5+ Best TMJ or Clear Aligners Specialist in US

5+ Best TMJ or Clear Aligners Specialist in US

Dr. David Shirazi is a brad TMJ Certified in Conejo Valley, Los Angeles, California. The temporomandibular joint or TMJ disorders affect your jaw joint as well as muscles which control the jaw. These can be tough to diagnose and also treat due to how complex this joint tends to be. Therefore it is necessary to find a good specialist to help you get cured of this.

About 12 percent of individuals within the United States have TMJ disorders at one time of their life. This is why there are specialists in the US handling this disorder. Women are impacted more often than men. Knowing the causes, symptoms, along with treatment choices present for TMJ disorders is necessary for patients and also doctors. Below are some of the best TMJ or clear aligners specialists in the US.

Dr. David Shirazi – DDS, MS, LAC, MA, DABCP, DABCDSM

At the top of our list is the renowned Dr. David Shirazi. He is the best TMJ Specialist. He began his journey to help his own community by getting his DDS degree from Howard University College of Dentistry, which is in Washington, D.C. He got this in 2000. He grew up in California.

Dr David Shirazi TMJ Specialist

After graduating, Dr. David continued studying Oriental Medicine. He got a Master’s degree from Samra University. He then became a professional board licensed acupuncturist. He also got a Masters degree in Psychology. After studying sleep medicine, he became a board-licensed sleep technologist that is even a dentist or acupuncturist.

Dr. David did hospital mini-residencies as well. He has done more than 2000 hours of helpful continuing education within TMD as well as facial pain, craniomandibular orthopedics, plus sleep-disordered breathing. He even lectures on these subjects across the United States. From this, you can tell that he is dedicated to his work.

Dr. David works at the TMJ and Sleep Therapy Centre. He claims that their aim is to make an accurate diagnosis which is tailored to all patients. They have excellent equipment available to help patients out.

2. Dr. John Koutsoyiannis at Sohosmile- D.D.S

Dr. John is a leader when it comes to dentistry and oral care. In January 2008, he started his private practice. He has the most current as well as innovative dental techniques and is famous for the attention he pays to detail, professionalism along with quality results. Celebrities also visit him, and also people come from across the world. This is because he gives individualized care to all patients.

He has much experience when it comes to aesthetic, cosmetic as well as restorative dentistry. A TMJ specialist such as Dr. John can properly diagnose symptoms and develop a TMJ treatment plan which particularly handles your needs. He will review your medical history at the time that he meets you. There will be a physical exam to handle why you have jaw pain. There aren’t any particular tests for handling TMJ dysfunction, the way that you respond to the exam aids in figuring out what the dentist will do next.

Dr. John can help out. He got a certificate in treating TMJ. This was by New York University and in 2000 specifically as his honors course whilst he was a student. He is in some professional organizations as well and is committed to his work.

3. Dr. Jonathan Fillmore – M.D., D.M.D.

Dr. Jonathan is an Oral and Maxillofacial Surgeon. He is located in Rochester, Minnesota. In 2008 he got his DMD from Harvard School of Dental Medicine. In 2011 he was awarded his MD from Mayo Medical School, Mayo Clinic College of Medicine. Dr. Jonathan also was a resident in 2012, 2013, and 2014. Dr. Jonathan is able to handle TMJ disorders.

4. Dr. Kevin I. Reid – D.M.D.

Dr. Kevin is an Orofacial Pain Dentist who works in Rochester, Minnesota. He treats TMJ disorders and Trigeminal neuralgia. He also performs jaw surgery. In 1988 he got his DMD from the College of Dentistry, University of Kentucky. In 1990 he got MS-Orofacial Pain from the School of Dentistry, University of Minnesota, Twin Cities. In 2011 he got his MA-Bioethics from Medical College of Wisconsin. He also has certificates and awards. He is a member of professional organizations. He is therefore dedicated to his work.

5. Dr. Michael Gelb – DDS, MS, TMJ Specialist

Dr. Michael is a world-renowned TMJ as well as a sleep specialist. He has practiced in New York City along with White Plains. He got the D.D.S. degree from the Columbia University College of Dental Medicine. He got his M.S. from the reputable SUNY at Buffalo School of Dental Medicine. The Gelb Centre is reputable and has been working for more than 30 years. They offer advanced treatment for TMJ.

5+ Headache Types, Causes, and Treatment

5+ Headache Types, Causes, and Treatment

There are different kinds of headaches. Their causes, as well as symptoms, can vary. Most tend to be short-lived and usually are not a point of tension; it is still necessary to be able to recognize what type of headache an individual has. This can help them in being able to figure out how to best handle it and if they need to consult a doctor.

Headaches tend to be a common complaint. Many people experience them from time to time. They can be painful at times and debilitating, but many can be handled with simple painkillers and can go away in some hours. Nevertheless, repeated attacks and certain kinds of headaches may be a sign of a more serious problem.

Below are some different headache types, their causes, and treatment.


This is a primary headache. That means that it does not happen due to another condition. Those who have a migraine may often feel some intense throbbing pain, particularly on only one side of their head. You may feel a heightened sensitivity to things like light, sound, as well as smell. It is also common to experience nause, as well as vomiting.

About a third of individuals have an aura prior to the migraine coming. These are visual as well as sensory disturbances, which often stay between 5 and around 60 minutes. They may encompass:

  • Viewing zig-zagging lines, spots, and flickering lights
  • Partial loss of sight
  • Pins and needles
  • Finding it tough speaking
  • Muscle weakness

Causes of migraines can be:

  • Stress and anxiety
  • Bright lights as well as loud noise
  • Sleep disruption
  • Certain foods and medications
  • Hormonal alterations
  • Dehydration, or
  • Skipped meals

Treatment includes:

Over-the-counter painkillers like ibuprofen and aspirin may help headaches. Doctors may prescribe some antiemetic drug to help stop nausea and vomiting, like metoclopramide and ondansetron. There is even a migraine-specific combination of drugs.

The attack may be eased by resting within a dark and quiet place. Try putting an ice pack and cold cloth on your forehead. Drinking water helps, as well.

If your migraine is tough to treat the doctor may prescribe you with a triptan. It is important to visit the doctor to get help.

Tension headaches

Tension headaches are really common. Most people have them often. You will feel a dull, constant pain on both areas of the head. The cause is unclear. Nevertheless, stress, anxiety, as well as depression,  are common triggers. Some other potential triggers are:

  • Dehydration
  • Eyestrain
  • Loud noise
  • Skipped meals
  • Not doing exercise
  • Poor sleep, and
  • Bad posture

Treatment includes:

OTC painkillers, like ibuprofen, acetaminophen, as well as aspirin, are often helpful in limiting pain. Lifestyle changes can also help like getting enough sleep, exercising often and stretching, improving your sitting and standing posture, getting an eye test done, handling stress, acupuncture.

Cluster headaches

Cluster headaches tend to be severe as well as recurrent headaches, which are more likely to occur in men rather than in women. Individuals say they get an intense burning or even piercing pain that is behind or even around one eye.

The cause of these headaches tends to be unclear. Nevertheless, they tend to be more likely to happen in smokers. It is necessary to avoid alcohol when you have an attack.

The treatment tries to limit the severity as well as the frequency of attacks. This includes:

  • Topiramate
  • Lithium
  • Sumatriptan
  • Oxygen therapy
  • Verapamil
  • Melatonin, or
  • Steroids

Doctors can suggest surgery when the case is tough.

Exertional headaches

These headaches occur because of strenuous physical exercise. They can occur due to:

  • Running
  • Bouts of coughing and sneezing
  • Jumping
  • Sexual intercourse, or
  • Weight lifting

These headaches are often really short-lived but may sometimes remain for up to two days.

Treatment includes:

It is important to visit the doctor when you get this headache the first time; it may be something serious. Most attacks are able to be handled with OTC painkillers. Consuming a nonsteroidal anti-inflammatory drug or NSAID may help out.

Hypnic headaches

This headache is regarded as a rare condition which often starts when someone is in the 50s. It can begin sooner. These headaches wake people up during the night. You will experience a mild-to-moderate type of throbbing pain often on both areas of the head.

The cause of this headache is not understood. There are also no known triggers.

It is important to visit the doctor when you first get this headache. Migraine, as well as cluster headaches, need to be ruled away. The top treatment option is caffeine, consumed like tablets or like cups of coffee prior to bedtime. Drug choices are indomethacin, melatonin, plus lithium.

10+ Sleep Apnea Causes & Symptoms in 2019

10+ Sleep Apnea Causes & Symptoms in 2019

Sleep Apnea is regarded as a potentially harmful sleep disorder. It occurs when breathing repeatedly stops as well as starts. If someone snores loudly and also feels exhausted after sleeping the whole night, they may be experiencing sleep Apnea. Below are some Sleep Apnea causes & symptoms that you should look out for.

Causes of sleep Apnea

There are some things that can cause sleep apnea. These are explained below.

Obstructive sleep apnea

This happens when muscles located in the back area of the throat relax. These muscles tend to support your soft palate, i.e., the triangular piece of tissue which hangs from your soft palate or uvula, the tonsils, side walls of one’s throat as well as the tongue.

At the time that the muscles relax, the airway tends to narrow or closes whilst you breathe in. It is not possible to get sufficient air, that can lower oxygen levels inthe blood. The brain senses the inability to breathe and then briefly wakes you from sleep allowing you to reopen the airway. You may probably not even remember this awakening.

A person may snort, choke, and gasp. The pattern may repeat itself around five to 30 times and even more every hour, all night, disturbing your ability to get deep and restful sleep.

Risk factors of obstructive sleep apnea

Factors which help in increasing the risk to get this sleep apnea are:

  • Being overweight
  • Having a thicker neck
  • Having a narrowed airway
  • Being a man
  • Being older
  • Your family history
  • Consuming alcohol, sedatives, and tranquilizers
  • Smoking
  • Nasal congestion

Central sleep apnea

This is a less common type of sleep apnea. It happens at the time that the brain fails to transmit signals to the breathing muscles properly. Therefore you do not make any effort to breathe for some time. You may wake up with shortness of breath. You may find it tough going to sleep or even remaining asleep.

Risk factors for central Sleep Apnea

The risk factors for this kind of sleep apnea are:

  • Being older
  • Being a man
  • Having heart disorders
  • Employing narcotic pain medications
  • Having had a stroke

Symptoms of Sleep Apnea

The signs, as well as symptoms of obstructive along with central sleep apneas, tend to overlap. This can sometimes make it tough to figure out which kind you have. The signs and symptoms that are the most common of these sleep apneas are:

  • Snoring loudly
  • Times when you stop breathing whilst sleeping, this would be told to you by someone else, i.e., your sleep partner
  • Gasping for air whilst sleeping
  • Waking up having a dry mouth
  • Having a headache in the morning
  • Finding it tough to remain asleep or insomnia
  • Extreme daytime sleepiness or hypersomnia
  • Finding it tough paying attention when awake
  • Feeling irritable
  • Having heartburn
  • Experiencing reduced libido as well as erectile dysfunction

Feeling exhausted during the day

Repeatedly waking up due to sleep apnea make your normal and restorative sleep be impossible. You, therefore, may get extreme daytime drowsiness, fatigue as well as irritability. It may be tough concentrating, and you may fall asleep when at work, whilst watching TV and even when driving. It is possible even to feel quick-tempered, moody, and depressed.

High blood pressure and heart issues

Sudden drops within blood oxygen levels which happen whilst sleep apnea is occurring increase blood pressure as well as strain your cardiovascular system. Those with sleep apnea have a higher risk of getting high blood pressure.

Obstructive sleep apnea may even increase the risk of getting a recurrent heart attack, stroke plus abnormal heartbeats, like atrial fibrillation.

Type 2 diabetes

If you have sleep apnea, this increases the risk of getting insulin resistance as well as type 2 diabetes.

Liver issues

People who have sleep apnea tend to be more likely to get abnormal results when it comes to liver function tests. Their livers are even more likely to display signs of scarring, i.e. nonalcoholic fatty liver disease.

Complications with medications plus surgery

Obstructive sleep apnea tends to be a concern with some medications and general anesthesia. Those with sleep apnea may experience complications after a major surgery as they are likely to get breathing issues, mainly when sedated as well as lying on the back.

If you think that you have sleep apnea, it is important that you consult your doctor immediately. They will be able to guide you on the best way to solve your problem. You need to get it addressed before it is too late.

How To Get Rid Of Jaw Pain From TMJ – Causes, And Solution

How To Get Rid Of Jaw Pain From TMJ – Causes, And Solution

The temporomandibular joint (TMJ) is the hinge which connects one’s jaw to their temporal bones of their skull, that are located in the front of both ears. It allows you to move the jaw up and down as well as side to side, letting you talk, chew, and also yawn. The TMJ behaves like a sliding hinge, effectively connecting the jawbone to the skull. Dysfunction may cause pain and discomfort.

What is Temporomandibular Joint disease?

TMJ disorders, i.e., a kind of temporomandibular disorder (TMD) may lead to pain in the jaw joint along with in the muscles which control jaw movement. Therefore TMJ disorders tend to be conditions which impact the TMJ particularly. There are some possible symptoms, that can cause differing amounts of discomfort.

When looking at TMJ disorders, these are a broad category. Moreover, the term encomapsses many possible causes. Therefore there are different treatment choices available as well.

The doctor may diagnose your TMJ disorder based upon a range of symptoms, like persistent pain around your jaw as well as restricted jaw movement. Many cases of TMJ disorders resolve by themselves in a short period, often in a couple of months. Nevertheless, some cases can be ongoing and reoccur.

Types of pain

TMJ usually causes much pain and discomfort. The types of pain include:

  • Pain and tenderness in the face, jaw joint area, shoulders, plus neck, and in or around your ear at the time that you chew, speak and open the mouth wide.
  • I am experiencing problems when trying to open the mouth wide.
  • Jaws which get “stuck” or even “lock” when in the open-or-closed-mouth type of position.
  • Experiencing clicking, popping, and the grating sounds in your jaw joint at the time of opening or closing the mouth or when chewing. This can or cannot be painful.
  • I have a tired feeling in the face.
  • Finding it difficult chewing or having a sudden uncomfortable bite, like the upper as well as lower teeth, feel like they do not fit together in a proper way.
  • I am swelling on the side area of your face.
  • You can even have toothaches, headaches, earaches, ringing in the ears (or tinnitus), neck aches, dizziness, as well as upper shoulder pain.

Causes of TMJ disorder

The temporomandibular joint effectively combines a hinge action specifically with sliding motions. When considering the part of bones which interact in the joint, these are covered with cartilage moreover tend to be separated by a useful small shock-absorbing disk, that often allows the movement to remain smooth.

TMJ disorders happen when:

  • The disk erodes and moves out of the proper alignment
  • Your joint’s cartilage gets damaged due to arthritis
  • Your joint gets damaged because of a blow or some other impact
  • There is some physical injury
  • Grinding or clenching teeth whilst sleeping
  • Due to autoimmune diseases
  • Because of dental surgery
  • You have some infections

Other causes can be genetic, hormonal, and environmental. For example, violinists have said to have TMJ disorders more in comparison to the general population, as their work includes holding the instrument beneath the jaw. This may lead to strain, that causes TMJ disorders.

Women are said to have TMJ disorders more than men. Therefore researchers are finding hormonal causes for TMJ. The cause is not exactly understood; researchers feel like investigating the link among female hormone estrogen as well as TMJ disorders may be helpful.

Solutions and treatment

You may be wondering how to get rid of jaw pain. There are some treatment choices available.

Treatments to do at home

Some things can be done on your own so as to help with TMJ symptoms. The doctor may tell you to try some of them together.

Over-the-counter medications– This includes nonsteroidal anti-inflammatory drugs or NSAIDs such as naproxen and ibuprofen. These can aid in relieving muscle pain as well as swelling.

Moist heat and cold packs– You can apply the ice pack to your face’s side and temple place for around 10 minutes. If the dentist is fine with it, do some simple jaw stretches. After you have done this, hold a warm towel to your face’s side for around 5 minutes. Do this some time every day.

Try and eat soft foods, avoid much jaw movements, do not rest the chin on the hand, let your teeth remain slightly apart, and learn some helpful relaxation techniques.

Other treatments

This includes medications. The dentist may prescribe these to you. You may want to try an anti-anxiety medication so as to relieve stress. A splint or also night guard can be tried out. You can get dental work done.

Other treatments include transcutaneous electrical nerve stimulation, ultrasound, trigger-point injections, radio wave therapy, and low-level laser therapy. You can also get the surgery done.

How to Stop Snoring?

How to Stop Snoring?

Many people snore. This occurs when air flows via your throat at the time that you breathe within your sleep. This leads to the relaxed tissues in the throat vibrating and developing harsh, irritating snoring noises. Snoring helps in disrupting sleep and that of your sleep partner as well. If you snore, then you may want to know how to stop snoring?

You need to know the cause of your snoring to find out its treatment. Below are some causes and treatment options of snoring.

Snoring due to sleep apnea

Sleep apnea may lead to a type of snoring whereby an individual can seem to stop breathing for a period of time between snore; they may produce choking and gasping sounds.

Loud snoring occurs due to sleep apnea. It can also lead to the following symptoms:

  • Daytime sleepiness
  • Low libido, and sex drive
  • Insomnia
  • Irritability
  • Morning headaches
  • Finding it tough concentrating and remembering stuff

If you experience this, you should visit a doctor, because sleep apnea may be a symptom of some other associated condition, like high blood pressure, acromegaly, etc.

Treatment includes:

Sleep apnea can be handled with self-care. This includes physical exercise as well as weight loss. You can get the surgery done as well. A specialist can help you out like Dr. Shirazi, who specialises in dealing with this condition. It is a good idea to get an appointment with the doctor so that they can help you handle this condition.

The mouth’s anatomy

If you have a low and thick, soft palate, this may narrow the airway. Those who are overweight can have extra tissues within the back area of their throats, which may narrow the airways. If the uvula or triangular piece of tissue that hangs from your soft palate gets elongated, the airflow can be obstructed as well as vibration increased.

Once again, you can get the help of a specialist like Dr. Shirazi. They can tell you the best way to solve this problem.

Drinking alcohol

Another reason for snoring is alcohol consumption. If you drink alcohol and snore, this may be the reason for your snoring. Snoring can occur due to drinking much alcohol before going to sleep. This is because alcohol relaxes the throat muscles as well as decreases the natural defenses, particularly against airway obstruction.

It is, therefore, necessary to avoid drinking alcohol when it is your bedtime. Do this around two hours before bedtime. It is important to let the doctor know that you snore before them prescribing your sedatives. This is because sedatives, as well as alcohol, depress the central nervous system, leading to excessive relaxation of the muscles, like the tissues in the throat.

Nasal issues

Chronic nasal congestion and a crooked partition among your nostrils (i.e., deviated nasal septum) can help in causing snoring.

You can try using nasal strips or some external nasal dilator. The adhesive strips that are applied to your nose’s bridge aid many individuals in increasing the area of the nasal passage, therefore enhancing breathing. Looking at a nasal dilator, this is regarded as a stiffened adhesive strip that is applied externally, particularly across your nostril. It may aid in limiting airflow resistance, therefore, letting you breathe easily. If you have OSA, then nasal strips, as well as external nasal dilators, will not help you.

Consult your doctor to ask them what to do.

Sleep deprivation

Another reason for snoring is not getting sufficient amounts of sleep. This can result in further throat relaxation. It is important to get enough sleep if you want to remain healthy. Adults need to aim for around seven hours per night. If you find it tough sleeping, you should consult your doctor.

A specialist like Dr. Shirazi can help out as he specialises in snoring problems. You can get an appointment with him and tell him about your problem. He deals with every patient individually trying to solve their particular problem. It is necessary to get help if you cannot sleep because sleep deprivation can be serious. It can lead to you sleeping whilst driving, therefore, being fatal. Your sleep deprivation may be due to some other serious reason; it is, therefore, better to get it checked by the doctor.

The above are some reasons why snoring occurs and how to stop snoring. It is a good idea to get the help of a doctor who specialises in this field so that they can guide you and help you solve this issue.

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