SLEEP APNEA AFFECTS over 18 million adults and up to 20% of habitually snoring children in the United States alone. Sleep apnea is a sleep disorder characterized by brief, repeated interruptions to normal breathing during sleep. It can have many short and long-term effects on a person’s health (to the point of being potentially life-threatening) and is also very harmful to oral health.

Sleep Apnea Comes in Different Types

The most common type of sleep apnea is obstructive sleep apnea (OSA). It is caused by a blocked airway, usually the tongue relaxing back until it collapses against the soft palate, which in turn collapses against the back of the throat, sealing off the airway.

Less commonly, a person could have central sleep apnea, in which the brain fails to send signals to the respiratory muscles to keep breathing during sleep. Some people have a combination of both types, which is called complex sleep apnea.

Whether the airway is physically blocked or the brain isn’t sending signals to breathe, the lack of oxygen causes the brain to react to alarm and force the person to wake up long enough to take a breath. They usually don’t remember waking up because it only lasts a few seconds, but it can happen as many as hundreds of times in a single night, making it impossible to get a restful night’s sleep. The cumulative effect on sleep quality can be severe.

Sleep Apnea and Oral Health

Aside from having to deal with symptoms of sleep deprivation like morning headaches, exhaustion, and difficulty concentrating (all of which can be terrible for kids trying to do well in school), sleep apnea means oral health difficulties.

Sleep apnea is associated with an increased risk of moderate to severe gum disease and temporomandibular joint disorders (TMD). This is because the jaw reflexively clenches in an effort to keep the airway open during a sleep apnea episode. This kind of TMD issue can compound, leading to problems like pain when chewing, neck and shoulder pain, damaged teeth, and chronic headaches.

The Dentist Can Help

It is so common to experience dental symptoms with sleep apnea that the dentist is often the first health care professional to observe the signs and diagnose the condition. That’s one good reason of many to keep up with your and your child’s regular dental appointments — not just for the sake of your oral health, but also your overall health!

Common ways sleep apnea is treated include nighttime dental devices that adjust the position of the jaw and tongue and continuous positive airway pressure (CPAP) machines.

Healthier Sleep Means a Healthier Smile!

We all need to sleep well to feel our best. If you or your child have been struggling with the effects of sleep apnea, your next visit to the dentist could change your life. Schedule your next appointment today, and we can see if you’re showing signs of sleep apnea and put you on the path to a full night’s sleep and the healthy smile you deserve.

Wishing a wonderful night’s sleep to all of our patients!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

PEOPLE IN MIDLOTHIAN might need to find a new dentist for all sorts of reasons. Maybe they just moved into the area. Maybe their old one retired. Maybe they’re new parents and need to find one for their child. Whatever the reason is, we recommend not waiting until an urgent dental health emergency pops up before finding a dental practice that fits your needs. Here are five important factors to keep in mind when searching for the best dentist for you.

1. Location, Location, Location!

How close is the practice to your home? To your child’s school or where they play sports? To your workplace? Make sure the distance isn’t so great that making it to twice-yearly checkups will become a major inconvenience. It’s a good idea to decide on a radius that seems doable for you and your family, then determine who the best dentist is within that radius. On the other hand, there might be a practice slightly farther away that is still worth it for other reasons!

2. Reputation Matters

What kind of reviews does the practice have? What are their other patients saying about them? Check out the Yelp and Google reviews and maybe ask around your neighborhood, coworkers, and friend group to see if anyone you know is familiar with that particular practice. While there can sometimes be hidden gems, a lot of good feedback is generally a positive sign.

3. What Specialties Can They Claim?

A dental practice that operates close to you and has fantastic reviews might still not be right for you if they don’t offer some of the services you think you’re likely to need. How good are they with child patients? Do they offer cosmetic treatments? How much experience do they have with root canal therapy or treating gum disease? Do some research into a dentist’s specialties to see if they’re a good fit.

4. How Well Do They Fit Your Budget?

Sometimes a practice’s only flaw is the cost of their services in comparison to your budget, or that they aren’t in your dental insurance network. It’s still important to find a dentist for regular appointments in this case, because those checkups are much easier on a budget than a serious dental problem that could’ve been caught and treated cheaply in an early stage. Finding a budget-friendly dentist is an excellent investment, both financially and in terms of dental health.

5. Patient Comfort

If you aren’t comfortable around a dentist or within their practice, then the other factors might not matter much to you. It’s a good idea to pay a practice you’re considering an early visit just to get a sense of the place and the staff. A good dental practice will always prioritize patient comfort, especially considering how many patients struggle with dental anxiety!

Meanwhile, keep up those oral hygiene habits!

We Look Forward to Meeting You as Your Midlothian Dentist!

If you weren’t sure how to start looking for a great dentist in Midlothian, VA before, we hope we’ve given you a few ideas of where to begin! If you want to learn more about our practice to see if we’re a good fit for you, just give us a call or stop by. We’re happy to answer any questions you may have!

Thank you for trusting us with your dental health needs!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

WE HEAR A LOT that it’s bad to chew ice. It’s because ice can do a lot of damage to our teeth and gums.

Extreme Temperature Changes Versus Enamel

Tooth enamel might be the strongest substance in the body, but it’s also brittle. The issue with ice isn’t just that it’s hard, it’s also that it’s cold. Extreme temperature changes cause tooth enamel to expand and contract, creating tiny cracks and weakening the overall structure. It’s the same thing that happens to pavement in places that get snow.

Gum Injuries and Tooth Damage

While weaker enamel can lead to tooth sensitivity and vulnerability to decay, ice also isn’t good for gum tissue. It’s so cold that it creates a numbing effect, which can make it difficult to notice if it causes an injury to the gums. It’s also hard enough to break or chip teeth.

Where Do the Cravings Come From?

Why crave ice if there are only downsides to chewing it? The scientific term for compulsive ice eating is pagophagia. It could indicate an eating disorder called pica (the compulsion to eat non-food items, or it could be related to iron deficiency anemia. The chill of ice stimulates blood flow, counteracting low oxygen levels in the brain, but that only treats a symptom of anemia, not the cause.

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

THERE’S A LOT OF strange stuff buried in the history of dental health and hygiene, but there are a few traditions that really stand out.

Stopping Bruxism With Skulls

The ancient Babylonians had a very peculiar way of treating bruxism (chronic teeth-grinding). They believed the problem was caused by demons, so the solution was to scare the demons away…by sleeping right next to a human skull. Supposedly the grinding habit would leave along with the demon. We suggest consulting a dentist instead.

Mice for Pain Management?

In ancient Egypt, someone who had a toothache could be treated with a pain-killing ointment. One of the main ingredients of this ointment? Mice. We don’t know how effective this was at managing the discomfort of a toothache, but we’re pretty sure we’d rather not find out. You’re much better off scheduling an appointment so the dentist can discover the cause of the pain and recommend treatment.

Pitch-Black Smiles

Modern beauty standards are all about having dazzling white smiles, but that hasn’t always been the case in every culture. Many cultures in Asia historically preferred black teeth instead! In Japan until the end of the Meiji period in the late 1800s, wealthy women and samurai often used the practice of Ohaguro to stain their teeth black. They liked the way it looked and believed it provided some protection against tooth decay. (We don’t advise copying them.)

Sooty Teeth

Thousands of miles away and hundreds of years earlier in England, people were also blackening their teeth. When the sugar trade first reached the British Isles in the Early Modern period, sugar was so expensive that only the nobility could afford tooth-rotting sweets, so black, rotten teeth became a mark of affluence. Sumptuary laws prevented the lower classes from dressing above their station, but there was no law stopping them from using soot to imitate the appearance of a wealthy smile!

Even worse, Elizabethan England thought sugar was a vital ingredient for toothpaste!

Bedazzled Mayan Teeth

2500 years ago, the ancient Mayans would drill holes in each other’s teeth by hand, then use plant sap as glue to attach gemstones inside the holes. They were careful to avoid the nerves in the teeth, but this is still a very risky form of body modification even in modern times. Teeth shouldn’t have holes in them, whether artificial or in the form of a cavity that develops over time, as that’s how bacteria can eventually reach the pulp chamber and cause a serious infection.

What Will Future People Find Weird About Our Teeth?

Can you think of any teeth traditions we have today that future generations might think are very strange? We’re guessing it might be the online (and extremely dangerous) “do-it-yourself braces” tutorial videos or people who follow the Mayan example of embedding jewels in their teeth. We encourage our patients to prioritize their dental health by maintaining good dental hygiene habits, cutting back on sugar, and making it to their regular dental appointments.

Build good teeth traditions!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

CHILDHOOD IS A TIME of scraped knees and bumps and bruises as kids run around discovering the world. As pediatric dentists, we want to help parents minimize the risk of their kids getting preventable tooth injuries while they’re enjoying what childhood has to offer.

The Main Tooth Injury Risks

For babies and toddlers, the majority of tooth injuries happen from a slip in the bathtub. Keeping a close eye on them while they’re in the tub will help, as will a non-slip bath mat.

Playground equipment is a common cause of tooth injuries in older kids, including monkey bars, jungle gyms, and even swings. Make sure to talk about safety with the kids when they’re playing on this kind of equipment. Balls and frisbees are also a risk, so stress the importance of not aiming for each other’s heads when playing with them.

Plan for an Accident

Even when we’re careful, accidents can still happen, so make an emergency plan. If a tooth gets knocked out and it wasn’t a baby tooth that was already loose, try to put it back in the socket and get to the dentist. Store it in a glass of milk if it won’t go back in.

We can also protect our kids’ teeth by keeping them healthy! Healthy teeth are less vulnerable to getting knocked out than teeth weakened by decay and gum disease.

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

DAILY BRUSHING AND flossing are essential to keep a growing child’s smile healthy, but we already know that. We hopefully also know how important it is to set regular dental appointments. Cutting back on sugar intake and limiting it to mealtimes instead of little snacks throughout the day is another important way to reduce the risk of tooth decay.

These aren’t the only things that go into a healthy smile, however. Certain vitamins and minerals help build and protect them.

Important Vitamins for Oral Health

Saliva is the first line of defense our teeth and gum have against tooth decay and gum disease, and vitamin A keeps the saliva flowing. We can get it from foods like melon, sweet potatoes, beef liver, and spinach.

One powerful antioxidant that helps our bodies fight inflammation and heal is vitamin C. Not getting enough can mean gums that are more prone to bleeding and looser teeth, including for kids. Citrus fruits are great sources of vitamin C, but they’re also acidic, so it’s a good idea to rinse with some water after eating an orange!

Vitamin D is what ensures that we can make good use of the other vitamins and minerals we consume. Vitamin D signals our intestines to absorb them into the bloodstream. Getting enough of it will lead to stronger, denser bones, and we can get it in our diet by eating fish, eggs, and dairy products.

Vitamins B2, B3, and B12 are important for oral health too. They all reduce the risk of oral canker sores, and B3 also helps us convert our food into energy. Good sources of B3 are fish and chicken, there’s plenty of B12 in pasta, bagels, almonds, and spinach, and B2 sources include red meat, chicken, fish, liver, and dairy products.

The Minerals Our Teeth Are Made Of

It’s common knowledge that calcium builds strong teeth and bones and that we can get plenty of calcium from dairy products, but magnesium, zinc, and iron are also important minerals for our oral health. Magnesium helps the body to absorb calcium, and we can get it from leafy greens, beans, nuts, seeds, and whole grains.

Iron helps to maintain the oxygen levels in our cells. Having an iron deficiency results in problems like increased risk of infections, mouth sores, inflammation of the tongue, and more buildup of oral bacteria. We can get iron from red meat and liver.

Finally, zinc makes it harder for plaque to build up along the gum line, making it easier to fight oral bacteria. Foods like wheat, cereal, cheese, wild rice, and beef contain zinc. Cheese is particularly good because it also contains casein, which helps keep our tooth enamel strong.

What about calcium sources for those who can’t eat dairy products?

Building and Keeping Lifelong Healthy Smiles

If your child hasn’t been getting each of these nutrients for building a strong, healthy smile, we recommend incorporating more of the foods we mentioned into their diets. Sometimes allergies or food intolerances can make this tricky, so the pediatrician may be able to recommend multivitamins and supplements. Whatever your situation, don’t forget the brushing and flossing!

We’re looking forward to seeing those growing smiles again!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

STAYING INFORMED ABOUT the symptoms and risk factors of oral cancer is incredibly important. We oral health professionals are on the front lines of the battle against oral cancer, and we want to recruit our patients to fight with us.

Oral Cancer Risk Factors

By far the biggest risk factor is tobacco use. Another is frequent, heavy alcohol consumption. Oral cancer affects twice as many men as women and people over age 45 are at greater risk. Other risk factors include too much sun (which can cause lip cancer), HPV, and neglecting oral hygiene. Children are less at risk, but that can change if they start using tobacco — just one more reason why parents should discourage their kids from smoking or vaping.

Symptoms of Oral Cancer

Oral cancer symptoms include red or white patches in the mouth, a sore that doesn’t heal, strange thickness in the cheek, an unusual lump, numbness of the mouth or tongue, a persistent feeling of having something stuck in the throat, chronic bad breath, and difficulty chewing or swallowing.

The Dentist Can Help

The great news is that survival rates for oropharyngeal cancers have been increasing for the last 30 years. The way we continue that trend is with awareness and early detection. The first person to spot early signs of oral cancer is often the dentist during a routine dental exam!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

WHAT DOES A CAREER in dentistry look like? Being a dentist is an incredibly rewarding career, and beyond helping our patients maintain lifelong healthy smiles, we hope our team inspires at least a few budding dentists out there! We want to make sure you know all the different directions you can go within the field of dentistry because there are more options than you might think.

Becoming a Dentist

To become a dentist, you should find out the prerequisites for which courses to take in your undergraduate program to qualify for the dental school you want to attend. Most require several science courses and labs, and a four-year degree is recommended. A year before dental school, you must pass the Dental Admissions Test and apply. Dental school takes four years to complete.

Here’s one example of what dental school is like:

What’s The Difference Between DDS and DMD?

Some dentists come out of dental school with a DDS attached to their name while others have a DMD. DDS means Doctor of Dental Surgery and DMD means Doctor of Dental Medicine, and which one you get depends on which school you go to, but the qualifications are the same. Dentists who want to specialize in a particular area of dentistry will go on to get additional training and certification in their specialty area.

Private Practice Dentists Aren’t the Whole Story

The dental career everyone is most familiar with is the private practice dentist, meaning an individual dentist or a partnership working with local patients in their own practice. That’s the kind of dentist we all go to for our normal dental health needs, but not everyone who graduates from a four-year dental program goes in this direction.

Other Types of Dentists

Academic dentists add a teaching role and help usher in the next generation of dentists. Research dentists get to be on the cutting edge of new advancements in treatments and technology. Some dentists go international and work with organizations like the WHO, UNESCO, and FAO. Finally, there are dentists who work alongside physicians in hospitals.

Dental Specialties

About 20% of dentists undergo additional years of training in one of the nine dental specialties: Dental Public Health, Endodontics, Oral and Maxillofacial Pathology, Oral and Maxillofacial Radiology, Oral and Maxillofacial Surgery, Orthodontics and Dentofacial Orthopedics, Pediatric Dentistry, Periodontics, and Prosthodontics.

The Team Is More Than the Dentist

Aside from the dentists themselves, other essential roles in the field of dentistry are dental hygienists, dental assistants, and dental lab technicians. Hygienists and assistants interact closely with patients to ensure a high level of care, while dental lab technicians work behind the scenes designing the dentures, crowns, and braces used by dentists. Most of these support roles require at least an associate’s degree or training program.

And, of course, we wouldn’t get far without our office staff!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

IF YOU’RE SHORT on fun topics of conversation for your next party, might we interest you in some weird mouth trivia? We’re sure you’ll be able to impress your friends.

1. The Bumps on Newly Erupted Adult Teeth Have a Name

You might remember what it was like when your adult front teeth came in and they had bumps on the ends of the chewing surfaces. If not, maybe you’ve seen those bumps on your child’s teeth. Well, those bumps are completely normal and they are called mamelons. The theory about why we have them is that they help the teeth erupt from the gums, and in most cases, they will wear away over time from chewing.

2. Our Sense of Taste Relies on Spit

None of the ten thousand taste buds we have on our tongues would be any use if it wasn’t for our saliva. That’s because we don’t taste the food molecules on their own; they have to be dissolved in our spit before the receptors on our taste buds can detect them.

3. More on Those Taste Buds

Most people assume that the visible bumps on our tongues are taste buds. Those bumps are called lingual papillae and they contain many taste buds each. Individual taste buds are too small to see with the naked eye. Lingual papillae come in four different types: filiform, fungiform, foliate, and vallate. They serve slightly different purposes, but all types except for the fungiform ones contain taste buds.

Tying this back to oral health, the difficulty with the bumps on our tongues is that they make a rough texture where bacteria love to hide. When we let it build up, it can give us a lingering bad taste in our mouth and make our breath very sour. What’s more, it can actually dull our sense of taste! This is why it’s so important to clean our tongues every day, and the best tool for the job is a tongue-scraper, not just a quick scrub with your toothbrush.

4. Guess Which Group of Muscles Doesn’t Need Bones to Move

The tongue! It’s the only muscle group we have that doesn’t rely on the skeleton to move, and it has an amazing range of motion. The tongue can curl, uncurl, lengthen, shorten, and some people can even roll theirs. If it couldn’t do all of this, we’d have trouble eating and speaking! The tongue is composed of eight muscles, four of which are intrinsic (the ones that form the tongue itself) and four of which are extrinsic (the ones that attach the tongue to the throat and mouth).

5. The Incredible Stamina of the Tongue

There’s a myth that the tongue is the strongest muscle in the body, and while that one isn’t true, the tongue does have incredible stamina. It has many built-in redundancy systems thanks to being made up of eight different muscles working together, so it doesn’t really get tired after a workout.

6. Our Adult Teeth Start Developing Before We’re Born

As early as six weeks into the development of a fetus, the baby teeth begin developing, and it only takes another six weeks before the adult teeth follow suit. It takes many more months for the baby teeth to finish forming under the gums and years for the adult teeth to become fully formed, but isn’t it wild how early that process starts?

Share Your Weird Mouth Trivia With Us!

As dental health professionals, we love mouth facts, even if that’s not always the most popular trivia category at parties. We’d love to hear any weird mouth facts that you know the next time you come in for a dental exam!

The most important fact: we have the best patients!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

ONE OF THE most prominent figures of the magic of childhood is the Tooth Fairy, but depending on where and when you are, the traditions around lost baby teeth are very different from what we have in our culture!

Baby Teeth in Medieval Europe

Centuries before the Tooth Fairy came along to swap teeth under pillows for quarters, she might’ve needed to dig them up or find them in fireplaces, because Medieval Europeans believed that witches could control people through their teeth, so they would burn or bury theirs.

Kids also burned their baby teeth to help guarantee a peaceful afterlife, because there was a belief that they might be doomed to search for their teeth for eternity as ghosts if they didn’t destroy them.

A Warrior’s Prized Accessory

A little farther north, the Vikings had a very different view: baby teeth were such powerful symbols of good luck in battle that warriors would buy them to put on necklaces! We can’t decide if that would look very intimidating or very strange. Probably both.

The Tooth Mouse

Even today, not everyone pictures a Tinkerbell-type figure. Many Latin and European countries actually have a Tooth Mouse! In France, she’s called Le Petit Souris (the little mouse), while many Spanish-speaking countries have Raton Perez, and the tooth mouse replaces baby teeth hidden under pillows for small gifts or coins.

Top image used under CC0 Public Domain license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.