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1902 North Sandhills Blvd., Suite H, Aberdeen, NC 28315

February 13, 2015

TMD and Neuromuscular Dentistry

If jaw joints don’t work together a cycle of pain results. TMD stands for temporomandibular dysfunction. This refers to problems with the muscles and joints that join the mandible bone of the jaw to the temporal bone at the base of the skull.


Symptoms of TMD include headaches, worn teeth, painful muscles in the face, neck and shoulders, clicking and popping of the jaw joint, earaches, pain behind the eyes, difficulty opening and closing the mouth, tingling hands and other problems.

Common causes of TMD include grinding of teeth, an injury and emotional stress.  But a very common cause is a bad bite.

A problem bite often exists when teeth are missing, misaligned, or worn down. These conditions can prevent the upper teeth from meshing correctly with the lower teeth, and this forces the jaw to shift position and the muscles work harder than they should to bring the teeth together.

Fortunately, TMD is treatable. We will analyze your bite and may have you wear a custom-crafted orthotic, for several months to relax the muscles.  Once we have stabilized your bite, we can permanently correct it.

Dr. Grimshaw has helped many people become pain free.  Call today to schedule a consultation – 910-692-4450.


December 16, 2014

Sleep Apnea – Exercise Capacity

Obstructive Sleep Apnea is associated with impaired exercise capacity.  This is also an indication of increased cardiovascular risk.  Results from a new study shows predicted peak oxygen uptake was significantly lower in people with moderate to severe sleep apnea.  This new study compared people with and without Sleep Apnea and it showed that people with this disorder may not be capable of burning high levels of oxygen during strenuous exercise.

Sleep Apnea is linked to a higher risk of heart disease, high blood pressure, stroke and irregular heartbeat.

Sleep Apnea Tip of Iceberg

Sleep Apnea Tip of Iceberg

Talk to your dentist or call Dr. Mandy Grimshaw for a consultation about sleep apnea.  Dr. Grimshaw can create a custom made sleep orthotic to help keep your airway open. Call today -910-692-4450,  email her at or visit 

November 21, 2014


Filed under: Sleep Apnea,Uncategorized — Tags: , , — Kuhn Dental @ 5:31 pm



Sleep Apnea

Sleep Apnea

Dr. Grimshaw can do a custom oral appliance that can treat your Sleep Apnea and help alleviate the symptoms of Sleep Apnea.  During sleep your throat tissue become relaxed causing them to fall towards your throat. This creates crowding by the tongue and soft palate, resulting in a partially blocked airway.

How can this be alleviated with a dental sleep device?  The device holds your lower jaw in a slightly forward position, thus gently moving the throat tissues away from the back of the throat.  This opens the way for airflow.

Improve your life and get a good nights sleep.  Call Dr. Mandy Grimshaw today for a  Sleep consultation at 910-692-4450, email her at or visit for more information.


June 27, 2014

Sedation Dentistry

Kuhn Dental Associates offers Oral Sedation, I.V. Sedation and NuCalm Relaxation Therapy.

Our goal is to be sure our patients are comfortable and stress free during treatment.  Ultimately, we want all our patients to be healthy and to have functioning teeth.

NuCalm Relaxation Therapy

Relax with NuCalm

NuCalm is an all-natural stress intervention system that guides you to deep relaxation. You will feel refreshed at the end of your procedure and be able to drive yourself home or back to work.



Oral Sedation – includes pills that dissolve under the tongue so no needles are involved.  The drug creates a comfortable experience and most people don’t remember the treatment.  IV Sedation, delivered via injection into blood vessels, is safe and effective.  Our team has years of experience and continuing education to ensure the safety of our patients.

Oral Sedation

Call Kuhn Dental today and ask for a Sedation Consultation to see what type of Sedation is best for you.  910-692-4450.


April 28, 2014



Headaches - Ask you Dentist


Dr. Grimshaw can help treat your headaches.  Improper occlusion (bite) may play a significant role in certain types of headaches.  The muscles of the temple area of the forehead play an important part in the posturing and closing of the jaw.  If your occlusion is not right, it can lead to abnormal tension in these muscles.

New technology allows Dr. Grimshaw to evaluate the state of these muscles and how they affect your bite – .  A provisional treatment is a custom orthotic appliance worn over your teeth to adjust your bite. If this alleviates the pain, permanent dental treatment can be done.

The office is conveniently located on US 1 in Aberdeen.  Call 910-692-4450 today to schedule your evaluation with Dr. Mandy Grimshaw.


April 11, 2014

Why Skipping the Dentist is Bad for You

| posted by Jenny Everett in SElf Magazine.

While we don’t love going to the dentist, we try to make ourselves do it twice a year. But for some reason, we’re more likely to blow off a tooth sprucing than any of our other health-related appointments. It just feels more “optional” than, say, a trip to the gym.


And we’re not alone in this: According to the Centers for Disease Control, 71.4 percent of women over age 18 had their teeth cleaned in 2008. That means more than a quarter of all women are skipping the dentist!


To find out exactly what health benefits we’re missing out on when we skip a cleaning — and for some motivation to set up an appointment — we spoke to Sally J. Cram, consumer adviser for the American Dental Association and a periodontist in Washington, DC.

“I have seen a significant number of patients who want to stretch cleanings to once a year rather than twice a year and put off X-rays due to the expense,” says Cram. “A lot of this has to do with the economy. At the same time, I think more people are starting to see the relationship between oral health and overall health.”


Here are some non-tooth-related health conditions that may be spotted or prevented by a dentist (or go undiagnosed if you skip an appointment).


1. Heart disease. A new study from researchers at Berkeley found that women who get dental care may reduce their risk of heart disease by one-third.People who have chronic infection in their oral cavity are at higher risk for heart attack, strokes, coronary artery disease,” says Cram. “When you have an infection around your gums and teeth, that gets into your blood, thickens the vessels and narrows them. If you have a family history of heart disease, it’s very important to be vigilant about oral health.”



2. Oral Cancer. “Every time you have your teeth cleaned, they are doing a visual and manual inspection looking for swollen or red areas, ulcerated areas and anything that looks out of the ordinary,” says Cram. “Often times these oral cancers are asymptomatic and the dentist can bring it to your attention.” People who are especially high risk: Smokers (duh) and anyone who consumes more than one alcoholic beverage on a daily basis.


3, Nutritional deficiencies. By looking at your tongue and gums, your dentist may be able to tell if you are lacking in certain vitamins and nutrients. One thing they look for is pale tongue, which may indicate an iron deficiency, says Cram.


4. Diabetes. The condition of your teeth and gums may point to diabetes, says Cram, who has helped dozens of patients get diagnosed in her career. “There is a definite cause and effect between diabetes and oral health, and it goes both ways,” she says. “Diabetes reduces your body’s ability to fight infection-causing gum and teeth issues, and gum disease also makes it hard to control your diabetes.” If you have a family history of diabetes or are a diabetic, Cram suggests talking to your dentist, who may recommend that you have cleanings three or four times a year.


“The key thing to remember is that for most of the things that can go wrong with your mouth, it’s much less expensive to get regular cleanings than it is to get major procedures such as crowns and root canals later,” says Cram.


March 24, 2014

TMD/TMJ and Neuomuscular Dentistry

What is TMJ?

When jaw joints don’t work together a cycle of pain, muscle spasms and jaw joint problems result.  The letters “TMD” stand for temporomandibular dysfunction. This refers to problems with the muscles and joints that join the mandible bone of the jaw to the temporal bone at the base of the skull.

Symptoms of TMD

Symptoms my include headaches, worn teeth, painful muscles in the face, neck and shoulders, clicking and popping of the jaw joint, earaches, pain behind the eyes, difficulty opening and closing the mouth, ringing in the ears, tingling hands and other problems.


Headaches - Tell Your Dentist

A problem bite can cause TMD

There are many causes of TMD, such as grinding of teeth, an injury and emotional stress.  But a very common cause is a bad bite. Fortunately, TMD is treatable.  Our doctors will analyze your bite using advanced equipment to identify any problems.  We may make you a custom made orthotic or we may replace missing teeth, move teeth or place crowns and veneers on all of the teeth.

Call Kuhn Dental Associates today – 910-692-4450 – to schedule you evaluation with Dr. Mandy Grimshaw or Dr. Ritt Kuhn.


March 13, 2014

Same Day Porcelain Crowns

Did you know we offer One Day Crowns?

With the Cerec digital system there are no more messy impressions and you do not
have to wear a temporary crown while you wait three weeks for your permanent
crown to be made in a dental laboratory. This saves you the time, money and
hassle associated with multiple appointments and procedures. This is a great
benefit for all of our patients.

Kuhn Dental Associates is committed to using the latest technology to provide dental
care that suits your busy lifestyle.  Call us at 910-692-4450 or visit us at

October 28, 2013

A Smile is the Greatest Asset to Memorable First Impression

 When it comes to making a positive first impression at work or in personal relationships, nothing comes close to the impact of an attractive smile, according to a new survey conducted by Kelton Global on behalf of the American Academy of Cosmetic Dentistry.
Forty-eight percent of Americans believe that a smile is the most memorable feature after first meeting someone – more so than the first thing a person says (25%), the way they dress (9%) or the way they smell (8%).  Adults 50+ are even more likely than their 18-49 year old counterparts (52% vs. 45%) to remember a smile when first introduced to someone.  The survey also showed that some Americans view people with crooked or stained teeth as less attractive (37%) and less confident (25%) than those with perfect teeth.  More women than men (40% vs. 35%) say that an imperfect smile makes someone less appealing.
Call Kuhn Dental Associates to reserve your Smile Consultation today.  910-692-4450
Source: Dental Town  Magazine

October 10, 2013

When you go for your dental cleaning appointment, do you hate having to lie?

 “Been flossing,” asks the hygienist. “Sometimes,” you answer, which can mean once a month, once a week or just before the appointment, right?

 Dental professionals can tell if a person has been flossing correctly or not. The key word here is correctly. I want to make you aware, not guilty. 

Did you ever notice there are no instructions on a package of floss, a toothbrush or a tongue scraper detailing how to or why to use the products? Both need to be used correctly to get maximum results for healthy gums and teeth.

 It is a simple fact that clean gums and clean teeth do not get infected. Both decay and gum disease are bacterial infections that can spread throughout the body. 

Teeth Flossing

How to Floss

Each tooth has four sides: cheek side, tongue side and two in-between sides. A toothbrush only gets the cheek and tongue side. Floss gets the in-between sides. If you just brush and don’t clean the sides, you are missing anywhere from 20-40 percent of the teeth. It is kind of like only cleaning 60 percent of your kitchen after cooking a big meal.

Food stuck between the teeth can and will stay there for a long time. It becomes a breeding ground for the bacteria that cause decay and gum disease. Toothpicks only push out some of the food and don’t clean between the teeth or the gums. They only push the big particles through and don’t take the place of floss.

Be sure floss is sliding below the gums. This is a good thing because that simple swiping of floss will alter the bacteria below the gums. The bacteria that cause gum disease are killed by oxygen.

Just that one action introduces enough oxygen to kill the bad bugs while physically cleaning below the gums. If your gums bleed upon flossing, you have some form of gum disease. There is a saying, “If it bleeds, it needs.”

The easiest way to visualize proper flossing is to hold the floss tightly next to the side of the tooth forming a C, as the picture demonstrates. As you swipe down in between teeth, you are removing food debris and bacteria from the teeth. Continue to floss to below the gums in order to clean there.

Here is another reason the dental profession push brushing and flossing as strong as they do: they actually care about your dental health, and they care about you.

Yes, dentistry can be expensive and a hassle; but the best dentistry is no dentistry at all, and that can be achieved by keeping your teeth perfectly clean. As I said above, clean teeth do not get dental disease.

If it has been awhile since your last dental visit, please pick up the phone and call Kuhn Dental at 910-692-4450.

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1902 North Sandhills Blvd., Suite H, Aberdeen, NC 28315 USA
Dr. David Kuhn, Dr. Mandy Kuhn Grimshaw Dr. Ritt Kuhn Aberdeen dental office of Kuhn Dental Associates (910) 692-4450