What Are Dental Implants?

Despite improvements in Dental Care, millions of Americans suffer tooth loss -- mostly due to tooth decay, gingivitis (gum disease), or injury. For many years, the only treatment options available for people with missing teeth were bridges and dentures. But, today, dental implants are available.

Dental Implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.

Surgery for TMD

If other treatments can’t help you, surgery is an option. Once it’s done, it can’t be undone, so get a second or even third opinion from other Dentists.

• There are three types of surgery for TMD. The type you need depends on the problem.
• Arthrocentesis is used if you have no major history of TMJ but your jaws are locked. It’s a minor procedure that your Dentist can do in his office. He’ll give you general anesthesia, then insert needles into the joint and wash it out. He may use a special tool to get rid of damaged tissue or dislodge a disc stuck in the joint, or to unstick the joint itself.
• Arthroscopy is surgery done with an arthroscope. This special tool has a lens and a light on it. It lets your doctor see inside your joint. You’ll get general anesthesia, then the doctor will make a small cut in front of your ear and insert the tool. It’ll be hooked up to a video screen, so he can examine your joint and the area around it. He may remove inflamed tissue or realign the disc or joint. This type of surgery, known as minimally invasive, leaves a smaller scar, has fewer complications, and requires a shorter recovery time than a major operation.
• Open-joint surgery. Depending on the cause of the TMD, arthroscopy may not be possible. You may need this type of surgery if:
• The bony structures in your jaw joint are wearing down
• You have tumors in or around the joint
• Your joint is scarred or full of bone chips

You’ll get general anesthesia, then the doctor will open up the entire area around the joint so he can get a full view and better access. You’ll need longer to heal after open-joint surgery, and there is a greater chance of scarring and nerve injury.

TMD: Other Treatments

If the treatments listed above don’t help, your Dentist may suggest one or more of the following:

• Transcutaneous electrical nerve stimulation (TENS). This therapy uses low-level electrical currents to provide pain relief by relaxing your jaw joint and facial muscles. It can be done at the Dentist's Office or at home.
• Ultrasound. Deep heat applied to the joint can relieve soreness or improve mobility.
• Trigger-point injections. Pain medication or anesthesia is injected into tender facial muscles called "trigger points" to give relief.
• Radio wave therapy. Radio waves stimulate the joint, which increases blood flow and eases pain.
• Low-level laser therapy. This lowers pain and inflammation and helps you move your neck more freely and open your mouth wider.

Traditional Treatments

Talk to your Dentist about these tried-and-true treatments for TMD:

• Medications. Your dentist can prescribe higher doses of NSAIDs if you need them for pain and swelling. He might suggest a muscle relaxer to relax your jaw if you grind or clench your teeth. Or an anti-anxiety medication to relieve stress, which may bring on TMD. In low doses they can also help reduce or control pain. Muscle relaxants, anti-anxiety drugs, and antidepressants are available by prescription only.
• A splint or night guard. These plastic mouthpieces fit over your upper and lower teeth so they don’t touch. They lessen the effects of clenching or grinding and correct your bite by putting your teeth in a more correct position. What’s the difference between them? You wear night guards while you sleep. You use a splint all the time. Your Dentist will tell you which type you need.
• Dental work. Your Dentist can replace missing teeth and usecrowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem.