Jan 20, 2021
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
Oct 26, 2020
When was the last time you checked in with your jaw? In these stressful times, perhaps you’ve noticed that you clench or grind your teeth more frequently, or that your jaw has begun to pop as you chew or talk. While occasional grinding or clenching may not be harmful, regular grinding can cause damage to your teeth and impact your jaws and joints. Sounds scary! However, you’re not alone! Some 30 to 40% of Americans have jaw pain or grind their teeth. Talking to Dr. Brunacini or Dr. Karagiorgos is a great first step to addressing the aches in your jaw and face. Here are some symptoms to look out for and some tips to keep your jaw from causing you pain.
Teeth grinding, also known as bruxism, often happens at night while you sleep. Even if you’re not aware of grinding and clenching your teeth, you’re probably experiencing some symptoms in the daylight hours. Here are a few common symptoms:
- Dull headache
- Sore jaw, neck, or face muscles
- Popping or cracking when moving jaw
- Tooth pain or sensitivity
- Chipped or flattened teeth
There are steps you can take to stop grinding your teeth and Dr. Brunacini or Dr. Karagiorgos should be part of your plan. If you feel like you have been experiencing any of the symptoms listed above, come in for a comprehensive dental exam so we can help develop a special treatment plan for you. For example, we can prescribe and fabricate a night guard to help protect your teeth. We can also help you address your stress, as well as find resources and support for relaxing your mind and your jaw muscles. Some tips to consider include:
- Exercise for whole body health and stress reduction
- Counseling to help with stress and anxiety
- Warm compresses to help ease jaw tension
- Jaw exercises to help relax the muscles before bedtime
So, remember to brush your teeth, floss, and relax your jaw! If you need help addressing your jaw pain or teeth grinding, give us a call at 207.781.5900. We are here to help you have dental care that treats you and helps you have a healthy mouth and a healthy life!
Dec 17, 2018
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
Jun 20, 2017
Have you ever wondered if you grind your teeth at night? If you did, how would you know? Has one of your loved ones told you that they’ve heard you grinding your teeth?
If so, you’re not alone: teeth grinding, aka bruxism, is a fairly common phenomenon across the US. Depending on the individual, it can be related to more or less serious health concerns, but no matter which category you fall into it’s disconcerting to realize that this is all happening to you while you’re at rest and without your knowledge. Don’t worry though, there are things you can do! We want to go over the causes behind bruxism with you today, as well as ways you can help prevent it in your life.
What’s behind bruxism?
Up to now, the theory has been that tooth grinding is closely associated with stress or anxiety. This may be the case for some, but what about others? For example, babies have been observed grinding their teeth –or gums– in utero, which raised questions in the scientific community. Since this discovery, another possible cause behind bruxism emerged: is it possible that grinding is a survival response?
Recent research suggests that it is. The grinding that researchers observed during their experiments appeared to be the body’s natural survival response to bypass symptoms of sleep apnea.
Though many may not know it, our bodies require all of our muscles to be relaxed for the brain to achieve deep sleep. When relaxed, the tongue takes up almost double the amount of space, which can obstruct the airway and respiration. This results in more trouble for some people than others.
Researchers observed sleeping individuals with blocked airways suddenly start grinding their teeth, which – interestingly enough – reopened their airways and allowed them to breathe normally again. Among other potential tested solutions was a CPAP (continuous positive airway pressure) machine, which served to restore full airway functionality and allowed sleeping participants to stop grinding their teeth and breathe properly.
So is grinding good or bad?
In the sense that bruxism is a response that saves your life if you stop breathing, bruxism is good. But in the sense of dental longevity, it’s bad. Bruxism can lead to damage of your teeth and jaw, and can bring about tooth sensitivity and chronic jaw pain. Headaches and periodontal tissue damage can also be related to bruxism.
Aside from oral health, tooth grinding disrupts normal sleep patterns. Did you know that all the great benefits of a full night’s rest only exist for you if you’ve made it to the deep sleep stage? So if you’re grinding your teeth regularly at night, you may not receive sleep-related benefits like improved memory, fat burn, muscle build, and tighter skin.
Teeth grinding can also serve as a red flag for sleep apnea, a serious sleep disorder in which breathing repeatedly stops and starts. Untreated sleep apnea can increase your risk of high blood pressure, stroke, cancer, diabetes, depression, and obesity.
What can I do if I grind my teeth while sleeping?
Talk to us if you suspect you’re grinding your teeth at night. Some of the symptoms to look for include: wear on your teeth, flattened tooth surfaces, abfraction (which is a loss of tooth structure along the gum line that is not related to tooth decay), sore jaw muscles or TMJ pain, or a jaw that clicks.
While we don’t make a diagnosis about your quality of sleep, we can help you figure out if you are grinding your teeth by examining your mouth for these signs. Your medical doctor might then encourage you to get a sleep study to figure out whether your bruxism is related to sleep apnea or not.
If you suspect your grinding is stress-related, there are a number of things you can do to decrease your chances of tooth grinding at night. Starting an exercise regimen or attending stress counseling might help, but here are a few easily implemented tips to help you reduce your chance of bruxism:
- Limit caffeine and alcohol before bed.
- Try not to chew on objects that aren’t food – chewing gum included. Chewing on items like pens, pencils, and chewing gum stimulates tension in your jaw.
- Try to recognize when you are tensing or clenching your jaw throughout the day. When you notice, place the tip of your tongue between your teeth; this encourages your jaw muscles to relax.
- Grab a warm washcloth and hold it to your cheek (in front of your earlobe) as you fall asleep. The warmth helps relax your jaw muscles.
Think you’re grinding at night? Need more tips? Ask us your questions about bruxism at your next appointment!
