Preserving Your Jawbone After Extraction Removal of teeth is sometimes necessary due to pain, infection, bone loss, or fractures. Unfortunately, this process can lead to damage to the bone that holds the tooth in place, known as the socket. Disease and infection can further exacerbate this damage, resulting in deformities of the jaw after the tooth is extracted. Additionally, once teeth are extracted, the surrounding bone and gums can shrink and recede very quickly, leading to unsightly defects and a collapse of the lips and cheeks. These jaw defects can create major problems for restorative dentistry, whether your treatment involves dental implants, bridges, or dentures. Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve your smile’s appearance and increase your chances of successful dental implants. Why is Socket Preservation Important? Socket preservation is crucial for several reasons: Prevents Bone Loss : After tooth extraction, the bone that once supported the tooth can rapidly deteriorate. Socket preservation helps to maintain the bone structure. Improves Aesthetics : By preventing the shrinkage and collapse of gums and facial tissues, socket preservation maintains the natural contours of your mouth, preventing the collapse of lips and cheeks. Supports Future Dental Work : Preserving the bone structure is essential for the successful placement of dental implants, bridges, or dentures. It provides a stable foundation for these restorative procedures. How is Socket Preservation Accomplished? Several techniques can be used to preserve the bone and minimize bone loss after an extraction. One common method involves the following steps: Tooth Removal : The damaged or diseased tooth is carefully extracted. Filling the Socket : The empty socket is filled with bone graft material or a bone substitute. This material can be derived from your own bone, a donor, or synthetic sources. Covering the Socket : The filled socket is then covered with gum tissue, an artificial membrane, or tissue. This step encourages your body’s natural ability to repair the socket. Healing Process : Over time, the socket heals, eliminating shrinkage and collapse of the surrounding gum and facial tissues. The newly formed bone in the socket also provides a foundation for an implant to replace the tooth. The newly formed bone in the socket also provides a foundation for an implant to replace the tooth. If your dentist has recommended tooth removal, be sure to ask if socket preservation is necessary. This is particularly important if you are planning on replacing the front teeth. Benefits of Socket Preservation Maintains Jaw Structure : By preserving the socket, the natural contour of the jaw is maintained, preventing deformities. Facilitates Future Dental Procedures : A preserved socket provides a solid foundation for future dental implants, making restorative procedures more successful. Enhances Aesthetic Outcomes : Preserving the socket ensures that the gums and facial tissues remain intact, leading to better cosmetic results. When to Consider Socket Preservation If your dentist has recommended tooth removal, it is essential to discuss the possibility of socket preservation, especially if you are planning to replace the front teeth. Socket preservation is a proactive step that can save you from future complications and enhance the success of subsequent dental work. Conclusion Socket preservation is a vital procedure to consider after tooth extraction. It prevents bone loss, maintains the natural contour of your jaw, and provides a stable foundation for future dental implants. By understanding and opting for socket preservation, you can ensure better aesthetic and functional outcomes for your dental health. Dr. Gallagher’s expertise ensures that you receive the highest standard of care, tailored to your specific needs. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel,  TMJ Tour,  for detailed videos and insights on TMJ and other jaw-related conditions.

What is a Ridge Augmentation? A ridge augmentation is a common dental procedure often performed following a tooth extraction . This procedure helps recreate the natural contour of the gums and jaw that may have been lost due to bone loss from a tooth extraction, or for another reason. The alveolar ridge of the jaw is the bone that surrounds the roots of teeth. When a tooth is removed an empty socket is left in the alveolar ridge bone. Usually this empty socket will heal on its own, filling with bone and tissue. Sometimes when a tooth is removed the bone surrounding the socket breaks and is unable to heal on its own. The previous height and width of the socket will continue to deteriorate. Rebuilding the original height and width of the alveolar ridge is not always medically necessary, but may be required for dental implant placement or for aesthetic purposes. Dental implants require bone to support their structure and a ridge augmentation can help rebuild this bone to accommodate the implant. How is a Ridge Augmentation Accomplished? A ridge augmentation is accomplished by placing bone graft material in the tooth socket. It is often done immediately after the tooth is removed to avoid the need for a second procedure later. The steps involved are as follows: Bone Grafting : After tooth extraction, bone graft material is placed into the empty socket. This graft material can be made from synthetic substances, animal bone, or a patient's own bone. Covering the Socket : The gum tissue is then placed over the socket and secured with sutures. Dr. Gallagher may choose to use a space-maintaining product over the top of the graft to facilitate new bone growth. Healing Process : Once the socket has healed, the alveolar ridge can be prepared for dental implant placement. A ridge augmentation procedure is typically performed in Dr. Gallagher’s office under local anesthesia. Some patients may also request sedative medication to ensure comfort during the procedure. Why is Ridge Augmentation Important? Ridge augmentation is important for several reasons: Dental Implant Placement : Dental implants require a stable and sufficient amount of bone to be securely placed. Ridge augmentation ensures that there is enough bone to support the implant. Aesthetic Purposes : Restoring the natural contour of the gums and jaw can improve the overall appearance, especially in visible areas of the mouth. Preventing Bone Loss : By rebuilding the bone, ridge augmentation helps prevent further bone loss that can occur after tooth extraction. What to Expect After Ridge Augmentation After the procedure, patients can expect some swelling and discomfort, which can be managed with prescribed medications. It is important to follow post-operative care instructions to ensure proper healing. The healing process can take several months, during which new bone will form and integrate with the existing bone. Regular follow-up visits with Dr. Gallagher are essential to monitor the healing process and prepare for any subsequent procedures, such as dental implant placement. By understanding what ridge augmentation entails, patients can make informed decisions about their dental health and the necessary steps to achieve optimal results. Dr. Gallagher's expertise ensures that each patient receives personalized care tailored to their specific needs. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel,  TMJ Tour,  for detailed videos and insights on TMJ and other jaw-related conditions.

When one or more teeth are missing, it can lead to bone loss at the site of the gap. This loss of jaw bone can cause additional problems with your appearance and overall health. You may experience pain, problems with your remaining teeth, altered facial appearance, and eventually, even the inability to speak or eat normally. In the same way that muscles are maintained through exercise, bone tissue is maintained by use. Natural teeth are embedded in the jawbone and stimulate it through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jawbone that anchors the teeth, no longer receives the necessary stimulation it needs and begins to break down or resorb. The body no longer uses or “needs” the jawbone, so it deteriorates. Potential Consequences of Tooth and Jaw Bone Loss Problems with remaining teeth, including misalignment, drifting, loosening, and loss Collapsed facial profile Limited lip support Skin wrinkling around the mouth Distortion of other facial features Jaw and/ or TMJ pain, faci al pain, and headaches Difficulty speaking and communicating Inadequate nutrition as a result of the inability to chew properly and painlessly Sinus expansion Reasons for Jaw Bone Loss and Deterioration The following are the most common causes for jaw bone deterioration and loss that may require a bone grafting procedure: TOOTH EXTRACTIONS When an adult tooth is removed and not replaced, jawbone deterioration may occur. Natural teeth are embedded in the jawbone and stimulate it through activities such as chewing and biting. When teeth are missing, the alveolar bone, or the portion of the jawbone that anchors the teeth, no longer receives the necessary stimulation and begins to break down or resorb. The body no longer uses or “needs” the jawbone, so it deteriorates and goes away. The rate at which the bone deteriorates, as well as the amount of bone loss that occurs, varies greatly among individuals. However, most loss occurs within the first eighteen months following the extraction and will continue gradually throughout your life. PERIODONTAL DISEASE Periodontal diseases are ongoing infections of the gums that gradually destroy the support of your natural teeth. Periodontal disease affects one or more of the periodontal tissues: alveolar bone, periodontal ligament, cementum, or gingiva. While there are many diseases that affect the tooth-supporting structures, plaque-induced inflammatory lesions make up the majority of periodontal issues and are divided into two categories: gingivitis and periodontitis. While gingivitis, the less serious of the diseases, may never progress into periodontitis, it always precedes periodontitis. Dental plaque is the primary cause of gingivitis in genetically-susceptible individuals. Plaque is a sticky, colorless film composed primarily of food particles and various types of bacteria that adhere to your teeth at and below the gum line. Plaque constantly forms on your teeth, even minutes after cleaning. Bacteria found in plaque produce toxins, or poisons, that irritate the gums. Gums may become inflamed, red, swollen, and bleed easily. If this irritation is prolonged, the gums will separate from the teeth, causing pockets (spaces) to form. If daily brushing and flossing is neglected, plaque can harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line. Periodontitis is affected by bacteria that adhere to the tooth’s surface, along with an overly aggressive immune response to these bacteria. If gingivitis progresses into periodontitis, the supporting gum tissue and bone that hold teeth in place deteriorate. The progressive loss of this bone, the alveolar, can lead to the loosening and subsequent loss of teeth. DENTURES/BRIDGEWORK Unanchored dentures are placed on top of the gum line, but they do not provide any direct stimulation to the underlying alveolar bone. Over time, the lack of stimulation causes the bone to resorb and deteriorate. Because this type of denture relies on the bone to hold them in place, people often experience loosening of their dentures and problems eating and speaking. Eventually, bone loss may become so severe that dentures cannot be held in place with strong adhesives, and a new set of dentures may be required. Proper denture care, repair, and refitting are essential to maintaining oral health. Some dentures are supported by anchors, which help adequately stimulate and, therefore, preserve bone. With bridgework, the teeth on either side of the appliance provide sufficient stimulation to the bone, but the portion of the bridge that spans the gap where the teeth are missing receives no direct stimulation. Bone loss can occur in this area. By completing a bone graft procedure, Dr. Dale M. Gallagher can restore bone function and growth, thereby halting the effects of poor denture care. FACIAL TRAUMA When a tooth is knocked out or broken to the extent that no biting surface is left below the gum line, bone stimulation stops, which results in jawbone loss. Some common forms of tooth and jaw trauma include: teeth knocked out from injury or accident, jaw fractures, or teeth with a history of trauma that may die and lead to bone loss years after the initial trauma. A bone grafting procedure would be necessary to reverse the effects of bone deterioration, restoring function and promoting new bone growth in traumatized areas. MISALIGNMENT Misalignment issues can create a situation in the mouth where some teeth no longer have an opposing tooth structure. The unopposed tooth can over-erupt, causing deterioration of the underlying bone. Issues such as TMJ problems, normal wear-and-tear, and lack of treatment can also create abnormal physical forces that interfere with the teeth’s ability to grind and chew properly. Over time, bone deterioration can occur where the bone is losing stimulation. OSTEOMYELITIS Osteomyelitis is a type of bacterial infection in the bone and bone marrow of the jaw. This infection leads to inflammation, which can cause a reduction of blood supply to the bone. Treatment for osteomyelitis generally requires antibiotics and the removal of the affected bone. A bone graft procedure may be required to restore bone function and growth lost during removal. TUMORS Benign facial tumors, though generally non-threatening, may grow large and require the removal of a portion of the jaw. Malignant mouth tumors almost always spread into the jaw, requiring the removal of the affected section of the jaw. In both cases, reconstructive bone grafting is usually required to help restore normal function to the jaw. Grafting in patients with malignant tumors may be more challenging because treatment of the cancerous tumor generally requires removal of the surrounding soft tissues as well. DEVELOPMENTAL DEFORMITIES Some conditions or syndromes are characterized by missing portions of the teeth, facial bones, jaw, or skull. Dr. Gallagher may be able to perform a bone graft procedure to restore bone function and growth where it may be absent. SINUS DEFICIENCIES When molars are removed from the upper jaw, air pressure from the air cavity in the maxilla (maxillary sinus) causes resorption of the bone that formerly helped keep the teeth in place. As a result, the sinuses become enlarged, a condition called hyper-pneumatized sinus. This condition usually develops over several years and may result in insufficient bone for the placement of dental implants. Dr. Dale M. Gallagher can perform a procedure called a “sinus lift” to treat enlarged sinuses. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel, TMJ Tour, for detailed videos and insights on TMJ and other jaw-related conditions.

What is Bone Grafting? Over time, the jawbone associated with missing teeth can deteriorate and be reabsorbed. This often results in poor quality and quantity of bone, making it difficult to place dental implants. In such situations, most patients are not suitable candidates for dental implants. However, with bone grafting, we can replace the missing bone and promote new bone growth in that area. This not only allows us to place implants of the proper length and width but also helps restore functionality and aesthetic appearance. Bone grafting is a surgical procedure used to replace and regenerate lost bone in the jaw. Over time, the jawbone associated with missing teeth can deteriorate and be reabsorbed, resulting in poor bone quality and quantity. This often makes it difficult to place dental implants. However, with bone grafting, we can replace missing bone and promote new bone growth, enabling us to place implants and restore both functionality and aesthetic appearance. Major & Minor Bone Grafting Missing teeth can cause your jawbone to atrophy or resorb over time. This results in poor bone quality and quantity, making it challenging to place dental implants. Additionally, it can lead to long-term shifting of remaining teeth and changes to facial structure. Most patients in these situations are not candidates for dental implants. Fortunately, today we can grow bone where needed. This enables us to place implants of proper length and width and restore functionality and aesthetic appearance. Major Bone Grafting Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone can be obtained from a tissue bank or harvested from your own jaw, hip, or tibia (below the knee). Sinus bone grafts are also performed to replace bone in the posterior upper jaw. Additionally, special membranes that dissolve under the gum can be used to protect the bone graft and encourage bone regeneration. This process is called guided bone regeneration or guided tissue regeneration. Major bone grafts are typically performed to repair defects in the jaws caused by traumatic injuries, tumor surgery, or congenital defects. These large defects are repaired using the patient's own bone, harvested from various areas such as the skull (cranium), hip (iliac crest), or lateral knee (tibia). These procedures are usually performed in an operating room and may require a hospital stay. Types of Bone Grafts Autogenous Bone Grafts : Also known as autografts, these are made from your own bone, taken from another part of your body, such as the chin, jaw, lower leg bone, hip, or skull. The advantage of autografts is that they contain living cellular elements that enhance bone growth and eliminate the risk of rejection. However, a second procedure is required to harvest the bone, which may not be recommended depending on your condition. Allogenic Bone : Allografts are dead bone harvested from a cadaver and processed using a freeze-dry method to remove water. Allogenic bone cannot produce new bone on its own but serves as a framework for bone from the surrounding bony walls to grow and fill the defect. Xenogenic Bone : Xenogenic bone comes from non-living bone of another species, usually a cow. It is processed at very high temperatures to avoid immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void. Both allogenic and xenogenic bone grafting do not require a second procedure to harvest bone, reducing pain and risk. However, they lack the bone-forming properties of autografts, which may result in longer and less predictable bone regeneration. Bone Graft Substitutes In addition to real bone, many synthetic materials are available as safe and proven alternatives: Demineralized Bone Matrix (DBM) / Demineralized Freeze-Dried Bone Allograft (DFDBA) : This product is processed allograft bone containing collagen, proteins, and growth factors. It is available in powder, putty, chips, or injectable gel form. Graft Composites : These consist of other bone graft materials and growth factors to achieve the benefits of various substances. Combinations may include collagen/ceramic composite, DBM combined with bone marrow cells, or a collagen/ceramic/autograft composite. Bone Morphogenetic Proteins (BMPs) : These proteins are naturally produced in the body and promote and regulate bone formation and healing. Synthetic materials also eliminate the need for a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. Dale M. Gallagher will determine the best type of bone graft material for your specific needs, ensuring personalized and effective treatment for optimal outcomes. Benefits of Bone Grafting Improved Implant Success : By increasing bone density and volume, bone grafting provides a solid foundation for dental implants, improving their success rate. Enhanced Facial Aesthetics : Bone grafting restores natural jaw contours, preventing the sunken appearance that can occur with bone loss. Better Oral Function : Restoring lost bone improves the stability and function of your teeth, enhancing your ability to chew and speak properly. Prevents Further Bone Loss : By regenerating bone, the procedure helps maintain the structural integrity of your jaw and prevents further bone deterioration. Conclusion Bone grafting is a highly effective procedure that enables dental implants, restores facial aesthetics, and improves oral function. With Dr. Dale M. Gallagher's extensive experience and specialized training, you can be confident in receiving personalized and effective treatment tailored to your unique needs. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel,  TMJ Tour,  for detailed videos and insights on TMJ and other jaw-related conditions.

Bone grafting is a crucial procedure for many patients seeking dental implants. It helps to restore and build up the bone structure in areas where it has deteriorated or is insufficient for implant placement. Why is Bone Grafting Necessary? After a tooth extraction, the healing process of the socket depends on the thickness of the socket walls: Thick Socket Walls : If the socket walls are thick, they typically fill with bone naturally within two to three months. Thin Socket Walls : For thinner socket walls, such as those in the upper and lower front teeth, natural healing may be less predictable. In these cases, a bone graft is often placed at the time of extraction to support bone regeneration. This helps maintain the necessary width and volume of bone for future implant placement. Do I have enough bone for dental implants? After a tooth extraction, the healing process of the socket depends largely on the thickness of the socket walls. Here’s what you need to know about bone health and the need for bone grafting to ensure successful dental implant placement. Natural Healing and Bone Grafting Thick Socket Walls : If the socket walls are thick, they typically fill with bone naturally within two to three months. Thin Socket Walls : For thinner socket walls, such as those in the upper and lower front teeth, natural healing may be less predictable. In such cases, a bone graft is often placed at the time of extraction to support bone regeneration. This helps maintain the necessary width and volume of bone for future implant placement. Bone Loss Over Time If a tooth was removed many years ago and the bony ridge has become extremely thin, there might not be enough bone to support an implant. In these situations: Bone Grafting : A bone graft can be placed next to the thin bone and allowed to heal for up to six months. Once the graft has integrated with the existing bone, the ridge can be re-entered, and the implant can be placed. Procedure : Bone grafting is generally a comfortable office procedure. Various grafting materials are available, including your own bone, donor bone, or synthetic options. Sinus Grafting Bone grafting may also be needed if the sinus cavities in your upper jaw are large or very low, extending into the tooth-bearing areas: Indications : This situation often arises when teeth in the back of the upper jaw have been removed many years prior, resulting in limited bone for implant placement. Sinus Grafting Procedure : This procedure, also known as “sinus augmentation,” is typically performed in the office under local anesthesia and possibly sedation. The sinus membrane is carefully lifted, and bone material is added to restore the necessary bone height for placing dental implants. In many cases, this procedure can be performed simultaneously with implant placement. Benefits of Bone Grafting Improves Implant Success : Ensures adequate bone volume for stable and functional implants. Prevents Bone Loss : Addresses and mitigates bone deterioration that occurs after tooth loss. Restores Function and Aesthetics : Maintains jaw structure and facial appearance, enhancing both function and aesthetics. Risks and Considerations While bone grafting is generally safe, potential risks include: Infection : As with any surgical procedure. Graft Failure : Rare cases where the graft may not integrate properly with the existing bone. Allergic Reactions : Possible reactions to synthetic or animal-derived materials. Dr. Dale M. Gallagher will guide you through the process, addressing any concerns and ensuring that the treatment is tailored to your specific needs. Bone grafting for dental implants is essential because it: Restores Bone Volume and Density : It counters bone loss from tooth extraction, creating a solid foundation for implants. Supports Implant Placement : Provides the necessary bone support for successful implant integration. Maintains Facial Structure : Prevents jawbone collapse and preserves facial aesthetics. Facilitates Complex Procedures : Enables procedures like sinus lifts and ridge expansions for optimal implant placement. Enhances Long-Term Oral Health : Improves chewing function and prevents future oral health issues. Customizable : Uses various grafting materials to fit individual needs. Bone grafting is an essential procedure to ensure the success of dental implants, especially in cases where the natural bone has deteriorated or is insufficient. If you have any concerns or questions about bone grafting and how it can benefit you, please discuss them with your oral surgeon. Your surgeon will guide you through the process, addressing any concerns and ensuring that the treatment is tailored to your specific needs. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel,  TMJ Tour,  for detailed videos and insights on TMJ and other jaw-related conditions.

The upper and lower jaw bones, the teeth, and the temporomandibular joints (TMJs) form the TMJ Trinity. These three structures have unique characteristics and are interrelated and dependent upon each other. As the word “trinity” implies, all three structures are equally important. This is not a “trilogy” of sequential or linear importance, but a trinity of three equally interrelated dimensions of form and function. Let me explain using an analogy: The Door. It has three basic functional and structural parts: the hinges, the frame, and the lock (or doorknob). When all the parts are properly aligned and working well, the door can easily be closed with the gentle push of a finger. We all know of doors that do not work this way. You might have a door that you must lift the knob a little to make it close into its hasp, or a door with a “sticky frame” that requires a tug or push to open or close, or a door with noisy hinges that rattle or squeak. Would you expect a door with rusty or loose hinges to work better if you changed the lock or trimmed the frame? Of course not! Unless the hinges are stable, the correct position of the lock and frame is uncertain. Likewise, if the lock and/or frame are misaligned or “sticky,” the hinges will become stressed and strained until they bend, break, or become loose. The problem door remains a nuisance because it does not correctly open, shut, or lock. So how is a door fixed to work well for a long time? By correcting one variable at a time. First, evaluate the hinges to ensure they are strong, stable, and well-aligned. Next, check the door in its frame. Plane it or adjust the trim so there are no “catches,” it is “squared,” and it closes evenly within the frame. Lastly, place the lock/doorknob so it is centered and aligned within its hasp. You should now be able to open and close the door with just a finger or two. Just like the body, age will take its toll on a door. With time and use, the door may sag and become less easy to close or lock. The door becomes a slight nuisance because it must be lifted a little to close properly. This may not seem significant because it can still open and close, it just requires a little extra effort. But what happens over time? The hinges become stressed, the lock seems to get a bit worse, and the frame sticks. Sometimes when the weather is hot and humid, the door (especially wooden and fiberboard ones) will swell and become problematic, requiring an extra tug to open or close. Next season, when the air is dry again, the door may work “better” but not fully return to what it used to be. The point is that the door may require minor maintenance to keep it working well, but if neglected, future repairs become more complicated and expensive. Also, and most importantly, each of the three parts of the door has its own individual qualities. Unless all three parts work harmoniously, there will be problems in one, two, or all three parts. The Face. In reference to the door analogy, consider the TMJs as the hinges, the bite (meshing of the teeth) as the lock/doorknob, and the alignment between the upper and lower jaws as the way the door fits within its frame. Yes, there are other parts of the face such as the muscles, nerves, gums, and tongue. These structures are also important, but they usually have a secondary role relative to the TMJ Trinity. Long-term facial and jaw functional stability depends upon proper alignment and structural health within the TMJ Trinity. The overwhelming majority of TMJ disorders (dislocated discs, condylar degeneration, limited jaw opening, and joint noises) originate from dental malocclusions (bad bites) and misalignment (growth discrepancies) between the upper and lower jaws. In fact, a large percentage of malocclusions (what appears to be only a bad bite) are due to a combination of both irregular tooth position within bone and growth problems between the upper and lower jaws. The first symptoms that motivate people to seek help from a doctor are usually pain within the face, head, and jaws, or locking of the jaw. (Pain is a great motivator!) As a surgeon, I am frequently consulted by people requesting that I evaluate their facial pain and jaw movement problems. I often tell these individuals that, as a surgeon, I am a good diagnostician and I can fix their TMJs so that their jaws can open, but that is not the total solution to their problem. Like the door, long-term success (function and stability) depends upon identifying and correcting the sources of their TMJ disorders: problems within their bones and bite. Indeed, most TMJ surgery would not be needed if there were proper bite and bone alignment/function. And again like the door, fixing the bite and bony problems cannot be expected to improve severe TMJ disorders. Instead, correction begins with fixing the hinges, then reevaluating and correcting the problems within the bite and bones. As you now realize, diagnosing and correcting problems and disorders in the face may be complicated and time-consuming. Long-term success is predicated upon controlling one variable at a time with the goal of attaining stable TMJ function, bone alignment, and tooth position. This usually requires the combined skills and excellent communication between several dental specialists including the restorative dentist, orthodontist, and oral and maxillofacial surgeon. Each specialist provides a unique role in ensuring the optimal health of the TMJ Trinity. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel,  TMJ Tour,  for detailed videos and insights on TMJ and other jaw-related conditions.

When it comes to anesthesia, the choice depends on the nature of the surgical procedure and the patient's level of apprehension. Here’s an overview of the various anesthesia methods available, along with their descriptions and typical indications. ANESTHESIA OPTIONS Method Description of Technique Usual Indications Local Anesthetic The patient remains fully conscious. A local anesthetic (e.g., lidocaine) is administered to the area where the surgery will be performed. It is often used in conjunction with other anesthesia methods. Minor soft tissue procedures, simple tooth extractions. Nitrous Oxide Sedation with Local Anesthetic A mixture of nitrous oxide (laughing gas) and oxygen is delivered through a nasal breathing apparatus. The patient remains conscious but relaxed, with sedative and analgesic effects. Simple procedures to more involved ones, such as wisdom tooth removal or dental implants. Office-Based General Anesthesia with Local Anesthetic Medications are administered intravenously (I.V.), causing the patient to fall asleep and be unaware of the procedure. Common medications include Fentanyl, Versed, Ketamine, and Diprivan. Supplemental oxygen is provided, and vital signs are closely monitored. Available for all types of oral surgery, often chosen for procedures like wisdom tooth removal or dental implants, especially if local anesthesia is insufficient. Hospital or Surgery Center-Based General Anesthesia Administered by an anesthesiologist in a hospital or surgery center. This option is used for extensive procedures or patients with significant medical conditions. Extensive procedures like face and jaw reconstruction, TMJ surgery, or for patients with heart or lung disease. To administer general anesthesia in the office, an oral surgeon must complete at least three months of hospital-based anesthesia training, followed by an evaluation by a state dental board examiner. Successful completion results in a license to perform general anesthesia, which must be renewed every two years with continued education. Our top priority is your comfort and safety. If you have any concerns about the type of anesthesia for your procedure, please discuss them with your doctor during your consultation. Intravenous Sedation (“Twilight Sedation”) We offer Intravenous Sedation, also known as Dental Intravenous Anesthesia or “Twilight Sedation,” for dental treatments. This method helps you remain comfortable and calm during procedures. You may be deeply relaxed or semi-conscious, experiencing “twilight sleep,” where you drift in and out of sleep but remain comfortable. How is IV Sedation Administered? A thin needle is inserted into a vein in your arm or hand, attached to an intravenous tube through which medication is administered. In some cases, if a vein cannot be maintained, medications will still be given to achieve conscious sedation. Some patients may be asleep, while others may slip in and out of sleep. Those with medical conditions or specific drug regimens may experience only light sedation. IV sedation aims to use minimal medication to complete the treatment safely. It is generally safer than oral sedation. A constant “drip” is maintained through the intravenous tube, and an antidote can be administered if needed to reverse the effects. Nitrous Oxide (Laughing Gas) Nitrous Oxide is a sweet-smelling, non-irritating, colorless gas that you breathe. It has been a standard sedation method in dentistry for years. The gas is safe, with patients receiving 50-70% oxygen and no less than 30% nitrous oxide. Patients maintain control over bodily functions but may experience mild amnesia and forget parts of their appointment. Advantages of Nitrous Oxide: Adjustable Sedation Depth : Sedation can be increased or decreased as needed. No Hangover Effect : No lingering effects after the procedure. Safe : No adverse effects on the heart, lungs, or other systems. Effective for Gagging : Minimizes gag reflex. Rapid Onset : Works quickly, reaching the brain within 20 seconds, with effects developing in 2-3 minutes. Reasons to Avoid Nitrous Oxide: While there are no major contraindications, it may be unsuitable for individuals with emphysema, severe chest problems, multiple sclerosis, or respiratory issues. You may request a “5-minute trial” to assess how you respond to this sedation method before proceeding. Conclusion Dr. Dale M. Gallagher has extensive experience in anesthesia, combining his expertise as both an oral and maxillofacial surgeon and an anesthesiologist. With over 40 years in the field and more than 10,000 successful anesthesia procedures, Dr. Gallagher's background includes two years of specialized training in anesthesia, as well as significant experience in various surgeries, intensive care, and emergency resuscitations. His dual expertise ensures that patients receive personalized, effective sedation options for optimal comfort and safety during procedures. Thank you for visiting Dr. Dale M. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel,  TMJ Tour,  for detailed videos and insights on TMJ and other jaw-related conditions.

General instructions: Cut everything into very tiny pieces and cook until veggies are very soft. It takes a lot of effort to eat without using your teeth or stressing your jaw. Some people don't want pureed food; you might like it. Don’t be afraid to experiment with ingredients according to your family’s preferences and taste buds. Some of our favorite soups were discovered that way! **These recipes were shared to us by one of our patients family! We love our patients and are thankful for the thoughtful gift of gratitude this is! We hope you enjoy! Easy Chicken Tortilla Soup Combine: 1 red beans and rice package (Zatarran’s, Mahatma, etc.) with water amount called for on package 1-2 boneless skinless chicken breasts (or the equivalent in pre-cooked chicken or canned chicken, approximately 3 cps) 2 additional cups of water I cook the chicken in the same pot with the rice mix while the rice mix is cooking. When the chicken is cooked through, remove and chop into small bites. Return diced chicken to pot. Add: 2-14.5 oz. cans of petite diced tomatoes 2 tsp. chili powder (or to suite personal taste.) Let simmer until ready to eat. Add additional water if soup is too thick. Serve with shredded Monterey jack cheese and crushed tortilla chips, corn chips or crackers, if desired. Sometimes I adjust this recipe so there will be plenty of leftovers by using the larger mix with additional tomatoes. Or sometimes by adding additional tomatoes, ½ cp. long-grain rice with additional cp. water, and a can of red beans. Without these additions, it serves 6. Minestrone Can be cooked on the stove or on low 4-6 hrs in crockpot. Brown in Dutch oven: 1 lb pork or beef sausage, cut in bite-size pieces— Stir in 1 chopped onion—stir until lightly browned Add the following: 4 cups water 4 tsp beef base (or equivalent bouillon cubes or beef broth) 1 – 14 oz can of petite diced tomatoes 1 cup finely chopped carrots 1 stalk celery, diced 1 can each: garbanzo beans, northern beans, red kidney beans ½ cup lentils 2 cups dry pasta Split Pea & Sausage Soup Place all ingredients in Dutch oven. Bring to a boil. Reduce heat; cover and simmer for 75-90 minutes or until peas are tender. Remove bay leaves. Ingredients 1 lb smoked sausage, cut in bite-size pieces 1 lb dry split peas 6 cups water 1 cup finely sliced carrots 1 cup chopped onion 1 cup chopped celery 1 Tbs parsley flakes 1 tsp salt ½ tsp coarse black pepper 2 bay leaves Meatball Mushroom Soup Combine in large saucepan: 2 cans condensed cream of mushroom soup, undiluted 1 + 1/3 cups milk 1 + 1/3 cups water 1 tsp. Italian seasoning 1 tsp. dried minced onion ½ tsp. dried minced garlic ¼ cup quick-cooking barley ½ cup uncooked elbow macaroni ¼ cup uncooked long grain rice 1 medium carrot shredded 4 ½ oz. can sliced mushrooms While soup simmers, shape ½ lb ground beef into small meatballs and cook in non-stick skillet over medium heat until no longer pink. Use a slotted spoon to transfer meatballs to soup. Simmer until veggies, rice, & barley are tender. Top with grated Parmesan cheese. Chicken Enchilada Soup I created this soup based on the Easy Chicken Enchilada recipe. It was inspired by chicken enchilada soup at a favorite restaurant. In soup pot or crockpot, combine: 2 cans cream of chicken soup (or double my cream soup substitute) 1 10-oz can mild red enchilada sauce 1 6-oz can chopped green chilies ½ cup finely chopped onion 1 cup finely sliced carrots 4 cups water & chicken base or bouillon or 2 cans chicken broth 1 – 2 large chicken breast or 2-3 cans chicken If not using canned chicken, cut chicken into small bites when cooked & return to pot. Cook on stove until veggies are tender or in crockpot for 6-8 hours on low. Add: 1 can drained & rinsed black beans 1 can petit diced tomatoes Cut into small pieces one 8-oz brick of fat-free cream cheese. Add to soup & stir until melted & blended. Serve with shredded cheese. Creamy Tortellini Soup Melt ¼ c. margarine. Stir in ¼ cup flour. Heat & gradually whisk in 2 c. milk. Add: 4 cups water 1 c. chopped celery ½ c. chopped onion 3 cloves garlic or equivalent jarred minced garlic ½ tsp. dried basil ¼ tsp salt ¼ tsp oregano 1/8 tsp black pepper, if desired Cover and cook on medium heat until veggies are tender. Stir in 1 10-oz pkg fresh tortellini. Stir in 1 can evaporated milk and 6 cups fresh baby spinach or the equivalent of frozen chopped spinach. Top with fresh grated Parmesan. Sausage and Sweet Potato Soup Brown together: ½ lb light pork sausage ½ lb gr. beef ½ med. onion 2 tsp. minced garlic 1 stalk celery chopped Add: 3 cups chicken broth 6 med. white potatoes chopped 1 large sweet potato chopped 1 tsp oregano When potatoes are done add 1 can fat free evaporated milk and heat through. Mom’s Chili Brown 1 lb lean ground beef and one large chopped onion. Add: 2 cans ranch-style beans 2 cans petit diced tomatoes 1 can fat-free refried beans Chili powder to taste Mom’s Italian Chili Brown together: ½ lb lean breakfast type sausage ½ lb lean ground beef ¼ large chopped onion 1 stalk celery, chopped Add: 1 can pork ‘n’ beans 1 can garbanzo beans 2 cans navy beans 2 cans Italian style petite diced tomatoes Chunky Italian Potato-Tomato Soup Melt large saucepan 2 tablespoons butter or margarine over medium heat and cook 2 onions, chopped, until tender. Add: 4 cups peeled, cubed potatoes 1 1/2 cups chopped celery 1 1/2 cups chopped carrots 2 cloves garlic, minced 1 tablespoon Italian seasoning 2 cups milk Whisk together and gradually stir in: 1 tablespoon cornstarch 1 1/4 cups chicken broth Bring to boil and add: 1 (14.5 ounce) can tomatoes 2 tablespoons tomato paste salt and pepper to taste Simmer until veggies are tender and soup has thickened slightly. Sausage Potato Soup ½ lb Kielbasa sausage, sliced 6 medium potatoes, peeled and cubed 2 cups frozen corn (or one can, drained) 1 ½ cup chicken broth 1 celery rib, sliced 1 tsp. parsley flakes ¼ cup sliced carrots ½ tsp. garlic powder ½ tsp onion powder ½ tsp. salt ¼ tsp. pepper Combine in soup pot. Bring to boil. Reduce & simmer until veggies are tender. Add 1 ½ cps. milk. Heat through and serve with shredded cheese on top. Chunky cheese soup This one is worth the extra effort!! Combine in large soup pot: 2 cups of water or broth 3 cups diced peeled potatoes 1 cup thinly sliced carrots 1 cup sliced celery ½ cup chopped onion 1 ½ tsp. salt ¼ tsp. pepper Simmer until veggies are tender. In a large skillet or saucepan, melt ¼ cup butter or margarine. Stir in ¼ cp. flour or cornstarch. Stir until smooth over medium heat. Gradually add 2 cups of milk and stir until thickened. Stir in 2 cups shredded cheddar cheese and 1 8-oz block of fat-free cream cheese (cut in chunks). Stir until smooth. Pour into pot of veggies and stir until combined. I like it just like this or with a sprinkle of Hormel real bacon on top. You may also stir in 1 cup of cooked ham, tuna, salmon, ground beef (cooked), or pork sausage for variations. Tomato-Basil Bisque In a large saucepan, cook in 1 Tbs butter 1 cup chopped celery ¾ cup thinly sliced carrots ¼ cup chopped onion 1Tbs. minced fresh garlic Add the following, bring to boiling, reduce heat, and simmer, uncovered about 30 minutes or until slightly thickened: 3 cups tomato juice 1 cup chicken broth 1-7 ½ oz can petit diced tomatoes ½ of a 6 oz can tomato paste 1 tsp dried basil ½ tsp dried oregano ½ tsp pepper Add 1 cup whipping cream, 4 oz. cream cheese, and 4 tsp sugar. Heat through. Garnish with fresh basil or basil pesto. If desired, you can puree ½ the soup in a blender until smooth. Mema’s Breakfast Casserole Beat 10 eggs until fluffy. Add: 5 cups frozen shredded hashbrowns 1 ½ cups shredded Swiss cheese 1 ½ cups Velveeta cut in small chunks 1 c. cottage cheese 2/3 c. skim milk 2 tsp. dry chives 2 tsp. salt Bake in greased 9 x 13 pan at 325 or until set. This can be stirred up the day before and kept in fridge. Blueberry Muffins Mix together: 1 ¾ all-purpose flour ¼ c. sugar 2 ½ tsp. baking powder ¾ tsp. salt Combine and add all at once: ¾ c. milk 1 beaten egg 1/3 cup cooking oil ¼ tsp lemon flavoring Blend just enough to moisten. Fill greased muffin tins 2/3 full. Bake at 400 for 25 minutes. While muffins are still warm, dip tops of muffins in melted margarine and roll in white sugar. (About 3 Tbs. each) Oatmeal Breakfast Cookie (Gluten Free) Stir together: 1 Tbs Canola oil ½ cup unsweetened applesauce 1 cup brown sugar 2 eggs 1 cup peanut butter 1 tsp vanilla flavoring Add: 3 cups rolled oats (I use GF) 3 tsp baking powder 1 tsp cinnamon 2/3 cup baking mix (I use Bob Mill’s GF) Add: ½ cup skim milk Stir in: 1 cup chocolate chips Bake at 350 for 45 minutes. Fruit Smoothies I really like this recipe for its flexibility. And unlike so many smoothie recipes, banana is not a necessary ingredient. ½ cup milk (I use skim) ½ cup fruit juice ½ cup vanilla yogurt 1 ½-2 cups fruit Cinnamon, if desired We like cranberry grape juice with any combination of strawberries, cherries, blueberries, raspberries, and cranberries. Another favorite is orange juice with peaches and cranberries. I keep the fruit frozen and also freeze the yogurt in old ice cube trays (each cube is approximately 2 Tbs.) Using frozen fruit & yogurt makes for a very thick creamy smoothie. Grandma’s Easy Tater Tot Pie Combine 2 lbs ground raw with one package dry onion soup mix and 2 cans cream of mushroom. Top with single layer of tater tots and sprinkle with seasoned salt. Bake at 375 40-50 minutes or until meat is no longer pink in the middle. Easy Chicken Enchiladas Mix together: 3 large cans of chicken 1 8-oz package cream cheese (I use the fat free) 1 can cream of chicken soup* 1 6-oz can chopped green chilies 2 Tb finely chopped yellow onion Pour a very small amount of 10-oz can of enchilada sauce (I like mild red or green) on bottom of greased casserole dish. Place 2 Tb of chicken mixture in flour** tortilla (about 20 tortillas), roll and place seam side down in dish. Continue until all the chicken is used. Pour remaining enchilada sauce on top of enchiladas. Top with 2 cups shredded Monterey cheese & 2 cups cheddar cheese. Bake at 300 degrees for 30 minutes or until heated through. **I substitute GF corn tortillas for flour now. Corn tortillas don’t roll so well and I discovered a timesaving alternative. Pour a small amount of sauce in large casserole, and then overlap 6 corn tortillas on top. Spread about ½ the chicken mixture over the tortillas, lay another layer of tortillas, then the rest of chicken, another layer of tortillas (total of 18) and top with the sauce and cheese. Bake as directed above & cut in squares to serve. *Gluten Free Cream Soup Substitute Since going gluten free I’ve found a very easy, healthy, and inexpensive alternative to cream soup which is used in so many casseroles, etc. Mix together 1 cup cold milk (I use skim) with 3 Tb rice flour or 2 Tb cornstarch. Heat 1 minute in microwave, stir & heat 1 more minute or until thick. Don’t let it boil over. I usually stop here, but you can add a Tb. margarine or olive oil, salt, bouillon, chopped mushrooms or chicken or celery or whatever to more closely mimic the soup you are replacing. Mom’s Chicken & Noodles Place one lb boneless, skinless chicken breasts 1 rib celery, ½ cup chopped onion, and 1 cup thinly sliced carrots, in large pot with enough water to cover and bring to a boil, reduce heat, cover & simmer until done. While bringing to a boil, add 1 Tbs. dried parsley flakes, 1 tsp salt, pepper to taste. While this is cooking: combine 1 cup all-purpose flour, 1 egg, 1 tsp salt and 2 Tbs. milk. Roll out very thinly on pastry sheet, waxed paper or counter, using flour to keep from sticking. Slice in ¼ inch strips and let dry for at least 1 hour, more if possible. Remove chicken and shred or dice. Bring pot back up to boiling. Add noodles one at a time, while stirring to keep from sticking. Return chicken to pot. Simmer until noodles are down—about 10-12 minutes. Delicious served over mashed potatoes. Dulie’s Beef & Noodles Cook a trimmed beef brisket in water with 1 tsp. salt until meat is tender. Chop meat in small bites and add homemade noodle recipe (see Chicken & Noodles above). Serve over mashed potatoes. Mom’s Chicken & Dumplings Place one lb boneless, skinless chicken breasts 1 rib celery, ½ cup chopped onion, and 1 cup thinly sliced carrots, in large pot with enough water to cover and bring to a boil, reduce heat, cover & simmer until done. While bringing to a boil, add 1 Tbs. dried parsley flakes, 1 tsp salt, pepper to taste. Remove chicken & cut in small bites. Bring back to boiling and drop homemade dumplings on top. Reduce heat, cover tightly and simmer for 12-15 minutes. Delicious served over mashed potatoes. Dumplings:  1 cup all-purpose flour  2 tsp baking powder  ½ tsp salt  ½ cup milk Swiss-Ham Ring-Around- Pillsbury Bake-Off Past Winner Cook & drain 1 box frozen broccoli In large bowl, combine and blend well:  2 tsp. parsley flakes  2 Tbs finely chopped onion  2 Tbs. prepared mustard  1 Tbs. soft margarine  1 tsp. lemon juice Add:  ¾ cup shredded Swiss cheese  Broccoli  1 can chunky ham or 1 cup diced ham On greased cookie sheet, arrange triangles, points toward the outside, in a circle with the bases overlapping. The center opening should be about 3 inches in diameter. Spoon ham filling in a ring evenly over bases of triangles. Fold points of triangles over filling and tuck under bases of triangles at center of circle. Sprinkle with parmesan cheese. Bake at 350 for 25-30 minute or until golden brown. Twice-Baked Potatoes or Potato Casserole This is more an idea than a recipe because I don’t measure and I vary the ingredients depending on my mood and what I have on hand. Bake 8-10 potatoes in the oven. Scrub, prick with fork or knife & cook about 1 hr at 350 or so. Slice potatoes in half lengthwise & scoop out potato into mixer. Mix at med. speed & add to taste: margarine, cream cheese and/or sour cream, finely shredded cheddar or Monterey jack cheese, ranch dressing, or instead of ranch use season salt or salt and pepper, garlic salt and/or chives and parsley flakes. Spoon back into potato skins and top with more cheese or spoon into greased casserole and top with more cheese and sliced kielbasa. Heat in oven at 350 for 20 minutes or until heated through. Macaroni & Cheese Cook 1 lb. macaroni according to pkg directions. Meanwhile combine:  2 Tbs cornstarch  2 cups skim milk Microwave 1 minute at a time, stirring each time, until thickened. Stir in until melted:  16 oz. reduced-fat Velveeta  ½ cup shredded sharp cheddar cheese Drain macaroni and stir into cheese sauce. Potatoes with Lemon-Chive Butter 16 small red potatoes (about 1 ¾ lbs) Cut potatoes in ½ and boil in enough water to cover. Drain potatoes, return to saucepan. Add the following and gently toss until potatoes are well coated:  3 Tbs butter or margarine  2 Tbs chopped chives  1 Tbs lemon juice  Salt to taste Broccoli Casserole Combine and heat in microwave until margarine is melted:  ¼ c (½ stick) margarine  ¼ c skim milk  1 can cream of celery Place 1 1-lb bag frozen chopped broccoli and one can sliced water chestnuts, drained, in greased casserole dish. Pour soup mixture on top. Bake at 350 for 45 minutes. Stir and topped with seasoned Italian bread crumbs. Bake an additional 15 minutes. Delicious served with white rice & grilled chicken. Creamed Spinach Make a cream sauce in skillet:  3 Tbs butter or margarine  4 Tbs flour  1 cup milk  Sautee 2 Tbs. minced onion until tender, in 1 Tbs. butter or margarine Add and cook until tender:  2 Tbs. water  16-20 oz. frozen chopped Stir in white sauce, 4 oz sour cream or cream cheese, and ¼ cup shredded Parmesan or Romano cheese. Salt to taste. Serve hot. Mom’s Guacamole To one ripe avocado add: 1 Tbs finely chopped red or yellow onion, ½ chopped Roma tomato; garlic salt and lemon juice to taste. I think use approximately ¼ tsp garlic salt and 1 tsp lemon juice. Serve with tortilla or corn chips. Hannah says you can eat this with a spoon if you can’t eat chips yet. All-Bran Muffins Combine dry ingredients:  1 cup all-purpose flour  1 cup all-bran  4 tsp baking powder  ½ tsp. salt Combine wet ingredients separately:  2 Tbs honey  ½ tsp cinnamon  3 Tbs melted margarine  1 egg, beaten  1 cup skim milk Add wet to dry and stir just enough to moisten. Fill muffin tins or paper baking cups 2/3 full. Bake at 425 for 15 minutes. Apple Crisp Slice 4 med. Cooking apples (about 4 cups) and spread in bottom of greased 8 x8 pan. Stir together: ¾ cup brown sugar ½ cup flour ½ cup quick cooking oats ¾ tsp cinnamon ¾ tsp nutmeg Cut in 1/3 cup soften margarine or butter. Sprinkle over apples and bake 30 minutes at 375 or until apples are tender when pierced. Mocha Freeze Freeze leftover coffee in cubes. I keep them in a Ziploc in my freezer. Combine in blender and blend until well-blended:  2 cups coffee cubes  1 c. low-fat vanilla ice cream  ½ c. skim milk  1 Tbs instant chocolate pudding mix (dry)  ¼ tsp vanilla and/or cinnamon, if desired. Pour into glasses and top with Cool Whip and/or cinnamon, if desired. Stuffed Pepper Soup In a large saucepan, cook until tender:  1 lb lean ground beef  1 large onion, chopped (1 cp)  1 each medium red, orange, and green sweet peppers, chopped  2 cloves minced garlic Transfer to crockpot and add:  4 cups beef broth  2 cups water  ½ tsp black pepper  ½ tsp chili powder  ½ tsp paprika (Continued on next page) Cover and cook on low heat setting for 8-10 hrs or on high-heat setting for 4-5 hrs. Stir in ¾ cup uncooked instant brown rice, cover and cook for 30 minutes more or until rice is done. Sprinkle with shredded Colby Jack cheese. Savory Bean Spinach Soup Combine in slow cooker and cook 5-7 hrs on low or 2 ½ -3 ½ hrs on high heat:  3 14-oz cans vegetable broth  1 15-oz can tomato puree  1 15-oz can white or Great Northern beans, rinsed and drained  ½ cup converted rice  ½ cup finely chopped onion  2 cloves minced garlic  1 tsp dried basil  ¼ tsp salt  ¼ tsp black pepper Add 8 cups coarsely chopped fresh spinach or kale leaves. Serve with Parmesan. Creamy Corn and Potato Chowder Cook 1 large finely chopped onion and 1 rib celery, chopped in 2 Tbs. butter. Add:  5 ½ cups chicken stock or broth  1 ½ cups frozen corn kernels  1 large potato peeled and diced  Salt & pepper to taste Cook until veggies are tender. In a small bowl, whisk together 1 cup heavy cream & 3 Tbs flour. Stir into soup. Bring soup back to low boil, reduce heat and simmer until done. Pasta e Fagioli This recipe makes 9 qts of soup!….be sure and adjust the amounts to suit your family. Sauté 2 lbs ground beef in saucepan. Add:  2 oz. onion, chopped  3 oz. carrot, thinly sliced  4 oz. celery, chopped  48 oz. canned tomatoes  2 cups red kidney beans  88 oz beef stock  3 tsp oregano  2 ½ tsp pepper (Continued on next page)  5 tsp parsley  1 ½ tsp Tabasco sauce  38 oz spaghetti sauce  8 oz. dry ditali pasta Pork Zuppa In a large skillet, cook until tender:  1 lb ground pork  1 onion, chopped  2 cloves garlic, minced Transfer to slow cooker and add:  1 tsp. dried oregano  ¼ tsp salt  ¼ tsp crushed red pepper  4 cups chicken broth  12 ounce tiny red new potatoes, cut in pieces Cook on low-heat for 6-8 hrs. In small bowl combine and stir into slow cooker:  12 oz can fat-free evaporated milk  2 Tbs cornstarch Stir in 2 cups chopped fresh kale. Cover & cook 30-60 minutes more. White Chicken Chili Combine and bring to boil:  2 cans navy beans  4 oz. chopped green chilies  ½ tsp cumin  ½ tsp oregano  ½ tsp pepper  2 cups chopped cooked chicken  2 ½ cups chicken broth Combine ½ cup chicken broth with 1 Tbs. cornstarch. Stir until smooth. Add to pot and simmer until thickened and veggies are tender. Top with shredded Monterey Jack cheese. Summer Squash & Corn Chowder Cook: 2 slices applewood-smoked bacon in large Dutch oven. Remove bacon and crumble. Reserve 2 Tbs. bacon drippings in pan. Add to drippings and sauté until veggies are tender ½ cup each:  Onion  Celery  Squash 1 lb. frozen white & yellow baby corn kernels, set aside 1 cup corn. Place the remaining corn & 1 cup milk in blender and process until smooth. Add:  1 ¼ cup milk  ½ tsp salt  ¼ tsp pepper Blend until smooth. Add pureed mixture and reserved 1 cup corn to pot. Reduce heat to medium and cook until thoroughly heated, stirring constantly. Top with bacon, chopped onions, and shredded cheddar. Chicken & Gnocchi Soup In 4 Tbs. butter and 1 Tbs. olive oil, sauté:  1 cup chopped onion  ½ cup celery, finely diced  2 cloves garlic, minced When the onion is translucent, add 4 Tbs. flour and cook about a minute before adding 1 quart half and half. Cook 1 lb potato gnocchi according to pkg directions. Into the first mixture, add:  1 cup shredded carrots  1 lb chicken breasts, cooked and diced After mixture thickens, add 1 14-oz can chicken broth. Once mixture thickens again, add the cooked gnocchi and:  1 cup fresh spinach, chopped  ½ tsp thyme  ½ tsp parsley Simmer until heated through. Top with freshly grated parmesan. Rice and Lentil Soup in a Jar This soup makes a beautiful gift as well as a delicious soup.  2 Tbs. chicken bouillon granules  1/3 cup uncooked converted rice  1/3 cup red lentils  1 Tbs dried parsley  ½ tsp black pepper  1 tsp poultry seasoning  1/3 cup uncooked converted rice  1/3 cup green lentils Measure and layer into jar for gifts. Include the following instructions. To make soup, bring 2 tsp butter or margarine and 8 cups* water to a boil in a large pot. Pour in the contents of the jar. Add ¼ cup chopped celery and 1 cup cubed cooked chicken, if desired. Bring to a boil, reduce heat and simmer until lentils are tender—about 30 minutes. Thank you for visiting Dr. Gallagher's Blog. We hope you found our articles informative and helpful on your journey to better oral and maxillofacial health. Our commitment is to provide you with the latest information and support, ensuring you feel confident and well-prepared for any procedure or treatment. If you have any questions or need further assistance, please don't hesitate to contact our office. Stay tuned for more updates, tips, and expert advice from Dr. Gallagher and his team. Your health and well-being are our top priorities. Additionally, be sure to watch our YouTube channel, TMJ Tour, for detailed videos and insights on TMJ and other jaw-related conditions.