Do you suffer from Sleep apnea? Do you snore at night? Sleep apnea, a sleep disorder characterized by pauses in breathing during sleep, lasts long enough so that one or more breaths are missed, and such episodes occur repeatedly throughout sleep. Common signs and symptoms include gasping, choking or silences during sleep, sudden awakening during sleep, loud snoring and daytime sleepiness. Not only can sleep apnea affect your energy levels throughout your day, but chronic sleep apnea carries potentially dangerous health affects. Thankfully, your dental professional can help!
Sleep apnea (a lack of oxygen) carries heightened risk of cardiovascular disease, stroke, high blood pressure, arrhythmias, diabetes, and sleep deprived driving accidents. Stroke is associated with obstructive sleep apnea as well, as sufferers have a 30% higher risk of heart attack or premature death than those unaffected. Risk factors can often be managed easily without major medical intervention. Being overweight or obese, nasal congestion or blockage and relaxed tongue/throat muscles often contribute to sleep apnea. Avoiding intake relaxants like alcohol or sedatives can play an important role in reducing the occurrence of sleep apnea.
There are three basic types of sleep apnea. Obstructive Sleep Apnea (OSA) is the only type of sleep apnea that can be treated by your dentist. Central Sleep Apnea is when a person’s brain “forgets” to signal the chest muscles to breathe during sleep. This variation of sleep apnea requires medication prescribed by your physician. Mixed Sleep Apnea is a combination of the preceding two types, and is the most difficult type of sleep apnea to diagnose and treat.
What can be done about sleep apnea – and how can your dentist play a role? The first step is diagnosis. Sleep apnea is diagnosed with a “sleep study”. An individual with sleep apnea is rarely aware of having difficulty breathing, even upon awakening, and is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body. Symptoms may be present for years without identification, during which time the sufferer may become conditioned to the daytime sleepiness and fatigue associated with significant levels of sleep disturbance.
One of Many Snore Guard Designs Pictured Above
Once a breathing problem during sleep has been established, there are two main routes of therapy for mild or moderate sleep apnea. The first is Oral Appliance Therapy, to reposition your lower jaw into a forward and downward position, opening up your throat, typically given by your dental care professional or physician. There are several designs from a simple diagnostic one to more sophisticate double jaw design. Your treating health professional will help to determine which would fit you better.
For more severe cases, the use of a continuous positive airway pressure (CPAP) device can help, which ’splints’ the patient’s airway open during sleep by means of forcing pressurized air into the throat. The CPAP machine assists only inhaling, whereas a BiPAP machine assists with both inhaling and exhaling and is used in more severe cases. Home remedies to treat sleep apnea include loose weight, treating allergy to decrease the volume of inflamed soft tissue of the airway, using a humidifier (in conjunction with the CPAP machine), trying a saline nasal spray before sleep.
If you have been diagnosed with OSA and think your dentist can help, be sure to bring your concerns to his or her attention.
Did you catch the 2010 Winter Olympic Games in Vancouver? The games present an exciting and fiercely competitive time for the globe’s top winter athletes! One thing I noticed while watching the 2010 Vancouver games is how many athletes wore their protective mouth guards during the competition, which was very exciting to me.
It was not uncommon to see athletes removing and replacing their mouth guards before and after events; most wear clear silicon rubber guards while some wear colored ones. I am very pleased to see the awareness of preventing sport injuries on globally broadcast television - all athletes with a chance of injury should be wearing a sport mouth guard to prevent oral facial injury, jaw injuries and even brain concussions.
The dangers of an unprotected oral cavity don’t just apply to olympians – any physical activity can result in an accident without safety precautions! Proper protection in the form of a custom-fitted mouth guard is vital to assure the health and safety of your teeth, jaw and fasciomuscular system. Using your teeth as a tool for anything other than eating food – even opening a plastic bag – can cause a tooth to crack.
Vancouver Canuck champion Kyle Wellwood lost tooth #8 in an ice hockey injury.
Dental trauma usually results from an accidentally cracked or broken tooth. Many times, teeth that have previously been treated with a root canal are prone to breakage due to a weak and/or compromised structure. All root canal teeth should be capped with a crown to protect the tooth structure. Certain hard foods can also trigger tooth breakage, such as corn nuts, popcorn, hard candy, and especially ice! Tooth decay, periodontal disease and even cracked teeth can all be prevented! Most hygienists will inform patients of important daily cleaning habits, but rarely elaborate on dental trauma and how to prevent it.
If you ever find yourself in a situation with missing teeth, try and preserve them in milk. If your tooth becomes cracked, avoid using your mouth and get to your dental professional ASAP! If you have a night guard (or mouth guard), wear it to protect the site. If you can get to your dentist in a timely manner, the teeth may be reattached. Simple chipping can be repaired rather simply (bonding or porcelain veneers can be explored with your dental care professional). Your doctor will be able to evaluate you further and discuss whether more extensive procedures are necessary (like implants or a root canal). Whether you’re jogging in your neighborhood or racing for the gold, being prepared will help you avoid dental trauma.
” Doc – My tongue hurts! It hurts to eat, drink , even talking hurts!” These are unfortunate symptoms of glossitis.
It’s not a canker sore or a new piercing – a tender feeling tongue with a burning sensation and a red color, swollen with a smooth appearance indicates glossitis – inflammation of the tongue. The causes of an inflamed tongue may stem from local factors like contact with irritants – tobacco, alcohol, spices, hot food and liquids. Dental conditions can also contribute to an inflamed tongue, such as chipped or rough tooth surfaces. Viral infections like herpes simplex, canker sores and even allergic reactions – food, toothpaste, mouthwash – can all contribute to glossitis as well!
An inflammation of the tongue (glossitis) typically leads to a change in the appearance of the tongue surface. Protrusion projections on the tongue’s surface layer (called papillae) may be lost, losing the classic bumped appearance, making the tongue appear completely smooth. Red or irregular patches of pale skin is called geographic tongue, and usually has no symptom but is a chronic condition that does not go away. An overly sensitive tongue might lead to difficulty speaking or swallowing. In some cases, glossitis may result in severe tongue swelling which can impede the throat, making it very difficult to breathe, a medical emergency that would require immediate attention.
Though not widely known, the tongue is a great indicator of our body’s general health. Experienced practitioners in alternative medicine can often diagnose an individual’s physical condition by just looking at a patient’s tongue! An inflamed tongue can be associated with a disease, disorder or condition like anxiety, depression, hypothyroidism, hormonal changes, immune system alterations, drugs reactions, leukemia,a vitamin deficiency in folic acid, B12 and iron, or even cancer.
So what are the treatments of glossitis? We do need to differentiate the cause of the inflammation of the tongue first.As previously mentioned, a vitamin deficiency such as iron deficiency anemia, pernicious anemia and other B-vitamin deficiencies are the most common reasons for a painful tongue. Oral lichen planus, erythema multiforme, aphthous ulcer, pemphigus vulgaris, syphilis, and others can also be culprits of causing glossitis. Irritants such as alcohol, tobacco and spicy foods and even certain medication may also cause temporary glossitis.
The important thing to remember with an inflamed or burning tongue is that reversing the inflammation is the primary treatment goal – if the inflammation is treated, other side effects (like burning sensations, redness etc) will almost always dissipate. Take both vitamin C and vitamin B complex every day, as these are the most common vitamin deficiencies associated with a painful tongue.
Cutting back on bad daily habits (like drinking and smoking),watching your diet for possible allergic reactions and better managing your daily stress will also aid in healing your tongue back to a healthy and normally functioning condition. If the symptoms of a painful tongue persist after two to three weeks of home self management, visit your health care professional to rule out any other possible medical conditions.
On Halloween (October 31st) weekend, Autism Awareness Walks took place from San Francisco to New York and everywhere in between. Michelle Parris, a walker in Washington, D.C. came out to the Washington Mall ready to walk 2.5 miles for her son Miles. “I just want other people to not have to deal with the same difficulties that my son has dealt with,” she said. “If there’s a way that we can end it that would be great.” The annual Autism Awareness Walk is to raise funds and awareness to help fight autism, a disorder of neural development that hampers certain skills associated with social interaction and communication. Idiosyncratic use of language is also consistent. People suffering from autism also often suffer from restricted and repetitive behavior. The condition begins to show itself in children as young as two years old. Because much of the condition is still fairly mysterious, raising awareness and funds to fight autism is vital.
Often times, children suffering from autism are very difficult to treat by a physician – especially in dentistry. Autistic children often have a very hard time trusting physicians (especially if he or she is unfamiliar with said physician). In regards to dentistry, autistic children can have difficulty sitting still. This can make orthodontic treatment very difficult, especially if the child does not like braces or feels they are causing him or her pain. An autistic child can be treated just as successfully as any child if he or she is treated with patience and care.
Regarding dental home care, brushing and flossing will require a family member’s daily help and guidance. Nutritional needs for Autistic children are extremely important, not just for dental hygiene, but for the brain. There are researches showing how certain foods seem to affect the developing brain of certain children, causing autistic behavior. This is not because of allergies, but because many of these children are unable to properly break down certain proteins. Researchers in England, Norway, and at the University of Florida had previously found peptides (a breakdown product of proteins) with opiate activity in the urine of a high percentage of autistic children. Opiates are drugs, like morphine, which affect brain function. These findings have recently been confirmed by researchers at Johnson & Johnson’s Ortho Clinical Diagnostics. Gluten-free diets (a protein fraction found in wheat, rye, barley and most oat products) and Casein-free diets (a protein in dairy) are suggested. A professional nutrition consultation is really a must.
I was luckily blessed to have the opportunity to treat some special people who needed special care. Of course, every patient is special in my dictionary, but when dealing with someone who cannot communicate (or resists treatment), the challenge is greater to make that person better. You can also feel the love in between the family members – the special person actually plays the “glue” role to get the family together! When you see them together, it is such a beautiful scene.
Treating Autistic or any other special people can be an extremely rewarding experience. Everything is possible if we determine how to make things better; with patience, love and knowledge, we can experience miracles!
Trick or treat! The sweetest and most scary time of the year! Saturday eve, your street will likely be filled with ghouls, vampires and princesses all vying for your sugar-laden loot. Be it chocolate, sweet tarts or candy corn, be careful! It is important to remind the little ones that sweets will not be so sweet if we do not carefully clean it afterward!
We all know that we should brush and floss after every meal, especially after eating sweets, as within minutes, the sugar turns to acid and bacteria strives, the erosion and decay process initiates, and your candy isn’t so sweet any longer. Dental decay and gum disease are the consequences of poor oral hygiene conditions. For baby teeth, enamel is thin and not hard, and is very vulnerable to decay. Bad oral health is not isolated to the mouth, but can cause systemic problems including (but not limited to) heart disease, digestive problems and even dementia. It has been theorized that inflammation from periodontal disease, a hard-to-cure condition in which the bacteria get into your blood stream increases inflammation throughout your body, which challenges the body’s immune system, making it more susceptible to sickness.
A few examples of systemic health problems stemming from periodontitis include increased blood sugar levels in diabetics and a doubled likelihood of developing coronary artery disease. Expectant mothers with gum disease may also be several times more likely to give birth to a premature, underweight and sick child.
We all need to get into the habit of carrying our oral health tools – a toothbrush and floss. This is a particularly good habit to develop if you have children, encouraging them to brush after meals even in school, restaurants and when traveling. The minimum is that at least morning and night, twice a day, a mandatory oral hygiene routine is carried out. If your child has a sweet tooth or is prone to cavities, additional fluoride treatments might be necessary to strengthen the enamel, preventing a cavity. Ask your dental professional to be a part of the game plan to better equip your child in life for a healthy and happy mouth. If we can develop our child’s hygiene habits early on, that is a precious gift!
Halloween is scary season, and not just for costumes – it’s cavity season as well. Instilling good habits in your kids will ensure a healthy, bright and white future for your child’s teeth, and for their overall health as well.
In a recent study released by the Oral Health Journal, a systematic evaluation of patient oral hygiene for orthodontic patients has revealed stunning information that links poor patient oral hygiene with impacted orthodontic treatment quality and treatment times.
When a person seeks out orthodontic treatment to fix a problem (crooked teeth, a misaligned bite, etc…), he or she must realize that the bone is actually being remodeled. Orthodontic treatment rearrange teeth into a proper alignment, which pressure transfer to the roots of the teeth within the jawbone. Bone is actually lost and added during this process as the teeth are repositioned to their proper places as reaching the treatment goal.
Poor oral hygiene will influence your tooth and gum structures negatively. The progress of orthodontic treatment consist of inflammatory and regenerative responses. A mouth with plaque and tartar build-up will trigger the body’s inflammatory response, amplifying the already inflamed structures associated with orthodontic treatment and can lead to a prolonged inflammatory stage and a delayed regenerative phase within orthodontic treatment. Poor oral hygiene during orthodontic treatment can and will have a damaging affect on your treatment goals as well. Reports have shown that “poor oral hygiene can increase treatment times from 1.2 to 2.2 months – other consequences of poor oral hygiene during orthodontic treatment affect the quality of the end result of treatment.” Whereas standard orthodontic treatment (in a clean mouth) leads to the balanced loss and gain of bone, poor oral hygiene restricts the ability of new bone to grow, affecting the treatment results.
Orthodontic treatment seeks to improve a patient’s oral health, but what every patient must remember is that a treatment plan can only be fully realized if both the doctor and the patient are making concerted efforts to correct a problem and stick with a course of action. A patient’s oral health cannot improve without patient compliance. If a patient sees his or her orthodontic specialist (or physician or dentist) on a regular basis but does not fulfill his or her duties to maintain a clean and healthy oral environment, no improvement will ever be seen. A doctor and a patient must work together to obtain a successful result.
Remember that your dental professional may be a miracle worker, but that does not retract your obligation to maintain proper oral hygiene (or any other instructed daily routines)! Any orthodontic treatment plan is a dual-sided plan that requires dedication from both the physician and the patient. Without proper compliance from the patient, prolonged treatment time and reduced oral improvement will result.
My husband is an avid snow skier, and has been hitting the slopes since he was 16 years old. Now, in his late 60s, the joints in his back have become dislocated, and eventually became herniated. The rough sport has taken its toll on his back – he has had five (yes, five) back surgeries over the past several years, and as a result, his many surgeries have left him with a constant, staggering pain – an all too common scenario with athletic individuals, especially in the sports medicine field. Having tried several medications (without much luck), he finally came across Cyclobenzaprine, a muscle relaxant that works for him. Taking the edge off of the pain however hasn’t come without its price – xerostomia, or dry mouth, is the major side effect which my husband – and many others – have a hard time dealing with.
Prescription medication can cause dry mouth.
Cotton mouth, dry mouth – xerostomia has many names, but the feelings associated with a dry, parched mouth and throat are all the same. Xerostomia is a condition in which the salivary glands of the mouth do not function as they should, and provide a less-than-adequate supply of saliva into the mouth. In the instance I mentioned above, xerostomia is not just a medical condition that derives from poor oral hygiene or bad dietary habits, but can be a unpleasant side effect from prescription medication. As explained in an earlier blog post on toothmingle.com about dry mouth, xerostomia can stem from over 400 prescription and OTC medications, including anti-depressants, anti-hypertensives, painkillers (like Cyclobenzaprine) tranquilizers, analgesics, diuretics and antihistamines.
In most cases, as it was with my husband, the dry mouth side effect is more than acceptable, as his back pain was debilitating – but there are steps one can take to help alleviate xerostomia. Avoid alcohol and caffeinated beverages as they can parch the oral cavity, leeching moisture and making the effects of xerostomia even more pronounced than normal. Dry and salty foods, processed foods (such as potato chips, candy and doughnuts) will also cause the mouth to become dry and parched. Smoking will also leave the mouth overly dry and uncomfortable (not to mention its devastating effects on your teeth and lungs).
Drinking water will definitely help curb dry mouth, so take small sips of quality water often. The important things to realize is how important it is to keep your oral hygiene in top condition. Oftentimes, the random decay associated with dry mouth is hard to treat; fluoride treatment at home or at a dental office is a good idea. Keeping a humidifier in your bedroom can also help to eliminate some discomfort with dry mouth.
There are over the counter and prescription drugs available to eliminate symptoms and signs of dry mouth; if home remedies and correction of your diet and habits does not solve the problem, consult with your dental or medical professional.
Anti-Aging is something of a buzzword in today’s marketplace: the medical community, the marketing community and nearly every community in between seems to have been captured by this craze. What exactly is anti-aging? The concept is to reduce the visual signs of a person’s age to make one appear younger, more vibrant and more beautiful. While there are a range of methods and procedures available to the public to accomplish anti-aging, the patient themselves must be willing to make changes to his or her lifestyle in order to sustain the changes provided by his or her physician.
I recently attended the 5th European Congress in Aesthetic Dermatology and Surgery in Anti-Aging Medicine, hosted by the European Masters in Aesthetic & Anti-Aging Medicine (or EMAA) in Paris, France. The conference focused on a plethora of anti-aging information and news in the field, but what I found interesting were the procedures tailored toward dental medicine. Botox, or Botulinum toxin, is a neurotoxic protein that is in fact one of the most poisonous substances known to man! Despite the dramatic definition, the use of very small amounts of this toxin to treat muscle spasms in anti-aging medicine is widespread. Botox relaxes muscle spasms in a way that can reduce wrinkles, by training specific muscle groups to relax and lower tension. Botox effects wear off between three and six months, and will need to be re-administered to maintain results.
From the dental aspect, Botox can be used to control a gummy smile. Botox relaxes the muscles in a person’s upper lip – known as hyperactive upper lip – which contributes to a gummy smile. When Botox is injected into the muscle group in a person’s lip, the toxin actually relaxes the muscles and restricts the muscle’s ability to overly contract upward thus showing excessive gum tissue . Botox can also be used to control facial muscle spasms that contribute not only to wrinkles and frown lines, but to headaches as well. By undergoing Botox therapy, the muscles in the lips and face can be trained to eventually relax on their own.
Although Botox may sound like a miracle drug for reducing the appearance of gummy smiles, fine lines and even headaches, one must remember that any anti-aging treatment plan is dual-fold: the patient must be committed to their health in order to achieve long-lasting results. Patient compliance is key in any medical treatment plan, but when it comes to anti-aging, a healthy lifestyle can make all the difference in the world. Diet is one of the most important factors in patient compliance. Everyone has heard the age-old saying “you are what you eat,” – it is absolutely true.
A patient who is concerned with his or her physical health and appearance – and is willing to go through Botox therapy to achieve anti-aging results – must realize that his or her diet is vital to achieving long-lasting results. Vegetables, lean proteins and minerals are all vital in achieving healthy skin, bones and organ function. A poor diet high in refined sugars, fat and carbohydrates with poor habits (like alcohol consumption and smoking, staying up late and no exercise) all will contribute to a faster aging process. We all wishto be young and healthy forever – it all starts with healthy choices.
Full, sexy and luscious lips! It’s something that nearly all women – and some men – long after, some even go to the plastic surgeon to obtain them! Full lips are attractive and can make you look younger and more full of life. When lips spread wide to reveal beautiful smiles, accentuating cheek bones are the perfect accessory for an attractive and healthy image. Save your money and peace of mind, try these easy lip exercises to stimulate collagen production and get a fuller looking lips. These exercises will train your facial muscles and can actually give you the full pouty lips you’ve always dreamed of – without requiring a doctor (and without making your purse lighter)!
There are ways to gain full lips if you weren’t lucky enough to be born with them! For woman, lip-plumping make up is one option as well as lip augmentation (implant surgeries or injections) which artificially give sexy lips, but for some women, the results are not very natural looking – or even attractive. The first exercise works the Musculus Levator Anguli Oris (or Caninus), which is located immediately under the lower medial rim of the orbital cavity (which lifts the corner of the mouth). Lift the corners of the mouth by pulling your lips in and over your teeth (almost making your lips disappear into your mouth). From this position, pull up both corners of the mouth into a pseudo-smile. Repeat this exercise ten times!
The second exercise works the Musculus Orbicularis Oris, which consists of the sinewy fibres of the corners of the mouth. These muscles start above the upper and below the lower lip, providing the basis for the structure of the lips (and also function as the opening and closing mechanism of the mouth). To exercise this muscle and help bring out fuller lips, with forceful tension, pucker your lips as if getting ready for a kiss. Repeat this exercise ten times, holding the pucker for at least one full second. You can support the exercise by tightly pressing your nostrils together. Repeat ten times!
The third and final exercise works the same muscle group (Orbicularis Oris Muscle) but the exercise is different. Press your lips tightly together, as if pursing them tightly to prevent something from parting your lips. To avoid creating wrinkles, position the tip of your middle fingers at the corners of your mouth and pull slightly to the outside. Again, repeat ten times! By following these simple and easy “facial yoga” exercises, you will begin to develop fuller, stronger lips. Keep in mind that water intake will help maintain your lip plumpness (8 glasses of water every day is essential for your body to maintain itself), and keeping your lips moisturized will help as well. These exercises stimulate collagen production in your lips and will eventually build up your smile to a beautiful one! These exercises can also help to improve muscle tone and skin elasticity!
As we’ve learned time in and time out, the oral cavity is integrally and systematically linked to the health of various other bodily systems – here we are focusing on kidneys. The kidneys serve for the production of urine as their primary function, excreting unnecessary bodily fluids and compounds. Kidneys also have several secondary functions concerned with homeostatic functions. These include the regulation of electrolytes, acid-base balance, and blood pressure. If you have kidney problems, apart from the well-advertised urinary and homeostatic problems, your oral health could deteriorate as well!
People with long-lasting (or even recently discovered) kidney problems often times have a bad taste in their mouths. Also related, they often have bad breath (halitosis). These problems – both of which are indicators of a serious problem in your system – occur because the kidneys fail to remove the organic compound urea from the blood. Urea breaks down to form ammonia, which has a pungent odor that is quickly noticeable; bone changes may also occur because the body cannot absorb calcium properly. Imbalanced calcium levels will weaken your bones, loosing bone from your jaw. Teeth may become loose or eventually fall out because of the calcium deficiency often resulting from kidney disease. The best way to help prevent bone loss is to make sure calcium and phosphorus levels stay within the goal range.
Anorexia, anemia, xerostomia, high blood pressure and heart disease, inflammation of the mouth, salivary glands and gum disease can all be symptoms and complications when dealing with kidney disease, apart from the influence of medication. When you have these symptoms, not only should a dental professional be contacted to provide dental examinations and treatment, but also a physical examination is needed. If you have kidney disease or are on dialysis, you should plan to receive any dental treatments on non-dialysis days for those on hemodialysis. Heperin, administered during hemodialysis, may cause some people to have prolonged bleeding. Kidney disease can also weaken the immune system and make us more susceptible to infection, so prophylactic antibiotics maybe needed before invasive dental treatment.
During the work up for a kidney transplant, a person will need to have a thorough oral examination. Any infection or disease of the gum or tooth can prevent someone from being eligible, or delay the transplant until the patient is free of gum and dental infection .
Keep up your home care program, brush and floss after every meal and follow a properly designed diet by your dietitian. Special dietary needs must be met if you have a compromised kidney condition. Regular visits to the dentist can also reduce the risk of oral infection and dental disease.
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Sleep apnea (a lack of oxygen) carries heightened risk of cardiovascular disease, stroke, high blood pressure, arrhythmias, diabetes, and sleep deprived driving accidents. Stroke is associated with obstructive sleep apnea as well, as sufferers have a 30% higher risk of heart attack or premature death than those unaffected. Risk factors can often be managed easily without major medical intervention. Being overweight or obese, nasal congestion or blockage and relaxed tongue/throat muscles often contribute to sleep apnea. Avoiding intake relaxants like alcohol or sedatives can play an important role in reducing the occurrence of sleep apnea.
. Sleep apnea is diagnosed with a “sleep study”. An individual with sleep apnea is rarely aware of having difficulty breathing, even upon awakening, and is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body. Symptoms may be present for years without identification, during which time the sufferer may become conditioned to the daytime sleepiness and fatigue associated with significant levels of sleep disturbance.
