Temporomandibular Joint (TMJ) Treatment, from Dr. McAnnally

So what exactly is TMJ?

"TMJ" is used to refer to problems associated with the jaw joint.
TMJ disorders are more common than you may realize in the United States. The National Institute of Dental and Craniofacial Research estimates that between 5 and 15 percent of people experience pain associated with TMJ. The initials TMJ actually stand for the TemporoMandibular Joint, which is where your lower jawbone and your skull connect. You have one joint on each side of your face, and you can experience pain in one without it being present in the other.

What are the symptoms of TMJ?

Signs to watch out for are pain and discomfort in your jaw. Sometimes the pain spreads and you can feel it around your ears and throughout your face. You will probably experience difficulty chewing and swallowing. Oftentimes the joint will lock causing difficulties opening or closing your mouth. The joint can also make a clicking noise when you move your mouth. Left untreated, TMJ can also cause headaches, difficulties making facial expressions, and even make it painful to apply cosmetics to your face.

What causes TMJ?

The TMJ is one of the most complicated joints in your body because it moves up and down as well as side to side. TMJ problems usually involve a genetic predisposition which can be exacerbated by jaw clenching, teeth grinding, arthritis, or some kind of trauma to the joint.

How do you treat TMJ?

At Dr. McAnnally's office, we start out by analyzing your symptoms and history to fully understand your condition and the potential causes. We will examine the joint and your range of motion to properly diagnose your condition. If you have TMJ, you are in good hands as we are equipped with the latest in technology at Dr. McAnnally's office.

The Damon System: Better Results in Less Time with Dr. McAnnally

A lot of our patients, (especially you parents!) come to the orthodontist thinking traditional braces are the only answer. Here at Dr. McAnnally's office, we offer the Damon System, a revolutionary new braces system that can give you better results in less time!

Am I right for the Damon System?

Dr. McAnnally will evaluate your eligibility for the Damon System, and the procedure can be performed for children and adults alike!

What makes Damon braces better?

Probably the biggest advantage of Damon braces over traditional brackets is the amount of time and effort involved. Dr. McAnnally can often cut months off of the total treatment time for patients using the Damon System, and less visits to our office are necessary to make adjustments.

In addition, the Damon System brackets are:

• Cleaner- Damon brackets don’t have the elastic of traditional brackets, and are less prone to all the plaque buildup that your dentist warns you about!

• Discreet- Damon braces are smaller and have fewer parts than traditional brackets, making them less noticeable and more comfortable.

• No tightening- With the Damon system, Dr. McAnnally can position your teeth and avoid frequent adjustments. This also reduces the need for complicated tooth extractions or surgery.

If you have been thinking about an orthodontic procedure, come see us at Dr. McAnnally's office for an assessment to see if the Damon System is right for you!

Braces 101 with Dr. Roy McAnnally

Should you need to call Dr. McAnnally in case you sustain any damage to your braces, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.



Elastic Tie: Tiny rubber band that fits around the bracket to hold the archwire in place.

Archwire: The main wire that acts as a track to guide the teeth along. It's changed periodically throughout treatment, as teeth move to their new positions.

Loop in Archwire: Frequently used for closing space left by an extraction. Many archwires don't have a loop.

Bracket: Small attachment that holds the archwire in place. Most often, a bracket is cemented directly onto the tooth's surface, eliminating the need for a band.

Headgear Tube: Round, hollow attachment on the back bands. The inner bow of the headgear fits into it.

Coil Spring: Fits between brackets and over archwire to open space between teeth.

Tie Wire: Fine wire that is twisted around the bracket to hold the archwire in place.

Band: A thin ring of metal fitted around a tooth and cemented in place. The band provides a way to attach the brackets to the tooth.

Hook: Welded or removable arm to which elastics (rubber bands) are attached.

Elastic (Rubber Band): Small rubber band that is hooked between different points on the appliance to provide pressure to move the teeth.

--Dr. McAnnally

Bottled Water May Be Behind Tooth Troubles

Dr. Roy McAnnally wants you to know that as more families turn to bottled water and away from the tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride!

As of 2005, bottled water is second only to soft drinks as the most popular drink in the United States, beating out milk, juice, and – more significantly – tap water. Between 2001 and 2006, the amount of bottled water sold in the U.S. rose an average of 10% per year. And many dental health specialists point to bottled water’s increased popularity as the culprit behind rising rates of cavities.

Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. The benefits of fluoride were noticed in the early part of the twentieth century, when researchers found communities with low levels of tooth decay. It turned out that these towns had measurable levels (around 1 part per million) of fluoride in their drinking water.

Beginning in the 1940s, communities have fluoridated their water supplies, and dentists have seen a significant decline in cavities ever since. The American Dental Association endorses both community water fluoridation and the use of fluoride-containing products as a safe means of preventing tooth decay. Between tap water and toothpaste, most of us get sufficient amounts of fluoride.

But if your family avoids fluoridated tap water in favor of ever-more-popular bottled water, you could be missing out on the levels of fluoride necessary to make a difference in your oral health.

If bottled water is your water of choice, check the label to make sure that your brand contains fluoride. As of a 2006 decision, the FDA allows bottled water containing .6 to 1.0 milligrams per liter of fluoride to carry a label stating that fluoridated water may reduce the risk of dental cavities or tooth decay. The ADA has backed this decision.

Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your choppers in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake and visiting Dr. McAnnally regularly.