Posts for: March, 2020
Sleep — you'll spend a third of your life in its blissful embrace. But it isn't a luxury: you need it as much as nutrition and exercise. An occasional bad night's sleep leaves you irritable and drowsy; a bad night's sleep every night could endanger your health.
One of the most common causes for chronic poor sleep is obstructive sleep apnea. This occurs when the airway becomes blocked and you stop breathing temporarily. The blockage may be due to an oversized tongue, tonsils or uvula, an abnormal jaw or chin structure, or nasal polyps and congestion. When your brain notices you're not breathing, it rouses you just enough to relieve the blockage. These incidents can occur and end in seconds several times a night without you being aware of it.
This interrupts your normal sleep patterns, including the critical rapid eye movement (REM) of deep sleep that occurs at different times during the night. The results of not getting enough REM sleep are quite unhealthy: besides irritability and reduced concentration, poor REM sleep is linked to depression, headaches, decreased sex drive, acid reflux, high blood pressure or the onset of diabetes. Your night time experience — as well as your sleep partner's — won't be pleasant either as you may experience night time sweating and snoring.
Fortunately, sleep apnea can be treated. Our first considered treatment is a custom-fitted night guard you wear while you sleep that holds the tongue back from the airway. If your apnea is more severe, you may need to consider continuous positive airway pressure (CPAP) therapy, which uses a machine to pump pressurized air through a mask you wear while sleeping to force the airway open. You might also benefit from surgery to remove excess soft tissue obstructing the airway.
If you or your family has noticed any of these symptoms mentioned, make an appointment to see us — we're trained to look for oral signs in the mouth that may indicate sleep apnea. The sooner we can implement a treatment strategy, the sooner you'll begin experiencing a good night's sleep and better health.
If you would like more information on sleep apnea and what to do about it, 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.”
A third of people treated for cancer develop adverse side effects within their mouth. But while these effects can be devastating to teeth and gums, there are ways to minimize the damage.
Treatments like chemotherapy and radiation work by destroying cancer cells. Unfortunately, they may also destroy normal cells. The accumulation of this “collateral damage” ultimately affects uninvolved areas and organ systems of the body. Chemotherapy, for example, can interrupt bone marrow blood cell formation and decrease the body's ability to fight infection.
These ripple effects can eventually reach the mouth. It's not uncommon for cancer patients to develop mouth sores or see an increase in tooth decay or periodontal (gum) disease. The treatments may also inhibit saliva flow: because saliva neutralizes acid and provides other benefits that lower disease risk, dental disease is more likely to develop when the salivary flow is reduced.
The first step to minimizing these effects is to improve oral health before cancer treatment begins. An unhealthy mouth vastly increases the chances for problems during treatment. Cooperating with your cancer physicians, we should attempt to treat any diseases present as soon as possible.
During cancer treatment we should also monitor your oral health and intervene when appropriate. If at all possible, you should continue regular dental visits for cleaning and checkups, and more so if conditions warrant. We can also protect your teeth and gums with protective measures like antibacterial mouth rinses, saliva stimulation or high-potency fluoride applications for your enamel.
What's most important, though, is what you can do for yourself to care for your mouth during the treatment period. Be sure to brush daily with a soft-bristle brush and fluoride toothpaste. You can use a weak solution of one-quarter teaspoon each of salt and baking soda to a quart of warm water to rinse your mouth and soothe any sores. And be sure to drink plenty of water to reduce dry mouth.
While you're waging your battle against cancer, stay vigilant about your teeth and gums. Taking care of them will ensure that after you've won your war against this malignant foe your mouth will be healthy too.
If you would like more information on taking care of your teeth and gums during cancer treatment, 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 “Oral Health During Cancer Treatment.”
Celebrities’ controversial actions and opinions frequently spark fiery debates on social media. But actress Dakota Johnson lit a match to online platforms in a seemingly innocent way—through orthodontics.
This summer she appeared at the premier of her film The Peanut Butter Falcon missing the trademark gap between her front teeth. Interestingly, it happened a little differently than you might think: Her orthodontist removed a permanent retainer attached to the back of her teeth, and the gap closed on its own.
Tooth gaps are otherwise routinely closed with braces or other forms of orthodontics. But, as the back and forth that ensued over Johnson’s new look shows, a number of people don’t think that’s a good idea: It’s not just a gap—it’s your gap, a part of your own uniqueness.
Someone who might be sympathetic to that viewpoint is Michael Strahan, a host on Good Morning America. Right after the former football star began his NFL career, he strongly considered closing the noticeable gap between his two front teeth. In the end, though, he opted to keep it, deciding it was a defining part of his appearance.
But consider another point of view: If it truly is your gap (or whatever other quirky smile “defect” you may have), you can do whatever you want with it—it really is your choice. And, on that score, you have options.
You can have a significant gap closed with orthodontics or, if it’s only a slight gap or other defect, you can improve your appearance with the help of porcelain veneers or crowns. You can also preserve a perceived flaw even while undergoing cosmetic enhancements or restorations. Implant-supported replacement teeth, for example, can be fashioned to retain unique features of your former smile like a tooth gap.
If you’re considering a “smile makeover,” we’ll blend your expectations and desires into the design plans for your future smile. In the case of something unique like a tooth gap, we’ll work closely with dental technicians to create restorations that either include or exclude the gap or other characteristics as you wish.
Regardless of the debate raging on social media, the final arbiter of what a smile should look like is the person wearing it. Our goal is to make sure your new smile reflects the real you.
If you would like more information about cosmetically enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Space Between Front Teeth” and “The Impact of a Smile Makeover.”