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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. Clay Gangwisch, Dr. Mike Grandy, Dr. Daniel Melzer, and Dr. John Miller 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. Clay Gangwisch, Dr. Mike Grandy, Dr. Daniel Melzer, and Dr. John Miller at our Lynn Haven or Panama City Beach 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.

Children’s oral health differs from that of adults in a variety of ways. Dr. Clay Gangwisch, Dr. Mike Grandy, Dr. Daniel Melzer, and Dr. John Miller and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our Lynn Haven or Panama City Beach office between the ages of one and two. Dr. Clay Gangwisch, Dr. Mike Grandy, Dr. Daniel Melzer, and Dr. John Miller will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

• Look for signs of decay or other tooth or gum problems
• Make sure your youngster doesn’t have gum disease or cavities
• Examine your child’s bite, and check for misalignment that could lead to problems in the future
• Clean the teeth, and apply fluoride if your son or daughter is old enough
• Talk to you about proper oral health care for your
• Give you some tips for brushing and flossing your child’s teeth
• Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our Lynn Haven or Panama City Beach location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at Bay Smile Docs, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Dr. Clay Gangwisch, Dr. Mike Grandy, Dr. Daniel Melzer, and Dr. John Miller to discuss your options, so you can make the appropriate treatment choice.

Now that you are working hard to improve your dental health and appearance with your braces, it might seem like a logical time to whiten your teeth as well. But should you go ahead with home kits or a professional whitening? The answer might be yes, but not quite yet!

Toothpaste

The easiest way to whiten teeth is regular use of a whitening toothpaste. But these do not make a major difference in tooth color and may also contain abrasives which can damage ceramic brackets and make them more likely to stain. And, whether you have metal or ceramic braces, the brackets used are bonded to your teeth. Any part of your tooth covered by a bracket will not be affected by the whitening paste. Ask our office if you are thinking of using one of these products. We will be happy to recommend the best toothpastes to use while your braces are in place.

Whitening Strips and Trays

Whiteners can be applied at home with strips or tray kits. Strips are coated with a whitening gel and then pressed around your teeth. Tray kits provide a mouthguard-like appliance, which is filled with whitening gel. But neither strips nor tray solutions will whiten any area covered by brackets. When your braces come off, there might be noticeable differences in color on each tooth. Strips are difficult to apply with braces, and trays need to be custom-designed to fit your braces and make sure they don’t disturb your orthodontic work. One size most definitely does not fit all! Finally, these whitening agents can cause tooth and gum sensitivity, especially around the time of adjustments. Many manufacturers do not recommend using their products while you have braces. Please talk to us if you are thinking of using them.

Professional Whitening

A dental professional can whiten your teeth in office for the best possible results. The most effective treatments for your unique teeth are combined with protective care of your gums and mouth. Whether this treatment is appropriate while you have braces is something we are happy to discuss.

The best way to keep your teeth bright is to keep up your regular dental routine! Brushing and flossing are more important than ever now, because plaque builds up around brackets. Avoid foods that stain teeth and rinse or brush after every meal and snack. Dr. Clay Gangwisch, Dr. Mike Grandy, Dr. Daniel Melzer, and Dr. John Miller will show you the best way to take care of your teeth while your braces are on—and that includes the best way to keep them white and bright. Talk to us about the perfect time to whiten your beautiful smile during your next visit to our Lynn Haven or Panama City Beach office. And if you have to wait a few extra days for the smile you’ve been working toward, truly, the wait will be worth it!