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Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint.

TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Dr. Thomas Shipley helps make treatment as successful as possible.

Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD.

Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Dr. Thomas Shipley at our Peoria, AZ office to learn about solutions that could work for you.

A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws.

You can be proactive in finding relief for TMD by trying the following remedies at home:

• Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob.
• Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms.
• Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing.
• Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home.
• Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension.
• Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.

You can learn just about anything on the Internet these days. You can also order just about anything on the Internet these days.

But would you order your braces on the Internet? There’s a new trend involving websites that claim to offer a solution for straightening teeth, without your ever seeing a dentist or orthodontist in person.

These companies usually have patients take an impression of their teeth using putty and a tray. Then you mail the impressions back to the company where a dentist reportedly examines them and suggests a course of treatment using 3D modeling software.

A series of clear aligners are made, to be worn by the patient in order to attain the desired result. Although this form of orthodontic treatment may cost less than seeing an orthodontist in person, there are several reasons why you should avoid it:

• Potential health hazards are missed: If your oral health is not up to par (e.g., you have cavities, gingivitis, chipped teeth, etc.), an orthodontist would not suggest orthodontic treatment. Only after these issues are addressed would treatment be considered as an option. Whether this is the case with a person can’t be known when all the doctor sees is a set of impressions.
• Lack of information about the patient: Before you receive any orthodontic treatment, an orthodontist will have X-rays taken to make sure you are a good candidate. If the bones or teeth do not look like they would align properly with treatment, another course of care may be suggested, even necessary. None of this background is available to over-the-net orthodontic providers.
• No regular checkups: The purpose of regular checkups with Dr. Thomas Shipley is to ensure that everything is moving properly, on schedule, and most important, safely. This lack of hands-on care with Internet orthodontics could be a hazard for you as a patient and has the potential to do more harm than good.

It’s not worth the risk of getting orthodontic treatment over the net just to save some money. Our Peoria, AZ office is committed to working with you, whatever your financial situation may be.

Let’s work together to give you the smile you deserve!

Your opinions matter to Dr. Thomas Shipley and our team! Our blog is meant to be an educational channel, but we always want to know what things you’re interested in learning more about. After all, our blog is here for you to enjoy!

We’d like to encourage you to send us any ideas about what you want to see more of. No idea is too small! Whether it involves a specific treatment or advice on what kind of toothpaste you should use, we’d love to hear from you about it.

To share your thoughts with us, simply leave your comments below or on our Facebook page! You can also fill out a comment card the next time you visit our Peoria, AZ office!

If you participate in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that you might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change. Potential injuries when you don’t wear a mouthguard include chipped and broken teeth, fractured jaws, root damage, damage to crowns and bridgework, concussions, and/or injury to the lips, cheeks, or gums.

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for you in terms of budget, fit, and comfort.

• Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to make sure you find one that fits properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
• Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
• Custom-made mouthguards are created just for you by Dr. Thomas Shipley. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Peoria, AZ team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if you need a mouthguard or which kind is right for you? Ask Dr. Thomas Shipley or one of our staff members for more information.