What is TMD?

What is TMD

Temporomandibular Joint Disorders, also known as TMD, are characterized by pain in the  neck, face, and mouth. TMD affects muscles and joints in orofacial areas, resulting in orofacial pain. The disorders are fairly common, with over 3 million cases of TMD each year in the United States. 

Symptoms of TMD

Temporomandibular Joint Disorders manifest in a variety of ways. Common symptoms of TMD are as follows:

  • Facial Pain
  • Jaw Pain
  • Lockjaw
  • Jaw Tenderness
  • Frequent Headaches
  • Difficulty Eating or Chewing
  • Aching Ear Pain 
  • Soreness in the Face or Jaw
  • Muscle Dysfunction
  • Joint Dysfunction

Possible Causes of TMD

Causes of TMD are less certain. However, there are possible reasons why Temporomandibular Joint Disorders manifest. TMD may be caused by these conditions:

  • Damaged joints
  • Damaged cartilage
  • Misaligned disks 
  • Stress
  • Anxiety
  • Poor posture
  • Excessive gum chewing
  • Trauma to the jaw or teeth

Risk Factors

If left untreated, Temporomandibular Joint Disorders may be cause for even more problems, such as:

  • Arthritis
  • Bruxism, or teeth grinding
  • Jaw Injuries
  • Connective Tissue Diseases

TMJ Disorder Treatment

However, TMD is treatable and reversible. Dr. Roy Eskow and Dr. Adam Eskow are experienced in the diagnosis and treatment of Temporomandibular Joint Disorders. Before treatment, patients are evaluated for TMD.

First, iCat cone beam imaging is used to take scans of the head and neck area. From these scans, Dr. Roy Eskow or Dr. Adam Eskow can determine structural problems in the area. The comprehensive assessment of the scan also determines where a patient’s teeth rest in their mouth.

Treatment may vary depending on the diagnosis, and there are multiple options for patients, such as oral appliance therapy, dental splints, and occlusal equilibration. Oral appliance therapy utilizes mouth guards that properly align the jaw and stabilize the tongue. Dental splints are inserted between upper and lower teeth and stop teeth clenching and grinding. Occlusal equilibration reduces the wear and tear of teeth and can also be worn by patients overnight.

Schedule an Appointment

Many people in the United States suffer from the pain caused by Temporomandibular Joint Disorders. TMD is treatable and reversible. If you suffer from orofacial pain, it may be TMD. Schedule a consultation with Dr. Roy Eskow or Dr. Adam Eskow. For our Bethesda office, call us at (301) 200-5222. For our Washington, DC office, call (202) 644-9679. You can also schedule an appointment online.

Posted in: tmj, tmj disorders, tmj therapy bethesda, tmj treatments, Uncategorized

Is An Electric Toothbrush Worth The Investment

Is An Electric Toothbrush Worth The InvestmentYou surely have seen the oral hygiene aisles inside your local grocery store or local pharmacy.

We understand that you have probably been using a traditional manual toothbrush most of your life; however, you may want to consider the advantages that an electric toothbrush can offer you. In this post, we are going to explore the advantages that electric toothbrushes can offer you.

  • Ease Of Cleaning: An electric toothbrush will do the work for you, as they automatically vibrate and rotate at the same time. Simply power the toothbrush on and let it brush for you!
  • Tongue Mode: It is important to brush your tongue, and electric toothbrushes often come with a mode specifically designed to clean your tongue. So, once you are done brushing your teeth, simply switch to tongue mode, and allow the electric toothbrush to clean your tongue properly.
  • Pressure: Most patients tend to brush their teeth too hard, and over time this can damage your gums and tooth enamel. Majority of the electric toothbrushes today come with pressure sensors and will alert you if you are applying too much pressure while brushing. 
  • Timing: Along with applying too much pressure, a lot of patients are guilty of not brushing their teeth for an adequate amount of time. Recommended time for brushing is at least two minutes, and electric toothbrushes again come in for the rescue. This rescue procedure is that they are built in with timers that will ensure that you brush your teeth for at least two minutes.

Schedule an Appointment

Schedule an appointment with Dr. Eskow to learn more about how you can incorporate an electric toothbrush into your daily oral hygiene routine for a much better and cleaner smile. Our team at Bethesda Dental Implant Center can work with you on an individual basis to help improve your dental health.

Posted in: Electric Toothbrush, Oral Health, Oral Health, Oral Health, oral hygiene

Your Diet Affects Your Smile In A Big Way

Your Diet Affects Your Smile In A Big WayYou spend a lot of your time making sure your teeth are cleaning with brushing, flossing, and using mouthwash. Even after all that hard work, gum disease is still the most common disease in the world. You may be surprised to read this, but you can add some extra levels of healthy to your smile by adding some specific food items to your diet. Just like the other parts of your body that require a good diet and nutrition to function at a high level, so do your teeth.

Try Adding The Following To Your Diet, we explain what each item will do, and popular choices that are easy to find in any grocery store.

  • Calcium: You get one set of tooth enamel, once it has eroded, it is gone, and you have trouble protecting your teeth moving forward. Certain foods and drinks are very acidic and may cause your tooth enamel to erode such as soda and certain juices. You want to add calcium to your diet when applicable. Some of the best choices for calcium are yogurt, cheese, and milk.
  • Leafy Greens: Leafy greens will help keep your gums health as they are also loaded with calcium, and vitamins that your gums need to thrive. Some of the best choices for leafy green when in that aisle of the grocery store are Kale, Broccoli, Cabbage, and Spinach.
  • Teas: Black & Green Tea’s are loaded with Polyphenols and fluoride. Polyphenols will reduce bacteria that may hideout inside your mouth. Fluoride is well known to promote oral health and prevent tooth decay which would explain why many counties throughout the United States have added fluoride to your tap water supply.
  • Fish: Not only is adding fish to your diet crucial for your overall health as it in packed with Vitamin D, which is essential for healthy teeth. But fish is also loaded with Vitamins B2, and B3 with are vital in your quest for supreme oral health.

There are many other options for food that will promote a healthy smile. We encourage you to do some extra research in case the choices we suggested above due to not suit you. Also, while you are at it, make sure to grab a pack of sugar-free as gum will boost your saliva production which will help clear away bacteria and food particles.

Schedule an Appointment

Schedule an appointment with Dr. Eskow to learn more about how your diet can affect your overall and oral health.

Posted in: Diet, Oral Health, oral hygiene

Why You Should Get Screened For Oral Cancer

What Are Some Signs of Oral Cancer?

These factors may increase your risk of developing oral cancer:

  • Age (People over 40 years of age are more at risk)
  • Smoking or Tobacco Use
  • Heavy Alcohol Use
  • Human Papillomavirus (HPV)
  • Gender (Men are more susceptible than women)
  • An unhealthy diet
  • Excessive sun exposure

There are patients who have at least one of the risk factors mentioned above and are diagnosed with oral cancer. However, they are also patients who don’t possess any of the risk factors and are still diagnosed with oral cancer. So, even if you don’t have any of the factors above, oral cancer screenings are still important in maintaining your overall health.

Oral Cancer Symptoms

When Dr. Eskow does an oral cancer screening, he will look out for the following symptoms:

  • Red / White Patches In Your Mouth
  • Sores or blemishes in the mouth that do not heal
  • A bump or firm spot in the mouth
  • Pain or numbness throughout the mouth

Why Are Oral Cancer Screenings Important?

Early detection can give patients with oral cancer a better chance of finding effective treatment. Approximately 84% of oral cancer cases can be detected early by a doctor or dental health professional. With Dr. Eskow, we have many methods of detecting early signs of oral cancer with the newest, state of the art technology.

Oral Cancer Treatment and Prevention

To help combat oral cancer, it is important that you receive regular oral cancer screenings during your checkups. Dr. Eskow won’t be able to diagnose you during the exam, but he will send a sample of your tissue to a lab to determine if it is cancer.

Once Dr. Eskow receives the lab results confirming oral cancer, they can start to treat cancer before it progresses. Stop by and visit Dr. Eskow’s office today to get screened for oral cancer.

Schedule a Consultation

Schedule an appointment with Dr. Eskow for an oral cancer screening in our Washington DC  dentist office. At your appointment, he will do a thorough evaluation of your overall dental health as well as professional teeth cleaning.

Posted in: oral cancer, Oral Cancer Screening, Oral Cancer Symptons

What To Know: Pinhole Gum Rejuvenation or Lunchtime Gumlift

Dr. Adam Eskow is proud to be one of the first dentists in the Washington DC area to offer an innovative, minimally invasive treatment to repair receding gums. This new procedure, known as Pinhole Gum Rejuvenation or Lunchtime Gumlift™, was developed by Dr. John Chao of Alhambra, CA.

This revolutionary new treatment enables Bethesda periodontist Dr. Eskow to treat gum recession without incisions or sutures.

What is Pinhole Gum Rejuvenation?

Pinhole Gum Rejuvenation is a patented, minimally invasive, microsurgical procedure for treating receding gums. While traditional gum grafting surgery requires tissue to be removed from the roof of the mouth and grafted onto the gums, the “Lunchtime Gumlift” is much different.

With the Chao technique, requires only a “pinhole” incision through which a special instrument is used to massage the tissue over the receded part of the tooth.

Benefits Of Pinhole Gum Rejuvenation

  • Virtually No Pain: Compared to traditional gum grafting surgery, Pinhole Gum Rejuvenation is considered a minimally invasive treatment. This is because there is significantly less trauma to the mouth. There is no need to remove tissue from a donor site in the mouth to harvest at the areas of recession. As a result, no grafting, incisions, or sutures are required.
  • Virtually No Pain: A major advantage to Pinhole Gum Rejuvenation is the increased comfort level. In fact, patients typically report feeling little to no pain during and after their procedure. This is an attractive benefit compared to traditional surgery, which involves a more invasive process and, therefore, tends to produce more discomfort.
  • Shorter Treatment Tim: The process for Pinhole Gum Rejuvenation requires fewer steps than grafting surgery, allowing for a much shorter treatment time. Correcting a couple teeth only takes about 20 minutes, and the entire mouth typically takes no longer than an hour and a half. As a result, patients spend less time in the dental chair and can resume their daily activities sooner.
  • Little To No Downtime: In the past, recovery from gum grafting surgery would take about three weeks. We are proud to offer patients an expedited recovery with Pinhole Gum Rejuvenation. There is typically little to no downtime associated with the innovative procedure, allowing patients to get back to their normal routine, including eating and drinking, by the evening.

Schedule Treatment for Receding Gums

If you suffer from receding gums, contact our dental office in Bethesda or Washington DC for a consultation with Dr. Adam Eskow. We will perform an evaluation to determine if the Pinhole Gum Rejuvenation procedure is right for you. Call 301.200.5222 or request an appointment online.

Posted in: cosmetic gum treatment, gum disease bethesda, gum surgery, periodontal therapy bethesda

What is TMJ and What Is The Cause?

What is TMJ and What Is The Cause?

What Is TMJ?

TMJ stands for temporomandibular joint, which is the joint that connects the upper and lower jaw. TMJ is also widely used to describe a complex group of disorders that are characterized by pain and limited mobility in the temporomandibular joint (TMJ) and surrounding tissue.

Signs & Symptoms of TMJ Disorder

Patients with TMJ Disorders (TMD) often exhibit signs and symptoms very different from one another, which makes diagnosing TMD a challenge. Some of the more common signs of TMJ dysfunction are:

  • Popping, clicking or grating of the jaw (TMJ joint)
  • “Locked” jaw and/or limited mobility in the jaw joint
  • Frequent headaches
  • Difficulty when eating or chewing
  • Chronic earaches without an ear infection
  • Soreness or tiredness in the face and/or jaws

What Cause TMJ?

When the TMJ and/or the teeth don’t make proper contact, it creates instability in the jaws and mouth; this often leads to pressure and pain in the neck, face or mouth. Occlusal therapy and TMJ treatment are methods of restoring balance to eliminate stress and bring the masticatory system back into harmony.

What Are TMJ Treatment Options

There is no one-size-fits-all solution in dentistry, particularly when it comes to TMJ treatment. Each problem is unique to the individual patient and treatment planning is entirely dependent on the diagnosis. Our goal is to treat TMD with the most conservative procedure possible. Therapies for TMJ may include:

  • Oral appliance therapy (such as a night guard)
  • Dental splints
  • Occlusal equilibration, making changes to the fit of the bite by reshaping and/or removing tooth structure

Our Experience Matters

Dr. Roy Eskow and Dr. Adam Eskow are experienced in the diagnosis and treatment of TMJ disorders and Myofascial Pain Syndrome. We utilize advanced technology including the iCAT cone beam imaging system to take 3D scans of the head, jaws, and mouth. These scans allow Dr. Eskow to get a precise look at the relationship between these structures and identify potential problems.

Schedule a Consultation

If you are concerned that you may have a bite problem or TMJ disorder, schedule a consultation with Dr. Roy Eskow or Dr. Adam Eskow. They will do a thorough evaluation of your bite function and overall dental health condition, then offer the proper TMJ treatment in the Washington DC or Bethesda MD area.

Posted in: bethesda dentist, frequent headaches, general dentistry, tmj disorders, tmj therapy bethesda, tmj treatments

What To Know: Food Options After Dental Implants

Benefits of Dental Implants

Dental implants are one of the most predictable and successful restoration methods. Success rates are in the high 90% range with long-term outcomes. More importantly, dental implants have a very high patient satisfaction rate compared to other dental restorations. Patients with dental implants often say “I wish I’d done it sooner”, a true testament to the benefits of dental implant treatment.

Dental implants are one of the longest lasting dental restorations. A dental bridge will need to be replaced about every 10 years, but a dental implant can be expected to last 30 years or more.

Bone loss is a common problem with missing teeth. As the bone recedes, it can create problems for other teeth and cause the face to sag or droop. A dental implant will help maintain bone density and the natural shape of your face and smile.

What Can I Eat After Dental Implant Surgery?

After oral surgery, you’re going to be on a soft food diet for a while. The best you can do is to get creative with the foods that are available to you. Remember that even though a food is soft, ask yourself is it spicy? Should it be hot, cold, or warm? Are there seeds in it, even small seeds like poppy or sesame? Rice and quinoa, even when cooked extra soft, could get into holes and might not be the best option, at least right away.

Below is a list of some food options that may help you in deciding what to make yourself after your dental implants are placed:

  • Applesauce
  • Avocado
  • Baked beans
  • Baked fruits/vegetables e.g. peach, squash
  • Bananas
  • Bread pudding
  • Bread/Buns dipped in sauces or gravy
  • Breakfast cereals (softened in milk)
  • Broth
  • Cheeses
  • Cottage/ricotta cheese
  • Creamed soups
  • Creamy egg or potato salad
  • Eggs
  • Eggplant
  • French toast (soft soaked bread)
  • Fruit juices
  • Guacamole (pureed)
  • Seedless watermelon
  • Sherbert
  • Sloppy joe/chili 
  • Smoothies
  • Souffle
  • Stews (pureed)
  • Soft tofu
  • Vegetables (cooked, mashed or pureed)
  • Yogurt

Please make sure to check your food allergies prior to purchasing or preparing any meals.

Schedule an Appointment

Schedule an appointment with Dr. Eskow for an exam and professional teeth cleaning in our Washington DC or Bethesda, MD dentist office. At your appointment, he will do a thorough evaluation of your overall dental health as well as a teeth cleaning.

Posted in: Dental implants, dental implants dentures, dental implants washington dc

A New Graft-Free Treatment for Receding Gums

Pinhole Gum Rejuvenation receding gums Bethesda MDAt Bethesda Dental Implant Center, we are constantly working to find new ways to provide our patients with the highest level of service through the most advanced treatment options available. As part of that mission, Dr. Adam Eskow is now proud to offer Pinhole Gum Rejuvenation™, a revolutionary new treatment for receding gums developed by Dr. John Chao of Alhambra, CA. Dr. Eskow is one of the first dentists in the world to undergo training and become certified to offer the Pinhole Gum Rejuvenation treatment. If you are looking for the most conservative, minimally invasive way to repair gum recession, Pinhole Gum Rejuvenation may be right for you.

What are Traditional Treatment Options for Gum Recession?

Traditionally, gum grafting has been one of the most common methods for treating receding gums. For this surgery, a thin piece of gum tissue is transferred from another part of your mouth to build up gum tissue in the affected area and cover exposed tooth roots. Gum grafting requires making several small incisions as well as suturing the areas that have been treated. As a result, the affected area often needs a week or two of recovery time to heal after this procedure. 

How is Pinhole Gum Rejuvenation Different?

By contrast, Pinhole Gum Rejuvenation enables Dr. Eskow to treat gum recession without incisions or sutures. Using a needle, he can create a tiny “pinhole” entry point in the gum tissue. Then he will gently massage the tissue over the receded part of the tooth with a special instrument. As a final step, tiny collagen strips are inserted help stabilize the gums.

Also known as the Lunchtime Gumlift™,  Pinhole Gum Rejuvenation is a quick procedure that provides instant cosmetic improvement. The pinhole entry point that makes it all possible heals quickly, often overnight; this is a long-term solution for gum recession that should last as long as other treatment options.

Learn More About Treatment Options for Receding Gums

If you suffer from receding gums, contact our dental office in Bethesda or Washington DC for a consultation with Dr. Adam Eskow. We will perform an evaluation to determine if the Pinhole Gum Rejuvenation procedure is right for you. Call 301.200.5222 or request an appointment online.

Posted in: bethesda dentist

Patients Review Bethesda Dental Implant Center

At the Bethesda Dental Implant Center, we are committed to providing exceptional care for patients missing teeth. We offer a complete range of tooth replacement options for patients missing one or more teeth. Dr. Roy Eskow and Dr. Adam Eskow have served patients throughout the Washington DC area with comprehensive periodontal and implant dentistry treatments.

At the Bethesda Dental Implant Center, we have a passion for excellence and are committed to providing patient-focused care.  Drs. Roy and Adam Eskow strive to provide the highest level of service and most advanced treatment options available.

We love helping each of our patients achieve a healthy, functional smile. In this post, we would like to highlight some of our most recent patient reviews. 

Patient Reviews

Remarkably skilled and uses the latest technology to make a difficult event as pleasant as possible. Dr. Eskow has a good sense of humor and connects well with his patients. He keeps you posted on what he is doing and you can see full color pictures (if you wish) in real time as he treats you. -A.S

I love Dr. Roy Eskow. Really. How many people can say that about their dentist? I went to Dr. Eskow between 2010-2013, initially to treat problems with bone loss in some of my teeth, and then regularly for cleanings with his hygienist. I have since moved to Seattle, and I have to say I still miss seeing Dr. Eskow and his staff. Every time I went to his office, I left with a smile on my face because going there was actually FUN! I have never had a dentist like that up to then or since. I’ve even considered scheduling dental appointments at his office to coincide with work trips to DC, but I don’t get back often enough. Maybe I need to move back to DC… :)- M. M

I had a wonderful experience with an implant placement at this dental practice. On the day before Thanksgiving, I had a dental implant placed by Dr. Adam Eskow to replace a missing tooth. I was extremely worried that my Thanksgiving dinner would be ruined, but I experienced no pain or swelling after the implant was placed, and I was able to eat normally. Dr. Eskow was very thorough in explaining every step of the process and constantly checked in to make sure I was comfortable during the procedure. Thank you Dr. Eskow and Jenny, his dental assistant, for making my experience as pleasant as getting an implant placed can be. I hope to never see you guys again, but if I do ever lose another tooth, I’ll be sure to come back! – A.L

Schedule An Appointment

If you would like to learn more about our dental facility, call 301.200.5222 or request an appointment online.

Posted in: Dental implants

Single Tooth Dental Implant

What is a dental implant?

A dental implant is a small titanium screw that is surgically implanted into the jaw bone. On average, dental implants take 3-6 months to fully fuse with the jaw bone. Depending on the location and number of missing teeth, dental implants can be used to secure a dental crown, denture, or dental bridge. Washington, DC dentist Dr. Eskow offers full-service dental implant procedures at the Bethesda Dental Implant Center.

The Anatomy of a Dental Implant

  • Titanium Post: The titanium post is considered the body of the dental implant. The titanium post is surgically implanted into the jaw bone to create a stable, long-lasting foundation for a dental crown, denture, or dental bridge. 
  • Abutment: After the post has fused into the jawbone, Dr. Eskow will attach a small abutment to the top of the post. This abutment acts as a connector between the titanium post and the final restoration.
  • Replacement Tooth: Whether you are missing one or more teeth, dental implants can be used to fully restore your smile. Dr. Eskow uses the latest in dental materials and technology to fabricate natural looking, long lasting dental restorations. At the Bethesda Dental Implant Center, we can create dental crowns, bridges, and dentures that are designed to blend seamlessly with your natural smile.

Replacing Missing Teeth

Missing teeth can affect the appearance and health of your smile. If you are missing one or more teeth, it is important to visit a highly skilled dentist. At the Bethesda Dental Implant Center, we offer a complete range of tooth replacement options. When applicable, we will recommend dental implants to restore your smile.

Schedule A Consultation

Contact our Bethesda, MD Dental Implant Center to learn more about dental implants. Our experienced dental care team can work with you to find the right solution for your smile. Contact our Bethesda dentist office or schedule a consultation online.

Posted in: Dental implants