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Have you been having trouble getting a good night’s rest?

Sometimes the reason for a poor night’s sleep is obvious. A midnight horror movie. A bedtime espresso. That anchovy and pineapple pizza you had for dinner. Not much we can do about these problems.

Sometimes, though, the cause of your sleep difficulties is dental in origin, and that is something Dr. Lairmore can help with.

Teeth grinding, or bruxism, is a very common dental problem. When people with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect you might suffer from bruxism?

• You wake with a sore jaw, or you hear pops or clicks when you move your jaw
• You suffer from frequent headaches or facial pain
• Your teeth are chipped, cracked, flattened, worn down, or sensitive
• You wake up tired, because grinding affects the quality of your sleep
• Partners, siblings, or roommates complain about nocturnal grinding noises affecting the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over hours of sleep. These forces can lead to:

• Damaged teeth. Cracked, chipped, and worn down teeth can mean veneers, crowns, and root canals. Seriously compromised or broken teeth might need to be extracted.
• Damaged dental work. Bruxism can lead to fractured veneers and damaged fillings and crowns. If the damage is too serious for repair, replacement might be necessary.
• Damaged jaw joints. Severe cases of bruxism can lead to injury to the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

While these problems can be treated with restorations, or root canals, or implants, or surgical procedures, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

While over-the-counter products are available, a dental professional is the best person to see for the most effective night guard. A custom night guard is designed to fit your individual teeth and mouth perfectly. Impressions or 3D scans are taken in the office, and a guard is fabricated with the precise shape, strength, and thickness you need to protect your teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

If you suffer jaw pain on a regular basis, schedule a visit to our Mobile office. Oral and maxillofacial surgeons specialize in treating conditions of the jaw and facial bones. We can diagnose the source of your jaw pain and prescribe treatment, whether the cause is bruxism or any other jaw disorder.

Scary movies, late night caffeinating, creative food combinations—not much we can do about those! But if you’re suffering lost sleep and painful mornings because of tooth grinding, give us a call. In many cases, a night guard just might be the key to sweet dreams.

A dry socket isn’t a common post-surgery complication, but it happens occasionally. A dry socket, technically known as alveolar osteitis, can occur after an adult tooth is extracted from the mouth. It occurs if the blood clot at the place the tooth was extracted gets lost.

Without a small, protective blood clot where the tooth was removed, nothing will stop the exposed bone and nerves from becoming infected. It’s easy to treat a dry socket, and care is recommended if noticeable pain develops in the area where the tooth came out.

You may have a dry socket if you experience severe pain, bad breath, or an unpleasant taste in the mouth. Dry sockets can happen right after a tooth is extracted, or may develop several days later due to bacterial contamination or trauma.

There is a higher risk of having a dry socket if you smoke, take oral contraceptives, perform poor oral hygiene, or have pre-existing infections in your mouth. Make sure you pay close attention to the state of your mouth after a tooth extraction if you have one or more of these higher risks for developing a dry socket.

If this condition does occur after surgery, Dr. Lairmore can help by cleaning any debris that may have settled in the area. We can also provide a medicated gauze that should be changed regularly to help speed the healing process.

Antibiotics may be prescribed, depending on the infection, but Ibuprofen or acetaminophen can usually be sufficient to ease any pain.

If you think you might have a dry socket following oral surgery, please contact our Mobile office and let us know which symptoms you’re experiencing so we can assist you. To avoid getting a dry socket, make sure to get plenty of rest after surgery, drink lots of water, eat soft foods, and clean your mouth thoroughly.

We hope you never experience a dry socket, but if the situation does arise, you should be ready now!

At Oral and Maxillofacial Associates, we love to celebrate the holidays with vigor! Dr. Lairmore would love to share some unique ways of celebrating Thanksgiving from beyond the Mobile area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

A dry socket, known as alveolar osteitis, is a fairly common complication of tooth extraction and is characterized by severe pain. Usually, after a tooth is removed, a blood clot forms in the socket, or the area where the tooth was. As that space heals, gum tissue gradually replaces the blood clot. In the case of a dry socket, the tissue does not fill in the open space, leaving the bone exposed to air and food. The exposed bone of a dry socket is very sensitive and can lead to an intense dull aching pain that throbs. It is one of the most painful dental problems our patients can experience.

A dry socket will occur in only one to three percent of all tooth extraction cases, but it becomes much more common in the extraction of lower, or what we call mandibular, wisdom teeth.

Those who undergo tooth extraction can experience dry socket. Besides visible bone and nerves, signs and symptoms of dry socket may include:

• Severe pain within a few days after a tooth extraction
• Partial or total loss of the blood clot at the tooth extraction site, which you may notice as an empty-looking (dry) socket
• Pain that radiates from the socket to your ear, eye, temple, or neck on the same side of your face as the extraction
• Bad breath coming from your mouth or an unpleasant taste in your mouth
• Swollen lymph nodes around the neck or jaw

It is important to note that a certain degree of pain and discomfort is to be expected after tooth extraction. It’s also important to note that over-the-counter medications alone do not adequately treat dry socket pain. Therefore, it is critical to give us a call at our Mobile office to schedule an appointment with Dr. Lairmore if your pain does not subside.

If you have any questions about dry sockets or general questions about your ongoing treatment at Oral and Maxillofacial Associates, please do not hesitate to give us a call.