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Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move.

TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD.

Risk Factors for TMD

You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following.

• Arthritis in the area, making movement more difficult
• Excessive tooth grinding, because it increases stress on the joint
• General stress, which can lead you to clench your teeth and strain facial muscles

Symptoms of TMD

Symptoms of TMD can last for just a short while, or for several years. Seeing Dr. Neil Oliveira and Dr. Derek Wolkowicz is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face.

• Aching or very tired facial muscles
• Jaws that are fixed open or shut without you being able to unlock them
• Grating or popping sounds when you chew or close or open your mouth
• Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn

Preventing TMD

You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Dr. Neil Oliveira and Dr. Derek Wolkowicz about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw.

If you have questions about TMD, don’t hesitate to contact our New Bedford or Mattapoisett, MA office.

Halloween is a favorite holiday among children due to the festive games, imaginative costumes, and candy. Modern celebrations stem from a combination of traditions from Pagan and Christian traditions throughout the centuries. The original holiday was called Samhain and derived from the ancient Druids of Ireland. In their belief system, November 1st marked the beginning of winter, and Pagans began their Samhain celebrations at sunset on October 31st.

Modern Celebrations of Halloween

Children and adults love dressing up for Halloween, and this tradition comes from the ancient belief in spirits. From sunset on October 31st until sunrise on November 1st, the souls of the dead entered the physical world. Some spirits were benevolent and wanted only to cross over to the afterlife while others harbored malicious intents of revenge and trickery. Pagans wore masks and disguised themselves so that the malevolent souls would mistake them as fellow spirits.

Families left food and ale outside of their doors to appease the spirits. With the rise of Christianity in Europe, the church encouraged its members to offer food and money to beggars. In exchange, the beggars would agree to pray for the family's deceased loved ones. Eventually these traditions led to the development of today's customs where children dressed up and received candy from their neighbors while circling the community.

Teeth-Friendly Treats

With all of the excitement and free candy on Halloween, it is easy to get carried away on a sugar high. Parents warn their children not to eat too many pieces in one night to avoid tummy aches and cavities. Our team at Orthodontic Specialists of Southeastern Massachusetts especially wants to remind children with braces to be extra cautious about the treats they eat because some varieties can get stuck in between the brackets and damage the devices. Sticky candy, such as caramels, fruit chews, and gum should be avoided when wearing braces. Children can trade with their friends and siblings to get only safe candies. The following list offers some alternative treats that children with braces can safely enjoy.

• Solid chocolate, including milk, white, or dark
• Nougat-filled candy bars, such as Three Musketeers
• Candy-coated chocolates like M&Ms
• Powdery candy, such as Sweet Tarts or Pixie Stix
• Mint-flavored candy
• Malted milk balls
• Cookies
• Peanut butter crackers or cookies

When in doubt, children should ask their parents or Dr. Neil Oliveira and Dr. Derek Wolkowicz if a specific candy is safe. Halloween is a fun holiday for children, and having braces does not have to take away any of the excitement from tasty treats.

The best way to avoid orthodontic emergencies is to know how to take care of your braces properly throughout your entire treatment. However, emergencies are … well, emergencies, and sometimes no matter how cautious you are or how well you take care of your braces, the wires loosen, the bands pop, or you experience orthodontic discomfort.

Common orthodontic emergencies include broken braces, poking wires, lost or broken retainers, mouth sores, and mouth injuries sustained playing sports, which often happens when you don’t wear a mouthguard to protect your teeth and appliance.

Food

It’s important to avoid foods that can damage your braces. Most people wear braces for about two years. All chewy, sticky, crunchy, and hard foods should be avoided during that time. While this may seem like a long time to go without popcorn or bubble gum, hard foods can break the brackets of your braces and sticky foods can bend the wires. If you have a loose wire, don’t try to fix it yourself. Call Orthodontic Specialists of Southeastern Massachusetts. In the meantime, if a wire is poking into your cheek or lip and causing irritation, put wax or a wet cotton ball over it to dull the sharp edge.

Pain and Discomfort

Some discomfort is a normal part of orthodontic treatment, especially in the hours after the braces are placed on your teeth or after a recent tightening or adjustment. However, if the pain doesn’t subside in three to five days, it’s a good idea to schedule an appointment at Orthodontic Specialists of Southeastern Massachusetts. Until then, try dissolving a teaspoon of salt in an eight-ounce glass of water and gargling with the solution. Over-the-counter pain medication will relieve discomfort, too.

Playing Sports

Just because you wear braces doesn’t mean you can’t play sports. You just need to take some extra precautions. Sports-related injuries to the mouth and jaw are common. The best way to protect your mouth and your appliance is to wear a mouthguard. There are several different types of mouthguards available, so be sure to ask Dr. Neil Oliveira and Dr. Derek Wolkowicz what’s best for you.

Brushing and Flossing

In order to keep your braces in good condition and avoid orthodontic emergencies, it’s important to brush and floss thoroughly after every meal. It’s easy for small particles of food to get trapped in your braces, and if the food isn’t removed, it gets wedged between the teeth and gums and causes plaque.

Need more tips on how to avoid orthodontic emergencies? Just ask any member of our New Bedford or Mattapoisett, MA team.

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our New Bedford or Mattapoisett, MA office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Dr. Neil Oliveira and Dr. Derek Wolkowicz for other ways to clean your trays.