General Dentistry
Dental Sealants
WHAT ARE DENTAL SEALANTS

The term "dental sealant" refers to a plastic resin that a dentist bonds into the grooves of the chewing surface of a tooth as a means of helping to prevent the formation of tooth decay.


WHY ARE DENTAL SEALANTS PLACED ON TEETH?


Tooth decay is caused by the bacteria found in dental plaque (the white film that forms on a person's teeth). In general, the longer dental plaque remains on a tooth's surface the more likely it will be able to form a cavity. The idea behind brushing teeth is that dental plaque that has accumulated on a tooth's surface is scrubbed off. Some teeth however, related to aspects associated with their anatomy, are harder to clean than others.

Some back teeth, especially molars, can be difficult for a person to clean because the grooves found on their chewing surface (the tooth's "pits and fissures") are deep and narrow. Even though the person brushes their teeth not all of the dental plaque that is present is cleansed off because the individual bristles of their toothbrush are simply too large to gain access into the depths of the tooth's grooves. Because some plaque has not been cleaned away, the tooth is at risk for the formation of decay.

By bonding plastic resin (the dental sealant) into the grooves of a tooth a dentist can create a tooth surface that is smoother. There are no longer any locations on the chewing surface of the tooth that the bristles of a toothbrush can't access and clean. Since dental plaque can be removed more easily and effectively, there is much less of a chance that tooth decay will form.

Another difficulty associated with a tooth having deep grooves is that in some instances the thickness of the enamel that lies at the base of the grooves is thinner than the enamel that encases other aspects of the tooth. This means that not only can deep narrow grooves make it more likely that tooth decay will form (because the tooth can't be cleansed effectively) but also that any decay that does form will have an easier time of penetrating through enamel layer (because it is less thick) and progressing on into the inner aspects of the tooth.
 
TMJ Therapy
TMJ syndrome is a condition that occurs when the temporomandibular joint (TMJ) that connects the upper and lower jaw is misaligned or stressed. This can cause pain in the jaw, the face, and in extreme cases, the neck and shoulders. The causes of TMJ syndrome require careful analysis. Once the causes have been determined, there are a multitude of TMJ treatment options available, including pain relief through the application of mouth guards, bite therapy, and TMJ exercises.

A process known as TMJ therapy, or bite therapy, is used by Dr. Korody to help find the causes of TMJ syndrome and provide long-term pain relief. TMJ bite treatment begins with a careful, detailed analysis of your mouth and jaw to find the causes of your disorder. For some, the issue may be jaw clenching; this can usually be attributed to stress or simply a bad habit. For others, the teeth may not come together evenly, a condition known as malocclusion. This can cause uneven use of the jaw and result in muscle pain. Dr. Korody has several tools at his disposal to measure bite pressure throughout the mouth and formulate a plan for dental work that will correct malocclusion and provide TMJ pain relief.

TMJ treatment includes many options. The first step is to relieve the pain with the application of mouth guards, also known as dental splints. The next step is to apply bite therapy principles and tools to analyze the cause of the misalignment or stress that is causing the problem. If necessary, Dr. Korody will recommend a routine of jaw exercises to eliminate the clenching or grinding that is contributing to the stress on the lower jaw. TMJ exercises are designed to relax the jaw and eliminate clenching, and also to help in the correction of alignment problems. After the analysis, Dr. Korody may provide you with an appropriate series of very simple exercises to be performed in front of a mirror. The use of a mirror in TMJ exercises helps you see the misalignment that is one of the factors in TMJ syndrome. Gradually, the exercises will teach you control of the jaw muscles and eliminate clenching.  Alternately, your situation may require some physical intervention like a mouth guard.  TMJ mouth guards are soft plastic protectors that slip over the upper and lower teeth to prevent grinding of the teeth. Guards make it more difficult to clench the jaws, an important first step in TMJ pain relief. Dr. Korody can take a mold of your upper and lower teeth to custom-fit your TMJ mouth guards for maximum comfort and efficiency.
 
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