Help Keep Your Patients Mindful of What They are Eating During the Holidays

This holiday season is all about having fun and spending time with your friends and family. However, it is important that our patients be mindful of what they eat so as to not worsen their TMD pain or sleep apnea condition.

Overeating often happens during the holidays, which can lead to weight gain and worsening of sleep apnea symptoms. And, depending on what they eat, it could exasperate the pain felt in the jaw.

What is the issue?

Immediately after overeating, patients might feel abdominal discomfort, but won’t think much about it. And while they might not immediately gain 10 pounds, it can lead to the development of weight gain if patients continue to eat like that. The repeated episodes of overeating result in health consequences such as obesity, high cholesterol, joint problems and sleep apnea. Excess weight can even lead to psychosocial and emotional problems.

It is completely fine to eat those holiday foods available once a year, so don’t encourage self-deprivation. However, overdoing it should definitely be avoided. Try to inform your patients on what to eat, how to pace themselves and what to do to make up for heavier eating during the holiday season such as exercising or going on a walk.

One way of doing this is to tell your patients to put a positive spin on not eating certain foods. This might include, “I can eat that, but I choose not to because I want to eat healthfully.” This helps to minimize the feeling of being deprived of food. Some other tips include planning ahead, setting priorities for the foods patients want to eat, staying hydrated and eating mindfully. Very few bites get that maximum pleasure for people.

Whatever our patients eat this holiday season, make sure you emphasize enjoyment, moderation and perspective. And after all is said and done, recommend a nice walk or hitting up the gym in the days following.

What are some tips you can share with us for keeping our patients’ eating patterns in check this holiday season?

Now Available! An Educational Book on TMD

I am excited to announce that “Take a Bite Out of Pain: A Journey to Overcoming Temporomandibular Joint Dysfunction (TMD)” is now available for purchase! This new educational book is a great gift for a friend or family member suffering from pain, or even to display at your office for your patients.

This book is available for purchase at Lulu.com and will soon be available on Amazon and Barnes and Noble.

What is it about?

I wrote this book in collaboration with Sara Berg. She has been writing for me for almost five years now and this is our second book together. We decided to write about pain and TMD to better educate patients on these symptoms and what to do. As dentists, we are in a unique position to help our patients feel better.

To help you better understand what the book is about, here is a brief description:

“Pain should never be ignored. Whether it is pain in your jaw, or what seems like a headache, don’t ignore the discomfort. Ignoring pain would be a waste of time, leading to further complications with your health.

Search for the underlying cause of your pain with help from qualified dentists that treat such cases. Finding the source of your nagging pain will help you continue on with your daily activities—hopefully eliminating any discomfort present.

Don’t just “put up with” pain—seek proper treatment. Pain is a complex and complicated symptom tuned by your brain, as it triggers every painful sensation. Are you just going to sit there and wish the pain away? No, absolutely not.

Educate yourself on the cause or causes, and treatment options. Pain isn’t a singular problem, it can be so much more.”

I look forward to hearing your thoughts and I hope that you utilize this book to help your patients before, during or after their visits to your office!

Sleep deprivation in the workplace poses a danger to workers

In South Carolina’s manufacturing ecosystem, sleep is directly tied to the bottom line. There are numerous studies across the country that have identified sleep deprivation as a safety hazard and a liability on a company’s finances. In a recent article, S.C. Manufacturing Extension Partnership (SCMEP) found that there were more than 5,000 manufacturing firms employing close to 250,000 men and women across the Palmetto State. To add to that, several ports were found to be processing more than $53 billion each year.

Negative impact of sleep deprivation

Researchers at the Journal of Occupational and Environmental Medicine found that fatigue-related productivity losses could end up costing South Carolina nearly $2,000 per employee a year! On top of that, sleep deprivation can lead to increased sick days, which results in more employees calling out of work and costing the company even more money lost.

As you know, during sleep stages three and REM, the body repairs damaged tissue while growing more. If these stages do not occur, white blood cells begin to diminish as inflammatory cells multiply. However, most people who suffer from a lack of sleep are not always aware they have an issue until they are diagnosed with one of its medical complications, such as diabetes.

CPAP isn’t always the best solution

Treatment of sleep apnea is key for improving sleep deprivation. And while most people assume CPAP machines are the best options, it has been shown that the compliance rate is only 40 percent, according to clinical director of True Sleep Diagnostics in Greenville, Ken Hooks. As a result, these patients might develop further complications associated with unsuccessfully treated sleep apnea.

This might then cause repeated sleep studies that don’t show a change in the condition. As dentists, we can use this to our advantage. The use of an oral appliance from your office is often less known than CPAP, but through its custom-design for the individual patient, it can be worn comfortably while sleeping to open the airway.

For South Carolina’s case, educating manufacturing workers on the success of oral appliances will be key. Let’s keep this in mind for future reference in showing just how important care is for our patients.

Comparing chronic migraines with TMD pain, a study

Another study I recently read took at look at chronic migraines and temporomandibular disorder (TMD) pain. The researchers wanted to compare patients with chronic migraines and chronic TMD on disability, pain and fear avoidance factors. While the study didn’t utilize dental offices, they did take a look at a neurology department and a TMD consult in a tertiary care center. There were a total of 50 patients with chronic migraines and 51 with chronic TMD.

Results from this study showed that there were significant differences between those with migraines and those with TMD. However, there were no differences between the chronic migraine group and the neck disability, visual analog scale and kinesiophobia groups. For chronic TMD, the combination of neck disability and kinesiophobia was a significant covariate model of craniofacial pain and disability. For chronic migraine patients, the regression model showed that neck disability was a significant predictive factor for headache impact.

The differences between the chronic migraine group and chronic TMD group were found in craniofacial pain and disability, pain catastrophizing and headache impact. But these groups were found to be similar for pain intensity, neck disability and kinesiophobia.

We can take this study to further help us in treating our patients who are suffering from chronic pain, whether it is due to migraines or TMD. By understanding these relationships, we might be able to take preventive measures or catch conditions earlier in the process.

What other studies are out there that could better guide us in understanding our patients’ pain and discomfort?