A full night's sleep isn't a luxury—we all need it for a healthy mind and body. But 50-70 million people in the U.S. aren't getting enough sleep because of a chronic sleep disorder like obstructive sleep apnea (OSA).
OSA happens when a sleeper's airway becomes blocked (most commonly by the tongue), cutting off oxygen to the brain. The body rouses from sleep to overcome the blockage. This awakening could last only a few seconds, after which the person immediately goes back to sleep. But it can occur hundreds of times a night and interrupt deeper sleep needed for a good night's rest.
Sleep disorders like OSA are a significant medical problem that could contribute to serious health issues like high blood pressure or cardiovascular disease. If you're experiencing fatigue, irritability or your family's complaints of you snoring, you should see a physician for diagnosis and treatment options.
You should also consider another health professional who could be helpful in dealing with OSA—and may even be able to provide a treatment option: your dentist. Here's how.
A dentist could discover your OSA. Because of twice-a-year dental visits, dentists often see patients more frequently than other healthcare providers. A properly trained dentist could pick up on signs and symptoms of sleep disorder, including patients falling asleep and even snoring while in the dentist's chair.
Dentists are familiar with the mouth. Few healthcare providers focus on the oral cavity like dentists. Besides the teeth and gums, dentists also have extensive knowledge of the tonsils, uvula and tongue that often play a role in sleep disorders. As such, a dentist may notice abnormalities during routine exams that might contribute to airway obstruction during sleep.
Dentists provide a treatment option. Many OSA patients use a CPAP mask to maintain an open airway during sleep. But CPAP therapy can be uncomfortable for some. For mild to moderate cases of OSA, dentists can create an oral appliance based on the patient's mouth dimensions that prevents the tongue from sinking back into the throat.
If you believe you may have OSA or a similar sleep disorder, by all means speak with your doctor. But also mention it to your dentist—your dental provider might hold the key to a better night's sleep.
If you would like more information on how we could help with your sleep apnea symptoms, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sleep Disorders & Dentistry.”
Being a parent can be a rewarding role. But it's also hard work, especially the effort required in keeping children healthy. In that respect, there's one area you don't want to overlook—their dental health.
Taking care of their teeth and gums has two aspects: their current state of dental health and their ongoing development that impacts future health. Fortunately, you can address both the present and the future by focusing on the following areas.
Prioritizing oral hygiene. From the moment your child is born, you'll want to practice daily oral hygiene to keep their teeth and gums clean of disease-causing bacterial plaque. This starts even before teeth erupt—simply wipe their gums with a clean wet cloth after feeding. As teeth emerge, begin brushing each one with a small amount of toothpaste. Around your child's second birthday, start training them to brush and floss on their own.
Limit their sugar intake. The biggest threat to your child's teeth is tooth decay, which is caused by bacteria. These bacteria multiply when they have plenty of sugar available in the mouth, one of their primary food sources. It's important then to reduce the sugar they eat and limit it to mealtimes if possible. Also avoid sending them to bed with a bottle filled with sweetened liquids, including juices and even formula.
Visit the dentist. You're not in this alone—your dentist is your partner for keeping your child's teeth healthy and developing properly. So, begin regular visits when your child's first teeth appear (no later than their first birthday). You should also consider having your child undergo an orthodontic evaluation around age 6 to make sure their bite is developing properly.
Practice oral safety. Over half the dental injuries in children under 7 occur in home settings around furniture. As your child is learning to walk, be aware of things in your home environment like tables and chairs, or hard objects they can place in their mouths. Take action then to move these items or restrict your child's access to them.
Good habits in each of these areas can make it easier to keep your child's teeth and gums healthy and on the right development track. That means good dental health today that could carry on into adulthood.
If you would like more information on children's dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Top 10 Oral Health Tips For Children.”
Most of us have no clue how the ancient holiday tradition of kissing under the mistletoe originated—but it sure doesn't stop us from keeping the tradition alive! Yet although eager to join a certain someone under the hanging twig, you still might hesitate to apply the old smackeroo out of fear your breath isn't as fresh as it should be.
Bad breath has tormented us humans long before we started osculating (kissing) under trimmings of viscum album (the scientific name for mistletoe). Our resulting discomfort has inspired a myriad of remedies, from ancient Egyptian toothpastes containing natron (also used in embalming mummies) to 19th Century American breath mints made of ingredients like cardamom, essence of rose and licorice root.
Today, we're much better at relieving common bad breath because we've uncovered its primary source: bits of food and mucus accompanied by oral bacteria on undisturbed areas the mouth, particularly the tongue. As the debris interacts with the bacteria, it releases chemical compounds called VSCs (volatile sulfur compounds) that emit a classic rotten egg smell.
The key then is to remove the source of these VSCs. You might think that means doing a better job of brushing and flossing, and you're right. But it can involve more.
Keeping your tongue clean. Since the tongue is a prime collecting point for debris and bacteria, it makes sense to keep it clean. That might simply mean brushing its surface when you brush your teeth. You might, however, benefit from using a tongue scraper if you have more stubborn accumulations.
Maintaining your dentures. These and other dental appliances can accumulate food debris that if not removed can cause a “stink.” You should clean dentures daily using a denture cleaner or mild antibacterial soap and then rinse them off thoroughly. It also helps to take them out at bedtime.
Seeking dental care. Another source of bad breath could be tooth decay or gum disease, or even older dental work in need of repair. Treating these and other conditions (like an oral yeast infection) not only improves your dental health, it could do wonders for your breath.
There are also other sources of foul breath unrelated to the mouth—and some can be serious diseases like diabetes, cancer or lung infections. If your chronic bad breath doesn't respond to your hygiene efforts, it's a good idea to get checked medically.
Now as to holiday traditions, we can't help you maneuver your prospective sweetheart under the mistletoe with you—you're on your own, pal (or gal). But by following these tips for sound oral care, we're sure you'll have the “fresh breath” confidence to follow through from there.
Instagram, America's humongous digital photo and video album, is chock-full of the silly, mundane, and poignant moments of people's everyday lives. That includes celebrities: Tom Hanks buying a used car; Ryan Reynolds sporting tiny sunglasses; Taylor Swift and Ed Sheeran taking a hike. And then there's former Olympic alpine skier, Lindsey Vonn—posting a video of her recent dental visit.
Winner of several World Cup competitions and the first woman to gain the gold for downhill racing at the 2010 Winter Olympics, Vonn broke her two front teeth during a—you guessed it—skiing competition a few years ago. This past September, she went to the dentist to update her restoration and gave her followers a fascinating firsthand look at dental bonding, a technique for repairing a chipped or broken tooth.
Although dental bonding has been around for decades, it's taken a leap forward in the last few years because of improvements in bonding material. A mixture of plastic and glass components, composite resins can produce a strong and durable result when bonded to teeth. To begin the technique, the tooth's surface is prepared so that the composite resin can better adhere. Along with an adhesive agent, the bonding material is applied as a paste, which makes it easier to shape and sculpt for the most realistic look. This is usually done layer by layer, with each individual layer hardened with a curing light.
The technique allows us not only to achieve the right tooth shape, but also to incorporate your natural tooth color. We can tint the composite resin as we work so that your restored tooth blends seamlessly with the rest of your natural teeth. The result: A “new” tooth that's both beautiful and natural-looking.
What's more, dental bonding is more affordable than veneers or crowns and can often be done in a single visit. You will, however, need to exercise care with your new restoration. Although highly durable, it can be damaged if you bite into something hard. You'll also need to watch foods and beverages like tea or coffee that can stain the dental material.
Even so, we can help you regain the smile you once had before you took your teeth skiing—Lindsey Vonn-style—or whatever you were doing that resulted in a “whoopsie.” All it takes is a call for an appointment to start you on the path to a more attractive smile.
If you would like more information about cosmetic dental enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Artistic Repair of Front Teeth With Composite Resin.”
Dental patients have amazing options for tooth replacement. Dental implants, for example, can replace the entire tooth, root and crown, giving patients a new tooth nearly as good as the old one.
Nearly—but not exact. Even implants can't match the full benefits of a natural tooth, including one in less than perfect shape. Our first goal as dentists, then, is to save a diseased tooth if at all practical before considering replacing it.
That often involves a root canal treatment to address decay threatening a tooth's interior. The procedure requires drilling into the tooth to access its innermost pulp, cleaning out the pulp and root canals, and then filling the empty spaces. Since all dentists are trained in basic root canal treatment, your general dentist may be able to perform it.
But some dental situations call for more advanced endodontics, the dental specialty for treating disease and other problems inside a tooth. So, in what situations would you see an endodontist?
When your dentist refers you. Your dentist wants you to receive the level of treatment necessary to save your tooth. After examination, they may determine your situation would be better served by the advanced training, equipment and techniques (including surgery) of an endodontist.
When your tooth has complications. Patients often need an endodontist when existing factors complicate treatment of advanced tooth decay. A patient may have dental pain that's difficult to pinpoint, requiring the diagnostic resources of an endodontist. It's also common for a tooth's root canal network to be highly intricate, and which respond better to treatment with specialized endodontic tools and techniques.
When root canal treatment fails. Most root canal treatments are successful in protecting the tooth from further infection. That said, it's still possible for a root-canaled tooth to become re-infected or develop more problems. Again, an endodontist and their “tool chest“ re-treating a root-canaled tooth may be the best option for saving it.
You also don't have to wait for a referral—you can see an endodontist if you believe they would be best to treat your decayed tooth. You can find one near you by visiting an online endodontist directory at www.aae.org/find. An endodontist may be the lifesaver your diseased tooth needs.
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