Posts for: September, 2012

By Dr. Manson
September 25, 2012
Category: Dental Procedures
Tags: dental implants   crowns  
DentalImplantsTheBestSolutionForMissingTeeth

If you have missing teeth, dental implants are the state-of-the-art tooth replacement system. They act as substitutes for natural tooth roots, stabilizing the bone with which they fuse and become integrated with. This protects the remaining bone and prevents its further loss, the natural occurrence after the natural teeth are lost. Done correctly, implants can offer a long-term solution to the problem of missing teeth.

Key factors assuring dental implant success are having an experienced dental team consisting of:

  1. A surgeon (periodontist or oral surgeon, or dentist trained in surgical techniques to place the implants)
  2. A dental technician who will design the crowns (tooth portion of the implant)
  3. A restorative dentist to place the crowns

The whole team is necessary to plan the process as well as carry out their individual roles. They will ensure that there is enough bone and that it is in the right place prior to treatment to allow for proper implant position, and that the implant/s are correctly placed, which is necessary to allow for natural aesthetics and proper function.

Replacing missing teeth is imperative to maintaining normal oral health and function. Dental implants will help support the entire structure of the face. If back teeth are lost, the vertical height of the lower face and mouth can begin to collapse, negatively impacting biting function and causing creasing and cracking of the lips and facial skin, resulting in a prematurely aged look.

Implants differ from bridgework in several ways, making them the most favorable option for tooth replacement in many cases. For starters, they do not affect adjacent teeth, nor do they decay like teeth, and they are less susceptible to gum disease. In the long-term, implants are a more cost-effective solution based on the fact that once they are placed, their life expectancy is longer than bridgework.

If you have missing teeth that have negatively affected your appearance, self-confidence, and ability to chew, call us today to talk about the possibility of replacing them with dental implants. To learn more about the use and capabilities of dental implants, read the Dear Doctor magazine article “Dental Implants: Evaluating Your Options For Replacing Missing Teeth.”


By Dr. Manson
September 18, 2012
Category: Oral Health
SleepApnea-aHiddenDanger

Nightly snoring can be a sign of a dangerous condition called sleep apnea (from “a” meaning without and “pnea” meaning breath). When someone snores the soft tissues in the back of the throat collapse onto themselves and obstruct the airway, causing the vibration known as snoring.

If the obstruction becomes serious, it is called obstructive sleep apnea, or OSA. In such cases the flow of air may be stopped for brief periods, causing the person to wake for a second or two with a loud gasp as he attempts to catch his breath. This can cause heart and blood pressure problems, related to low oxygen levels in the blood. The obstruction and mini-awakening cycle can occur as many as 50 times an hour. A person with this condition awakens tired and faces the risk of accidents at work or while driving due to fatigue.

Studies show that sleep apnea patients are much more likely to suffer from heart attack, congestive heart failure, high blood pressure, brain damage and strokes.

What can be done to treat OSA?
Snoring, apnea, and OSA occur more frequently in people who are overweight. So start with losing weight and exercising.

At our office, we can design oral appliances to wear while sleeping that will keep your airway open while you sleep. These appliances, which look like sports mouth guards, work by repositioning the lower jaw, tongue, soft palate and uvula (soft tissues in the back of the throat); stabilizing the lower jaw and tongue; and increasing the muscle tone of the tongue.

Another approach is to use a Continuous Positive Airway Pressure (CPAP) bedside machine. These machines send pressurized air through a tube connected to a mask covering the nose and sometimes the mouth. The pressurized air opens the airway so that breathing is not interrupted.

Much less frequently, jaw surgeries may be recommended to remove excess tissues in the throat. These would be done by specially trained oral surgeons or ear, nose and throat specialists.

Diagnosis and treatment of OSA is best accomplished by joint consultation with your physician and our office. Contact us today to schedule an appointment to discuss snoring and OSA. You can learn more by reading the Dear Doctor magazine articles “Sleep Disorders and Dentistry” and “Snoring and Sleep Apnea.”


HowYouNeedToPrepareForYourAppointmentWithOralSedation

Oral sedation can be an ideal and safe solution for someone who suffers from fear and anxiety regarding dental appointments — the very reason we offer it to our patients. However, there are some things you need to do prior to and following your treatment for optimal oral sedation benefits and treatment results.

  • Being completely honest about your health history and any medication you are taking is a critical aspect, as it lets us know that oral sedation medication is safe and will work for you. We also ask you to let us know about any over-the-counter (OTC) medications, remedies, or vitamins and/or supplements you are taking. The reason this is so vital is that some can negatively impact your treatment, recovery, and the effectiveness of the oral sedation medications.
  • You should not eat or drink anything six hours prior to your appointment unless we instruct you otherwise.
  • You should make arrangements to have someone drive you to and from your appointment, as it may not be safe for you to drive or operate any heavy machinery until the effects of oral sedation have worn off. It is important to note that this will vary depending on what medication is used, so do not assume your reaction/response will always be the same.
  • Drink plenty of fluids (especially water) to stay hydrated after your appointment.

To learn more ways you can prepare, read the article “Oral Sedation Dentistry.” Or you can contact us today to discuss your questions or to schedule an appointment.




Contact Us

Steven B. Manson, DDS, FAGD

Long Island City, NY General Dentist
36-01 31st Street
Astoria, NY 11106
(718) 729-8383
Manhattan, NY General Dentist
136 East 57th Street
         Suite 1604
New York, NY 10022