Snoring and Sleep Apnea

It is estimated that 30-50% of patients snore while sleeping- the incidence of snoring increases with age and men snore more frequently than women. Most people are unaware that there is professional help available for snoring.

A related condition, sleep apnea or obstructive sleep apnea (OSA) is a condition where the breathing space in the back of the mouth is closed off. OSA causes significant pauses in breathing and can be life threatening.

Dentists are associated with the treatment of both snoring and OSA. However, a team approach is a safe and effective means to treat these conditions. Dentists work with dental laboratories; sleep technicians and board certified sleep physicians as a team to curb snoring and sleep apnea.

Causes of snoring are partial or complete closure of airway is the cause of snoring as seen in:

Obstruction of nasal airway

Weak throat muscles

Lower jaw being too far back closing off throat

Sleeping posture- sleeping on back causes closure of breathing space

Fat accumulation in and around throat

Loss of muscle tone related to aging

Use of muscle relaxants including alcohol and sedative hypnotics

Snoring Effects:

Sleep deprivation

Social and marital challenges

Increased potential for heart attack and stroke

Snoring can be reduced or eliminated with relative ease but the associated condition of OSA needs more consideration. The pauses in breathing in children and adults happen between 5- 30 times an hour and causes daytime fatigue, slow reaction time and vision problems. About 15% of the American population suffers from sleep apnea. It is a serious condition that can be life threatening. Since OSA is associated with snoring, it must be addressed as part of the treatment for snoring.

Types of Sleep Apnea:

Obstructive sleep Apnea- occurs when soft tissue in the back of throat relaxes during sleep and blocks airway and causes loud snoring

Central Sleep apnea- much less common condition and occurs when the nervous system fails to signal the muscles that control breathing

Complex Sleep apnea- a combination of OSA and central sleep apneas and is associated with significant medical problems

All forms of sleep apnea often go unnoticed and can become serious when left untreated over time.

Snoring and Sleep Apnea Treatments:

Continuous Positive Airway Pressure (CPAP)

Anti snoring oral appliances / mouthpiece for snoring

Surgery

Medications

Losing Weight

Stopping Smoking

Sleeping on Side

Over the Counter Nasal Sprays

Nasal Strips or Clips

Anti Snoring Pillows

CPAPs and anti snoring devices are the most used and most successful treating options. Severity of snoring and OSA condition is measured by a sleep monitoring device to select appropriate treatment. Assuming that the OSA is not severe, sleep apnea dental appliances can easily control snoring and OSA.



Potential Side Effects of Oral Appliances:

Jaw/facial pain

Bite Changes

Tooth Pain

Jaw Joint Pain

Drooling

Dry Mouth

Sound, restful and peaceful sleep is possible. Cost of our sleep apnea dental appliances, or our mouthpiece for snoring are very minimal considering the huge benefits of sound sleep and increased productivity. 

Visit www.smileartistrychino.com for more information on our services.

Time to De-Stress

 Stress has become a common concern as more of us encounter stress in our daily lives. We do know of its negative effects on the body and mind. Our mouths too are just as likely to be affected by stressful situations as our bodies and mind.

Dental conditions associated with stress include-

Bruxism or night grinding: Teeth significantly wear and/or fracture due to heavy biting during sleep as  a result of internalizing stress.  Long term bruxism eventually can lead to facial and tempero-mandibular pain which is often debilitating.  A nightguard is recommended to protect the jaw and teeth.

Canker sores- Although the causes of these sores are still unknown, they are often brought on by stress. They are quite painful  and treatment is often symptomatic. Medications and laser treatment can  reduce the severity and duration of the sores.

Dry Mouth is often caused by stress reducing the salivary function  as well as with the use of anti depressants and other medications. Chronic dry mouth leads to a host of dental issues including increase in cavities, periodontal and gum disease, soft tissue conditions.  Improved oral hygiene and regular visits significantly reduce the potential for  loss of bone or teeth. 

Lichen Planus in the mouth is characterized by white lacy patterns, sores and ulcers. This condition is believed to be a reaction to viral infections caused by stress.

Gum disease- Long term stress suppresses the immune system  which in turn increases the susceptibility to infections including periodontal disease.

If you are feeling stressed, take proper measures to reduce the stress in your life such as eating well, exercising, getting plenty of sleep.  If you suffer from extreme anxiety or depression, seek timely professional help.

If you are concerned with stress affecting your mouth or teeth, our office can address your concerns and treat as necessary.

 Call  909 627 6699 or Visit www.mydentistchino.com to reach us.

Teeth On Vacation

Vacations mean different things for different people. Some simply want to stay home and not have a watch or schedule to dictate their day. Some others may want to visit family or go to far off destinations while some others like the pampering of cruises and resorts.  Some others may like to use the extended daylight hours to to catch up on pending projects and tasks including medical and dental check ups.

 June officially begins the summer vacation season and as preparations begin, you want to put your plan to action.

 

Tips for dental health during vacations.

If an exotic vacation spot is your destination, ensure that you and your teeth are healthy enough to travel. Schedule you annual health and semi annual dental check up well before your planned trip.  Tooth pain is exaggerated in higher altitudes and a remote island may not be the best place to be treated for excruciating tooth pain.

Even while you are on vacation, remember your dental hygiene cannot be on one as well. Stay on top of your brushing, flossing and rinsing routines and enjoy a bright and healthy smile.

While playing outdoor sports, always wear athletic mouth guards. In the event of an injury, immediately apply ice to reduce swelling and leave severed or fractured teeth is a clean liquid medium and see dentist as soon as possible.

If you have put off making an appointment because your schedule has been busy, this may be the best time to invest in getting a routine examination out of the way or if extensive treatment with multiple appointments is needed, summer or vacation time will be the best time to get the long pending procedures like wisdom extractions or orthodontics (braces) out of the way.

Call 909 627 6699 to make an appointment or visit www.mydentistchino.com for more information.

Full Mouth Reconstruction.

Full mouth reconstruction combines multiple restorative, neuromuscular and cosmetic procedures. The goal is to restore not only the look of your teeth but also the structure and function. Why? Each of these things affects the other. For example, a broken tooth can cause a problem with your bite. This can lead to difficulty chewing, which creates wear on your teeth. This wear can then lead to jaw and neck soreness, headaches, even migraines. 

Who Needs It?

There are several reasons why your teeth might be in bad shape, including neglect, injury, chronic illness, anxiety among others.   Teeth worn down and compromised by dental disease require replacement. Full mouth restoration may be recommended if you:

- Have several worn down, chipped or broken teeth

- Have missing teeth

- Experience chronic jaw pain, clicking or popping of the jaw

- Have frequent headaches, back pain and muscle tenderness

If you are a candidate for mouth reconstruction, you will begin with an evaluation to figure out specifically what procedures you'll need. 

What Treatments Are Involved?

Each full mouth reconstruction is unique. The health of your teeth, gums and jaw is evaluated. The overall look of your teeth is the final consideration in developing your dental treatment plan. A panel of dental specialists may be involved in the treatment planning for more predictable and exciting treatment outcomes.

Full mouth reconstruction will involve several treatments. Depending on your specific situation, one or more of the following treatments may be recommended.

Dental scaling and root planning to restore gingival health, tooth filling and root canal to alleviate pain and progression of tooth decay,  Crowns, veneers and other lab processed restorations for rebuilding teeth, bite correction with orthodontic braces, whitening for a whiter, brighter smile and implants for mechanical rebuilding of missing tooth or teeth.

“Modern day dentistry offers many exciting options for all combinations of dental scenarios.- Our office offers a complimentary exam to make it easier  for you to have the option of owning a healthy and confident smile." says Dr. Cherukuri from her Chino, California dental practice.

Visit www mydentistchino.com or Call 909 627 6699. “We love to transform Smiles”

Rebuilding Your Smile

Experiencing mouth pain and feeling insecure about missing teeth?

It's time to make a change! Rebuilding your smile will not only help with how you look, it will improve your oral health as well.  Full Mouth Reconstruction does not just replace missing or broken teeth, it also restores function of the jaws, gums and supporting structures of mouth.

Whether it is neglect, injury, fear of going to the dentist or even "no dental insurance",  less than optimal dental care results in-

Chipped or broken teeth
Missing teeth
Chronic jaw pain, clicking and popping of jaw
Frequent headaches, back pain and facial pain

Full mouth reconstruction begins with a comprehensive evaluation of the health of the teeth, gums and jaws including a bite evaluation. The findings are  carefully evaluated individually or with the help of a panel of specialists depending on the severity of the oral health issues.  A treatment plan is then developed and presented to the patient.  Each full mouth reconstruction is unique and is tailored to suit patient's desires, expectations, clinical conditions and medical and general health limitations.

Visit www.mydentistchino.com or Call 909 627 6699 for your Free Consultation. (mention Blogger)

Smiling - Best Beauty Remedy

Dental Fear, Phobia and Anxiety

Going to the dentist triggers feelings of anxiety and fear. It is estimated that around 15 percent of Americans, over 45 million people; suffer from dental anxiety or dental phobia.     
The causes of dental anxiety and phobia can range from a fear of pain, fear of needles or doctors to past experiences of stress and discomfort.  An individual's predisposition to anxiety can also play a key role.

Dental Fear, Phobia or Dental Anxiety?
Though the phrases dental anxiety, dental fear and dental phobia are often used interchangeably to describe a range of symptoms and reactions to dental practices in general, important distinctions can be drawn between them, which can be useful in finding effective dental treatment options.
Anxiety refers to the sense of unease associated with the unknown. If you suffer from dental anxiety, you may find that working with a dentist who is sensitive to your needs and communicates with you to create a comfortable atmosphere can greatly improve your experience and help you to overcome your anxiety.
A phobia is an intense and possibly irrational reaction to a specific situation or object that is perceived as threatening. If you suffer from dental phobia you may react to the sound of a drill, the expectation of pain or another aspect of dentistry for which you have a strong dislike or fear.
Overcoming dental phobias, especially if they are particularly intense, can be more complicated than dealing with anxieties and may require professional assistance. Dental fear is the term often used for a more mild form of dental phobia.
“Our office has had great success with addressing dental fear by simply spending one on one time with our patients.  This builds trust and confidence quickly abolishing fear and apprehension” says Dr. Cherukuri from her Chino, California dental practice.

Developmental Disabilities and Oral Health

To achieve and maintain good oral health, people with mild or moderate developmental disabilities often require a special approach to dental care. With some adaptation of the skills dental professionals use every day, most people with special needs can be treated successfully in the general practice setting. 

The physical, mental, and behavioral challenges are fairly similar in patients with autism, Down syndrome, cerebral palsy, and intellectual disability. Understanding the specific challenges of each disability helps with strategies for providing care in a compassionate and trusting environment. 

“Building a bond and trust with our special needs patients goes a long way in the management of patients with developmental disabilities.” says Dr. Cherukuri from her Chino California practice. 

“We see patients of all ages with various special needs on a regular basis and have successfully managed their care with very simple modifications in care delivery.  Having a great dental team with  empathy and clear understanding of the extra needs  of these patients has served us well in rendering this specialized care successfully.” Dr. Cherukuri adds.

Visit  www.chinosmiles.com to view the many online reviews.

Parking Sign!

Dental Anxiety

It is estimated that as many as 75% of US adults experience some degree of dental fear, from mild to severe.  Approximately 5 to 10 percent of U.S. adults are considered to experience dental phobia; that is, they are so fearful of receiving dental treatment that they avoid dental care at all costs. Many dentally fearful people will only seek dental care when they have a dental emergency.   People who are very fearful of dental care often experience a “cycle of avoidance,” in which they avoid dental care due to fear until they experience a dental emergency requiring invasive treatment, which can reinforce their fear of dentistry.
Women tend to report more dental fear than men and younger people tend to report being more dentally fearful than older individuals. People tend to report being more fearful of more invasive procedures, such as oral surgery than they are of less invasive treatment, such as professional dental cleanings or prophylaxis.

 Causes

 Direct experiences

Direct experience is the most common way people develop dental fears. Most people report that their dental fear began after a traumatic, difficult, and/or painful dental experience. However, painful or traumatic dental experiences alone do not explain why people develop dental phobia. The perceived manner of the dentist is an important variable. Dentists who were considered "impersonal", "uncaring", "uninterested" or "cold" were found to result in high dental fear in students, even in the absence of painful experiences, whereas some students who had had painful experiences failed to develop dental fear if they perceived their dentist as caring and warm.

 Indirect experiences

• Vicarious learning: Dental fear may develop as people hear about others' traumatic experiences or negative views of dentistry (vicarious learning).

• Mass media: The negative portrayal of dentistry in mass media and cartoons may also contribute to the development of dental fear.

• Stimulus Generalization: Dental fear may develop as a result of a previous traumatic experience in a non-dental context. For example, bad experiences with doctors or hospital environments may lead people to fear white coats and antiseptic smells, which is one reason why dentists nowadays often choose to wear less "threatening" apparel. People who have been sexually, physically or emotionally abused may also find the dental situation threatening.

• Helplessness and Perceived Lack of Control: If a person believes that they have no means of influencing a negative event, they will experience helplessness. Research has shown that a perception of lack of control leads to fear. The opposite belief, that one does have control, can lead to lessened fear. For example, the belief that the dentist will stop

Treatment

Treatments for dental fear often include a combination of behavioral and cognitive strategies to help patients reduce their fear.pharmacological techniques.
Many people who suffer from dental fear may be successfully treated with a combination of "look, see, do" and gentle dentistry. People fear what they don't understand and they also, logically, dislike pain. If someone has had one or more painful past experiences in a dental office then their fear is completely rational and they should be treated supportively. Non-graphic photographs taken pre-operatively, intra-operatively and post-operatively can explain the needed dentistry. Pharmacologic management may include an anxiety-reducing medication.
Most importantly is the need to provide an injection of anesthetic extremely gently. Certain parts of the mouth are much more sensitive than other parts; therefore it is possible to provide local anesthesia (a "novocaine" shot) in the less sensitive area first and then moving the injection within the zone of just-anesthetized tissue to the more sensitive area of the mouth. This is one example of how a dentist can dramatically reduce the sensation of pain from a "shot." Another idea is to allow the novocaine time (5 - 15 minutes) to anesthetize the area before beginning dental treatment.

We are a practice that specializes in patient comfort. Earning the trust of our patients by thoroughly educating them of their dental choices in a caring enviroment eases patient anxieties says Dr. Cherukuri.  "I love taking care of patients of all ages especially those with special needs or those who need an extra touch of TLC".