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The Four Types of Teeth and How They Function

Sat, 25 Nov 2023 23:52:40 GMT

Your teeth and the structure of your mouth play important roles in your ability to eat and speak and stay healthy.

Most of us take our teeth for granted … until something goes wrong. Our teeth help us chew and digest food, play an important role in speech, and impact our health overall. And by brushing up on your dental health knowledge, you’ll be taking the first step toward giving your teeth the attention they deserve.

How much do you know about your pearly whites?

The Development of Teeth

Humans have two sets of teeth, primary (or baby) teeth and then permanent teeth, which develop in stages. Although the timing is different, the development of each of these sets of teeth is similar. Here are some facts about how people develop teeth:

Teeth tend to erupt in parallel, meaning that the top molar on your left side should grow in at about the same time as the top molar on the right.
Tooth development begins long before your first tooth becomes visible. For example, a baby’s first tooth appears at around six months of age, but development of those teeth actually begins during the early second trimester of pregnancy.
The crown of a tooth forms first, while the roots continue to develop even after the tooth has erupted.
The 20 primary teeth are in place by age 3 and remain until around 6 years of age when they begin to fall out to make way for the permanent set of teeth.
Adult teeth start to grow in between 6 and 12 years of age. Most adults have 32 permanent teeth.
Permanent teeth are larger and take longer to grow in than primary teeth.

The Parts of the Tooth

A tooth is divided into two basic parts: the crown, which is the visible, white part of the tooth, and the root, which you can’t see. The root extends below the gum line and anchors the tooth into the bone. Your teeth contain four kinds of tissue and each does a different job. These include:

Enamel. Enamel is the visible substance that covers the tooth crown. Harder than bone, enamel protects the tooth from decay. Enamel is made up of phosphorous and calcium.
Dentin. Underneath the enamel you find dentin, which is calcified and looks similar to bone. Dentin is not quite as hard as enamel, so it is at greater risk for decay should the enamel wear away.
Cementum. This tissue covers the tooth root and helps anchor it (cement it) into the bone. It is softer than enamel and dentin; the best way to protect this softer tissue from decay is by taking good care of your gums. Cementum has a light yellow color and is usually covered by the gums. But with inadequate dental care, the gums may become diseased and shrink, exposing the cementum to harmful plaque and bacteria.
Pulp. Pulp is found at the center of your tooth and contains the blood vessels, nerves, and other soft tissues that deliver nutrients and signals to your teeth.

Types of Teeth and What They Do

Teeth help you chew your food, making it easier to digest. Each type of tooth has a slightly different shape and performs a different job. Types of teeth include:

Incisors. Incisors are the eight teeth in the front and center of your mouth (four on top and four on bottom). These are the teeth that you use to take bites of your food. Incisors are usually the first teeth to erupt, at around 6 months of age for your first set of teeth, and between 6 and 8 years of age for your adult set.
Canines. Your four canines are the next type of teeth to develop. These are your sharpest teeth and are used for ripping and tearing food apart. Primary canines generally appear between 16 and 20 months of age with the upper canines coming in just ahead of the lower canines. In permanent teeth, the order is reversed. Lower canines erupt around age 9 with the uppers arriving between 11 and 12 years of age.
Premolars. Premolars, or bicuspids, are used for chewing and grinding food. You have four premolars on each side of your mouth, two on the upper and two on the lower jaw. The first premolars appear around age 10 and the second premolars arrive about a year later.
Molars. Primary molars are also used for chewing and grinding food. These appear between 12 and 15 months of age. These molars, also known as decidious molars, are replaced by the first and second permanent premolars (four upper and four lower). The permanent molars do not replace, but come in behind the primary teeth. The first molars erupt around 6 years of age (before the primary molars fall out) while the second molars come in between 11 and 13 years of age.
Third molars. Third molars are commonly known as wisdom teeth. These are the last teeth to develop and do not typically erupt until age 18 to 20, and some people never develop third molars at all. For those who do, these molars may cause crowding and need to be removed.

Your mouth is important. Don’t take your teeth or oral health for granted. For good dental health, brush and floss your teeth regularly, don't smoke, eat a healthy diet, and see your dentist regularly for dental cleanings and checkups. A healthy mouth makes for a healthy body ... and a pretty smile.

Source: http://www.everydayhealth.com/dental-health/101/your-mouth-101.aspx

10 Foods That Will Turn Your Teeth Yellow

Tue, 24 Oct 2023 22:28:53 GMT

According to the Beverly Hills dentist group, any food that would discolor your white t-shirt will also stain your teeth. Also, certain foods can damage your enamel, which is the white layer on the surface of your teeth that gives them their sheen. The layer below the enamel is called dentin, which is considerably less brilliant than the enamel. Certain foods and drinks can destroy the enamel and leave only the dentin, which gives your teeth a duller, yellow look.

We have compiled a list of the top ten food and drinks that people should avoid to keep their teeth looking their whitest.

Colas:

The dark nature of cola makes them horrible on your teeth. Also, the sugar enriched syrups are horrible for teeth. To add injury to insult, drinking extremely cold beverages causes teeth to absorb the color even more. Avoid colas.

White and Red Wine:

Most people are familiar with the fact that red wine can stain your teeth, however, few people realize that white wine can be just as damaging. Wine contains a chemical called tannin, which can stain your teeth.

Tomato Sauce:

As good as tomato sauce is with spaghetti or tomato soup, it is one of the worst things for your teeth, both because of its coloration and because of its acidic nature.

Coffee:

Coffee is naturally very dark in coloration, and the caffeine is also very damaging to the enamel. To avoid the adverse effects of drinking coffee on your teeth, add more milk to make it less dark, or brush your teeth directly after drinking a cup.

Curry:

Curry is a delicious food that is common in many parts of the world. However, as good as it tastes, it is conversely bad for your teeth. The ingredients that give it its yellow tint also cause it to stain your teeth.

Tea:

Tea is another caffeine-infused drink that can damage your teeth. Similar to coffee, black or breakfast tea can leave a dark stain on your teeth. To avoid discoloring your teeth with tea, try drinking green tea or any other tea that is not infused with caffeine or which is not dark in color.

Berries:

Imagine the way that berries stain your white clothes. They have similar effects on your teeth. They are nutritious and good for you, but stain your teeth, so brush your teeth after a serving of berries.

Soy Sauce:

The dark coloration of soy sauce and its inorganic nature make it horrible on your teeth.

Beets:

Imagine how beets stain your clothes. They do the same to your teeth. If you are going to eat beets, make sure you brush your teeth afterwards.

Balsamic Vinegar:

Balsamic vinegar has a chemical compound that ruins the enamel of your teeth. Fortunately, if you eat it with on a salad, the salad tends to diminish the effects.

Source: http://www.zadehdentistry.com/10-foods-that-will-turn-your-teeth-yellow/

Choosing the Right Dental Floss for You and Your Family.

Wed, 11 Oct 2023 22:55:29 GMT

Although the array of flosses and flossing products can seem daunting, choosing dental floss does not have to be difficult.

You may be new to flossing or you may want to recommit to making daily flossing a part of your regular oral care routine. But no matter what reason you have for choosing dental floss, the most important point to remember is that the best floss for you is the floss that you will use every single day.

Results from a recent study published in the Journal of Periodontology showed that there was no difference in the plaque-removing ability of four different types of flossing products. In this study, 25 people were assigned to use four different products: an electric flosser, an unwaxed floss, a woven floss, and a shred-resistant floss. All four floss products showed significantly greater plaque removal compared with tooth brushing alone, and the electric flosser showed the highest average plaque reduction after one use.

Are you curious about electric flossers but worried about whether they are safe?

A study published in the Journal of Clinical Dentistry compared the safety and plaque-removing ability of an electric flosser and a standard dental floss. In this study, 78 people were assigned to use either a standard dental floss or an electric flosser. After 30 days of use, both groups had significantly less plaque on their teeth than before they began their daily flossing routines, and the electric flosser and the standard floss were equally effective at removing plaque. In addition, both flossing methods were found to be equally safe. No signs of trauma to the hard or soft tissues in the mouth were associated with using either product.

Since research shows that the electric flossers are as safe and effective as the standard floss, should you choose an electric flosser instead of one of the many types of standard floss? Many people can benefit from electric flossers, especially older adults who may have trouble manipulating floss with their fingers. Older children and teens may be more likely to use electric flossers than standard floss because they find them fun, especially if they like using electric toothbrushes.

But you need not choose only one type of floss or flossing product. Different members of your family may need or prefer certain types of flossing products, and these needs and preferences will change over time. Young children may start with specialized child-sized non-electric flossers, such as Oral-B’s Stages flosser series, and then graduate to an electric flosser or a spongy floss that fits around braces or other dental hardware.

If you’re uncertain about which type of floss is best for you or a member of your family, as your dentist or dental hygienist for advice. Here are some points that might be helpful:

Large gaps between your teeth? Try dental tape or Super Floss.
Not much space between your teeth? You may find that a waxed floss is easier to slide into those tight spaces.
Want less mess? Look for disposable flossers or floss in pre-measured strands.
Braces or bridges? A spongy floss is a good option, but any floss can be used if you wear dental appliances, especially if you have a floss threader.

Many people keep standard floss on hand for traveling, and use an electric flosser at home. If your spouse prefers, say, mint-flavored unwaxed floss while you prefer a coated dental tape, you can’t go wrong by keeping some basic floss on hand that everyone can use, such as Oral-B’s Essential Floss.

Just remember that when it comes to dental floss, flossing every day is the most important choice you and your family can make.

Source: http://www.oralb.com/topics/choosing-the-best-dental-floss-for-you.aspx

Laser Dentistry: What is Laser Dentistry?

Sat, 30 Sep 2023 23:07:03 GMT

What is laser dentistry? If you’ve never heard of this innovative type of dental care, now is the time to learn. Laser dentistry is a minimally invasive option when you’re facing gum surgery, cavity treatment, or other oral issues. Discuss your laser surgery options with one of our dentists today.

Laser Dentistry: An Overview

Medical professionals use lasers, which are extremely focused light beams, to alter or remove tissue in small amounts. Laser surgery is not limited to dentistry, but many people have never heard of laser dentistry before having it done. Dentists use lasers in a variety of procedures involving the inside of the mouth, be it to remove overgrown tissue, to reshape the gums, or to whiten teeth. Sometimes, laser dentistry is ideal for children who become anxious or afraid when having dental work done.

What Laser Dentistry Can Treat

Most issues laser dentistry treats are related to the gums. Some of these include:

Canker sore and cold sore pain treatments.
Treating root canal infections.
Treating gum disease.
Removing gum inflammation.
Gum reshaping.
Biopsies.
Exposing wisdom teeth.
Removing throat tissue that causes sleep apnea.
Regenerating damaged nerves.
Removing benign oral tumours.

Benefits of Laser Dentistry

Dentists choose laser dentistry because of distinct benefits that make the procedures go more smoothly, and also reduce discomfort and healing time for patients.

Patients are less likely to require sutures
Anesthesia may not be necessary
The laser will sterilize the gums, making infection less likely
Less damage to gums shortens the healing time
Patients lose less blood than traditional surgery

What Happens During Laser Gum Surgery or Other Dentistry?

When you come for your laser dentistry appointment, you might be surprised to discover that the process is very similar to other dentistry appointments, like tooth fillings. You receive anesthesia, though it might not be as much as you’re used to receiving. Some patients who experience anxiety might receive a sedative, too.

During the procedure, you won’t feel any vibrations or discomfort from the laser like you do from the drill. Any bleeding that occurs gets wiped away, just like before. Your mouth will be propped open as the dentist works with the laser to treat your issues.

Post-Operative Expectations

If you’ve ever had gum surgery done without a laser, you can expect that your post-operative experience after laser dentistry will likely be smoother. Because a laser causes far less bleeding than a scalpel, don’t expect the site of your surgery to bleed very much when you get home. You won’t have an open, bleeding wound the way you would with a scalpel procedure.

While you should still follow cleaning and care instructions to the letter, you’re less likely to get an infection. You also won’t typically experience the pain and discomfort associated with scalpel surgery because your post-op irritation is likely to be minor.

The Types of Lasers Used in Dentistry

The two main types of lasers dentists use during laser procedures are hard tissue and soft tissue lasers. Each laser uses a different wavelength that makes it appropriate for cutting into that specific type of tissue. This works because each kind of tissue absorbs wavelengths of light in different ways. By altering the light’s wavelength (and sometimes pulse) scientists have figured out how to craft lasers with light wavelengths compatible with the tissues in your mouth.

Hard Tissue Lasers

A hard tissue laser is used primarily for your teeth. The wavelength of one of these lasers cuts through both water and bone, specifically the calcium phosphate that’s in your bones and your teeth. These lasers can very accurately cut into your teeth, removing small amounts for shaping purposes or in preparation for procedures. Hard tissue lasers are used for:

Detecting cavities.
Dealing with tooth sensitivity.
Preparing teeth for dental fillings.

Soft Tissue Lasers

The soft tissue lasers use a light wavelength that hemoglobin and water absorb easily. Hemoglobin is the molecule found in blood, which makes soft tissue lasers ideal for gum work. Some soft tissue lasers are diode lasers, which is a type of continuous-wave laser.

These lasers are ideal for cutting into soft tissue and sealing the exposed blood vessels at the same time. This is the reason you don’t bleed very much during laser dentistry and why healing is quicker after laser dentistry. Soft tissue lasers are great for cosmetic procedures because you can begin to see results right away. Soft tissue lasers are used for:

Lengthening crowns.
Dealing with restricted tongue movement.
Reshaping the gums to create a more pleasing smile.
Removing folds in oral soft tissues caused by dentures.

Whether you’re having laser gum surgery or hard tissue work, expect an easier procedure and a shorter recovery time. Laser dentistry is a convenient solution to many oral and dental problems, whether serious in nature or simply cosmetic. Ask your dentist about laser dentistry the next time you need dental work completed

How to Get Rid of Dry Mouth

Mon, 18 Sep 2023 23:09:16 GMT

A decrease in the production of saliva can lead to dry mouth or xerostomia, according to Medicinenet.com it makes it difficult for you to speak and it can cause malnutrition. Worse, it may result to mouth and throat disorders.

You know you have dry mouth if you experience these things:

Recurrent thirst
A sticky, dry feeling in the mouth, and in the throat
Bad breath
Dry, red, and raw tongue
Dry nasal passages
Sores in the mouth
Sore throat
Cracked lips
Difficulty tasting, swallowing, and chewing
Problems with speaking

Certain medications, medical treatments, and diseases cause dry mouth. Your lifestyle can also contribute to this condition. For instance, smoking can affect the amount of saliva you make and therefore worsen dry mouth. But learning how to get rid of dry mouth can be easier than you think. Check these simple home care tips:

1) Stay hydrated by drinking 8 glasses of water a day. Refrain from or reduce your intake of coffee, alcohol and sodas because these can aggravate your condition. You have the option, however, to take sugarless drinks.

Sip water before, during, and after a meal; hence, it is important that you have a bottle of water wherever you go. Keep it inside your bag.

2) Are you using mouthwash? You may have to forget about your favorite brand. Check the label and if it lists alcohol as one of its ingredients, look for other products that are free from it. Yes, alcohol can be drying. You can also opt for mouthwash designed specifically for people who suffer from dry mouth.

3) How about making your own herbal mouthwash? That can be exciting. The steps are easy: You will only need to mix dried rosemary (1 teaspoon), aniseed (1 teaspoon), and dried mint (1 teaspoon) into the boiling water (2 ½ cups). Let it sit for 15 to 20 minutes. Strain before refrigerating.

4) Chew gums or hard candies but make sure they are sugar free or you make yourself at risk of tooth decay. However, some contain xylitol that may cause you to experience cramps or diarrhea when taken in large amounts.

You may want to try munching on parsley instead; it functions as a natural breath sweetener. Likewise, try snacking on water-rich vegetables like celery as it stimulates the saliva glands. If bad breath is already an issue, chewing on aniseed may help.

Learn to breathe through your nose. Never sleep with an open mouth as it also causes dry mouth.

5) Brush and floss your teeth every day. Do not forget to rinse your mouth during the day. Use fluoride toothpaste. Before going to bed, you may also consider using brush-on fluoride gel or rinse. Ask your dentist more about these. Make sure that you visit your dentist twice a year to avoid tooth decay and other dental issues.

If none of these steps seem to be effective, you will have to consult with your dentist or doctor immediately.

Source: http://www.kyrenefamilydentistry.com/blog/get-rid-dry-mouth/

BC COVID-19 Symptom Self-Assessment Tool

Sat, 31 Jul 2021 23:02:42 GMT

Dear Patients,

We are excited to have the opportunity to welcome you back! Our office has always utilized personal protective equipment (PPE) that follows the BCCDC & CDC guidelines; however, in light of the COVID-19 Pandemic we have instituted additional guidelines and protocols to ensure your safety.

You will see many changes, as we have new ways of scheduling your appointments and managing your insurance and financial transactions. First, you will be contacted 48-72 hours prior to your appointment via phone, text or email and asked a set of health-related questions.

It is required that we complete this questionnaire prior to your appointment. We will have to reschedule your appointment if we are unable to complete this step.

All the patients also encouraged to do and complete the Covid-19 self-assessment at https://bc.thrive.health/covid19/en , 48-72 hours before their appointment as well and inform us from the result of their assessment.

Below is a list of some of the enhanced precautions we have taken to protect you in addition to extensive team training on infection control and patient management procedures:

1. Personalized arrival procedures to guide you into the office and fallout the screening and consent questioner forms, follow up with hand washing or using hand sanitizer.

2. Maintain distancing in the reception area for essential caregivers and parents of minors if they cannot wait in a vehicle or outside the clinic;

3. Removed magazines and items that can harbor or transfer germs of any kind. Hand sanitizers will be positioned throughout the clinic;

4. Providing more education materials to enhance your awareness of health issues related to this pandemic;

5. We require a mask to be worn by ALL patients upon entering the office; All the patient encourage to bring their own pen, sunglasses and a warm jacket (since the office might be cold).

6. Installed sneeze guards or droplet barriers at all reception areas;

7. Require hand washing or hand sanitizing before and after of all appointments by our team and by our patients;

8. Introduce an oral pre rinse by all patients to reduce exposure to germs;

9. Require all team members to undergo periodic testing for COVID-19 and antibodies for the earliest detection of exposure should it exist;

10. Record temperature of every patient at the office;

11. Record the temperature and lung efficiency of every team member each day at beginning and end of work period;

12. Payment arrangements in advance to avoid delay and allow contactless exit from the appointment;

13. Enhanced operatory disinfection procedures of all surfaces between patients;

14. Enhanced HVAC disinfection with UV light and Electronic Filtration units;

15. Enhanced operatory disinfection procedures before and after all appointments with mist or fogging devices to access hard to reach places that can be easily missed;

16. New personal protection equipment like Face shields, gowns, and masks for our doctors and team to provide barriers against the smallest of germs;

17. Introduced protocols and using the extra-oral suctions equipped with HEPA filter to reduce or eliminate airborne aerosols during dental procedures;

18. Enhanced nightly disinfection procedures of equipment and office fixtures like computers, keyboards, telephones, tablets, chairs, doorknobs, and buttons that may be touched unconsciously;

19. Disinfection of all outside mail and packages that enter the building;

20. Longer appointment times for you to prepare and complete all appointment tasks and duties in the safest and most comprehensive manner;

21. Provide disease testing recommendations for exposure detection to viruses.

If you missed your appointment during the closure or have an upcoming appointment, we will be in touch soon. We look forward to seeing you!

We look forward to see you again soon

Dewdney Dental Center

COVID-19 increases value of oral appliance therapy for sleep apnea

Sat, 31 Jul 2021 22:58:21 GMT

Everyone knows that breathing is mandatory to sustain life, yet we rarely think about it, and often take it for granted! However, the current Flu Pandemic has certainly made us all too aware of its importance.

Obstructive Sleep Apnea (OSA) involves compromised breathing during sleep and is most often managed with Positive Airway Pressure (PAP). This device uses pressurized air to maintain airway patency during sleep. PAP has been considered “First Line” therapy for OSA since it was first introduced in the early 1980’s. Dentistry has an alternative to PAP for management of OSA, an Oral Appliance (OA), which maintains airway patency during sleep by holding the jaw in a forward position. Although PAP is considered “First Line” therapy for OSA, an OA is indicated as “Standard of Care” for all OSA severities if the patient cannot tolerate PAP, or if the patient simply prefers an OA to PAP. Studies demonstrate that only approximately 30-40% of patients wear their PAP all night, vs approximately 90% for OAs. Measurements of therapeutic benefit are similar for both devices, believed to be due to this much higher compliance rate. However, there is a very strong bias to prescribe PAP as Sleep Apnea therapy because PAP is more predictable at eliminating the OSA as measured by number of hourly events.

The COVID-19 Flu Pandemic has brought to light some very interesting concerns about use of Positive Airway Pressure (PAP) for the management of Obstructive Sleep Apnea (OSA). Although it has been known for some time that PAP can aerosolize respiratory droplets and spread them around the room during the night, it took the current Pandemic to highlight the medical implications associated with this; the potential to expose others to COVID-19. This is particularly concerning when one considers that OSA is estimated to afflict 1 Billion people globally, and for those that are managed, PAP is the most prevalent therapy.

PAP has been implicated with spreading COVID-19 within the Washington state nursing home that became ground zero in North America during this Pandemic. The First Responders that responded to the Life Care nursing facility in Kirkland Seattle late February used nebulizers and PAP machines to treat patients. “It’s best practice for us for people with respiratory illnesses,” said Jim Whitney, medical services administrator for the Redmond Fire Department. “We had no idea that we potentially had COVID patients there … We essentially aerosolized it,” said one responder after the fact, “We made it worse”. It was only later that King County public health officials advised Redmond Fire and other first responders in the region not to use PAP for patients suspected of having COVID-19 illness. Whitney said responders were using machines with specialized filters, which can reduce the amount of virus released. But King County public health authorities recommend that first responders avoid using PAP altogether. Redmond Fire has now discontinued the use of PAP for COVID-19 patients.

This March, the FDA published the following advisement, “If the number of ventilators in your facility is running low, consider alternative devices capable of delivering breaths or pressure support to satisfy medically necessary treatment practices for patients requiring such ventilatory support”, examples of alternative respiratory devices included PAP. They also recommended that appropriate precautions be exercised regarding environmental control or additional filtration where feasible, citing the concern for contamination of the room air and increasing risk of transmission. In April, Krieger and Thomas published an editorial in the Journal of Clinical Sleep Medicine which discussed that current PAP systems are “open” and do not filter expired air. They expressed concern of viruses being shed from the patients into the local environment. Using existing components, the authors described a circuit that they believe would be helpful in reducing viral shedding in COVID-19 patients on PAP devices. However, home PAP systems differ greatly by model and manufacturer and repurposing home units may be problematic. In spite of these efforts to make a PAP device more of a “closed” system, the fact remains that PAP is prone to leaks at the mask interface. In fact, ResMed, the inventor of PAP, provides the following perspective regarding mask leaks, a mask leak is not simply a “good vs. bad” dichotomy, but a spectrum, some degree of leak is quite acceptable. So, simply put, PAP masks will leak to some degree.

Out of concern for safety, there have been many other recommendations made regarding PAP use during this Flu Pandemic. The American Society of Anesthesiologists recently advised against PAP use for COVID-19 patients, this recommendation was based on experience with the SARS epidemic in 2003 along with studies that suggest PAP can pump viruses into the air, potentially increasing the spread of a contagious disease. Dr. Comilla Sasson, an associate clinical professor of emergency medicine at the University of Colorado School of Medicine recommends “not to use it … because we are concerned about community spread, and we have to assume that anybody with respiratory distress is a COVID-19 patient”. Toronto firefighters on overnight shifts are no longer allowed to personally use their PAP machines at work. Firefighters that use PAP during sleep will be moved to day shifts, and these measures will remain in effect until the COVID-19 risk has abated. This precaution is being taken to minimize the chance of spreading the virus, especially in light of the fact that some COVID-19 Positive patients are symptomless.

The American Academy of Sleep Medicine currently recommends that if a PAP user becomes positive for COVID-19, they should speak to their physician about assessing risks and benefits of continuing to use the PAP device at home. Persons at risk for infection from continued PAP usage include all cohabitants of the same household. In these cases, an Oral Appliance (OA) could be considered an effective alternative to PAP. An OA does not share any of the aerosol concerns associated with PAP use and is also much easier to disinfect daily in comparison to a PAP machine, hose and mask. For these reasons, the American Academy of Dental Sleep Medicine currently recommends that an OA should be prescribed as a First-Line therapy for OSA during the COVID-19 Pandemic.1 Of course, patients should not stop using their PAP without consulting with their physician first. If someone has tested positive for COVID-19 or presumes that they have some symptoms of the virus, then they should immediately sleep in separate rooms, and maintain distances even within the same household. They should also speak to their physician to help determine if they should continue PAP use. One needs to evaluate the pros and cons associated with spreading the virus all through the house vs. the specific individual’s circumstances and implications of not using it? Patients advised by their physician to stop using PAP should also avoid driving, because they may be sleep-deprived.

There has been much discussion about expecting a whole new “Normal” post COVID-19. Of course, a new level of vigilance will be exercised in the use of PPE once we are able to return to our offices. Likely, we will also be dealing with feelings of extreme apprehension from clinicians, team members and patients for the foreseeable future, this is human nature and unavoidable. Regarding OA therapy for management of OSA, it will be interesting to see if the well-entrenched bias for use of PAP over an OA to manage OSA will persist. I am anticipating that these current events will greatly influence the manner in which physicians, dentists, teams and patients view the OA alternative to manage OSA. Even the very best fitting PAP devices leak, this is simply a limitation of the technology, and acknowledged as acceptable by ResMed, the inventor of PAP. Now that we know about the liability associated with PAP, we can never unknow it! COVID-19 is not the first contagious virus, nor will it be the last.

References

Schwartz D, Addy N, Levine M, Smith H. Oral appliance therapy should be prescribed as a first-line therapy for OSA during the COVID-19 pandemic. J Dent Sleep Med. 2020;7(3)

Why Summertime is Hard on Kids' Teeth

Sat, 31 Jul 2021 22:46:09 GMT

Teens and summertime go together like the Fourth of July and cookouts. For many teens summer means carefree days of sleeping in, hanging out with friends, going to the movies and let’s not forget – no homework!

Unfortunately, teens and tweens sometimes take the summer off from oral hygiene too, and that makes it harder for kids to stay on top of cavity prevention. Many dentists know that summertime often means more time for kids to drink sodas, eat sticky candy and consume starchy foods like french fries, pizzas and white bread.

Dental Wire has reported previously on drinks and foods that hurt tooth enamel and foster cavities, and Agent Straight-Talk has offered healthy tips on foods and diets that are helpful for our teeth and oral health. But aside from the quality of food itself, what is it about summer that makes the tooth care of teens and tweens more difficult?

1) Kids have more free time in the summer so they invest much of that extra time doing what many of us like to do when the “fish are jumpin’, and the livin’ is easy” – eat. And much of what they’re eating lodges between their teeth, lingers in their mouth for long periods and feeds the bacteria that create cavities.

2) Summertime is hot, and many people like chewing or sucking on ice in an effort to stay cool. While chewing on ice may be a popular summer pastime, it is never a good idea because it can cause tiny fractures in the teeth that weaken them. Once weakened, the teeth may eventually break off or absorb extra bacteria into their fissures that become cavities.

3) Permissive parenting often means more popsicles, sodas and ice cream for kids with time on their hands and parents counting the days until school starts again. Because kids are often allowed to stay up later they may “forget” about brushing their teeth before bedtime and need reminded.

4) Prolonged exposure to chlorine in swimming pools can wear away tooth enamel. Anyone know of a kid who doesn't take in a couple of mouthfuls of pool water while swimming with friends?

Parents can ensure their kids take good care of their teeth and have a good summer with a few quick tips:

Have kids take their sweet or gummy vitamins with breakfast and before brushing their teeth each morning
Fun foods like nuts and yogurt strengthen a tooth’s surface so supplement your child’s sweet tooth with more healthy staples
Apples, pears, yogurt and other dairy neutralize acids in food like tomatoes and citrus so keep these on hand to counter less healthy summer treats
Keep your mouth closed while swimming and lightly brush your teeth afterwards
Have kids sip sugary drinks through a straw to minimize contact with the teeth
Encourage kids to drink water frequently during the day to wash their teeth and counter bacteria
Everyone in the family should brush twice daily and floss regularly

While summer presents some challenges for kids’ oral hygiene, using practical tips today can help parents enjoy lazy, carefree days without sacrificing their kids’ bright smiles in the fall.

Sources: Washington Post, WebMD, Delta Dental

Source: http://dentalinsurancestore.com/news-articles/dental-wire/2013/07/01/why-summertime-is-hard-on-kids'-teeth

PROTECT THAT SUMMER SMILE

Sat, 31 Jul 2021 22:38:32 GMT

Summertime for most means lots of time by the pool and out in the sun but did you also know it could mean dental health issues? Below you will find a list of some helpful tips to keep your smile safe this summer.

Summertime Smile Protection Tips

Stay Hydrated

This is good for your entire body but can especially be true when snacking and drinking by the pool. Keeping our mouths hydrated will help protect against tooth decay and keep our oral tissues moist and prevent them from drying out. Lemonade is a favorite summertime drink especially for kids but the high acidic content along with high sugar can equal a dry mouth and tooth decay development. Water will help wash away the excess sugars as well as neutralize that acidic content of the lemonade.

Snack Wisely

Making the right choices can keep you healthy while the wrong choices can damage your health. Good choices include fresh fruits like watermelon and bananas. Bad choices include many citrus fruits (which have a high sugar and acid content) and sugary snacks.

Sunscreen

Is Not Just For Your Body. Our dry summer heat here in Las Vegas can cause dry, chapped lips. Protected your lips with a lip balm or lip gloss with moisture and SPF protection is important. Damage to our lips can lead to oral cancer down the road. Try to use lip protection with an SPF rating of at least 15.

Protect Your Teeth.

Summertime also means outdoor activities including sports like basketball. It is important.

that you wear an athletic mouth guard to protect your teeth from the physical contact. There is also a possible reduction in risk of concussions when wearing a properly fitted mouth guard. A custom fabricated athletic mouth guard will keep your teeth safe while enjoying your favorite activities.

Swim Wisely.

Many people are unaware the damage swimming in a pool can cause on our dental health. Swimming in pools with high chlorine content can cause tooth enamel erosion. Swimming in the ocean is a better option. The high salt water content can actually reduce oral bacteria. SO, if swimming in a pool remember to brush and rinse regularly to limit the possible damage to your smile.

Avoid Sports Drinks.

Sports drinks have become extremely popular for athletes as well as non athletes. Most sports drinks are highly acidic with a high content of sugar. These drinks can lead to tooth enamel erosion as well as tooth decay. It is important to remember, sport drinks are made to replace what your body loses during extreme sweating and exertion, they are not meant to be a casual beverage consumed with lunch. Use them properly and you will not suffer the damage that they can incur.

Do Not Forget Breakfast .

People often forget the most important meal of the day especially in the summer. Skipping breakfast can lead to increased snacking on unhealthy items. Maintain a regular schedule of meals to stay healthy all summer.

Summertime is just around the corner, and it is never too early to get ready to protect our smiles and our families. Following these simple tips can keep you smiling all summer.

Source: http://drperrone.com/blog/summer-smile-protection/

Blueberry extract could help fight gum disease and reduce antibiotic use

Sat, 31 Jul 2021 22:31:07 GMT

Gum disease is a common condition among adults that occurs when bacteria form biofilms or plaques on teeth, and consequently the gums become inflamed. Some severe cases, called periodontitis, call for antibiotics. But now scientists have discovered that wild blueberry extract could help prevent dental plaque formation. Their report in ACS' Journal of Agricultural and Food Chemistry could lead to a new therapy for periodontitis and a reduced need for antibiotics.

Many people have had some degree of gum inflammation, or gingivitis, caused by dental plaque. The gums get red and swollen, and they bleed easily. If left unchecked, the condition can progress to periodontitis. The plaque hardens into tartar, and the infection can spread below the gum line and destroy the tissue supporting the teeth. To treat this condition, dentists scrape off the tartar and sometimes have to resort to conventional antibiotics. But recently, researchers have started looking at natural antibacterial compounds to treat gum disease. Daniel Grenier and colleagues wanted to see if blueberry polyphenols, which work against foodborne pathogens, could also help fight Fusobacterium nucleatum, one of the main species of bacteria associated with periodontitis.

In the lab, the researchers tested extracts from the wild lowbush blueberry, Vaccinium angustifolium Ait., against F. nucleatum. The polyphenol-rich extracts successfully inhibited the growth of F. nucleatum, as well as its ability to form biofilms. It also blocked a molecular pathway involved in inflammation, a key part of gum disease. The researchers say they're developing an oral device that could slowly release the extract after deep cleaning to help treat periodontitis.

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Story Source:

The above post is reprinted from materials provided by American Chemical Society (ACS). Note: Materials may be edited for content and length.

Journal Reference:

Amel Ben Lagha, Stéphanie Dudonné, Yves Desjardins, Daniel Grenier. Wild Blueberry (Vaccinium angustifoliumAit.) Polyphenols TargetFusobacterium nucleatumand the Host Inflammatory Response: Potential Innovative Molecules for Treating Periodontal Diseases. Journal of Agricultural and Food Chemistry, 2015; 63 (31): 6999 DOI: 10.1021/acs.jafc.5b01525

Source: http://www.sciencedaily.com/releases/2015/09/150902102651.htm