A Brief History of Braces

Although orthodontic treatment isn’t a huge party, it can allow you to enjoy a straight, flawless smile. When you feel unhappy about enduring treatment, look at the history of orthodontics and be thankful for modern science.

• Evidence exists to support the use of orthodontics before the time of Jesus. According to the American Association of Orthodontists (AAO), archeologists discovered some bodies of ancient man with metal stripes weaved around their teeth.
• Both Hippocrates and Aristotle considered options to fix gaps and deformities of the teeth. In ancient times, catgut was used as a material for “braces.” Cord made from the intestine of sheep or goat, catgut was considered strong and used until the 1800s.
• As times changes, materials were updated. Wood, copper, and brass replaced catgut for orthodontic treatment.
• Eventually, gold and silver became the choice of royalty and the wealthy.
• In the 1950s, dental providers began using stainless steel brackets when placing braces.
• Norman W. Kinsley published the first article about orthodontics in 1858.
• Most people give Dr. Edward Angle credit for advancing modern orthodontic treatment. Angle developed a scientific method of classifying, categorizing, and identifying irregular bites that is still used today.
• The latest advances have provided orthodontic patients with more options, including ceramic brackets, clear aligners, and lingual braces.
• In some cases, individuals will need Phase 1 and Phase 2 orthodontics. Phase 1, also called early orthodontics, treats children ages 6 to 11 to correct issues that need to be addressed before growing stops. Phase 2 treatment then addresses alignment and teeth position.

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Oral Devices Can Treat Sleep Apnea

An estimated 18 million Americans suffer from obstructive sleep apnea (OSA), a serious sleep disorder that can lead to other health issues. With OSA, the soft tissues collapse in the throat, which restricts the airways and causes periods where breathing stops. These apnea episodes cause you to briefly awaken and resume your normal breathing. Some people experience this pattern more than 100 times a night.

What are the types of sleep apnea?
Obstructive sleep apnea (OSA) is the most common type of sleep apnea. Central sleep apnea is less prevalent and occurs when the brain fails to signal the body to breathe.

How do I know if I have OSA?
For those who suffer from OSA, sleep apnea can create various unpleasant side effects. Irritability, daytime drowsiness, and headaches are common symptoms experienced by individuals with sleep apnea. Snoring often indicates the presence of sleep apnea, but not all snorers have OSA.

Should I be worried about sleep apnea?
Not only does sleep apnea disturb your ability to rest, but it can also create other issues. Without treatment, sleep apnea can contribute to high blood pressure, stroke, heart attack, diabetes, and depression.

How do you treat sleep apnea?
If you are worried about sleep apnea, your dentist or orthodontist can review your symptoms and may possibly suggest a sleep study to confirm the diagnosis. Use of a continuous positive airway pressure (CPAP) machine is a typical treatment recommendation for sleep apnea; however, many individuals find this therapy uncomfortable or ineffective. Your dentist can fit you for a night guard, an oral appliance that will hold your jaw in the correct position and keep your airways open.

Dental Care Rick Van Tran DDS & Associates Manteca, California

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Things that Compromise Your Smile

A gorgeous smile is a valuable asset, so remember to protect its beauty long-term. Brushing, flossing, and visiting the dentist for checkups will help with this goal, but other factors can damage your teeth and gums. Don’t let the following issues steal your fabulous smile.

Sports Drinks
When some people choose sports drink for hydration, they may not realize that these beverages contain a high concentration of acidic components, which could weaken tooth enamel. Sticking with plain old water will protect teeth and keep you cool.

Tobacco Use
Not only does smoking and tobacco use turn teeth yellow, but these habits can lead to serious health concerns, such as a higher risk for certain cancers. In addition, you become more susceptible to gum disease and oral infections.

Wine
If you love a glass of wine each night, consider the risks to your teeth. The wine’s acidity can soften tooth structure. Plus, both red and white wine can increase dental staining, so take small sips and rinse with water after you finish your vino.

Candy
Many people believe that candy rots your teeth, but the real culprit is bacteria in the mouth, which thrive on sugar and produce acids that attack tooth enamel. When you do eat sweets, brush and floss right away.

Diet Pills
Though they may help you drop a few pounds, diet pills can produce unwanted effects on your mouth. These medicines often decrease saliva flow, which causes dry mouth and can lead to gum disease, tooth decay, and other oral health concerns.

Soft Drinks
Filled with sugar, soft drinks increase your risks for cavities, tooth decay, and gum infections. As well, dark sodas can stain teeth, leaving you with a less-than-stellar smile, so limit soda intake.

We care about your smile at Manteca Dental Care Rick Van Tran DDS & Associates

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Treating Bruxism

Stress affects people in different ways. Some individuals overeat, others develop stomach conditions, and some grind their teeth. Referred to as bruxism, clenching and grinding your teeth is a subconscious behavior that can occur during the day, but often happens at night.

If you have bruxism, this condition can cause discomfort and result in damage to your mouth, including misalignment and worn teeth. Often, individuals with bruxism wake up with headaches or jaw soreness, but have no idea what caused the pain. People who react to stress with frustration, aggression, anger, or competition may be most affected by bruxism.

About one-third of the population has issues with bruxism, and the condition is more common in women than men. Though the exact cause may vary for each individual, anxiety, posture, misaligned teeth, tension, diet, and sleeping habits can all contribute to bruxism. People who clench and grind their teeth may also have other nervous habits, such as chewing on fingernails, pencils, lips, or the insides of their cheeks.

Your dentist can perform an evaluation to determine if you suffer from bruxism. Once your doctor confirms the diagnosis, you can review treatment options. Stress management techniques and lifestyle adjustments can help with bruxism. Generally, your dentist will also want to fit you for a custom nightguard to prevent clenching and grinding while you sleep. Various styles of nightguards exist, so if one appliance does not work for you, another may provide relief.

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Seeing Red: Study Links Redheads to Higher Dental Anxiety Levels

Though most people think of redheads as high-spirited and quick-tempered, research published in the Journal of the American Dental Association suggests that this population may also have increased dental anxiety. According to the study, people with a specific gene that often occurs in redheads tend to experience increased stress over dental visits.

For this study, researchers interviewed 144 people; 67 were natural redheads, and 77 had dark hair. Individuals with a specific gene, MC1R, were two times as likely to indicate avoiding dental appointments because of fear and anxiety as people without that gene. Eighty-five people in the study had the MC1R gene, and 65 were redheads. One theory is that redheads with this gene may be resistant to certain pain medications, so dental visits are particularly unappealing for these individuals.

A very real issue, dental anxiety keeps approximately 40 million Americans from routine dental care. No matter the color of your hair, the following suggestions can help you deal with dental phobia and receive the care you need to protect your smile and oral health.

Schedule appointments accordingly
Pick the time of day you feel best, whether early morning, midday, or late afternoon, and request appointments then so that you are in a good frame of mind.

Plan ahead
Get plenty of rest the night before so that you feel calm and relaxed before your visit.

Talk to your dentist
Make a list of your concerns and go over it with your dentist. Having your dentist validate your worries and answer question can help you feel better about treatment.

Find distractions
Many dentists’ offices offer headphones, DVDs, eye covers, and other comforts to make your experience more pleasant. If your dentist doesn’t provide anything, plan to bring your iPod or MP3 player and listen to music during the appointment.

Consider Sedation Options
Several options are available with sedation dentistry, such as nitrous oxide, (laughing gas) oral conscious sedation, and IV sedation, the deepest level of sedation.

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Dentists May First Discover Eating Disorders in Patients

According to the National Eating Disorders Association, an estimated 10 million women and one million men in the U.S. struggle with eating disorders like bulimia and anorexia. Characterized by preoccupations with food and weight, eating orders are caused by physical, emotional, or social issues. Often, dentists see signs of the eating disorder before others become aware of the problem.

For parents who may not know if their kids are in trouble, dentists can point them in the right direction to find help. Those suffering from bulimia binge eat, compulsively ingesting large amounts of food, and then purge their bodies through vomiting, laxatives, or excessive exercise. Anorexics stick to limited calories diets and often become dangerously thin.

Certain indications can suggest to a dentist that a patient has an eating disorder. For example, frequent vomiting causes stomach acid to wear down tooth enamel, which may result in sensitivity and chipping. Recurrent bad breath is another common marker of a possible problem. Other signs of eating disorders include:

• Bleeding from the gums
• Cracking of the lips
• Dry mouth
• Sores inside the mouth
• Teeth that look almost translucent

When an eating disorder is recognized early enough, patients can avoid permanent damage to the teeth and body. Once an individual is working with a therapist, the dentist may suggest techniques to minimize damage from purging, such as rinsing with club soda or sugar-free mouthwash to neutralize acid on teeth. Early detection of these problems can help patients achieve a successful outcome and regain control of their lives.

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The 411 on Dental Emergencies

You can take good care of your teeth and gums, but sometimes the unexpected happens anyway. Having a plan and knowing what to do in an emergency can help you protect your long-term dental health. Consider the following tips for handling dental mishaps.

Situation: You fall and chip a tooth
What to do: Call your dentist’s office and explain the situation. If bleeding occurs, you might need to go in right away. When the chip is small and you aren’t in pain, the dentist may have you schedule an appointment in the next few days.

Situation: Out of nowhere, you develop an excruciating pain in your tooth.
What to do: Check out the area and make sure nothing has become lodged near the tooth. Then, contact your dentist to find out how soon they can get you in for a visit. You can take ibuprofen, but don’t put aspirin directly on the gum tissue because it can burn the area.

Situation: Your child loses his or her orthodontic retainer.
What to do: Within a day, you need to contact the orthodontist. It’s important to get a replacement as soon as possible so that you don’t compromise treatment.

Situation: You or a loved one have a tooth knocked out during a family football game
What to do: To save the tooth, you need to act quickly, so call the dentist immediately. When the tooth won’t go back into the socket, place it in a cup of milk for transport to the dental office.

Situation: The whitening product you got from the dentist is causing your teeth to hurt
What to do: A common side effect of bleaching, sensitivity usually goes away once your finish the whitening process. Mention any gum irritation to your dentist because this symptom could indicate that your trays don’t fit properly or that you are using too much bleaching gel.

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Why Nail Biting Hurts Teeth

Up to 40 percent of children, as well as many adults, bite their nails. While this habit isn’t very sanitary, it can also cause dental problems. According to the Academy of General Dentistry, nail biters could end up with dental bills of over $4000. Damage frequently occurs to front teeth because they are not made for the constant chewing that accompanies nail biting.

If you bite your nails, you can face various dental issues, including:

Wear and tear on front teeth

Because the enamel was not created to withstand constant pressure or chewing, nail biting can cause fracture lines in your teeth. If the damage becomes extensive, your dentist may need to place composite restorations or even porcelain crowns to rejuvenate your smile.

Root re-sorption

When you bite your nails and wear braces, your risk for root resorption, or shortening of the tooth roots. Since the braces are already exerting force on the teeth, nail biting creates additional stress. Over time, the roots can become so short that your teeth loosen and fall out.

Gum ulcerations

Chewing off pieces of your nails can result in injury to your gums if sharp pieces of your finger nails scratch gum tissue.

Infections

With nail biting, you can spread bacterial infections from the fingers to other parts of the body and vice versa.

For many people, nail biting is a subconscious habit. Paying attention to your actions and curbing your behavior can help you stop this destructive habit. Other tips for dealing with nail biting include keeping nails trimmed, applying a bitter polish to nails, finding releases for stress, wearing gloves or bandages. Talk with your orthodontist or dentist for additional suggestions as well.

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Dental Implants Can Revive Your Smile

When you lose even one tooth, up to 20 percent of adjacent teeth may be lost over the next four to eight years if the tooth isn’t replaced. Not only can missing teeth affect your smile, but they can also damage your oral health. If remaining teeth shift, you may experience alignment issues. Eating may become difficult, and bone degeneration can occur.

Dental implants offer a permanent, attractive solution for missing teeth. Constructed from biocompatible titanium, a dental implant is a small, metal post that a specialist will surgically position in your jaw bone. After implant surgery and healing time, a permanent crown will be placed on the post, creating an artificial tooth and root. Implants can replace one or more missing teeth.

Am I a candidate for dental implants?

Before starting implant therapy, your dentist will perform an exam and evaluate your current status. For implant placement, you need sufficient bone mass and good overall health.

How long does the implant process take?

Each case is different, but the average time frame is six to nine months from start to completion.

Are implants successful?

With proper care, which includes daily brushing and flossing as well as regular dental exams, dental implants have a 95 to 98 percent success rate.

What are the benefits of dental implants?

As the closest prosthetic to nature, dental implants offer stability and strength. Implants create permanent replacements that function like your original teeth.

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Fast Facts about Bruxism

Approximately 10 percent of adults clench or grind their teeth. Symptoms of clenching and grinding, also called bruxism, include headaches, jaw pain, and cracks in teeth. If you or a family member grinds your teeth, you can cause serious damage and discomfort.

These facts about bruxism will help you learn more about this condition:

You can hurt more than just your teeth.

Most of the time, clenching and grinding is mild. In more severe cases, you can aggravate the jaw joints and cause TMJ-like symptoms. Mention any concerns you have to your orthodontist or dentist so that you can get proper treatment.

Bruxism and stress are connected.

Feeling anxious or frustrated may contribute to bruxism. Currently, no one has identified all the factors that make people grind or clench their teeth. Certain competitive behaviors or personality types may increase the chance of teeth grinding.

It can happen at any age.

Though you may not have issues with bruxism, you could develop them at any point in your life. In fact, children typically grind their teeth more than adults. Usually, they out grow bruxism by adolescence.

You may not realize you have an issue.

Because bruxism often occurs while you sleep, many people don’t realize a problem exists. Earaches, headaches, unexplained facial pain, or tenderness around the jaw joints could indicate issues with clenching and grinding.

Treatment is available.

Often, bruxism is mild enough that you don’t need treatment. If you do need therapy, your orthodontist or dentist can fit you for a mouth guard, a plastic appliance that covers teeth and eliminates damage from bruxism.

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