My Blog

Posts for: December, 2019

By Mark A. Eby, D.D.S., P.C.
December 24, 2019
Category: Dental Procedures
Tags: sedation dentistry  
SedationDuringDentalVisitscanReduceAnxiety

Visiting the dentist for cleanings, checkups and needed dental work is one of the pillars of dental health, along with daily hygiene and a nutritious diet. But an estimated 50% of people have some form of anxiety about dental visits — and around 15% actually avoid care because of it.

If you feel nervous about dental visits, there are ways to reduce your anxiety. First and foremost is to find a compassionate provider you trust and feel comfortable around, who listens non-judgmentally to your concerns.

But that's only the beginning: depending on your degree of anxiety, you could require more help to relax through sedation medication. The drugs and methods used can induce various degrees of consciousness ranging from mild relaxation to more sleep-like states.

The most basic is oral sedation. Typically, this involves taking the medication by mouth about an hour before an appointment. You can take it by itself to increase relaxation or along with other forms of sedation (like inhaling nitrous oxide gas) or local anesthesia.

Beyond inhalation, a higher level of sedation involves injecting the medication into the blood stream through an intravenous (IV) drip. This induces a deeper “semi-awake” level of consciousness, but differs from general anesthesia, which places a patient into unconsciousness to block pain during a major procedure. With IV sedation you may still be able to respond to verbal commands or touch; and although you're monitored for vital signs you won't need medical assistance to maintain breathing and heart function.

With today's advanced sedation drugs and methods, we can control dosages to achieve just the right level of sedation, as well as reduce the amount of time the drug may affect you afterward in recovery. Many drugs also have an amnesiac effect so that you'll remember little if any about the procedure afterward.

Whether by mouth, inhalation or with an IV, sedation therapy can make a difference no matter what your level of anxiety. And if your dental visits continue to be comfortable and pleasant ones, you're more likely to receive the care you need to keep your teeth and gums healthy.

If you would like more information on sedation methods during dental care, 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 “IV Sedation in Dentistry.”


By Mark A. Eby, D.D.S., P.C.
December 14, 2019
Category: Dental Procedures
LadyGagaWasntBornThisWay

Sometimes, looking at old pictures can really bring memories back to life. Just ask Stefani Germanotta—the pop diva better known as Lady Gaga. In one scene from the recent documentary Five Foot Two, as family members sort through headshots from her teen years, her father proclaims: "Here, this proves she had braces!"

"If I had kept that gap, then I would have even more problems with Madonna," Lady Gaga replies, referencing an ongoing feud between the two musical celebrities.

The photos of Gaga's teenage smile reveal that the singer of hits like "Born This Way" once had a noticeable gap (which dentists call a diastema) between her front teeth. This condition is common in children, but often becomes less conspicuous with age. It isn't necessarily a problem: Lots of well-known people have extra space in their smiles, including ex-football player and TV host Michael Strahan, actress Anna Paquin…and fellow pop superstar Madonna. It hasn't hurt any of their careers.

Yet others would prefer a smile without the gap. Fortunately, diastema in children is generally not difficult to fix. One of the easiest ways to do so is with traditional braces or clear aligners. These orthodontic appliances, usually worn for a period of months, can actually move the teeth into positions that look more pleasing in the smile and function better in the bite. For many people, orthodontic treatment is a part of their emergence from adolescence into adulthood.

Braces and aligners, along with other specialized orthodontic appliances, can also remedy many bite problems besides diastema. They can correct misaligned teeth and spacing irregularities, fix overbites and underbites, and take care of numerous other types of malocclusions (bite problems).

The American Association of Orthodontists recommends that kids get screened for orthodontic problems at age 7. Even if an issue is found, most won't get treatment at this age—but in some instances, it's possible that early intervention can save a great deal of time, money and effort later. For example, while the jaw is still developing, its growth can be guided with special appliances that can make future orthodontic treatment go quicker and easier.

Yet orthodontics isn't just for children—adults can wear braces too! As long as teeth and gums are healthy, there's no upper age limit on orthodontic treatment. Instead of traditional silver braces, many adults choose tooth-colored braces or clear aligners to complement their more professional appearance.

So if your child is at the age where screening is recommended—or if you're unhappy with your own smile—ask us whether orthodontics could help. But if you get into a rivalry with Madonna…you're on your own.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Orthodontics For The Older Adult.”


By Mark A. Eby, D.D.S., P.C.
December 04, 2019
Category: Dental Procedures
Tags: dental implants   dentures  
HowImplantsMightImproveBoneHealthWithDentures

Think dental implants only replace individual teeth? Think again—this premier technology can also support other kinds of restorations to provide better stability and comfort. And, they also help improve bone health when incorporated with any type of tooth replacement options, especially dentures.

Although traditional dentures have enjoyed a long, successful history as a tooth replacement solution, they can interfere with bone health. That’s because regular dentures fit in the mouth by resting on the bony ridges of the jaw, which has implications for the bone.

As living tissue, bone goes through a growth cycle with older bone cells dying and dissolving and newer cells forming to take their place. The teeth play a role in this growth cycle — the forces generated when we chew travel up through the teeth and help stimulate bone growth. When teeth go missing, however, so does this stimulus.

Traditional dentures can’t replace this missing stimulus. In fact, the constant pressure of dentures on the jaw may even accelerate bone loss. A sign this is happening occurs when the dentures’ once tight fit begins to loosen and they become uncomfortable to wear.

Implant-supported dentures can help eliminate this problem. We first surgically place a few implants in the jaw, the number determined by which jaw (the lower requires less) and whether the denture is removable or fixed. If removable, the denture has connective points that match the implant locations — you simply connect them with the implants. If fixed, the denture is screwed into the implants to hold it in place.

So, how does this help bone health? For one, the denture no longer puts as much pressure on the jaw ridges—the main support comes from the implants. And, the implants themselves encourage bone stimulation: The titanium in the implant has a special affinity with bone cells that naturally grow and adhere to its metal surface. This natural integration between implant and bone can stop bone loss and may even help reverse it.

If you’re interested in implant-supported dentures, you’ll first need to undergo a full dental exam with your dentist. These restorations aren’t appropriate for all dental situations. But, if they can work for you, you may be able to enjoy the benefits of an implant-supported restoration.

If you would like more information on implant-supported restorations, 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 “Overdentures & Fixed Dentures.”