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10/16/2018 3:54:09 AM

Lindsay Olsen, RDH BSDH

The Truth About Hookah

Myth: Hookah smoke is better for you than cigarette smoke and not addictive.

Reality: Hookah smoke of various fruity flavors, tastes and aromas can be even more harmful than cigarette tobacco smoke. Also, hookah smoke contains four times more nicotine (an addictive drug) than cigarette smoke. Some people can become addicted to nicotine after using any form of tobacco just a few times, this includes hookah.

Myth: Smoking hookah is less harmful than cigarettes because the smoke passes through water, which filters out the chemicals and other carcinogens.

Reality: When hookah passes through water at the base of a hookah pipe it cools the smoke, but does not filter any chemicals out of the smoke. This “cooling” process forces a hookah smoker to inhale twice as deeply as a cigarette smoker, which causes chemicals, cancer causing agents, and other harmful elements to penetrate deeper into the lungs. The charcoal that is uses in hookah pipes adds even more carbon monoxide to the higher levels that already exist in this type of tobacco.

Myth: Smoking hookah is fun, and I only do it socially with friends, its not like I do it every day.

Reality: The reality is 45-60 minutes of hookah smoking is the same as chain smoking 15 cigarettes. Even if you are only smoking hookah for an hour, twice a week, it can lead to nicotine addiction. Something also to consider, when you share the mouthpiece with others you are at risk of getting colds, viruses such as herpes simplex one (cold sores), oral bacterial infections and tuberculosis.

Need help quitting? Speak with your dental hygienist, dentist, or call

1-800-55-66-222, or visit http://www.ashline.org

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

Asotra, Kamlesh. Hooked on Hookah? What You Don’t Know Can Kill You. Burning Issues: Tobacco’s Hottest Topics. Tobacco-Related Disease Research Program Newsletter 7, no 3 (2005) 1-10.



10/8/2018 12:45:19 PM

Lora Cook, RDH

 A Closer Look at Tooth Enamel

Tooth enamel is one of the toughest structures of the human body: however, it still needs protecting.  What exacting is tooth enamel?  It is the outer layer of your tooth and the hardest substance in your body.  Enamel is translucent and can stain from the food, drinks, smoking and chewing tobacco. Enamel cannot be regrown by our bodies.  Once it is chipped cracked or eroded or worn away it cannot be replaced naturally.

Signs of enamel problems.

Darkening:  As enamel wears away this can cause the tooth to become darker. 

Sensitivity:  Your teeth may become hypersensitive to hot, cold, sweets or sour foods.

Notching:  There may be notching at the gum line

Cracks and chips:  Irregular or jagged tooth surfaces, also fracture lines can appear.

Protecting your enamel.

Custom night guard:

The power of our bite is incredible.  Out incisor can have 55 pounds of pressure or biting force, while our molars have 200 pounds of pressure.  Clenching and grinding your teeth during times of stress or at night while sleeping experts excess force and wear on your teeth. Over time you can literally grind away your enamel layer.  Ask your dentist about a custom night guard to protect your enamel for a lifetime.

MI Paste Plus:

This is not a tooth paste to brush your teeth with.  This is a paste to coat your teeth with in order to put minerals back into your enamel to help remineralize the enamel. MI Paste plus contains calcium, phosphate and 900ppm of fluoride.

 “MI Paste and MI Paste Plus contain RECALDENT™ (CPP-ACP); Casein Phosphopeptide (CPP) are natural occurring molecules which are able to release calcium and phosphate ions and stabilize Amorphous Calcium Phosphate (ACP)”

These minerals help to strengthen and remineralize the enamel.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.colgateenamelhealth.com/enamel-101/what-is-tooth-enamel

http://www.webmd.com/oral-health/guide/tooth-enamel-erosion-restoration#1

http://www.mi-paste.com/about.php



9/30/2018 4:00:56 PM

Amanda O

Amanda Orvis, RDH

Early Interceptive Orthodontic Treatment

Often time’s orthodontic treatment is recommended before all of your child’s primary (baby) teeth have even fallen out. Early orthodontic treatment can alleviate future, possibly more invasive, orthodontic corrections.

Here are a few reasons for early interceptive treatment:

  • Corrective positioning for a better prognosis of how the permanent teeth with develop.
  • To correct any oral habits that cause developmental problems such as thumb sucking, pacifier use, and tongue thrusting.
  • To correct malocclusions, or poor bite relationships, such as overbites, under bites, open bites, cross bites, crowding, spacing, teeth erupting out of sequence, or missing teeth.
  • To correct growth problems such as narrow palates.
  • To guide the growth of the jaw bones to a more favorable position for permanent tooth eruption.

“The American Association of Orthodontics (AAO) recommends that all children receive an orthodontic screening by the age 7. Permanent teeth generally begin to come in at age 6 or 7. It is at this point that orthodontic problems become apparent.”

If you are unsure about the need for early interceptive orthodontic treatment for your child, it is a good idea to visit with an orthodontist to familiarize yourself with treatment options. If you are concerned with the appearance or development of your child’s teeth, or if you have questions please do not hesitate to call our office and schedule an appointment to discuss treatment options and referral information.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.colgate.com/en/us/oc/oral-health/cosmetic-dentistry/early-orthodontics/article/early-orthodontics-may-mean-less-treatment-later



9/24/2018 3:19:38 PM

Lacee Hogle, RDH

What causes white spots on teeth and how do I get rid of them?

Have you ever looked in the mirror and noticed irregular chalky white patches on your teeth? If so, you’re not alone. This is a common concern for many patients. There are several possible causes for white spots on teeth including dental fluorosis, enamel hypoplasia, poor dental hygiene, and eating too many acidic or sugary foods. There are also many ways to treat white spots including enamel microabrasion, teeth whitening, dental veneers, MI paste, and composite resins. In this article, we will elaborate on the possible causes for white spots and the different ways we can treat it.

CAUSES

Dental Fluorosis– Fluorosis is caused by ingesting large amounts of fluoride while the permanent teeth are still forming but have yet to erupt. A major cause of fluorosis is the inappropriate use of fluoride containing products such as toothpaste and mouth rinses. In addition, fluorosis can be caused by a high level of fluoride in the drinking water. A mild form of fluorosis is characterized by small, opaque, white areas scattered irregularly over the tooth.

Enamel Hypoplasia – Hypoplasia can be either a distinct spot on a tooth (sometimes called Turner’s tooth, which might have been caused by trauma or other unknown disturbance to the area during the mineralization of that tooth), or diffuse streaks or cloudy opacities on all the teeth which was some kind of systemic disturbance over a long period of time. Hypoplasia also results from nutritional deficiencies, high fever and medicinal side effects while the tooth is forming.

Poor oral Hygiene– Poor oral hygiene is the most common cause in the formation of white spot lesions. The adherence of plaque to the enamel surface is what initiates the decalcification process. In a matter of four weeks, chalky white spots could develop. Fortunately, this is easily prevented just by brushing and flossing daily.

Eating too many acidic or sugary foods– Another thing that can cause you to get white spots on your teeth is having too many acidic foods such as sour candy and lemons. Acidic drinks, such as lemonade, can also cause white spots. These acidic foods and drinks will work to remove the enamel on your teeth which will result in white spots.

 

TREATMENTS

Dental Veneers– A dental veneer is a thin, protective covering that attaches to the front surface of a person’s tooth. A veneer can conceal white spots and other blemishes very effectively.

Remineralization/MI Paste– MI Paste is a product that restores the minerals that cause the white spots.

Composite restoration– The white spots on your teeth sometimes sink below the surface of the enamel creating a sunken area. If this happens, then a composite restoration is a way to deal with the problem. Composite restoration is dental procedure that uses a special type of resin.  The resin is applied to your teeth over the white spots. The resin can be colored to match the rest of the teeth.

Teeth whitening– Whitening or bleaching teeth can help to reduce the appearance of white spots.

Enamel Microabrasion– This procedure involves gently removing a thin layer of surface enamel. This professional treatment is typically followed by teeth bleaching, which can make the teeth appear more uniform in color.

 

If the white spots have been present since childhood, your white spots are likely due to fluorosis or interruption during the formation of the enamel. If you’re an adult and your just noticing white spots, it’s likely they’re a sign of plaque buildup known and decalcification. Regardless of the cause, treatment options are available. Please discuss this concern with your dentist so that both you and your dentist can determine what treatment is best for you.

 

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

 

Sources:

https://medicalnewstoday.com/articles/322122.php

http://www.womenshealthymag.com/health/a19971692/white-spots-on-teeth/

http://www.parkavenuedentalfl.com/how-to-get-rid-of-white-spots-on-teeth-after-braces/

https://colgate.com/en-us/oral-health/conditions/developmental-disabilities/how-to-get-rid-of-white-spots-on-teeth-1215



9/17/2018 3:28:46 PM

Maria Iavarone, RDH

What is your Dental Hygienist or Dentist looking for when they do an oral cancer screening?

Cancer is defined as the uncontrollable growth of abnormal cells that invade and cause damage to the surrounding tissue. Oral cancer and oropharyngeal cancers start in the mouth and the throat. Oral cancer comes in many forms and there are several different types of oral cancer. As a dental hygienist, we are not only cleaning teeth, but we are also checking for any abnormalities in the mouth and the surrounding areas. The dentist also screens for oral cancer when they come in to do the examination. A dentist cannot diagnose oral cancer, but screening for oral cancer is a crucial part of their job. The dentist will address any suspicious-looking areas. If a suspicious lesion is found, the dentist may request to reexamine you in about 1-2 weeks if the area looks like it could possibly heal. However, they may refer you to a specialist for further evaluation and to have a biopsy done. The biopsy is necessary to confirm that the lesion is actually cancerous. It’s estimated that approximately 51,540 people will be diagnosed with oral cancer and cancers of the throat, tonsils and back of the tongue this year (ADA, 2018).

Visual Oral Cancer Screening

With our visual oral cancer screening we typically have you stick out your tongue as far as you can so we can inspect the back of the throat and the back of the tongue. We will check the lateral borders of the tongue, as well as, underneath the tongue and the floor of the mouth. We will also look at and palpate the inner lining of the cheeks, the roof of the mouth, the gums and around the lips, feeling for any irregularities. We will then feel around the neck and under the jaw for any lumps or enlarged lymph nodes.

Advanced Oral Cancer Screening

We can also do a more advanced oral cancer screening in the dental office using fluorescence technology. Fluorescence technology can detect cancerous or precancerous lesions that may not be noticeable to the naked eye. Your dentist may have the VELscope or Identafi 3000 in their office. These tools allow for distinction between normal and abnormal tissue. Under these lights abnormal tissue will appear dark brown or black and normal tissue will appear green or blue dependent upon which fluorescence-based technique your dentist is using. Having an exam done with fluorescence-based technology can help with early detection, which in turn can increase your survival rate.

What we are looking for when we do a visual oral cancer screening?

-Any red or white patches

-A sore that does not heal or bleeds easily

-A lump or a thick or hard spot

-A roughened or crusted area

Some other symptoms of oral cancer that should be shared with your dental professional:

-Pain while swallowing or chewing

-Difficulty swallowing or chewing

-Jaw pain or stiffness

-Loose teeth for no apparent reason

-Changes in the way your teeth fit together

-A sore throat that won’t go away

-A feeling like there is something stuck in your throat

-Hoarseness

You may be at increased risk of developing oral cancer if you:

-Use or have used tobacco products

-Consume alcohol heavily

-Have HPV

-Are exposed to sunlight on a regular basis for a prolonged amount of time

-Have poor nutrition, having a diet low in fruits and vegetables

Prevention:

-Stop using tobacco products

-Drink alcohol in moderation, if at all

-Wear UV protection

-Eat a healthy diet, rich in fruits and vegetables

-Inspect your own mouth for sores on a regular basis

-See your dentist regularly for check ups

-Do an advanced oral cancer screening with your dentist

Inspecting your own mouth for lumps or sores is a great way to be proactive. Schedule an exam with your dental office as soon as possible if you are concerned. Even with inspecting your own mouth, some cancers can be difficult to see on your own. Most cancers are found at a late stage which lowers the survival rate. It is important to see your dental hygienist and dentist for regular continuing care every 3-6 months, not only for good oral health, but to be monitored for oral cancer as well. Early detection is key. Ask your dental professional to perform an oral cancer exam and about using fluorescence technology to detect early signs of cancer.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

 

http://www.northstapleydentalcare.com

 

http://www.alamedadentalaz.com

 

http://www.dentistingilbert.com

Sources:

https://www.ada.org/~/media/ADA/Publications/Files/Dental_Patient_0510.pdf?la=en

https://www.mayoclinic.org/diseases-conditions/mouth-cancer/symptoms-causes/syc-20350997

https://www.mouthhealthy.org/en/oral-cancer-slideshow

https://www.researchgate.net/publication/322215446_An_update_on_light-based_technologies_and_fluorescent_imaging_in_oral_cancer_detection/fulltext/5a4c2e81a6fdcc3e99cf6da1/322215446_An_update_on_light-based_technologies_and_fluorescent_imaging_in_oral_cancer_detection.pdf?origin=publication_detail

https://www.webmd.com/oral-health/guide/oral-cancer#1



9/10/2018 3:24:48 AM

Ruth Jones, RDH

Teeth Whitening

When asked what could improve their smile, most adults say “whiter teeth”. It’s no wonder there are so many whitening options on the market today! The most basic and important way to have white teeth is using proper oral hygiene including brushing two times a day for two minutes and cleaning between the teeth (like flossing) at least once a day. But because we are constantly eating and drinking foods that leave strain on our teeth, we may want to add an extra step for whiter teeth. From something as simple as a specific toothpaste to something that will give great results like professional whitening in the dental office, there’s a wide range of approaches. To understand the best option for you, we’ll look at how whitening products work starting with the simplest method and move towards methods with the most noticeable results.

Whitening Toothpastes

Over-the-counter toothpastes work using a mechanical action rather than chemical. They remove surface stain with safe but abrasive ingredients such as silica and Calcium Pyrophosphate. There is no “bleaching” agent or active ingredients for whitening the teeth. These are great to use on a regular basis for people who build up stain due to coffee and tea.

Charcoal toothpastes have been trending in recent years. These should be used with caution as there is very little research on their efficacy and safety.

The other methods for whitening work by chemical action to whiten deeper into the teeth rather than just the surface. These methods will use either hydrogen peroxide or carbamide peroxide as the whitening agent. Carbamide peroxide breaks down into hydrogen peroxide, meaning it’s a slower release and usually left on the teeth longer and will be in higher concentrations.

White Strips

White strips are disposable plastic coated with whitening gel. They contain hydrogen peroxide. Each product will have specific instructions but usually are recommended to be worn 30-60 minutes a day for 2-4 weeks.

Whitening Trays with Gel

Whitening gels come in either hydrogen or carbamide peroxide and in all different concentrations. The benefit of using gel is that you will have custom trays made that will fit more comfortably than a plastic strip and you can use them for several years! You can get gel refills as needed. Like the strips, depending on which gel you use, it will have specific instructions on how long to wear and use the gel.  Because of the large variety of concentration and ingredients, they may be recommended 30 minutes – 8 hours. It’s important to know the specific instructions for what you’re using. Full results usually take about 2 – 3 weeks.

Professional Whitening in a Dental Office

Having your teeth professionally whitened in a dental office will give the quickest results. The appointment will be 1-2 hours. Usually using a carbamide peroxide in a high concentration, the gel is essentially painted on the teeth and left for 2-3 sessions of 20 minutes. Because the concentration is so much higher is works faster but can also be harmful to your gum tissue which is why it’s only used in a dental office.

The results of each option will vary based on each individual’s oral hygiene habits, foods that they eat, dark drinks such as coffee, tea and soda, and use of tobacco products. With great oral hygiene and minimal dark drinks, results can last up to a year.

Chemical whitening products can cause sensitivity of the teeth which is why it’s important to use as instructed for each product. You can talk with a dental professional about ways to minimize the sensitivity with products such as an anti-sensitivity toothpaste, fluoride or MI paste.

It’s also important to remember that no whitening products will change the color of dental restorations.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

https://crest.com/en-us/products/toothpaste/crest-3d-white-radiant-mint-whitening-toothpaste

https://www.colgate.com/en-us/products/toothpaste/ow-high-impact

https://jada.ada.org/article/S0002-8177(17)30412-9/fulltext

https://www.opalescence.com/en-us/pages/press-room.aspx?article-name=Hydrogen+Peroxide+vs.+Carbamide+Peroxide:+What%27s+the+Difference%3F



8/19/2018 11:24:53 PM

Sharma RDH

Sharma Mulqueen RDH

Does my child really need a sports mouthguard?

School is back in session and sporting events.  I get asked by parents, “Should my child wear a sports mouthguard?” We recommend all children wear a mouthguard if they are involved in any sport or activity where they can come in contact with other players or hard surfaces.

A custom fitted mouthguard not only protects the teeth from a sporting accident but also helps to absorb & spread the impact from a blow to the face or mouth.

Several types of injuries can happen when mouthguards are not being worn. Some of these injuries include teeth which have been cleanly knocked out, chipped & broken teeth, fractures or breaks to the jaw & lacerations to the lip, gum or soft tissue. These however only name a few.

In today’s market there are two types of mouthguards available however only one our practice recommends being a custom made & fitted mouthguard. This type of mouthguard will require an appointment with a dentist as plaster dental impressions are required. A custom made mouthguard is far superior than an over the counter mouthguard as it offers a higher level of protection and a far superior fit due to the mouthguard being fabricated from an exact model of your teeth. A custom fitted mouthguard takes 3-7 days to be made.  You can pick your color of mouthguard to match your school colors.

The second type of mouthguard available is an over the counter mouthguard also known as a boil & bite mouthguard. These are stock mouthguards that do not require fitting by a dentist. This type of mouthguard is placed in hot water and is then self-fitted by biting into it. While a boil and bite mouthguard may be less expensive it is less expensive for a reason. Do not be fooled into thinking it offers you the same level of protection as a custom fitted mouthguard as it does not. A boil and bite mouthguard has a habit of dislodging and not fitting properly which is something I would think most of you would want to avoid during a sporting match.

In conclusion, it definitely pays to invest in a custom fitted mouthguard as the cost of an injury to the teeth or jaw far exceeds the cost of the mouthguard.  Please call our office and we can get you scheduled.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Source:

www.ada.org

www.rdhmag.com

www.rdxsports.com



7/29/2018 3:00:08 PM

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Wendy Parker, RDH

Water Piks – What You Need to Know

Ever walk down the dental isle and feel overwhelmed by all the available products there are to take care of your teeth?  You’re not alone!  They range from toothbrushes, to toothpastes, floss, water picks, tongue scrapers, etc.  It’s difficult to know exactly what is right for your mouth with so many choices!

One of the most frequent questions I get as a hygienist is “So do I have to floss?  Can’t I just use a water pik?’’ Each mouth is evaluated by the hygienist and given suggestions.  Here is some great information for you regarding water piks if water picks are right for you!

There are 3 main types of water piks:  a counter top water pik with a reservoir, a hand held, cordless pik with a reservoir, or a Shower Flosser.  Both the counter top and hand-held water piks use water (or antiseptic rinse of your choice) from the reservoir to irrigate tissues the tissues and flush out food trapped in between the teeth. There are different pressure settings so if it seems like there is too much pressure, turn it down till your mouth adjusts to using it and then increase incrementally.  The 3rd main type of water pik is a shower flosser.  This one you can use in the shower.  It attaches to your shower head and uses that water to irrigate the tissues and clean your mouth. A lot of people like this option since the mess is contained in the shower and not on your countertop of mirror!  When using the water pik be sure to aim the pressurized water right at the gumline and in-between the teeth to ensure that you are removing as much plaque as possible.

Water piks are a great option for adding into your daily hygiene routine and can benefit mouths that require additional attention like periodontal disease, food traps between teeth, bridges, implants, and braces.  These units can range in cost anywhere from $30-$90 depending on how many settings you need and can be found in several local stores like Wal-Mart, Target, and Walgreens or ordered online too!

Here are some simple steps to using your water pik:  

  1. Fill the reservoir with warm water and place firmly on the base.
  2. Select a tip and click into the handle.
    Note: If this is the first use, set the pressure control dial to high. Point the tip into the sink and turn on until water flows. Turn unit off.

Start with the lowest pressure setting, lean over the sink, place tip in your mouth.

  1. Turn unit on. Close lips enough to prevent splashing, let water flow from your mouth into sink.
  2. Aim the tip at the gumline.
  3. When finished, turn unit off and use the tip eject button to remove the tip.

Happy Water piking!

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com



7/22/2018 10:04:12 PM

Andra M

Andra Mahoney, RDH BSDH

Why Should I Get My Wisdom Teeth Out?

Teeth are generally predictable.  We know the first permanent teeth we will get are our first molars, also known as six year molars because we get them between six and seven years old.  We know they will be bigger than all our other teeth.  We know our maxillary central incisors, our two top front teeth, will come in about seven to eight years old and  be a particular shape and size.  Wisdom teeth; however, have a mind of their own!  They come any anywhere from 16-25 years old, and sometimes don’t even stick to that time frame.  They can be big as your other molars or small as your front teeth.  They can come in properly and vertically or angled and horizontally.  I have even seen X-rays of wisdom teeth going the wrong direction!  They were headed back towards the jaw bone!  Wisdom teeth do whatever they want.

Common recommendations for getting wisdom teeth removed:

Not enough room in your mouth.

Impaction.

Partially Erupted.

Why above reasons are problems:

Many of us do not have the space in our mouths to accommodate wisdom teeth.  Not enough room in our mouths can lead to the wisdom teeth causing pain.  It can also cause problems in keeping those teeth clean.  They are often hard to reach which means plaque is allowed to grow and cause cavities, tartar, and/or gum infections.

When teeth are impacted they are not coming in the proper direction.  This could be anywhere from tilted to all the way horizontal. This can present a variety of issues.  The major problem can be damage to other teeth.  If the wisdom tooth is tilted and now running into the back of your second molars, this can cause damage, decay, and potential loss of that second molar.  Impaction can also lead to cysts or infections around those teeth.  This can lead to long term damage of your jaw bone.

When teeth are partially erupted, only part of the tooth has grown into the mouth, the other is still covered with gum tissue.  This can be very hard to keep clean.  It is a great spot for food impaction and plaque bacteria to collect.  As mentioned before, this can lead to cavities, tartar, and/or gum disease.

Why get them out if they don’t hurt:

Size of wisdom teeth can play a big factor is health and recovery.  Most dentists like to get them out after the crown is fully formed, but before the roots are complete.   This helps extraction process to go easier and quicker, as well as reduces nerve damage.  Wisdom teeth, particularly those on your bottom jaw, can grow around or next to the nerve that runs through your jaw.  When the roots of wisdom teeth are allowed to grow close to that area, that increase risk for nerve damage upon extraction.  This damage can be temporary or permanent.

Stage of jaw bone growth plays a factor.  Dentist usually recommend wisdom teeth to come out in the teen years or early twenties.  This is because your jaw bone is still growing.  Once you hit your thirties, your bone is much more solid and recovery time after extractions can be longer and more difficult.

Why wait till it hurts?  Get them out on your schedule.  Spring break, summer vacation, fall break, long weekend, these are the best times for recovery. Don’t put yourself through tooth pain, its an awful experience, and one that is avoidable!

You’ve decided to get them out! Now what?

This is a great time for a chat with your dentist.  They can help you determine the appropriate avenue for you.

Different ways to get them out can include:

Just getting numb – Your appointment will be pretty straight forward.  The wisdom teeth may already be erupted and properly aligned.  You are not very nervous about the appointment.

Nitrous and getting numb – Nitrous, or laughing gas, can be administered before the local anesthesia.  This can help some people with anxiety.  It is also good to help people relax if there is a little more work involved in getting out the wisdom teeth – they are partially erupted or completely unerupted.

IV Conscious Sedation – This is a great option for a more involved procedure or those that have very high anxiety.  A dentist trained in this method, will administer medication through an IV that allows you to relax.  You are able to respond to questions (Can you open wider? Are you doing ok? Can you turn to the left?), but you will not remember the procedure.

Oral Surgeon Specialists – In some cases the removal of the wisdom teeth may be very complicated.  This can be due to position, age, nerve involvement, etc.  You may then be referred to a specialist to handle this situation.

Whatever way and method can be tailored to your specific needs through exam, xrays, and a visit with your dentist.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

https://www.mouthhealthy.org/en/az-topics/w/wisdom-teeth

https://www.colgate.com/en-us/oral-health/conditions/wisdom-teeth/should-you-have-your-wisdom-teeth-removed

https://www.mayoclinic.org/diseases-conditions/wisdom-teeth/expert-answers/wisdom-teeth-removal/faq-20058558



7/17/2018 4:28:13 AM

Maria A

Maria Ambra, RDH

Sleep Apnea

Sleep Apnea is a sleep disorder in which cessation of breathing for 10 seconds or more occurs during sleep.

There are 3 types of sleep apnea:

  • Obstructive sleep apnea: It is the most common form and occurs when the throat muscle relax.
  • Central sleep apnea: It occurs when the brain doesn’t send proper signals to the muscles that control breathing.
  • Complex sleep apnea syndrome: It occurs when someone has both obstructive sleep apnea and central sleep apnea.

Causes of obstructive sleep apnea: Obstructive sleep apnea occurs when the muscles in the back of the throat relax and the airway narrows and closes as you breathe in. This may lower the level of oxygen in the blood. The brain senses this inability to breathe and briefly interrupts the sleep so that the airway can reopen, snorting, choking or gasping sounds can be experienced and this pattern can repeat itself 5 to 30 times or more each hour, all night long. These disruptions impair the ability to reach the desired deep, restful phases of sleep.

Causes of central sleep apnea:

Central sleep apnea is a less common form of sleep apnea that occurs when your brain fails to transmit signals to your breathing muscles.

Risk factors:

Sleep apnea can affect anyone, even children. But certain factors increase your risk of sleep apnea.

Obstructive sleep apnea

  • Excess weight: Fat deposits around your upper airway may obstruct your breathing.
  • A narrowed airway.  Tonsils or adenoids may become enlarged and block the airway, particularly in children with sleep apnea
  • Family history. If any family member suffers with sleep apnea, it may increase the risk to have it.
  • Use of alcohol, sedatives or tranquilizers. These substances relax the muscles in your throat.
  • Smoking.  Smoking may increase the amount of inflammation and fluid retention in the upper airway.

Central sleep apnea

  • Being older. Middle-aged and older people have a higher risk of central sleep apnea.
  • Heart disorders. People with congestive heart failure are more at risk of central sleep apnea.
  • Using narcotic pain medications. Opioid medications can increase the risk of central sleep apnea.

Sleep apnea is considered a serious medical condition that can cause:

  • Daytime fatigue: It is  impossible to have normal and restful sleep when repeated awakenings associated with sleep apnea occur
  • High blood pressure or heart problems. Increase blood pressure and strain the cardiovascular system can be cause by sudden drops in blood oxygen levels that occur during sleep apnea
  • Type 2 diabetes. People with sleep apnea are more likely to develop insulin resistance and type 2 diabetes.
  • Sleep-deprived partners. Loud snoring can interrupt partners’ sleep and eventually compromise relationships.

Obstructive Sleep Apnea can also have adverse effects on a person’s oral and dental health.

Dry Mouth

Saliva is the mouth washes away food debris, neutralizes acids caused by bacteria. Sleep Apnea can dry out the mouth that can lead to oral bacterial infection, bad breath and other dental problems.

Teeth Grinding

People who suffer from sleep apnea also have a tendency to grind their teeth while they sleep. Teeth grinding, or bruxism, can damage the enamel, weakens them and cause tooth decay.

Tooth Loss

When left untreated for an extended period, sleep apnea can dry out the sockets of your teeth. This, when coupled with teeth grinding, can loosen and cause tooth loss over time.

Therapies

  • Continuous positive airway pressure (CPAP). It is a machine that delivers air pressure through a mask placed over the nose that will keep open the airway.
  • Expiratory positive airway pressure (EPAP). They are small, single-use devices that placed over each nostril that allow air to move freely in and out.
  • Oral appliances. They are designed to keep the throat open by bringing the jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea.

Several devices are available from treatments. It’s always recommended to talk with the physician to properly diagnosed and treat any sleep related disorder.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

https://medlineplus.org

https://sleepfoundation.org

https://www.sleepapnea.org



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