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What You Need to Know about TMJ

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TMJ, or temporomandibular joint disease, is a complex and progressive disorder. Over time, TMJ can permanently damage the jaw and its supporting structures. When treated early, though, TMJ can be halted and reversed.

The temporomandibular joint acts as a sliding hinge between the jawbone and the skull. Heavily cushioned by discs and cartilage, it normally operates effortlessly. When it is out of alignment, though, TMJ is often the result.

TMJ can be triggered by many factors, such as jaw trauma, stress,  anxiety, teeth grinding, arthritis, and even ill-fitting dentures. Regardless of the cause, misalignment in the jaw joint, inflammation in the jaw joint, and chronic pressure on the joint cause pain, headaches, difficulty opening the mouth widely, and other symptoms.

TMJ Symptoms

TMJ is different for everyone, making it tough to diagnose the disorder based solely on symptoms. However, most people with TMJ experience some or all of the following:

  • Clicking, grating, or popping sounds from the jaw
  • Difficulty chewing
  • Earaches
  • Facial pain
  • Headaches
  • Jaw lockup that makes fully opening the mouth difficult or impossible
  • Jaw pain

Treatment for TMJ on the UWS

TMJ treatment is highly customized to each patient, but it is always undertaken with the goal of relaxing the jaw and improving the bite.

Common treatments include, but are not limited to:

  • Medication
  • Physical therapy
  • Reconstruction
  • Splinting/custom night guards
  • Injections 

After a thorough examination, an experienced dentists will develop a personalized treatment plan to address your specific challenges. You may need multiple visits, depending on the complexity and the severity of your individual case. Whether you are referred for physical therapy or not, it is extremely important that you become an active participant in your own treatment.

At-Home Treatments for TMJ

Very mild cases of TMJ may respond to home treatments, but most patients need home care alongside professional dental care. Home remedies for TMJ include, but are not limited to:

  • Initial soft diet, with a slow progression to more challenging foods
  • Avoiding chewing gum or ice
  • Ice therapy
  • Over-the-counter medications
  • Jaw relaxation exercises

Because TMJ is highly personalized, one patient’s successful treatment plan might be completely wrong for another. It is very important to seek proper diagnosis and treatment as soon as possible, as TMJ tends to worsen over time and can eventually lead to permanent damage. With early treatment, most cases of TMJ can be treated non-surgically.  Severe structural damage in the joint may require surgery.

Frequently Asked Questions About TMJ 

Does TMJ require surgery?

In most cases, no. TMJ responds very well to conservative treatments. Surgery will only be recommended if there is a structural problem in the joint, and all non-surgical treatments have failed to alleviate your symptoms.

Will TMJ go away?

Many people find that their symptoms of TMJ may come and go. It’s best to seek treatment at the first sign of symptoms, as early intervention can prevent worsening pain and restricted movement of the jaw.

What happens if I don’t treat TMJ?

You run the risk of damage to your teeth if grinding or clenching is causing pain in the joint. You may experience worsening pain, or begin experiencing new symptoms including radiating pain behind your eyes, in your neck, and shoulders. You also risk further degeneration of the joint. 

The dentists at Smiles on the Upper Westside offer general, restorative, dental implants and cosmetic dentistry services in New York City.

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Can a Dental Bridge Be Removed and Recemented?

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Partial denture, mature woman patient sitting in dental chair, doctor dentist doing dental prosthesis. Healthcare, medical and dentistry concept

Dental bridges have long been a reliable solution for individuals seeking to restore the function and aesthetics of their smile. Designed to “bridge” the gap left by missing teeth, they look natural and can last for many years. But what happens if a dental bridge becomes loose, damaged, or uncomfortable? Many patients wonder if their dental bridge can be removed and recemented. The short answer is yes—but there’s more to consider. This article will explore when and how a dental bridge might require removal and recementation.

Understanding Dental Bridges

Before discussing removal or recementation, it’s important to understand what a dental bridge is. A dental bridge is a fixed dental prosthesis that spans the gap created by one or more missing teeth. The bridge is typically anchored in place using the natural teeth (or dental implants) on either side of the gap, which are often fitted with dental crowns to hold the bridge securely.

Dental bridges are designed to be durable and are not generally intended for regular removal like dentures. With proper care, they can function seamlessly for several years. However, like all dental restorations, they can experience wear, damage, or loosening over time.

Why Might a Dental Bridge Need Attention?

Several factors can affect the fit, comfort, and stability of a dental bridge, leading to the need for professional attention:

1. Loosening

Over time, the bond between the dental bridge and its supporting teeth or implants can weaken. Factors such as natural wear, heavy biting force, or poor oral hygiene can contribute to this loosening. A loose dental bridge can become uncomfortable and may impact chewing and speaking.

2. Damage or Wear and Tear

Dental bridges are built to withstand daily use, but they aren’t indestructible. Chips, cracks, or general wear can occur, especially if the bridge is exposed to hard or sticky foods often. Damage might compromise the bridge’s function or aesthetics.

3. Underlying Issues with Supporting Teeth

If the natural teeth supporting the dental bridge develop issues such as decay, gum disease, or fractures, the stability of the bridge may be compromised. Addressing underlying dental health problems is essential when considering recementation.

4. Discomfort

Sometimes, a dental bridge might feel uncomfortable if a fit issue arises. This could occur due to shifting in the surrounding teeth or gums, which can change the way your bridge fits in the mouth.

Can a Dental Bridge Be Removed?

Yes, a dental bridge can be removed, but it requires the expertise of a dentist. They use specialized tools to gently detach the bridge from its anchors without causing damage to the structure or supporting teeth. Keep in mind that attempting to remove a dental bridge at home is dangerous and can result in injury or irreparable damage to your teeth.

Removal may be necessary in the following situations:

  • To fix decay, fractures, or other dental health concerns beneath the bridge.
  • To repair or replace a damaged or worn bridge.
  • To clean or correct improper alignment caused by shifting teeth.

Whether removal is necessary will depend on the bridge’s condition and the underlying dental health of the patient.

What Is the Process for Recementing a Dental Bridge?

If the dental bridge is still in good condition and the supporting teeth are healthy, recementation is usually a straightforward process. Here’s what you can expect:

  1. Assessment. Your dentist will examine the bridge and the supporting teeth or implants to determine the cause of the issue. If there is decay or damage that needs to be addressed first, this will become the priority.
  2. Cleaning. Once the issue has been identified, both the dental bridge and the supporting teeth are thoroughly cleaned. Removing old dental cement and ensuring all surfaces are clean is essential for proper recementation.
  3. Checking the Fit. The dentist will check the fit of the bridge to confirm it still aligns correctly with the surrounding teeth and bite. Small adjustments can be made to improve comfort and function.
  4. Recementing the Bridge. After ensuring everything is ready, the dentist will apply dental cement to the bridge and secure it in place on its supports. They will make sure it is properly aligned before letting the cement set.
  5. Final Adjustments. Once the cement has set, your dentist will make final adjustments, ensuring that your bite feels natural and comfortable with the recemented bridge.

When Might a Bridge Need Replacement Instead?

While recementation is an option in many cases, there are situations where replacing the dental bridge entirely is the best solution. If the bridge is extensively damaged, or if the underlying teeth can no longer support it, it may be time to consider a replacement. Additionally, advances in dental bridge technology may provide an opportunity to upgrade to a more durable or aesthetically pleasing restoration.

It’s worth mentioning that the average lifespan of a dental bridge typically ranges from 5 to 15 years. How long your bridge lasts will depend on factors like the materials used, your oral hygiene, and regular dental care. Discussing your options with your dentist can help you make the best decision for your needs.

Preventing Issues with Your Dental Bridge

To minimize the risk of damage or discomfort with your dental bridge, it’s essential to practice good oral hygiene and maintain regular dental visits. Here are some tips to care for your bridge:

  • Brush at least twice a day with fluoride toothpaste.
  • Use floss or interdental cleaners to remove debris from around and beneath the bridge.
  • Avoid chewing on hard or sticky foods with your bridge.
  • Visit your dentist regularly for check-ups and professional cleanings.

Final Thoughts

A dental bridge can be a fantastic long-term solution for restoring your smile and oral function after tooth loss. If your bridge becomes loose or damaged, don’t panic—removal and recementation are often possible. However, it’s crucial to entrust these procedures to a qualified dental professional who can assess your situation, address underlying issues, and ensure your bridge continues to serve you well.

Remember, maintaining your dental health and being proactive about addressing concerns can go a long way in preserving the functionality and longevity of your dental bridge. Your smile’s health is worth the effort.

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Why Clear Aligners Are a Game Changer for Your Smile

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Smiling woman with perfect and healthy teeth using removable braces or aligner for straightening and whitening teeth. Orthodontic treatment for correction of bite.

When it comes to achieving a beautifully aligned smile, clear aligners are sparking a quiet revolution. If you’ve been living with misaligned teeth or have always thought about exploring options to straighten your smile, you’ve likely encountered the buzz around clear aligners. But what makes clear aligners so special? Why are they changing the game for so many people? 

This blog aims to explore exactly that, sharing what makes clear aligners not just an effective solution, but often an empowering experience for those looking to transform their smiles.

What Are Clear Aligners? 

Clear aligners are custom-made, transparent trays designed to fit snugly over your teeth. Unlike traditional braces, which use metal brackets and wires to correct alignment, clear aligners are nearly invisible, easy to use, and removable. They’re crafted using innovative 3D imaging technology to create a personalized treatment plan tailored specifically to each individual’s teeth alignment needs. 

These aligners work through a series of stages, gently exerting force to move teeth into their desired positions over time. Every few weeks, you’ll transition to a new set of trays as your treatment progresses. 

Why Are Clear Aligners a Game Changer? 

1. The Discreet Factor 

One of the standout reasons clear aligners have gained such popularity is their nearly invisible appearance. For teens and adults who want to improve their smiles without drawing attention to the process, clear aligners offer a discreet alternative to traditional braces. 

Their transparent material ensures you can confidently smile, speak, and interact without worrying about noticeable metal brackets. Whether you’re a professional giving presentations or a student participating in group activities, clear aligners blend seamlessly into your life. 

2. Unmatched Comfort 

Traditional braces often come with discomfort from metal wires and brackets that can irritate the soft tissues of your mouth. Clear aligners are crafted from smooth, BPA-free plastic, making them gentler and kinder to your lips and gums. 

Additionally, because they’re custom-made, clear aligners fit precisely over your teeth, ensuring minimal invasion and maximum comfort. Over time, as you adjust to wearing the trays, they become an almost unnoticeable addition to your daily routine. 

3. Flexibility and Convenience 

Unlike braces, clear aligners are entirely removable, giving you the much-needed flexibility to function without restrictions. Have a big dinner event? Going on a weekend trip? You can remove your aligners while eating, making them a perfect fit for your lifestyle. 

This removability also simplifies oral hygiene. Brushing and flossing your teeth becomes hassle-free—you won’t have to maneuver around metal brackets or wires. The ease of maintaining a proper oral care routine can contribute to healthier teeth and gums during your treatment process. 

4. Science-Led Precision 

Clear aligners aren’t just convenient; they’re also incredibly precise. By using 3D imaging technology, every step of your treatment is meticulously mapped out from start to finish, ensuring accurate results. Your aligners are designed with the specific movements of your teeth in mind, leading to targeted correction and remarkable outcomes. 

This degree of customization sets clear aligners apart as a modern, science-backed solution for teeth straightening. 

5. Improved Confidence and Lifestyle 

Living with misaligned teeth can sometimes affect your self-confidence. Many who opt for clear aligners find that the nearly invisible trays allow them to undergo treatment without hesitation. The freedom to feel good about your smile even while it’s “in progress” can make all the difference. 

Furthermore, the ability to participate fully in social activities, photos, or presentations without constantly worrying about your dental appliances has a noticeable impact on one’s quality of life. 

6. Health Benefits Beyond Appearance 

The benefits of clear aligners aren’t just about aesthetics—they’re also about health. Misaligned teeth can create difficulty in cleaning certain areas, making you more susceptible to plaque buildup, cavities, and gum disease. When you straighten your teeth with clear aligners, you also improve oral health by reducing these risks. 

Additionally, better alignment can enhance chewing efficiency and help address biting or jaw positioning issues, further improving day-to-day comfort.

7. Predictable Results With Fewer Appointments 

Modern clear aligner systems often come with virtual progress monitoring—making it easier to check your treatment progression without frequent visits to the dentist. For busy individuals, this is a practical shift toward convenience while maintaining professional oversight. 

The structured treatment plan also allows you to better visualize your results from the very start. With estimated timelines and progress mapped out, you’ll have a clear understanding of what to expect. 

Who Are Clear Aligners Best For? 

Clear aligners are an excellent choice for many individuals, particularly those with mild to moderate dental misalignments such as overbites, underbites, or gaps between teeth. They’re also well-suited for adults and teens who prefer a more discreet and flexible approach to straightening their teeth. 

However, they do require commitment—in particular, adhering to the recommended wear time of 20-22 hours per day to achieve optimum results. 

Consulting an experienced dental professional is crucial in determining whether clear aligners are the right solution for you. A personalized assessment will take your specific alignment needs, lifestyle, and goals into account. 

How Clear Aligners Highlight the Future of Smile Treatment 

Clear aligners are proof of how technology continues to redefine oral health and cosmetic dentistry. Their combination of aesthetic appeal, flexibility, and precision places them at the forefront of modern teeth-straightening solutions. 

For anyone seeking to invest in their smile, clear aligners represent far more than convenience or discretion—they signify a new era in which dental treatments align perfectly with individual lifestyles. It’s no wonder so many people are raving about the changes they’ve experienced! 

If you’ve been contemplating making a change to your smile, consider how advanced options like clear aligners can elevate both your appearance and overall oral health. It might just be the move you’ve been waiting for.

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Clear Aligners for Teens: What Every Parent Should Know

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teenager holding her clear aligners

A confident smile can change a teen’s life. It boosts self-esteem, improves social interactions, and contributes to overall happiness. For parents of teens with misaligned teeth, achieving that confident smile doesn’t always have to mean traditional braces. Clear aligners have emerged as a modern, effective, and discreet alternative. But before opting for this solution, it’s important to understand how they work and what they mean for your teen.

This article will cover everything parents need to know about clear aligners, including their benefits, suitability for teens, and tips for successful treatment.

What Are Clear Aligners?

Clear aligners are a series of custom-made, transparent plastic trays that gradually straighten teeth over time. Instead of using wires and brackets like traditional braces, aligners rely on a step-by-step approach where each tray slightly adjusts the position of the teeth. They are designed to be removable, making them a flexible and low-profile solution for orthodontic treatment.

The Benefits of Clear Aligners for Teens

For teenagers, clear aligners offer several unique advantages:

  • Discreet Appearance 

 Many teens feel self-conscious about wearing braces. Clear aligners are virtually invisible, giving them a confidence boost during treatment.

  • Added Convenience 

 Since aligners are removable, teens can eat their favorite foods without the restrictions of metal braces. There’s also no need to worry about broken wires or emergency visits to the orthodontist.

  • Easy Maintenance 

 Oral hygiene is simpler with aligners. Your teen simply removes the trays before brushing and flossing, which helps maintain healthy teeth and gums throughout the treatment process.

  • Less Discomfort 

 Unlike braces, which can irritate the inside of the mouth, aligners are smooth and generally more comfortable to wear.

  • Predictable Results 

 Advanced 3D imaging technology allows orthodontists to map out the entire treatment plan from start to finish, providing a clear timeline of expected results.

Is Your Teen a Good Candidate for Clear Aligners?

While clear aligners are an excellent option for many teens, they may not be suitable for everyone. Here are some factors to consider:

  • Mild to Moderate Orthodontic Issues 

 Clear aligners are most effective for addressing common alignment problems like gaps, crowding, and mild bite issues. More complex cases may require traditional braces or other treatments.

  • Commitment to Wear Guidelines 

 Teens need to wear their aligners for 20–22 hours daily for the treatment to work. Consistency and discipline are key to achieving the desired results.

  • No Ongoing Dental Issues 

 Before starting treatment, it’s essential to ensure your teen doesn’t have cavities, gum disease, or other oral health concerns. These issues should be treated first to prevent complications.

  • Age and Stage of Development 

 While aligners are suitable for many teens, the orthodontist will determine whether your child’s teeth and jaw are at the right stage for aligners to work effectively.

Tips for a Successful Treatment Experience

Once you’ve decided to move forward with clear aligners, the following tips can help ensure a smooth and successful treatment for your teen:

  • Encourage Consistency 

 Make sure your teen understands the importance of wearing aligners as recommended. Set reminders if necessary to help them stay on track.

  • Practice Good Oral Hygiene 

 It’s essential to clean the aligners regularly and maintain excellent dental hygiene to prevent plaque buildup and discomfort.

  • Attend Regular Checkups 

 Follow-up appointments with the orthodontist are crucial to monitor progress and make necessary adjustments to the treatment plan.

  • Store Aligners Safely 

 Train your teen to store their aligners in the provided case when they’re not being worn. This minimizes the risk of losing or damaging them.

  • Support Healthy Habits 

 Discourage chewing gum, eating while the trays are in, or drinking sugary drinks to ensure the aligners stay in great condition.

Learn More About Clear Aligners 

Are you ready to help your teen achieve the smile of their dreams? Clear aligners could be the solution you’ve been searching for. To explore this option further and see how clear aligners compare to other treatments, check out this detailed guide on clear aligners for teens.

Clear aligners have revolutionized orthodontic care, making it easier and more comfortable than ever for teens to improve their smiles. With the right guidance and commitment, your teen can enjoy a straighter, brighter smile and newfound confidence that will last a lifetime.

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