Posts for tag: oral health

YourDentistMayHavetheSolutiontoYourSnoringandSleepApnea

Your snoring isn’t just an annoyance to other members of your household — it could indicate a serious health issue. Fortunately, there are treatments, some of which your dentist might be able to provide.

Snoring is the result of soft tissue structures in the back of the throat, including the tonsils, the uvula, the tongue or fat deposits, collapsing on each either and obstructing the flow of air into your lungs. The obstructions produce a vibration that is the source of the snoring.

These obstructions could lead to a serious condition known as Obstructive Sleep Apnea (OSA). As the name implies, the obstruction causes a complete cessation of airflow for several seconds. As oxygen levels drop, the body responds by waking for one to three seconds (known as “micro-arousals”) to restore airflow. These disruptions can occur several times a night, as much as fifty times an hour. The depletion of oxygen and resulting low quality of sleep can contribute to high blood pressure, a higher risk of heart attack or stroke, and the possibility of accidents caused by lower alertness during the day.

You can help reduce the effect of OSA by losing weight and exercising. You may also be a candidate for Continuous Positive Airway Pressure (CPAP) therapy, which utilizes a device that delivers pressurized air into the airway while you sleep.

Depending on the exact cause and extent of your OSA, you might also benefit from treatments provided by your dentist. We can develop a custom-fitted oral appliance, similar to an orthodontic retainer or sports mouthguard, which you wear while you sleep. These devices work by repositioning the lower jaw forward, thereby maintaining an open airway by also moving the soft tissue of the tongue forward. For more advanced conditions, certain surgical procedures that realign the jaw or remove excess tissue, the tonsils and adenoids, or parts of the uvula or soft palate could be considered.

To know your best treatment course, you should schedule a complete oral examination to determine the exact cause of the obstruction, and possibly a polysomnogram, an overnight study performed in a sleep lab. And as your dentist, we might be able to provide the key for a better night’s sleep and a healthier tomorrow.

If you would like more information on how we can address your problems with sleep apnea, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Snoring & Sleep Apnea.”

UltrasonicScalerscanEffectivelyCleanMostPatientsGumTissues

While you may most associate professional dental cleanings with that “squeaky” clean feeling you have afterward, there is a much higher goal. What is also referred to as “non-surgical periodontal therapy,” these cleanings seek to remove bacterial plaque and tartar (hard deposits) not only from the visible portions of the tooth but also the root surfaces (scaling), so as to reduce the risk and occurrence of periodontal gum disease.

For generations, this was primarily achieved by dental hygienists using hand-held instruments specially designed to manually remove plaque from tooth surfaces. Since the 1950s, though, a new technology known as ultrasonic or power scaling has become more prevalent in use. Initially only used in the outer most portions of the gum tissue (the supra-gingival area) power scaling is increasingly employed to clean the sub-gingival area, much closer to the tooth roots. As this technology has developed, it’s been shown to be just as effective, if not superior in some cases, to manual scaling for removing plaque and tartar.

Ultrasonic or power scalers work by emitting high vibration energy that crushes and removes plaque and calculus (tartar). The resulting shockwaves also tend to disrupt bacterial cell function. The hygienist uses water to flush away the dislodged calculus. They have a number of advantages over manual scaling: they’re quite effective on deep gum pockets, especially when specially designed tips are used; they require less time than manual scaling; and when used correctly power scalers are gentler to tooth structures.

However, they do have a few drawbacks. Because they produce an aerosol effect, power scalers can project contaminants from the patient’s mouth into the atmosphere, requiring special protective equipment for the hygienist. They’re not recommended for patients with hypersensitive teeth, especially regarding temperature change, or for teeth with areas of de-mineralization (the loss of mineral content in the enamel). Care should be taken when they’re used with implants or porcelain or composite crowns — specially designed tips are necessary to avoid scratching the restoration. They may also have an effect on cardiac pacemakers.

In the end, the best approach is a combination of both power and manual scaling techniques. Depending on your individual needs, ultrasonic scaling can do an effective job in removing plaque and tartar and help you avoid gum disease.

If you would like more information on ultrasonic cleaning techniques, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Cleanings Using Ultrasonic Scalers.”

PlanYourSportsNutritionandHydrationtoReduceToothDecayRisk

If you or your family has an active sports lifestyle, you probably already know the importance of food and liquids for energy and hydration. But what you eat and drink (and how often) could unintentionally increase your teeth’s susceptibility to tooth decay. With that in mind, you should plan your nutrition and hydration intake for strenuous exercise to maximize energy and reduce the risk of tooth decay.

On the general health side, carbohydrates are your main source of energy for sports or exercise activity. You should eat a substantial carbohydrate-based meal (such as pasta, cereal or sandwiches) a few hours before a planned event. An hour before, you can snack on something easily digestible (avoiding anything fatty) to prevent hunger and as additional energy fuel.

It’s also important to increase your liquid intake before strenuous activity to avoid dehydration, usually a couple of hours before so that your body has time to eliminate excess fluid. During the activity, you should drink three to six ounces of water or sports drink every ten to twenty minutes to replace fluid lost from perspiration.

While water is your best hydration source, sports drinks can be helpful — they’re designed to replace electrolytes (sodium) lost during strenuous, non-stop activity lasting more than 60 to 90 minutes. They should only be consumed in those situations; your body gains enough from a regular nutritional diet to replace lost nutrients during normal activity.

In relation to your oral health, over-consumption of carbohydrates (like sugar) can increase your risk of tooth decay. The acid in most sports drinks also poses a danger: your teeth’s enamel dissolves (de-mineralizes) in too acidic an environment. For these reasons, you should restrict your intake of these substances — both what you eat and drink and how often you consume them. You should also practice regular oral hygiene by brushing and flossing daily, waiting an hour after eating or drinking to brush giving your saliva time to wash away food particles and neutralize the acid level in your mouth.

Knowing what and when to eat or drink is essential to optimum performance and gain in your physical activities. Along with good oral hygiene, it can also protect your oral health.

If you would like more information on the best sports-related diet for both general and oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Nutrition for Sports.”

By Dr. Manson
February 24, 2014
Category: Oral Health
Tags: oral health  
DentalMetalsPoseaLowRiskofAllergyAmongMostPeople

In modern times, metals have played an important role in tooth preservation and restoration. From the dental amalgam used for a century and a half to fill cavities to the titanium alloy of dental implants, your dental care would not be as comprehensive as it is today without them. But could these metals, so important in providing oral health, cause an allergic reaction in some people?

An allergy is an exaggerated response of the body’s immune system to any substance (living or non-living) it identifies as a threat. The response could be as minor as a rash or as life-threatening as a systemic shut-down of the body’s internal organs. An allergy can develop with anything, including metals, at any time.

A low percentage of the population has an allergy to one or more metals: some surveys indicate 17% of women and 3% of men are allergic to nickel, while even fewer are allergic to cobalt and chromium. Dermatitis patients seem to have a higher reaction rate, some allergic even to metals in jewelry or clothing that contact the skin.

Dental amalgam, an alloy made of various metals including mercury, has been used effectively since the mid-19th Century to fill cavities; even with today’s tooth-colored resin materials, amalgam is still used for many back teeth fillings. Over its history there have been only rare reports of allergic reactions, mainly localized rashes or moderate inflammation.

The most recent metal to come under scrutiny is titanium used in dental implants. Not only is it highly biocompatible with the human body, but titanium’s bone-loving (osteophilic) quality encourages bone growth around the implant’s titanium post inserted into the jawbone, strengthening it over time. But does titanium pose an allergic threat for some people? One study reviewed the cases of 1,500 implant patients for any evidence of a titanium allergy. The study found a very low occurrence (0.6%) of reactions.

The conclusion, then, is that the use of metals, especially for dental implants, carries only a minimal risk for allergic reactions and none are life-threatening. The vast majority of dental patients can benefit from the use of these metals to improve their oral health without adverse reaction.

If you would like more information on metal allergies with dental materials, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Metal Allergies to Dental Implants.”

By Dr. Manson
December 23, 2013
Category: Oral Health
Tags: oral health   nutrition  
GoodNutritionImportantforYourMouthandYourBody

Your general and oral health go hand in hand — whatever is going on with the rest of your body can also affect your teeth, gums and other mouth tissues. That's why it's essential that you eat a diet with the right balance of healthy foods, while cutting back on unhealthy ones that contribute to tooth decay and other health issues.

When we refer to healthy foods, we mean foods with high nutritional value. These kinds of foods provide nutrients (carbohydrates, proteins, fats, vitamins, minerals and water) that build strong bodies (including teeth and gums), fight disease and help our bodies maintain good function on the cellular level.

A healthy diet has three components: variety, eating several different kinds of foods with a wide range of nutrients; balance, eating a proper portion from different food groups; and moderation, eating portions that are enough to meet energy needs and cellular health while not overindulging. It's important to remember that excess carbohydrates, proteins and fats are stored as body fat, which has an impact on a healthy weight.

In addition, you should also bear in mind how certain foods can have a direct effect on your teeth and gums. Foods with added sugars (such as refined sugar or corn syrup) and starches are a rich food source for decay-causing bacteria; naturally occurring sugars found in fresh fruits, vegetables and dairy products are not as great a threat. In this regard, the best approach is to decrease the amount of processed foods in your diet, while increasing your intake of whole foods.

You can also help deter tooth decay with certain foods. Eating cheese after a sweet snack helps prevent an increase in the mouth's acidic level, a contributing factor in tooth decay. Eating plant foods that require chewing stimulates saliva, which also helps prevent a rise in the acidic level.

Proper nutrition is a key component in maintaining overall good health. It's just as important for keeping your teeth and gums healthy and functioning.

If you would like more information on nutrition and the part it plays with your oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Nutrition: Its Role in General and Oral Health.”



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