Page 29 - Inspire Health March/April 2017
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Chew on this:
                                             Physical therapy may relieve jaw, face pain By Rachel Snyder

P eople typically do not give much              n Difficulty opening or closing             factors and nearby joints. They consider
         thought to the temporomandibular    	 your mouth                                   the patient’s movement, flexibility, strength,
         joint, even though it is the most-                                                 posture, endurance, pain and range of
 used joint in the human body. These            n Joint clicking/popping                    motion in the TMJ and surrounding muscles.
 flexible joints connect the lower jaw          n Trouble maintaining proper posture
 (mandible) to the bone on the side of the                                                     Good Shepherd’s physical therapists
 head (temporal bone) and move our jaw,         TMD is frequently due to simple wear        create treatment plans based on the
 helping us to talk, chew and yawn.          and tear, grinding or clenching of teeth or    patient’s symptoms. Hands-on manual
                                             even poor posture. Over time, the disk that    therapy decreases muscle and joint pains as
    For about 10 million Americans,          helps the joint move erodes. Arthritis also    well as spasms. Therapeutic exercises lessen
 those simple activities become difficult    causes TMD, as the disease damages the         muscle imbalances and help the patient
 because of a painful condition called       cartilage within the joint. An injury or blow  improve breathing, flexibility and posture
 Temporomandibular Disorder (TMD).           to the jaw also can contribute to TMD,         difficulties that contribute to TMD. Lastly,
 Individuals with TMD frequently experience  even years after the injury.                   physical therapists educate patients on
 symptoms like:                                                                             modifying their environment and activities
                                                Because TMD has many causes and             to reduce symptoms.
    n Jaw/joint tenderness                   symptoms, getting a correct diagnosis is
    n Pain in and surrounding the ear        sometimes difficult. People mistakenly                                   Rachel Snyder, PT, DPT,
    n Difficulty/pain when chewing           assume they have migraines, dental and/                                  OCS, FAAOMPT, is
    n Facial pain                            or ear problems and seek relief from                                     a physical therapist
                                             specialists. Some live with the pain or rely                             at Good Shepherd
                                             on medication.                                                           Rehabilitation Network.
                                                                                                                      Photos courtesy of Good Shepherd
                                                Those who suffer with TMD symptoms
                                             should consider seeing a physical therapist.
                                             Good Shepherd Rehabilitation Network’s
                                             therapists examine all possible contributing

Dental implants can                boost     can be stained by things like coffee or        fixed or removable in their mouth. “A
your quality of life                         wine and the treatment generally doesn’t       single tooth implant is maintained just
                                                                                            like your real teeth — it can be flossed,
                                             last as long. Veneers are a better choice      brushed, cleaned with a Waterpik, etc.”

A healthy smile is the key to                for multiple teeth, while bonding is usually      Finally, consider the cost: “Insurance
                                                                                            doesn’t always cover implants,” he says.
a healthy life: Your teeth help you to       limited to fixing smaller imperfections.
                                                                                               The procedure itself is relatively
maintain a proper diet, aid in digestion     If your teeth are unhealthy, implants          straightforward and can take
                                                                                            anywhere from 30 minutes to a few
and, when you flash those pearly whites, are the best way to go.                            hours, depending on the number of
                                                                                            implants necessary. Once the implant
can even be a sign of confidence.            “Dental implants are a titanium thread         heals — usually in eight to 12 weeks
                                                                                            — two, 45-minute-long appointments
Yet accidents, age and even genetics or screw that is placed into your jaw                  are required to make a single tooth
                                                                                            for an implant.
can result in a host of problems like        bone,” says Dr. Peter Andolino of Broad
                                                                                               “We can build a single tooth on one
discolored or missing teeth, mouth           Street Dental Associates in Bethlehem.         implant, or if a patient needs to replace
                                                                                            all of their teeth on an arch (top or
pain and poor oral health. Thankfully,       “The implant is the platform that we use       bottom ), we can make a fixed case
                                                                                            or we can make a removable denture
advances in dentistry have resulted in a to replace missing teeth permanently.”             that snaps on and off the implants,”
                                                                                            Andolino says. “Every patient should
number of ways to repair and rejuvenate      If you’re thinking about an implant,           consider dental implants unless they are
                                                                                            told otherwise by a dental professional
your function and smile — including          there are a number of things to consider,      or physician.”

bonding, veneers and dental implants.        Andolino says. The first is the positive

If your teeth are healthy but you’re not effect it will have on your quality of life:

pleased with their appearance, a process     A number of studies — including one

such as bonding or a veneer may be an        published in the Journal of International

option. Experts say there are pros and cons Dentistry — show that implant patients

to either option: Veneers are said to look   see significant improvements in regards

better, resist staining and last much longer, to the work, health and emotional

but can be expensive. Bonding, on the other aspects of their lives.

hand, is a quicker rejuvenation process that’s Andolino says patients also need to

much more affordable, but bonded teeth consider whether they want something

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