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Got short teeth?

February 28, 2012

Filed under: Uncategorized — dr_shetty @ 9:00 am

Hey, don’t’ worry Teeth Grinding is not a disease, but it can ruin your teeth permanently.

“Doc, what do you mean I grind my teeth? “  You would notice if you grind your teeth, wouldn’t you?  Do your front teeth ever get worn out, or those fillings on your front teeth that keep chipping and breaking every few years? So why don’t’ you think you might be a grinder?

grinding

Chipped front teeth

What is it? Bruxism is when you clench (tightly hold your top and bottom teeth together) or grind (slide your teeth back and forth over each other) your teeth.  It is a ‘parafunctional’ action, an action that serves no useful purpose.  But it is not an action that you can control, like eating, talking, or swallowing (things the mouth and teeth are made for).  It is an action that you can’t control, like your heart rate or digestion.

When you are awake, you can control how strongly you bite, chew, or ‘grind’ your food.  But all bets are off when you are asleep.  The biggest culprit of bruxism are the strong muscles of mastication, which are the muscles in our head that helps our jaws move.  Those muscles are ‘exercising’ all night long when you are grinder.  Since you have no control over it, you are actually grinding or clenching much harder than you would if you are awake.  Since it is happening while you are sleep, like your breathing and heart rate, you may not be aware of how serious the problem is.

Some people probably clench their teeth and never feel symptoms.  Whether or not bruxism causes pain and other problems may be a complicated mix of factors:

  • How much stress you are under
  • How long and tightly you clench and grind
  • Whether your teeth are misaligned
  • Your posture
  • Your ability to relax
  • Your diet, alcohol use, drugs/medications use
  • Your sleeping habits

So how does the dentist know that you are a bruxer?

Some of the signs of bruxism that your dentist sees are:

  • Worn down back teeth

    Worn down teeth

    Your teeth due to grinding

  • Worn down front teeth
  • Broken teeth
  • Broken fillings
  • Pain in muscles of the face
  • History of Migraines or headaches that do not get better even with medicaitons
  • TMJ pain
  • ‘Tired’ facial muscles, neck pain, shoulder pain, tightness in the face even after a good night’s sleep

There is no cure of bruxism, but there are things we can do to help. A night-guard, worn everyday, will help tremendously with both the grinding habit, and protecting the teeth long term.  I almost always tell any patient who is a grinder, or even if there is remote chance that they are grinder, that the best investment in protecting not only their own teeth, but any dental work they have, is get a night-guard.

Give us call to learn more about the NTI system.  The NTI-tss is an FDA approved oral appliance originally developed for migraine sufferers.  We have helped both types of patients find relief with the NTI appliance. Check out our ‘smile gallery’ to see photos of what modern dentistry can do for you if you have worn out teeth and want them to look good again.

A Stitch in Time Saves Nine

February 19, 2012

My last blog touched on the fact the ‘dental insurance’ is not really insurance after all.  It is more like a ‘dental gift card’ or ‘dental dollars at a reduced cost’. Dental insurance doesn’t really ‘buy peace of mind’ for a disaster, like home or car insurance does.  Imagine if you car insurance paid for ‘3 oil changes and 2 tire rotations’ every 10,000 miles and only gave you $8000 towards a new car if it was totaled!  I know I would be outraged.  Why call it insurance at all?  It’s more like a ‘dental maintenance plan’.  Imagine if medical insurance let you treat only 1 disease?  “Gee, should I be seen for my high blood pressure or my high cholesterol this year because my insurance won’t pay for both.”……Outrageous we would all say!  Yet, dental insurance companies have demoted the gateway to a healthy body, your mouth, into this role.

A stitch in time saves nine…….

Many patients that have dental insurance haven’t even used it this year, or even for a few years.  Maybe they feel by procrastinating their check ups, they can buy themselves some time and ‘save up’ to fix their teeth.  But even missing 1 yearly check up can lead to undiagnosed cavities and gum disease that will only get worse.  Many times these early stage cavities don’t hurt so patients feel like they have time to take care of it.  Unfortunately, any savings that people may think they get in putting off their visits are wiped out when that one tooth ends up causing lots of pain, and takes a lot of work to fix not to mention using up those ‘dental insurance’ benefits.  Gum disease is a ‘silent’ disease so symptoms may not crop up until lots of damage is already done.  By keeping up with more frequent cleanings, bone and gum problems can be kept in check.

Many patients get on the proverbial hamster wheel of putting off needed treatment because ‘insurance ran out’. Their problems get bigger, they wait longer to fix it, and the solutions get more complex and expensive.

What happens if  you have a true dental emergency?  Imagine if you tripped on the sidewalk this year and broke your 3 or 4 front teeth.  Guess what?  You may have only $1000, or $ 2000 at best, to use towards fixing those teeth, and maybe less if you already used some ‘benefits’ for your visit.  That doesn’t sound like insurance to me.  But this is a ‘worst case scenario that I see quite often.  Accidents do happen, and the teeth can be fixed, but ‘dental insurance’ just doesn’t pass the test.  Luckily, with all the options that we offer, like crowns and implants, we can make you smile again.  So far, ‘dental insurance’ doesn’t sound like anything the definition of ‘insurance’.

So, that old adage is true.  A stitch in time does save nine.  That is, getting in to see the dentist often and taking care of problems early will save you both time and money.  In the end, dental ‘insurance’ at best is a ‘helping hand’ for times when almost everything is doing well, or only 1 or 2 problems crop up.  At worst, dental insurance is a hinderance because people feel that they cannot undergo the treatment they deserve because they don’t ‘have enough insurance’.  Rather, free your mind from those definitions and ask us how we can help get back to health.

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