bruxism (3)

Botox For TMJ And Bruxism

Many people have never considered Botox can be used for therapeutic purposes. But the reality is Botox can help with TMJ issues and teeth clenching (Bruxism). Botox works by inhibiting the movement of muscles. This means it can also inhibit muscle movement that affects TMJ and bruxism. Marielaina Perrone DDS has extensive training and experience in using Botox injections both for esthetic and functional treatment.

Botox for bruxism

Teeth grinding (bruxism) can cause jaw pain, headaches, and damaged teeth. Teeth grinding can occur during sleep or when awake, especially when you are under stress. Studies have shown Botox injections in the facial muscles that control chewing can fix your issue. As a result of the Botox action, you will see relief from teeth grinding and clenching.

Dr. Perrone uses the proper dosage and location of injections to make the treatment as natural as possible. 

Botox for TMJ disorders

TMJ disorders can be quite painful. They can be due to the previously mentioned bruxism or due to trauma. Botox can help the muscles of the TMJ relax, giving patients relief quickly and easily. Botox injections can help relieve the pain and other symptoms when you suffer from headaches and jaw tension, even if you have not responded to other, more traditional treatments.

A simple, nonsurgical, outpatient procedure

Botox injections for TMJ or bruxism can take about 30 minutes, and Dr. Perrone can include this Botox treatment in your routine dental appointments. Dr. Perrone injects Botox into your forehead, temples, and jaw muscles to relieve jaw pain and headaches.

She will determine the number of injections needed and in what areas for maximum results. Botox injections use a very fine needle and are minimally invasive and easily tolerated. Topical anesthesia will be offered as well if needed. Dr. Perrone injects the Botox into each treatment area.

You may feel relief over the first day or two following Botox treatment. However, it will often take a few days to feel a significant difference. Following your dental appointment, you can return to your daily activities.

Botox Cosmetic Las Vegas NV

Botox has been proven to be safe and effective for cosmetic as well as medical conditions. Ask Marielaina Perrone DDS if Botox Cosmetic is right for you! Dr. Perrone also offers Juvederm dermal fillers as an adjunct to Botox cosmetic injections.

Contact Marielaina Perrone DDS at (702) 458-2929 to schedule a no-cost cosmetic consultation appointment if you are ready for a smile makeover. We cannot wait to help you with your oral health and your smile makeover to create your dream smile in Henderson, Summerlin, and Las Vegas, NV.

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Teeth Grinding : Are You Harming Your Teeth?

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Bruxism, or teeth grinding, can be defined as the grinding of teeth for non-functional purposes. Bruxism is the habitual grinding of teeth when an individual is not chewing or swallowing.

· Daytime: Teeth grinding during daytime is called diurnal bruxism or bruxomania. It can be conscious or subconscious and may be associated with other habits like tongue-thrusting, nail-biting, etc.
· Nighttime bruxism: Nighttime teeth grinding is also called nocturnal bruxism. It is the subconscious grinding of teeth characterized by rhythmic patterns of facial muscles.

As bruxism or teeth grinding often occurs during sleep, individuals are mostly unaware of their habit.

Possible causes
· It can be caused due to underlying psychological or emotional stress. A tendency to grind the teeth has been often associated with the feeling of anger, aggression, over-enthusiasm, or anxiety.
· Teeth grinding or bruxism can be a manifestation of lesions in the central nervous system.
· Occlusal discrepancies or teeth interferences.
· Genetic.
· Systemic factors: magnesium deficiency, chronic abdominal distress, intestinal parasites, etc.
· Periodontal pain or pain in gums and tooth-supporting structures may also trigger teeth grinding or bruxism in some individuals.
· Other factors: an over-enthusiastic student and compulsive overachievers may also develop the habit of bruxism or teeth grinding.

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Effects of bruxism on your teeth
The effects of bruxism or teeth grinding on your teeth depend on the frequency, intensity, and to some extent, the age of the patient. The forces of bruxism are transmitted to the muscular apparatus which is involved in chewing food.

· Trauma to your teeth: this includes tooth mobility, toothache mainly in the morning.
· Trauma to your tooth structure: extreme sensitivity due to loss of enamel, atypical wear facets, vital tissue or pulp may get exposed, and multiple teeth fractures can be caused.
· Muscular: pain and tenderness of jaw muscles, muscular fatigue on waking up in the morning, inflamed facial muscles can also be observed in individuals who experience teeth grinding.
· Joint pain: Joint pain around the ears, clicking on opening or closing the mouth, restricted jaw movements are often seen in individuals with bruxism.
· Referred pain or headache can also be observed in such individuals.

Diagnosis
History and clinical examination in most cases is sufficient to diagnose bruxism or teeth grinding. Teeth prematurity can be diagnosed with biting or chewing strips. Electro myographic examination is a process to record over-activity or hyperactivity of muscles involved in teeth grinding.

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Treatment
· Many cases of teeth grinding are associated with emotional and psychological disturbances. Thus, appropriate psychological counseling by a psychiatrist can be initiated.
· Hypnosis, relaxing exercises, and massage can help in relieving muscle tension.
· Teeth prematurity should be adjusted and eliminated.
· Nightguards or other teeth splints that cover the chewing surface of teeth help in eliminating occlusal interference, prevent teeth wear and break the habit of bruxism.
· Physiotherapy has shown some promising results in treating teeth grinding.
· Drugs: local anesthetic injection, tranquilizers, muscle relaxants are often used in combination with other treatments to correct bruxism.
· Acupuncture therapy
· Orthodontic correction of teeth can be advocated to correct misaligned teeth.
· Electrical method: electro galvanic stimulation for muscle relaxation.

Conclusion
If you suspect you are having the above signs and symptoms consult your dentist today and get your teeth checked. Your dentist will examine your teeth and mouth to look for signs and symptoms of bruxism. However, early morning pain around your ears, jaws, and constant dull headache on the side of the head may be the first indicating symptom of teeth grinding. Many times, individuals get informed about this habit by their loved ones who notice teeth grinding at night. Teeth grinding is not only seen in adults it is also seen in children. Bruxism in children is often noticed when their deciduous teeth emerge, and the period when their deciduous teeth are replaced by permanent teeth. No treatment is generally required for preschool children as this habit gets corrected by itself however in severe cases mouth guards or splints can be considered.

Referral
If your habit of bruxism or teeth grinding is related to some other underlying cause like a sleep disorder, central nervous system abnormalities, etc your dentist may refer you to a specialist for further evaluation.

 Article Source:- https://houston-texas-dentist.blogspot.com/

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How Stress Affects Your Dental Health

Stress is the body’s internal and external reaction to a change that requires a physical, mental or emotional response. Stress can come from any situation or thought that makes you feel frustrated, angry, nervous, or anxious.

Too much stress is known to be bad for us but did you know that stress can also cause issues to your dental health?

Dental Issues That Can Be Caused By Stress

Poor Dental Hygiene

When a person is under stress they tend to lose focus on basic habits and this includes being diligent with maintaining their dental hygiene. If you do not take care of your dental hygiene, your dental health as well as your general health will begin to suffer. This is especially true if you already suffer from periodontal disease as skipping any part of your dental hygiene program can worsen the periodontal disease. Another issue with being under stress is your nutrition changes. Most people dealing with stress tend to develop very unhealthy eating habits. This can include snacking on larger than normal amounts of sugary foods and drinks. These changes will increase your risk for tooth decay.

A good way to combat stress in your life is to maintain a routine of regularly exercising. Exercising regularly can help you relieve some of that stress and give you an extra energy boost. Exercise will also boost your immune system which is always a plus.

Teeth Grinding (also called Bruxism)

One of the main reasons why people grind their teeth is due to stress. Bruxism can occur day or night but it is usually a subconscious act. Stress is not the only cause of bruxism but it does make it worse. Some of the dental issues associated with bruxism include:

-Headaches

-Ear Pain

-Worn Down Teeth.

-Temporomandibular Joint (TMJ) Issues

-Sensitive Teeth

-Chipped or cracked teeth

-Receding Gums or teeth with notches in them at the gum line

Your dentist may recommend a night guard to wear while you sleep to minimize the damage caused to your teeth. Usually, if stress is the cause the bruxism will stop when the stressor is removed.

Mouth Sores

Mouth sores come in many forms. These can include:

-Canker sores. These are small ulcers with a white or grayish base and bordered in red.  There has been vigorous debate regarding what causes canker sores. Some believe it is an immune system issue, bacteria, or even a virus. Consensus is that stress can increase the risk of them showing up. Canker sores are not known to be contagious.

Canker sores generally last about 7-10 days. Spicy foods as well as highly acidic foods should be avoided as they tend to irritate the sores. One of the best forms of relief comes from a dentist prescribed medicine called Debacterol. This medicine is applied directly to the sore and can reduce symptoms as well as the length that the sores are present.

-Cold sores (or fever blisters). These sores are caused by the herpes simplex virus and are highly contagious. Cold sores are blisters that are filled with fluid that often appear on or around the lips. They can also appear under the nose or around the chin area. Emotional stress can trigger an outbreak. Other triggers include fever, a sunburn, or skin abrasion.

Cold sores often heal on their own in about a week’s time. Treatment is available, including over-the-counter remedies and prescription antiviral drugs. Ask your doctor or dentist if either could help you. It is important to start treatment as soon as you feel or notice the cold sore forming. The sooner you start treatment the effects of the cold sore will be reduced.

Periodontal Disease

Stress can lead to depression. And studies have shown that patients who are depressed have twice the risk of a poor outcome from periodontal disease treatment compared to those who are not in a depressed state. You can not make depression or the stress disappear, of course. But most experts agrees that learning healthy coping strategies can help reduce the risk of periodontal issues getting worse.  Also, people who are depressed tend to have poor overall hygiene and that includes dental hygiene.

Conclusion

Keep in mind we all have stress during the course of our day. Developing proper techniques for dealing with that stress can make a world of difference in the maintanence of our dental health as well as our overall health. As always, see your dentist regularly for dental examinations along with professional cleanings to ensure you keep your smile as healthy as can be!

Remember, eating a balanced diet, seeing your dentist regularly, and good oral hygiene help reduce your risks of periodontal disease. Make sure you brush twice a day and floss daily.

© 2014, Marielaina Perrone DDS. All rights reserved. Henderson Cosmetic Dentist

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