Dr. Bob's Blog

Posts for: May, 2021

WhatWeCanLearnFromThoseWithChronicJawPainandDiscomfort

Temporomandibular joint disorder (TMD) is an umbrella term for a number of chronic jaw problems. These conditions cause recurring pain for 10 to 30 million Americans, especially women of childbearing age.

But even after decades of treatment and research, a full understanding of TMD's underlying causes eludes us. That doesn't mean, however, that we haven't made progress—we have indeed amassed a good deal of knowledge and experience with TMD and how best to treat it.

A recent survey of over a thousand TMD patients helps highlight the current state of affairs about what we know regarding these disorders, and where the future may lie in treatment advances. Here are a few important findings gleaned from that survey.

Possible causes. When asked what they thought triggered their TMD episodes, the top answers from respondents were trauma, stress and teeth clenching habits. This fits in with the consensus among experts, who also include genetic disposition and environmental factors. Most believe that although we haven't pinpointed exact causes, we are over the target.

Links to other disorders. Two-thirds of survey respondents also reported suffering from three or more other pain-related conditions, including fibromyalgia, rheumatoid arthritis and chronic headaches. These responses seem to point to possible links between TMD and other pain-related disorders. If this is so, it could spur developments in better diagnostic methods and treatment.

The case against surgery. Surgical procedures have been used in recent years to treat TMD. But in the survey, of those who have undergone surgery only one-third reported any significant relief. In fact, 46% considered themselves worse off. Most providers still recommend a physical joint therapy approach first for TMD: moist heat or ice, massage and exercises and medications to control muscle spasms and pain.

These findings underscore one other important factor—there is no “one size fits all” approach to TMD management. As an individual patient, a custom-developed action plan of therapy, medication, and lifestyle and diet practices is the best way currently to reduce the effects of TMD on your life.

If you would like more information on TMD management and 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 “Chronic Jaw Pain and Associated Conditions.”


By Dr. Malenius
May 16, 2021
Category: Oral Health
PrettyLittleLiarsLucyHaleCrushesonSmiles

Is a “teeth crush” a thing? According to a recent confession by Lucy Hale, it is. Hale, who has played Aria Montgomery for seven seasons on the hit TV show Pretty Little Liars, admitted her fascination with other people's smiles to Kelly Clarkson during a recent episode of the latter's talk show (Clarkson seems to share her obsession).

Among Hale's favorite “grills”: rappers Cardi B and Post Malone, Julia Roberts, Drake and Madonna. Although some of their smiles aren't picture-perfect, Hale admires how the person makes it work for them: “I love when you embrace what makes you quirky.”

So, how can you make your smile more attractive, but uniquely you? Here are a few ways to gain a smile that other people just might “crush” over.

Keep it clean. Actually, one of the best things you can do to maintain an attractive smile is to brush and floss daily to remove bacterial plaque. Consistent oral hygiene offers a “twofer”: It removes the plaque that can dull your teeth, and it lowers your risk of dental disease that could also foul up your smile. In addition to your daily oral hygiene routine at home, professional teeth cleanings are necessary to get at those hard-to-reach spots you miss with your toothbrush and floss and to remove tartar (calculus) that requires the use of special tools.

Brighten things up. Even with dedicated hygiene, teeth may still yellow from staining and aging. But teeth-whitening techniques can put the dazzle back in your smile. In just one visit to the dental office, it's possible to lighten teeth by up to ten shades for a difference you can see right away. It's also possible to do teeth whitening at home over several weeks using custom-made trays that fit over your teeth and safe whitening solutions that we provide.

Hide tooth flaws. Chipped, stained or slightly gapped teeth can detract from your smile. But bonding or dental veneers, thin layers of porcelain custom-made for your teeth, mask those unsightly blemishes. Minimally invasive, these techniques can turn a lackluster smile into one that gets noticed.

Straighten out your smile. Although the main goal for orthodontically straightening teeth is to improve dental health and function, it can also give you a more attractive smile. And even if you're well past your teen years, it's not too late: As long as you're reasonably healthy, you can straighten a crooked smile with braces or clear aligners at any age.

Sometimes a simple technique or procedure can work wonders, but perhaps your smile could benefit more from a full makeover. If this is your situation, talk to us about a more comprehensive smile renovation.  Treatments like dental implants for missing teeth combined with various tooth replacement options, crown lengthening for gummy smiles or tooth extractions to help orthodontics can be combined to completely transform your smile.

There's no need to put up with a smile that's less than you want it to be. Whether a simple cosmetic procedure or a multi-specialty makeover, you can have a smile that puts the “crush” in “teeth crush.”

If you would like more information about cosmetic measures for enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Porcelain Veneers.”


By Dr. Malenius
May 06, 2021
Category: Oral Health
Tags: mouthguard  
ProtectYourTeethandGumsDuringPhysicalActivities

As part of his "New Frontier," President Kennedy greatly expanded the President's Council on Physical Fitness. Sixty years later, it's still going strong—now as the President's Council on Sports, Fitness & Nutrition (PCSFN)—supporting physical activity and nutrition initiatives for better health. That would also include your mouth: Healthy teeth and gums are an important part of a healthy body.

The PCSFN designates each May as National Physical Fitness and Sports Month to spotlight the important role sports and exercise play in maintaining overall physical fitness. And what's good for the body is also generally good for your mouth.

But while you're out on the field or in the gym, there are some potential pitfalls to watch for that could create problems for your teeth and gums. Here are a few of them, and what you should do to avoid them.

Neglecting oral hygiene. As spring weather warms up, many of us are eager to rush out the door for exercise and other physical activities. But don't leave before taking care of one important item—brushing and flossing your teeth. These hygiene tasks clean your teeth of dental plaque, the thin bacterial film most responsible for tooth decay and gum disease. Plaque should be removed daily, so take the time to brush and floss before you kick off your busy day.

Sports drinks. A quick scan around sports or fitness venues and you're likely to see plenty of sports drinks in attendance. Although marketed as a fluid and nutrient replacement after physical exertion, most sports drinks also contain sugar and acid, two ingredients that could harm your teeth. Try not to constantly sip on sports drink, but drink a serving all at one time (preferably with a meal). Better yet, unless your physical activity is especially strenuous or prolonged, opt instead for water, nature's original hydrator.

Blunt force contact. A pickup basketball game is a great form of physical exercise. But a split-second blow to the face could damage your teeth and gums to such extent that it could impact your dental health for years to come. If you're a regular participant in a contact sport, wearing a mouthguard will significantly lower your risk for oral injuries. And for the best comfort and protection, have us fit you with a custom-made mouthguard—it could be a wise investment.

Our bodies (and minds) need regular physical activity to stay healthy—so by all means, get out there and get moving. Just be sure you're also looking out for your teeth and gums, so they'll stay as healthy as the rest of your body.

If you would like more information about protecting your dental health during physical activity, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Think Before You Drink” and “Athletic Mouthguards.”