Fort Walton Beach dentist, Dentist in Fort Walton Beach, FL

Frequently Asked Questions
There are no clear cut answer to these general questions about TMJoint Disorders. Simply remember that if you explore one option and don't find the answers or help you need, stop and explore your alternatives. You--after all--are ultimately responsible for your own health and well-being.
Q. Should a person with head pain consult their dentist or physician?

A. Head, neck and facial pain can be difficult to diagnose, especially when the pain is chronic. Follow these general guidelines on head pain as you decide where to seek assistance:
Oral pain (tongue, palate, teeth)
Go to your Dentist

Swelling below the eyes
Go to your Dentist

Joint pain, jaw pain
Go to your Dentist

Muscle pain (temples)
Go to your Dentist

Throat pain
Go to your Physician

Migraine headaches
Go to your Physician

Eye pain
Go to your Physician

Sinus pain
Go to your Physician

Ear pain
Go to your Physician

These guidelines do not always prove true, as many symptoms can mimic other disorders. For example, ear pain can really be TMJ, which does need treatment by a Dentist; the same holds for sinus pain. Another example of this is a migraine caused by severe muscle tension.
Q. Can you give me an example of the typical TMJ patient?

A. Keep in mind that alternatives to this model exist everywhere.

The typical TMJ patient seen is female, between the ages of 30 and 50. Her life is marked by:
  1. high stress from a demanding job, children, a Type-A personality
  2. trauma or sudden tragedy
  3. excessive use of pain medications
  4. an overbite, or lost posterior teeth
  5. jaw-clenching
  6. a toleration for jaw pain for years
  7. depression or temperamental behavior
Q. How is TMJ treated?

A. Successful treatment depends of course on a proper diagnosis. Thus thorough examination and careful testing are the clear precursors to any treatment.

Therapy itself consists of two distinct phases:
  1. The objective of the first phase is to relieve pain, reduce symptoms, stabilize the joint and restore normal function. To achieve this goal we:
    • Prescribe the use of bite guards or splints to define jaw position, both day and night, as these two positions can vary
    • Use physical therapies, including hold and cold treatment and electronic pain modalities,
    • Offer drug therapies, including muscle relaxants and anti-inflammatories, and
    • Suggest stress management, characterized by bad-habit breaking, biofeedback, meditation, massage therapy, etc.

All treatment in this initial stage of therapy is conservative and completely reversible, and most major medical insurance companies cover this stage of treatment.
  1. Once our goal of eliminating pain and other symptoms for at least 90 days is achieved, we proceed to the final phase of therapy.

    Though in phase 1 we used a removable orthopedic appliance (splint) to establish necessary jaw position and relieve pain, other strategies are often used in phase 2 to totally eliminate the pain and discomfort of TMJ. Possible strategies include:
    • Shaving prematurities in the bite to make minor bite adjustments,
    • Weaning the patient off of the daytime appliance
    • Using a night time appliance (nightguard) to maintain proper jaw position and help eliminate clenching or grinding,
    • Orthodontics if the entire bite needs to be changed and all the teeth and gum tissues are in good health,
    • Restorative reconstruction of the bite, involving crowns and bridgework, and
    • New dentures or Partial Dentures to replace those that have severely worn down through years of use.
As with any other medical problem, the key to quickly treating TMJ is early discovery and treatment. For more information on TMJ or to make an appointment please call our office at (850) 243-1534.

What are dental implants?

People often refer to a dental implant as a replacement tooth, but it is actually a metal post or appliance that replaces the patient's tooth root or roots. Once the artificial root or roots are in, replacement teeth are put in place and thus anchored firmly to the bone by the implant. The patient's new teeth look, feel and work just like natural teeth. There are several types of dental implants suited to various dental conditions.

Do I have to go to more than one doctor to get dental implants?

There are very few dentists who can both place the implants and make and attach the teeth into the implants. Dentistry represents less than .5% of dentists qualified to do all the steps of implant dentistry from start to finish. It is not necessary to go to more than one doctor for this service and usually the result is more predictable when one fully trained doctor does the procedures needed to restore a patient to full comfort, function, and cosmetics.

What are the benefits of implants?

Dental implants are an alternative for:

  • The patient who cannot function comfortably with conventional dentures.
  • The patient who has lost teeth and wants to avoid removable partial dentures.
  • The patient who needs a crown or fixed bridge but doesn't want to damage his or her adjacent healthy teeth.
  • The person who wants to have the dental solution that is the closest to what Mother Nature created.

Who is a candidate for dental implants?

Because of recent advances in implant technology, more and more people are implant candidates - although many people may be told they are not. The only way to know for certain is to be evaluated by a practitioner who has received advanced training in implant dentistry. Typically, if a patient is healthy enough to undergo fixed bridgework procedures or routine extractions, he or she can also undergo dental implant procedures.

What does the dental implant procedure involve?

Most implants can be placed by a trained dentist in one or two office visits. Further visits will also be needed to fit the replacement teeth, which fasten to the implants. In addition, it is possible that some bone structure will have to be added to the patient's jaw or that other adjustments may have to be made. Tested methodologies now exist that can effectively and safely add bone where needed. This process can delay the placement of the implant for a period of months. Most insertions can be performed under the same local anesthesia used for routine fillings. Medication so the patient can sleep during the procedure is available with oral conscious Sedation or IV sedation. Temporary teeth are usually placed until permanent replacement teeth are made so that patients can lead normal lives during the interim.

How long does an implant last?

Implants have remained in patients' mouths for 30 years or longer. We recommend a preventive maintenance program to help insure the long-term success of your implants and teeth.

How much does an implant cost as compared to other forms of dentistry?

The cost of implant dentistry is comparable to that of fixed bridgework or other advanced dental procedures in most cases.

Do implants require any special care?

Dental implants and accompanying replacement teeth should be cared for in the same way as natural teeth. Although they cannot get decay, they are still subject to gum disease in the same way natural teeth are.

Is there any chance of rejection of the dental implant?

The body doesn 't reject a dental implant as it might a soft tissue implant such as a lung, heart or kidney. Dental implants are made of titanium, which is compatible with the body.

How long will I be off work?

Generally we recommend the day of the implant placement and the day after. Most of our patients are back to work the next day after implant placement. It's an individual decision.

What will happen without treatment?

When you lose your teeth, you gradually lose the bone that supportsed the teeth. As this bone shrinks, problems with a lack of support lead to increased discomfort, mobility, lack of retention of dentures, and sharp, painful ridges, movable gums and sore spots. The tongue also enlarges to accommodate the space. With tooth loss, a five-fold decrease in function occurs and the diet shifts to softer foods. When bone is lost, the incidence of numbness to the lower lip or even fracture of the jaw increases. In addition, this progression will affect our ability to provide the treatment we could have before so much bone loss. It could require more implants or more extensive treatment. Or,it may be possible that we will not be able to provide the same treatment we recommend now. At its worst, the bone loss could be so severe that the only way for the person to have teeth of any kind would require a hip graft (taking bone from the patient's hip).

Do all patients who want cosmetic makeovers get the same kind of teeth?

Absolutely not! Each person has a look they want for themselves and they have facial structure and skin tones that guide us in making individual selections that vary in size, shape, and color for each person.

Do I have to get my teeth capped to get rid of spaces between my front teeth?

In most cases capping to correct spaces isn't necessary. Today with beautiful, natural looking porcelain veneers (also called porcelain facings) we can easily make dramatic cosmetic changes to remove spaces, fix cracked teeth, do minor tooth straightening, and change the color of your teeth. In many instances, little or no tooth structure needs to be removed to create the smile of your dreams.

Is "tooth whitening" safe?

Bleaching procedures are safe and approved by the American Dental Association. Bleaching does not wear away any tooth structure or make a tooth more susceptible to staining.

Is gum surgery essential if I have periodontal (gum) disease?

We have found, many times, surgery is not necessary following a conservative course of periodontal treatment. This type of care typically includes a series of nonsurgical gum treatments. Even when surgery is required, it often is needed only in a few areas of the mouth and results can be greatly enhanced by nonsurgical preparation.

If periodontal disease is such a problem, why doesn't it hurt?

This is, unfortunately, a very good question. Periodontal problems can become quite serious and extremely advanced without any pain whatsoever. That is why it is so important to be attentive to the warning signs - bleeding gums when brushing and flossing, swollen gums, receded gums, teeth changing position, pus or swelling around gums - to name a few.

Wright Parkway Dental Center

General Dentistry

850-243-1534

Dentist in Fort Walton Beach, FL | About Us | Our Practice | Technology | Services | Contact Us | Smile Gallery | Links | FAQ | Sitemap

Wright Parkway Dental Center

of Fort Walton Beach, FL. Give us a call at

850-243-1534

. We make beautiful smiles a reality. Quality dental care provided by dentist Susan Franssen Welch, DDS and staff at our beautiful FL office. Providing a wide array of dental procedures including Implant Restorations, Fillings, Crowns, Whitening, Bridges, Smile Makeovers, Veneers, Teeth Whitening, and many other services. All of this available in our convenient location in Fort Walton Beach, FL.

106 Wright Parkway SW
Fort Walton Beach FL 32548
850-243-1534