1. Tooth Pain Associated With Sinus Congestion

    18th November 2016 by thecourtyardclinic

    dental toothache sinusA runny nose due to sinus congestion could be causing toothaches. Sinus congestion affects the teeth on the upper jaw that is near the sinus cavity.

    Key takeaways:

    ·        Inflamed sinuses push or press against the roots of the upper teeth in close proximity to the sinus cavity.

    ·        Constant pressure on the roots of the teeth will lead to severe pain similar to that of a cavity or a severe toothache.

    ·        Tooth pain caused by sinus congestion can be diagnosed by a dentist and treated through the use of antibiotics, decongestants, antihistamines and routine nasal washes.

    A sinus infection left untreated can lead to more severe conditions such as an eye infection, brain infection and bone infection, according to the Mayo Clinic. Seek dental advice before treating tooth pain or concluding it is the result of nasal congestion.

    Read the full story here

    http://www.livestrong.com/article/127775-tooth-pain-sinus-congestion/


  2. Sensitive teeth? The team at The Courtyard Clinic can help!

    10th April 2014 by thecourtyardclinic

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    Sensitive teeth is a very common reason for our patients to come and see us. There are many reasons behind sensitive teeth, here are some of the most common:

    • Brushing injuries: usually on the outer surfaces of the teeth facing the lips and the cheeks. Brushing hard can damage the gums and make them recede, exposing the sensitive root surface. The root surface is not covered with the hard enamel, which makes it vulnerable to hard brushing and more damage.
    • Grinding/clenching: If you grind/clench your teeth, small cracks can develop in the tooth enamel making it sensitive to temperature changes or sweet and sour.
    • Drinking acidic juices or fizzy drinks frequently: Frequent consumption of these beverages dissolves the hard enamel and the sensitive dentine is exposed.
    • Bulimia: a characteristic of this eating disorder is self-induced vomiting. This exposes the teeth to the acidic content of the stomach leading to the dissolving of the enamel and the exposing of the sensitive dentine.
    • Bad habits: such as biting nails or pens.
    • Broken teeth or broken fillings.
    • Gum disease: If you suffer from gum disease, the gums around the teeth will recede and the sensitive part of the teeth is exposed.

    If you experience teeth sensitivity, come and see the team at The Courtyard Clinic for treatment. This may vary depending on the cause.

    There are many products that you can buy over the counter or you can get from your dentist to treat the symptoms of teeth sensitivity.

    Tips to minimise teeth sensitivity:

    • If you are a hard-brusher change to a softer toothbrush
    • Use toothpastes for sensitive teeth
    • Use mouthwashes containing fluoride to strengthen the teeth
    • If you are a grinder/clencher you need to see your dentist who will provide you with a bite guard to protect your teeth from the grinding forces.
    • If you have broken teeth or fillings see your dentist for treatment.

    If you have sensitive teeth and would like to do something about it contact Alison and the team at The Courtyard Clinic on 01932 582 949 or book an appointment on line by clicking the link on our homepage.


  3. Are you grinding your teeth??

    28th March 2014 by thecourtyardclinic

    Here at The Courtyard Clinic we see a lot of patients who have signs of tooth grinding (known to dentists as bruxism), this can be a debilatating disorder leading to the breakdown of the teeth as well as other symptoms around the body. Patients often do not realise they grind their teeth but may recognise many of the symptoms listed below.

    Symptoms Of Bruxism

    Physical symptoms: headache, temporomandibular joint (jaw pain) discomfort and muscle aches, facial myalgia (muscle pain of the face), ear ache, stiffness of the shoulders, limited mouth opening and sleep disruption of the individual as well as the bed partner.

    Causes Of Bruxism

    Why bruxism occurs is not always clear. However the majority of current evidence points to 3 main factors in the cause for bruxism:

    1) Sleep Disorders

    It is known that bruxism rarely occurs alone. Research has consistently found that bruxism is found more frequently in those individuals who have an existing sleep disorder such as snoring, breathing pauses during sleep and Sleep Apnoea

    2) Lifestyle Factors

    Lifestyle factors such as age, smoking, caffeine intake and heavy alcohol consumption are associated co-factors of bruxism. The use of psychoactive substances (alcohol, tobacco,  caffeine, or medications for sleep, depression, and anxiety) increases arousal and leads to problems sleeping. Bruxism is significantly higher in individuals whose lifestyle includes the use of these psychoactive substances.

    3) Stress, Anxiety

    Anxiety, stress and adverse psychosocial factors are significantly related to tooth grinding during sleep and it has been found that nearly 70% of bruxism occurs as a result of stress or anxiety. It is well documented that job related stress is harmful to good sleep and as a consequence can be responsible for daytime sleepiness. But, it is also the most significant factor associated with bruxism.

     

    Effects Of Bruxism

    Short-term effects of bruxism
    • Headache – Bruxism sufferers are three times more likely to suffer from headaches.
    • Facial myalgia (aching jaw & facial muscles)
    • Tightness/stiffness of the shoulders
    • Ear ache
    • Limitation of mouth opening
    • Sleep disruption of bed partner due to noise
    • Sleep disruption
    • Excess tooth mobility
    • Inflamed & receding gums
    Long-term effects of bruxism
    • Temporomandibular Joint Disorder (sometimes called TMJD or just TMJ)
    • Tooth wear & breakage

    How Can I Stop Grinding My Teeth?

    Although there have been many treatments proposed over the years to decrease the level of bruxism, the only proven treatments for bruxism are mandibular advancement devices, hypnosis and occlusal splints.

    Occlusal splints are small plastic mouth-guards that can be used immediately without specialist fitting.

    Occlusal splints have been found to be the most successful as they protect the teeth from premature wear, reduce jaw muscle activity and the noise of tooth grinding. This means that the teeth are protected and their bed partner will not be disturbed by the noise.

     Treatments
    Occlusal Management (fit of the teeth as the two jaws meet)

    There are two categories of occlusal management strategies: ‘true’ occlusal interventions and occlusal appliances.

    Occlusal interventions usually involve occlusal equilibrium, rehabilitation and dental treatment. The treatment is aimed at achieving a ‘harmonious’ relationship between biting surfaces of the teeth.

    The most common and effective treatment involves protecting the teeth with occlusal splints. These splints have different names but in essence, they are all designed to prevent inadvertent tooth movement.

    The occlusal splint is the treatment of choice as it reduces grinding noise and protects the teeth from premature wear without substantial adverse effects. Occlusal splints reduce muscle activity associated with sleep bruxism but it must be acknowledged that these devices, like MADs (See Below) for snoring and sleep apnoea, are only a control and will not cure the condition.

    MADs (Mandibular Advancement Devices)

    MADs are generally used for the management of snoring and sleep apnoea but researchers have investigated their use for the management of sleep bruxism. Many studies report highly effective outcomes in the reduction of sleep bruxism

    Behavioural Approaches

    Psychoanalysis, autosuggestion, hypnosis, progressive relaxation, meditation, selfmonitoring, sleep hygiene and habit reversal/habit retaining have been prescribed for the management of bruxism in specific instances.

    If you feel that you have been grinding/clenching your teeth or your partner has warned you about grinding your teeth at night then please give us a call on 01932 582949 to speak to one of our bruxism experts or book an appointment to come for a check up.


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