Snoring is common – most people snore occasionally – but is not a welcomed physical phenomenon. Snoring is noisy, disturbing, can affect the quality of your sleep and prevents your bedroom partner from having a peaceful night! So what are the causes and treatments of snoring? Technically speaking, snoring is defined as the vibration of respiratory structures and the resulting sound, due to obstructed air movement during breathing while sleeping. In some cases the sound may be soft, but in most cases, rather unpleasant.
Generally speaking, the structures involved during vibration (creating subsequent noise) are the uvula and soft palate; the irregular airflow can be caused by any part of airway. Blockage of these passages can be due to inflamed, enlarged glands or ‘floppy’ soft tissues, a large or set back tongue, a small or receded lower jaw or an obstruction of the nasal passageway. These physical attributes can be hereditary or from environmental influences like smoking, alcohol, medications, allergy, asthma and upper respiratory infection.
Snoring can also be a symptom of sleep apnea, an unhealthy condition. While snoring is caused by a narrow airway, sleep apnea is a true breathing obstruction, which awakens the sleeper to begin breathing again. It can occur frequently and can lead to sleep deprivation with further health repercussions. Snoring is a common symptom of sleep apnea, but snoring by itself does not involve the cessation of breathing.
Besides diagnosing what causes snoring, non-invasive and self-regulatory approaches to control snoring can be a good start: losing weight (decreasing fatty tissues which restrict the airway), sleeping with one’s head elevated and sleeping on one’s side (preventing the gravitational collapse of the airway), limiting alcohol consumption, smoking and medication intake (to prevent dilated, dehydrated, inflamed or floppy tissues), and clearing of the nasal passage (a stuffy nose can make inhalation difficult, creating a vacuum in your throat drawing movements the soft tissues). Nasal decongestants or nasal strips can also be effective in opening up the nasal passage; when combined with a snore guard under a health professional’s care, this can be very effective in treating mild to moderate snoring.
There are several designs of snore guards to aid in suppressing snoring, from a simple diagnostic bite plate to a fixed or adjustable double jaw device which repositions your lower jaw and/or tongue forward and downward (opening the airway at your throat). Ask your dentist whether he or she can help you with fitting a snore guard.If you suffer from severe snoring combined with sleep apnea, a continuous positive airway pressure (CPAP) machine is often used.
In most severe cases, a surgical approach might be advised. Surgical treatments like UPPP (Uvulopalatopharyngoplaty) and TAP (Thermal Ablation Palatoplasty) can relieve physical blockages to the breathing pathway. A pillar procedure (palatal implantation) can stiffen and cease vibration of the soft palate to stop snoring.
Playing the didgeridoo may help snorers!
One solution that might surprise you? Sing and playing musical instruments that tone up your throat muscle and soft tissues of one’s airway can help. Even playing the didgeridoo may help snorers! A 2005 study in the British Medical Journal found that learning and practicing the didgeridoo helped reduce snoring and sleep apnea (!) as well as daytime sleepiness. This appears to work by strengthening throat muscles , thus reducing their tendency to collapse during sleep.
At last, I wish everyone a quiet, peaceful and healthy night’s sleep every night – be well rested and ready to carry on a productive and happy tomorrow!
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.
How much water do you use in a day? A gallon? Five gallons? Sadly, few people at all know how much they use, but the amount is estimated to be as high as 60 gallons per person per day, including showers and toilet flushes. This figure has tripled since 1900! What also may seriously surprise you to learn is that the average American (who leaves their tap water on while brushing their teeth) wastes an average of 3.75 gallons of water every time they brush his or her teeth! If you brush your teeth with the tap running, you waste an average of 4 gallons. With tap off you only use 0.25 gallons.
Turn the water off!
With water shortages becoming more and more of a serious problem for more and more Americans in drought areas, conservation efforts must be stepped up if we expect our water supply to last. One of the easiest and simplest ways to do this is to turn off the tap while you brush your teeth! A person doesn’t actually need all of the water flowing out of a faucet head while brushing his or her teeth – a full cup of water will suffice just fine for an entire brushing session, including rinsing.
Whether you are concerned about ever-rising utility bills, the environment or even if you aren’t concerned with either, turning off the faucet when brushing your teeth is a simple, easy step everyone can take to make his or her lifestyle more sustainable. Just wet your toothbrush, brush thoroughly for two minutes and then rinse your mouth with water from a cup. Clean your toothbrush in the cup with the remaining water and then rinse off again with a short spurt of running tap water. Shake off the excess water on the toothbrush, rest your toothbrush in an upright position and let it air dry until next time.
Any homeowner or apartment-dweller can take a multitude of steps to save both water and money in their homes by installing a low-flow shower head in your bathrooms, replacing leaky faucets and placing a brick or a gallon-sized milk jug in his or her toilet reservoir. Newer washing machines (both clothing and dishes) also have “high efficiency” water ratings which guarantee that a specific amount of water will be used when running the appliance. Save the planet, save your wallet and save our water by turning off the faucet when you brush your teeth!
The economy has not yet recovered, and although we are out of the darkest corners of the recession, uncertainty still looms! Where should we put our money, where should we invest – what about investing in your smile? Believe it or not, taking care of problems you may have thought of as cosmetic (like a missing tooth) can actually prevent facial sagging and other signs of aging, while improving your quality of life.
It shouldn’t be news to hear that polls done over the last few decades have proven that a person’s smile is one of the biggest factors that make a first impression. A survey done by the American Academy of Cosmetic Dentistry found that 74% of American adults believe an unattractive smile can harm a person’s chances of career success. Does your smile show your true colors? If it doesn’t, speak with your dental professional about what options you might be eligible for in terms of cosmetic dentistry.
As we get older, our teeth shift around (and our smiles often degrade). This is primarily due to improper care of the oral cavity, including poor brushing and flossing habits (as well as not visiting your dental hygienist twice annually) or habits of drinking and smoking or clenching , grinding teeth at sleep. What you may not realize is that many of the most common aging symptoms – wrinkled skin, a slacked jaw, sagging lips – are partially caused by an unhealthy facial muscular system that did not provide proper support to the facial structure! As we clench and grind, our teeth shift and our bite falls out of alignment, contributing to many of the problems listed above. Thankfully, cosmetic dentistry can help prevent or repair some of these problems and restore our facial muscular system to its proper health and harmony, freshening up our appearance and providing a healthier oral system.
A bright and beautiful smile can take five to ten years off of your appearance, boosting your self esteem and empowering you to have a go-get-it attitude: a good thing in today’s economic environment! Speak with your dental professional today about your smile to find out what treatment options are available to you. Remember, prevention is always the best medicine. It’s always cheaper and easier to take care of problems before they exist!
You are what you eat! Your body can only repair, regenerate and replenish itself from what you put into your body; it’s a continuous cyclic phenomenon. A healthy diet is essential to maintaining a healthy body, healthy mind and healthy smile.
We have learned about the food pyramid and how a balanced diet can keep our body and mind healthy.We need carbohydrates like grains, fruits and vegetables to supply energy to the body and maintaining normal blood glucose level, cellulose fiber will regulate our internal systems to eliminate waste and reduce the risk of chronic diseases, such as heart disease and colon cancer. Protein (with its Greek root meaning “of primary importance”) including meats, fish, dairy and beans are essential to build and repair our body components. Protein builds muscle, normalizes the immune system and body function. Fats are needed to build our cell walls and conduct our neural transmissions. Lipids maintain the structure and support of our organs.Vitamins and minerals will optimize our health and prevent diseases. Finally, we should always keep our body well hydrated, because water is the single most major component of our body and cells.
Oral health is part of bodily health. For healthy oral tissues like gum and bone, we need the same healthy diet to prevent cavities, which also requires hygiene upkeep. The digestive process starts the moment you begin to eat. Bacteria in the mouth convert sugars from the foods you eat to acids, which although are helpful in breaking down your food, also begins to attack the enamel on teeth, starting the decay process. If you snack frequently, you are exposing your teeth to cyclic decay. Obviously, habits like this are detrimental to your oral health. Brush and floss twice daily, and after meals. Any less frequently could mean serious problems for your oral health!
Many of us live in a fast paced life and many young people’s diet are lacking the greens. Fruits and vegetables are important to our health for many reasons – they contain fiber in whole foods, and they contain phytonutrients, which are plant based nutrients (in the numbers of 20,000 or more), all of which work together to ensure our health. Alpha-carotene, lycopene, and a number of the other carotenes give our fruits and vegetables their rich vibrant colors, but they also help make our skin strong, our organs functioning well and they keep our immune system in check. Their antioxidant properties will also help our periodontal tissues to resist breaking down. When combined with fine proteins, they will help to repair and regenerate our soft oral tissues. Eat healthy, and preserve your body, your smile and your life!
People ask me all the time whether they should have laser bleaching to whiten their smile. “It all depends on whether you are in a hurry to get your teeth whitened, and whether or not you are a candidate for tooth whitening in the first place” – my typical response! The benefits of laser bleaching over an over-the-counter home solution include instant results, a painless experience and a completely guided procedure. If your teeth can benefit from teeth whitening, at-home tray bleaching techniques will work for most people unless their teeth are sensitive, eroding, severely worn or if they have gum recession. If you do have severely discolored teeth, a combination of laser bleaching and home bleaching would be the best approach to obtaining and maintaining a bright and dazzling smile.
Laser bleaching utilizes laser light energy to accelerate the chemical reaction of a bleaching agent, typically a hydrogen peroxide base product. Hydrogen peroxide is very unstable in response to light and heat (which is why over-the-counter 3% hydrogen peroxide solution is stored in opaque dark brown bottles). Because of this, light energy can excite peroxide molecules, breaking the covalent bonds of the bleaching agent. The agent then reacts to and breaks the long, discolored molecule chains into shorter-chained molecules, lightening the tooth color. The bleaching agent used with laser bleaching is a high-strength solution when compared to home bleaching agents or over-the-counter kits. Your mouth will be protected with an isolator to protect the oral tissues , and placement of the bleaching agent is done in a very controlled manner by a highly trained dental professional. Once a 10-to-15 minute bleaching cycle is complete, the teeth will be cleaned and evaluated to discern whether additional applications of bleaching agent will follow. Normal bleaching procedures involve three applications of the bleaching gel, with an “instant average” of six shades of whiteness typically resulting. Laser bleaching is instantly gratifying. In my office, you can watch a movie through virtual i-glasses while the procedure takes place, and before your movie is finished your teeth will have been transformed into a younger, prettier and whiter smile!
Many different types of lasers (or light) are used for eliciting fast chemical reactions in teeth whitening. Some people will experience more sensitivity when infrared energy (heat) is utilized, which appears in most dental offices, but a few alternatives like Argon or KTP lasers (which emit blue and green light) exist. These lasers have the correct level of energy required to excite the bleaching gel, but they leave the teeth cool and comfortable. Most sensitivity is transient, and should subside within a day (Ibuprofen will be helpful if there is any available). After a smile has been bleached with a laser, one must be very careful to maintain his or her newly brightened smile lest the brilliant white color fade and dull over time. Alcohol, soft drinks and smoking are all bad habits which can stain teeth and regress any laser bleaching process. A healthy diet will also be beneficial for your physical and oral health. If you take care of your mouth, your reward will be apparent with a happy and healthy smile.
Summer break is a busy time for oral surgeons, who are often busy extracting the wisdom teeth of college bound or high school students. This wisdom teeth removal surgery could be the biggest medical and dental procedure for a young person. As long as as you are under the care of a capable and well-experienced oral surgeon, the procedure should run smoothly, but proper home care after having the wisdom teeth removed is very important to assure a healthy and speedy recovery.
Anesthetics or sedatives used during oral surgical procedures will often take a couple hours to wear away – the first 72 hours are crucial for normative recovery. Pain medication like anti-inflammatory Ibuprofen or narcotic Tylenol #3 with codeine often is prescribed depending on the severity of the procedure in addition to a 3-times-daily antibiotic, such as amoxycillin.
Regarding eating and drinking after oral surgery, avoid soft drinks for a week and avoid alcohol for 3 to 5 days .No smoking forever is the best, however if you really are dying for a draft,wait as long as possible, at least for 24 hours for being kind to your body. The first day at home should consist of using a cold compression (ice bag on 15 minute off 15 minutes for few hours), which can eliminate swelling. Stay away from straws and any mouth-opening activities to prevent loosing blood clots which lay a foundation for regenerate tissues as part of the natural healing process. Using a straw can cause the painful condition known as “dry socket.” Both preventing infection and timely healing are pivotal for post-surgery patients; follow the instructions from your surgeon on medication, diets, hygiene and habit. You’ll fully recover in no time.
Other than chipmunk cheeks for a couple days, the other common complication related with wisdom teeth extraction is the discomfort associated with dry socket. What causes dry socket and the prevention of dry socket are still being researched, but as a general rule the surgeon’s technique should be gentle and precise, so as to not traumatize the bone during the procedure. If the tooth is impacted or laying side ways, instead of forcing it out with forceps (which can create excessive compression on the bone), the surgeon should use a rotary tool with a saline cooling system to create access to the impacted molar. The molar will be dissected into smaller pieces and removed, without traumatizing the bone. On the patient’s part, there should be no rinsing, spitting, smoking or sucking of any kind for the first 24 hours after oral surgery. This will prevent disruption of the blood clot from a physical force in the mouth. Better oxygen saturation and circulation of the blood from not smoking is also important for healing. A good diet rich in antioxidants and vitamin c, lean proteins are good for tissue regeneration, for overcoming the negative influence on our body from consuming antibiotics. Eat yogurt or take acidophalus to restore the friendly flora in our body to prevent a yeast infection.
If your are healthy, forget all the above mentioned, you will be just fine after surviving the oral surgery!
Aging? Not me! We do not get old, but our body parts increasingly need more upkeep to stay young! Baby boomers need special attention in particular – although we may feel like as young as a college graduate, an aged and/or discolored smile will reveal your years. As a cosmetic dentist, my mission is to help you maintain a happy and healthy smile that will compliment your well kept physique – and feel “looking good”is often related with having a beautiful smile. If you’re not happy with your smile, get a consultation from a cosmetic dentist to see what you can do to refresh your smile!
The most commonly challenging dental dilemma for baby boomers is combating those dull and severely worn teeth. Many people are unaware of the slow aging process of loosing tooth structures, mainly from night grinding, erosion and attrition. Bad habits and poor hygiene can also ruin teeth. The approach to rejuvenate can be as simple as having your teeth whitened, or it could be more complicated, requiring a multidisciplinary approach with extensive time and financial investment needed.
Often times, porcelain veneers might be suggested by your cosmetic dental professional to restore an aging smile, but make sure your dental health has been evaluated first. It is pertinent to check whether or not the gum and bone tissues are healthy, if there are any missing teeth that haven’t yet been replaced and if any shifting bite or teeth issues have been addressed. If you have had prior cosmetic work done, however, maintaining your investment is vital if you want your new smile to last. Follow up any cosmetic procedure with proper hygiene habits, which include brushing and flossing twice daily (and after meals), a healthy diet, no smoking and no excessive drinking (sodas or alcohol). A night guard might also be recommended.
Baby boomers have worked hard to establish their careers, family and personal well-being – now it’s time to enjoy more of your accomplishments. Get the smile you’ve always wanted, as it’s not only for vanity but also truly for your overall health. Visit your dental professional not only for a routine cleaning and check up, but ask for a comprehensive cosmetic evaluation, including a smile analysis, TMJ and occlusion check and a periodontal exam with an oral cancer screening. When you take care of your mouth, you are taking care of a vital bodily system which performs in delicate balance with the rest of your body. When your oral cavity’s health is at risk, your overall health is being endangered.
Do you have a hard time swallowing? Do you ever get cotton mouth (when your throat is dry and uncomfortable)? Xerostomia, also known as dry mouth, is a serious issue that many people suffer from, though most are unaware a problem exists (or do not know how to care for it).
Dry mouth got you down?
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. This is not only uncomfortable, but it also weakens natural defense system for your teeth. Saliva rinses food particles away from your teeth, neutralizing acids which can harm your teeth, providing enzymes to help digest food (which also keep oral tissues healthy).
In order to actually understand how to prevent dry mouth, it is important to understand what causes it. Often times, dry mouth can be brought on with emotional and physical stress. Aging, radiative therapy, chemotherapy, medication and physical illness (such as AIDS, diabetes, strokes or Alzheimer’s disease) can cause dry mouth. Various pharmaceutical studies have proven that over 400 prescription and OTC medications can cause xerostomia, such as: anti-depressants, anti-hypertensives, tranquilizers, analgesics, diuretics and antihistamines. Speak with your physician if you are experiencing dry mouth while taking any of these medications.
The consequences of dry mouth can effect one’s quality of life tremendously. Symptoms include difficulty swallowing or speaking, frequent ulcers or sores of the mouth, a frequently altered sense of taste, extensive tooth decay or gum diseases and bad breath. Speak with your physician or dental care professional about what you can do to prevent dry mouth. General rules to ease the discomfort of dry mouth include brushing and flossing twice daily and after meals! Drink plenty of water, work on a healthier diet, chew sugarless gum. Avoid smoking and drinking alcohol, avoid salty or dry foods (like chips, toast and crackers) and use over-the-counter oral moisture replacement products to lessen the displeasing effects of dry mouth. Visit your dental professional regularly for preventative care and to have additional preventive treaments (like sealant or home fluoride treatment) as needed to preserve your oral health.
We all know that brushing and flossing is not the only key to preventing dental disease (tooth decay and gum disease) – you probably also know that a healthy smile and fresh breath can actually reduce risk of a heart attack and stroke. What may surprise you, however, is this: researchers at West Virginia University have discovered that a clean mouth may also help preserve memory!
Thanks to a grant awarded by the National Institutes of Health, West Virginia University has found an obscure link between periodontitis (gum disease) and memory loss. A test sample (of over 270 seniors) was chosen to be part of the university study, during which School of Dentistry researchers checked the oral and cognitive health of patients every day over a period of roughly two years. Initial conclusions showed that 23% of the group who suffered from mild to moderate memory loss also had relatively poor oral hygiene habits.
Dr. Crout of the WVU School of Dentistry explains that although the specific genetic link between periodontitis and memory loss has not yet been defined, the team hopes to have more details soon. “If you have a gum infection, you’ll have an increased level of inflammatory byproducts,” Crout explained. “We’re looking for markers in the blood that show inflammation to see if there is a link to memory problems. We’d like to go full circle and do an intervention — to clean up some of the problems in the mouth and then see if the inflammatory markers go down.”
We’re not quite sure about whether bacteria or the body’s inflammatory response is the contributing factor of observed memory loss; it may be a combination of both, or a result of other environmental and physiological factors. What we do know, however, is that the rate of Alzheimer’s cases is skyrocketing. Imagine the benefits of knowing that keeping the mouth free of infection could cut down cases of dementia – it could be revolutionary!
Keep brushing and flossing to keep the mind sharp – or maybe we need a sharp mind to keep brushing and flossing? As a clinician, when I see a patient who can’t keep their oral hygiene in reasonable condition, I become concerned. The risk of heart attack and stroke are heightened in patients who suffer from poor oral hygiene. Knowing that memory loss is somewhat associated with inflammatory factors in the mouth, we should all improve our oral health in order to keep our mind sharp!
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We have learned about the food pyramid and how a balanced diet can keep our body and mind healthy.We need carbohydrates like grains, fruits and vegetables to supply energy to the body and maintaining normal blood glucose level, cellulose fiber will regulate our internal systems to eliminate waste and reduce the risk of chronic diseases, such as heart disease and colon cancer. Protein (with its Greek root meaning “of primary importance”) including meats, fish, dairy and beans are essential to build and repair our body components. Protein builds muscle, normalizes the immune system and body function. Fats are needed to build our cell walls and conduct our neural transmissions. Lipids maintain the structure and support of our organs.Vitamins and minerals will optimize our health and prevent diseases. Finally, we should always keep our body well hydrated, because water is the single most major component of our body and cells.
