TMJ

TMJ issues affect many Americans daily. This disorder causes pain in the temporomandibular joint (TMJ) that connects your lower jaw to your skull at the temporal bone. This joint controls many jaw functions and any pain in this area may cause jaw joint muscle problems, known as temporamandibular disorder (TMD). At Lewelling Dental Care, Dr. Shital Kazi and her team have trained extensively in the diagnosis and treatment of TMJ and offer various treatment options to new and existing patients.

 

Symptoms of TMJ are wide-ranging. Patients will often feel pain when opening or closing their mouth, trouble chewing food, their jaw will become stuck, headaches are quite common and they will often hear a clicking or popping noise when opening or closing their mouth. These symptoms can be associated with a lot of other health problems so if you are feeling any of these symptoms, make sure to ask during your next appointment.

 

Treatment for TMJ can go many different ways. Pain relievers and hot/cold compresses are short term methods and often do not solve the problems. Another possible treatment for TMJ would be wearing a night mouth guard, this will lessen the effects of teeth grinding that can cause TMJ. More permanent solutions include possible surgery in severe cases, but behavioral treatments to change the way the jaw muscles are used can be enough to solve the problem permanently. 

Take-Home Tray Whitening

Even with consistent brushing and good oral care, teeth can lose their color. Today, patients have many options when it comes to teeth whitening that include over-the-counter options and professional options that include either in-office or take-home systems. At our San Lorenzo, CA practice, Lewelling Dental Care, we offer our patients custom tray whitening to help improve the cosmetic appearance of their teeth. Having teeth professionally whitened is an excellent way to restore the natural color of teeth quickly and effectively.

 

When it comes to whitening your smile, we will first need to determine whether your teeth are intrinsically or extrinsically stained. Intrinsic stains are on the surface, having barely penetrated the enamel. They are caused by staining agents like coffee or smoking; they can also be caused by old-age. These stains are reversible through take-home tray whitening.  Extrinsic stains develop from the inside of the teeth and are often caused by more permanent staining agents like antibiotics. With an extrinsic stain, the teeth are darkened as a result of bacteria buildup and cannot be reversed by whitening alone.

 

Traditional tray systems include a custom-fitted mouth tray that the patient wears for a period of 40-45 minutes for a few days. We will take a mold of your mouth in order to create a custom-fit mouth tray. You will apply the gel treatment to the mouth trays and wear it for approximately 45 minutes a day. The amount of days the mouth tray is worn depends on how white you want your teeth to be. This often results in a whiter smile of 4-8 shades in just a few days. 

Sports Mouth Guards

Mouth guards are essential in any type of contact sport regardless of how old you are. Most people believe that mouth guards are just for sports like football and hockey because they’re high contact, but in reality, you should be wearing one during any sport where contact is even a possibility. We provide custom-fit mouth guards to our patient-athletes to help prevent structural damage to their teeth and jaws. Mouth guards also help prevent lacerations to the cheeks, tongue and lips.

 

One of the most beneficial aspects of wearing a mouth guard is that it can greatly decrease the risk of concussions. There’s been a lot of news lately about the large number of concussions in professional and amateur sports. That’s because we’re finally seeing the negative impact concussions have had on these athletes. Mouth guards will not prevent concussions, but they can decrease the chances of sustaining one. The material we use to create our custom-fitted mouth guards is extremely shock absorbent and reduces transmitted forces caused during your athletic event.  

 

But you can get a mouth guard at any sporting goods store, why would you need one from us? Over-the-counter mouth guards, also known as “stock” mouth guards come in very limited sizes and are considered the least protective. There are also “boil and bite” mouth guards that claim to be “custom.” While these mouth guards are “molded” to your mouth, they do not cover the entire area, and often leave the posterior teeth exposed. Both of these over-the-counter options are bulky, uncomfortable and interfere with speaking and breathing.

 

Custom-fitted mouth guards are the only way to fully protect your teeth. If you schedule an appointment with us at Lewelling Dental Care, we will create a custom mouth guard that is specifically designed to protect your mouth. Our goal is to keep your teeth healthy. If you’re an athlete and you’re using an ill-fitting uncomfortable mouth guard or no mouth guard at all, it’s time to consider one. 

Dental Phobia and Sedation Dentistry

If just the thought of going to the dentist for a procedure brings on fear and anxiety, sedation dentistry is probably the right choice for you. Between 5 and 8 percent of Americans avoid going to the dentist due to dental phobia, but you don’t need to let your oral health suffer because of fear. At our office in San Lorenzo, CA, we offer a safe environment where we can comfort anxious patients through both oral sedation and nitrous oxide.

Sedation is mainly used when a patient has a high level of anxiety or dental phobia, not because of pain. At Lewelling Dental Care, we can sedate our patients through oral sedation or nitrous oxide. These methods will make sure you can tend to your oral health while avoiding the anxiety that accompanies visiting the dentist.

A common sedation method utilized in the dental industry is nitrous oxide (N20). Nitrous oxide works very rapidly, reaching the brain within 20 seconds. With this method, Dr. Shital Kazi will place a small mask over your nose and ask you to breathe normally. Within a few short minutes, you will begin to feel the effects. Nitrous oxide wears off quickly, and there is no “hangover” effect.

The other method utilized by our office is known as oral conscious sedation. It is as simple as taking an aspirin. It is utilized for patients with mild to moderate anxiety as it is not as powerful as other sedation methods. With oral sedation, Dr. Kazi will provide you with an oral sedative, such as valium. You will not be “knocked out,” but you will feel more relaxed.

To schedule an appointment with Lewelling Dental Care, call (510) 276-6040. For more information, visit www.lewellingdentalcare.com.

Why Invisalign?

At our office in San Lorenzo, CA, we offer Invisalign aligners so that you can straighten your teeth without committing to a mouth full of metal. Using a series of clear plastic aligners Dr. Shital Kazi will guide your teeth into a smile you can be proud of.

While regular braces are still best for more serious cases, Invisalign is great for cases of mild to moderate spacing or crowding. For these cases, Invisalign provides teeth correction that bypasses the discomfort,  and restrictive diet that those who have traditional braces must face.

With a computer program that generates a series of aligners with small changes in each, Invisalign will allow you to straighten your teeth without anyone even knowing. Virtually invisible, the aligners are made of thin, comfortable plastic, and unlike traditional braces, they are removable. Therefore, your teeth will not experience the same discoloration and plaque build-up that can normally occur with metal brackets and wire. In addition, you will be able to eat all the foods you like, such as popcorn, chips, pretzels, nuts, apples, carrots and corn.

If you think Invisalign might be the best option for you to achieve the smile you’ve been dreaming of, call us at (510) 276-6040 to schedule an appointment. For more information, visit www.lewellingdental.com.

What to Do About Sleep Apnea

Sleep apnea is a serious disorder that affects the way you breathe while sleeping, causing your breath to become interrupted for 10 to 20 seconds at a time and jolting you out of your natural sleep rhythm multiple times a night. As a result, your energy, mental acuity and productivity can suffer. Over time, sleep apnea can even lead to serious health problems, such as diabetes, high blood pressure, heart disease, stroke and weight gain.

At Lewelling Dental Care, we use oral surgery to treat sleep apnea and increase the quality of sleep and life for patients.  Oral surgery relieves sleep apnea symptoms by removing the blockage caused by excess tissue, which vibrates and blocking the upper air passages. One way this is done is through UPPP, or uvulopalatopharyngoplasty, which involves removing excess tissue from the upper mouth and throat while under general anesthesia. Maxillomandibular advancement is another procedure used to treat sleep apnea. This procedure moves the lower jaw forward, away from the rest of facial bones, which allows more room behind the soft palate and reduces any obstruction.

If these treatments fail to relieve your sleep apnea, a tracheostomy can be performed. A tracheostomy is when a tube is inserted into your throat to allow breathing. The tube is covered during the day while you are awake and then opened at night while you sleep.

If you believe you have sleep apnea, call (510) 276-6040 to schedule an appointment with Dr. Shital Kazi. For more information, visit www.lewellingdental.com. 

Wisdom Teeth

Your wisdom teeth are your last set of molars to emerge, and they usually come in when you are between 17 and 21 years old. Because these teeth often become impacted, which means they come at an angle rather than straight through the gums, it is often necessary for them to be removed before they cause pain or crowd your other teeth. At our office in San Lorenzo, CA, Dr. Shital Kazi can determine if your wisdom teeth need to be removed and extract them if they do.

If a wisdom tooth is impacted and can only emerge partially, it is possible for an operculum to form over the tooth. This flap of skin makes the molar extremely hard to clean, which means you are susceptible to an infection called periocoronitis.

When a wisdom tooth is in danger of causing such problems, Dr. Kazi extracts the tooth. Many times all four are removed at once. This is done either by using a local anesthetic to numb the area or a general anesthetic to sedate the patient. It depends on the preference of the doctor and patient, as well as how far the wisdom tooth has emerged. After an anesthetic is applied, the gum tissue over the wisdom tooth is cut and the tooth is loosened and pulled out. If necessary, the gums will be sutured.

After surgery, rest is required. You will also need to change the gauze applied to the incision every couple hours.

To see if your wisdom teeth may need to be removed, schedule an appointment with Lewelling Dental Care by calling (510) 276-6040. For more information, visit www.lewellingdental.com.