The Future of Dentistry! An Interview with Dr. Brunacini

As we begin a new year, one cannot help but think about the future.  What lies ahead?  How will things change?  How will our lives improve?  When it comes to oral health care, there are a lot of interesting developments in the works and on the horizon.  To gain a better understanding of what the future may hold for dentistry, we spoke with Dr. Brunacini.  

1.When you think of the future of dentistry, what is most inspiring to you?

Itero Element 2 Digital Scanner

Dr. Brunacin:  The digital workflow in dentistry will be a significant gamechanger.  By using a digital scanner (pictured, right) instead of traditional impressions, we can achieve better fitting crowns and dentures in a much more efficient and comfortable manner.  Digital scanners are a wand-like device that allow us to capture a 3D image of a patient’s mouth. 

We can now begin planning oral rehabilitations digitally before performing any surgeries as well.  This helps us better anticipate any challenges that may arise and creates improved predictability, which also helps us achieve one of our top priorities:  a much better patient experience!

Also, replacing teeth with dental implants will continue to increase in prevalence because they combine both great esthetics and function for the patient.  There are so many advances  to look forward to in dentistry!

2. Have there been any takeaways from the COVID-19 pandemic that you think will impact the future of oral health care?

Dr. Brunacini: During the pandemic, I’ve been struck by the power that stress has on our bodies.  The increase in stress and anxiety that we all feel has correlated to a significant increase in TMJ symptoms and broken teeth.  Of course, we need to treat teeth with cavities due to decay, but broken teeth due to bruxism (grinding/clenching) is new to a lot of people and really can do significant damage to the teeth and gums over time.  As we’ve discussed before, it will continue to be important for patients to consider their whole body health as part of their oral health.  It’s all connected…when you’re stressed, it shows in your mouth.   

3. Integrative Dentistry is an important part of the oral health care philosophy at FDA.  How do you see that evolving in the years to come?

Dr. Brunacini:  Integrative Dentistry is a care philosophy that views the oral cavity – mouth, teeth, and gums – as another system in the human body that requires a whole body approach when thinking about care.  I’m looking forward to the continued increase in collaboration between medicine and dental care.  For so many years, dental care has always been separate from the medical model.  Over time, I expect more connections between oral health and overall health to increase, which will create more motivation for both the patient and provider to improve oral health.  

4. Technology is advancing all the time.  What are some of the exciting technological advances taking place in oral health care?  

Dr. Brunacini: As I’ve mentioned before, the digital workflow using digital scanners and 3-D printers will continue to improve in quality; therefore, it will soon become the preferred way to fabricate crowns and dentures.  This will create a more efficient and more effective treatment for the patient, which is really sensational!  

5. What’s one thing patients can do to improve the future of their oral health?

Dr. Brunacini:  Proper homecare and diet continue to be the best way to improve oral health.  I tell patients repeatedly that the best dentistry is no dentistry.  If a patient can maintain proper oral hygiene plus a healthy diet to minimize decay risk, then a majority of dental problems can be prevented.  So keep brushing, flossing, and eating healthy!

 

Thank you, Dr. Brunacini!

Your teeth have a lot to look forward to in the future!  As Dr. Brunacini recommends, keep those teeth healthy and happy by following a proper home care regimen: brush twice-a-day, floss daily, and come in for your regular check ups!  And don’t forget to eat well and find ways to reduce stress in your life, too.  If you have any questions about your oral health care, or need to schedule an appointment, call us today at 207.781.5900.

 

*Scanner image courtesy of www.itero.com

 

Avoid the Grind of the Season: Bruxism or Teeth Grinding

The holiday season is upon us and along with it is holiday stress.  Stress is one of the main causes of bruxism or teeth grinding, which often happens while you sleep.  While occasional grinding or clenching may not be harmful, regular grinding can damage not only your teeth, but also affect your jaw muscles and joints. We examine the common symptoms of teeth grinding as well as look at ways to stop teeth grinding.

Beyond stress and anxiety, teeth grinding can also be caused by sleep disorders, an abnormal bite, and alcohol or tobacco use.  In fact, a study from the November 2016 edition of the Journal of the American Dental Association found that smokers and people who abuse alcohol and drugs were almost twice as likely to grind their teeth.  Since teeth grinding often happens while you sleep, it is helpful to know the symptoms so complications don’t arise.

Common Symptoms of Bruxism

  • Dull headache
  • Sore jaw, neck, and face muscles
  • Tooth pain or sensitivity
  • Chipped or flattened teeth

In some cases, prolonged teeth grinding can lead to tooth loss or fractured teeth.  Cracked teeth can impact your appearance and even change your bite which could alter your facial profile.  

There are steps you can take to stop grinding your teeth, and your dentist should be part of your plan.  A dentist can prescribe and fabricate a night-guard to help protect your teeth. If you feel you have been experiencing some of the symptoms listed above, come in for a comprehensive dental exam so we can help develop a treatment plan that is specialized for you.

If stress is the cause, then finding a way to relax your mind and your jaw muscles is important.  Relaxation techniques and meditation are powerful ways to not just unclench your jaw, but also to improve your overall health.  Counseling and exercise are also effective ways to reduce stress and anxiety as well as improve your well-being.

This holiday season, remember to take a deep breath and allow yourself some time to relax.  If you need help addressing and treating your bruxism, give us a call at 207.781.5900. We are your dental care partner and we want you to have a healthy mouth and a healthy life!

 

*Image courtesy of www.metro.co.uk

What exactly is TMD/TMJ?

In recent years, more and more people are hearing about TMD and TMJ at the dentist’s office. As is the case with many acronyms discussed at large, people might be wondering what exactly TMD and TMJ are, and what is in store for your teeth if you are diagnosed. Today we’ve decided to put the spotlight on this little understood condition to better spread awareness and understanding of this disorder among our patients.

What does it stand for?

TMD stands for temporomandibular disorder(s). TMD is used to refer to any sort of problem with your jaw and the face muscles associated with controlling the jaw. The acronym TMJ actually stands for the temporomandibular joints, which connect your jaw to the temporal bones within the skull. These allow the jaw to function properly when you’re talking or yawning, or chewing food for example. When people refer to TMJ as a condition, they actually mean TMD, but are mistakenly calling it by the name of the joints, which can lead to some confusion.

What is the cause of TMD?

The dental community is not sure of a single direct cause of TMD, but many believe that it all stems from problems patients might experience with their jaw muscles or the joint areas. Those with a history of jaw injury, or who have experienced problems with their joint or head and neck muscles (whiplash for example) might find themselves diagnosed with TMD. Those subject to tooth-grinding might also be at risk. Extraneous movement of the disc between the ball & socket of the TMJ, arthritis, and stress can also act as contributing factors.

Symptoms to Look Out For

Aside from pain and discomfort, those who are concerned about TMD should look out for

  • pain or tenderness in the areas that have been mentioned
  • trouble chewing or biting
  • limited range of motion when you try to open your mouth wide
  • lock-jaw (closed or open)
  • clicking or popping sounds as you use your jaws
  • tiredness or swelling in the facial area

So if you’re worried about any of these symptoms, make sure to talk to us about it at your next appointment! If needed, we can conduct an initial exam of the area and possibly take x-rays to determine what treatment options we can consider. As in most dental scenarios the sooner we can act, the healthier you can be!