A smoker’s chances of implant failure are roughly double those of non-smokers. Smoking, and to some degree any tobacco use, can make your mouth an unhealthier place: Not only can it increase your dental disease risk, but it can interfere with the healing process after implant placement and increase the chances of early failure.
Manage your health. Diabetes and similar systemic conditions can interfere with the healing process too, which could impact your implant attachment to bone. Diabetics thus run a slight risk of implant failure—but actual failures mostly involve patients who don’t have good control of their symptoms. If you’re a diabetic, properly managing your condition will lower your risk of implant failure to nearly identical that of someone without diabetes.
Treat gum disease. Implants in themselves are immune to disease—but the underlying bone that supports them isn’t. A gum disease infection could eventually weaken and diminish the implant-bone attachment. If this happens around an implant, its stability can be severely compromised. The best strategy is to prevent gum disease through daily, thorough brushing and flossing to remove disease-causing dental plaque. And if you see any symptoms like gum swelling, redness or bleeding, see your dentist as soon as possible.
Your implants could serve you well for decades. Just be sure you’re doing the right things to ensure their longevity.
If you would like more information on dental implants, 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 “Dental Implants: A Tooth-Replacement Method That Rarely Fails.”
The internet has transformed how we get information. Where you once needed to find an encyclopedia, telephone directory or library, you can now turn to your handy smartphone or tablet for the same information.
But this convenience has a dark side: A lot of material online hasn’t undergone the rigorous proofreading and editing published references of yesteryear once required. It’s much easier now to encounter misinformation—and accepting some of it as true could harm your health. To paraphrase the old warning to buyers: “Viewer beware.”
You may already have encountered one such example of online misinformation: the notion that undergoing a root canal treatment causes cancer. While it may sound like the figment of some prankster’s imagination, the idea actually has a historical basis.
In the early 20th Century, a dentist named Weston Price theorized that leaving a dead anatomical part in the body led to disease or major health problems. In Price’s view, this included a tooth that had undergone a root canal treatment: With the vital pulp removed, the tooth was, in his view, “dead.”
Price amassed enough of a following that the American Dental Association rigorously investigated his claims in the 1950s and found them thoroughly wanting. For good measure, a Journal of the American Medical Association (JAMA Otolaryngology—Head & Neck Surgery) published a study in 2013 finding that not only did canal treatments not increase cancer, but they might even be responsible for decreasing the risk by as much as forty-five percent.
Here’s one sure fact about root canal treatments—they can save a tooth that might otherwise be lost. Once decay has infiltrated the inner pulp of a tooth, it’s only a matter of time before it spreads through the root canals to the bone. Removing the infected pulp tissue and filling the resulting empty space and root canals gives the tooth a new lease on life.
So, be careful with health advice promoted on the internet. Instead, talk to a real authority on dental care, your dentist. If they propose a root canal treatment for you, they have your best health interest—dental and general—at heart.
If you would like more information on root canal treatment, 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 “Root Canal Safety: The Truth About Endodontic Treatment and Your Health.”
First the bad news: Those nightly hair-raising sounds are indeed coming from your child’s bedroom—from your child. It’s the result of them grinding their teeth while they sleep.
But here’s the good news: the only likely harm is a lack of sleep members of your household might experience because of it. Teeth grinding is so prevalent among pre-teen children that many healthcare professionals consider it normal. But that doesn’t mean it can’t become a problem, so it’s worth monitoring.
Teeth grinding is part of a family of dental habits known as bruxism. It involves any involuntary movement of the teeth and jaws outside of their intended functions not associated with chewing, speaking or swallowing. Our main concern with any bruxism is the possibility for generating stronger biting forces than normal that could damage teeth and gums and contribute to jaw joint problems.
Teeth grinding can occur in adulthood, with stress seeming to be the major trigger for it. With children, though, it’s believed to be mainly caused by an immaturity of the child’s neuromuscular process that controls chewing. As this matures, most children will tend to outgrow the habit none the worse for wear.
But there are pediatric cases in which the generated biting forces are strong enough to cause damage. Teeth grinding is also prevalent in children who snore or breathe through their mouths, which could be a sign of a serious health condition called obstructive sleep apnea. And certain medications used to treat depression and attention deficit disorder (ADHD) may also contribute to teeth grinding.
Most of the time we can simply let the habit run its course. If, however, the child begins to experience abnormal tooth wear, headaches, jaw pain or other issues believed caused by teeth grinding, we may need to intervene. This could include a plastic night guard the child wears during sleep that prevents the teeth from making solid contact during grinding episodes. And children with signs of airway obstruction should be evaluated by an ear, nose and throat specialist.
It can be irritating or even distressing. But your child’s teeth grinding doesn’t mean you should be alarmed—only that you should keep your eye on it.
If you would like more information on teeth grinding and similar habits, 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 “When Children Grind Their Teeth.”
Your teeth were meant to shine! Tooth enamel’s polished translucence, framed by the dentin layer beneath it, has a way of vibrantly catching the light when you smile. But tooth wear and structural changes as you age can dim that shine. Add to that staining caused by foods and beverages or disease and your smile could further lose its luster.
On your supermarket or pharmacy oral hygiene aisle you’ll find dozens of products promising to restore that lost luster, including toothpastes, whitening kits or even chewing gum. While such products work to some degree, our dental office may have the right solution for you: a safe and effective treatment for whitening teeth.
Why see us for teeth whitening? For one, professional whitening solutions contain a higher concentration of bleaching agent (usually 35-45% hydrogen peroxide) than home kits. We usually apply it in a gel form directly to the teeth while using barrier devices like dams to protect the lips and other soft tissue from irritation. We may then apply heat or light to the applied gel to enhance the release of peroxide into your enamel.
This professional procedure can often give you a brighter smile in fewer sessions than a home whitening kit — and it may last longer. What’s more, we can control the level of brightness to produce only a subtle change or a dazzling “Hollywood” smile — whatever your preference.
Like a home kit, this procedure bleaches staining on the outer surface of enamel, known as extrinsic staining. But you can also have discoloration deep within a tooth, known as intrinsic staining, caused by a variety of reasons like tetracycline use early in life or complications from a root canal treatment. Home kits or even the professional treatment described above can’t whiten intrinsic staining.
For intrinsic staining you’ll need a special procedure that places a bleaching agent inside the tooth. Depending on the extent of staining the procedure could require more than one session.
To find out what kind of discoloration you have, visit us for a full examination. We’ll then be able to give you your options for putting the shine back in your smile.
If you would like more information on teeth whitening, 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 “Teeth Whitening.”
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