Category Archives: Problems in Treatment

The Chewing Mechanism and Orthodontic Health

orthodontic health

Let’s narrow our focus now, leaving ideas pertaining to overall health, and visiting what we call the chewing mechanism or orthodontic health.  Of course, what we use to chew, the jaw joints, teeth, and chewing  muscles and nerves, are  used for a variety of other functions, chewing is the most active use of these parts of our body.  We also use the chewing mechanism when we speak, breath and make facial expressions. Let’s look at the characteristics of a healthy chewing mechanism. In the chewing action you need the jaw joint to be smooth, flexible, and comfortable. The second area involved is the bite, which should be solid, stable, and easy to use. The last area is the muscles and nerves need to be relaxed, comfortable and balanced. If all works well, then you won’t need Dr. Kellings’ help, but when they are not working right you are in pain then Dr. Kelling is the person you need. He can diagnose where the problem lies then provide you with a treatment plan.

Jaw Joint
Open your jaw all the way then shut it. You will see that the movement is done by TMJ which is the temporo-mandibular joint. The bone that forms the side of the skull is the temporal bone and the mandible (the lower jaw). It is a small disc of cartilage that separates the bone so that the mandible may slide easily whenever you talk, swallow, kiss, etc. Damage to this complex triangular structure, just in front of the ear, can cause a lot of discomfort. To locate this joint put your finger on the triangular structure in front of the ear. Move your finger just slightly forward then press firmly while you open your jaw all the way then close it. You can feel the joint motion in your ear canal.

What causes pain in this joint? It is because of displacement of the cartilage disc that caused pressure with stretching of the associate sensory nerves. The popping or clicking occurs when the disk snaps into place as the jaw moves. The chewing mechanism may spasm, not function efficiently, then cause pain and tenderness. Causes of these problems are trauma to the jaw, teeth grinding, excess gum chewing, stress and psychological factors, of course, improper bite with a malpositioned jaw, then last but not least arthritis.

In cases of injury, ice packs soon after the injury help to reduce swelling. Stress reduction, relaxation techniques, NSAID, muscle relaxants are used for relief. Treatment can involve a splint to align the upper and lower teeth, and last but not least surgery. After surgery the MD may send you to an orthodontist for further treatment, and management of the joint and pain.

The Bite
The bite should be solid, stable, and easy to do. Teeth, muscles, jaw joint and more, are all parts of the chewing system. All of these parts must work together for proper functioning to maintain orthodontic health . When one or more of the parts does not work right or malfunctions, problems develop.

Chewing Mechanism

A very common problem we see is a disharmony of the chewing system. In a healthy chewing system we find harmony and no pain. The muscles are relaxed. The joint is stable and the teeth work in a protected environment. When teeth bite together in the “normal” bite, all of the teeth work in a protected space, the teeth should contact all exactly at the same time along the axis of the tooth. Our goal at Raleigh Orthodontics is to promote orthodontic health as well as physical health, well-being, to prevent disease in all of our patients.

Muscles and Nerves
Some of the symptoms (problems people have happen) related to a Bad Bite are:

Tooth Problems:
• Tooth with a little pain
• Pain that is severe with a tooth, then death of the nerve that
will lead to a root canal
• Loss of a tooth
• A tooth that hurts with cold and air movement.
• (abfraction) or “melting” of a tooth surface.
• Tooth enamel that is worn down by contact with something.
• Chipped, tipping, with misalignment of teeth

Muscle Problems:
• Regular headache
• (headache pain) Migraine type
• Muscle spasm
• (Radiating pain to other muscles, teeth, eyes, ears, neck) are called trigger points. In severe cases, the
whole upper body will become involved.
• (jaw feels tired) Sore, easily fatigued muscles
Use caution—severe pain cases should be evaluated by a qualified team of Doctors, Specialist in Dental problems with the symptoms you are exhibiting.

Bone Problems:
• Recession of gum tissue around the teeth
• Loss of supporting bone around the teeth
• Horizontal bone loss around front and back teeth

Joint Problems:
• Jaw joint pain in front of the ears one or both sides (sometimes deep into the ear. (The pain feels like that of an earache.)
• Popping, clicking, grinding, and locking of the jaw joint.
• Joint surfaces melt down.
• Protective disc deterioration.

Nerve Problems:
• Precision dental sensory perception is lost.
• Throughout teeth, head, neck, and upper shoulders have radiating pain. ((WARNING: radiating pain to left jaw and left arm may be a sign
a heart related issue.)

Functional and Cosmetic Problems:
• (Teeth disappear behind lips) collapsed bite.
• (Deepening of wrinkles) collapsed lower face.
• (Sore, wet spots on corners of the mouth) drooping smile.
• (Lips become thin and lack fullness) loss of lip support.
• Cannot chew effectively.
• Swallowing problems

Orthodontic Treatment

What is done if you have any of these problems? Because a bad bite problem is quite complex, a diagnosis is necessary before or treatment is started. Diagnosis of the dental problem will uncover the cause of the problem so proper treatment can be planned out. It is necessary to understand the cause of the problems to be able to create a proper treatment plan. You are doing this to sort out the medical problems for referral to a physician, with dental problems being handled by a dentist in the specialty that is needed. So before good dental treatment can begin a proper diagnosis must be made.

The final process is described above and it requires a significant commitment on your part to get the best results. Investing both your time and money allow you the best orthodontic treatment possible. There are many options to decrease the amount of time and cost of treatment, but may not provide you with the best results. Our goal is to work with you to find out what is your best option, so that you can reach the desired outcome. We want you to have that “Great Smile”.

Orthodontic Health

For information about Dr. Bert and his practice please contact him by email at this website: Raleigh Orthodontics

If you want more information here is an external link for your use:  http://www.americanboardortho.orthodontic health

www.mylifemysmile.org

Health, Lifestyle and Orthodontics

Orthodontics

Everyone wants and values great health, and proper orthodontic treatment will certainly help provide this. The success of great orthodontic treatment is promoted both by healthy lifestyles and by the absence of diseases and disorders, including the mouth, jaws, jaw joints and chewing muscles. Diseases and disorders encompass anything that’s wrong with our bodies, including the physical, psychological and spiritual. These undermine the optimum state of well-being.

Stressors to health can come from internal sources such as genetic influences and psychological stress from a poor self-image related to crooked front teeth. There are external stessors such as improper diet or lack of sufficient health habits such as good regular physical exercise and getting sufficient rest. Paying attention to these will help achieve great orthodontic health.

Orthodontic Health

Optimal health promotes a successful orthodontic result. Proper nutrition helps the teeth and jaws develop properly and can keep them healthy. Controlling emotional stress will reduce wear and tear on the jaw joints, chewing muscles and teeth by reducing grinding and clenching habits. Having successful and complete orthodontic treatment supports keeping the teeth, jaw joints and chewing muscles happy. This helps you keep your teeth and your smile bright and beautiful your whole life.

Focus on Lifestyle

Lifestyles become the focus for optimum health and success in orthodontics. Include great orthodontic treatment in your lifestyle for optimum health. For reduced stress consider these options: First, get
regular strenuous physical exercise. This is great for body tone and cardiac health and even can help get good rest at night.

It works the mental stress out through your muscles. Second, find time regularly for quiet reflection, perhaps opening your heart to some Bible verses, for example. Finally, pay attention to how you feel about yourself. If this could be better, be sure you’re not holding back your smile because you’re concerned about how your teeth look. We can help you get a beautiful, aligned smile to enjoy your whole lifetime.

Such a positive change will help empower you to bring great habits into your life. Also include a lifestyle of smart nutrition for health and great orthodontics. For healthy teeth, whether you’re wearing braces or not, it’s best to avoid sugary drinks and soda. These promote harmful bacterial growth and reduced calcium in the tooth surface, leading to decay and white spots on the teeth.

A diet sufficient in protein, minimizing sugars and other carbohydrates (particularly at snack time), along with regular thorough brushing with a fluoride toothpaste is a great way to bring oral health to your lifestyle. Add great orthodontic health to this and you’ve got a winning combination.

For further information check out this website below:
http://www.mylifemysmile.org

If you want more information here is a link for your use:  http://www.americanboardortho. Orthodontic health

Health Habits & Your Orthodontic Health

Health Habits

Great health habits help us enjoy a longer, happy live.  To promote this, we can consider the habits we have that support our health.  We can evaluate our health habits and see how well we’re promoting a long, health life for ourselves.  This gives us our health age. To arrive at our health age we first look at our health habits.  Which below apply to you?

Health Habits Checklist

1. Air __I do not smoke.
2. Water __I seldom or never have more than 4 alcoholic drinks per sitting.
3. Food __ I eat substantial breakfast every day or almost every day.
4. Exercise __ I take long walks or engage in sports, swimming, gardening or other physical activity at least 3 times per week.
5. Rest __ I regularly have 7 or 8 hours of sleep.
6. Regularity __ I seldom or never eat between meals.
7. Weight __ I weigh less than 20% above my desired weight.
To determine your health age, first look at the Health Habits Checklist printed above and count your total number of health habits. Use the Overweight Table printed below to determine if you are less than 20% overweight.

Overweight Table
Height (inches) Overweight Limit Men/Women
60                     130
61                      133
62                     136
63                     139
64                     154 /144
65                     160 /149
66                     164 /155
67                     169 /160
68                     174 /165
69                     180 /169
70                     185 /174
71                      190
72                      195
73                      200
74                      205
75                      212

From this point you need to look at the Health Age Chart. Find your age at the left and read across to the right until you are in the column under your number of habits. If this is a negative number congratulations!  Your good health habits are helping your health! Subtract this number from your actual age to get your health age. You’re younger than you thought!  If you find a positive number you have to add it to your age to determine your health age.  If you’re here you need to start some health habits!

Age    0-2Habit    3Habits    4Habits    5Habits    6Habits    7Habits
20-24    +14.3         +7.4          +0.5           -1.1           -4.2            -9.4
25-29    +15.6         +8.3          +1.8           -0.9          -4.5           -10.2
30-34    +16.9         +9.1          +3.0           -0.6          -4.7            -11.1
35-39    +18.2         +9.9          +4.2           -0.4          -5.0           -12.0
40-44    +19.4        +10.7         +5.4           -0.1           -5.2           -12.9

45-49    +20.7        +11.6         +6.7           +0.1          -5.5            -13.8
50-54    +22.0        +12.4        +7.9           +0.3          -5.7            -14.7
55-59    +23.3         +13.2        +9.1           +0.6          -6.0           -15.5
60-64   +24.5         +14.0       +10.4          +0.9         -6.2            -16.4
65-69    +25.8        +14.8       +11.6           +1.1          -6.5            -17.3
70-74    +27.1         +15.6       +12.8          +1.3          -6.8            -18.2

For example, if you are in the 35-39 age group and have only 0-2 health habits, your health habits age is actually 55.2 years. On the other hand, if you have 7 habits, your health age is 25. That is a 30 year difference for a 37 year old.*

*For information on health age research, ask us or contact Dr. Jack Zwemer at the School of Dentistry, Medical College of Georgia     Augusta, Georgia 30901.

What health habits can you start in order to have a longer, healthier, happier life?

If you’re more than 20% over your optimum weight dealing with this can be a big help.  You may need to work on weight control by increasing exercise or physical activity in addition to developing good eating habits. Healthy snacking, regular good physical exercise and controlling a healthy weight can really help your health age, for example.

Orthodontic Health Habits

Your health habits directly reflect on your  dental and orthodontic health. Fewer snack and ewer carbohydrates reduce plaque growth in the mouth. Smoking endangers oral health by promoting serious mouth cancers and undermines  health age as well.

Changes in your health habits now will impact you for the rest of your life. We want you to have that “Great Smile” you are working toward. Our team here at Raleigh Orthodontics will support you toward reaching your ultimate goal.

Exercise can be fun with a workout buddy so a gym might be your answer. They have a number of work-out machines that will give you a choice on exercise routines.  If joining a gym is not in your budget, there are other ways to increase your physical activity to help control your weight.

Consider side walks or walking tracks. Even in small towns, you can find a walking path or a place to walk. If walking or exercising is not your cup of tea, try playing sports. They have adult ball teams, tennis, and usually a small walking track or a list of areas that can be used by females that are secure.

Getting sufficient sleep and rest is a great health habits. Restorative sleep helps us do our best work, enjoy it more, and enjoy the people around us in a positive mood.  Excellent rest helps us manage lifestyle stresses.  Having many health habits and reduced stress will lead us to bright smiles as we enjoy our orthodontic health.

In our next blog we’ll deal with lifestyle stresses and how they build-up.

For information about Dr. Bert and his practice please contact him by email at this website: Raleigh Orthodontics

If you want more information here is an external link for your use:
Orthodontic Health.

WWW.uic.edu/dept/ortho/index.html

Wellness and Wellness of the
Chewing Mechanism

Wellness

Wellness versus Disease

The illustration below shows three types of path in our lives: Wellness, compromised wellness/mild disease, and disease.  Most people travel  down the middle road of life between some level of Wellness and trying to keep away from Disease.  Without a healthy lifestyle we can get into compromised health or even disease. Life has its stressors that can be hard to control. We can learn to identify and manage stressors to avoid being bumped toward disease.

WELLNESS     Your Lifestyle is Good

=====================================================================================

COMPROMISED WELLNESS/MILD DISEASE     Most People Vary in This Range

====================================================================================

DISEASE     Your Lifestyle Needs Improving

What path are you on?

WellnessThe causes of disease can include increased stressors in our lives. They begin to manifest themselves first in the form of generally “not feeling well” and can worsen from there. Our level of wellness decreases and disease becomes opportunistic and steps in. Pain in the jaw joints and/or chewing muscles can be manifestations of complications in lifestyle resulting from increased stressors in our lives.  Here’s an example related to the chewing mechanism, which is composed of the jaw joints, the chewing muscles, and the bite.

Lifestyle Challenges

Being a woman, mother, wife, and possibly working woman, you already have a heavy load on you. As you start your day without breakfast, such as only coffee, your nutrition is lacking and can contribute to lifestyle stressors and limit your ability to maintain optimum biological and psychological health. Heading to work after dropping off your children at school, you experience a flat tire in the fast lane. The stressors increase again. Now we have no breakfast, a flat tire, and stress related clenching in the jaws may touch-off a mean headache. When sleeping that evening increased stress may contribute to further  jaw clenching or tooth grinding- compounding muscle and facial discomfort. You may now need help with this problem.

Dr. Bert Kelling at Raleigh Orthodontics can use his orthodontic expertise to help you get relief. If a bite problem is contributing to the discomfort in the jaw joints or chewing muscles orthodontic care can be a great benefit. Dr. Bert evaluates this situation and offers the proper set of solutions for wellness and a healthy lifestyle, as well as the beautiful smile that comes from straight teeth. He encourages his patients to pursue a healthy lifestyle that promotes comfortable chewing muscles, smooth functioning jaw joints, and a solid, great looking bite.

Road to Wellness

Optimum orthodontic health brings into focus not only the teeth and bite but also the condition of the jaw joints and chewing muscles as well as lifestyle for optimum wellness.

• Seek optimum health for the bite and a beautiful smile!

• Thorough Orthodontic Evaluation by Dr. Bert Kelling of Raleigh Orthodontics

• Identify any stressors–work to manage lifestyle and a higher level of wellness.

• Treat the orthodontic concerns while promoting healthy lifestyle changes.

• Expected results should be decreased lifestyle stressors, better coping mechanisms and the ultimate success of a

Beautiful Smile!!

So, are you headed toward more wellness because you’re great at managing your lifestyle, or slipping down toward dis-ease from increasing stressors in your life? Now is the time to realize that lifestyle and your wellness level will directly impact how well you enjoy your beautiful new smile, designed to last a lifetime.

Reflecting on our lives and making positive changes in the way we handle stress will definitely increase our wellness physically, emotionally and psychologically. We will be on our way to a better lifestyle and better results from the dental and orthodontic treatment we are getting.

In a future blog we’ll talk more about various health habits and lifestyle stressors and how to evaluate their relative importance. This will help you be more aware of getting into a danger zone with how you lead your life.

Beautiful, Healthy Smiles—as a result of proper orthodontic care and improved ability to deal with stressors will lead you toward more optimum wellness. Dr. Bert Kelling and the team a Raleigh Orthodontics care about you and your overall health. We’re here to help you get a beautiful smile that lasts a lifetime and to have a level of wellness that makes that smile super bright!

For information about Dr. Bert and his practice please contact him by email at this website: Raleigh Orthodontics

If you want more information here is an external link for your use:  http://www.americanboardortho.com/public/

www.mylifemysmile.org