Botox And Dental?

What are your thoughts on Botox? Would you get Botox treatment if it meant it could help with specific dental problems?

Check out this article by Perfect Teeth:

"When you think about Botox chances are good you think about a Gen-Xer having it done to maintain their youthful appearance. You wouldn’t be wrong – Botox is by far the most popular cosmetic procedure out there with the American Society of Plastic Surgeons reporting over 7.4 million injections given in 2018.

And now dentists are getting in on the action. Have you heard about this trend of Botox in dentistry? It just might be the next big thing!

What is Botox?

According to the U.S. National Library of Medicine, Botox is a drug made from a toxin produced by the bacterium Clostridium botulinum. While it’s the same toxin that causes a life-threatening type of food poisoning called botulism, its use as an injectable paralytic has been FDA approved for cosmetic procedures and more. In fact, it’s now commonly used in small doses to treat a variety of health problems including excessive sweating, excessive blinking, overactive bladder and even migraines.

Botox works by blocking nerve signals that control muscle movement, which makes them unable to contract, temporarily softening the skin around the area that was injected. It typically takes a few hours for results to be seen and they usually last about three months.

Botox in Dentistry

For most people who hear the word “Botox”, they think of wrinkle reducing injections used in cosmetic procedures. While it is true Botox was approved by the FDA for such, it is now expanding in its application due to the nerve blocking benefits it offers. In fact, a trip to your dental office could include your dentist offering Botox.

While some dentists do use Botox for cosmetic procedures, there are many other uses for Botox in dentistry.

• Treatment of Temporal Mandibular Joint Disorder (TMJ)  
• Treatment of bruxism (teeth grinding)
• Reducing a “gummy smile” without surgical intervention
• Adjustment of lips before or after denture placement or oral surgeries.

Should a Dentist Do Botox?

Botox as a purely cosmetic procedure will likely never be part of a dentist’s repertoire – as their first and primary goal is oral health care. But, because dentists have extensive training on oral and facial anatomy, health and function, some say there is no one better qualified to administer Botox than a dentist.

In fact, some proponents of the use of Botox in dentistry claim dentists are the most qualified, and offer a better experience because they administer oral and facial injections on a regular basis. This makes the injections quick and less painful, because they are done with a skilled hand.

While the use of Botox in dentistry is controversial to some, it seems there may be a place for Botox in dentistry, to help both medically and cosmetically. According to the American Academy of Facial Aesthetics about 10% of dentists are currently trained to administer Botox with more seeking training every day. The American Dental Association even offers Botox training for its members!

Is Botox in dentistry the next big thing? We don’t have a crystal ball, but it’s a trend we envision increasing especially as demand grows and more and more state dental boards support the practice."

Sunscreen...For Your Lips?

It's a hot, sunny day... You've slathered yourself from head to toe with SPF 45... you're ready for some fun in the sun...BUT WAIT! You forgot to protect your smile!

According to the CTCA ( Cancer Treatment Centers of America), sun damage (among other contributors) is the leading cause of Lip Cancer. People with repetitive exposure to the sun are more likely to exhibit symptoms that can potentially lead to lip cancer.

For more valuable information about lip cancer and how to protect yourself from it, please click here!

So on your way out to enjoy our beautiful summer weather don't forget sunscreen for your smile!

Several companies offer lip balms with SPF 15 or greater and you can never use too much!

Original post from Dawn_DA on June 24, 2009

What are "Chalky Teeth"?

 Have you ever heard of "chalky teeth"? Good, me either!

The technical term for "chalky teeth" is Hypomineralisation. This happens when a person has a decreased mineral content within the tooth's enamel. People who have experienced "chalky teeth" describe the sensation as their teeth "feel a little rough and have a grainy, almost chalky feeling to them."

The majority of adults who suffer from "chalky teeth" eat a vegan or vegetarian diet. This is due to the high levels of oxalate acid found within the leafy greens. Once the greens enter the mouth, they react to the calcium found in the salvia. This then creates the feeling of "chalky teeth".

If you have noticed any "chalky" sensation on your teeth, start by brushing and using mouthwash after every meal. If this doesn't seem to clear up, you should contact your dental provider for a dental examination to figure out the best type of treatment!

Information found here!

Repost from January 2022

Alignment Problems To Watch For In Children

When your children are around six to eight, you will want to start paying attention to the alignment of their teeth.

If you notice any of the following problems, you will want to talk to an orthodontist about orthodontic treatment.

• Excessive spacing: This usually happens with abnormal growth of the jawbone.
• Crowding: This is when the jaw is too small to accommodate permanent teeth.
• Underbite: When the lower jaw grows larger than the upper jaw.
• Overbite: When the upper jaw grows larger than the lower jaw.
• Open-bite: When the teeth are unable to make physical contact for a proper bite.
• Crossbite: When the upper teeth close inside the lower teeth.
• Over-jet (protruding): Teeth that are too far forward commonly known as "buckteeth". 

If these problems are left untreated they can result in tooth decay, gum disease, headaches, and ear aches. It may also cause speaking, biting, or chewing problems. 

The Unexpected Way Running Affects Your Teeth

We all know that exercising is great for your health. One of the primary reasons for running is that it helps lose weight, fight heart disease, and relieve stress. However, running can also have hidden negative effects on one of the most important parts of your body; Teeth.

When you add all the carbs, sports drinks, and protein bars likely consumed during or after a workout, your mouth has the perfect environment for cavities. Sugar feeds decay-causing bacteria and our defenses against these bad bacteria that live in our saliva.

While most runners breathe through their mouth, the mouth is usually dry during the entire run which slows saliva rates and makes it harder for the mouth to clean itself. Therefore, when the mouth is dry, your teeth are at risk.

Here are a few things to save your teeth during a workout!

1. Stay hydrated
2. Pop a sugar-free mint or a piece of gum after a workout (this helps your saliva glands to start working again)
3. Brush and floss regularly

Remember oral hygiene is very important!!

Probiotics For The Mouth?

That's right! Probiotics are not just for gut health they can keep your mouth healthy too!

Here are some ways the benefits of oral probiotics:

• Helps prevent Plaque 
• Helps fight bad breath
• May prevent oral cancer
• Helps manage symptoms of Gingivitis
• It may decrease inflammation in the mouth

If you are the type of person who cannot swallow pills or like me who forgets to take them you're in luck because there are many different types of foods that you can get probiotics from such as enhanced milk, yogurt, cheese, sauerkraut to just name a few!

Remember to consult with your dentist before taking probiotics!

How To Deal With Dental Phobia

To begin, I think it's important to note that dental phobia is a very common affliction, with over 80% of the population having at least some level of anxiety and fear over dental procedures. So, to the dental phobics out there, please know that you are not alone!! Conversely, a higher percentage of women have reported having dental phobia than men. (OK, I'll admit that this statistic surprised me. Just a little.) Having worked in this industry for the past 16 years, it occurred to me to write on this topic because I have witnessed so many people who have been diagnosed as needing major restorative work all because they were afraid to see a dentist for preventative care. Some have avoided the dentist for 15 to 20 years! Anyway, I did a little hunting on the web and found some interesting ideas for overcoming dental phobias. Hope this is helpful! 

• The first and, I think, most important thing is to find a dentist that you can trust. The best method for this is word of mouth. Talk to a trusted friend or co-worker, or ask family member for a referral. Chances are if they've had a good experience, you will too.
• Proceed with treatment at your own speed. (Except in the case of an emergency, of course.) Do not allow yourself to be rushed into treatment before you are ready. Mental preparation is important to your dental experience. Discuss all options with your dentist prior to the treatment. Knowing what to expect goes a long way toward relaxation.
• Try to bring a spouse or trusted friend with you for treatment. Sometimes just knowing someone is there (even if they stay in the waiting room) can help to relax you and put your mind at ease. Also, sometimes talking about your fears with that person can help to alleviate and irradicate the jitters. You might even be surprised to learn that they have similar fears!
• Predetermine a "stop signal" with your dentist. Most people will just raise a hand....that seems to be the most common signal, but the important thing is that he (the dentist) needs to know if you are experiencing discomfort at any level. Sometimes all that is required is to stop for a moment and let the feeling pass, or if you are in pain, to administer more anesthetic.
• Bring an MP3 player or CD player with headphones to distract you. Music calms the soul, and consequently the mind and body. If you are in to motivational CD's or inspirational types of listening material, that is helpful as well. Many of the new state of the art dental facilities already have these things available.

These are just a few of the ideas that are available on the internet to help overcome your fear of the dentist. Here is a link for some information on the newest dental techniques and tools coming out on the market. Many of these are designed to aid or eliminate pain and anxiety.

Original post by Clay III on October 14, 2018

Could Toothpaste be Linked To Heart Attacks And Strokes??

Could a zero-calorie sweetener in toothpaste be a leading cause of heart attacks and/or strokes? Check out this article from Dr. Biscupids Melissa Busch. 

"A zero-calorie sugar substitute commonly found in toothpaste and chewing gum may be associated with a heightened risk of cardiovascular events like heart attacks and strokes, according to a press release dated June 6 from the Cleveland Clinic.

In the future, more studies should be conducted to examine the cardiovascular safety of xylitol, a natural sugar alcohol found in plants but which is considered an artificial sweetener because it contains no sugar, according to the large study published on June 6 in the European Heart Journal.

"Xylitol is associated with incident MACE (major adverse cardiovascular event) risk," wrote the authors, led by Dr. Stanley Hazen, PhD, of the Cleveland Clinic Lerner Research Institute and the Preventive Cardiology in the Heart, Vascular, and Thoracic Institute in Ohio.

Xylitol is a common ingredient in sugar-free candy, gum, and oral care products like toothpaste. Over the last decade, xylitol and other sugar substitutes have gained in popularity and have been promoted as healthy alternatives for those with obesity and diabetes.

To explore factors that contribute to residual cardiovascular risks, an analysis of more than 3,000 patients in the U.S. and Europe were analyzed. Untargeted metabolomics studies were conducted on patients undergoing heart evaluation, and liquid chromatography tandem mass spectrometry analyses were done on an independent, nonoverlapping cohort. Human blood and animal model studies were studied to investigate the effects of the sugar substitute on platelet responsiveness and blood clot formation in vivo, according to the study.

High levels of circulating xylitol were linked to an elevated three-year risk of cardiovascular events. Additionally, a third of patients with the largest amount of xylitol in their plasma were more likely to have a cardiovascular event, according to the release.

Furthermore, xylitol caused platelets to clot and heightened the risk of thrombosis. Also, it was found that the platelet activity of patients who drank a xylitol-sweetened drink had a clotting ability that notably rose immediately compared to those who drank a glucose-sweetened drink, according to the authors.

The study had several limitations, including that clinical observation studies show correlation and not causation, according to the release. The study, which was supported by the U.S. National Institutes of Health and the Office of Dietary Supplements, highlights the need to further investigate sugar alcohols and artificial sweeteners.

"It does not mean throw out your toothpaste if it has xylitol in it, but we should be aware that consumption of a product containing high levels could increase the risk of blood clot related events," Hazen said in the release."

Extraction Aftercare

Aftercare for tooth extraction can vary depending on the type of procedure that was done and how your body responds to healing.

One thing is for sure, you may have bleeding for 24 hours, so don't freak out!

• 1-2 days after an extraction:
• Rest - try not to bend over or pick up anything heavy.
• Change gauze - if needed, change gauze every 30 min.
• eating- Eat soft foods and chew on the opposite side of the mouth.
•  Avoid Swishing - Put water in your mouth gently tilt your head from side to side and spit. SO NOT swish.
• No Straws - sucking can cause dry sockets.
• Medications - take prescribed medication as needed.
• No smoking - like the straw, this can create a dry socket.
• Elevate head - when you sleep, elevate your head. This will prevent blood pooling and make healing fast.
• Brush and floss - super gentle around the extraction site.
• 3-10 days after extraction:
• Saline rinse - use warm salt water to rinse the mouth.
• Brush and floss - continue as normal.
•  Eat - continue eating soft foods.

If you are experiencing any pain after a week or 10 days, consult your dentist immediately!

*These are basic instructions. If your dentist gives you an instruction sheet, please follow theirs*

Information is found here!

How To Sleep After Wisdom Teeth Removal

Check out this direct reprint of an article by Slumber Yard Team, if you are about to get your wisdom teeth removed! 

"Wisdom Teeth Removal

Almost 85% of Americans need to get their wisdom teeth pulled sooner or later, and boy are we jealous of those who don‘t need to go through the procedure.  It‘s a simple outpatient surgery, but the recovery can be quite grueling.  It can be even worse if you can‘t manage to get a good night‘s sleep.  Sleep is a major factor in recovery, so you can see how this situation can quickly become a downward spiral if you‘re not getting any rest.  The less sleep you get, the more painful the healing process becomes, which makes it harder to sleep — and the cycle continues.

Our Slumber Yard team member Carla actually recently got her wisdom teeth pulled.  When we asked her about her sleep experience post–procedure, this is what she had to say.

“Be prepared to readjust the way you‘re eating because you can basically only have liquids and soft foods like yogurt and pudding.  I tried noodle soup, but I stayed away after I got a noodle stuck in the holes where my wisdom teeth were.  Because you‘re eating differently, it might affect your sleep schedule.  For the first couple of days, I had a migraine from the surgery and an aching jaw, so it made it more difficult to fall asleep.  But the first two days, I did nap a lot.  I‘d say I got around the recommended six to eight hours of sleep over the days.  I‘ve heard from others that they‘ve slept much more, though, especially if your dentist puts you on pain pills stronger than Tylenol.  Yawning hurt for about a month, too, so be prepared for that.”

Wisdom tooth removal is something that most people will encounter in their lifetime.  While everyone‘s experience is different, there are some things that you can expect after wisdom teeth removal.  This guide will teach you some simple tricks and provide expert tips to help ease your recovery and help you sleep better.

How to Sleep Post Teeth Removal

After you get your wisdom teeth removed, it‘s important to be aware of how you‘re sleeping.  Sleep and good rest is important to heal faster, but you can actually prolong your healing process if you‘re not careful.

Take Your Medication

To start, make sure you take any medications your doctor prescribed.¯ This is essential for two reasons:  One, it will help fight off potential infection, and two, it will help you sleep at night if you‘re feeling pain.

Hopefully, your dentist or oral surgeon prescribed you something strong enough to ease the pain, as Carla mentioned earlier.  If not, Ibuprofen or Tylenol will help reduce the discomfort too.  You can also apply an ice pack to your cheek if you have a combination of pain and swelling.

Keep Head Elevated & Choose the Right Position

After you get your wisdom teeth pulled, you‘ll need to keep your head elevated for at least 36 hours at a 45–degree angle, even while you sleep.  The elevation will help you recover faster because blood vessel tone (constriction of your blood vessels) and blood volume tend to increase near the wound when you‘re lying flat.  This can cause the wound to throb and lead to increased pressure and bleeding, inhibiting healing.  Keeping your head at an angle also helps to reduce swelling, so you don‘t look like a chipmunk.

Remove Gauze From Mouth This next tip might go without saying, but you‘ll want to remove the gauze in your mouth before you sleep, so you don‘t accidentally choke on it.  Your dentist should tell you when you have the OK to take it out, which is normally around 30 minutes after surgery.

Follow Aftercare Instructions

In general, make sure you also schedule time to rest after your surgery, and not just when you‘re supposed to go to sleep at night.  If you strain yourself too hard after wisdom teeth removal, the healing process will only be more painful, meaning less restful sleep.  So take a few days off work, lay low, and sleep whenever you get the opportunity.

If you find it hard to fall asleep, try setting the temperature in your room between 60–67 degrees to lower your body temperature, and turn off all the lights in your room.  You should even keep your phone face down so it doesn‘t light up throughout the night.  This ensures you‘re in the perfect atmosphere to fall asleep.

Combatting the Aftermath of Wisdom Teeth Removal

When a wisdom tooth is removed, some common symptoms may occur.  We identify these common symptoms, along with medical advice from Mayo Clinic regarding best treatment practices.

Be sure to contact your doctor should you experience any of the following symptoms:

• Trouble swallowing
• Difficulty breathing
• Excessive bleeding
• Severe pain
• Fever
• Prolonged, excessive swelling that lasts two or more days
• Pus in or around the socket
• Numbness or loss of feeling
• Blood or pus in nasal discharge

Foods to Aid in the Recovery Process and Support Sleep

The foods and beverages that you consume could hasten your recovery process.  These foods and beverages can actually help aid in your recovery from wisdom tooth removal.

Beverages

Do‘s:

Water:  Water is your best friend after surgery, replenishing essential nutrients and giving your body the strength to fight infection.

Ginger ale:  The bubbles and mild flavor can help ease nausea and settle upset stomachs.

Gatorade or Powerade:  These sports drinks are full of vitamins that can help replenish and strengthen your body to fight infection.

Milkshakes:  Everyone loves ice cream, but this guilty pleasure is not so guilty after wisdom tooth removal because the creamy cold of the treat is very soothing during healing.

Don‘ts:

Alcohol:  You should refrain from alcohol for at least 48 hours immediately following your procedure.

Acidic drinks:  Acidic beverages, such as certain sodas or juices, can cause severe irritation to your wound and hamper healing.

Hot and cold beverages:  Your mouth will be especially tender following surgery, so stick to lukewarm drinks and skip the hot coffees and teas.

Whichever beverages you choose, be sure to avoid using a straw so you do not risk dislodging blood clots or causing further harm to the extraction site.

Foods

There are also some foods that can help ease recovery.

Do‘s:

Yogurt:  The cool, creamy texture of yogurt makes this healthy treat enjoyable, but the extra vitamins and minerals will also help aid your recovery.

Applesauce:  This sweet treat‘s smooth texture makes it a perfect choice for post–procedure snacking. Plus, the vitamins and minerals, like Vitamin C, will help fight infection and speed up your healing.

Lukewarm soups:  Blended soups like pumpkin, carrot, or tomato soup are rich in nutrients, while bone broth adds extra hydration.

Eggs:  Scramble some eggs for a soft, easy–to–eat meal full of protein and Omega–3 fats to help with healing.

Don‘ts:

Hard foods:  Hard, chewy foods can put a strain on your extraction site and displace the blood clot.

Spicy foods:  Spicy foods can quickly cause irritation and prolong the healing period.

Crunchy foods:  Foods that easily crumble, like potato chips, can all too easily become stuck in the wound, adding room for infection.

Grains and seeds:  These also can become lodged in your wound and increase the risk of biting the inside of your mouth and adding to your list of ailments.

Additionally, there are also some items that better prepare the body for rest to help you sleep better.

• Almond milk:  Almonds can agitate your wound, but almond milk is a soothing, refreshing way to provide your body with the hormone melatonin to help improve your sleep.


• Chamomile tea:  A cup of lukewarm chamomile tea before bed can help fight inflammation and promote better sleep.


• Tart cherry juice:  This specialty beverage is so effective at improving sleep quality that it is also used to treat insomnia.

Your medical provider can help advise on the best dietary plan for your needs after surgery.

Activities to Pull You Through the Recovery Period

Recovery after wisdom tooth extraction may not be the most fun time, but for many people every day, it is a necessary evil to ensure proper health.  While you are recovering from your procedure, these activities can help keep your mind preoccupied and engaged with fun, entertaining activities that will not put a strain on your recovering body.

• Movies, audiobooks, and podcasts:  These are easy ways to entertain yourself without putting any strain on your body.  Curl up in front of a TV or grab a pair of headphones to tune into your favorite audiobook or flick.


• Puzzles:  Puzzles are another low–energy activity that does not require a ton of movement and can be done right from the comfort of your bed.


• Video Games:  As you begin to feel better, you can check out a new video game for a slightly more intensive experience.


• Read a book:  This can be the perfect opportunity to catch up on your reading and dive into that new novel you have been pushing off.

Any activities that do not require a lot of motion and can be done from bed can help keep you entertained while waiting for your body to get back to normal.

When Can I Sleep on My Side After Wisdom Teeth Removal?

Unfortunately, you will need to sleep on your back.  Depending on your recovery time, you will need to sleep on your back for around three to seven days.  It is not recommended to sleep on your side or your stomach because it can squish your cheeks, adding extra pressure to the area.  It will also direct more blood to the area via gravity.  We can‘t imagine that it would be very comfortable to sleep with an elevated head while on your stomach or side, either, so try to stick strictly to your back.

If you‘re somebody who isn‘t used to sleeping on their back, try arranging pillows around your head and neck to keep you comfortable and supported.

_{SEE ALSO: Best Beds for Back Sleepers}

Best Pillows to Use After Wisdom Teeth Extraction

The right pillow after wisdom teeth extraction can make all the difference in the world for your comfort and could even speed up the recovery process.  Medical experts at Mayo Clinic recommend that patients sleep on their back following wisdom tooth removal.

Back sleepers are best served by a pillow with anywhere from one to four inches of range when compressed.  This keeps the head elevated and reduces neck strain by facing toward the ceiling rather than forward.  The best pillow and mattress for back sleepers depends on a few factors, such as the material you choose.  Pillows are available in several different materials, such as memory foam and latex foam, to meet your ideal comfort level.  Your pillow and mattress firmness is another factor, with a medium firmness often working best for back sleepers.

An extra pillowcase is also a good idea to prevent any blood or fluid stains on your favorite keepsake pillowcase.

Additional Ways to Improve Your Sleep

There are a few other ways to help improve your sleep after wisdom tooth removal.

Modify Your Mattress Outfit

One tip is to modify your mattress outfit by investing in a temporary new bed setup.

Mattress toppers can be a great way to add support quickly.  Instead of upgrading your entire mattress, you could instead choose a mattress topper as a more economical way to accommodate your post–procedure sleep requirements.

You can also use extra pillows to provide added support.  A pillow below your knees can cradle your body for added support and also help minimize back pressure.

Implement a Weighted Blanket for Relaxation

Weighted blankets have increasingly become popular for their highly–touted health benefits.  These blankets typically carry a weight of at least 15 pounds and have been widely reported to provide a soothing calm that promotes better sleep.  Weighted blankets are also used to treat insomnia, anxiety, and stress.

For those who recently had wisdom teeth extracted, the added weight of the blanket does far more than just promoting better sleep.  It can also help other types of sleepers adjust to sleeping on their backs, with the blanket‘s weight gently reminding you throughout the night to remain on your back and prevent any extra, unnecessary movement.  Available in several weights, you are sure to find a version today that works best for your post–extraction sleep.

Final Thoughts

Wisdom tooth extraction is nothing new, but thankfully, there are several things you can do to reduce your downtime and promote faster, better healing.  From soft foods to lukewarm beverages, a few simple changes to your diet can help avoid unnecessary issues and help ensure a quicker recovery.– It is also important to assess what other changes you can make, from activities to even your mattress, so you can enjoy not only a comfortable place to recover but also better sleep each night too."

Traumatic Dental Injuries And Children With ADHD...

Do you have a child who suffers from attention deficit hyperactivity (ADHD)? If so, you should check out this article from Dr. Bicuspids Ava Barros. 

"Individuals with attention deficit hyperactivity disorder (ADHD) may be at twice the risk of sustaining traumatic dental injuries (TDIs). The systemic review was published in the European Review for Medical and Pharmacological Sciences.

Therefore, clinicians should be trained to raise awareness and implement preventive strategies to reduce the risk of TDIs in individuals with ADHD, the author wrote.

"The present study of scientific evidence may provide awareness regarding the prevention of TDIs among this vulnerable group," wrote author, A.A.H. Alzahrani, PhD, of the Al-Baha University Dental Health Department in Saudi Arabia (Eur Rev Med Pharmacol Sci, May 2024, Vol. 28:9, pp. 3303-3312).

ADHD is one of the most common chronic health disorders in school-aged children. Managing the relationship between ADHD and TDIs requires a multidisciplinary approach involving dental professionals, pediatricians, psychologists, and educators. Early identification and intervention for ADHD can reduce the risk of TDIs through targeted behavioral and educational strategies, Alzahrani wrote.

After searching multiple databases, 12 studies were included in this review. The prevalence of TDIs among individuals with ADHD ranged between almost 10% and 68% compared to 0.8% and approximately 45% in the healthy control group. The meta-analysis revealed that individuals with ADHD had 1.98 times higher odds (odds ratio = 1.98; 95% confidence interval, 1.51 to 2.59) of experiencing TDIs compared to those without ADHD, according to the review.

The findings highlight the functional impairments associated with ADHD, such as disrupted motor coordination and difficulties in forming peer connections. Children with ADHD are hyperactive, have trouble staying focused, and struggle to manage their behavior. Creating socially supportive school environments can significantly reduce the risk of TDIs, the author wrote.

The review had limitations, including the small sample size and the varying ages of participants, which ranged from 7 to 17 across different dentition stages. Further research should use standardized methodology to improve the understanding of the oral health conditions in ADHD patients, Alzahrani wrote.

"Despite those limitations, this study provides insights into the association between TDIs and ADHD individuals," Alzahrani concluded."

Sedation For Children

 Does your little one have a dental procedure coming up? Will it require sedation? Well, you're in luck! I came across the article "Sedation Dentistry Options For Children" published by 123 Dentists, which will make you smile. This should help you make an informed decision on which sedation is best for your child.

"Children can often be apprehensive about dental treatment, but keeping oral health in good condition is important, especially at a young age. In certain situations, your dentist might recommend using a type of sedation during your child's treatment. This can be a worrying concept, but the right information will help to put your mind at rest.

Types of Sedation

There are several levels of sedation your dentist may choose to use depending on your child and the procedure to be undertaken.

Nitrous oxide, commonly known as laughing gas, is the lowest level of sedation. It is blended with oxygen and administered through a small breathing mask. It is non-invasive, and once your child stops breathing nitrous oxide then the drug will quickly leave their system, and they will return to normal. Nitrous oxide won’t put your child to sleep, but it will help them to relax.

Mild sedation is usually induced using orally administered drugs. Your child will remain awake and usually be able to respond normally to verbal communication, but their movement and coordination may be affected. Respiratory and cardiovascular reflexes and functions are not affected at all, so there is no need for any additional monitoring equipment or oxygen.

Moderate sedation will make your child drowsy, and although they will usually respond to verbal communication they may not be able to speak coherently. They are likely to remain a little sleepy after the procedure, and most children cannot remember all or any of the procedure. This type of sedation can be reversed easily and breathing and cardiovascular function are generally unaffected.

Deep sedation is induced using intravenous drugs and will mean that your child is fully asleep. They may move a little and make sounds in response to repeated stimulation or any pain, but they will be in a deep sleep. Recovery from this type of sedation takes a little longer, and it is highly unlikely that your child will remember anything that happened. Sometimes respiratory or cardiovascular function can be impaired using these types of drugs, so there will be an extra qualified person present to monitor your child throughout the procedure.

The deepest option is a general anaesthetic, also induced using intravenous drugs. During a general anaesthetic, your child will be completely asleep and unable to respond to any stimulation, including pain. Your child will not remember any of the procedure, and should remain drowsy for some time afterwards. During this type of sedation, your child would be monitored by an anaesthetist who is trained in taking care of people under general anaesthetic. Recovery time is a little longer after a general anaesthetic than the other sedation types, and your child may need assistance with breathing during the procedure.

When Is Sedation Required?

There are a few reasons why sedation might be necessary for your child during a dental procedure. First of all, the procedure may be painful, so sedation would be appropriate to avoid unnecessary discomfort. Depending on the type and length of the procedure required, any of the above types of sedation might be appropriate.

If your child is at all anxious about visiting the dentist, it is important to make their experience as smooth as possible to avoid worsening the problem. The level of sedation required will depend on the level of anxiety and the procedure. For mild anxiety, nitrous oxide or mild sedation would help your child relax. If your child is very young, then a higher level might be appropriate to prevent them from moving during the procedure. In more extreme cases of anxiety or phobia, higher sedation levels may be required.

Sedation is sometimes required for children with behavioural disorders or other special needs. It can be difficult, or impossible, to explain to these children why dental care is required. The whole experience can therefore be very frightening for them, so an appropriate level of sedation may be used to help them remain calm and still for the procedure.

Concerns and Contraindications

Sedation has been used in dentistry for a long time, and the drugs and methods used are constantly reviewed. Anyone recommending or administering sedation is specially trained to do so safely, and during deep sedation and general anaesthetic your child is monitored by a trained professional in the room solely for that purpose.

Sometimes sedation can result in side effects such as nausea, vomiting, prolonged drowsiness, and imbalance. These effects usually wear off by themselves. After a deep sedation or general anaesthetic your child should be closely supervised to prevent falling, choking if they vomit, or airway obstruction.

Sedation of children for dental procedures is a common and safe practice. It may be worrying when your dentist first suggests it, but it is important not to increase your child’s anxiety so that they can maintain excellent dental care throughout their lives."

Original Post in November 2021

The Best Products For Dogs With Halitosis

Dogs show a lot of affection with their mouths. After all, we all know that when a dog licks you, it probably means she likes you. But dog mouths are kind of…gross. Even if you work to give your dog dental bones and brush her teeth regularly, she still might end up with halitosis—really bad breath—so stinky it makes you push her away when she wants to lick you. Dogs with halitosis need an extra oomph of help from their human companions. It’s likely that their bad breath is caused by a particularly stubborn set of  “bacteria, infection and inflammation,” according to Dr. William Craig, formerly of the Texas Academy of Veterinary Practice.

Take Eira, for example. When she was a puppy, I brushed Eira’s teeth regularly. My toddler even brushed her tiny puppy teeth. Just as humans can get that nasty combination of inflammation and bacteria, dogs can, too (albeit different bacteria, specific to the canine species).

I’d purchased somewhat of a cheap toothbrush and generic puppy toothpaste, and I regret it. I left the tiniest trace of toothpaste on the brush and when I went to grab it a week later, the whole head of the toothbrush was covered in mold. Disgusting! I’ll spare you a photo of that.

I halfheartedly used the rubber finger brush after that, but it didn’t do much. Before long, Eira’s breath began to stink. We started wrinkling our noses at the thought of receiving doggy kisses from her, which was sad. She loves giving us doggy kisses. That’s when we started researching different products that could help relieve her (and us) of the halitosis that threatened to come between our affection for each other.

The Best Water Additives:
Consider water additives the mouthwash for dogs, but without the need to swish and spit. The best water additives should do three things: freshen breath, remove plaque, and halt tartar buildup. Throughout the day as your dog eats, plays, and gets into icky things in the yard, those things deposit bacteria into her mouth. You need to brush that bacteria away before it hardens into tartar, which is more difficult to remove and can lead to rotten teeth and gum disease.

Here are our favorite water additives for dogs.

TropiClean Fresh Breath Plaque Remover Pet Water
Add this to your pet’s water for a month and see what happens. It’s almost guaranteed that the plaque and tartar buildup on his teeth will fade—and best of all, the light peppermint scent just about eliminates nasty dog breath. While the bottle says you don’t need to brush your dog’s teeth if you use this pet water, it’s always a good idea to brush your dog’s teeth. The bristles of a special dog toothbrush (which I’ll show you in a little bit!) directly rub against a dog’s tooth, scraping away the nasties. Combine this head-on action with additive water, and you’re likely to notice a big difference in your dog’s breath and overall mouth health.

Nylabone Advanced Oral Liquid Tartar Remover for Dogs
Remember Nylabone? That company with all the fantastic dog chews? They make a water additive, too, that modifies the chemical composition of your dog’s saliva. This helps your pup fight plaque and tartar buildup while also freshening that stinky doggy breath.

Paws & Pals Natural Water Additive for Dogs 
This water additive does the same thing as the other two, but with two differences: first, it uses all-natural ingredients like purified water, aloe, and peppermint to fight plaque and improve breath health. Second, this water additive makes it clear that it’s to be used in addition to regular brushing. 

The Most Effective Toothbrushes:
Dogs, like humans, benefit from daily tooth-brushing. I confess that I haven’t always lived by this rule, but since Eira’s breath really started stinking, I’ve made it a point to brush her teeth daily. The typical human-like toothbrush “for dogs” doesn’t work so well for us. Neither do finger toothbrushes because Eira ends up chewing on my finger—she thinks it’s a toy.

Instead, we use a special toothbrush with a round head. 

VTurboWay 360-Degree Puppy and Small Dog Toothbrush
The rounded toothbrush works wonders because every part of its surface is working for every moment that it’s in your dog’s mouth. Dogs don’t generally love having their teeth brushed, and eliminating the job of lining up bristles with dog teeth makes the job easier to do. If the job is easier, you’re more likely to do it, and your dog’s halitosis will become less pungent.

This toothbrush features soft bristles for a small dog or puppy’s little teeth.

Petrodex 360-Degree Adult Dog Toothbrush
For a dog with bigger teeth (full-grown adult teeth), try this 360-Degree toothbrush from Petrodex.

The Tastiest Toothpastes:
First and most importantly: never give your dog human toothpaste, even if you think human toothpaste will knock out that terrible halitosis. Fluoride, an essential ingredient in most human toothpastes (even child-friendly toothpaste) can be harmful to dogs. Thankfully, there are tons of dog-specific toothpastes out there.

Pura Naturals Pet Puppy Toothpaste
Puppies need a gentler toothpaste than older dogs do, so this organic puppy toothpaste is a perfect choice. Your puppy’s halitosis problems should never start if you brush his teeth daily with this toothpaste (and add that Paws & Pals Water Additive to his dish!).

Petradex Enzymatic Dog Toothpaste, Poultry Flavored
Like enzymatic spray for potty training, an enzymatic toothpaste is essential to eliminating foul odors in your dog’s mouth. This is the toothpaste Eira currently uses, and she adores the chicken flavor. It might sound gross to us to have a meat-flavored toothpaste, but for dogs? That’s heaven.

Because of the enzymatic nature of the toothpaste, your dog’s breath doesn’t smell like chicken, thankfully. Eira’s breath smells much better since we started using this toothpaste (along with several of the other products on this page)—basically, it smells like nothing. And for humans, that’s heaven.

Breath Sprays for Dogs: Do They Really Work?
One final trick to treat your dog’s halitosis is breath spray. Or rather, a stream of smell-destroying liquid that you pump into your dog’s mouth.

We love this spray by Arm & Hammer:

You simply pump a couple squirts onto your dog’s teeth and gums and then try to keep them from drinking or eating for an hour afterward. (So don’t do this when your pet is hungry or thirsty!) Like a water additive, this spray neutralizes odors and helps fight plaque buildup.

If None of These Solutions Work…
There might be something more serious than halitosis going on with your dog. Remember, dental health is vital to your dog’s health, so if you haven’t been brushing your dog’s teeth regularly, start now. Fight that halitosis, plaque, tartar, tooth rot, and gum disease with the products in this review and you’ll hopefully never need to visit the vet on account of your dog’s teeth.



This is a direct copy from:
Melchor, L.O. (2019, June). The Best Products for Dogs With Halitosis. Retrieved from https://yourdogadvisor.com/dogs-with-halitosis/

Don't Waste Your Time Taking Pain Medication Before A Dental Bleaching!

Did you know that taking an over-the-counter pain medication may not help with pain during or after professional dental bleachings?

 "According to a new systematic review published in the Journal of the American Dental Association, patients who took the drugs before having their teeth bleached experienced similar levels of sensitivity as those who did not."

I wish I had known this before but I learned the hard way! The first time I ever had my teeth whitened, I didn't think anything about it, it never crossed my mind that I would experience major tooth sensitivity afterward. This was one of the most painful experiences in my life, I swore that I would never do it again. 

Anyway, a few years later, I was told that they (my dental office) had a new bleaching product that was made for people with sensitive teeth.  I gave it another chance but this time I took Ibuprofen beforehand. Well, my experience was the same, I actually didn't complete the bleaching process and still had major tooth sensitivity.

In my opinion, dental bleachings are not worth the pain associated with it! 

Have you ever experienced major tooth sensitivity after dental bleaching? 

Can Baby Teeth Identify Possible Mental Disorders?

Did you know your baby teeth can reveal many clues about your childhood? If your answer is no, then you are in for a treat! Baby teeth can expose physical stress such as poor nutrition or disease. The enamel on the tooth is affected causing growth lines inside the tooth. Similar to the rings found inside of a tree! Interestingly, the thicker the growth rings, the more stress the individual has faced in their short life.

Eric C. Dunn, ScD, MPH created a hypothesis to see if the thickness of the neonatal line (NNL) had any effect on whether the infant's mother had higher levels of physiological stress during pregnancy. 

Mr. Dunn and two people from the Psychiatric and Neurodevelopment Genetics Unit conducted a study. This study consisted of mothers filling out a survey. Some of the questions asked were about stressful events during the prenatal period, maternal history of psychological problems, neighborhood quality, and level of social support.

After the mothers completed the survey Mr. Dunn and his team measured and analyzed the NNL on each tooth. 

Interesting findings emerged from this study!

Children who had mothers with depression, psychological problems, and/or anxiety during their pregnancy had thicker NNLs.

With this new information, Mr. Dunn believes "that the NNL and other tooth growth marks could be used in the future to identify children who have been exposed to early life adversity. Then we can connect those kids to interventions. So we can prevent the onset of mental health disorders and do that as early on in the lifespan as we possibly can."

Click here for the full article!

Are You Cleaning Your Electric Toothbrush?

Most people brush their teeth, rinse off the toothbrush, place it back in its holder, and hopefully replace it every 6 months.

Well, an electric toothbrush needs a little more TLC. It's still important to clean the head of the toothbrush after every use and replace it every 4-6 months. But, did you know that cleaning and caring for the electrical base is just as important?

Below are a few steps to keep your electric toothbrush kicking:

• Unplug the base and wipe it with a mild cleanser or bleach solution.
• Dip a cotton swab (q-tip) in the same solution and clean the area where the head attaches and around any buttons.
• If there is excessive gunk build-up, use a toothpick to gently loosen it. 
• Sanitize if possible. Sometimes electric toothbrushes come with a sanitizing machine, use it!
• To ensure the best battery life, use the toothbrush until it dies. Then recharge it, and repeat the process. *keeping the toothbrush constantly plugged in, will eventually ruin the battery*

Possible New Oral Cancer Detection...

Did you know when you have your routine dental examination, your dentist examines your gums, and teeth and also checks for oral cancer?

Typically your dentist will check the inside of your mouth for any mouth sores and palpate the tissue inside the mouth checking for any lumps. Some dentists may even go a step further and check the throat and neck.

However, in the future, there may be a new way to diagnose oral cancer. 

In an article by Dr. Bicuspids Melissa Busch, the University of Birmingham in the U.K. is in the works of developing a lollipop that could aid in diagnosing oral cancer! See the full article below.

"Instead of getting a lollipop for good behavior at a dental appointment, clinicians may hand them out and ask for patients to hand them back so they can be tested for mouth cancer, according to the University of Birmingham in the U.K.

The school will use a smart hydrogel to develop a prototype flavored lollipop that could aid in diagnosing mouth cancer. Cancer Research UK and the Engineering and Physical Sciences Research Council (EPSRC) have awarded a three-year 350,000-pound grant ($442,347 U.S.) to fund the research, according to a university press release dated March 21.

"This project is an exciting first step towards an entirely new way to identify mouth cancers earlier," Dr. Iain Foulkes, executive director of research and innovation at Cancer Research UK, said in the press release.

Currently, a mouth cancer diagnosis requires biopsies and nasoendoscopies. However, the procedure is invasive, time-consuming, and requires an endoscopist. In addition to these factors, these tests are unpleasant for patients.

A hydrogel functions like fishing nets. It absorbs lots of water while catching larger molecules like proteins and the "net" can be opened, releasing larger molecules for analysis.

Therefore, to test for cancer, a patient would suck on a lollipop, transferring their saliva to the hydrogel. The proteins caught in the hydrogel lollipop can be blasted with a ultraviolet light, and the liquid can be analyzed for saliva proteins that are indicators of the early stages of mouth cancer, according to the release.

"We're hoping that we can be the first to make a device which is much kinder for diagnosing mouth cancer for patients," Dr.  Ruchi Gupta, associate professor of biosensors at the university, said in the press release."

Type 2 Diabetes & Mouthwash

 Do you have type 2 diabetes? If so, check out this article by Dr. Bicuspid's Ava Barros.

"Gargling with mouthwash may hold significant promise in mitigating the incidence of periodontitis, as well as managing type 2 diabetes mellitus (T2DM), according to a study published in Scientific Reports.   

Additionally, younger patients and those with higher initial levels of glycated hemoglobin (HbA1c) experienced notable decreases in their HbA1c and oral bacterial species levels after rinsing with mouthwash, the authors wrote.  

"Patients with T2DM complicated by periodontitis have more red complex species, and poor glycemic control is thought to be associated with increased levels of red complex species in the oral cavity," wrote the authors, led by Dr. Saaya Matayoshi of Osaka University in Japan, (Sci Rep, February 2, 2024, Vol. 14, 2777).  

The research team investigated how using mouthwash affects the levels of certain harmful bacteria known as red complex series, like Porphyromonas gingivalis (P. gingivalis), Treponema denticola (T. denticola), and Tannerella forsythia (T. forsythia), as well as HbA1c levels in patients with T2DM, the authors wrote.  

A total of 173 patients were first asked to gargle with water for six months followed by six months of gargling with a mouthwash containing chlorhexidine gluconate. During each visit to the clinic, the team collected saliva samples and extracted bacterial DNA to detect the presence of these harmful bacteria using a polymerase chain reaction lab technique. Furthermore, HbA1c levels were measured using a blood sample to understand the impact of mouthwash gargling on blood sugar control, they wrote. 

They found that younger patients or males who gargled with mouthwash experienced a significant decrease in the number of red complex series. Additionally, among younger patients or those with higher initial HbA1c levels, gargling with mouthwash led to a significant reduction in HbA1c levels, they wrote.

The study, however, had limitations. Different patients showed various trends in the change of bacteria and blood sugar control as they gargled with mouthwash potentially due to individual differences, including having other systemic diseases, taking certain medications, and periodontal status, they wrote.

"In summary, T2DM patients can decrease red complex species by gargling with mouthwash two or three times a day, leading to possible improvement in glycemic control, especially in younger patients," Matayoshi et al wrote."

Dental Check-Ups!

How often do you see your dentist for a routine dental check-up? Most people go every six months, but did you know that your dental health will determine when you will be asked to come back for another check-up?

For me personally, it's best that I get a dental check-up and cleaning every 4 months!

Here are some frequent questions about check-ups!

Why do we need dental check-ups?

Dental check-ups are very important to our dental health, the dentist will do an examination of your mouth and detect any occurring problems you might have. Leaving any problems untreated will cause major problems in the future.

What does a dental check-up include?

During the visit, your dentist will:

1. Examine your mouth (teeth and gums).
2. Ask questions about your dental health, and see if you are having any problems.
3. Give you advice for a healthy mouth.
4. Tell you when they want you back.

What about dental treatments?

Once you have had your check-up, you may receive a treatment plan. A treatment plan is an outline of what procedures you may need to do. *Remember this is not set in stone, this is to show you what should be done to prevent any further problems that could occur.*

Prepping Children For The Dentist

Do you have a young child who needs to visit the dentist? Are you worried about how they will handle the visit?

Preparation is the best method when it comes to going to the dentist.

Here are a few tips on preparing your child for their first trip:

• Choose a dentist wisely - Seek out a dentist that will fit your child's needs. You may want to consider a pedodontist (pediatric dentist) these dentists specialize in children's dentistry and usually their offices are very inviting to children such as they have games while waiting, a theme throughout the office. etc.
• Let them observe - Take your child to one of your dental appointments and let them watch. The best observation is a dental cleaning!
• Sunglasses - This will help keep the bright out of their eyes and allow them to keep their eyes open to reduce anxiety.
• Trust the staff - This is not the first time they have worked with children, they will have tricks up their sleeve to help make the experience go smoothly. 

Always remember that the office staff wants you to have a great experience!