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By Briarcliff Center for Esthetic Dentistry
October 19, 2012
Category: Oral Health
TreatingSnoringampSleepApnea

If you suffer from snoring or think you may have Obstructive Sleep Apnea (OSA), did you know that your dentist could play an important role in treating your condition? For most people this is surprising; however, we can provide both education and some treatment options. And as needed, we will work with your other healthcare professionals to get an accurate diagnosis so that you can improve both your sleep and your health.

Oral Appliance Therapy: These devices may look like orthodontic retainers or sports mouthguards, but they are designed to maintain an open, unobstructed, upper airway (tissues at the back of your throat) during sleep. There are many different oral appliances available but less than 20 have been approved through the FDA (Food and Drug Administration) for treating sleep apnea. Depending on your specific condition, we may use it alone or in combination with other means of treating your OSA. Here’s how they work. They reposition the lower jaw, tongue, soft palate and uvula (the tissue in the back of the throat that dangles like a punching bag); stabilize the lower jaw and tongue; and increase the muscle tone of the tongue — unblocking the airway.

Continuous Positive Airway Pressure (CPAP): CPAP bedside machines generate pressurized air delivered through a tube connected to a mask covering the nose and sometimes mouth. Pressurized air opens the airway (windpipe) in the same manner as blowing into a balloon; when air is blown in, the balloon opens and gets wider. This treatment option is generally not used for snoring, but rather for the more serious condition, OSA.

Surgery: Specially trained oral and maxillofacial surgeons may include more complex jaw advancement surgeries. Additionally, an Ear, Nose & Throat (ENT) specialist (otolaryngologist) may consider surgery to remove excess tissues in the throat. It also may be necessary to remove the tonsils and adenoids (especially in children), the uvula, or even parts of the soft palate.

The first step towards getting a great night's sleep if you are a snorer that has never been diagnosed or treated for your condition is to obtain a thorough examination by a physician specifically trained in diagnosing and treating sleep disorders. And depending on the seriousness of your condition, he or she may strongly encourage you to participate in a sleep study. The results from this “study” can provide your dentist and other healthcare professionals with precise data about your snoring, breathing and sleeping habits. This information is key to treating OSA, if you are in fact diagnosed with this condition. Learn more when you read, “Snoring & Sleep Apnea.” Or if you are ready for a thorough examination and to discuss your snoring, contact us today to schedule an appointment.

By Briarcliff Center for Esthetic Dentistry
October 11, 2012
Category: Oral Health
TestYourDentalInjuriesIQ

Every parent, caregiver, coach, sports fan and especially injured party dreads the moment when an injury to the mouth occurs during a sporting event. The first thought observers have after looking closely to see if it is their child or someone they know is, “I hope someone knows what to do!” Do you know what to do in case of a dental sports emergency? Test your dental injury IQ with this simple, quick quiz. The answers are listed at the bottom of this article.

Dental Injury IQ

  1. If a tooth (including its root) is totally knocked out, what can you safely store it in while finding a dentist within 5 minutes of the injury?
    1. Water or salt water
    2. Milk (preferably cold)
    3. Inside the cheek (mouth) of the injured person
    4. All of the above
  2. True or False: Immediately following the injury, fresh cold tap water or bottled water is the best way to remove debris from where a tooth was knocked out.
  3. If a tooth has shifted from its original position following an injury, you should...
    1. See a dentist within 5 minutes
    2. See a dentist within 6 hours
    3. See a dentist within 12 hours
    4. Only see a dentist if the tooth is not better in a few days
  4. True or False: You treat a knocked out baby tooth in the same manner as you do a permanent tooth.
  5. The most important thing to do to save a tooth that has been completely knocked out of the mouth is to…
    1. See a dentist as soon as possible
    2. Replant the tooth within 5 minutes
    3. Stop the bleeding before re-planting the tooth
    4. Rinse the tooth with fresh, clean water

The Answers

1) d = all of the above, 2) true, 3) b = see a dentist within 6 hours, 4) false – baby teeth are typically not replanted, 5) b = replant the tooth within 5 minutes

Want To Learn More?

Contact us today to discuss your questions or to schedule an appointment. You can also learn more about treating dental injuries when you read the Dear Doctor article, “The Field-Side Guide To Dental Injuries.” Or, you can download a FREE, pocket-sized guide for managing dental injuries.

By Briarcliff Center for Esthetic Dentistry
October 03, 2012
Category: Dental Procedures
WhatstheBestRepairforaChippedTooth-CompositeResinorPorcelainVeneer

When choosing among different ways to solve a problem, knowledge is power. In the case of selecting the best repair for a dental problem, count on your team of dental professionals to advise you. But you as the patient make the final decision, and it helps to thoroughly understand the different options, their advantages and disadvantages. If you have a chipped or broken front tooth, your likely repair options are composite resin or porcelain veneer.

Composite resins are synthetic materials that can be colored to match your natural teeth. The material is bonded to the tooth surface using adhesives that become part of the tooth structure, strengthening the original tooth. The repair looks as good as, or even better than, your original tooth. Such repairs can be used to restore small to large chips and other damage caused by decay or trauma.

Since the composite resin repair is applied directly to the tooth in the dental office, the repair can be made in a single appointment. You do not need to use a temporary repair while waiting for the final replacement to be made at a dental laboratory. This also means that the repair will cost less.

Another advantage of composite resin is that less of the healthy tooth needs to be removed to prepare the tooth to receive the replacement, since it bonds directly to the original tooth structure.

Porcelain veneers are very thin layers of tooth-colored porcelain that are also bonded to the tooth. They are usually recommended in situations with more serious injury or risk to the tooth, such as teeth that have been fractured, treated for root canal, or injured in contact sports.

Application of porcelain veneers may require more tooth preparation (in which more of the original tooth material must be removed) before the restoration can be bonded in position. Bonded porcelain veneers are likely to be longer-lasting than composite resins. They must be fabricated in a laboratory, so they require more than one visit and cost more.

All of the above are factors to consider in choosing composite resin or porcelain veneer to restore your chipped or damaged tooth. As usual in making such decisions, the final choice will depend on your individual situation.

Contact us today to schedule an appointment to discuss your questions about bonding to repair chipped teeth. You can also learn more by reading the Dear Doctor magazine article “Artistic Repair of Front Teeth with Composite Resin.”

By Briarcliff Center for Esthetic Dentistry
September 25, 2012
Category: Dental Procedures
ImplantsVersusBridgeworkWhichIsBestForYou

Before determining if a bridge or an implant will work best for you, here is some useful background information. There are two main parts to a tooth; the crown or part that you see above the gum line and the root portion that is below the gum line and encased in bone — the part that is replaced by a dental implant.

A dental implant is inserted into the jawbone during a surgical procedure. The implant is actually a titanium screw-like device that is placed in contact with the bone. During a 3 to 6 month healing period, it subsequently fuses to the bone. A crown made from dental porcelain, gold or a combination of both is then attached to the implant to mimic a healthy, normal tooth.

There are two critical reasons why implants are the preferred method for permanently replacing an adult tooth. The first is that they are less susceptible to gum disease and they are not subject to tooth decay. The second is that because they attach to the jawbone and not to the adjacent teeth. And while an implant may cost a little more initially, when compared to the longevity and replacement cost of bridgework over a lifetime, they may cost less.

By contrast, a fixed bridge is also a non-removable restoration or prosthesis (replacement part) that is held in place by attaching it to your natural adjacent teeth. The treatment gets its name from the French word for bridge, “pont,” as the tooth being replaced is called a pontic. Before placing a bridge, the teeth on either side of the missing tooth must be prepared by removing layers of tooth enamel. Three new teeth are then crafted as a single unit from dental porcelain and/or precious metals with crowns on either side of the pontic. The pontic is held in place when the crowns are placed. Bridgework is at risk for gum disease and tooth decay and requires careful maintenance.

As with most dental procedures you have options and choices. Luckily, when it comes to determining whether a bridge or an implant will work best for you, you can rely upon our expertise. However, by having a clear understanding of these two options you are now better prepared for working with us should you require this treatment option. To learn more read the article, “Implants Vs. Bridgework.” Or, contact us to discuss your questions or to schedule an appointment.

By Briarcliff Center for Esthetic Dentistry
September 18, 2012
Category: Oral Health
Tags: toothache   tooth pain  
TestingyourKnowledgeonToothPain

When it comes to tooth pain, it is important to identify two things: what is causing your pain and what can be done about it. In some instances you can handle it yourself at home; however, for others, you should contact us so that we can diagnose and treat the problem. See how much you really know about tooth pain by taking our true/false test.

  1. It is perfectly normal to experience tooth sensitivity to hot and cold foods for a few days after dental treatment.
    True or False
  2. If you experience sharp pain when biting down on foods, you should hold off on contacting us to see if the pain gets better on it own.
    True or False
  3. Tooth pain is caused by a reaction of nerves inside the tooth's enamel with the severity of the pain dependant upon the type and degree of the stimulus.
    True or False
  4. Generally speaking, pain is a protective response that ranges from minor to severe as a way of informing the body that something is wrong.
    True or False
  5. If a tooth's root surface is sensitive, you should use a firm toothbrush to ensure that you are keeping the area clean by thoroughly removing dental bacterial plaque.
    True or False
  6. Lingering pain after eating hot or cold foods and liquids probably means that the pulp within your tooth is probably damaged or inflamed as a result of deep tooth decay or injury from a physical trauma.
    True or False
  7. Regarding tooth sensitivity, you should only contact us if the pain persists for several months because this is not likely to be anything serious.
    True or False
  8. If a tooth's pulp becomes damaged or dies, you will need a root canal.
    True or False
  9. With tooth pain, knowing how long to wait before you contact us can save physical, financial and emotional stress.
    True or False
  10. People often confuse tooth and sinus pain because they both can feel the same — a dull ache with pressure in the upper teeth and sinus area on one or both sides of the face.
    True or False

Answers: 1) True. 2) False. You should contact us asap for an examination before the pain worsens. 3) False. The nerves are located in the tooth's pulp chamber. 4) True. 5) False. Use a soft bristled toothbrush not a firm one. 6) True. 7) False. While tooth sensitivity generally does not signal a serious issue, if it persist for days or worsens, contact us. 8) True. 9) False. Early interception is best. 10) True.

To learn more, continue reading the Dear Doctor magazine article “Tooth Pain? Don't Wait!” Or contact us today to schedule an appointment to discuss your questions.





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