The Center for Advanced Dentistry Blog

Sugar and Tooth Decay

February 9, 2010

Filed under: Uncategorized — Dr. Benjamin Hornstein @ 7:11 pm

We recently had a patient who stopped smoking.  She controlled her urge to smoke by eating mints.   When she came to have her teeth cleaned, we discoved that she had rampant decay in her back teeth.   What had changed in 6 months?  She was sucking on these mints all day long.  The bacteria in her mouth metabolized the sugar from the mints.  The acid created from this process weakened the enamel so that it eroded away and exposed the inside of the tooth to further decay.  Thankfully because she has regular cleanings and exams, we discovered the decay early.  Had she neglected to come in for an exam, the progresssive decay could have led to root canals or even tooth loss.   Did you know that the increase drinking of bottled water (non-fluoridated) has been linked to an increase in tooth decay, the first increase in 30 years?   

The dark area below is decay.

 

We also have noticed an increase in “soda mouth”,  the decay we see along the gumline when a patient drinks too much soda.  Even drinking sugarless or diet soda contributes to the decay because of the acid in the soda (cola has been known to dissolve paint on a car’s finish.)  Water us a much easier beverage on your teeth.    

Brushing and flossing after every meal is not always possible.  However, if you brush and floss every morning and night, you will lessen the impact of sugar on your teeth.  And in between times, rinse your mouth with water, use your tongue as a tooth brush and carry one of the varieties of disposable floss pics to clean between your teeth.   

Diet can have a great impact on the health of your teeth and gums.  Stay tuned for our next blog to hear more on this topic.

How to Handle a Dental Emergency When Out of Town

February 3, 2010

Filed under: Uncategorized — Tags: , , , , — Dr. Benjamin Hornstein @ 5:38 pm

We just had a patient who had a dental emergency and was out of town.  What do you do?  How do you find a dental practice like ours?  The first step would be to call our office to see if your problem is something that can wait until you return home.  However, if you are on an extended visit and won’t be coming home for awhile, you don’t want to let an infection or broken tooth go untreated. 

You could use a local friend’s recommendation or if you don’t know anyone, you could use the Internet.  We like Google for a search engine.  If you type in “dentist” and the city and state where you are located, you will get a variety of dentists and their locations.  You can see reviews and click on the links to the various dental websites.  A dentist should have the latest technology, use bonded or porcelain restorations, have digital x-rays, and can see you in the same day.  When you call their office, you should talk to a real person and not a machine.  Excellent dentists have excellent customer service for their patients and the team members should be friendly and knowledgeable.   If you have an infection and need a root canal, then you should be referred to a specialist who does only root canals (called an endodontist).  If the tooth is not savable and you need an extraction, you would want to see an oral surgeon who can also evaluate the site for the possibility of a future implant.   If you find yourself this predicament, then you can call our office for guidance and we will help you make the best decision for your oral health.  Hopefully, by maintaining your dental health with regular cleanings and check-ups, you will avoid this situation.  We are here to help you.

CFAD is now on Twitter. Follow us.

February 1, 2010

Filed under: Uncategorized — Tags: , , , , , — Dr. Benjamin Hornstein @ 8:23 pm

The Center For Advanced Dentistry is now on Twitter.  Tune in to our tips and musings.  Tell your friends or family about our Tweets.  You never know when they may save a life.   They cover everything dental and sometimes Doctor Hornstein’s humor.  You won’t want to miss a one. 

If you aren’t familiar with Twitter, it is one of the most expanding ways of staying in touch.  We are www.twitter.com/CFADBeachwood.  Check us out and join in the fun.

Sleep Apnea Now Treated At CFAD

January 27, 2010

You may think of snoring as a mild nuisance, but it can actually be indicative of a sleep-breathing disorder known as sleep apnea. Snoring occurs when soft tissues block air passages. Air forces entry, causing the muffled vibrations we know simply as snoring. A variety of factors can contribute to airway blockage, including tongue and jaw position, throat size, and tonsil or adenoid size. Snoring does not necessarily indicate sleep apnea, and many patients who snore do not have sleep apnea.

Sleep apnea occurs when the airways are blocked to the extent that the person stops breathing at intervals of ten seconds or longer. The continual oxygen deprivation prevents the person from receiving a restful night’s sleep, because he or she must awaken enough to breathe. If left untreated, sleep apnea can lead to:

  • Heart attack
  • Stroke
  • High blood pressure
  • Acid Reflux
  • Heartburn
  • Depression
  • Memory loss

Symptoms of Sleep Apnea
If you snore, gasp for breath at night, or sleep restlessly, you may have sleep apnea. Other signs include dry mouth, dizziness, inability to concentrate, morning headaches, irritability, and falling asleep when driving, reading, or sitting quietly. A sleep study will help Dr. Hornstein determine if you suffer from sleep apnea. You can also take an online risk assessment at www.mysleeptest.com, which is a brief questionnaire that assesses your risk level.

You may think of snoring as a mild nuisance, but it can actually be indicative of a sleep-breathing disorder known as sleep apnea. Snoring occurs when soft tissues block air passages. Air forces entry, causing the muffled vibrations we know simply as snoring. A variety of factors can contribute to airway blockage, including tongue and jaw position, throat size, and tonsil or adenoid size. Snoring does not necessarily indicate sleep apnea, and many patients who snore do not have sleep apnea.

Sleep apnea occurs when the airways are blocked to the extent that the person stops breathing at intervals of ten seconds or longer. The continual oxygen deprivation prevents the person from receiving a restful night’s sleep, because he or she must awaken enough to breathe. If left untreated, sleep apnea can lead to:

  • Heart attack
  • Stroke
  • High blood pressure
  • Acid Reflux
  • Heartburn
  • Depression
  • Memory loss

Symptoms of Sleep Apnea
If you snore, gasp for breath at night, or sleep restlessly, you may have sleep apnea. Other signs include dry mouth, dizziness, inability to concentrate, morning headaches, irritability, and falling asleep when driving, reading, or sitting quietly. A sleep study will help Dr. Hornstein determine if you suffer from sleep apnea. You can also take an online risk assessment at www.mysleeptest.com, which is a brief questionnaire that assesses your risk level.

Treatment
Three methods of treatment include surgery, using a CPAP (Continuous Positive Airway Pressure), and wearing a custom fit oral appliance at night. 

One option is surgery for those patients who have a blocked airway. With obstructive sleep apnea (OSA), blockages somewhere in the airway occur repeatedly and cause breathing to stop for at least ten seconds and maybe for a minute or longer. The intention of surgery is to open the airway sufficiently to eliminate or to reduce obstructions to a clinically insignificant level. In order to do so, surgical therapy in adults often must reconstruct the soft tissues (such as the uvula and the palate) or the bony tissues (the jaw) of the throat. This method has about a 50% success rate.

The most common method of treatment for sleep apnea involves a CPAP machine, which delivers a continuous stream of oxygen via nose and/or facial mask. While effective, the CPAP often proves cumbersome, and many patients find CPAP therapy intolerable and discontinue use. 

In many cases, Dr. Hornstein can provide CPAP intolerant patients with an alternative. Oral appliance therapy involves a custom-made orthotic worn at night. Depending on your needs, the orthotic can reposition the tongue, hold the jaw forward, and prevent the soft palate from blocking the airways. An oral appliance also alleviates snoring. Dr. Hornstein will consult with you to determine which kind of oral appliance is right for you.

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