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What is periodontal disease?

Periodontal disease is a chronic infection of the gums and bones holding your teeth in place.

If left untreated, the gums and bones holding your teeth in place can be damaged, leading to possible tooth loss Periodontal disease is very common and affects an estimated 50 million people in the United StatesRecent studies suggest a link between periodontal disease and other health complication including diabetes and hear diseaseThe most common treatment-emergent adverse events were headache (9.0%), infection (7.6%), flu syndrome (5.0%), and pain (4.3%). These occurred at a similar rate to SRP and SRP + placebo. ARESTIN™ (minocycline hydrochloride) contains minocycline, tetracycline derivative, and therefore should not be used in children and in pregnant or nursing women. The use of drugs of the tetracycline class during tooth development may cause permanent discoloration of the teeth.

How is periodontal disease treated?

This office uses an effective treatment protocol for this condition that includes ARESTIN.

Scaling and root planing (SRP) is a procedure that we use to remove plaque buildup and bacteria from the infected area around teethARESTIN™ is an antibiotic that we easily place in the infected gums around your teeth to treat your periodontal disease and help promote healing after SRPARESTIN™ is a small amount of powder that is administered quickly and easily.  Application is comfortable, no bandages are required, and it won't leak or fall out.Because periodontal disease is a chronic disease, your gums need to be checked regularly. Be sure to return for your follow-up appointments.

ARESTIN™ is indicated as an adjunct to scaling and root planing (SRP) procedures for reduction of pocket depth in patients wit adult periodontitis. ARESTIN™ may be used as part of a periodontal program which includes good oral hygiene, and scaling and root planing.

Important facts about treating periodontal disease

Eliminating the infection of periodontal disease is a key focus of treatmentSome infectious bacteria may remain in the affected area after deep cleaning and begin multiplying againARESTIN™ is indicated as an adjunct to scaling and root planing (SRP) procedures for reduction of pocket depth in patients with adult periodontitis.  ARESTIN™ may be used as part of a periodontal program which includes good oral hygiene, and scaling and root planingAsk your dental professional how ARESTIN™ can supplement your periodontal therapy.

TMJ Next Generation

No More Bite Splints...

Suffering from TMJ pain? We've got good news. At last, there's an effective alternative to uncomfortable and incovenient bite splints. Introducing TMJ NextGeneration - a patented, FDA-cleared solution that is clinically proven to significantly decrease TMJ discomfort. Best of all, unlike bite splints, TMJ NextGenerations custom-made ear canal inserts are comfortable, discreet and can provide you with relief all day long.

* Designed to be worn comfortably 24/7

* No interference with eating or talking

* Barely visible

* No nighttime discomfort

* No negative effect on your bite

TMJ NextGeneration looks and feels like high-end hearing aid inserts. They are discreet, easy-to-wear or remove and are very comfortable. Ask your healthcare provider about a prescription for TMJ NextGeneration today or visit


It is not recommended that you wear the TMJ NextGeneration™ device while showering, swimming or in a heated moist environment such as a steam bath or sauna. It is recommended when participating in any contact sports that the TMJ NextGeneration™ devices be removed and stored in the pouch provided. Significant weight gain or loss may affect the fit of the TMJ NextGeneration™ device within the ear and may require you to be refitted with new devices.


If you experience some initial discomfort, it may simply represent a brief adjustment period of the ear tissue as it adapts to the device.

If, however, soreness, swelling, itchiness, drainage occurs in either one or both the ears, then you should remove the TMJ NextGeneration™ devices and call your health care practitioner to discuss your condition and schedule an appointment if necessary.

Safety and effectiveness of the TMJ NextGeneration™

device has not been established for people:

*Who have been diagnosed with rheumatoid arthritis, osteoarthritis, osteoarthrosis or another connective tissue disorder

*Who have had direct trauma to the jaw; or

*Who have had prior Temporomandibular Joint Disorders (TMJ) surgery or ear surgery

When the Device Should Not Be Used (Contraindications)

You should not be fitted for a TMJ NextGeneration™ device if:

*You have active ear drainage, swelling or redness

*You have an unresolved history of ear pain unrelated to TMJD; or

*Your ear canal anatomy does not allow for fit of the device (e.g., too narrow or prolapsed [fallen] canal, or previous mastoid surgery)

Risks and Benefits:

Patients wearing the TMJ NextGeneration™ device in a three month clinical study experienced a significant reduction in the pain and dysfunction associated with TMJD, to an extent at least as much as that experienced by patients wearing a stabilization splint (mouth splint) or following a specified jaw exercise regimen. No unexpected or serious adverse events were reported and a comparable safety profile to the stabilization splint (mouth splint) was observed. Patients in the study reported very high levels of satisfaction.

Do you have TMJ Disorder?

Temporomandibular Joint Disorders, or TMJD, are a group of painful conditions that affect the jaw joint and surrounding muscles and nerves. Although TMJD is not life threatening, it can be detrimental to quality of life since the symptoms can become chronic and difficult to manage. People with TMJ disorders may exhibit a variety of symptoms including:

* Pain in the chewing muscles and/or jaw joint

* Radiating pain in the face, jaw or neck

* Jaw muscle stiffness

* Aching pain in and around ears

* Difficulty chewing or discomfort while chewing

* Limited movement or locking jaw

* Painful clicking, popping or grinding in the jaw joint when opening or closing the mouth

*Headaches or Migraines

* A change in the way the upper and lower teeth fit together.

How is TMJ NextGeneration Created?

Getting you custom-made TMJ NextGeneration ear canal inserts is a simple three-step process:

1.) The Doctors Visit.

* A doctor diagnoses your Temporomandibular Joint Disorder (TMJD) and prescribes The TMJ NextGeneration devices.

2.) An Impression is made.

* Your healthcare provider or certified audiologist makes a mold of your ear canals in as little as 20 minutes.

3.) Custom Devices are Created.

*TMJ Health,LLC produces your custom devices and sends them to your healthcare provider in approx. 2-3 weeks.

It's as easy as that.

Don't suffer from unnecessary TMJ pain. Ask your healthcare provider about TMJ NextGeneration today.

 Call for an appointment:
(305) 448-9996

Make an Appointment
Coral Gables Cosmetic Dentist
Practice Photo

Nibaldo P Morales

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Coral Gables Cosmetic Dentist
277 Minorca Avenue
Coral Gables, FL 33134
General Info: (305) 448-9996

 Call for an appointment:
(305) 448-9996

Make an Appointment