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Searching: healthy gum
Results: 49
Message Board
Views: 430 | Replies: 25
Hello Recently i delivered a night guard to a patient and he sent us email: No and I would stop using the term foreign body when referring to night guards in the mouth. Does he have an autoimmune reaction when he eats or chews gum? That's the point. I haven't read any autoimmune reaction
January 26, 2020
Appliance Therapy
Message Board
Views: 330 | Replies: 12
class 1 mobility. Bruxism/clenching won't cause bone loss of an otherwise healthy peridontium. It can impact people with mobility already. It also can cause abfraction lesions that can cause LOA as abfraction is usually at gum-level. My damn perio book is not accessible becuase it is stuck
November 24, 2023
Appliance Therapy
Message Board
Views: 213 | Replies: 3
is that the OTC boil and bite just turns into expensive chewing gum, assuming you mean a soft guard similar to old fashioned athletic mouth guards, stimulating an increase in bruxing activity in a lot of cases. If our goal is just to protect the teeth, I don't mind the patient trying an OTC model
August 13, 2025
Appliance Therapy
Message Board
Views: 216 | Replies: 5
of minutes. All the above work equally well. Often just jaw movement is effective, old school remedy is to chew some gum for a few minutes in the shower. I have many patients that still just do that and have had years with no issues. You may have some changes regardless of what you do
November 02, 2014
Appliance Therapy
Message Board
Views: 51 | Replies: 2
I have a patient who has had a few surgeries as a child to repair his cleft palate. He has had an oroantral fistula that he has decided not to have another surgery to repair. He is currently using chewing gum to close the hole while he sleeps with his C-Pap machine. I discussed making a hawley-type
May 11, 2022
Appliance Therapy
Message Board
Views: 541 | Replies: 22
/soft occlusal guard with an anterior guidance and tell them to put it in when they get pissed off. How about a mandibular Gelb type appliance? Two pads with a metal connecter. It won't effect her speech and people are likely not to notice it. And...what Dr Bender said. I told her last week to chew gum
November 20, 2023
Appliance Therapy
Message Board
Views: 146 | Replies: 8
What are the advantages or disadvantages of using a Thermoflex nightguard rather then a hard acrylic nightguard for night time bruxism? Thermoflex nightguards are expensive chewing gum. What are the reasons to use a hard acrylic one over thermoflex? You need a stable, strong surface, to create
November 23, 2023
Appliance Therapy
Message Board
Views: 178 | Replies: 4
of daytime grinding.Another possibility is a sleep disorder like sleep apnoea. Does she have any other symptoms? I once saw a....I think 4 year old who had ground her teeth down to almost gum line. The dentist I worked for put some composite bumps on the lingual of 8 and 9 to re-create some protective disclusion....not sure if that is a no-no, but it seemed like a decent enough idea. orthodontists do it too
October 13, 2020
Appliance Therapy
Message Board
Views: 98 | Replies: 4
coming out of it. I feel like the problem is the angulation of his lower front teeth. I can't extend it to the gum line and have it seat all the way but it's not retentive enough when I trim it back. Has anyone ever fabricated a Swing-lock Occlusal Guard similar to a Swing-lock RPD. If so
January 08, 2024
Appliance Therapy
Message Board
Views: 96 | Replies: 1
and sometimes causes more pain, according to patient. Tooth has almost no mobility and none more than any other tooth in area. Only unusual finding was on excursive movement, especially protrusion of lower jaw, #8 is last to disocclude. Patient also note the gum around the tooth is itchy
November 17, 2015
Appliance Therapy
Message Board
Views: 138 | Replies: 6
I have a patient who has no teeth in max arch, but does have some teeth in the mand arch. He says he finds himself clench his teeth at night so that his gums in the max arch get lacerated by his own lower teeth. Is there a method to make a nightguard for this patient? I just made a guard
December 03, 2020
Appliance Therapy
Message Board
Views: 244 | Replies: 4
irritate her, plastic irritates her gum, etc... Basically, she's very hard to work on and requires a lot of time and nurturing. She cannot afford treatment with a specialist for her TMD/trigeminal neuralgia issues but continues to come here for her routine dental check-ups.She constantly has new cavities
January 22, 2020
Appliance Therapy
Message Board
Views: 217 | Replies: 7
that stuff in DentalSchool and I only did a few so far So should the patient keep wearing it asit will getbetter ? Tellpatient hewill get used to it? Have the pt chew xylitol gum every morning to re settle the bite. Pt should wear it if the positives outweigh the negatives. Bite shift isn't
September 05, 2017
Appliance Therapy
Message Board
Views: 157 | Replies: 3
..... tough to see what's going on otherwise. Also, (just ballparking it)....is the patient's budget $500, $5,000 or $50,000 ?I would say the hand articulation is actually better than her collapsed bite. Since in the mouth, she is really biting into the gum. CC: She wants to have teeth where
November 08, 2016
Appliance Therapy
Message Board
Views: 1029 | Replies: 34
possible. All good. Well done. It should always be remembered that normal is not the same as healthy. It is normal to be on blood pressure medication, be overweight or snore but it does not the same as being healthy. It is normal to see new patients with long lists of meds but that is not the same
September 23, 2022
Appliance Therapy
Message Board
Views: 234 | Replies: 12
layer and flexible, custom-made inner layer that rests comfortably against the teeth and gums, these night guards are highly comfortable. I like the Astron material. Glidewell calls it ClearSplint. you heat it up in a cup of hot water then seat it in the mouth and it makes insertion and adjustment
December 21, 2022
Appliance Therapy
Message Board
Views: 56 | Replies: 1
Just not sure which category this should go in. The scenario: 50 y.o. female on long term Fosamax exhibits significant recession/bone loss on all bicuspids. No soft tissue pathology (inflammation, pockets, etc.). Tissue looks healthy. A very unusual bite. Only occlusion is with the bicuspids
August 31, 2019
Appliance Therapy
Message Board
Views: 124 | Replies: 4
sensitivity to cold may be from the gum shrinkage, or it could have nothing to do with the appliance or even caused by GERD. I would recommendto desensitize the teeth. This is by far the best treatment for sensitive teeth. Colgate or Crest desensitizing toothpaste as well.Did you choose to instruct
February 03, 2017
Appliance Therapy
Message Board
Views: 526 | Replies: 11
have ever worn. I grooved my long time NTI like a V via retrusion during the night. Mac Why would an ONG prevent LOA? In a healthy periodontium bruxism does not cause periodontal recession. In a reduced periodontium it may complicate things, but my understanding is recession is not from bruxism
February 22, 2019
Appliance Therapy
Message Board
Views: 162 | Replies: 7
the CPAP altogether. (Provided she has obstructive sleep apnea and not central sleep apnea). if she loves her CPAP Pro, then tell her to replace it at least twice a year. These are not permanent. Also keep an eye on her gum health.
September 02, 2017
Appliance Therapy
Message Board
Views: 57 | Replies: 2
it is the hardest part. When they burn through it, they can just get a new one madeNo bone loss, he's a healthy 27 yo male that takes really good care of himself and his teeth. He's just an extreme bruxer. Good idea on the soft guard, I'll give that a shot. Thought about checking all the occlusal contacts to ensure he's hitting the same. He could've possibly worn through a section and now he's only hitting one area that's problematic.
January 03, 2018
Appliance Therapy
Message Board
Views: 342 | Replies: 8
relaxed. Teach her what this should look like and feel like. And/Or she could set a timer to do a check at given intervals. When I first start patients, I have them do 1 hour interval checks for a week, then we re-evaluate. Have her avoid gum chewing and any other mouth habit she may or may
June 29, 2015
Appliance Therapy
Message Board
Views: 290 | Replies: 4
to the opposing teeth). ___ Avoid sleeping on your stomach. Sleeping on your stomach forces your head to be turned to the side, which may allow significant muscular strain. ___ Discontinue all gum chewing. NTI-tss Plus use should be discontinued and adjusted by your doctor: ___
March 04, 2015
Appliance Therapy
Message Board
Views: 363 | Replies: 11
and pitched poorly. Hard to figure this guy out, but I doubt the mouthguard is doing much. Change in manager seemed FAR more important to what was going on between his ears!Yeah, it's not the mouthguard, the hat, the shoes or what gum he chews. It's the arm... the arm. It's not the X's and O's it's
October 29, 2018
Appliance Therapy
Message Board
Views: 5673 | Replies: 153
people have problems with their teeth. Two are infection, decay and gum disease. Since they are infections, destroy teeth and bone, they could certainly be classified as pathological. The third way people can lose teeth is mechanical; the way the fit during usage. Wear, breakage, mobility, etc
October 21, 2019
Appliance Therapy
Message Board
Views: 309 | Replies: 7
. . . her back teeth don't touch anymore and her front teeth are getting worn. Female 71 years old healthy, 2 years ago in another state was frequently chipping a filling on a front lower tooth. Dentist (she reports he was an 'older' doc that probably isn't around anymore) made her a GELB. She
May 06, 2019
Appliance Therapy
Message Board
Views: 157 | Replies: 6
be include some of the tissue and maybe a few more teeth at least in their gingival half? But generally speaking, most cases, how much of the tissue do you include? You stop at the gum line? You include maybe 3 mm of tissue? You go well beyond 3 mm? Or usually you just leave whatever you end up
November 08, 2016
Appliance Therapy
Message Board
Views: 1403 | Replies: 23
of his free lectures and took his splint therapy course. The main takeaway for me was to fabricate the splint in CR. The whole koolaid about how most patients would need to be in CO=CR to prevent gum recessions and TMJ wear sounds like quackery. He also only refers to a handful or orthodontist who agree
August 17, 2023
Appliance Therapy
Message Board
Views: 1931 | Replies: 91
).Alberta became a hot spot for LVI simply because the lab was based here and oil money probably had patients who could afford the porcelain.Instant Ortho moved into full mouth crowns on healthy teeth to achieve the bite their TENS toys dictated. Big teeth. Teeth dying. Snapping off. But they were white
May 06, 2023
Appliance Therapy
Message Board
Views: 562 | Replies: 9
What type of occlusal guard works best for significant open bite case? Pt is in his 40s, no pain, but is aware of wear on his 2nd molars and knows he grinds. Has been going through OTC mouthguards like bubble gum. Came to the practice specifically requesting an occlusal guard. He has had surgery
October 31, 2015
Appliance Therapy
Message Board
Views: 156 | Replies: 2
. This patient has me a little concerned, though. 91 yr old female, still living independently and remarkably healthy and sharp. You could easily guess she was in her 60's or 70's. She has been a bruxer her whole life, said she wore a night guard for a while about 20 years ago, but chewed through
February 06, 2015
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
in space that has nothing to do with occlusion. In that healthy patient without parafunction there are always two occlusal bite, one is the healthy swallow on back teeth and the other which is utilized under muscle contraction is on our anterior teeth when we incise our food. Are you saying we
March 01, 2018
Appliance Therapy
Message Board
Views: 316 | Replies: 17
of applying it. To cut a long story short - I finally settled on 10% capsaicin oil extract (ouch!) -applied wth a simple plastic mouthguard - with pads of tissue to restrict the capsaicin application to the parts of my gum and cheek that appeared to be the trigger zones. After 4 days of application
September 05, 2017
Appliance Therapy
Message Board
Views: 172 | Replies: 9
discomfort or tightness from the appliance. Also mentioned it is making her bridges feel funny. She has two 3-unit bridges replacing her lower first molars, which are healthy. Would I just do a reline to fix how loose it is? Of course I could just bring her in to see if I can adjust the lower
October 06, 2018
Appliance Therapy
Message Board
Views: 240 | Replies: 13
+/-? Or apical to the CEJ in cases of gingival recession +/-? I see the TP material in the final appliances extend beyond this area of the shell onto the gums; but that is better than the shell since warm TP is softer and won't interfere when seating the appliance? El- since you are never busy and don't ever
April 14, 2019
Appliance Therapy
Message Board
Views: 545 | Replies: 21
altering the existing appliance and continue therapy as planned while reducing the reported strain or sprain on the left joint. Therefore, with all due respect, I'm not following your comment. Droste DW, Berger W, Schuler E, Krauss JK. Middle cerebral artery blood flow velocity in healthy persons
January 06, 2024
Appliance Therapy
Message Board
Views: 3265 | Replies: 79
/ function / excursive is achieved in a construction/ deprogrammed bite and models mounted in a proper articulator. aaaaannddd... soft nighguards are expensive chewing gum. I make them but I can see the frustration. I scan with iTero now. Still get the its too tight complaint now and then. I
August 26, 2022
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
if the resting EMG levels are 2, 3 or 5 times greater on the same muscle on one side vs the other do you consider this normal and healthy? If you do a clench test and the muscles on one side do not register function and thee other side is sky high do you consider that normal or should
March 29, 2019
Appliance Therapy
Message Board
Views: 1141 | Replies: 29
and I spent a lot of time last Friday night (all night essentially) examining veneers and occlusion in Miami, I feel I know you well enough to share today's experience. A patient came to me, for a dental exam and a signature saying she is dentally healthy enough for a kidney transplant. She
February 08, 2015
Appliance Therapy
Message Board
Views: 757 | Replies: 15
told him to stop wearing it. What is the course of action at this point? It sounds like you are referring to some sort of mandibular advancement appliance for sleep apnea. Occlusal changes are not uncommon if patients do not use a repositioning jig, or sometimes massage the jaw or chew gum
May 14, 2020
Appliance Therapy
Message Board
Views: 1576 | Replies: 29
to the teeth during participation in sports, Or are we talking about treating TMJ related problems for bruxing? Or, are we talking about healthy happy TMJs, with pathological levels of enamel attrition due to bruxing? For athletic participation I make an upper suck down soft rubber one, $150
October 06, 2016
Appliance Therapy
Message Board
Views: 883 | Replies: 38
there is a Phase II treatment needed which can be a simple as weaning off the device to orthodontic and restorative to support the healthy joint position. I wonder if this device would change the need for Phase II treatment as the teeth would be allowed to adjust to the new position. I will look
July 18, 2015
Appliance Therapy
Message Board
Views: 2883 | Replies: 37
?THis topic os up frequently.. Soft nightguards are expensive chewing gum. If you use a vacuum formed nightguard, make it the 2 layer, inside soft, outside hard one. The soft inner layer gives you the comfort fit, and the hard layer gives you the function. A nightguard needs to be articulated
September 19, 2017
Appliance Therapy
Message Board
Views: 376 | Replies: 22
you would use and why. Heavy bruxism could be considered a symptom. Insomnia could be considered a symptom. Is there a reason we would not want to have joint information under these circumstances? Do we only take BW x-rays when we know there is decay? I am looking to see if we have healthy
June 20, 2017
Appliance Therapy
Message Board
Views: 1232 | Replies: 40
, but the TMD office doesn't send any reports. Quite honestly I have forgotten about those patients till now. That sparked my curiosity. I have a very healthy, vibrant PPO driven general dentist office. I like doing general dentistry but I'm interested in the possibility of learning TMD and getting deeply
July 27, 2023
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
of the joint was healthy they could have had non-surgical correction of bite change that resulted from joint healing. I feel like everything I have done to try to fix my problems, has only made them much worse. I acquired an anterior open bite after wearing a NTI night guard, about 20
June 25, 2019
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
. OINLY NORMAL IS UNSTRESSED PDL MINIMAL ACTIVITY DURING SWALLOW WITH ALL 29 (MINIMUM) NEURAL RECEPTORS IN PDL FUNCTIONING W/N/L IN NORMAL. Answer Ask questions no one has the answer to, but NMd has closest answer ,.....swallow is reset where the mandible should return to healthy rest positin after
February 25, 2018
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
: The patient who consistently bites in the same place isn't more healthy than the one who doesn't.... the first patient is just well trained to do that in the chair when you turn an involuntary action into a voluntary one.) This is difficult to talk about here... For those with restorative mind sets
November 20, 2017
Appliance Therapy
Message Board
Views: 9842 | Replies: 597
with multiple RCTs and extractions in otherwise healthy mouths. Do you teach undergraduates Spray and Stretch techniques, it might help their understanding of pain mechanisms. Do you talk about who has chronic pain among the students? Have extracuricular time with students (who are interested
April 14, 2019
Appliance Therapy
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