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Snoring Isn't Funny!  Got Sleep Apnea? A Sleep Appliance may be the Ticket.

Posted by Peter Samuels on Tue, May 2, 2017 @ 10:05 AM

 

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Does your partner complain about your snoring? Or perhaps he or she worries that you may have a problem with sleep apnea. Luckily, your dentist may have the solution to either -- or both -- problems: An FDA-approved dental appliance.

Snoring

If your partner has told you in no uncertain terms that you snore, take comfort in the fact that you're not alone. As many as half of all adults snore! Snoring occurs when breathing is partially obstructed in some way. Air flows past relaxed tissues in your throat, causing them to vibrate and produce that harsh, often joked about sound known as snoring.

Snoring has many potential causes such as ...

  • having a low, thick soft palate
  • drinking alcohol at night before bed
  • nasal problems
  • sleep deprivation
  • sleep position
  • sleep apnea

Snoring isn’t Funny!

Snoring is sometimes associated with a sleep disorder known as Obstructive Sleep Apnea. Not all snorers have this disorder, so don't panic! However, if your snoring is accompanied by any of the following symptoms, a visit to your doctor is a good idea: ...

  • extreme daytime sleepiness
  • frequent or chronic morning headaches
  • morning sore throat
  • restless sleep that's not stress-related
  • nighttime gasping or choking
  • nighttime chest pain
  • snoring that's so loud it frequently wakes your partner and sometimes even wakes you

Oral Appliances

Even though you may see your doctor for a diagnosis, your dentist is actually the person who will fit you for an oral appliance to help with snoring.

An oral appliance is a form-fitting dental mouthpiece that fits over your teeth and  helps advance the position of your jaw, soft palate and tongue to keep your air passage open and unobstructed. Many times, these appliances are covered by your medical insurance or Medicare.,

Tried a CPAP machine and are unable to tolerate it?

You are not alone.  An oral sleep appliance may be a good option.  There are no masks or hoses or sounds.  Talk to your physician about this option.

Peter J. Samuels, DDS is a local Gettysburg dentist and a clinical instructor at the University of Maryland School of Dentistry.

GettysburgFamilyDentist.com   717-334-0555

Topics: gettysburg sleep dentist, gettysburg sleep apnea, snore appliance

Sedation Dentistry Explained

Posted by Peter Samuels on Mon, Apr 24, 2017 @ 13:04 PM

 

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I often ask new patients who come to me for sedation dentistry what it is that they are most anxious about. Many times it is simply a fear of being judged.  “I haven’t been to a dentist for 20 years and I’m afraid you’re going to lecture me!”  We are non-judgemental and we cater to cowards! If going to the dentist makes you uneasy, nervous or stressed out you are not alone. We are grateful that we can provide sedation services for those who would otherwise not go to the dentist. Fear is the problem. Sedation dentistry is often the solution.

What is Sedation Dentistry?

Sedation dentistry uses IV medicine to help patients relax and rest comfortably while having dental work completed. This is called conscious sedation anesthesia. It is safely administered in our office by a trained, medical anesthesiologist. You are carefully monitored throughout the procedure. This kind of care should not be confused with just taking a pill or using laughing gas given by a regular dentist.  During sedation patients remain conscious but often are so relaxed that they feel like they slept through the entire appointment. Time seems to go by very quickly.  The treatment may take several hours while many patients feels like only a few minutes went by. Sedation anesthesia often allows dentists to complete complex procedures such as deep cleanings, fillings and crowns in one visit versus having a patient return multiple times. This can save you time, money and discomfort.   

Sedation Dentistry - Overcome Dental Phobias

If you or a loved one is reluctant to go to the dentist because of a fear or dental phobia, consider IV conscious sedation dentistry. From regular check-ups to complete reconstructions, we can help you overcome your fears and walk away victorious, with a healthy smile as your prize.

Peter J. Samuels, DDS is a local Gettysburg dentist and a clinical instructor at the University of Maryland School of Dentistry.

GettysburgFamilyDentist.com   334-0555

Topics: Gettysburg sedation dentist, Sedation dentist Gettysburg

Teeth in a Day All-On-Four in Gettysburg?

Posted by Julie Berger on Wed, Apr 19, 2017 @ 10:04 AM

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Root canals, gum disease, fillings, and crowns…oh my.  If you’ve been through the mill with your teeth you know who you are.  We all want to keep our natural teeth for a life-time, but sometimes enough is enough.  Recent new TeethXpress technology allows some great solutions.

 

It used to be that removable dentures were the only option.  You had your teeth removed and had an immediate, temporary type denture placed, and then, after several months of healing, another final denture.  You hoped you could accommodate to a new lifestyle of wearing a removable piece of plastic in your mouth.  You hoped that your mouth was shaped right so that the denture would stay in.  If you had a dry mouth or a gag reflex then removable dentures might never work well.

 

Along came dental implants.  Now we had a way to give you fixed teeth that were almost like your own natural teeth.  But the procedure was long and complicated.  You had to have the teeth removed and wear removable dentures for six months to a year.  Then implants were placed and you waited another six months or so.  Finally the process of making fixed teeth held in by implants could be started.  This would take another several months.  It was not uncommon for the process to take about two years from start to finish, and it was very expensive.

 

Today, with the proper planning and technology such as TeethXpress, we can often remove teeth, place implants, and make fixed teeth all at the same visit.  You’re sedated and comfortable and leave with a new smile held in by dental implants.  There’s a period of healing and the first set of teeth are temporary for several months, but you are never without fixed teeth; no loose dentures and no big piece of plastic covering the palate. Most patients feel good enough to get back to their normal routine with practically no down time.  A brand new set of teeth in one day! The price tag has also come way down from just a few years ago.

 

Eat healthy, socialize without embarrassment, date again, get that new job.  A new TeethXpress smile with fixed teeth can help get you there!

 

 

Julie C Berger, DDS, MS is a local Gettysburg dentist and prosthodontist specialist. 

 

GettysburgCosmeticDental.com    717-334-0555

Topics: Teeth in a Day, All on Four, Gettysburg

Can ALL-On-4 or TeethXpress implant teeth Change Your World?

Posted by Peter Samuels on Mon, Apr 10, 2017 @ 16:04 PM

 

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Good teeth are essential for health and happiness.  Unfortunately, people sometimes lose one or more teeth and require a suitable substitute.  Removable dentures have been around for a long time and while they can be a viable choice, many people choose dental implants for a more natural feel and functionality.  Dental implants really can make your world a better place!

 

Dental implants function much more like natural teeth than anything removable.  Once anchored in the bone, they act much like the roots of natural teeth which prevent jaw bone facial structure from melting away.  Single tooth replacements with implants can reduce the stress on adjacent natural teeth to help prevent further tooth shifting and loss.  Replacing a single tooth with a dental implant is often the most natural tooth replacement that doesn’t involve making crowns for adjacent teeth.

 

Missing all your teeth?  You’ve never had so many options.  If your teeth are in such bad shape that it’s no longer worth trying to save them, today we can often remove the teeth and replace them with implants with fixed teeth all at the same time.  You never have to be without fixed teeth.  Other options are to use as few as two implants to help anchor a removable denture in place.  You can snap the denture on and off of the implants, but no one else will know. 

 

Dental implants can help you eat the foods you crave without embarrassment.  Bring on the salads, carrots, and steaks!  Unlike with a removable upper full denture, with fixed teeth held in by implants there is usually nothing covering the palate.  You can taste and enjoy foods normally. Fixed teeth held in with dental implants, such as the TeethXpress or All-on-4 procedures avoid the slippage that occurs with conventional removable dentures.  You no longer need to avoid eating in public or going out socially. 

 

Fixed dental implants and a great new smile can preserve the structure of your face which can make you look and feel younger.  You can regain confidence to network and make new friends, date more, explore new activities, and even go after that new job or promotion. Your world only gets better!

 

Peter J. Samuels, DDS is a local Gettysburg dentist and a clinical instructor at the University of Maryland School of Dentistry.

 

GettysburgFamilyDentist.com   717-334-0555

Silver Mercury Amalgam and Composite and Porcelain. Oh My...

Posted by Peter Samuels on Mon, Apr 3, 2017 @ 17:04 PM

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When you see a dentist for a filling, the question often arises about which type of filling is the best;  Silver amalgam, porcelain, composite or even gold?  Depending on your particular dental situation the doctor can explain the pros and cons of each. Remember that no matter the material, advantages and disadvantages will always exist.

Silver fillings, often called amalgam, are actually a mixture of about half silver and half mercury with small additions of tin and copper. They’ve been in use for over 100 years, so they've definitely stood the test of time. The material is pliable and hardens quickly. Silver amalgams can last for many years, and they're less technique sensitive to place than other materials. They are, however, less aesthetically pleasing.  If you're allergic to silver or concerned in any way about the use of amalgam, other choices are available

Composite Fillings: These fillings -- made of acrylic plastics, quartz fillers, and colorants -- have become a popular choice in the modern dental office. They maintain their size and shape, they are mercury free, and they are cosmetically pleasing. Composite fillings can generally be used in any area of the mouth because they blend in with your natural tooth color. They're resistant to breakage and easier to polish. Composites can also be chemically bonded to the tooth.  This often means that the cavity preparation can be more conservative.   

Porcelain inlays and onlays:  Large composite fillings don’t always hold up very well.  Porcelain inlays and onlays are stronger and can be bonded into a large cavity to help hold the tooth together.  These kinds of fillings can be made by a laboratory, similar to a crown, or they can be made in the office with a CAD/CAM computerized machine, such as Cerec.  They are tooth colored and contain no metal.

Gold Fillings:  Gold inlays and onlays have also stood the test of time.  Gold is very biocompatible and possibly lasts the longest of any dental filling material.  There’s a reason why most dentists I know have their own cavities restored with gold!

Most dentists have their own a preferences when it comes to fillings, so talk to your doctor about your options.  

 

Peter J. Samuels, DDS is a local Gettysburg dentist and a clinical instructor at the University of Maryland School of Dentistry.

GettysburgFamilyDentist.com                       717-334-0555

Topics: Gettysburg mercury free

Perio Disease and Sugar; Not so Sweet!

Posted by Peter Samuels on Tue, Jan 10, 2017 @ 08:01 AM

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If you lived in the days before we Americans drank soda like water and before the sugar industry began a full-throttle campaign to deflect attention from sugar as the cause of disease, you probably heard something like this regularly: "Stay away from sugar -- it will rot your teeth." 

Today, in the face of an obesity and diabetes epidemic and other accompanying diseases -- and with low-fat diets failing to correct these problems -- we hear sugar warnings once again. Does sugar "rot your teeth?" Yes, but the relationship between sugar and rotting teeth is more complex. Bacteria living in the mouth digest carbohydrate debris left on your teeth after you eat, and this process causes dental decay. Bacteria form a sticky plaque which produces acid. Plaque and the acid it produces is the direct cause of decay.

Some debris is what we expect, things like cake, cookies and candy -- but carbohydrates include whole wheat bread and even vegetables. Since a healthy diet includes 40-65% carbohydrates, this means another line of defense against dental decay is frequent brushing to remove plaque.

It also, however, includes a real food diet, that is, a diet in which the carbohydrates are intact with all their fiber. The fiber serves like a toothbrush, removing plaque as you eat. Refined, high sugar content, processed foods don't have that plaque-removing capability. Coincidentally, or perhaps not so coincidentally, these same real foods are most beneficial to those who must control blood sugar levels.

The relationship between dental disease and systemic disease with sugars at the heart of that equation extends further. "Research shows that there is an increased prevalence of gum disease among those with diabetes, adding serious gum disease to the list of other complications associated with diabetes, such as heart disease, stroke and kidney disease." Newer research suggests the relationship is two-ways, that those with gum disease are more likely to have diabetes and related diseases. "If your blood glucose levels are poorly controlled, you are more likely to develop serious gum disease and lose more teeth than non-diabetics. Like all infections, serious gum disease may be a factor in causing blood sugar to rise and may make diabetes harder to control."

According to an article in Diabetologia (2012 Jan; 55(1): 21–31), "Periodontitis and diabetes: a two-way relationship," periodontal disease and diabetes are intimately linked through inflammation: "Inflammation is a central feature of the pathogenesis of diabetes and periodontitis."

What does all of this mean in plain words? It means what we have long known, that the best diet for all of us to follow is one that was once recommended to diabetics. As Michael Pollan advises, "Eat food. Not too much. Mostly plants." This is a diet of real food, weighted to plants; protein and good fats; and limited added sugars. It serves those who want to keep their blood sugar levels in a normal range, avoid weight gain, diabetes, dental caries, periodontal disease, heart disease, stroke and some forms of cancer, all inflammatory conditions correctable with lifestyle changes.

So brush and floss your teeth to reduce plaque. Visit your dentist at least twice yearly for professional cleaning. And remind yourself of the wisdom we once took for granted: while it's not a direct relationship but rather an insidious and pervasive one, sugar does rot your teeth...and maybe the rest of your body.

Peter J. Samuels, DDS is a local Gettysburg dentist and a clinical instructor at the University of  Maryland School of Dentistry.

GettysburgFamilyDentist.com   717-334-0555

Topics: Periodontal disease and sugar and health

Same Day Dentures?

Posted by Julie Berger on Tue, Dec 27, 2016 @ 16:12 PM

 

 

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As modern dentists our goal is for you to keep your teeth for a lifetime.  The reality, however, is that not everyone can.  That’s when a denture specialist (prosthodontist) can help.

It is very possible for most people to have dentures placed at the same appointment that teeth are removed. The biggest advantage to one-day dentures is that you never have to worry about going without teeth for any length of time. 

Whenever a full mouth extraction is planned, the process of preparing and creating dentures that will replace the removed teeth on the same day of extraction starts several weeks prior to the extraction procedure. Moulds are made of your mouth and natural teeth before teeth are removed. Right after your teeth are removed the new, immediate dentures are ready to be inserted. The new dentures can act as a band-aid for your gums.

One-day or immediate dentures are often the best way to start with new dentures. You will need to be patient with your prosthodontist and let her help you through the transition.  Your new teeth will require adjustments as the gums and bone shrink and you may need relines of the inside of the denture.  After six months to a year most people have a second set of dentures made to fit the healed gums and the new jaw bone positions.  If you would like more solid retention of your dentures, dental implants can be placed.

Transitioning to dentures can be difficult.  Beginning with the expertise of a board certified prosthodontist can help smooth out your journey to a great new smile.

 

Julie C. Berger, DDS, MS is a Gettysburg, board certified, prosthodontist and former full time instructor at the University of Maryland School of Dentistry.

GettysburgCosmeticDental.com       717-334-0555

Topics: dentures Gettysburg, dentures

TeethXpress; New Teeth in a Day!

Posted by Peter Samuels on Mon, Dec 12, 2016 @ 18:12 PM

 

 

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There’s nothing like your natural teeth.  Keep them for as long as you can.  But sometimes there is simply no viable alternative to having teeth out.  The psychological and physical trauma involved in the transition to removable dentures can be severe.  A new implant technique can make things a lot easier.  Imagine having teeth out and having fixed teeth placed and anchored to dental implants all on the same day.  You are never without teeth! What used to be a long and drawn out process has now, with the latest technology, become affordable and routine.

TeethXpress is a type of dental implant procedure that helps to resolve an important issue that most dental wearers will eventually suffer.  With traditional dentures, an individual's jaw bone continues to shrink and their once well-fitting dentures begin to slip and slide in their mouth. The shape of the face changes and ages. With TeethXpress, your dentures are permanently secured to your mouth with dental implants.  The palate is not covered, nothing is loose, and the jawbone structure is preserved.

With TeethXpress dental implants, patients are usually able to eat the healthy foods they like, such as salad and raw vegetables, and they do not incur pain from poor fitting dentures. There is no gum or mouth irritation and no need for messy denture adhesives.  You can be social and go to restaurants and meet new friends without worrying about embarrassing denture problems. Most importantly, the dental implants help to prevent the jawbone from melting away so patients are able to retain their normal-sized jawbone and facial structure.

If you're wondering about others who chose to have TeethXpress implants and their personal experiences, read Marc's story here and another patient, Gwen's story, here.  The before and after photos say it all. TeethXpress is a great way to restore a person's beautiful smile while giving them the ability to speak, eat and live without dental pain or discomfort.

 

TeethXpress can give you back the beautiful smile you’ve always wanted.  Dentistry has never looked so good! 

 

Peter J. Samuels, DDS is a clinical instructor at the University of Maryland School of Dentistry and a local Gettysburg dentist.

717-334-0555  GettysburgCosmeticDental.com

Topics: dentures Gettysburg, dental implants Gettysburg

Can't Sleep with CPAP?  Consider a Dental Sleep Appliance.

Posted by Peter Samuels on Sun, Dec 4, 2016 @ 12:12 PM

 

 

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Individuals who suffer from obstructive sleep apnea initially often assume that a CPAP (continuous positive airway pressure) machine will resolve all their issues and they will once again be able to sleep comfortably throughout the night.  Unfortunately, CPAP machines are not without issues for some users.  Not only do they not find the restful sleep they were looking for, they also acquire issues from a dry mouth, irritated skin or a host of other issues.

Common problems with CPAP machines include trying to fall asleep with the background noise produced by the machine.  Other CPAP users have problems feeling claustrophobic from wearing the device or they find they routinely take off their mask during sleep.  Some people have issues with their masks causing pressure sores or simply have trouble tolerating the forced air pressure produced by the machine.

If you or someone you know, struggles with sleep apnea and are not happy with using a CPAP machine, consider rlacing a CPAP machine with an oral dental sleep epappliance.  Here at Samuels Dental Arts, we understand how important it is for our patients to get a restful night's sleep on a consistent basis. We can make an oral appliance that is custom-made to fit your mouth to resolve your issues with sleep apnea or even problems with snoring.  The device works by moving the jaw forward enough to increase the size of the upper airway during sleep.  By increasing the size of the upper airway, the air resistance that leads to sleep apnea and snoring is reduced.

If you have mild to moderate sleep apnea or have issues with snoring and have found a CPAP machine difficult to use, contact us to discuss becoming fitted for an oral dental sleep appliance.  Many medical insurances, including Medicare, cover these types of oral appliances.  Within a few weeks, you can start experiencing restful sleep in order to improve your health and overall sense of well-being. 

Peter J. Samuels is clinical instructor at the University of Maryland School of Dentistry and a Gettysburg dentist.  717-334-0555

Topics: gettysburg sleep apnea, snoring treatment, CPAP alternatives

"I'd rather have a Baby than go to the Dentist!" Sedation Dentistry

Posted by Peter Samuels on Tue, Nov 22, 2016 @ 11:11 AM

 

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If you are afraid of going to the dentist, you might feel as if you are one of the only people out there who is dealing with this problem. After all, all of your friends and family members might talk about their dental appointments and might all have pretty white teeth. However, even if you feel as if you are alone in your fears, you should know that you aren't. There are actually a lot of adults out there who are afraid of going to the dentist, too.

Just because you are afraid of going to the dentist doesn't mean that you should ignore your teeth. Instead, it means that you should look into options like sedation dentistry.

WithIV sedation anesthesiayou can be pleasantly sedated  while your dentist is working his or her magic. This is a great way to rest and relax while you receive the essential dental care that you need. Not only can this make things easier for you, but it can make it easier for your dentist to get his or her job done.  Often years of dentistry can be caught up in one, relaxing visit.  Your teeth can be cleaned and polished, cavities filled, implants placed, crowns made, all while you snooze. You can even have a cosmetic makeover for the smile of your dreams!

If you have dental phobia, or are even just a little nervousness, IV sedationanesthesia may be the solution you are looking for.

 

Peter J. Samuels, DDS is a local Gettysburg dentist and a clinical instructor at the University of  Maryland School of Dentistry.

717-334-0555   GettysburgFamilyDentist.com

 

 

 

 

 

 

 

Topics: Sedation dentistry

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