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!
” 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.
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.
How could this be happening? Medication that is supposed to help and make a patient feeling better produces a deadly reaction?
Simple outpatient surgical procedures – which are performed in clinics, doctor offices and dental practices on a daily basis – which require mild to moderate painkillers is customary and routine may turn out to be fatal. The case in question occurred last weekend when an otherwise healthy 2-year-old boy died after being prescribed codeine to relieve pain from having his tonsils removed. The sad fact is that cases like this even the protocol of post operative was followed, and very little could have been done to avoid such a tragedy.
The child mentioned above had a history of snoring and sleep apnea (when a person momentarily stops breathing during sleep throughout the night). In an effort to clear the boy’s airway, he had a routine tonsillectomy outpatient surgery and was sent home. Doctors prescribed codeine syrup and told the boy’s mother to give it to him for pain, but two nights later, the child developed a fever and wheezing. He was found dead the next morning, according to the report.
Although the coroner’s office noted that toxicology tests showed the mother had given the child the proper dosage, the boy had high levels of morphine in his system, which is metabolized from codeine. Further investigation determined that the child had an ultra-rapid metabolism genotype, which causes the body to metabolize codeine at a faster rate than the norm. The only true way to have avoided this tragedy would have been to keep the child in the hospital overnight, for 24 hours, for observation to see whether his breathing had improved, and whether pain medications (such as codeine, which suppresses the respiratory system) could have put him at risk.
The take home message here is that common, routine dental procedures which involve pain relievers (like wisdom tooth extraction or implant surgery) must always be treated with the utmost care and attention.Be aware the potential risk of toxicity and allergic reaction of any medication . If you are unsure of your body’s reaction to certain medications or pain relievers, consult with your dental professional or primary care physician. If you have a child who is about to undergo an outpatient procedure, speak with his or her physician before the procedure. Are there any potential risks associated with the procedure, or with the post -operative medications ? Know your child and know their body – proper supervision is essential, especially with children.
Redheads feel more pain! New research published in the July 09 Journal of The American Dental Association found that painful experiences at the dentist might cause more anxiety for men and women with red hair, who were twice as likely to avoid dental care than people with dark hair. Red-headed children or adults might avoid dental visits and might be at a higher risk of affecting their dental health!
A child that has an unfounded fear of the dentist (or even a founded one, instilled by parents who aren’t very fond of their dentist or past experiences in the dental chair) are common, however due to a scientific quirk (thanks to mother nature), redheaded individuals do feel pain more intensely than non-red-headed persons. These extra sensitivities to pain might lead to negative experiences with dental visits, which as being parental health care providers, we should be aware of these phenomena.
There are two studies that exist. In 2004, research showed that people withred hair need twenty percent more general anesthesia than blonds or brunettes. A 2005 study indicated that redheads are more sensitive to thermal pain and are more resistant to the effects of local anesthesia. Researchers believe variants of the melanocortin-1 receptor gene play a role. This MC1R gene produces melanin, which gives skin, hair and eyes their color.
While blond, brown and black-haired people produce melanin, those with red hair have a mutation of this receptor. It produces a different coloring called pheomelanin, which results in freckles, fair skin and ginger hair. About 5 percent of whites are estimated to have these characteristics. The relationship between MC1R and pain sensitivity is still under study, researchers have found MC1R receptors in the brain and some of them are known to influence pain sensitivity. Non-redheads can also carry a variant of the MC1R gene. In this dental study that had 144 participants, about a quarter of the non-redheads had variants of the MC1R gene. These people also experienced heightened anxiety and avoided dental care compared with others who did not have the variant. There is no commercial test available for variations of the MC1R gene.
The best tips for redheads are to work on the prevention of dental problems, inform your health provider that you are highly sensitive, use TLC and be patient, wait a bit longer to let the anesthesia start to work and finally inform your doctor that you might require additional amounts of local anesthesia – because you are a special redhead!
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.
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!
When our lives our simple, we are generally happier: less stress, more fun! Leading a relatively simple lifestyle (which means eating right, exercising, not overworking, getting to bed on time and all that jazz) will leave you feeling better rested and more alive. As if that wasn’t enough of an incentive, a healthy lifestyle will also result in a fatter wallet.
It’s a sad fact that we consume far more food than our parents (and grandparents!). The average American drinks more soda than water, and considering how big those drinks have grown over the years – a 64oz Big Gulp being a standard drink size at gas station convenience stores – it’s no wonder we’re the second fattest nation in the world (Australia takes the cake)! Many young people would rather drink a Diet Coke than eat a meal, and because carbonated colas are mostly sugar and empty calories, our bodies struggle every day to get the nutrients they need from natural, raw foods. Not only do they provide functional stimulation to your teeth and gums, but natural foods also nourish our body and keep our physiological systems running smoothly.
Studies have shown that a person’s consumption of carbohydrates (be it sugar, corn syrup or grain) are directly tied to a person’s ability to maintain their weight and overall health. According to a study by Dr. Mercola, if you eat out on a regular basis (because most restaurant foods are both fatty and preservative-laden), you are “slashing decades off your lifespan and increasing the likelihood of having to rely on expensive and potentially toxic drugs to treat the symptoms that will result from not eating healthy.”
The key message here is to live a healthy lifestyle by eating right, exercising, leading a positive attitude and maintain good habits and hygiene. Brush and floss after every meal. Keeping your oral cavity clean will help to keep the rest of your body running smoothly, as oral health is systemically linked to your other bodily systems (as we have learned, a dirty and plaque-ridden mouth can lead to heart disease, amongst other ailments). Live healthy and you will be one step closer to living wealthy!
Be the First to Comment 
