Who’s Afraid of a Little Dentistry?
It turns out that quite a few people are afraid of the dentist. Up to 75 percent of adults report that they experience some form of dental anxiety. For the vast majority of dental anxiety sufferers, it’s the more invasive procedures – such as oral surgery – that really sets them off, while more routine procedures are much easier to deal with and provoke only a mild sense of anxiety.
Up to 10 percent of those same adults lean towards phobic on the fear scale, to the point that they avoid dental work until it’s too late. This, of course can lead to more severe dental issues resulting in the necessity of more time in the dentist’s chair, which then results in … more fear of the dentist. A vicious cycle for anyone trying to avoid the dentist. What’s the alternative for someone who experiences anxiety when it comes to dentistry? One answer is; sedation dentistry.
What is sedation dentistry?
Sedation dentistry describes the use of medication to induce a sense of relaxation in patients during dental procedures. Most patients choose the mildest form of sedative, making it possible for them to be awake yet still very relaxed (Conscious Sedation Dentistry). The opposite end of that spectrum is general anesthesia which induces complete unconsciousness. The full range of options runs from minimal – awake and relaxed, moderate – more deeply relaxed (may not remember procedure), deep – still aware but on the edge of consciousness and can be easily awoken, to deep sleep under general anesthesia. Sedation dentistry may also be appropriate for people who:
- Have a low pain tolerance or very sensitive teeth
- Require extensive dental work
- Have anxiety associated with needles
Patients who chose to remain fully to somewhat conscious during the procedure are undergoing what is generally called ‘Conscious Sedation’. Although patients are not completely unconscious while undergoing Conscious Sedation Dentistry, many patients are so relaxed that they may nap through the dental appointment and very few associate any unpleasant memory following the experience. Some added benefits of sedation dentistry may include;
- A shorter treatment time
- Less jaw pain following procedure (particularly in people who suffer from TMJ)
- More dental work can be done in a session
- Less back/neck/shoulder strain (sometimes associated with sitting in a dental chair)
For sedation dentistry, a prescription medication is administered which induces a drowsy, relaxed feeling. This medication can be administered orally or intravenously (IV), depending on the desired results. The use of any sedation medication – with the exception of nitrous oxide – requires the patient to have someone available to drive them to and from the dental office, due to the relaxing effects of the medication that tend to linger after the procedure. The patient’s vital signs are monitored throughout any procedure involving sedation.
Most Common Sedatives Used in Dentistry
Inhaled minimal sedation (just takes the edge off). This form of sedation uses nitrous oxide (laughing gas) mixed with oxygen which is inhaled through a mask over the nose. The dental practitioner is able to control the amount of sedation, and the effects of the gas usually wears off quickly.
Oral sedation (unreliable, but acceptable). The level of sedation achieved using oral sedation can range from minimal to moderate. This involves the ingestion of a pill called Halcion, (related to Valium). This pill is usually taken about an hour before the procedure resulting in a drowsy wakefulness. A slightly larger dose produces a moderate level of sedation – the level most commonly associated with sedation dentistry. It is challenging to tell how much medication is needed the first time someone takes oral sedation. This is because everyone metabolizes medications at different rates. Therefore, the chance of oversedation and undersedation are higher. However, this is still a safe method.
IV moderate sedation (preferred). This requires the use of a sedative applied intravenously. It works quite rapidly and is readily adjustable by the dentist making it possible to regulate the dosage to a patients’ comfort level easier than some other sedation medications. Also, an additional dose can be given in small increments to get you the exact amount of sedation that you require.
Deep sedation and general anesthesia (not as common). Using the above method of application, medications are administered that result in near-to-total unconsciousness during the procedure. This is the stuff you would be given for big cases like heart surgery. While under general anesthesia the patient cannot be easily awakened until the effects of the anesthesia wear off, or until they are reversed with medication.
Who Should Avoid Sedation Dentistry?
As with any medication there is a risk in taking anesthesia. When administered by an experienced dentist who has pre-screened the patient for any potential complication, sedation dentistry is quite safe. Some high risk groups should talk to a doctor before undergoing any type of anesthesia, including those who have a known heart condition, are obese or who suffer from obstructive sleep apnea. Other known risk factors include;
- High blood pressure
- Recent heart health incident
- Uncontrolled hyperthyroidism
- Angina pectoris
- People taking antidepressants, beta blockers or cocaine
SOURCES:
American Dental Association: “Guidelines for the Use of Sedation and Anesthesia by Dentists.”
Reviewed by Michael Friedman, DDS on November 29, 2015
© 2015 WebMD, LLC. All rights reserved.
Kleinknecht RA, Thorndike RM, McGlynn FD, Harkavy J (January 1984). “Factor analysis of the dental fear survey with cross-validation”. J Am Dent Assoc 108 (1): 59–61. PMID 6582116.
Treatment at our office during COVID-19
Dear Patients : Welcome Back We are Open
We have implemented the following for a maximum level of patient safety and comfort.
When you come in, I can assure you we have sterilized the office and staff and patients using Medical Grade HEPA air filtration and Ozone sterilizing technology not normally found in a typical dentist office !
Coronavirus Information Page
Our practice of dentistry is affected by many factors that we cannot control, such as the weather or the economy. The wisest course for safeguarding our practice is to make every effort to control or moderate those factors that are within our power, including the spread of infection. At present, the health of our patients and practice may be impacted by an emerging illness — the novel coronavirus (2019-nCoV). Rest assured, Dental Wellness Arts is taking every reasonable measure to ensure the safety of our patients.
To be better informed and prepared for the possible spread of the new coronavirus, let’s look at some background information provided by reliable sources, the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO).
How coronavirus differs from flu: Symptoms to watch for
Officials are urging anyone who develops possible symptoms of the novel coronavirus to contact health care providers to inquire about next steps and possible testing, but with millions infected by the influenza virus in the U.S., many are wondering how to tell the difference between the two.
“There is so much overlap in symptoms between flu and COVID-19 but a couple of hallmark differences do exist,” Dr. Caesar Djavaherian, co-founder of Carbon Health, told Fox News. “Influenza tends to cause much more body pain and the COVID-19 virus tends to feel much more like the common cold with fever, cough, runny nose and diarrhea. However, in a small portion of the population with either COVID-19 or influenza, symptoms progress to kidney failure and respiratory failure.”
By the end of February, the Centers for Disease Control and Prevention (CDC) estimated that at least 32 million cases of the flu were reported in the U.S., resulting in 310,000 hospitalizations and 18,000 deaths. For the coronavirus, by March 3 the number of confirmed cases in the U.S. had reached 100, including several presumptive positive cases and 24 in repatriated Americans. At least nine COVID-19 patients have died.
But several health officials, including New York Gov. Andrew Cuomo, have cautioned that healthy Americans who contract COVID-19 may not even know that they have it, and will heal without any treatment. Others say their experience will be similar to that of a common cold, but for those with underlying health conditions, the virus can be severe.
“The differences arise in the very small portion of the population who are at risk because of their lung or heart conditions whose lungs can fill with fluid or go into kidney failure and unfortunately, eventually die, with COVID-19,” Djavaherian said.
One of the most imperative ways to stop the spread, experts say, is to avoid contact with a sick person, and to practice your own good hygiene. Part of that includes staying home when you’re sick and thoroughly washing hands.
“If you are sick, monitor your symptoms daily, and when your common cold turns into a deep unrelenting cough and then shortness of breath, those are the signs that we worry about and the signs that require patients to get medical attention right away,” Djavaherian said. “They may be from pneumonia but in a very, very small group of patients, maybe a COVID-19 infection that has gone into the lungs.”
Here’s a list of products that are approved by the EPA.
https://www.epa.gov/sites/production/files/2020-03/documents/sars-cov-2-list_03-03-2020.pdf
However, I would ask that you do your due diligence and check the contents before purchasing.
For further information on the novel coronavirus, please visit the Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/
In Health,
Dr. A.J. Boyajian
Goodbye to Braces
Are You Ready to Say Goodbye to Traditional Braces?
What if we told you there was a dental appliance that was metal-free, helped your child in proper jaw and airway development, had a 30+ year proven track record for success, all without wearing traditional braces? You wouldn’t just be thinking, “Sounds too good to be true”. You would probably be saying, “Where were you when I needed to get my braces?”
Well, HealthyStart™ isn’t a mythical unicorn, but a very real, custom-made dental guard appliance worn by children for proper growth and development of the jaw, airway, that also straightens teeth. Often times, a child may eliminate or markedly reduce the need for braces. The easy to wear dental appliances optimize jawline and airway breathing while reducing the many symptoms associated with Sleep-related Disordered Breathing.
Childhood is challenging enough without having to deal with nighttime disturbances such as nightmares, constant breathing issues (snoring) and persistent daytime drowsiness that interferes with school and playtime. Over time symptoms such as these can multiply and become chronic, leaving a real impact on a child’s behavior and health. These are just a few of the early signs associated with Sleep-related Disordered Breathing, a well-researched and documented disease occurring in young children.
When Sleep-related Disordered Breathing (SDB) becomes chronic parents naturally want to find a solution, and the logical place to start is with your family doctor. More than likely, a pediatrician will evaluate your child’s health and prescribe treatment, sometimes incorporating powerful drugs — without taking the time to discover the underlying cause. Fortunately, there is a holistic approach and knowing your options is critical to getting the right treatment.
Understanding the Very Real Problem
For some children, nightmares, snoring and other breathing issues can be temporary, but for many the disorder may not be so easily resolved. Left untreated, these initial symptoms can expand into an alarming array of issues that can have a detrimental impact on a child’s life and future. Children with SDB present with an array of symptoms including;
More than 30 years of research has shown that SDB-induced oxygen deprivation is a major contributing factor to health disorders in children, including those listed above. 92% of the time, these SDBs do not go away on their own. Fortunately, there is a holistic solution for children with SDB: HealthyStart™. The HealthyStart™ System is an oral appliance therapy that addresses the root causes of SDB directly.
The Facts about SDB
Young children who exhibit Sleep-related Disordered Breathing are often found to have dental arches that are underdeveloped, narrow and positioned too far back. Children with a typical facial profile have the lips and chin positioned well in front of the eyes, with a discernable jaw line. When this kind of misalignment is not treated early in a child’s life, symptoms can persist and eventually inhibit bone growth, restricting the natural development of a child’s airway.
About HealthyStart™
Our proprietary advanced orthodontic/orthopedic HealthyStart™ appliance is free of BPA, Silicone and Latex and is FDA-cleared and American made. The HealthyStart™ treatment is safe, pain free, non-invasive and effective.
The HealthyStart™ oral appliance has been specifically designed to promote the proper growth and development of the jaw and airway, to optimize airflow and promote proper nasal breathing while straightening the child’s teeth. Over time and with proper use, many of the symptoms of Sleep-related Disordered Breathing decrease or disappear completely in cases where treatment is started early in the child’s life, the perfect smiles that the HealthyStart™ Appliance System is known for are more often successful.
The Bottom Line
Ultimately, HealthyStart™ creates healthier, happier kids who are not distracted by chronic health issues and sleep deprivation. This simple oral appliance has the proven power to impact a child’s health in positive and holistic ways.
As a parent, you want to give your child the best chance to succeed. Contact Dr. A. J. Boyajian for an evaluation today. Call 310-670-6944 or fill out our contact form for more information to discover how we can help your child achieve their full potential. We will happily evaluate your child and determine if there is an underlying cause for persistent breathing and sleeping issues.
How Ozone Works
Safe Ozone Therapy in Dentistry… and Beyond
When most people hear the word ‘ozone’ the first thing that comes to mind usually has something to do with atmospheric conditions over the Antarctic. For those of us in the holistic dental field, ozone means much more.
How Ozone Works
Ozone, a gas known as O3, wipes out bacteria, fungi and other toxins that invade the body while causing zero harm to the human body. This is done by exciting the regular stable oxygen (O2) to the highly unstable O3 state. The Ozone molecule wants to shed that extra oxygen atom to return to its stable state very badly. When placed in the area of infection, Ozone unloads that extra oxygen molecule, which binds to anaerobic bacteria, fungi or viruses and blows them up!
The Many Uses of Ozone
Research on the use of ozone indicates that it may lend itself to a variety of health optimizing therapies in various medical modalities. The natural oxidizing properties of O3 is known to promote health in many ways including;
The Science About Ozone
Ozone is a versatile bio-oxidative therapy in which oxygen/ozone is administered to a patient to obtain therapeutic benefits. Ozone therapy has been used for treatment of various diseases for more than a century. Ozone interferes with the metabolism of bacterium-cells, inhibiting and blocking the operation of the enzymatic control system. A sufficient amount of ozone breaks through the cell membrane leading to the destruction of the bacteria.
Its unique properties, noninvasive nature, absence of side effects or adverse reactions drew attention from healthcare practitioners, who rightly viewed it as an important medical treatment. In dentistry, Ozone is used today in a variety of ways; in its gaseous form, as ozonated water and as ozonated oils. In all aspects of the medical field, the high oxidation potential of ozone makes is an exciting element in the fight against:
Laboratory studies have long proven the promising potential of ozone therapy in dentistry, and it is used more and more in applications at dental offices all over the world. Recognized as a preventive therapy in dental cavities or caries and an effective disinfectant in root canal work, ozone has also been used successfully in the treatment of more severe conditions including bone diseases of the jaw. It is powerful in the prevention of plaque formation and it is sometimes added to the dental unit water line to purify and disinfect water.
No matter how it is used, ozone is completely painless in its application, it is biocompatible and helps stimulate blood circulation while increasing the body’s natural immune response.
Prevention and Ozone Therapy in Dentistry
The use of ozone therapy in dentistry is particularly exciting when it comes to preventative care. With its antibacterial, antiviral and antifungal properties it not only stops the growth of cavities but also helps prevent and reverse the damage caused by cavities. Ozone’s capacity to oxidize – or essentially dissolve bacterial cells makes it possible to completely stop the production of bacteria. As an agent of oxidation, ozone proves lethal to a range of harmful microorganisms without damaging healthy living cells in this process.
When ozone is used in conjunction with re-mineralizing agents, it promotes the regeneration of hard, healthy tooth structure. And under the right conditions, ozone therapy can lead to remineralization of a decayed tooth, potentially restoring it to complete health.
Another way ozone lends itself to healing and prevention is in the treatment of periodontitis, or gum disease. Periodontitis is bacterial in nature and since ozone has been proven effective at eliminating bacteria, it is the perfect treatment for this disease. In addition to its antimicrobial aspects, ozone’s anti-inflammatory properties make it highly beneficial in fighting gum disease and promoting long-term healing process.
The Bottom Line on Ozone
The availability of ozone treatment in both the medical field and the dental field is rather low in the United States when compared to its use in other developed nations. But, as research continues to prove that ozone is an effective and safe treatment, demand for its use will only continue to rise. While traditional dental practices prefer to stick with the traditional tried-and-true methods of invasive dentistry alone, ozone therapy is fast becoming a fundamental element in the standard of care for modern holistic and natural dentistry practices. Today ozone is used in almost all aspects of dentistry.
Dr. A. J. Boyajian works in unison with qualified health experts, creating complete dental and general health programs for patients. When it comes to something as valuable as your teeth, you want to be sure they remain strong and beautiful for a lifetime. To learn more about what Ozone Therapy can do for you, call our office at 310-670-6944.
TMJ vs TMD — The Difference
Benefits of Preventive Dental Care
What is Preventive Dental Care?
Preventive dental care is an important element in maintaining good oral health. It includes practices that support teeth and gums such as brushing and flossing. This is done in conjunction with maintaining a healthy diet, and seeing a dentist regularly for checkups and routine cleanings.
The Basics of Preventative Dental Care
The most obvious, and no doubt the most important element of preventative dental care, is brushing and flossing. Brushing and flossing helps to remove plaque from the surfaces and in between the teeth.
Some basic recommendations that can easily be followed at home include:
Use a Natural Mouthwash
Using a natural mouthwash in combination with routine brushing and flossing is the best way to reduce oral bacteria and maintain (or achieve) optimal oral health and hygiene. In addition to being gentle, the essential oils and herbal extracts found in many natural oral rinses are also valued for their therapeutic properties. Natural preservative-free oral rinses that contain specific essential oils can offer antibacterial, anti-inflammatory, antimicrobial and antifungal properties. This goes beyond what you might typically expect to find in commercial mouthwash products.
Healthy Diet – Healthy Teeth
Good nutrition combined with a well-balanced diet is one of the best defenses against tooth decay and periodontal disease. Choosing the right combination of vitamins, minerals and supplements can help to support teeth and gums and also promote a healthy immune system – which in turn helps to ward off disease and decay. Eating foods high in sugar and carbohydrates all too often leave behind harmful acids and bacteria that linger in the mouth and lead to tooth decay and serious gum issues. The biggest culprits include carbonated beverages, sugary fruit juices and starchy foods such as pasta, bread and cereal.
Maintaining a healthy diet to support healthy bones, gums and teeth is paramount for maintaining optimal oral health. The best diet is low in sugar and refined carbohydrates, high in fresh ‘alive’ foods such as vegetables and fruits, as well as nuts and legumes and contains a healthy dose of natural probiotic-rich foods such as kimchi, kombucha tea, and kefir. An alkaline rich diet sourced naturally from dark green vegetables, root vegetables and cruciferous vegetables (broccoli, cabbage, kale, cauliflower, etc.) is nutrient dense and offers important teeth and bone supporting elements such as; beta-carotene, lutein, zeaxanthin, vitamins C, E, and K; folate; calcium and numerous other minerals.
Your doctor may also provide patients with an oral flora analysis which helps to determine what combination of supplements, homeopathy and probiotics will help a patient rebalance oral flora. An oral flora analysis helps patients to resolve gastrointestinal issues such as candida albicans overgrowth which can affect both the mouth and gastrointestinal tract. This process helps to reduce oral inflammation and eliminate oral pathogens by rebalancing the gut bacteria to support overall healthfulness.
Exercise Prevents Periodontal Disease
A 2005 study published in the Journal of Dentistry reported that people who exercise regularly are at a reduced risk of periodontitis (gum disease). The study, conducted by Case Western Reserve University, involved more than 12,000 people. It identified three key factors that resulted in better oral health – with an average of 40 percent reduction in gum problems.
They included:
Researchers concluded that engaging in the recommended level of exercise is associated with lower incidents of periodontitis (especially among never and former smokers).
How often should I see my dentist?
Poor oral hygiene can lead to a variety of dental and medical problems. These problems include inflammation, dementia, bone loss, heart disease, arthritis, strokes and more. Routine checkups and teeth cleanings can lower a persons’ risk of developing many chronic illnesses while helping to ensure a healthy oral environment.
The general rule of thumb for healthy people with a low risk of developing cavities or gum disease is to see their dentist about once a year. People with a high risk of dental disease such as smokers or diabetics might need to visit more frequently. Sometimes as frequently as every three or four months, or as recommended by the dentist. To schedule an appointment with Dr. A.J. Boyajian call 310-670-6944 or to learn more visit our website.
Sleep Dentistry Done Right
Who’s Afraid of a Little Dentistry?
It turns out that quite a few people are afraid of the dentist. Up to 75 percent of adults report that they experience some form of dental anxiety. For the vast majority of dental anxiety sufferers, it’s the more invasive procedures – such as oral surgery – that really sets them off, while more routine procedures are much easier to deal with and provoke only a mild sense of anxiety.
Up to 10 percent of those same adults lean towards phobic on the fear scale, to the point that they avoid dental work until it’s too late. This, of course can lead to more severe dental issues resulting in the necessity of more time in the dentist’s chair, which then results in … more fear of the dentist. A vicious cycle for anyone trying to avoid the dentist. What’s the alternative for someone who experiences anxiety when it comes to dentistry? One answer is; sedation dentistry.
What is sedation dentistry?
Sedation dentistry describes the use of medication to induce a sense of relaxation in patients during dental procedures. Most patients choose the mildest form of sedative, making it possible for them to be awake yet still very relaxed (Conscious Sedation Dentistry). The opposite end of that spectrum is general anesthesia which induces complete unconsciousness. The full range of options runs from minimal – awake and relaxed, moderate – more deeply relaxed (may not remember procedure), deep – still aware but on the edge of consciousness and can be easily awoken, to deep sleep under general anesthesia. Sedation dentistry may also be appropriate for people who:
Patients who chose to remain fully to somewhat conscious during the procedure are undergoing what is generally called ‘Conscious Sedation’. Although patients are not completely unconscious while undergoing Conscious Sedation Dentistry, many patients are so relaxed that they may nap through the dental appointment and very few associate any unpleasant memory following the experience. Some added benefits of sedation dentistry may include;
For sedation dentistry, a prescription medication is administered which induces a drowsy, relaxed feeling. This medication can be administered orally or intravenously (IV), depending on the desired results. The use of any sedation medication – with the exception of nitrous oxide – requires the patient to have someone available to drive them to and from the dental office, due to the relaxing effects of the medication that tend to linger after the procedure. The patient’s vital signs are monitored throughout any procedure involving sedation.
Most Common Sedatives Used in Dentistry
Inhaled minimal sedation (just takes the edge off). This form of sedation uses nitrous oxide (laughing gas) mixed with oxygen which is inhaled through a mask over the nose. The dental practitioner is able to control the amount of sedation, and the effects of the gas usually wears off quickly.
Oral sedation (unreliable, but acceptable). The level of sedation achieved using oral sedation can range from minimal to moderate. This involves the ingestion of a pill called Halcion, (related to Valium). This pill is usually taken about an hour before the procedure resulting in a drowsy wakefulness. A slightly larger dose produces a moderate level of sedation – the level most commonly associated with sedation dentistry. It is challenging to tell how much medication is needed the first time someone takes oral sedation. This is because everyone metabolizes medications at different rates. Therefore, the chance of oversedation and undersedation are higher. However, this is still a safe method.
IV moderate sedation (preferred). This requires the use of a sedative applied intravenously. It works quite rapidly and is readily adjustable by the dentist making it possible to regulate the dosage to a patients’ comfort level easier than some other sedation medications. Also, an additional dose can be given in small increments to get you the exact amount of sedation that you require.
Deep sedation and general anesthesia (not as common). Using the above method of application, medications are administered that result in near-to-total unconsciousness during the procedure. This is the stuff you would be given for big cases like heart surgery. While under general anesthesia the patient cannot be easily awakened until the effects of the anesthesia wear off, or until they are reversed with medication.
Who Should Avoid Sedation Dentistry?
As with any medication there is a risk in taking anesthesia. When administered by an experienced dentist who has pre-screened the patient for any potential complication, sedation dentistry is quite safe. Some high risk groups should talk to a doctor before undergoing any type of anesthesia, including those who have a known heart condition, are obese or who suffer from obstructive sleep apnea. Other known risk factors include;
SOURCES:
American Dental Association: “Guidelines for the Use of Sedation and Anesthesia by Dentists.”
Reviewed by Michael Friedman, DDS on November 29, 2015
© 2015 WebMD, LLC. All rights reserved.
Kleinknecht RA, Thorndike RM, McGlynn FD, Harkavy J (January 1984). “Factor analysis of the dental fear survey with cross-validation”. J Am Dent Assoc 108 (1): 59–61. PMID 6582116.
The Importance of an Aligned Bite
Correcting A Misaligned Bite Can Add a Youthful Look to Your Years
Do you suffer from nagging neck pain, persistently stiff jaw, severe headaches and/or do you habitually grind your teeth? If so, you may have a misaligned bite or ‘malocclusion’. A malocclusion exists when the teeth and jaw joints do not properly fit together. It manifests as an under-bite, overbite or spacing between teeth and overcrowding problems. These types of malocclusions can cause a wide range of dental and secondary issues, and dramatically impact facial esthetics – which can take a real toll on a person’s self-esteem. Seeing your holistic dental practitioner for a bite assessment can lead to a better profile, healthier teeth, more restful nights and fewer headaches.
Malocclusion vs. Misalignment
When a person’s bite is misaligned, an uneven distribution of pressure is put on both the teeth and jaw, particularly while chewing. This misalignment can cause many issues including tooth pain due to loose fillings, broken crowns or chipped and crooked teeth, recessed gums, TMJ (clicking and popping of the jaw), difficulty opening or closing the mouth and ringing in the ears. It can also lead to muscle strain which can cause frequent headaches or sinus pain, and difficulty or discomfort when biting or chewing.
A malocclusion is also considered one of the most likely culprits in patients who complain of teeth grinding and jaw clenching. Chronic headaches are a well-recognized symptom of malocclusion that results from the uneven pressure placed on the teeth and jaw. The poor alignment of the teeth can be a result of genetic factors combined with poor oral habits, can result from an injury or stem from several childhood factors including inadequate nutrition. A bite analysis conducted by a dental professional can help to determine the level of correction needed and the type of treatment options a patient and dentist might consider.
Why You Should Seek Treatment of Malocclusion and TMJ
When looking at malocclusion, holistic dentistry focuses on the relationships of the teeth, facial muscles and jaw as a way to bring the whole body into healthy balance. Proper functioning of the temporomandibular joint or ‘TMJ’ is important for a well-aligned bite and healthy teeth. When injury to the jaw occurs, or if a malocclusion has been diagnosed, TMJ dysfunction may result, and create any number of problems that can impact a person’s overall health.
Benefits of treating malocclusion are many and include; a reduced risk of tooth decay as a malocclusion often causes an uneven wear pattern on the teeth which can lead to early tooth erosion and decay; improved oral hygiene by reducing overcrowding and making it easier to clean the teeth and gums effectively. There is also a reduction in the risk of TMJ or temporomandibular jaw syndrome which is often linked to a malocclusion. And, by realigning the teeth, pressure on the jaw is reduced, thereby eliminating many of the painful symptoms associated with malocclusion. Malocclusion correction can also improve facial aesthetics and lead to a greater sense of self-esteem.
How to Tell If You Have a Malocclusion
The best way to test for a malocclusion is by way of a bite analysis which is a relatively simple procedure that is done in a dental office. For this procedure, the patient bites down on the mouth piece of a handheld scanning device. This device measures the pressure and force of a person’s bite from all angles. It will reveal which teeth undergo more pressure, determine where upper and lower teeth do not meet, and if there is a misalignment of the teeth or jaw. A bite analysis is quick, simple and painless – and it can provide valuable information regarding oral health and reveal many complications associated with malocclusion.
Treating Malocclusions
The most ideal treatment for a malocclusion doesn’t involve painful braces, surgery or grinding on healthy teeth – and of course, the best treatment is non-surgical and non-invasive. For some patients, dental aligners such as Invisalign® is the preferred treatment. These braces are removable, invisible to the naked eye and work in much the same way as fixed dental braces, without distracting from the aesthetics of the smile.
A simple mouth guard may be the prescribed treatment in milder cases, and in some people, can make a significant difference at relieving symptoms of a misaligned bite.
Patients who have suffered from bite malocclusion for many years are often interested in the non-surgical treatment Face Lift Dentistry®. This exclusive treatment can reverse the appearance of years of aging while replacing old fillings, bridges and crowns with healthy biologically matching restorations that are made to idealize the bite and the shape of the patients face.
A preferred treatment for malocclusions is with the use of the functional osteopathic teeth straightening palate expansion device called Advanced Lightwire Functionals (ALF). This device addresses misalignment of teeth, facial bone reformation, TMJ pain, as well as troublesome sleep apnea. For many patients, the ALF orthodontic appliance helps to relieve chronic pain and remedy many of the common physical ailments associate with malocclusions. It offers far less discomfort than braces, is much less painful, and is easily removable for cleaning.
Resources:
Malocclusion and Orthodontics:
Safe and Effective Metal-Filling Removal
Nathan LeMasternlemaster
Saying Goodbye to Silver Fillings
For years now, groups like the Environmental Protection Agency and The National Institute of Standards and Technology have been working to eliminate the use of mercury thermometers.1 This is because of the dangers that they pose to both consumers and the environment. The EPA estimates that over half the mercury used in the U.S. today is currently resting in the mouths of dental patients.2 “Silver” dental amalgams are actually comprised of about 50% pure mercury.
Use of mercury amalgam fillings is still allowed and surprisingly widespread in the U.S. However, an increasing number of patients and doctors are choosing to avoid them. Some countries in Europe have started banning them3, as the dangers of mercury amalgam dental fillings are becoming more and more well known.
The Dangers
Even at room temperature, mercury evaporates. Silver fillings will continuously secrete mercury vapor over their entire lifetime. Chewing, consuming hot foods, and grinding teeth are among the activities that will increase the rate at which this vapor is released. This is significant, because mercury vapor can easily invade your body. It does this through the respiratory system or even be absorbed through your skin into the bloodstream. From there, the toxic metal can spread throughout the body or accumulate in more concentrated pockets, most commonly in the liver4, kidneys5, and brain6.
Mercury vapor inhalation produces a molecular lesion in the brain protein that is similar to those found in 80% of alzheimer’s patients’ brains7. The damage to neuronal cells can be evident in behavioral symptoms such as depression, anxiety and irritability, or physical symptoms such as tremors, headaches, and fatigue. Mercury also damages the blood brain barrier making the brain. This can make a person more susceptible to damage from other heavy metals in the environment.
Studies suggest a correlation between mercury exposure and fatty liver disease. Oxidation of cells in the liver along with inflammation of the lymph nodes is another problem. Oxidation caused by mercury toxicity can lead to allergies and other complications of the immune system.
The most common effect of acute mercury toxicity is kidney damage and renal failure. But mercury exposure also leads to gastrointestinal complications and circulatory problems. It is especially detrimental to early childhood and fetal development. In essence, mercury can and will wreak havoc on almost any biological system. Whenever mercury comes into contact with human tissue, it is never safe.
Minimizing the Danger During Removal
Patients with mercury amalgam fillings are continuously exposed to mercury vapor. The concentration of the vapor and level of exposure is generally at its highest when the filling is being placed. The removal of these fillings also releases exceptionally high levels of vapor. This is especially true when certain protocols for safe mercury removal are ignored. Unfortunately, the standard of care for removing metal fillings is very inconsistent in the dental industry. This makes it crucially important for patients seeking the safe removal of their mercury fillings. Choosing a dentist that has a carefully implemented mercury removal protocols should not be taken lightly.
Multiple precautions must be taken8 to ensure that the patient is not exposed to mercury through the skin or to vapors through the respiratory system. There are environmental concerns with regard to the disposal of this toxic material. Furthermore, protective measures are needed to ensure that other patients and staff are not subject to mercury vapor exposure in the office as a result of these procedures.
These precautions include keeping the temperature of the amalgam as low as possible during removal, so as not to release excess levels of vapor. The office should have an effective suction system with proper discharge disposal. Protective material should be strategically positioned to protect the soft tissue in and around the mouth. The patient should have clean air piped in through the nose during the procedure. This is so you won’t be breathing the air immediately surrounding the mercury removal site. Ambient air evacuation or filtration are needed to protect others in the office from mercury vapor exposure. All staff involved in the removal procedure should cover all of their skin and wear respirators. This is done to avoid the immediate and accumulative toxic effects of mercury exposure.
Dr. Boyajian has long understood the importance of practicing mercury free dentistry. Furthermore, he is one of the few dental practitioners in all of Los Angeles with both the knowledge and experience to free patients from ongoing exposure to mercury vapor without exacerbating the problem in the process. If you would like to make your mouth a mercury-free zone, call today to schedule a consultation.
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Ozone Dentistry
Ozone Therapy in Dentistry and Beyond
When most people hear the word ‘ozone’ the first thing that comes to mind usually has something to do with atmospheric conditions over the Antarctic. For those of us in the holistic dental field, ozone means much more.
The Facts About Ozone
Ozone, a gas known as O3, is a versatile bio-oxidative therapy in which oxygen/ozone is administered to a patient to obtain therapeutic benefits. Ozone therapy has been used for treatment of various diseases for more than a century. Its unique properties, noninvasive nature, absence of side effects or adverse reactions drew attention from healthcare practitioners who rightly viewed it as an important medical treatment. In dentistry, Ozone is used today in a variety of ways; in its gaseous form, as ozonated water and as ozonated oils. In all aspects of the medical field, the high oxidation potential of ozone makes is an exciting element in the fight against:
Laboratory studies have long proven the promising potential of ozone therapy in dentistry, and it is used more and more in applications at dental offices all over the world. Recognized as a preventive therapy in dental cavities or caries and an effective disinfectant in root canal work, ozone has also been used successfully in the treatment of more severe conditions including bone diseases of the jaw. It is powerful in the prevention of plaque formation and it is sometimes added to the dental unit water line to purify and disinfect water.
No matter how it is used, ozone is completely painless in its application, biocompatible and helps to stimulate blood circulation while increasing the body’s natural immune response.
Ozone Applications are Endless
Research on the use of ozone indicates that it may lend itself to a variety of health optimizing therapies in many medical modalities. The natural oxidizing properties of O3 is known to promote health in a variety of ways including;
Prevention and Ozone Therapy in Dentistry
The use of ozone therapy in dentistry is particularly exciting when it comes to preventative care. With its antibacterial, antiviral and antifungal properties it can not only stop the growth of cavities it may actually prevent and reverse the damage caused by cavities. Ozone’s capacity to oxidize – or essential dissolve bacterial cells makes it possible to completely halt the production of bacteria. As an agent of oxidation, ozone proves lethal to a range of harmful microorganisms without damaging healthy living cells in this process.
When ozone is used in conjunction with re-mineralizing agents it promotes the regeneration of hard, healthy tooth structure. And under the right conditions ozone therapy can lead to remineralization of a decayed tooth, potentially restoring it to complete health.
Another way ozone lends itself to healing and prevention is in the treatment of periodontitis, or gum disease. Periodontitis is bacterial in nature and since ozone has been proven effective at eliminating bacteria, it is the perfect treatment for this disease. In addition to its antimicrobial aspects, ozone’s anti-inflammatory properties make it highly beneficial in fighting gum disease and promoting long-term healing process.
The Bottom Line on Ozone
The availability of ozone treatment in both the medical field and the dental field is rather low in the United States when compared to its use in other developed nations. But, as research continues to prove that ozone is an effective and safe treatment, demand for its use can only continue to rise. While traditional dental practices prefer to stick with the tried-and-true methods of invasive dentistry alone, ozone therapy is fast becoming a fundamental element in the standard of care for modern holistic and natural dentistry practices. Today ozone is used in almost all aspects of dentistry.
Dr. Boyajian works in unison with qualified health experts, creating complete dental and general health programs for patients. When it comes to something as valuable as your teeth, you want to be sure they remain strong and beautiful for a lifetime. To learn more about what Ozone Therapy can do for you call our office at 844-855-8821.