May 21, 2012

The Latest Sleep Apnea and Snoring Device: Silent Nite SL

Silent Nite sl

So we had to discussed the Silent Nite before and how that it was ideal for preventing snoring and also helping in cases of light sleep apnea. After making several for our patients, we have found that the device is successful but it also has several flaws. The Silent Nite is successful in preventing snoring but the plastic brackets on the side tend to snap and will often need to be replaced. The inside of the appliance is soft and it becomes dark and discolored making it look dirty and you can’t use cleaners on it to remove it because it will ruin the lining.

A lab in California has come out with the new version of the Silent Nite which they call the Silent Nite SL (slide link)and they have tried to fix the above mentioned problems. Instead of the plastic brackets on the side, there are flexible bands  that are 300 times stronger than the previous brackets. Another huge plus is that you don’t have to go to the office to replace your bands because the new appliance is very easy to adjust and the dentist will send you home with the replacement  brackets. So, if you have problems with snoring or sleep apnea, now is a great time to get this new appliance!

Should you use toothpaste to clean your denture?

When you first get your dentures the pink acrylic has a nice shine to it and you want to keep it that way. You should always brush your denture with a brush when you take it out at night and then comes the question of whether or not you should use toothpaste on it.

Some dentists say never to use toothpaste on your denture because it is abrasive and will remove the shine and smooth feeling of  the denture.Well, then I have talked with patients that say they have used  toothpaste on their dentures for years with no problem and think that the denture cleanser companies just want their money. Well, the truth is, you can use toothpaste on your denture but over time it will remove the shine. Toothpaste cannot replace a denture cleanser because of the fact that toothpaste cannot remove hard plaque that the denture cleanser can with it sitting in the solution over night.

So in conclusion, using toothpaste every now and then will not ruin the shine on your denture but you will need to use the denture cleanser at least once a month to remove the plaque that builds up on it. Just using your denture brush on your denture every night should suffice in keeping your dentures clean and then you could soak them overnight in water and you could add a little mouth wash to help it feel fresh and clean.

What You Should Know About Zoom Whitening

zoom whiteningMany people often question me about whitening and the best options out there for quick and easy whitening. One of  the best products that I have seen, as far as the quick and easy whitening is concerned, is the Zoom whitening product.  Zoom whitening can only be purchased through your dental office and must be used in office. This product has to be applied by a dental professional because it can do a lot of damage to your gums if not applied correctly.

The first step of the whitening is to take impressions of your teeth in order to make you a whitening tray to take home so you can keep up with the whitening once a year.Depending on your diet, the effects of the Zoom whitening should last 2 years. If you are a major coffee or tea drinker or if you smoke or dip, the results may not last 2 years.

The second step requires a mouth prop that you will bite down on that spreads your cheeks out away from your teeth so that they will not touch the whitening gel and allow access for the Zoom light on your teeth. She will then apply a rubber dam on your gums so that they will not be burned by the whitening gel. The rubber dam material is runny when first applied but hardens with the use of a blue light. After that, the assistant will place cotton rolls on the insides of your lips and a mask around the outside of your mouth to prevent the light from burning your skin.

The goggles will then be placed on your eyes and the assistant will place the whitening gel on your teeth and then attach the Zoom light to the mouth prop. The Zoom light will beep after 15 minutes and the assistant will repeat the use of the gel and the light 2 more times. At the end of the 3rd round, the assistant will remove the mouth prop, cotton rolls, and rubber dam and check your final shade. You will be sent home with relief gel just in case your teeth get sensitive after the whitening and they will also give you your whitening trays and extra gel to continue bleaching over the next 2 weeks if you prefer to. The product continues to whiten the teeth over the next 76 hours so you will have even whiter teeth after you leave the office.

Overall, this is a great product and I have seen tremendous results with it. Some people have had a lot of sensitivity afterwards so make sure you use the relief gel and take a couple IBprophen to help with the pain. If you have had tetracycline as a child the stains more than likely will not be removed and the teeth will not get much lighter. Check with your dentist to see if you would be a good candidate for the whitening.

Why Pulling a Tooth Can Cost You More Money in The Future

forceps

Forceps used for teeth extractions

You have a toothache so you go to the dentist and they tell you that you have options for saving the tooth but since  those options are too expensive you decide to have the tooth extracted. Let’s reverse and talk about whether that would actually be a good decision or not.

Spacing

When you remove a tooth a space is left and the teeth will naturally shift and lean in to fill that space. This will in turn cause your bite to change which could also limit your chewing function or cause TMJ problems.

Super Eruption

If a lower tooth is removed the tooth that was right above it will super erupt ( meaning i will drop down because there is no longer a tooth below it) .  The tooth then that was either above or below it is then of no use when it comes to chewing and will eventually need to be extracted as well to prevent problems with your biting alignment.

Costs of Replacement

After you have the tooth extracted, depending on where it is, you may want to have the tooth replaced because you don’t like the gaps you see when you smile. So, let’s go over the options for replacement. I will start with the cheapest and then go to the most expensive replacement option.

  • Partials

The cheapest type of partial that you can get is an acrylic partial with wrought iron clasps and it usually costs around $850 to have it made. Next, we have the valplast partial which is made from nylon and costs about $1000. And finally, there is the cast partial and the base of this partial is made mostly of metal with the rest of it acrylic. The costs of this partial is $1500. My favorite is the valplast partial because it is the more natural looking one of all of them.The down side of partials is that they take a long time to get use to wearing them and they are removable.

  • Bridges

Bridges are basically crowns that are joined to fill a space. You have to be missing a tooth in order to have a bridge done. The doctor ends up having to put a crown on the two teeth on either side of the one that was just removed. the bridge is made out of metal and porcelain and it is cemented in. Depending on your chewing , brushing, and flossing habits your bridge may last for over 30 years. The great thing about a bridge is that it is permanent and you never even know it’s there. A bridge costs $1000 a tooth so if you are missing one tooth it will cost you $3000 to get a bridge done.

  • Implants

Implants are done surgically by placing a screw down into the bone where the tooth use to be and then placing a crown  on top of it. It can take 6 months for the implant to be completed because you have to heal after each step for several weeks. The implant is the ultimate replacement for your tooth because it is permanent and you don’t have to mess with any other teeth in order to replace the one tooth that was removed. The costs for an implant is around $4000.

So although it may be the cheapest option now for you just to have your tooth extracted instead of fixing it– later on that will certainly not be the case.