134 Davis Street
Asheboro, NC  27203
(336) 625 - 3292
2toothdocs@freemandds.com

 

 
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SmileLink Newsletter
  Cracked Tooth Syndrome
  TMD/TMJ (Temporomandibular Disorders)

Cracked Tooth Syndrome
Teeth may crack when subjected to the stress of chewing hard foods or ice or by biting on an unexpected hard object.  Unfortunately, cracks may also develop slowly over time without any symptoms due to normal wear and tear.  Teeth with or without restorations are most susceptible.  Eventually, Symptoms And Signs May Include The Following:

  • Pain on chewing
  • Pain when breathing in cold air
  • Unsolicited pain (usually leakage of sugar into tooth crack)
  • No x-ray evidence of problem
  • Decay may or may not be present
  • Easy verification of crack when tooth is prepared for restoration

Treatment Of Cracked Teeth:
1. Simple Crack:  The majority of cracked teeth (about 9 out of 10) can be treated by placement of a simple crown (cap) on the tooth.  When the tooth is prepared for the crown and a temporary restoration is placed, the pain usually leaves immediately.  If this is the case with your tooth, we will place the final crown without a problem on your next appointment.  The condition should then be solved.

2.  Complex Crack:  Occasionally, (about 1 in 10) the tooth cracks into or near the pulp (nerve) of the tooth.  If pain persists after placement of the temporary crown, you may have a crack into the pulp of the affected tooth.  Please call us.  This tooth may require endodontics (root canal therapy).  Sometimes, when the pain decreases but doesn't immediately resolve, it requires a longer healing period.

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TMD/TMJ (Temporomandibular Disorders)
More than fifteen percent of American adults suffer from chronic facial pain.  Some common symptoms include pain in or around the ear, tenderness of the jaw, clicking or popping noises when opening the mouth, or even headaches and neck aches.  Below are some self care tips and guidelines for those who suffer from this painful problem.

Avoid Opening the mouth too wide

  • Stifle yawns to prevent opening the mouth too wide.
  • Take small bites of food. Cut apples, sandwiches, or other large foods into small pieces.
  • Avoid long dental appointments. Take frequent breaks during appointments.

Apply heat and cold, stretch

  • Freeze a Styrofoam cup of water and cut off the upper portion, exposing the ice. Apply ice to jaw muscles and stretch the mouth open and closed 20 times. Follow with warm compress and stretching. Do this for 15 to 20 minutes.

Telephone

  • Be sure to hold the telephone with your hand. Do not cradle it between your shoulder and head. If you must use the phone while writing or typing for prolonged periods of time, use a headset or speaker phone.

Computer

  • Make sure your computer is positioned so you are able to maintain proper posture while using it.
  • The screen should be at eye level in front of you.
  • The keyboard should be lower than the desk top so that wrists are at elbow level.

Rest your jaw muscles and the jaw joint

  • Avoid chewing gum, biting nails, chewing your cheek, or biting pencils.
  • Avoid clenching your jaw and grinding your teeth. Throughout the day, remind yourself to relax your jaw, teeth apart, muscles relaxed.
  • Avoid chewy or hard foods, such as bagels, raw carrots and other raw vegetables, crusty breads, and hard chips.

Posture

  • Be aware of your posture throughout the day. Keep your shoulders back and head up. Avoid sloping your shoulders or a head forward position. Maintain lumbar support.
  • Avoid crossing your legs for prolonged periods. Keep feet flat on the floor.

Leisure activities

  • Maintain good posture while watching television or reading. Sit in an upright position and avoid leaning or slouching. Put your feet up and relax.

Exercise

  • Choose low-impact exercise to avoid trauma to joints.
  • Take a brisk walk for 10 minutes in the morning and evening.
  • Take advantage of opportunities for moderate exercise. Park your car a block away from work.

Manage your stress

  • People often react to stress by clenching and tightening facial and neck muscles. Choose the method of stress management that best suits you and stick to it.
  • Practice relaxation throughout the day.
  • Listen to pleasant, soothing music while in your car.

Maintain good nutrition

  • Avoid caffeine.
  • Drink plenty of liquids throughout the day.
  • Eat breakfast, especially if you use aspirin or ibuprofen.

Sleep

  • Sleep on your back or side when possible, sleeping on your stomach puts pressure on your jaw. Sleep with a pillow under your knees when on your side.
  • Get an adequate amount of sleep at night.
  • Avoid strenuous activity or eating late in the evening.
  • Massage your face and neck muscles before you go to bed.

Avoid all forms of tobacco

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Dr. Bryan & Dr. Cheryl Freeman     (336) 625-3292     mailto:2toothdocs@freemandds.com

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