Posts

, ,

Do Dental Appliances Work for Sleep Apnea?

If you suffer from sleep apnea and are looking for an alternative to CPAP treatment, look no further than dental sleep appliance for sleep apneayour dentist.  Do dental appliances work for sleep apnea?  According to an American Sleep Association report, it’s a “yes”:

“… dental appliances are becoming more common as new research solidifies their efficacy in treating mild-moderate sleep apnea and snoring. It is important to work with your doctor and dentist to find an appropriate device for you.”

What is sleep apnea?

If you suspect that you suffer from sleep apnea, your doctor will prescribe a sleep test to determine if this is the case.

People suffering from sleep apnea periodically stop breathing as the airways restrict during sleep and then begin breathing again with a loud gasp or snort, also referred to as a ‘resuscitative snort’. The patient may also sit up or move violently before falling back into a light sleep.

Severe grinding of teeth is also common in apnea cases, as the body attempts to keep the airway open.  Naturally, this process of blocking and unblocking of the airway causes a significant disruption of sleep patterns leaving the patient feeling tired throughout the day.

How does the appliance work?

Sleep apnea oral appliances work by moving the jaw forward.  This change to the posture of the mouth acts to increase the size of the upper airway and reduce air resistance that leads to sleep apnea and as an added bonus, sleep apnea mouth guards are anti-snoring devices as well! Opening the airways stops sleep apnea and reduces airway turbulence and stops snoring.

Benefits of dental appliances

Sleep apnea dental appliances are portable and easy for the patient to transport.  The size of a mouth guard, they easily fit in your travel bag.

The biggest complaint from CPAP users is comfort.  Dental appliances may take some time to get used to, but do not impact the patient’s sleep position or overall comfort.

Is there a downside to sleep apnea dental devices?

One of the downsides of sleep apnea dental devices is that they do not collect data in the way that CPAP machines do.  Most modern CPAP machines have tracking software which shows the patient and healthcare providers the amount of hours of use and helps track respiratory events. There are, however, some new mouth devices that are made with technology that is able to measure hours of use.  Also, the effects of sleep apnea, such as light sleep and daytime fatigue are often noticeable with either choice of treatment.

How does sleep apnea differ from snoring?

Snoring is caused by a reduced flow of air while sleeping, whereas in the case of sleep apnea breathing temporarily stops for a period of time.  Read more about snoring in an article written by Dr. Larry Hill of Downtown Nanaimo Dental Group.

Can snoring be treated by a dental appliance?

If snoring is an issue, a sleep specialist will test you to determine whether or not sleep apnea is occurring. Dental sleep appliances can be used to treat snoring and are effective in the same way as with sleep apnea cases.

Downtown Nanaimo Dental Group in Nanaimo, BC, is proud to offer dental appliances and apnea appliances as an alternative to CPAP to treat sleep apnea as well as snoring and welcomes you to make an appointment for a consultation.

/by
,

How Missing Teeth Are Impacting Your Health

Tooth loss and missing teeth is impacting your health more than you might think –and it’s a major missing tooth nanaimoproblem faced by over 40 million adults in North America.  The loss of one or more teeth can lead to poor nutrition and is linked to systemic diseases such as diabetes and coronary heart disease. Missing teeth also affects a person’s psychological well-being and ability to function in the workplace.

Teeth are interconnected to each other and to your overall health

Every tooth serves a valuable function in your mouth, even a missing tooth in the back of the mouth which is not visible in your smile.  This is because each tooth in your mouth depends on the others to keep its proper position and furthermore that even your face and lips depend on your teeth to maintain its ideal shape.

The fact is that missing teeth create a space that eventually will lead to shifting and tilting of adjacent teeth or opposing teeth, or if many teeth are missing, allow significant changes to the shape of the face and mouth.

The more teeth that are lost and not replaced, the increased chance that wrinkles and lines will form and the cheeks and lips will collapse, causing you to look older than you are.

The jawbone is another consideration.  As soon as a tooth is lost, either from gum disease or an extraction, the supporting bone in the jaw begins to dissolve. Over time, loss of bone and shifting of teeth can limit dental options for replacing the missing teeth.

Tooth loss solutions

The ideal solution is to replace a missing tooth as soon as possible after it is lost. This will retain your oral health by preventing bone loss and reduce movement of surrounding teeth.

Keep in mind that your teeth are there to serve you with more than the ability to chew alone. A full set of teeth are necessary for the health of the gum and jaw tissues as well, not to mention the effects on your confidence and well-being.

If you’re missing one or more teeth, your traditional options are:

New developments in digital technology, however, are changing the way dentistry is practiced and producing results not possible until now. We are using new techniques to replace and restore teeth to a higher level of precision and beauty than ever before.

Computers and scanning technology take tooth restoration to a new level. Teeth can be viewed in 3-D and restorations can be customized for each patient. This allows more control by the dentist and better outcomes.

Traditionally, removable dentures and conventional bridges were the sole means to replace missing teeth. Now dental implants, which are virtually permanent, offer improved function and comfort. Dental implants are mechanically and biologically superior to previous restorative options and do not overload or damage surrounding teeth.

Our team at Downtown Nanaimo Dental Group is here to help you get a healthy smile back after losing a tooth or several teeth.  After a consultation, we’ll advise you on the most suitable treatment option for your unique situation.  Contact us today!

If finances are holding you back, we have a convenient and low cost financing option to help you get your full and healthy smile back soon.

/by
, ,

The Key to Managing Dental Fear

Did you know that dental fear is so common that nearly 25% of the population suffers from it?  Given sedation dentistry managing dental fearthis fact, there’s absolutely no reason to be ashamed of a dental phobia – and the good news is that many solutions are available!

Research shows that a significant number of people routinely avoid seeing the dentist and in severe cases, a person with dental phobia may never see a dentist.

Others with less severe dental fear may force themselves to go to the dentist, but may not sleep the night before or possibly feel sick in anticipation.

If you suffer from dental fear or dental phobia, read on to find out what can be done to help you.

How serious is your dental phobia?

The amount of fear that people have toward dental treatment can vary widely and is often categorized as either anxiety or phobia.

According to Columbia University College of Dentistry, those with dental anxiety experience a sense of uneasiness or exaggerated worries when it is time for their appointments.

Dental phobia, on the other hand is a more serious condition. It is defined as an intense fear or dread. People with dental phobia are not just anxious, they often describe feelings of panic or dread.

Causes and solutions for dental fear?

There are several reasons that emerge from research on dental phobia.  The most common reason is a fear of pain.  Notably, this reason is most common for adults over the age of 24.  This is likely due to the fact that for people in this age group, early dental visits happened before many of the advances in “pain-free” dentistry that are common practice today.

When it comes to patients who state pain as a main reason for keeping them out of the chair, one solution is the use of topical anesthetics. These are used to numb the soft tissue before local anesthesia is administered – making the dental freezing process nearly un-noticeable.

Other reasons for dental fear include; feelings of helplessness and loss of control, embarrassment and negative past experiences.

To combat feelings of helplessness and loss of control as well as embarrassment, it is very important for a dental professional to communicate effectively.  One effective technique created by a Harvard dentist in the 1970s is the tell-show-do technique.

Since creating a comfortable environment and experience for patients is predicated on their perception or understanding of the treatment the dentist is proposing to them, techniques like “tell-show-do,” help the patient visualize the procedure so they are aware of what is happening.  It has proven to greatly mitigate dental fear, regardless of the patient’s age or dental history.

Sedation Dentistry

For those who have had negative experiences as the dentist or whom suffer from more severe cases of dental fear, there is the option for sedation dentistry, including oral sedation and inhalation sedation (also known as “laughing gas”).

Oral sedatives are taken as pills (also known as “happy pills”), which our dentists typically prescribe to the patient in the consultation visit leading up to the treatment. Oral sedation patients report feeling relaxed and remembering little of the treatment. For many patients, the experience is described as sleeping through the treatment. In reality however, sedation dental patients actually maintain consciousness and are able to follow instructions throughout the treatment.

Inhalation sedation or “laughing gas” is a mild sedative that is widely requested by patients suffering from dental anxiety. Laughing gas is delivered before and during a dental treatment through a small nose-hood. Patients under the effect of laughing gas typically report feelings of general well-being. In addition to this delivered by inhalation, pills can also be used to create a similar effect.

Contact Us

Downtown Nanaimo Dental Group is proud to offer every modern solution to dental fear to our patients. Please call to book an appointment with Dr. Mahara today.

/by
,

The Surprising Causes of Dental Erosion

We all know how important our teeth are to our overall health.  Once we realize that enamel, the hard outer surface of the tooth, sugar in soda dental enameldoes not contain living cells and therefore does not have the ability to repair itself, it becomes a priority to protect it.

Dental erosion refers to the enamel of the tooth being worn away –forever.  As the enamel of the tooth erodes, the tooth is weakened and prone to a host of dental problems.

What causes dental erosion?

There are a number of causes for tooth erosion, however, all of the causes relate to an acidic condition of the mouth which then erodes the enamel.

Some of the causes are:

Dry mouth – since saliva helps balance acidic levels in the mouth, this condition greatly reduces the body’s ability to maintain a healthy environment in the mouth

Medications –aspirin and antihistamines for example

Environmental factors –including wear and tear and accidents that cause tooth damage

Researchers have recently discovered, however, that the biggest causes of dental erosion are frequent consumption fruit juices and soda!

Why are fruit juices and soda so bad for our teeth?

Sugary drinks such as, diet and regular sodas, carbonated drinks, flavored fizzy waters, sports drinks, fruit and fruit juices, cause damage to our teeth when they are consumed too often.  This is because acidity levels in the mouth are not given enough time to restore itself when these drinks are consumed too often.

Better alternatives

Although fruit juice may be a nutritious drink, the high concentrations of sugar and acid can lead to severe dental damage if these drinks are consumed often each day.  Meanwhile, sodas have no nutritional value, so there is not much of a case to include them in a person’s diet.

Two beverages that are safe to drink and show up regularly in the research as a trend among those people with less enamel erosion, include milk and water.

Dr. San Mahara, comments that, “drinking milk or water are great choices for the good of our oral health.  But if we do drink sugary drinks, keep in mind that it is how often we consume them that causes the most concern – for better health try to reduce how often you reach for these drinks.”

Conclusion

Dental erosion can occur at varying levels of severity and does not always need to be treated. With regular check-ups and advice your dental team can prevent the problem getting any worse and the erosion going any further.

Severe cases of tooth wear can result in the need for major restorative dental work, so it is important that we keep to a good oral hygiene routine to help ensure that these challenges do not arise in the first place.

Contact us at Downtown Nanaimo Dental Group to book an appointment for questions about dental erosion or any of your family’s dental needs.

 

/by
,

Understanding Dental Insurance

Dental insurance is a great benefit that many employers provide or that business people or families can purchase on their own to help reduce the risk of unexpected dental costs.  Unfortunately, dental plans can cause frustration when they’re not understood properly.

“Dental plans are a valuable component of extended health benefits and are designed to offset the cost of dental treatment,” says Dr. Hank Klein, President, British Columbia Dental Association. (www.bcdental.org)

The frustration occurs when patients assume that dental insurance should dictate their treatment plan.  In fact, dental insurance is not designed to cover all dental expenses, but to offset dental fees.  Your dentist is a highly trained specialist and will recommend a treatment plan based on your unique case and the treatment options available to you.  At Downtown Nanaimo Dental Group we always provide patients with several treatment options where possible – from the best option to those that are quicker or more economical. It is ultimately your choice which of the recommended treatment options are acted on.

At Downtown Nanaimo Group, you can expect that we will help you as much as possible with your dental insurance claims by submitting your claims on your behalf and by deferring a portion of your payment for dental services based on the expected portion of the fees that will be paid by the dental insurer.  On average this leads to a delay of up to two months in our office being paid for dental services.  We do this as a service to our valued patients and it is not something that Dental offices are required to do.

To avoid surprises or frustration that may occur as a result of not fully understanding your dental insurance plan, the following are a few tips recommended on the BC Dental Association website to become an active and knowledgeable participant in your dental health:

  • Know your dental plan and what’s covered before your dental appointment to understand your portion of costs.
  • Plan for the future. Consider all your extended health costs when planning for your retirement
  • Discuss all treatment options with your dentist to make an informed decision based on your dental health needs.  Understand any health risks associated with delaying or refusing treatment
  • Prevention is still the best treatment for everyone in your family: brush and floss daily; limit sugary drinks and snacks; don’t smoke; and have an examination by a dentist at least once a year to diagnose problems before they become more complex and costly.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo on Vancouver Island.  Our Nanaimo dentists and dental hygienists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office we treat you with the respect, honesty and dignity that you deserve.

/by
,

Smile Makeover Dream Come True

The smile makeover photo is in – and Vina’s smile makeover is complete!  Vina’s smile make over, by Dr. Mahara at Downtown Nanaimo Dental Group on Vancouver Island, B.C., involved changing the shade and shape of 8 of Vina’s teeth in her smile line.  Her four front teeth were previously restorations which were overdue for a change and as a result there was a dark metallic line along the gum-line of Vina’s smile.

Dr. Mahara commented on the final session of the smile makeover:  “Vina’s gum had receded from previous long term bridges – this caused some complication in bringing back an appropriate gum-line as the papilla, the gum tissue that fills the space between two teeth,  had receded.  In response to this, I had to be prep with a deeper margin to give the appearance of the teeth coming out of the gums and mimicking the natural contour of the tooth along the gum-line.  In all, I’m very pleased with the results of Vina’s smile makeover.  She now has a much fuller smile and her gum-line looks great.”

Vina chose the second whitest shade available and lengthened the front teeth to correspond to the smile line of her lips.  She now has a “movie star” smile and she’s proud to show it.

In conclusion, Dr. Mahara reminds Vina of the need to maintain her gum and teeth health with  regular dental hygiene visits, every 6 months at a minimum.  “People sometimes think that restorations,  like crowns or bridges, mean you no longer have to worry about cavities or gum disease.  This is not the case, as the tooth surface is exposed along the gum-line and in the gum pockets.”

“In fact,” explains Dr. Mahara, “it’s even more important to maintain your teeth after having restorations and especially a smile makeover.  If you develop cavities or gum disease after a smile makeover, it can be disastrous to your new smile if not caught in time.”

Vina’s Testimonial After the Smile Makeover

“I am truly delighted with the smile Dr. Mahara designed for me. Numerous people have complimented me on my teeth, and I now have a lot of confidence in my smile.  This smile makeover goes beyond what I expected.  I wanted to fix my smile, but Dr. Mahara went far beyond this by designing a smile that suits me perfectly.

Dr. Mahara is very precise and worked hard to get to a perfect result.  He is never satisfied with just good results.  It was clear from the beginning that Dr. Mahara was interested in designing the perfect smile make over –and he did it.   I really appreciated that Dr. Mahara took the time to listen and explain the smile makeover procedures and I always felt very comfortable with the next step.

It’s important in my profession as an esthetician to make clients feel welcome and comfortable and the first thing they see is my smile.  In the past I always worried about my smile and tried to hide it, but now I feel great just letting it go.  Thank you Dr. Mahara and your wonderful Downtown Nanaimo Dental Group staff!

If  you’re thinking about having a smile makeover done, I highly recommend Downtown Nanaimo Dental Group.”

Vina’s Before and After Photos:

vina_makeover

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo on Vancouver Island.  Our Nanaimo dentists and dental hygienists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office we treat you with the respect, honesty and dignity that you deserve.

/by

Smile Makeover Part 2

It’s been a brief eight weeks since Vina’s initial smile makeover consultation with Dr. Mahara, a trained cosmetic dentist, at Downtown Nanaimo Dental Group.

“Vina was a perfect candidate for a smile make over,” explains Dr. Mahara, “because she had several failing restorations on her front teeth.”

Since the smile make over consultation, Vina has passed the first major check point of the process and had all 8 teeth  in her visible smile line prepped for her new crowns – at which point she received an instant smile makeover with Dr. Mahara’s amazingly realistic temporary crowns.

“The temporaries are very comfortable,” says Vina.  “They’re not as brilliantly white as the actual crowns are going to be, but still I’ve had a lot of compliments on my new smile.  It would be impossible for anyone to tell that these are temporaries.”

Since Vina’s previous restorations were failing, Dr. Mahara wasn’t sure what to expect when he removed the old restorations and he had to be prepared for various scenarios.

“Vina’s case was complicated.  Unfortunately, one of the teeth had decayed significantly under the old restoration and had to be removed.  Since bone grafting was needed to make sure the bone mass did not recede too much during the healing process, this will delay the placement of the new crowns by a few weeks.  We will ensure that the bridge sits flush with the gumline and the tooth looks natural,” explains Dr. Mahara.

Vina is thrilled that she made the decision to have the smile makeover done.

“My teeth were discoloured and uneven along the gumline,” she say, “I was never satisfied with my smile – and I admit that I sometimes tried to hide my smile.”

Who is a good candidate for a smile makeover?

“Anyone who is unhappy with their smile,” explains Dr. Mahara, “especially people with several old restorations, discoloured teeth that cannot be corrected through whitening, or with crooked teeth – for people who don’t want to have braces for an extended period of time.”

For those considering a smile makeover, the first step in the process is to book a smile makeover consultation with Dr. Mahara.  During this consultation, your unique smile will be considered and treatment options outlined clearly for you.

Read more about Downtown Nanaimo Dental Group’s smile make over process and stay tuned for Part 3 of Vina’s smile makeover, “After the Smile Makeover”.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo.  Our Nanaimo dentists and dental hygienists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office we treat you with the respect, honesty and dignity that you deserve.

/by