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Searching: healthy gum
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Message Board
Views: 237 | Replies: 15
likely cause not knowing any more of thehx. Very astute analysis. And look at his gums. They are healthy, in great shape. He has good home care. Take acid erosion, bruxism and throw in someone maybe using an abrasive toothpaste or possibly sipping on coffee or tea or other acid beverage all day on top
August 26, 2016
TMD and Occlusion
Message Board
Views: 421 | Replies: 11
sounds, or chronic headaches, I think this book might help. It's also a great tool for your team and referring doctors. Thanks for all you do to help your patients. I'd love to hear your thoughts if you check it out. Mac Surely every dentist sees TMD every day! It's not an infection like decay or gum
February 13, 2026
TMD and Occlusion
Message Board
Views: 292 | Replies: 23
sounds that could go wrong Worn teeth Cracked teeth Sleep issues Destroyed mouths due to wear and breakage These issues are much more prevalent than decay and gum disease and much more proftable. Mac No interest b/c no one ever agrees on anything. I have a question. What do the guys do when
February 20, 2026
TMD and Occlusion
Message Board
Views: 231 | Replies: 6
opening what do you do for someone so young, do you do a night guard, refer to os? Thanks Refer for an MRI of the joints. Or make him an OG using the McHorris method. How much gum chewing does he do? If the jaw deviates to the left with opening, it's probably not a right capsular issue ,that would
December 27, 2025
TMD and Occlusion
Message Board
Views: 50 | Replies: 0
I saw a young man today who is 29 years old and has some recession most likely from his orthodontic work, healthy gingiva and perio stable. In his treatment notes from the previous owner, I see that they were planning a bite splint. His dentition is in excellent condition and I do not see any wear
October 18, 2016
TMD and Occlusion
Message Board
Views: 548 | Replies: 31
What is a healthy position of the mandibular condyle in the maxillary fossa? What is an unhealthy position? Generally speaking? Or in specific circumstances? And is condylar position causally related to predicting dysfunction? I think you need to be more specific.I think the answer will depend
March 17, 2017
TMD and Occlusion
Message Board
Views: 315 | Replies: 4
a stiff neck and his joint and muscle is very sore. Now I'm wondering if it's trigeminal neuralgia? Especially since we prepped for a crown last week. Or could it still be #3 needing endo? Yesterday we took a PA in that region and #3 looked perfectly healthy. If it's suspected TN, what is recommended tx
February 17, 2023
TMD and Occlusion
Message Board
Views: 229 | Replies: 5
Below are my SOAP notes below from a patient seen recently--I didn't take photos or a facebow, but my working plan is to make an AMPSA and re-eval for improvement over 4-6 weeks. Does anyone have any thoughts about my plan? Otherwise healthy male in his 30s, played football in HS but no hx
March 10, 2016
TMD and Occlusion
Message Board
Views: 2451 | Replies: 76
per tooth. Often will case fee case. Rarely will patient out of pain want healthy teeth removed but when they del with reality of dentures often want betterr, ie snaps etc. Best denture they will have but long term denture is $ 2650 each. Patients needs cleanings but easy to clean when at gum line
October 23, 2018
TMD and Occlusion
Message Board
Views: 5233 | Replies: 169
This is what the roots of the teeth look like below the surface of the gum tissue and bone. Hummm.... Let's see... How could we use that little tidbit of knowledge and exploit it to manage parafunction? Exact same jaw muscles in the exact same jaw relationship, and all you have to do
July 28, 2016
TMD and Occlusion
Message Board
Views: 694 | Replies: 16
of NCCL's forming. On all of the teeth that used a toothbrush with an abrasive (toothpaste), NCCL's formed that looked just like what I see in the clinic. Dr. Abe came to call NCCL's toothpaste abuse A toothbrush with or without toothpaste could cut through and recede gum tissue but a toothbrush
May 06, 2017
TMD and Occlusion
Message Board
Views: 9387 | Replies: 225
no recession, and oddly, no abfractions on those teeth, for 7 years I watched them, when using Captek. I did have recession when I used cast PFMs. Research shows highly polished Zr is healthier for the tissue than natural tooth, and once again, won't suffer abfractions. Can't there be more than one right
October 23, 2015
TMD and Occlusion
Message Board
Views: 183 | Replies: 13
: decay and gum disease. Dental school drilled us on those, and insurance companies still act like thats all dentistry is about. But the third problemthe way the teeth come togetheris barely touched on in school. At least it wasnt when I went through. Be honest: did you really learn how to diagnose
September 01, 2025
TMD and Occlusion
Message Board
Views: 1075 | Replies: 62
placed a high spot on her sample and found that it decreased muscle tone and caused no pain. Look at the paper, and note the exclusion criteria that were used to pick the subjects for the study. She found 32 female medical students who were as perfectly healthy, physically and psychologically
February 11, 2018
TMD and Occlusion
Message Board
Views: 5574 | Replies: 451
Look at this 2 patients in their early 30s one with occlusal disease one healthy, have you notice this in your practice? Wonder why?<br/>Occlusal disease is a chronic destructive process evident in any part of the masticatory apparatus (joint, muscles, periodontium or teeth
April 07, 2013
TMD and Occlusion
Message Board
Views: 568 | Replies: 17
to stretch out the lateral pterygoid. This is the only time I've ever seen one like this. Mark At the risk of sounding stupid here - what about having them use chewing gum for 10 mins in the morning after taking out the appliance? My goodness..... not stupid.... our preferred approach. Food
June 11, 2025
TMD and Occlusion
Message Board
Views: 172 | Replies: 9
is, this kid's going to make millions possibly.Hmmm, I suppose you could just chew gum. In the facial pain world we try to help our patients decrease awake parafunctional activity such as CHEWING GUM, AWAKE CLENCHING etc,. I guess that doesn't sell though....Wonder if they could get sued for causing TMD?
March 24, 2017
TMD and Occlusion
Message Board
Views: 39 | Replies: 0
I have taught lots of common sense communication skills to dentist by dumbing it down and putting it in every day language. One of these techniques is The three ways.. there are three ways people have problems with their teeth. Two, decay and gum disease, are infections and the other is the way
April 26, 2016
TMD and Occlusion
Message Board
Views: 321 | Replies: 3
seeing a tooth brush wear away one of the hardest structures in the body and yet do nothing to the soft gum tissue??? Did she explain how occlusion could possibley create a V in a tooth at the gum line? Or explain the difference between abfraction and recession? On direct fillings or crowns, did
October 15, 2019
TMD and Occlusion
Message Board
Views: 165 | Replies: 3
worn the dentures to sleep. Can someone shed some light on this for me? I generally assume parafunction is the main culprit in TMD, but how could someone parafunction enough with nothing but gums-on-gums to cause this type of presentation? Am I really the only person who has seen...Often sleep
August 24, 2015
TMD and Occlusion
Message Board
Views: 368 | Replies: 22
).. this will most likely prevent the development of AOB. 2. You can use an AM aligner which, in asymptomatic cases, is not as potentially damaging to the joint as it is in cases with oral appliance therapy for sleep disturbed breathing. 3. Even having your patient chew gum in the shower can be effective
April 30, 2020
TMD and Occlusion
Message Board
Views: 105 | Replies: 3
it does, she self-manipulates the jaw side to side and then can open the rest of the way. She stated it is not painful. I told her the articular disc may have been altered. I recommend she avoid repetitive activities that can wear on the disc such as gum chewing. I told her if her jaw locks and she
August 26, 2024
TMD and Occlusion
Message Board
Views: 204 | Replies: 3
it. Any specific time that he noticed the jaw pops a lot? is it when he wakes up in the morning, after chewing gum or other activity? any oral habits or certain food that he likes to chew...He did mention it pops when he chews gum. I will ask him more about what causes it when he comes back in next
August 09, 2018
TMD and Occlusion
Message Board
Views: 1721 | Replies: 106
THE CONTRALATERAL JOINT AND THAT MUSCLE DISHARMONY OCCURS. I AM SAYING THAT IF THE JOINT IS HEALTHY, THAT IS, AN INTACT CONDYLE/ DISC ASSEMBLY OR HAS ADAPTED (PART OF THE DEFINITION OF CR AS STATED BY PETE DAWSON WHICH IS WHY I SAID THAT ABOVE. HIS PHILOSOPHY IS PREDICATED ON HEALTHY JOINTS OR ADAPTED ONES
November 11, 2014
TMD and Occlusion
Message Board
Views: 152 | Replies: 3
Hi, townies I have 20 years old patient. She had bruxism and need a night guard. but the clinical crown of the second molars is very short (almost at the level of gum). Will this cause any problem for night guard making? thanks You can look into the NTI-tss Plus. Keller Lab makes good ones
November 20, 2018
TMD and Occlusion
Message Board
Views: 120 | Replies: 3
I am a clencher and many years ago I made myself a hard soft upper night guard that is quite comfortable at night. I made it to have posterior dis-oclusion with excursions I have been getting some jaw pain of late with eating carrots and gum and some other foods. I made myself a lower GELB
January 04, 2019
TMD and Occlusion
Message Board
Views: 153 | Replies: 2
Severe anterior wear, child is 6 and D, E, F, G are worn down to gum line. Parent reports grinding at night and is concerned about wearing down on permanent teeth once they erupt. What would you do and is appliance therapy indicated? Thank you Two things: 1. I've only had 1 case where a Baby
April 16, 2018
TMD and Occlusion
Message Board
Views: 155 | Replies: 1
I had a new patient come in the other day complaining of her gums hurting. xrays were taken and she had good bone levels. No decay evident. On oral eval I noticed mobility on teeth 17-20 as well as pockets between 5-6mm. Pt is in a high stress job and stated that she clenches her teeth a lot
June 12, 2014
TMD and Occlusion
Message Board
Views: 1218 | Replies: 32
the patients aware by digital photos on a Big Ass Monitor so they see what we see. Doesn't make any difference if it is decay, gum disease or wear; they didn't come in looking that way! It is our job to tell the patient every thing in a way they understand, it is their job to decide what to do, what
May 09, 2017
TMD and Occlusion
Message Board
Views: 120 | Replies: 2
Pt got hit with Pogo toy last year.. He states his left side of the jaw only hurts when eating nuts or chewing gum or WHEN HE GRINDS HIS TEETH. He he avoids this type of foods so he is ok with that. He states his jaw pain is getting better since the accident. My concern is that the jaw deviates
November 22, 2014
TMD and Occlusion
Message Board
Views: 179 | Replies: 8
for my little sister. her symptoms popping. loud. pain-aching and burning at times. have to pop jaw out to open completely. cannot chew gum cause it starts to ache. cant leave my mouth open for extended periods of time. Her dentist told her years ago it was untreatable, but i suspect thats
February 27, 2017
TMD and Occlusion
Message Board
Views: 541 | Replies: 17
in comparison to the above issues. During orthodontic diagnosis include dental classification, skeletal classification, AND condyle classification. Determine a healthy condyle position. Support mandible in a position to enable a healthy condyle position in the fossa. Then plan treatment to have teeth fit
March 05, 2019
TMD and Occlusion
Message Board
Views: 375 | Replies: 5
appliance and possibly a maxillary Essix slider so he rubs plastic to plastic h. If he does not wear the appliances, he can count no redoing this soon. 4. Non ortho option: a. Surgically move maxillary gums to blue gingival line b. Surgically move mandibular gums to mandibular gingival green line
June 22, 2018
TMD and Occlusion
Message Board
Views: 618 | Replies: 27
treatment? - ortho lead to TMJ pain. XLA lead to hyperesthesia of the left side of the jaw Current oral hygiene regime? - ETB twice, daily flossing. Teeth Any pain or sensitivity? - none Any broken teeth/cavities?- none Any acid reflux issues? - no Perio Bleeding gums past or present? - not anymore
July 29, 2023
TMD and Occlusion
Message Board
Views: 135 | Replies: 3
monthly checks because we were adjusting other areas (too tight on the teeth, pinching her gums, etc.). I used the term muscle spasms but I am meaning that she has tightness. She hasn't complained of any pain in her joints since wearing the appliance. I'm not sure about the ability to clench more
December 17, 2014
TMD and Occlusion
Message Board
Views: 9369 | Replies: 278
anatomy book is clear as day. The muscle fibers shorten and apply forces consistent with that alignment. Jim when we bite or clench you describe the situation but for 23 hours and 45- 50 minutes per day the mandible is at rest and during those hours you are very wrong. The concept of healthy
October 08, 2016
TMD and Occlusion
Message Board
Views: 162 | Replies: 10
comfortable to work with plastic than fix teeth and bone and gums. Nightguard therapy is dentistrys biggest bang for the buck IMO. No signs no symptoms then no Treatment. I agree with Jim: No pain no dysfunction. Leave it alone. No worries Hal Menchel DMD diplomate ABOP I don't think I need any treatment
May 11, 2020
TMD and Occlusion
Message Board
Views: 482 | Replies: 22
If person is having clicking popping sounds when opening/closing the TMJ but no pain should we still consider it as TMD? Is there any where it teach us how to diagnose TMD and treat them. Majority of my patients have wear fossettes and present gum recession(abfraction). Some of them confirm
February 16, 2018
TMD and Occlusion
Message Board
Views: 76 | Replies: 1
in a lower fixed retainer. She states that putting pressure on her lower incisors makes them feel better. She has no significant wear and denies any day time clenching and grinding or other oral habits. I have taken a pano and pa's with no significant findings. Her oral hygiene is great and she has healthy
September 12, 2019
TMD and Occlusion
Message Board
Views: 401 | Replies: 19
makes the case even more difficult) his/her back teeth have worn down almost to the gum line, so no space to make restorations in CR without opening VDO, but the opening VDO in class II patients will lead to even more open bite. Some of my colleagues tell that in these cases they create
September 03, 2014
TMD and Occlusion
Message Board
Views: 373 | Replies: 13
a day if possible (give them a number to aim for) and limit full opening like yawning (chin to chest). NSAIDS, avoidance and stop any noxious habits (chewing gum, nails etc). Symptoms should improve in a couple of weeks if she follows directions. Clicking may be permanent but pain should subside
August 15, 2016
TMD and Occlusion
Message Board
Views: 200 | Replies: 4
know that dental problems mostly come in three ways; two are infections, decay and gum disease and the other is the way the teeth come together. It becomes the job of the dentist and dental team to educate the patient on a one on one basis. I feel there is a confusion in dentistry as to what
July 24, 2015
TMD and Occlusion
Message Board
Views: 132 | Replies: 2
I had a patient (67 yo female, healthy) come in at the end of the day yesterday with CC of not being able to bite her teeth together. She noticed it while eating. She does note that she had been through a period of stress a few week ago and that's when this occurred, and it is getting a little
July 24, 2024
TMD and Occlusion
Message Board
Views: 92 | Replies: 3
bite and needs crowns on a number of her molars. According to her, her MD feels that maybe it changed the way she breathes and she is breathing more thorough her mouth and getting less filtering as opposed to through her nose. Though healthy she has a history of environmental sensitivities. I think she is spooked.
November 21, 2019
TMD and Occlusion
Message Board
Views: 173 | Replies: 4
be wrong, but I don't believe that a completely healthy joint will start displacing solely because of dental-visits. Sure won't help though. I just hope the FMR was cosmetic and not pain driven!
February 24, 2016
TMD and Occlusion
Message Board
Views: 327 | Replies: 7
pano, as the entire R TMJ anatomy is not included in the current image. What is the pt. hx and description of the current pain??22 y.o. healthy female, no health conditions. Minimal signs of bruxism. Pain about 1 week upon open/closing. Occlusal decay D1 lesions have been treated
July 01, 2015
TMD and Occlusion
Message Board
Views: 29 | Replies: 0
smiles that are both healthy and beautiful. With her extensive training and experience in restorative dentistry to repair dental problems, Dr. George is able to correct all your dental problems and make your smile more beautiful and dazzling than it ever was before.Her devotion to being the best in her
November 21, 2016
TMD and Occlusion
Message Board
Views: 289 | Replies: 12
any pain. Measured on ULF-TENS and bite changes stopped on Neuromuscular Trajectory. Myotrajectory is a path of closure starting from the rest position of the mandible. Healthy patient close in full occlusion for approximately 6 minutes/ day during healthy swallows, and anterior teeth touch when
March 18, 2022
TMD and Occlusion
Message Board
Views: 110 | Replies: 4
a periodontist and entire mouth is healthy with no pocketing. ortho has her in permanent retainers and posterior occusal stops. There is no indication of sever bruxism. What to do? patient is 50 yrs old. What's the bone loss, pocketing and bleeding scores?Can you post X-rays? What's the crown:root ratio
January 05, 2016
TMD and Occlusion
Message Board
Views: 471 | Replies: 14
Richard Mercurio, DDS, AAID president. No longer will patients need to guess whether a dentist who is trained in treating gum disease or extracting teeth is also experienced in the complex and comprehensive field of implant placement and restoration. Specialist advertising In March 2014, AAID filed
July 03, 2017
TMD and Occlusion
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