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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. Byron Diehl 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. Byron Diehl at our Redlands, CA 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.

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Dr. Byron Diehl at our Redlands, CA office to decide which electric toothbrush is right for you!

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Diehl Orthodontics, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

• If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
• If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
• Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
• Opt for products that are ADA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
• If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Dr. Byron Diehl during your next visit to our Redlands, CA office! We’re always happy to answer your questions. Happy rinsing!

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Proper oral hygiene techniques are always worthwhile, but they are especially crucial when you’re wearing orthodontic appliances such as braces. When you don’t maintain an effective oral hygiene routine, you can be more susceptible to gum disease as well as tooth decay, cavities, decalcification, discoloration, and/or staining of the teeth.

Braces themselves don’t cause these issues, but since they create spaces that are difficult to clean, they provide extra sources of food (dental plaque and food debris) for the bacteria that do. Bacteria create a biofilm on the surface of a tooth that can spread if not addressed. That bacteria food can only be removed by a mechanical action: brushing and flossing your teeth!

Here’s a list of smart hygiene steps to follow for the duration of your braces treatment:

Proper tooth brushing technique: Make sure to brush your teeth thoroughly (for a total of about two minutes), but not too hard. Point the head of the toothbrush at the gum line and brush just hard enough so that you feel slight pressure against the gums. Use a soft, small-headed toothbrush or an electric toothbrush if you’d like. Try your best always to clean on and around every tooth, bracket, and wire in your mouth!

Flossing: Braces can make flossing a chore, but it’s an essential adjunct to proper tooth brushing. Make sure to floss between all your teeth and brackets. Dr. Byron Diehl can provide you with braces floss threaders and interproximal toothbrushes (small brushes used to clean areas under wires and between brackets) to make the task easier. You might also consider purchasing an oral irrigator that uses a stream of water to blast food particles and debris from between teeth and gums.

Rinse with water: This may sound slight, but it’s a good idea, especially if you aren’t able to brush. Rinsing your mouth with water throughout the day helps to dislodge the decay-causing food particles that become lodged in braces.

Hygiene away from home: It’s a good idea to have a kit with a toothbrush, floss, floss threaders, mirror, and small water cup on hand at school or work. That way, you’ll be sure to have all the tools you need to keep your mouth clean.

Regular professional cleanings: As always, it’s best to visit your dentist regularly to verify everything in your mouth is in order and your oral hygiene routine is effective. Twice a year is sufficient, unless the dentist recommends more frequent visits.

It's vital to keep your teeth and gums clean during your braces treatment, and that requires your care and attention. If feel like you need help with any of the techniques above, a member of our Redlands, CA team can demonstrate them for you!