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Snoring sounding an Alarm

Posted on by Dr. Chea Rainford

Quality sleep is necessary for optimal daytime functioning. Insufficient or poor sleep quality has been linked to diabetes, hypertension, driving accidents, gastroesophageal reflux disorder (GERD) and even premature death.

Research shows that approximately 87 million Americans snore and over 40 million of those are chronic suffers of sleep disorders. However, approximately only 10% of sleep disorders are diagnosed. Fortunately, dentists are now being trained to recognize signs of risk for sleep disorders and how to treat such disorders.

Snoring is a red flag as it could be an early sign of Obstructive Sleep Apnea (OSA). In fact, an alarming 40% of snorers have been shown to have OSA. And, while snoring and sleep apnea can stem from a variety of causes, the results are always disruptive for the sufferer and nearly as disturbing for the apnea patient’s family members.

The American Academy of Sleep Medicine now recommends oral appliances as a primary or first line of treatment for mild to moderate obstructive sleep apnea. The guidelines state that patients should always be offered the choice of an oral appliance if they have mild to moderate OSA.

Our treatments include the latest in FDA-approved oral appliance therapy (OAT), also known as mandibular advancement devices (MAD), to keep the airway unobstructed during sleep. We are highly trained in fitting and maintaining a wide variety of oral devices to reposition the mandible, retain the tongue below the airway and provide positive airway space to limit apnea episodes and their related loss of sleep.

Results of this type of therapy have been encouraging, and many patients report fewer sleep interruptions, more restful nights and greatly diminished daytime fatigue as well as improved health. In addition, family members report improved sleep when their bed partners are less likely to awaken suddenly or snore.

It may interest you to know that many health insurance plans do reimburse for OAT and its related services and therapies. Our office will be happy to work with patients to assist in any coverage benefits that may apply to their course of treatment. We will work closely with you and your physician to provide the best treatment option.

Call us today to make an appointment. You’ll find yourself sleeping fitfully in no time.

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Teeth Whitening Home or Dentist

Posted on by Dr. Chea Rainford

The Best Place for Teeth Whitening — at Home or at the Dentist?

Who doesn’t want a more beautiful smile? The key to achieving this goal is sometimes as simple as whitening your teeth.

Whitening at home
Choosing to use an over-the-counter product (usually whitening strips) with the ADA seal of approval is certainly a viable option. However, it’s important to understand that while they are the most inexpensive method available, they may take longer to achieve maximum whitening. That’s because the at-home kits sold at your dentist’s office contain a much higher percentage of the active whitening ingredient than the over-the-counter solutions do. Of course, your actual results depend on your beginning shade: the darker it is, the longer it may take (in time and materials) to get to your optimum shade.

It’s a good idea to first take a closeup photo of your teeth to compare with an end-result photo. Otherwise, it’s hard to remember where you started and whether you had any change in color after the whitening procedure.

It’s also important to check the expiration date on the box. Make sure you use the product before that date, for maximum effectiveness in whitening.

Be aware that some of the treatments could cause some discomfort. If you find that these at-home whitening methods cause you sensitivity, you might want to consider whitening only every other day, rather than every day. And those who experience more than just a little discomfort, sometimes turn to over-the-counter ibuprofen to alleviate the pain.
It’s also important to keep in mind, that no whitening method will change the color of dentures, crowns, white fillings, bonding, or veneers. If you have any of these visible artificial teeth or components in your smile, it may be best to consult with your dentist to see what treatment they would advise.

Whitening at the dentist’s office
Do you have a special occasion coming up, such as a wedding or a reunion? This would be the perfect time to do an in-office whitening procedure, which can show a dramatic improvement in the brightness of your smile in as little as one-and-a-half hours.
There are a few advantages of the in-office whitening procedures:

  • The work is done for you, all in one sitting, instead of multiple applications over a few weeks at home.
  • The material is professional strength, which has a higher percentage of the active ingredient, so it whitens in less time than over-the-counter materials would.
  • Your teeth may be less sensitive to the formula than they would to other DIY whitening procedures
  • Although it may be a bit more expensive than a do-it-yourself procedures, it is still affordable, and the quality of the results makes it worthwhile.

If you have tried whitening in the past with marginal success, know that the materials and methods have improved over time, allowing your dentist to now successfully whiten even the most difficult cases.

So, while over-the-counter whitening products can make a difference, they are not without their limitations. That’s why for a truly lasting and noticeably whiter smile, the best plan is for you to consult with your dentist to see which whitening procedures can give you the smile you have always wanted!

Adult Braces

Posted on by Dr. Chea Rainford
Brace Yourself. You’re Not Too Old to Straighten Your Teeth.
Think braces are just for angsty teens and awkward pre-pubescents? Think again.The number of adults undergoing treatment for crooked teeth using braces or other teeth straightening treatment has been rising steadily.
Sure, crooked teeth can be a cosmetic embarrassment, but more importantly, correcting them can benefit you more than just making you look better. For example, fixing a less-than-perfect bite will ensure that you chew your food properly.  And overlapping teeth can cause bacteria to get trapped, leading to difficulty with cleaning and, ultimately, tooth decay. Fortunately there are a number of ways to get teeth (of any age) on the straight and narrow.
Am I Doomed to Be a “Brace Face”?
The upside to waiting until adulthood to correct your teeth is you can avoid all those playground bullies and their hurtful name-calling. The other benefit is that trends are changing. After assessing your particular issues, your orthodontist can tell you more about all the options that are available to you today, including:
Visible braces. This type of brace is perhaps the closest to what you may envision when you think “braces.” But it’s pretty safe to say that even visible braces have improved over the years. Usually suggested to fix severe alignment problems, the brace is fixed directly onto the front of the tooth using either traditional stainless-steel brackets with metal wires, clear plastic brackets with metal wires, or ceramic brackets with metal wires. Braces must be kept clean, since food that gathers around the brackets or wires can lead to staining or decay.
Invisible braces. Invisible braces are called lingual braces and are placed on the back of the teeth. If you’re concerned about the aesthetics of having braces, these can be a great option. However, adjusting to this method can be a little tough. Often times lingual braces can cause you to speak with a lisp, and having the brackets sit between your teeth and the tongue can cause irritation.
Nearly invisible braces. This is actually a clear plastic tray that’s worn over the teeth. Every two weeks the trays are exchanged for new ones that are become closer and closer to the teeth’s ideal alignment. This method is popular because they are almost invisible to the naked eye, and can be easily removed for cleaning and eating. However, you have to be strict about wearing the trays, as anything less than 22 hours a day will result in a longer treatment time.
Retainers. Removable retainers are made from metal wires and acrylic formed to the shape of your mouth. They can be made for both the upper and lower arches of the mouth to brace and align teeth. Retainers like this are popular because they can be easily removed for special events or occasional relief, but they are prone to getting lost, so you have to make sure to keep track of them.
Porcelain veneers. Veneers are a cheaper and less time-consuming way to change the look of your teeth by simply covering up minor imperfections. As well as covering crooked teeth, they can mask chips, gaps and stains and — once they are applied —  don’t need to be replaced for five to ten years.
So, instead of just hoping that your teeth decide to straighten on their own (which they won’t), put on your grown-up pants, and talk to your dentist. Because today, there are more options than ever for giving you the healthy, attractive smile you’ve always wanted.

Deciduous Teeth

Posted on by Dr. Chea Rainford

Deciduous teeth are baby teeth. We’re born with two full sets of teeth and this first set is also called primary, milk or lacteal dentition. These teeth begin to erupt anytime after 6 months of age, which is commonly referred to as “teething.” Teeth normally erupt in pairs and the first that normally come in are the lower central incisors. By the time your child is 2, he or she should have a full set of deciduous teeth.

Why Two Sets?

As an infant, our mouths are too small for a full set of permanent teeth, so we require deciduous teeth until our jaw is able to sustain the permanent set. Baby teeth are essential in the alignment, spacing and occlusion of primary teeth. They prepare the adult jaw for their permanent fellows.

As the adult teeth (seccedaneous teeth) form, special cells called odontoclasts absorb the roots of the baby teeth, so that when your adult teeth start to emerge from your gums the deciduous teeth have no roots, making them loose and able to easily fall out.

Caring for Deciduous Teeth

A gross misconception about baby teeth is that since they will eventually be replaced by primary teeth, there’s no reason to take care of them. But cavities are a very real cause for concern — even for deciduous teeth. Children who suffer from dental cavities in their baby teeth are more prone to cavities in their permanent teeth. And every dentist will agree that oral hygiene habits begin in childhood. So it is essential that you take excellent dental care of your little ones’ baby teeth, as they won’t be able to do so themselves for the first handful of years.

Good oral hygiene begins at teething. Simply rubbing your infant’s gums with a wet washcloth will begin to develop habits that he or she will require for life. Once the first teeth erupt, begin brushing them twice a day. Once more teeth fill in, you can begin flossing, too. And be sure to set up your child’s first dental visit when the first tooth appears or by age 1.

Deciduous Tooth Dental Cavities

Sometimes your toddler will get a dental cavity in one of the baby teeth. In that case, your regular pediatric dentist will take X-rays and fill any dental cavity so that tooth decay does not go unchecked and the primary tooth can emerge in the best condition possible.

Like all teeth, deciduous teeth must be cared for properly so that you have a healthy mouth and healthy body. It’s up to parents to ensure that their child develops healthy deciduous teeth and good oral hygiene. If you need help maintaining your child’s oral health, give us a call; we’re glad to help.

X-rays: Yes or NO?

Posted on by Dr. Chea Rainford

While we share your concerns about potential risks from too much exposure to radiation, x-rays [radiographs] are a necessary part of the dental health process.

Our philosophy is that x-rays should not be routine but utilized when they will contribute to diagnosis or treatment of oral disease. Of course, we will cover you with appropriate body shielding prior to taking any x-rays.

Radiographs allow us to see and interpret signs of disease or potential problems that are not visible through direct observation. X-rays can be used to discover abscesses [pus-pocket], cysts, and/or tumors. They help us locate impacted, unerupted or extra teeth or determine congenitally missing teeth. Radiographs can demonstrate the presence or degree of periodontal [gum] disease. They can pinpoint the location and severity of cavities that are not visible to the naked eye. Basically, radiographs provide us with a view of the underlying structure and condition of your teeth, soft tissue and bone. Foregoing x-rays could result in an inaccurate diagnosis or incomplete treatment.

Usually, new adult patients will be given a full series of x-rays that will serve as a frame of reference for future changes or problems. The time frame between [6-18 months], type and number of follow-up x-rays will be determined by our assessment of your individual needs and the condition of your mouth. Growth and development are additional factors taken into account with young children. Certain situations such as root canal treatment necessitate several x-rays as part of the procedure. Patient with periodontal disease or implants will require radiographs at specific intervals to monitor their condition. As we are sensitive to your concerns, our office continues to keep abreast of ongoing radiological advances, and we utilize techniques and x-ray films that will minimize your exposure and maximize your excellent oral health.

Is Oral Piercing Safe?

Posted on by Dr. Chea Rainford
Oral piercing is a form of body art and self-expression that’s all the rage among teenagers and young adults. While piercings of the tongue, lip or cheek might seem safe because “everyone has them,” that’s not entirely true. The mouth is a moist place, which means it’s a breeding ground for bacteria and infection. And the primary danger of oral piercing is increased risk of infection. There are other risks, too. Oral piercings can also chip or crack teeth, cause nerve damage and produce an allergic reaction to metal. Some people also notice that it’s more difficult to speak, chew and swallow after piercings.
Do the smart thing and have your teenager see a dentist before piercing. Learning about the potential risks will make for a happier, healthier loved one.
And if your teen decides to go ahead with a piercing, make sure he or she keeps it clean! This is the single most effective way to fight off infection. And if your teen notices any of the following symptoms, schedule a dentist appointment right away:
·        Pain, soreness or swelling
·        Chipped or cracked teeth
·        Damage to fillings
·        Sensitivity to metals
·        Numbness