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The temporomandibular joint (TMJ) is the area right in front of the ear on either side of the head where the upper jaw (maxilla) and lower jaw (mandible) meet.
The temporomandibular joints are very complex and are made up of muscles, tendons, a disc and bones.You have a temperomandibular joint on each side of your jaw (right and left side).
Micro trauma is considered internal, such as grinding the teeth (bruxism) and clenching (jaw tightening).
TMJ pain can usually occur because of unbalanced activity, spasm, or overuse of the jaw muscles. Most patients are quite successful with conventional conservative therapy (such as resting the jaw or night guard).
We are a full service dental practice that specializes in relaxation and cosmetic dentistry services, dental implants, TMJ disorder treatment, periodontal disease treatment, teeth whitening, porcelain crowns and porcelain veneers, and other restorative dental care.
Traumatic brain injuries (TBI), sustained by close to 2 million Americans annually, including military personnel, are debilitating and devastating for patients and their families. In an effort to find an effective therapy, neuroscientists at the Center of Excellence for Aging and Brain Repair, Department of Neurosurgery in the USF Health Morsani College of Medicine, University of South Florida, have conducted several preclinical studies aimed at finding combination therapies to improve TBI outcomes. Their stand-alone effects have a therapeutic potential for TBI, based on results from previous studies. The involvement of the immune system in the central nervous system to either stimulate repair or enhance molecular damage has been recognized as key to the progression of many neurological disorders, including TBI, as well as in neurodegenerative diseases such as Parkinson's disease, multiple sclerosis and some autoimmune diseases, the researchers report.
The researchers conclude that additional studies of this combination therapy are needed to provide better insight into their modes of action.
Traumatic brain injury, also known as intracranial injury, occurs when an external force traumatically injures the brain.
A British man has killed himself after suffering a debilitating ear-ringing condition that he claimed was induced by a concert from supergroup Them Crooked Vultures. While his wife Shirley revealed in a recent inquest that Robert hadn't been too concerned about the extreme case of tinnitus, which developed shortly after he saw the band at Brixton Academy in July 2010, he became extremely stressed once the affliction refused to go away. McIndoe went to a few different doctors, but apparently hadn't received any word about his condition. The inquest revealed that McIndoe had originally tried to commit suicide by overdosing on sleeping pills that had been prescribed to deal with the constant ringing. I first saw them perform at the 2009 Tribes Hill Annual Meeting and Hootenanny at the historic Hammond House headquarters in Valhalla, NY. Much of their work carries the style and emotional power of musical theater, something Ia€™m very fond of.
After they found out that they were all into music, they'd go over to Paul's house and play just for fun doing covers of Sheryl Crow, Bonnie Raitt and others. Outside of her positive chorus experiences, there were two stumbling blocks, one of them having a lasting negative effect. The next step she took was to enroll as a Theater major at SUNY (State University of New York), Fredonia, near Buffalo NY. Around 1996, the three had been getting together to play at Paul's house for some time, eventually playing a few shows as The YaYas, but never took any of it too seriously. In 2003, they self-produced their first 10-song CD, Everything, co-produced and mixed by Ben Wisch whoa€™d produced the Grammy-winning album Walking in Memphis by Mark Cohn and additionally, other notable performers (Patty Larkin, Lucy Kaplansky, Jonatha Brooke, Red Molly). While Catherine is the lyricist for the band, she readily acknowledges the integral part that Jay and Paul play, sometimes helping her complete the songs, pushing her past hurdles in the narratives.
Paper Boats was just completed in September, and I was able to listen to the album before its release.
The band moved to Mohegan Lake, near Peekskill, NY in 2005, and has become a part of the Tribes Hill community. The YaYas will appear in Acoustic Live showcases at NERFA and wea€™ll be at the Postcrypt Coffeehouse for their October 1st show.
I thought Jay, wry humorist, was the joker in the 3-card hand until Paul started to tell his story.
Muscles attached to and surrounding the jaw joint control the position and movement of the jaw. Patients may complain that it is difficult to find a  comfortable bite or that the way their teeth fit together has changed.  Chewing on only one side of the jaw can lead to or be a result of TMJ  problems. This continuous pounding on the temporomandibular joint can change the alignment of the teeth. This trauma can fracture the jawbone, cause dislocation of the TMJ, or cause damage to the cartilage disc of the joint. It is very common for people under stress to release this nervous energy by either consciously or unconsciously grinding  and clenching their teeth. About 80% of patients with a TMJ disorder complain of headache and about 40% report facial pain, and ear pain.
About one half of patients with a TMJ disorder notice ear pain and do not have any signs of ear infection. Grinding, crunching, clicking, or popping sounds (medical term = crepitus) are common for patients with a TMJ disorder.
If your symptoms persist, your doctor may recommend medications or a night guard to help keep you from grinding your teeth at night. Dentist or doctor will recommend over the counter medications (like Aleve or Motrin), or prescription medications such as Dolobid are a first option to relieve pain. Antidepressants prescribed to be taken at bedtime have been successful in relieving TMJ pain in some patients.


These types of drugs are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders. Injecting botulinum toxin (example Botox) into the jaw muscles may give relief to pain associated with TMJ disorders.
For patients who grind their teeth patients may gain from wearing a  firm custom made appliance. For patients whose main symptom is from stress or anxiety they may benefit from a visit to a psychotherapist.
The success of treatment depends on how severe the symptoms are and how well you comply with treatment. Marielaina Perrone's advanced training and years of experience translate into greater confidence and convenience for your entire family.
Regardless of severity, those with TBI can suffer a range of motor, behavioral, intellectual and cognitive disabilities over the short or long term. For example, G-CSF has shown an ability to mobilize stem cells from bone marrow and then infiltrate injured tissues, promoting self-repair of neural cells, while hUBCs have been shown to suppress inflammation and promote cell growth. While this study focused on motor improvements, they suggest that future combination therapy research should also include analysis of cognitive improvement in laboratory animal models for TBI. According to the UK's Telegraph, 52-year-old Robert McIndoe stabbed himself to death on October 31, 2010, after dealing with the condition for over three months. A letter of referral to go see an ear, throat and nose specialist on November 1, 2010, arrived the day after he had killed himself. Shirley described that he had left a suicide note, explaining, "He said he hadn't wanted to wake up because he couldn't bear the thought that he was no good to us. The band in which she sings lead vocals, The YaYas, has just released a new album, Paper Boats. With her husband, Jay Mafale on guitar and old friend Paul Silverman on piano, she forms the point at which the lineup, in tandem, pushes its way into the listenera€™s heart.
Neither of his parents had musical ability, but his father played Sinatra records all the time. Her teachers were serious about teaching everything from folk singing, to sight reading and ear training. The company would rearrange the space differently, according to need, sometimes in-the-round, often with the audience in close proximity to the actors. He didn't pursue any type of musical performance during his 4 years at college, but his drive to play was persistent. He did some acting for fun and enjoyed the camaraderie of the other actors, continuing with the theater group after graduation. During this period, Jay and Catherine fell in love and in October of 1997, they got married. On their honeymoon, Catherine was thrown from a horse and two of her vertebrae were crushed. Reaching back to their first CD, Everything, it was evident that they had something special. Catherine continues to do what she does best, writing songs that touch upon her personal experiences, but contain universal appeal, then express them with refined, passionate vocals. Reaching back to their first CD, Everything, it was evident thatA  they had something special. When the muscles are relaxed and in balance and both jaw joints open and close comfortably, we are able to talk, chew, or yawn without discomfort or pain. A problem with either one can lead to stiffness, headaches, ear pain, bite problems ( also called a malocclusion), clicking sounds, or locked jaws.
Teeth grinding as a habit can result in muscle spasm and inflammatory reactions, thus causing the initial pain.
Pain in the TMJ can also occur following dental treatment whereby the joint is stretched open for extended periods of time. 50% of those patients will have resolution of their tinnitus after successful treatment of their TMJ disorder. Your dentist will conduct a careful patient history, dental examination, and take necessary x-rays to determine the cause of your symptoms.
This night guard prevents your teeth from coming together in contact, and repositions teeth to decompress the jaw joint. This would allow the patient to become self aware of stress triggers as well learning relaxation techniques to relieve stress. As always, it is best to maintain regular appointments to see your dentist and let them know if there any TMJ issues developing.
You’ll find complete dental expertise, utilizing the latest advancements in dentistry, all here under one roof.
Head injury usually refers to TBI, but is a broader category because it can involve damage to structures other than the brain, such as the scalp and skull. He had also sought out alternative therapies, including acupuncture, and considered cutting his auditory nerve to fix the problem. The song, a€?All these Gifts,a€? is from that album, and epitomizes her command of the songwriting craft and her vocal abilities. Once they found out about their mutual interest in making music, in small increments, their path revealed itself. When she was around 14 years old, as a Christmas gift, her mother purchased private lessons for her with a voice teacher.


Finding that she liked it, she performed through the rest of high school in some dramas and a couple of musicals. It gave Catherine a new, heightened confidence, having the audience right next to her at times.
She'd lost the grandmother she sang with at age 14 and her maternal grandmother the year before her mom died.
I got my hands on Everything at the 2009 Northeast Regional Folk Alliance (NERFA) Conference. Although no one else in her family had musical talent, her grandmother, who loved to sing, lived next door. I got my hands on EverythingA  at the 2009 Northeast Regional Folk Alliance (NERFA) Conference.
The temporomandibular joint functions to move the jaw, especially in biting and chewing, talking, and yawning. We can also feel the joint motion if we put a little finger against the inside front part of the ear canal. Changes in the normal stimuli or height of the teeth, misalignment of the teeth, and changes in the chewing muscles may cause temporomandibular joint changes. Teeth grinding and clenching are habits that may be diagnosed in people who complain of pain in the temporomandibular joint or have facial pain that includes the muscles involved in chewing. Massage and heat application following your dental appointment can help relive the discomfort. These symptoms are usually caused by Eustachian-tube dysfunction (structure responsible for the regulation of pressure in the middle ear).
Conventional treatment consists of a diet of soft foods along with warm compresses to settle down the tension of the muscles. The lead singer begins, her voice with that little catch in it which always works its way past my defenses. During a 90-minute conference-call interview, amidst many laughter-filled moments, we learned about each membera€™s individual path and what brought them together. Given that there wasn't much money available for such things, it was for just one lesson per month and, to her, it was a special gift. However, during her senior year, her English teacher told her that the subject matter in her poems was immature and not worth writing about. Rehearsals were held mostly on Long Island and toward the end also in Manhattan, where Jay was living. She was confined, with a brace, to bed rest for three months, allowed to take a few steps once a day. In my December NERFA CD reviews, I wrote: a€?While Jay on guitar and Paul on keyboard are terrific, Catherinea€™s voice is the jewel in the setting. In addition to co-bills with Freda€™s band, Hope Machine and the YaYas, Fred and Catherine will be touring together this fall.
If a patient is experiencing TMJ difficulty the simple act of opening and closing your mouth can cause considerable pain. Opening your mouth allows the rounded ends of the lower jaw (condyles) to glide along the joint socket of the temporal bone. These can include arthritis, trauma to the jaw, or muscle fatigue from clenching or grinding your teeth. Ear specialists are routinely called on to make the definitive diagnosis of a TMJ disorder. It is believed that patients with TMJ syndromes have hyperactivity (muscle spasms) of the muscles responsible for regulating the opening and closing of the Eustachian tube.
Hearing them again, on a number of occasions, their brilliance reinforced my initial impression. When he was 12, his parents took him to a Sinatra concert and he was thrilled to watch Buddy Rich drumming. During the third lesson, Catherine asked the teacher if she had a chance to become a singer. TMJ disorders most commonly occur in women between the ages of 30 and 50, but can occur in teens after braces, and in both men and women at any age. During her recuperation period, she had time to reflect, and she realized that singing was the most important thing in her life and she wanted to make a serious attempt to work at it full-time.
She worked 30 hours a week her first two years and didn't audition for anything the first year. She spoke to Jay and Paul about pushing for more gigs, so in 1998, they surveyed the musical landscape and began their serious run as a band. After re-acclimating herself as a student, in her sophomore year, she started performing in plays again. He worked with rehearsals for shows, so there wasn't time to practice the material a€” he just had to pick it up quickly.
In addition, she took a writing course, and in Carolyn Sobel, her professor, found a believer.
Ita€™s dreamlike, with Paula€™s keyboard ringing like chimes and Jaya€™s solemn guitar strum conducting a stately march. Catherinea€™s voice floats, ethereally high over them: Please let him keep looking toward this horizona€¦When Ia€™m thinking of him, ita€™s twilight.



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