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4 Rogers Street
Spring Hill, QLD, 4000
Australia

+61 7 3391 2504

Brisbane Dentist - excellence in general and aesthetic dentistry with Drs Amy Daley, Leila Haywood, UQ graduates with 20 years of experience in Spring Hill, Brisbane

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dentistry life at Brisbane Smile Boutique

The life and times of our dental practice, up to date news in dentistry and celebrations, happy moments in dentistry. Our blog outlines dentistry life at Brisbane Smile Boutique in Spring Hill in inner city Brisbane

Filtering by Category: Smiling dental

Tooth grinding solutions and muscle relaxant injections

Leila Haywood

What is bruxism?

Excessive clenching or grinding of the teeth, is called bruxism, and is thought to be caused by physical or psychological stress, or a sleep disorder. If untreated, bruxism can cause excessive wear of the teeth leading to permanent damage of the teeth and sometimes of the jaw joints. Treatments involve repairing worn or damaged teeth with restorations, crowns or inlays, to replace the damaged tooth surface, and making an occlusal splint, or night guard, custom made from hard plastic that fits over the top teeth, and is worn at night to prevent further wear of the tooth surfaces, and to allow the jaw joint and muscles to relax. 

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TMJ disorders and muscle relaxant therapy

Disorders of the jaw joint, or TMJ (temporomandibular joint) are not uncommon and may lead to symptoms of pain and discomfort in the jaw called temporomandibular dysfunction (TMD) . Patients may complain of earaches, headaches and a limited ability to open their mouth.  Other symptoms can include clicking, popping or grating sounds in the jaw joint,  pain when opening and closing the mouth,  a general tightness and pain in the muscles of the jaw, or broken teeth due to the excessive forces.

Muscle relaxant injection treatments are available for jaw pain caused by excessive tooth grinding. These can reduce the muscle activity of the jaw and provide relief from wear in the joint system, and can prevent the teeth grinding excessively.

Dentists will try to determine the cause of tooth grinding and associated symptoms, and offer a range of treatment options to reduce the discomfort and intervention before the excessive forces damage your teeth. There are several treatment options that can be used to immediately stop  clenching or tooth grinding , and hopefully relieve the jaw pain.   

People who clench or grind their teeth are able to relieve the pain in the jaw joints and muscles with physiotherapy treatments, pain relief, prescribed sedatives, occlusal splint therapy or therapeutic use of muscle relaxant injections into the jaw muscles. 

Current management for bruxism

Current management by dentists for jaw muscle pain caused by grinding or clenching is with occlusal splint therapy or night guards made by the dentist, orthodontics, pain relief, full mouth rehabilitation,  muscle relaxant injections, and very rarely, surgery. 

Muscle relaxant injections with Botulinism Toxin A can decrease the destructive effects of tooth grinding. A diluted form of the muscle relaxant is injected in the jaw muscle to partially weaken muscles for a period of 4 to 6 months.  

Bruxism is a disorder of repetitive and unconscious contraction of the masseter muscle, the large muscle that moves the jaw.  Muscle relaxant injections weaken the jaw muscles enough to reduce the effects of teeth grinding and clenching, but not so much as to prevent proper use of the jaw muscle for eating and normal facial movements. A muscle relaxant treatment typically involves injections into the masseter muscles. It takes a few minutes per side, and you can start to expect feeling the effects after 5 days.

What is the muscle relaxant injection? 

The muscle relaxant injection is Botulinism Toxin A, a prescription medicine which contains 100 units of muscle relaxant liquid and is a natural, purified protein that is used therapeutically in medicine to relax facial muscles, and is approved by the FDA (US) and TGA to treat medical conditions such as cerebral palsy. It is widely known for its uses in cosmetic work, as anti wrinkle injections.  

How are muscle relaxant injections used in  dentistry? 

Dentists who have undergone appropriate training can use muscle relaxant injections to treat muscular pain and headaches due to muscle contractions in the head and face, focusing on the jaw area.

Severe and undiagnosed tooth grinding and clenching can lead to headaches, pain in the jaw joint, muscles of the jaw, enlarged masseter muscles, tooth wear and broken teeth, and is thought to be cause by fatigue, stress and emotional extremes. 

How does the muscle relaxant injection work?

Approximately 90% of all headaches are thought to be caused by muscle contraction. Pain is minimised with muscle relaxant injections into the muscles of the jaws so that they cannot be contracted fully, therefore the pain is minimised.   

What does the treatment involve?

Muscle relaxant injections are usually administered by a very fine needle into the muscles that are causing the pain (eg. masseters, temporalis, frontalis) with a selected appropriate dose. The rest of the muscles still can function normally therefore chewing is mostly unaffected. No anaesthetic is required since the procedure has minimal discomfort, with just a slight sting at the injection site.  The treatment generally takes around 15 minutes for a full treatment. The muscle relaxant treatment takes around 5 days to begin taking effect and up to 7 days for the full effect to be felt.   

How long does it last? 

This varies from individual to individual but usually 3-6 months.  Repeat injections may result in the effects being prolonged.   

Contraindications to using muscle relaxant

  • Pregnancy or breastfeeding
  • Allergy to albumin
  • an infection, skin condition or muscle weakness 
  • Have Eaton-Lambert syndrome, Lou Gehrig’s disease or myasthenia gravis.

Risks

Any surgical or invasive procedure carries risks. Before proceeding, we recommend that you ask any questions that you wish, advise of any associated issues and seek a second opinion from another qualified health practitioner.   

What are the Side Effects? 

The amounts are carefully measured appropriately for your case and the injection site is very localized therefore the side effects are minimised.

Possible side effects include but are not limited to discomfort, burning/stinging, swelling, redness or  bruising around the injection site. Side effects are minimised by using a trained professional and usually minimal.   

    What to do if a tooth is knocked out

    Leila Haywood

    The current guidelines state to

    ☞ immediately replant the tooth

    ☞ if it can't be immediately replanted, hold the part of the tooth that could be seen in the smile, not the root, try not to touch the root at all, and put it in some MILK as soon as possible. Call the dentist immediately.

    ☞ sports team, organisations and schools should have a storage medium, called SOS DENTOBOX, which has a 3 year shelf life, and which improves the chance of successful treatment

    ☞ if the tooth dries out, after 5 minutes the cells on the root are starting to die, and after 30 minutes there is 50% less of a chance that the tooth is going to be able to survive the trauma

    In a younger patient, the chance of the nerve repairing and healing is much higher, but in an adult, there is limited ability to heal and it is likely that the tooth will need to be at least root treated, and this is best attended to by an endodontist ( root canal specialist dentist)

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    hi february

    Leila Haywood

    Well this is a sure sign that the year is well and truly underway. Dr Amy and Senior Assistant, Nikita, are heading off for an overseas getaway together with friends and family, and counting down the weeks. It really doesn't seem like too long until Easter now, now that February is coasting by. 

    Here at work, we are checking in on all of our patients, and as usual making sure that their smiles are healthy and looking their best. Dr Amy and I had the privilege of caring for 3500 patients last year.

    DR HAYWOOD BRISBANE FEMALE DENTIST
    Dr Amy Daley Brisbane Smile Boutique aesthetic dentist
    RUGBY SEASON IS COMING SOON 

    RUGBY SEASON IS COMING SOON 

    MOUTHGUARD season is almost here, and it is timely to mention that professional mouthguards can prevent tooth fractures, loss of teeth and even fractures of the jaw, due to their superior support and shock absorption. Professional mouthguards are custom made in most colour combinations, and take around a week to make in the laboratory. We can even make them to fit around braces, and relieve areas where adult teeth are coming through to have the mouthguard last for a longer period of time. Just make sure yours doesn't end up in the dryer, in a rubgy short pocket, like my son's seemed to.

    All contact sports, where there is any chance of trauma to the teeth or face, are best played with a professional mouthguard. They are comfortable, longer lasting, don't look like chewed up pieces of plastic, fit correctly, and don't fall out. Chemist, one size fits all mouthguards might be cheap at the outset, but sometimes not in the longer run, being that their main function is to 'have a mouthguard'. They seem to be mainly for show, with no functional capacity to protect teeth, being that they don't even cover the teeth and seems to float around in mouths, and come out looking like a chewed up film of plastic.  

    One case that really highlighted this was a professional rugby player in his 20's who needed both front teeth removed, a bone and gum graft for a year, and had to wear a denture for all this time. Then two implants were placed, with a new denture for 6 months, and finally I placed two implant crowns. This cost tens of thousands of dollars, not to mention the time and distress for the patient and his family. A professional mouthguard costs around $200. In the long run, they can save injuries to the teeth from impacts that may have dislodged them if not for the correct protection. 

    SPORTS DRINKS DENTIST BRISBANE

    It is timely to discuss how oranges, SPORTS DRINKS, soft drinks and energy drinks when playing sport, do little more than wreak havoc on the teeth, causing catastrophic and irreversible damage in lots of our young patients, especially teenagers, young adults and professional athletes, known as TOOTH EROSION.  If possible, please hydrate with water, because these drinks seem to be laden with sugar in some form, and are acidic, and even those that are sugar free are acidic, which ultimately softens the teeth.  The way we see it strip off the enamel - the hardest substance in the body - has to be seen to be believed. The enamel never grows back, and then it places a young person in a position, where their teeth are forever vulnerable to ongoing damage and sensitivity.

    At the moment, I have a gentleman who is having every single tooth restored with ceramic, to build up all the missing tooth structure that has been lost and damaged, which of course takes an immense amount of time, team work, and with computer aided design we can make everything like new, except that it doesn't always last a lifetime. By far, our preference is to have no initial damage to begin with and ongoingly, so diligent home care, a healthy diet and dental checks each 6 months are an important thing to do for a lifetime of healthy teeth.

    SUMMER DENTAL BRISBANE

    We look forward to catching up with all our patients and friends and wish everyone the best! Please call our patient co ordinator Sonia, if the time has come to see to your SMILE and it will be our pleasure to assist. Remember that we have a no blame approach. If there's a problem, we fix it. There is no judgement here, our jobs are to help, manage and care for your dental health from the moment we meet you throughout life. We will take every measure we can possibly can to ensure that you are comfortable. 

    SUMMER has been going on for what seems forever, so hopefully the weather will calm down in Brisbane sometime soon, but in the meantime, we have powerfully air conditioned rooms, as well as those beautiful views over the Brisbane River. We have yet to have a final date from council regarding the resumption of our dental premises to widen Lytton Road, so hopefully we never hear from them, and can stay here forever! 

    With the best of regards

    Leila Haywood / dentist / brisbane smile boutique

     

     

    Farewell January!

    Leila Haywood

    Brisbane Dentistry Smile Boutique

    Bonsoir! Well that went fast. January is almost a fleeting memory, as we venture into the year. As one might expect, it has been so far full of smiles that visit us, requesting to be checked, professionally scaled, whitened and the like.

    The year is promising to be another great one for our team. Sonia, our patient co-ordinator is on reception. Nikita is the senior assistant to Dr Amy Daley, who is working Tuesday, Wednesday and Fridays from 7.30am to 3.30pm. Holly is the senior assistant to Leila Haywood, as well as her training up in 2016 and venturing into the business of beauty, which is perfect for her, given her eye for precision and style.

    Christine is our dental hygienist, who attends to the magic that is Zoom technology, with transformations that impress our dentists. She has been caring for all the children who were on school holidays, starting kindy, prep, and school and the teenagers heading to high school and uni. The start of the year is the perfect time for a smile check, and everything else in between, and Christine assists our dentist to have all of our patients having the healthiest smiles possible.

    Best Wishes to everyone as the year is well and truly underway, and wishing you days of happiness and sunshine.

    It would be mine and Dr Amy's pleasure to be of assistance with any dental requirements. 

    Kindest Regards

    Leila Haywood // Dentist // Brisbane Smile Boutique

    HELLO JANUARY!

    Leila Haywood

    HAPPY NEW YEAR to all our patients and friends, and wishing you a year full of happiness and healthy teeth. Our year has started with smiles en masse. 

    Dr Amy and I have been researching and training in the next generation technology, where the precision of ceramic milling has finally reached the standard that we are finding to be exceptional, and therefore acceptable. Our technician here in Brisbane is scanning our models in with the latest scanning software, and creating porcelain inlays and onlays, to replace composite resin and metal fillings. I am in the process of having one placed in one of my molar teeth and Amy and I are excited at how durable and aesthetically pleasing they are. They are now our material of choice for  larger restorations on the back teeth. 

    Composite resin has been lasting around 5 to 7 years for the average dentist; and of course patient - and it has its suitable applications, however for large fillings on the back teeth, porcelain is superior because of its strength, durability and aesthetics.

    Christine, my hygienist, of 8 years! ... has been seeing to the transformation of healthy smiles with Zoom teeth whitening. 

    Late last year, I had the opportunity to check in with some patients who have had past restorations for review and maintenance. 

    Christine did some in office whitening for this lovely lady from the outback, and we then built up the two front teeth ( central incisors) to recreate a curve to the smile and to restore the worn down tooth structure. To help us maintain these, our patient wears a night guard to protect her teeth. These buildups have been in placed for 5 years. 

     

     

     

     

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    This gentleman had 6 porcelain crowns and veneers to restore his top teeth in 2011, and the after photo is an update from 2016, which showcases the durability and lasting beauty of porcelain. Christine, my hygienist, has done in office whitening and provided active maintenance.

    It has been a busy January for our team; seeing to cases and reviews, all the school kids for dental checks and cleans - especially checking if the toothbrush is also on holidays; resolutions for a healthy smile, preventive care and everything in between.  

    Please contact Sonia, our patient co-ordinator should you have any queries at all, on 07 3391 2504. 

    Wishing all of our patients and friends a lovely New Year, and a year of great things to smile about. 

    With the Kindest of Regards

    Leila Haywood