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If you are planning on taking a vacation this summer, we ask that you let us know ahead of time so that we may schedule your summer appointments more efficiently. We also encourage patients and their parents to be proactive in determining when they make their summer appointments.

If you will be gone for an extended period (more than six weeks), we recommend you visit Hoppens & Meier Orthodontics prior to leaving and schedule another visit shortly after your return. Lastly, please remember not to indulge in hard, sticky, and chewy treats while enjoying your vacation. We look forward to seeing you soon and hearing about your adventures!

Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move.

TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD.

Risk Factors for TMD

You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following.

• Arthritis in the area, making movement more difficult
• Excessive tooth grinding, because it increases stress on the joint
• General stress, which can lead you to clench your teeth and strain facial muscles

Symptoms of TMD

Symptoms of TMD can last for just a short while, or for several years. Seeing Dr. Bradley Hoppens and Dr. Mary Beth Meier is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face.

• Aching or very tired facial muscles
• Jaws that are fixed open or shut without you being able to unlock them
• Grating or popping sounds when you chew or close or open your mouth
• Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn

Preventing TMD

You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Dr. Bradley Hoppens and Dr. Mary Beth Meier about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw.

If you have questions about TMD, don’t hesitate to contact our McCook, North Platte, or Ogallala office.

Having braces can be frustrating when you have to be cautious about eating certain foods or having to avoid them altogether. Making sure your braces don’t bend or break is vital when you’re trying to straighten your teeth quickly and properly. Dr. Bradley Hoppens and Dr. Mary Beth Meier and our team have come up with a list of foods to avoid, and which foods you can enjoy while you have braces.

No matter how careful you are, excessive chewing of hard-to-eat foods will eventually cause problems for you and your braces. Knowing what you can and cannot eat at a meal may be helpful when you first get your braces on.

Some foods are too hard for braces, because they can break wires or create damage that will have to be fixed by Dr. Bradley Hoppens and Dr. Mary Beth Meier. Avoiding the following snacks will prevent this from occurring:

• Hard candies
• Gum
• Nuts
• Popcorn
• Some hard raw vegetables or fruits (carrots, apples)
• Ice
• Chips

There are plenty of safe options for breakfast. They include eggs, yogurt, pancakes, oatmeal, soft toast, bananas, and even bacon.

For lunch, avoid hard or abrasive foods, undercooked vegetables, or apples. Safer options include a delicious stew, soft-breaded deli sandwich, or a mixed salad. Always be careful when biting into foods, and try to cut solid meal items into small chewable portions whenever possible.

A healthy braces-friendly dinner can come in many forms. Soft, steamed vegetables paired with a lean protein make a great option. The addition of rice or quinoa can complete the meal. Just remember to brush and floss after, because these small grains are likely to get stuck between braces and teeth.

During your treatment, Dr. Bradley Hoppens and Dr. Mary Beth Meier will tighten your braces at each checkup. Braces tightening can sometimes leave your teeth feeling sore afterward. During this time, we recommend picking soft food options until the pain goes away, such as:

• Pudding
• Mashed potatoes
• Soup
• Ice cream
• Cottage cheese
• Peas
• Pasta
• Yogurt
• Muffins

It’s also essential to pay close attention to your oral health routine. When food is stuck between braces, you’re more likely to experience plaque and decay buildup. If you want to keep your teeth from appearing discolored when your braces come off, keep up with brushing and flossing after every meal!

If you notice your braces are damaged after you’ve eaten a meal, contact our McCook, North Platte, or Ogallala office to schedule an appointment right away. Our team is here to help with any issues that come up while you are in braces, and to answer any questions you may have about which foods you can and cannot eat.

You may have noticed that we specialize in orthodontics and dentofacial orthopedics. And while most people we talk to have heard of orthodontics, many are confused by the dentofacial orthopedics part of the title. Today, Dr. Bradley Hoppens and Dr. Mary Beth Meier and our team thought we would explain the difference.

While orthodontics entails the management of tooth movement, dentofacial orthopedics involves the guidance of facial growth and facial development, which occurs for the most part during childhood, and is a reason why kids are often the best candidates for receiving dentofacial orthopedic therapy. Dr. Bradley Hoppens and Dr. Mary Beth Meier will examine and monitor your child’s growth to determine when starting treatment will be most effective. If your child begins orthodontic treatment before his or her adult teeth have erupted, it is known as Phase-One treatment. During this phase, Dr. Bradley Hoppens and Dr. Mary Beth Meier will use treatments designed to correct your child’s jaw growth and make sure that the jaw bone is properly aligned before beginning the next phase of treatment, which usually involves placing braces to straighten your child's teeth.

Dentofacial orthopedics is also used to treat adult patients at Hoppens & Meier Orthodontics, however, this process may involve surgery. With our younger patients, we know the jaw bones are still forming, making it easier for our team at Hoppens & Meier Orthodontics to control bone growth and tooth movement. Adults, however, are a different story; their bones are no longer growing, and their jaw bones have hardened, so it is more difficult to adjust the bite and move teeth into proper alignment. Dr. Bradley Hoppens and Dr. Mary Beth Meier may recommend surgery to adjust the jaw bone and establish the proper bite alignment before beginning treatment.

Because our team at Hoppens & Meier Orthodontics is skilled in both areas, we are able to diagnose any misalignments in the teeth and jaw as well as the facial structure, and can devise a treatment plan that integrates both orthodontic and dentofacial orthopedic treatments.

We hope that helps! To learn more about dentofacial orthopedics, and to find out if this type of treatment is right for you, please contact our McCook, North Platte, or Ogallala office and schedule an initial consultation for you or your child. It’s never too late to get a great smile, and we can’t wait to help you or your child get started.