Night Guard Maintenance

For people who suffer from bruxism, a night guard can be essential to oral comfort. Bruxism, or night time teeth grinding, puts strain on the temporomandibular joint and can erode or crack enamel. A custom-fitted oral appliance can keep the patient’s jaws parted, sparing them dental trauma and helping to keep their airways open if they have obstructive sleep apnea. But night guards need to be kept clean, and we at Dr. Joseph Dallessandro’s Midtown dental practice want to make sure patients are doing it right.

The specifics of how to clean an oral appliance will depend on its design and may be found on a manufacturer’s website. But the biggest variance is whether it should be kept wet or dry when not in use. After being removed in the morning, a night guard should be brushed with a soft-bristled toothbrush. Patients should not use toothpaste, as the fluoride could scratch plastic. Many manufacturers also sell cleaning solution which can improve a night guard’s smell and help kill lingering bacteria. But patients also need to remember to clean the container out daily, which can be done with antibacterial soap and water.

Patients should be careful to keep the night guard at room temperature and not subject it to hot water or prolonged sunlight. Like a denture, the oral appliance’s shape could become distorted in excessive heat. Patients should not attempt to fix a broken night guard on their own or wear one that is no longer fitting well.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

Bite Checks

One of the most important parts of a dental examination is a bite check. Particularly in children, bite checks are a way of monitoring whether a patient is likely to develop misalignments or enamel wear. We at Dr. Joseph Dallessandro’s Midtown dental office hope that if our patients understand why these examinations are important, they’ll be motivated to maintain regular appointments.

For a bite check, we’ll need patients to demonstrate how they close their teeth together. Often in children, new permanent teeth pushing into the gum line push others out of place. The molars, which are mainly used for chewing, come in last, which can cause the front teeth to get jumbled and rub together the wrong way. Adults who have never undergone orthodontic treatment may have this problem, too, and experience pain from temporomandibular joint disorder as a result. For this reason, the bite check also includes a tactile examination of the jaw joints.

It’s never too late for minor orthodontic therapy, and adults frequently get it for cosmetic reasons or to spare slightly overcrowded teeth from grinding. But because children’s jaws are softer, they can receive major corrections. They usually get their first orthodontic assessment when they’re about seven years old, when it is possible to use x-rays to predict the future location of their permanent teeth. We also use x-rays to determine whether adults’ teeth are being displaced by bony growths in the jaw, which are usually benign.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

What is TMD?

The temporomandibular joint is a hinge that connects your jaw bone (mandible) to the temporal bones in your skull, in front of each ear.  A general term for any problem or issue with this joint is temporomandibular disorder, or TMD.  Dr. Joseph S. Dallessandro can help his patients prevent and recover from negative effects of TMD.

Patients that grind or clench their teeth often end up with a sore jaw.  Other patients experience injuries with facial trauma that cause jaw pain, or result in the patient feeling their jaw gets stuck or ‘locks’ in either an open or closed position.  A custom night guard keeps the jaw in a neutral position during sleep, and this helps many patients find relief from TMD symptoms.  For any pain, your dentist may recommend an over-the-counter painkiller or warm and cold compresses.  To prevent further discomfort, you may be assigned stretches for your jaw. 

Whatever your symptoms, you don’t have to suffer with discomfort in your jaw.  To learn more about TMD and the services we provide at the practice, visit www.josephdallessandro.com for more information. To schedule an appointment with Dr. Joseph S Dallessandro in our New York, NY office, call 212-988-1089.