TMJ Migraine or Tension Headaches

Headaches are the most common health complaint in the world and the most common cause of medication overuse. According to the World Health Organization (WHO), headache disorders — characterized as migraine, tension-type headache and cluster headaches —    affect more than half of the world’s adult population regardless of age, race, income levels or geographical location.

In India , headaches are the number one health complaint, and an estimated 50 million people suffer from chronic headaches. Many of those sufferers experience little relief with over-the-counter pain medications and therefore struggle with a reduced quality of life – including missed work and missed school — because of the pain their headaches cause.

Neuromuscular Headaches


The temporomandibular joint (TMJ) is the hinge that connects your jaw to your skull, allowing you to talk, to chew and to yawn. Other indications of TMD are a clicking or popping of the jaw joints, pain in or around the jaws, and a limited opening (or locking sensation) of your mouth.  Disorders occur when there is either an internal derangement of the joint or a misalignment, resulting in muscle tension and a host of related symptoms including headaches.

Let’s examine two of the most common forms of chronic headaches — migraines and tension headaches – and their relationship with TMJ Disorder.

Migraine headaches

A migraine is a chronic headache that is characterized by throbbing pain usually on one side of the head.  Bright light, certain sounds, smells, stress, physical activity or hormonal changes can trigger the pain, which can be severe if left untreated. Some people experience visual changes – called auras — before, during or after the headache.

More than 10 percent of the  population, including children, suffers from migraines. During a migraine, blood vessels in the head become inflamed and swollen, and doctors believe the pain is caused by the inflammation and the pressure on the walls of the blood vessels.

Many migraine sufferers do not realize that TMJ could be the cause of their head pain, so they do not mention teeth or jaw clenching or other TMD symptom to their doctors.  However, when the TMJ is misaligned, the surrounding bones, muscles and nerves are affected. An undiagnosed and untreated misalignment then can cause the muscles in your face, head and neck to strain with every movement. As a result, you may experience migraine headaches, along with accompanying nausea and light sensitivity. See our TMJ migraine symptom page for more information on the relationship between migraine headaches and TMJ dysfunction.

Tension Headaches

tension headache vice

Tension headaches are characterized by a continuous, not throbbing, pain in the forehead, temples, and/or back of the head or neck. Sufferers describe the pain as a tightening around the head or neck that can only be relieved by certain positions. Many people say a tension headache feels as if a rubber band is tightening around the head or neck.

Unlike migraines, tension headaches are not accompanied by other symptoms, such as nausea or light sensitivity, and researchers have not linked tension headaches with the same triggers as migraines. Tension headaches can occur infrequently, regularly, or daily and can last anywhere from 30 minutes to several days.

Tension headaches affect women significantly more than men and can occur at any age.  They are also normally associated with stress or fatigue, but often can have their root in physical problems involving the muscles of the jaw and neck.

“TMJ is very treatable, but if a jaw disorder is ignored, then treatment for the headache may not address all of the factors contributing to the headache.”

If you are experiencing chronic headaches, you owe it to yourself to rule out TMD as the cause of your pain and discomfort.  Neuromuscular dentists is experienced in evaluating the TMJ as a possible source of your headache pain.

By working with the pain source rather than just the pain location and by re-aligning a bad bite so that your teeth, muscles and joints work together without strain, neuromuscular dentistry frequently can relieve the pain associated with migraine headaches.

With proper diagnosis and treatment, you may avoid the dangerous cycle of an expensive and possibly harmful drug treatment regimen and, more importantly, experience life-changing pain relief.


What Should You Do When You Have Pyorrhoea or The Gum Disease?

Due to plenty of reasons like our lifestyle and diet, the onset of dental issues is not so uncommon nowadays. Almost anyone as young as a teenager or as old as a fully grown mature person can fall prey to oral health issues. Pyorrhoea, or gum disease, is often known to occur in adults and is definitely a major hurdle in itself.

Listed below are certain methods and strategies you can implement and act upon with the help of your professional if, by any means, you happen to fall prey to pyorrhoea.

Flap surgery:

As the name suggests, in this surgery, the gum tissues are opened up in the form of a flap, and all the plaque and tartar existing within is gotten rid of. This process is required only when the infection exceeds to a height that medication cannot resolve.

Deep cleaning:

This procedure involves cleansing of the tooth root of any infection or bacteria that might have led to this problem. It also involves scaling, that is nothing but getting rid of any germs above and below the gum line. Deep cleaning carried out using laser techniques can result in a less messy process in terms of bleeding and pain.

Tissue grafting:

If the infection has embedded itself deep into your gums, your dental surgeon may suggest a tissue or bone grafting procedure. What happens is, a synthetic bone is placed in the spot of the natural bone that is now lost to pyorrhoea. In addition to this, tissue grafting is also carried out wherein a thin tissue-like substance is placed in between the bone and gum tissue in order to prevent the natural gum-tissue from growing and taking over the bone area.

Precautions to be taken:

  • Brushing your teeth twice each day is extremely underrated. You have no idea whatsoever how many oral problems can be countered just by this simple act of brushing.
  • Flossing is a detailed technique of cleaning your teeth once a day. This must be next in line with brushing and is quite an effective way to get rid of plaque between your teeth before they start becoming an obstacle.
  • Regular dental check-ups every once in 6 months can help you understand if everything else is fine with your teeth and gums, or that if any treatment is needed.
  • Keep away from smoking lest you want plaque development on your teeth, and want them to change color from slightly yellow to a highly visible tinge.
  • Avoid drinks with a high sugar content in them. In fact, check off food items from your table that is full of sugar. This is because an excess of sugar makes your teeth and gums vulnerable to infection.

Summing it up:

Dental care is highly underrated. You can never know what your habits are leading to until an issue arises. The best way to keep such gum or tooth problems at bay is to regularly look after your oral hygiene. Investing a couple of minutes each day goes a long way in keeping your teeth and gums healthy, and will reap many more benefits for you in the long run.



Headache and Jaw Pain: The TMJ Connection.

Headaches are one of the most common health problems in the world. The problem crosses age, race, geographic and economic lines.  Jaw pain, while less common, affects a large volume of people is more common with women then men.

The World Health Organization (WHO) estimates that 50 to 75 percent of all people age 18 to 65 have had at least one headache within the last year. Of those adults, 30 percent report a headache disorder, which means recurrent headaches, such as migraines, cluster headaches and tension headaches.

Many factors and combinations of factors can cause headaches, so the root cause is often hard to identify. However if you suffer from recurrent headaches and from jaw pain, it is possible that the pain could be caused by TMD syndrome affecting your temporomandibular joint (TMJ).

Continue reading Headache and Jaw Pain: The TMJ Connection.


How a Smile Makeover can change your life?

Do you want to be more attractive and more successful in life? There is one simple solution. Smile! Research has proven that we find others more attractive when they are wearing a smile. In addition, recent studies reveal that better looking smile can make you look more successful, more employable and more attractive. Continue reading How a Smile Makeover can change your life?


How long does it take to get your teeth back in place after an implant surgery?


Are you the patient who is scared of being without teeth after extracting teeth? You are not alone.  The good news is there a plethora of options available for you to choose from. The recent advancements in dentistry have taken implant dentistry to the next level, with implants being a very successful and preferable option for both the dentist and the patient alike for replacing missing teeth. Dental implants help in providing fixed solutions to missing teeth without compromising the tooth structure of the adjacent teeth. However, there was always a window period between the time of implant placement and replacement of the crown structure, which was necessary to allow for the integration of the implant with the bone. This window period used to make patients skeptical about the treatment, as they had to remain without teeth during that period. Nevertheless, implant dentistry has evolved to that extent, that this window period has been reduced or even completely removed by the advent of newer techniques. This evolution of implant dentistry has even further increased patient acceptance and clinical success rates. So how did this happen? What are the modalities that helped bring on this evolution? Let us see…

Immediate loading

Immediate implant placement with immediate loading gives you the room to fit the teeth within 48 hours. When there is an adequate bone of more than 10mm and when there is primary stability, immediate loading would be a great choice to get your teeth in place immediately. However, not all patients can be treated with immediate loading.  An important criterion would be the primary stability of the implant that was placed. After evaluating the same with periotest or resonance frequency analysis, your dentist will decide whether to immediately load or not. A screw-retained provisional restoration is more preferred for such cases when compared to cement retained prosthesis. If cemented, the dentist will have to remove the provisional restoration during the 4-6 month healing period. Cantilevers cannot be restored with a provisional restoration. A diagnostic wax-up will be used for template and provisional restoration fabrication. With the high success rates, immediate loading has become a very popular choice of treatment.

Tooth supported provisional prosthesis

Your dentist can use your teeth to support the interim prosthesis. This may include the use of an attached pontic with orthodontic brackets just adjacent to the implant site. Another viable option would be the use of resin-bonded provisional pontic. This involves acid etching the adjacent teeth and hence provides tooth supported prosthesis. Maryland Bridge is nothing but resin bonded, cast metal framework prosthesis. They have been used successfully for long term provisionals, especially in young patients. However,the prognosis of the outcome for long-term use of this type of restoration is unpredictable. Usually, the teeth with poor prognosis act as temporary abutments and are extracted after the implants osseointegrate. The teeth supported provisional restoration is then converted into an implant-supported provisional restoration. Hence, the option of the provisional tooth-supported prosthesis has also been very much popular among the patient population as it helps meet the aesthetic and functional demands.

Removable prosthesis

Removable partial acrylic dentures have commonly been used during post-extraction and post-implant therapy. They are very easy to construct, relatively inexpensive, and easy for your dentist to adjust and fit. However, they may reduce the effectiveness of any additional surgical bone and gingival augmentation procedure used to optimize the implant site. Soft tissue borne prosthesis used during healing may cause uncontrolled implant loading leading to implant exposure, marginal bone loss, and/or failed integration. Often your dentist will adjust the provisional dentures to minimize contact with the healing implants.

You also have alternatives to tissue borne provisional restorations. An Essix appliance is an appliance made with vaccuform material with teeth bonded in the missing area to replace the missing teeth. They act as a removable prosthesis are useful in cases of deep anterior overbite or limited interocclusal space. This prosthesis is made from an acrylic tooth bonded to a clear vacuform material on a cast of the diagnostic wax-up. The prosthesis provides protection to the underlying soft tissue and implant during the healing phase. However, care has to be taken to get accustomed to the appliance, as some new wearers might not find it very comfortable wearing them for the first few days. Nevertheless, it provides the necessary esthetic function for your missing teeth in the interim period.

‘Some pains are physical, and some pains are mental, but the one that’s both is dental.’- Ogden Nash. Dentists are the ones who help you overcome this phase. With effective implant therapy and prosthesis planning, the pains of missing your teeth and in turn losing your esthetics and confidence can be overcome. Choose wisely, live better!


A few reasons why your child’s teeth are worth looking after!

Here at Care32 Family Dental Care center we believe in preventive dental care and encourage our patients to bring their children to the practice from an early age. Regular examinations from a young age will ensure children won’t suffer from untreated dental decay with devastating effects to their growing dentition. Continue reading A few reasons why your child’s teeth are worth looking after!



What makes a person’s smile look youthful and full of vitality? If you want to look 10 years younger your smile could be your secret key. Our Care32 Family Dental Care Center  could be the answer you are looking for.



  • Pink healthy gums
  • Stainless teeth
  • White teeth
  • Symmetrical teeth
  • Natural looking teeth
  • Colour of teeth should reflect your facial skin tones
  • Teeth should support the lips correctly


  1. The Cosmetic Dentist and his/her ability, skill, technical know-how, talent and passion.
  2. The Cosmetic Ceramist and his/her ability, skill, technical know-how, talent and passion.
  3. The Patient i.e. you and your requirements, needs and they way you want to look.

However, there is one secret key to the success of the resulting smile makeover and that is the quality of the communication which occurs between all three people. The fundamental one thing that allows this communication to be of a much superior quality and is very often the secret to the perfection of the smile makeover produced is the ‘Trial Smile’.



Now, the Trial Smile is the provisional temporary smile that is placed on the teeth during preparation of tooth veneers. If this is treated like a temporary treatment then the patient will never know what the possibilities of the smile can be and the temporaries will look like white clumps of plastic.

Questions you need to know the answer to, like the following, can only be answer correctly if patients have a true likeness of provisional smile makeover trial smile that resembles the final teeth to a large degree.


  • How long will my teeth be?
  • Will I like them?
  • Will they suit me?
  • Will I be able to eat comfortably?

For this reason at Care32 Family Dental care center, we make sure that the Trial Smile is your perfect smile. Dr. Ishwari spends a great deal of time perfecting this stage of tooth veneers.


This requires considerable skill and ability. Dr.  Ishwari has Done training on this subject numerous times  to teach dentists this aspect .

If you want the perfect smile, if you are looking to have a smile makeover to make you look more youthful, if you want to look 10 years younger, then we are the cosmetic dentists for you.


Call ourDental office on 912240046146, 912228313293 , and talk to us in a complimentary consultation. You have nothing to lose and so much more information to gain.

Take advantage of this opportunity and it may just change your life.


Women and Periodontal (Gum) Health

Throughout a woman’s life, hormonal changes affect tissues throughout the body. Fluctuations in hormone levels occur during puberty, pregnancy and menopause. At these times, the chance of periodontal disease may increase, requiring special care of your oral health.
Continue reading Women and Periodontal (Gum) Health


How Gum Disease Affects Your Health

You might think brushing gently twice a day, flossing daily, and seeing your dentist regularly make sense for good oral health.

But the health of your mouth could affect the health of your whole body. More and more evidence shows a strong association between gum disease and heart disease, stroke, diabetes, poor pregnancy outcomes, and other conditions. Some early research has even found a higher risk for certain cancers. Continue reading How Gum Disease Affects Your Health


De-Stress for Better Oral Health

A furrowed brow, a tense look, a fresh acne breakout — you can often tell on sight when someone’s under pressure. If you could look into a stressed-out person’s mouth, you might learn even more of their story.

Stress and Your Mouth: What’s the Connection?

More and more researchers have been studying the link between stress and gum disease. When you’re anxious or depressed, your body produces more of the hormone cortisol. This compound harms your teeth and gums, contributing to the risk for periodontal (gum) disease.

There’s also evidence that stress and depression impair your immune system,causing chronic infection throughout your body — including in your mouth — more likely. In addition, hard times lead to bad-for-your-teeth habits. These include smoking, drinking alcohol, and skipping your nightly brushing and flossing.

The following dental conditions also have been linked to stress, depression, or anxiety:

  • Burning mouth syndrome. This a painful condition that sufferers describe as a scalding feeling in the tongue, lips, and roof of the mouth.
  • Canker sores. Small, painful ulcers develop inside the mouth. Doctors aren’t sure what causes canker sores, but they are thought to appear more often when the individual is stressed or very tired.
  • Cold sores. These fluid-filled blisters are caused by the herpes virus. If you’re infected, you’ll often experience an outbreak in response to being upset.
  • Bruxism. People who grind their teeth (a problem called bruxism) tend to do it more when under stress. Grinding can wear and chip teeth and put pressure on jaw muscles and joints.

Ways to Relieve the Pressure

Don’t let your mouth take the brunt of your stress. Try positive stress-reducing techniques instead. Here are some strategies:


  • Change your outlook. Some things, like the weather, are out of your hands and for that reason are not worth getting worked up about. Try to see other life events as positive challenges rather than threats.
  • Keep your body healthy. Eat a nutritious, well-balanced diet and get enough sleep. And exercise on a regular basis. Not only will you get in shape and feel better overall, you’ll release anxiety and produce mood-boosting brain chemicals.
  • Practice relaxation techniques. These include meditation, stretching, and deep breathing and progressive relaxation of muscle groups.