Charles McGee DDS

Chronic facial pain is a problem faced by millions of Americans.

Common symptoms can include pain in or around the ear, tenderness of the jaw, clicking or popping noises when opening the mouth or even head and neck aches.

If you are suffering from this type of pain, your dentist can help identify its source with a thorough exam and appropriate x-rays.

Sometimes, the problem is a sinus or toothache or it could be an early stage of periodontal disease.

But for some pain, the cause is not so easily diagnosed.

There are two joints and several jaw muscles which make it possible to open and close the mouth. They work together when you chew, speak, and swallow.

These structures include muscles and ligaments, as well as the jaw bone, the mandible (lower jaw) with two joints, the TMJ’s.

Any problem that prevents this complex system of muscles, ligaments, discs and bones from working together properly may result in a painful TMJ disorder.

There are several ways the TMJ disorders may be treated.

Diagnosis is an important step before treatment.

Part of your clinical examination includes checking the joints and muscles for tenderness, clicking, popping or difficulty moving.

Your dentist may take x-rays and may make a “cast” of your teeth to see how your bite fits together.

To help you deal with this pain, your dentist will recommend what type of treatment you need and may refer you to a specialist.

When under stress, many people find themselves grinding their teeth or clenching their jaws.

This habit actually has a name – bruxism – and often it’s something we do when we sleep.

It can be caused by stress and anxiety and it can also be due to sleep disorders, an abnormal bite or missing and crooked teeth.

It can lead to symptoms such as dull headache or a sore jaw.

Your dentist can fit you with a mouth guard to protect your teeth during sleep.

Severe grinding can lead to painful or loose teeth and this can lead to fractures in your teeth.

Taking stress out on your teeth in this way can lead to long term damage so, if stress is the cause, you need to find a way to relax!

Relaxants, counseling and even exercise may help reduce stress and tension and can be a big help to your teeth.

A newly born baby usually has no teeth visible but most have begun to develop primary or baby teeth.

These generally begin to appear about six months after birth.

Over their first few years, they will develop all 20 primary teeth and will usually have them all in place by age three.

The teething process is uncomfortable for many babies and they can become sleepless and irritable. They also might lose their appetite or drool more than usual.

If your infant has a fever or diarrhea while teething or continues to be cranky and uncomfortable, call your physician.

Sometimes when a tooth erupts, an eruption cyst may develop. The tooth will eventually rupture this as it pushes through the gums and these cysts are usually harmless and should be left alone.

If a baby has sore or tender gums when they are teething, it can help to gently rub the gum with a clean finger, a small, cool spoon or a wet gauze pad.

When this happens, your dentist or pediatrician may suggest a pacifier, teething ring or a special “numbing” salve for the gums.

When the teeth begin to erupt, you should brush them with a soft-bristled toothbrush and a little water to prevent tooth decay.

Toothpaste is not recommended until a child reaches age two. When a child begins using toothpaste, you need to supervise the brushing to make sure they don’t swallow it.

Regular dental checks should begin after your child’s first tooth appears or by their first birthday.

If you’ve lost all of your natural teeth, whether from gum disease, tooth decay or injury, complete dentures can replace your missing teeth and your smile.

Replacing missing teeth will benefit your appearance and your health.

Without support from the denture, facial muscles sag, making a person look older. You’ll also find it harder to eat and speak – things that people often take for granted until their natural teeth are lost.

There are various types of complete dentures.

A conventional full denture is made and placed in the patient’s mouth after the remaining teeth are removed and tissues have healed which may take several months.

An immediate complete denture is inserted as soon as the remaining teeth are removed. The dentist takes measurements and makes models of the patient’s jaws during a preliminary visit. With immediate dentures, the denture wearer does not have to be without teeth during the healing period.

Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque.

And even if you wear full dentures, it’s important to visit your dentist regularly to maintain your overall oral health and get early warning of serious issues such as oral cancer.

Oral cancer is not as well known as other types of cancer but it can represent a life-threatening risk if not identified early.

– It strikes an estimated 35,000 Americans each year
– More than 7,500 people (5,200 men and 2,307 women) die of these cancers each year
– More than 25% of Americans who get oral cancer will die of the disease
– On average, only half of those diagnosed with the disease will survive more than five years
– African-Americans are especially vulnerable; the incidence rate is 1/3 higher than whites and the mortality rate is almost twice as high

Although the use of tobacco and alcohol are risk factors in developing oral cancer, approximately 25% of oral cancer patients have no known risk factors.

There has been a nearly five-fold increase in incidence in oral cancer patients under age 40, many with no known risk factors.

The incidence of oral cancer in women has increased significantly, largely due to an increase in women smoking. In 1950 the male to female ratio was 6:1; by 2002, it was 2:1.

The best way to prevent oral cancer is to avoid tobacco and alcohol use.

Unusual red or white spots can form in and around the mouth. These are often harmless but they can be cancerous or pre-cancerous.

Identifying and removing these early enough is a major factor in reducing the incidence of cancer.

So knowing the risk factors and seeing your dentist for regular examinations can help prevent this deadly disease.

When buying dental products, it’s a good idea to look out for the American Dental Association (ADA) Seal of Acceptance.

The first Seal of Acceptance was awarded in 1931 and it’s regarded as an important symbol of a dental product’s safety and effectiveness.

Although the Seal program is strictly voluntary, approximately 100 companies participate in it and they commit significant resources to testing their products in clinical and laboratory conditions.

More than 300 consumer dental products carry the Seal of Acceptance. These include toothpaste, dental floss, manual and electric toothbrushes, mouth rinse and chewing gum.

You can get more information about the seal and how it is awarded for specific products at http://www.ada.org/ada/seal/

This site also contains links to the most current lists of accepted consumer products.

Many diseases of the teeth and surrounding tissues cannot be seen when your dentist examines your mouth so an X-ray examination can reveal important additional information:

For example, X-rays can help show:
– Small areas of decay between the teeth or below existing fillings
– Infections in the bone
– Gum disease
– Abscesses or cysts
– Developmental abnormalities
– Some types of tumors

The way they work is that more X-rays are absorbed by the denser parts (such as teeth and bone) than by soft tissues (such as cheeks and gums). This creates an image called a radiograph.

Tooth decay, infections and signs of gum disease appear darker because of more X-ray penetration. The interpretation of these radiographs allows the dentist to safely and accurately detect hidden abnormalities.

The frequency of X-rays (radiographs) will depend on your specific health needs.

Your dentist will review your history, examine your mouth and decide whether you need radiographs and what type.

When you are a new patient, the dentist may recommend radiographs to establish how the hidden areas of your mouth currently look to help identify changes that occur later.

X-rays can help identify and treat dental problems at an early stage and so can save time, money and unnecessary discomfort.

Reduced saliva flow that results in a dry mouth is a common problem among older adults.

It is caused by certain medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.

Some of the common problems associated with dry mouth include:
– Constant sore throat
– Burning sensation
– Problems speaking
– Difficulty swallowing
– Hoarseness or dry nasal passages

Left untreated, dry mouth can damage your teeth. Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive cavities can form.

Your dentist can recommend various methods to restore moisture. For example, sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

Another issue that can affect older adults is a loss of appetite due to a change in your sense of taste. Besides an age-related decrease in the sense of taste and smell, certain diseases, medications and dentures can contribute to a decrease in your sense of taste.

Whether you are suffering from dry mouth or problems with your sense of taste, your dentist will be able to make suggestions to help.

Though many of us say we brush our teeth regularly, you get the best results by making sure you brush properly.

Here are the steps you should follow:

First, place the toothbrush at a 45-degree angle to your gums.

Then, move the brush back and forth gently in short (tooth-wide) strokes.

Brush the outer tooth surfaces, the inner tooth surfaces, and the chewing surfaces of the teeth.

Use the “toe” of the brush to clean the inside surfaces of the front teeth, using a gentle up-and-down stroke.

Finally, brush your tongue to remove bacteria and freshen your breath.

As well as brushing your teeth, you should floss them every day. Here’s how to floss for best results.

Break off about 18 inches of floss and wind most of it around one of your middle fingers.

Then wind the remaining floss around the same finger on the opposite hand. This finger will take up the floss as it becomes dirty.

Hold the floss tightly between your thumbs and forefingers.

Guide the floss between your teeth using a gentle rubbing motion. Never snap the floss into the gums.

When the floss reaches the gum line, curve it into a C shape against one tooth. Gently slide it into the space between the gum and the tooth.

Hold the floss tightly against the tooth. Gently rub the side of the tooth, moving the floss away from the gum with up and down motions.

Repeat this method on the rest of your teeth.

Don’t forget the back side of your last tooth.

If you have difficulty handling dental floss, consider other types of interdental cleaner such as special brushes, picks or sticks.

Your dentist or hygienist will be able to give your further tips on how to brush and floss for best results.

Some children suck on their thumbs and parents often wonder if it is harmful.

Sucking on something is a child’s natural reflex. It can help them feel more secure so they start to suck on their thumbs, fingers, pacifiers or other objects.

Since thumbsucking is relaxing, it may also help them sleep.

However, after the permanent teeth come in, sucking may cause problems with the proper growth of the mouth and the alignment of teeth. It can also cause changes in the roof of the mouth.

Whether or not dental problems will result depends on the intensity of the sucking.

A child who vigorously sucks their thumb is more likely to have difficulties than one who rests their thumb passively in their mouth. Young children who suck their thumbs aggressively may even cause problems with their baby teeth.

If you notice changes in your child’s primary teeth, consult your dentist.

Usually children will stop sucking their thumbs between the ages of about two and four. They should have ceased sucking by the time the permanent front teeth are ready to erupt.

If your child is continuing to suck their thumbs, here are some tips:

– Praise them for not sucking, instead of scolding them when they are
– If they are sucking because they feel insecure, focus on correcting the cause of the anxiety
– For older children, involve them in choosing the method of stopping

If necessary, your dentist can help by encouraging the child and explaining what could happen to their teeth if they do not stop sucking.