Finding Alternative Treatments for TMD Relief

We know the traditional treatment options for TMD relief, including oral appliance therapy. However, are there other treatment options that don’t require medication or appliances? There are! While these alternative treatment options may not work for everyone, they are available to provide relief for many patients.

Essential Oils

You might have heard about essential oils by now, but did you know there are certain oils that can help relieve some of your patients’ pain? While it is not FDA approved, it does appear to work. And, there are so many people out there right now that utilize essential oils on a daily basis that we should also try to cater to their needs and wants when it comes to alternative treatment options. I will touch base on this topic more in an upcoming blog on choosing essential oils for relief of TMJ pain.

Physical Therapy

By utilizing stretching and range-of-motion exercises, your patients can find relief from pain while also helping to restore proper movement and function of the jaw. For instance, one exercise you might want your patients to try is to open their mouth as wide as he or she can without feeling any pain. With the mouth open wide, have your patient move their jaw gradually to the right and hold for 10 seconds and then return to the middle. Next, have them move their jaw gradually to the right and hold for 10 seconds, then return the jaw to the center and close their mouth. This can be repeated 4-5 times.


Everyone loves a massage, right? Massage has been shown to be effective in relieving TMJ pain. Some massage therapists specialize in TMD and even work on the muscles inside the mouth to release tension surrounding the jaw. Trigger points, or muscle knots, are a common cause of stubborn and strange aches and pains, and yet they are underdiagnosed. The perfect spots for massage relief are trigger points that are common and yet fairly easy to massage.


Many times you are your own relief. If your patient suffers from TMJ pain or discomfort, it is important for them to be aware of their own habits. Encourage your patients to avoid chewing gum or eating hard, chewy foods to put less stress on the TMJ muscles. It is also important for them to keep their teeth apart with the jaw muscles relaxed as much as possible throughout the day. Avoiding stress and learning what situations cause them to clench their teeth are both vital in preventing TMD symptoms from getting worse or even returning. Help your patients take charge of their health and understand what is causing their pain.

For more information on TMD and other alternative treatment options, please contact me further.

Nutritional Deficiencies and Sleep Apnea – Part 2

Last week we discussed a handful of nutritional deficiencies in part one of this two-part blog series. Today we will discuss five more nutritional deficiencies and their connect to obstructive sleep apnea (OSA). By understanding these nutritional deficiencies, it is my hope that you can further improve the care and treatment of your patients who are currently suffering from sleep apnea. Let’s take a look:


In one case report, selenium supplementation completely stopped snoring caused by non-obesity sleep apnea. It’s role as a potent antioxidant may help to reduce the oxidative stress seen in sleep apnea patients. Selenium deficiency has been linked to adverse mood states and several lines of evidence have shown that it is crucially important in the maintenance and modulation of different brain functions. Selenium may also have some role in regulation of sleep and in development of insomnia.

Copper and Minerals

Considered a strong predictor of oxidative stress in sleep apnea patients, copper’s role as a key cofactor in the powerful antioxidant superoxide dismutase (SOD) explains the connection with SOD being very low in sleep apnea patients.

Additionally, the trace minerals zinc, copper, magnesium, manganese and selenium are critical cofactors in the major antioxidant enzymes, which are important for repairing cellular damage caused by a lack of oxygen in sleep apnea.


Low levels of Glutathione are linked to sleep apnea. Glutathione helps repair liver damage caused by sleep apnea. The relationship between glutathione and sleep has been shown to defend the cells from destructive agents such as chemical toxins and heavy metals that assault the cells and inhibit their optimum function, causing disease and accelerate the aging process. The two areas involved in sleep are the thalamus and hypothalamus, which are particularly vulnerable to glutathione depletion and can cause sleeping problems.


Oral supplementation with cysteine, the precursor to glutathione, has therapeutic potential for sleep apnea. Snore time and duration were significantly reduced for patients treated with N-acetyl cysteine compared to untreated sleep apnea patients.

Please feel free to contact my office for further discussion of nutritional deficiencies within our patients. By better understanding various symptoms and outcomes, we can definitely remain ahead of the game with providing proper treatment for our patients suffering from sleep apnea.

Nutitional Deficiencies and Sleep Apnea – Part 1

In this two-part blog post series, we will be touching base on a topic not many people are familiar with: nutritional deficiencies and obstructive sleep apnea (OSA). Yes, there is a clear connection between sleep apnea and nutritional deficiencies, which makes it important for you to educate your patients on proper care. For part one we will discuss the following nutritional deficiencies and their affect on sleep apnea:

  • Antioxidant Status
  • Vitamin C
  • Vitamin E
  • Vitamin A
  • Vitamin D

Each of these nutritional deficiencies can affect sleep apnea in one way or another, which means understanding what happens can significantly improve your patients’ health and well-being. But I won’t delay this any longer—let’s get started with nutritional deficiences!

Antioxidant Status

It is well documented that sleep apnea patients have both reduced antioxidant capacity and higher levels of oxidative stress than controls. Sleep apnea is associated with oxidative stress, which is the excessive build-up of free radicals. It is also associated with decreased antioxidant capacity, which is the ability of the body to counter oxidative stress, and decreased blood levels of various antioxidants, such as vitamin E and carotenoids. The excessive oxidative stress associated with sleep apnea then leads to what is known as “endothelial dysfunction,” in which the blood vessels do not properly relax and contract. It is also the primary mechanism causing heart disease, heart attacks, and strokes! Various types of antioxidant supplements have been researched as treatments and found to be beneficial as natural remedies for sleep apnea.

Vitamin C

Improves endothelial function (blood vessel health) in sleep apnea patients to levels seen in people without sleep apnea. A study from the American Journal of Respiratory and Critical Care Medicine found that vitamin C can help reduce the damage of sleep apnea. Scientists have found that sleep apnea can have damaging effects on the cells, but vitamin C can help to counteract that damage. By increasing vitamin C consumption while treating sleep apnea, you can potentially help reduce the dangerous effects of sleep apnea.

Vitamin A

Sleep apnea patients have low retinol (vitamin A). Retinol suppresses the growth of vascular smooth muscle, a process that causes blood vessels to clog, linking low vitamin A levels to the cardiovascular complications seen in sleep apnea patients.

Vitamin E

Mitigates the oxidative stress seen in sleep apnea patients and works synergistically with vitamin C. The primary role of vitamin E in your body is as an antioxidant—this helps protect your cells from harmful molecules formed during normal metabolic processes. It also plays a role in regulating your immune system. Vitamin E may even help in the prevention or treatment of health conditions related to heart disease, aging and cancer. Essential to your daily functions, vitamin E is recommended in a person’s daily diet to prevent nutrient deficiency.

Vitamin D

We’ve discussed this before, but people with sleep apnea have a high prevalence of vitamin D deficiency. And, the worse the sleep apnea is, the more severe the deficiency appears to be. Evidence suggests that vitamin D worsens sleep apnea’s negative effect on heart disease risk. Because vitamin D deficiency is so common and linked to so many sleep apnea symptoms, including mood disturbances and muscle pain, it is important to make sure your patients are maintaining the optimal level of vitamin D daily.

Remember, when your patients suffer from obstructive sleep apnea, there are other factors in play here. Keep in mind the different nutritional deficiencies that might interrupt sleep and worsen sleep apnea in order to provide your patients with optimal care.

4 Marketing Strategies to Try in 2016

Happy New Year!! It’s the beginning of a new year, which means it’s time to re-evaluate your practice by developing an effective marketing strategy to keep your practice moving forward in 2016. After all, without a proper marketing plan your efforts to attract new patients are likely to be haphazard and inefficient.

When creating your marketing plan 2016 it is important to focus on making sure your products and services meet your patients’ needs and developing long-term and profitable relationships with those patients. Here is a list of 4 dental office-marketing ideas you might want to consider for 2016:

  1. Create a Newsletter

One thing you can do to better market your office is to create a mailing list in which you can send weekly or monthly newsletters to your patients. By acquiring your patients’ emails, you can easily send them updates on your office, specials and important information regarding their care. A suggested topic for emails might be weekly dental tips.

As a practice that is establishing their role in dental sleep medicine, you might benefit by sending out weekly emails to your patients that targets the importance of getting treated for sleep apnea. Some information might include:

  • What is sleep apnea?
  • What are the symptoms?
  • What treatment options are available?
  • How can my dentist help me?

The questions and tips that you can include are limitless. Use your creativity to brainstorm important ideas that your patients should know when it comes to dental sleep medicine. Through email marketing you can further reach your patients because majority of patients check their emails multiple times a day.

  1. Incorporate Social Media

I’ve mentioned it before, and I will continue to place an emphasis on how important it is to utilize social media. Use Facebook or Twitter to post fun dental sleep medicine facts to patients or updates on your practice. When patients see these “fun facts” they will be more prone to share with their friends.

Through social media, you want to not only reach your patients, but you also want to get them engaged. Without engagement, your patients will simply browse over the information without really paying attention. If you provide accurate and thoughtful information, they may be more inclined to share it with their friends—especially if that information reminds them of a friend or loved one.

  1. Utilize Blog Posts

Another important marketing factor is creating blog posts, which he have also focused on in previous blog posts. Blog posts are an extension of your website and another way to get content that is searchable through Google. While writing your blog posts, be sure to include keywords so that your blog post comes up when a patient is looking for specific information. You can utilize your blog to share educational or office information—the choice is yours.

  1. Send a Press Release

Lastly, try sending a press release once a month. Remember, though, that a press release should be “news worthy,” which means it needs to announce something. Whether you have won an award, are offering a new procedure or technology, or have moved locations all can be news worthy topics you can share through a press release.

Send a press release to local media to notify the public about your news worthy information or utilize an online distribution database to send your information through the Internet. Either way, press releases help to generate outside links back to your website for improved search results.

Contact Dr. Mayoor Patel for more information on how you can successfully market your dental office for 2016!