Category Archives: Oral Hygiene & Gum Health

Dental Diagnosis of Rheumatic Disease & TMJ/TMJD

Dental Diagnosis of Rheumatic Disease & TMJ/TMJD

Dental Diagnosis of Rheumatic Disease & TMJ/TMJD

People who have a rheumatic disease, such as rheumatoid arthritis, may develop temporoimandibular joint disorder (TMJ/TMJD) as a secondary condition. Rheumatic diseases refer to a large group of disorders that cause pain, inflammation, and stiffness in the joints, muscles, and bone. Both rheumatoid arthritis and some TMJ disorders involve inflammation of the tissues that line the joints. Examination and consultation can determine the dental diagnosis during your next visit to the dentist office. 

Temporal (or cranial) arteritis (also known as large cell or giant cell arteritis) is a rheumatoid disease that results in painful inflammation of blood vessels in the head and neck. It usually occurs after age 50. When the painful symptoms first appear, patients commonly seek TMJ diagnosis from their dentist. If TMJ therapy does not relieve symptoms, then a blood test ordered by your primary physician, a rheumatologist, or ENT specialist is indicated. Ruling out or ruling in the onset of temporal arteritis means you can get on that proper track of treatment as soon as possible.  

Symptoms of temporal arteritis may be observed alone or in combination. These are headaches, joint pain, facial pain, fever, and difficulties with vision. Untreated temporal arteritis can become severely painful and lead to blindness.

At Jamie J. Alexander, D.D.S., in Boynton Beach, FL, we are aware of the suffering of our patients and do all we can to properly diagnose painful conditions immediately. This includes making referrals to medical specialists, when needed, based on medical dental evidence. If you are experiencing head, neck, facial, or jaw-specific pain, Dr. Alexander has the expertise you need now. Call for a prompt clinical evaluation and get on the fast track for healing.


Find out the effects of cocaine on gums, mouth, and teeth by contacting Recovery Dentistry of the Palm Beaches, Florida

The Effect of Cocaine on Gums and Teeth

Cocaine on gums, and how it impacts your oral health

Regular use of cocaine leads to painful perforation of the nasal septum and palate of the mouth, painful lesions in the gums and other soft tissue of the mouth, and erosion of tooth enamel. Patients with perforations suffer from speech impairment and find it difficult to eat and drink.

Medications used to ease the side effects of cocaine withdrawal can cause xerostomia (severe dry mouth). Without sufficient protective saliva, the risk of tooth decay increases. Because cocaine addicts typically neglect their oral hygiene, do not seek dental treatment while using, and rub cocaine on gums / gum tissue, where contact with teeth erodes dental enamel, the incidence of severe dental caries is high. Tooth loss is high, and tooth extraction is often needed.

Dr. Alexander and the specialists he works with know that the vasoconstrictor in local anesthesia after recent use of cocaine (within 24 hours) can induce an acute increase in blood pressure. During tooth extraction, this has been known to be fatal. Because of the potential medical risks during dental treatment, Dr. Alexander will make sure you have not been using cocaine. He will be alert for signs of recent or chronic use that can put your life at risk.

Since many individuals will deny the use of cocaine, Dr. Alexander only accepts patients who are part of a recovery program and meet with him for open conversation prior to a comprehensive examination and carefully planned treatment.

If you have been in recovery for some time and been successful in achieving complete abstinence for a year, perforations can be repaired by an oral and maxillofacial surgeon. Gingival lesions can be treated by a periodontal specialist.

If you are part of a recovery program near Boynton Beach, you have a unique opportunity to be in the care of Dr. Jamie Alexander, a general and restorative dentist who has expertise in helping individuals in recovery. He can evaluate your overall needs, collaborate with local preferred specialists, and provide dental restorative treatment (fillings, crowns, bridges, dentures, and perhaps, implant treatment). The counsel of this “recovery dentist” can save and transform your life.

As a recovering user of cocaine, you have unique needs and circumstances. Your oral health situation may be quite complex. But, have hope. Schedule an initial, complementary consultation with Dr. Jamie Alexander to talk about your circumstances and seek a new beginning that includes a healthy mouth, restored speech, and nice smile.

Call 561-732-8877 for a compassionate conversation with our receptionist to schedule your initial consultation.





Fitness, Oral Health, and Recovery from Addiction | from the desk of Dr. Jamie J. Alexander, the Recovery Dentist of Boynton Beach FL

Fitness and Oral Health

Your Fitness, Oral Health & Recovery from Addiction

A great body of research evidence has made clear that looking after your oral health is important for physical health. Now that you are in recovery, you are no doubt motivated to pursue more physical activities to build your body strength and naturally raise endorphins.

A healthy mouth will improve your systemic health by reducing inflammation, provide improved chewing function so you can eat and digest the full range of healthy nutrients, and enable you to confidently engage with the world.

Oral health, systemic health, social health, and exercise are closely interrelated. Your recovery and ability to live an addiction-free life are supported by all four.

One of our local recovery centers, Delray Recovery Center, has shared this blog The Benefits of Exercise in Addiction Recovery. Enjoy the benefits of exercise and improve your oral health in the safety and compassionate care of Jamie J. Alexander, D.D.S., Dentistry for Those in Recovery. Call our Boynton Beach dental office at 561-732-8877 to learn more and schedule an initial complementary consultation with Dr. Alexander. 

Restoring tooth enamel using fluoride treatments at Recovery Dentistry in Boynton / Palm Beach

Restoring Tooth Enamel with Fluoride Treatment

How Fluoride Treatment Can Help Restore Tooth Enamel

It’s not at all unusual for those who are recovering from drug addiction or alcoholism to have gone through prolonged periods when they did not receive regular dental care and lapsed from good oral hygiene habits. The resultant toll on the outer surface of their teeth (the tooth enamel) may be significant.

If erosion of the tooth enamel has not gone too deep, the tooth’s surface may respond to re-mineralization treatment. If it does not respond, then, restoration with a filling, crown, or veneer may be recommended for covering the weakened enamel, strengthening the tooth, and eliminating sensitivity.

Fluoride varnish is commonly applied to children’s teeth to strengthen tooth enamel and help prevent dental decay. It can also be applied to the teeth of adults. It’s a simple and low cost procedure. Fluoride varnish is brushed on to the outer surface of each tooth and allowed to dry. For a period of at least 6 hours, you will not brush your teeth or consume hot foods and beverages, as these will remove the varnish. During those 6 hours, fluoride molecules will be absorbed into tooth enamel, strengthening your teeth through re-mineralization. The treatment can be repeated every three months.

Use of fluoride toothpaste for sensitive teeth also will help with re-mineralization, as will limiting your consumption of acidic beverages and sugar.

“Make sure you are minimizing acidic foods and beverages, and cleaning your mouth thoroughly after eating and drinking,” says Dr. Jamie Alexander. “Use fluoride toothpaste made for sensitive teeth, and if you can’t brush after every meal, rinse your mouth with water and/or chew gum that is sweetened with xylitol. This will stimulate saliva production and help clear away food debris on and between teeth. But, don’t chew gum for long periods of time, as you will likely develop jaw muscle tenderness. When you read the toothpaste product labels, look for the ingredient amorphous calcium phosphate.”

To find out if you could benefit from fluoride treatments, give us a call at (561) 732-8877 to schedule a comprehensive dental examination and evaluation of your oral health at our office in Boynton Beach, FL.