gapped teeth

Sleep Apnea and Permanent Tooth Extraction

April 12th, 2016

sleep

Sleep apnea is common condition that can lead to trouble sleeping and cause tiredness throughout the day even after a full night's rest. Individuals with sleep apnea experience one or more pauses in breathing during their sleep that can last from seconds to minutes. Aside from excessive daytime sleepiness, signs of sleep apnea also include dry mouth, headache, and snoring, just to name a few.

Research has found that sleep apnea may increase the risk of of high blood pressure, heart problems, stroke, obesity, and diabetes, and the chance of getting into a car accident.

So, you may be wondering how this condition plays a role in dentistry. Some studies suggest that getting teeth extracted for braces can increase one's risk for developing sleep apnea.Orthodontic treatment is the perfect solution to correcting crowded teeth, protruding teeth, gapped teeth, and jaw problems. For well over 50 years and still today, dentists have debated the treatment of extracting permanent teeth for orthodontic treatment. Some dentists extract permanent teeth because it's easier to create more space between teeth, while others use alternative methods, such as palate expansion or headgear to correct one's smile.

Some argue that pre-orthodontic tooth extraction makes the jaw narrower and forces the tongue to lay further back into the mouth and restrict the airway. Also, some believe that extractions can lead to changes in one's facial appearance and temporomandibular joint disorder (TMD). TMD is a condition that results in oral issues including chewing problems and jaw pain. However, further research is needed because it is unclear whether these notions are actually the case.

Others counter these arguments and claim that the jaw doesn't necessarily become narrowed and can even become widened depending on various factors. In addition, some argue that extractions can be beneficial for individuals with lip strain or thin gums.

Studies observing patients who've had teeth extracted for orthodontic treatment are inclusive in their findings. These studies often only offer a limited assessment of the patient's airway to see what's actually occurring.  Two studies of patients found no change in the pharyngeal airway as well as a third study.  However, three other studies found a reduction in the airway size of some patients. Researchers believe that the difference in findings could be due to racial differences in the response of the airway to movement of the teeth.

Overall, its unclear whether or not extractions lead to sleep apnea. Sleep apnea is a complex condition and further research is needed to explain its association with permanent tooth extractions. If you feel that you are excessively sleepy during the day you may want to contact a sleep specialist so that they can conduct a sleep study. If you are in need of any orthodontic treatment or have questions regarding permanent tooth extractions,  Dr. Emad is happy to help. Dr. Emad Abdallah is a faculty member at Tufts Craniofacial Pain Center.

Feel free to contact Drs. Ali & Ali and their newest addition to the team, Dr. Zarah Ali, if you have any thoughts or concerns. The caring team at Wellesley Dental Group will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist Dr. Van. For wisdom teeth extractions or any other periodontal or oral surgery needs, Dr. Ghazi would be more than willing to help.

References:

http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea

http://www.naturalhealingnews.com/wp-content/uploads/2015/02/iStock_000002751438Medium.jpg

http://www.ncbi.nlm.nih.gov/pubmed/24963245

http://www.ncbi.nlm.nih.gov/pubmed/20677956

http://www.ncbi.nlm.nih.gov/pubmed/24963245

 

Teens Afraid to Smile with Braces?

February 22nd, 2015

 

Do you remember your years as a teenager? From homecoming to sweet sixteen parties to prom, and the beloved senior pictures,  these are the memories that seem to last forever! Maintaining an image can be very important for teens, which includes having straight teeth. Yet, a surprising 54% of teens believe metal braces would make them more self-conscious, and 50% would smile less often, According to a research survey conducted by Kelton Global.  The American Association of Orthodontists reported that more than half of the approximated two million orthodontic cases in the United States are teenagers, ranging in age from 12 to 17. The good news is that your teenager has options! An alternative to conventional braces is Invisalign, which is clear, removable, and customized for each individual. Having straight teeth it not only important for beauty reasons, but also for maintaining a healthy mouth. 

When worn properly, Invisalign is just as effective as conventional braces. It can fix several dental problems, including crooked teeth, protruding teeth, gapped teeth, overly crowded teeth, and bite issues. The aligners are smooth and comfortable. Not to mention, if there's got a special event coming up, like prom,  your teen can easily remove and put them back in after the occasion. Yet, they're hardly noticeable when on anyway!

With regular braces, your teen may experience some pain, discomfort, difficulty eating, or mouth sores due to the brace wires. They may also have to sacrifice eating hard foods, including apples, corn on the cob, and hard breads.

One of the great things about Invisalign is that it doesn't dramatically affect one's everyday life. They should be worn the recommended 20 to 22 hours a day, and each set of aligners is typically worn for two weeks depending on the treatment plan. No worries, it all requires little effort!

With Invisalign, there will be no food getting stuck in-between wires and brackets. When it's time to eat, simply remove the aligners and then brush and floss normally before putting them back on.  This lets them avoid the time-consuming act of trying to floss and brush in between the brackets and wires on conventional braces. A challenge with regular braces is removing this trapped food, which has a greater chance of leading to plaque buildup and tooth decay. Invisalign allows for normal brushing and flossing that helps with better dental hygiene. At bedtime, they just need to clean their aligners and do their regular nighttime oral health habits. Also, Invisalign requires fewer trips into the office than with regular  braces. The best part, especially for teenagers, is that most people won't even know they are straightening their teeth.

Sports can also be an essential part of your teens life. Particularly contact sports can be hard with the sharp brackets on metal braces. Whether it's basketball, football, or volleyball, Invisalign won't give them troubles. Invisalign allows for them to wear a mouthguard comfortably and avoid scraping their mouth while actively doing what they love!

However, there can also be small sacrifices when choosing Invisalign over conventional braces. They may need to kiss lipstick goodbye as well as coffee and other teeth staining drinks, to avoid tenting the aligners.

No matter what your age is, Invisalign as a teeth straightening alternative may be best for your lifestyle and even confidence!

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. VanDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other oral surgery needs Dr. Ghazi would be more than willing to help.

References:

http://www.invisalign.com

http://www.colgate.com/app/CP/US/EN/OC/Information/Articles/ColgateNewandNow/Personal/2014/June/article/SW-281474979302949.cvsp

http://news.health.com/2015/02/13/11-things-i-wish-id-known-before-i-got-invisalign/

http://majeronibraces.com/wp-content/uploads/2012/02/invisalign_teen1.jpg 

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