30% of the US population … 60 million Americans … suffer from TMJ dysfunction. What Helps minimize the pain?

 Applying heat or cold gel packs are the most basic treatments for TMJ; and a great place to start:

In a survey conducted by the TMJ Association and the Medical College of Wisconsin (MCW) targetingTemporomandibluar Joint Disorders (TMD), hot and cold compresses to the jaw were found to be the number one most effective and most frequently used pain therapy or treatment.

In addition the research paints a very specific portrait of those afflicted. 90% of those patients surveyed were women, 96% Non-Hispanic White. 70% employed. Stress, Teeth Clinching and Trauma overlap as the primary perceived causes of TMJ Disorders. In addition to TMD pain, almost always these individuals also suffered from Headaches and Allergies.

Of the 46 treatments outlined, 91% of respondents chose thermal therapy (hot or cold compresses) to treat their TMD pain. 74% of the respondents reported reduction of symptoms after applying thermal treatment.

AAOMS 97th Annual Meeting

Join us at the Washington Convention Center, Washington Marriott Marquis Washington, DC Booth #1046.

Come see our new T-425 Frozen Peas Hot/Cold Pack
Serve Them Up, Hot or Cold!
Our new T-425 Frozen Peas are sturdy,
reusable therapeutic Hot Cold Gel Beads that offer two new
advantages – they remain pliable even when fully
frozen and can also be heated. Frozen pliability
allows patients to achieve a better contour to the
face, while the use of heat allows for more
post-op therapy options. This slim gel pack arrives
with preprinted, patient-friendly instructions and
can be used alone or in combination with our
patented wraps.

TMJ Association, LTD: “TMD, Dental Care and You”

teeth_brushingThe daily routine of brushing and flossing your teeth can be difficult when you suffer from Temporomandibular Disorders (TMD). A study published in the Journal of Orofacial Pain states that patients felt their TMD symptoms made it difficult for them to do routine dental care at home. Also, the study found 63% of patients reported a change in seeking routine professional dental care due to their TMD.  Since oral hygiene can become compromised due to limited range of motion and/or pain, regular dental exams and cleanings become even more important in maintaining your oral health.

The TMJ Association developed this guide to provide you with oral hygiene self-care tips you can do at home as well as suggestions for future dental appointments. Maintaining your teeth and gums on a routine basis should reduce the risk of dental disease and the need for invasive dental treatments.

Daily Self-Care

In order to maintain healthy teeth and gums, self-care is essential. If you are not removing plaque on a daily basis, a professional cleaning will only be temporarily effective.  By keeping your teeth and gums in good condition and following proper hygiene instruction, future dental visits will be more comfortable. The following are suggested daily self-care methods that may work for you.

  • Use of a soft toothbrush. These range from adult to children’s sizes to small one-ended brushes, and those with greater flexibility. It is recommended that you replace your toothbrush every 3 to 4 months. A worn toothbrush may not clean effectively and may harm your gums.
  • Power-assisted toothbrushes offer an excellent way to maintain hygiene if the electric motion of the brush does not cause discomfort to your jaw.
  • Toothpaste designed to reduce sensitivity, such as Sensodyne®, may reduce discomfort.
  • Flossing is the preferred method for cleaning between the teeth.  If you cannot open your mouth wide enough to floss your teeth, alternatives include rubber tip stimulators, interdental brushes, or floss holders. Your hygienist should guide you in selecting an instrument that is right for you and provide proper instruction on how to use it.
  • Ask your dentist or hygienist if a commercial oral irrigator may be useful for your oral hygiene.
  • In addition to brushing and flossing, an antiseptic mouth rinse may be recommended to kill bacteria that can cause decay and gum disease.
  • Fluoride rinses after each meal and prior to bed can also be effective in reducing cavities. Some dentists also recommend using a prescription high-fluoride toothpaste.
  • Salt or baking soda and water solutions can be used as a rinse at home following dental and dental hygiene procedures.  It is easily prepared, inexpensive, and may be effective in reducing gingival swelling. If you are on a low-salt or sodium-free diet you should not use a salt water rinse.
  • If you are experiencing dry mouth, your dental team can help. Saliva plays a very important protection role in the body. It not only keeps your mouth moist, it also helps to protect your teeth from decay, helps prevents infections, and heal mouth sores.
  • If your mouth opening is very limited, foam instruments called “toothettes,” or moist cotton gauze squares, can be rubbed along the teeth and gums to achieve some plaque removal.
  • Appliances such as splints and partials should be brushed daily with a soft brush and mild dish soap or should be cleaned with a product such as Polident® or Efferdent®.
  • If you have arch bars/wires or other appliances, it is very important to clean the area between the appliance and your gums. Your hygienist may recommend a soft brush or a bi-level brush with a middle row that is shorter and can be applied directly over the fixed appliance. Power-assisted brushes with soft bristles, a light stroke, and at low speeds can be very effective for cleaning around appliances and keeping your gums healthy.  Your hygienist may also recommend other aids to clean between your teeth.  They include floss threaders and interdental brushes.

What You Should Expect From Your Dental Office Visit

A dental procedure may trigger or increase your TMD symptoms. So it is imperative to find dental professionals who understand your oral disability, are willing to work with you, and will listen to your concerns. They should recognize you as an individual and adapt techniques and procedures according to your needs and limitations. Regular dental cleanings may prevent infrequent, long, or difficult treatment sessions. Keep in mind that each individual is unique and what works for one person may not work for another. Together you, your dental hygienist and dentist can determine what is best for you. The following suggestions may help improve your next dental visit.

Before a dental visit the following should be considered:

  • If this is your first visit with this dental office, consider interviewing the dental hygienist or dentist before you schedule an appointment. The interview will serve many purposes including developing rapport and open communication with the dentist and dental hygienist. They should understand your apprehension concerning your oral disability and offer reassurance that they will take your concerns into consideration and act accordingly. It is also an opportunity for the dentist and hygienist to discuss their treatment plan with you and the types of procedures you can expect during your visits. By knowing what is expected, you will feel better prepared and relaxed during your appointments. Check with the office to see if there will be an additional charge for this visit.
  • Discuss the appointment length with the office. Depending on preference, appointments may be long or short. Some patients prefer longer appointments to get everything done during one appointment; others prefer shorter and multiple appointments.
  • Contact your insurance company to determine coverage for dental services.
  • Consider scheduling your visit at the end of the day to allow rest after the appointment.
  • Use heat and/or ice before your dental treatment to help reduce any pain or swelling.
  • If you are usually anxious before your dental appointments, talk with your primary care doctor about this. He or she may recommend relaxation medication, self-hypnosis, biofeedback, or other techniques to reduce anxiety.
  • Medications to relieve inflammation, muscle spasm and pain can be taken before your dental appointment. These can range from over-the-counter analgesics to prescription pain medications or muscle relaxants. Caution: If you do use medication, consider having someone drive you to the appointment. Also discuss any medications you take with your primary care physician to be certain they don’t interact with any other medication you may be taking. Finally, these medications may block the pain thus decreasing your ability to protect your TM joint during the dental visit.
  • If you have a heart condition or a prosthetic joint (including TMJ implants), it’s best to consult with your physician and dentist to determine if antibiotic premedication is necessary for you. Each patient must be considered individually. For some conditions, medication taken prior to dental treatment may reduce the risk of infection and serious complications.
  • Inform your dental team if you are anticipating surgery for a joint replacement. All needed dental work such as extractions or periodontal treatment should be completed well in advance of your surgery.

During a dental visit the following should be considered:

  • Inform your hygienist and dentist of any changes in your medical or dental history as well as current medications, including over-the-counter drugs.
  • Determine if you are at risk for tooth decay by discussing this with your hygienist. Sealants and fluoride treatments may be options in reducing certain types of cavities.
  • Use caution when opening your mouth to avoid overextension and possible hypermobility. Hypermobility means your joints are loose and move a lot, and can lock if the mouth is open too wide. Utilization of a mouth prop or device, such as the Restful Jaw®, will help protect the jaw during a dental visit.
  • Communicate with the hygienist or dentist by holding up your finger to indicate that you need to rest your jaw.
  • Ask for rolled-up towels or pillows to place behind your neck or back to avoid discomfort.
  • If your teeth are sensitive, let your hygienist know.  It may be possible to use a desensitizing agent and make adaptations to water temperature or application of air.
  • Request applications of topical anesthetics and, if needed, local anesthesia to lessen the pain.
  • If you have breathing or swallowing difficulties, you may be more comfortable with the chair in a semi-upright position.
  • If your eyes are especially sensitive to the dental light, consider bringing sunglasses to wear during treatment.  The use of glasses will also protect your eyes from any debris or particles produced during routine cleanings.

After a dental visit the following should be considered:

  • Ice or heat applications to the jaw.
  • Continue using medications to relieve inflammation, muscle spasms and pain.
  • Schedule your next cleaning appointment to help maintain your oral health. Research has shown a link between oral health and overall health and its relationship to systemic diseases.


American Dental Association. Antibiotic Prophylaxis. Retrieved June 23, 2015 fromhttp://www.ada.org/en/member-center/oral-health-topics/antibiotic-prophylaxis.

DePalma, A.  TMD Challenges.  Contemporary Oral Hygiene, Vol. 3, No. 3, March 2003.

DePalma, A. Temporomandibular Disorders. Access, Vol. 7, No. 7, August 1993.

Fernandes, P, Velly AM, Anderson GC. A randomized controlled clinical trial evaluating the effectiveness of an external mandibular support device during dental care for patients with temporomandibular disorders. Gen Dent. 2013 Sep-Oct;61(6):26-31.

Humphrey SP, Lindroth JE, Carlson CR. Routine dental care in patients with temporomandibular disorders. Journal of Orofacial Pain. [2002, 16(2):129-134].

Klasser, GD., Gremillion, HA., Epstein, JB. Dental treatment for patients with neuropathic orofacial pain.JADA. 144(9):1006-1008 2013.

National Institutes of Health.  TMD Disorders. [Brochure]. Bethesda, MD, March 2010.

Wilkins, E. Clinical Practice of the Dental Hygienist 8th ed., Philadelphia: Lippincott Williams & Wilkins, 1999.

Warren, P. A Practice-based study of a power toothbrush: Assessment of effectiveness and acceptance.JADA.  131, March 2000.

©2015 The TMJ Association, Ltd. All rights


Back-to-School Dental Check Up

Cool Jaw suggests visit your  dentist

Nights are a little cooler, and I noticed this morning sunrise came a little later; which means Back-to -School is right around the corner.  There are endless lists of school supplies and new clothes and back packs.  PUT A NEW TOOTH BRUSH AND FLOSS TOOLS FOR KIDS, AND MAYBE A TWO MINUTE TIMER, ON THAT LIST AS WELL!

No matter how busy you are, consider visiting your dentist for an annual Back-to-school check up. Studies have shown that dental problems cause frequent school absences. Regular dental checkups prevent toothache, bad breath, and tooth decay.  A regular dental check up may save you money on future dental expenses for untreated problems. Take care of it now, while they were young… an ounce of prevention as they say.  Even kids with good oral hygiene habits miss some of the tartar that builds up daily on teeth, this hardens into plaque that can lead to cavities and worse. Only a dentist or dental hygienist have the tools to conduct a proper cleaning and remove plaque and tartar build up.  Check to see if your Dentist offers a  Back-to-School dental special, and make that appointment!

Who Can Turn the World on with Her Smile?

Mary Tyler Moore isn’t the only one with a mouthful of veneers.  But you knew that.  (But did you know Joan Jett wrote the Mary Tyler Moore,  “Love is All Around”  TV Show theme song?**)…anyway back to the point: The power of Cosmetic Surgery, including  veneers, can be life changing;  as stated on arizonafamilydental.com.

When you think of Tom Cruise, you think of his great smile: big white teeth in perfect alignment, a grin that dazzles you again and again. It might surprise you to know that one of Hollywood’s biggest stars didn’t always have that million-dollar mug. Cruise is one of many celebrities who’ve gone to a cosmetic dentist to change the appearance of their teeth.

The Power of Cosmetic Dentestry

The Power of Cosmetic Dentistry

The star of “Mission Impossible,” “Top Gun” “Risky Business,” and a slew of other hit movies started his career with discolored, out-of-alignment teeth.  Teeth whitening and straightening apparently, weren’t enough. Since those early years, the Scientology devotee has reportedly upgraded to a mouthful of veneers.

** Just encase I got you thinking…..https://www.youtube.com/watch?v=e4tkLy9AaD4

Oh My Vlog and Cool Jaw understand the power of You Tube

Oh My Vlog and Cool Jaw understand the power of You Tube

Oh My Vlog and Cool Jaw understand the power of You Tube

You Tube and its impact on current affairs now has its ultimate mouth piece… Oh My Vlog magazine, which launched today.  Inside it has everything you need to know about your favorite YouTube vloggers – from Zoella to Tyler Oakley – and their fans.

Cool Jaw has long relied on You Tube to communicate with Doctors and Customers alike.  Check out  Cool Jaw® TV our You Tube channel. Gain product knowledge and insight to current topics of interest.

Don’t take our word, take our customers’ Cool Jaw® has enjoyed a favorable working relationship with our customers for nearly twenty years.

We pride ourselves on our excellent service, close attention to detail, and quality products. Over the years we have found our best selling points come from the customers themselves.

On our home page you can view video that will briefly walk you through the Cool Jaw System and introduce you to three of today’s leading oral surgeons. Listen to their unbiased testimonials and learn why Cool Jaw® is setting the standard for cold therapy within the oral surgery field.

Cool Jaw® – Versatile Pain Relief

Cool Jaw®  - Versatile Pain Relief

Virtually all Orthognathic Surgical Procedures benefit
from Cool Jaw®

Cool Jaw® products are ideal for wisdom teeth extractions, reconstructive jaw surgery, implant surgery, maxillary and mandibular trauma, and genioplasty, as well as facelifts and TMJ pain. Virtually all Orthognathic Surgical Procedures as well as Maxillary or Mandibular Osteostomy would benefit from the healing relief Cool Jaw offers.

In addition less common applications would include:

  • Maxillomandibular Advancement – surgical treatment and/or splinting sleep apnea
  • Chronic facial pain disorders
  • Frenectomyi-the removal of a frenum in the mouth.
  • Diastema Surgery – removing gaps in between teeth
  • Neck Cancer surgery and reconstruction
  • Removal of lower facial cysts or tumours
  • Revision of lower facial scars
  • Debridement of wounds over lower face

The Cool Jaw® System is a combination of Compression and Thermal Therapy. Each jaw wrap is available with your choice of two or four gel packs. Four: so that patients can rotate packs between freezings.

Cool Jaw Hot/Cold Therapy

Heat Helps! Relax your jaw muscles at night using Heat therapy.

Our traditional Reusable Cold Therapy Gel Packs freeze solid and remain cold for over an hour. Meanwhile, our Reusable Hot / Cold Therapy Gel Packs remain pliable when frozen and can also be heated.

Cool Jaw for Oral Pain

Cool Jaw offers both Cold and Hot/Cold Therapy Options for Pain Relief