We are committed to quality of life and comfort and we understand how oral-facial discomfort can interrupt daily functioning. Dr. Paz specializes in the following pain disorders:
Bruxism / Clenching Bruxism is a dental condition in which a person grinds or clenches their teeth together. Often a person suffering from bruxism is unaware as they may unconsciously clench their teeth together during the day or grind them at night, which is called sleep bruxism. Bruxism can range from minor to severe. In some cases, it can be frequent and severe enough to lead to jaw disorders, headaches, damaged teeth and other head and neck problems. Because many people have sleep bruxism and are unaware of it until complications develop, it's important to know the signs and symptoms of bruxism and to pursue regular dental care. Symptoms of Bruxism include: - Grinding or clenching - Teeth that are worn down, flat or chipped - Tooth sensitivity - Jaw and facial pain/tightness - Ear pain - Headaches - Facial pain - Damage to the tongue or tissue inside your cheeks
Migraines A migraine is a common type of headache that may have a variety of symptoms including nausea, vomiting, sensitivity to light and sound. In many people, a throbbing pain is isolated to one side of the head. Some patients suffering from migraines have warning symptoms, known as auras, before the actual headache begins.
Myofacial Pain Trigger Point Injections Trigger Points are defined as hyper-irritable points in the skeletal muscle that are associated with palpable nodules in taut bands of muscle fiber. Dr. Paz identifies trigger points by holding palpation for 6-10 seconds with a significant amount of applied pressure. Myalgia will have no referral of pain, meaning the area and source of pain are one in the same. Myofascial pain will have a pain referral to another location, the site and source of pain are different. Trigger points exist at various locations in the head and neck. TMJ TMJ, TMD, and Myofascial pain refer to different pathologies affecting the masticatory muscles, temporomandibular joint (TMJ) and related facial structures. TMJ pain is often the result of issues with the joint and/or surrounding muscles including, but not limited to, grinding/clenching of teeth, stress, dislocation of the disc, arthritis or trauma. Symptoms of TMJ related facial pain include: - Pain and tenderness in the face, jaw, neck, temples and shoulders - Limited range of motion concerning the jaw - Feeling of jaw being stuck or locked in position - Clicking, popping sounds in the jaw when opening and closing - Tense muscles in the face and neck - Difficulty chewing or feeling teeth aren’t coming together properly
Dental Sleep Medicine Dr. Paz treats pain and disorders that interfere or occur during sleep. Often he has his patients take a sleep monitor home to help gather additional data about their sleep patterns without the patient having to be inconvenienced by attending a sleep clinic. Having poor sleep, painful sleep, or respiratory interference can be an impediment to your waking life. When you aren't rested you can be irritable, unfocused, and frustrated. Don't let your waking hours be tarnished by poor sleep.