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Osteoporosis and Oral Health

January 21st, 2014

Today, Dr. Gary Yanowitz and our team at Gary Yanowitz, DDS thought we would examine the relationship between osteoporosis and oral health, since 40 million Americans have osteoporosis or are at high risk. Osteoporosis entails less density in bones, so they become easier to fracture. Research suggests a link between osteoporosis and bone loss in the jaw, which supports and anchors the teeth. Tooth loss affects one third of adults 65 and older.

Bone density and dental concerns

  • Women with osteoporosis are three times more likely to experience tooth loss than those without it.
  • Low bone density results in other dental issues.
  • Osteoporosis is linked to less positive outcomes from oral surgery.

Ill-fitting dentures in post-menopausal women

Studies indicate that women over 50 with osteoporosis need new dentures up to three times more often than women who don’t have the disease. It can be so severe that it becomes impossible to fit dentures correctly, leading to nutritive losses.

Role of dental X-rays in osteoporosis

The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) released research that suggest dental X-rays may be used as a screening tool for osteoporosis. Researchers found that dental X-rays could separate people with osteoporosis from those with normal bone density. As dental professionals, our team at Gary Yanowitz, DDS are in a unique position to screen people and refer them to the appropriate doctor for specialized care.

Effects of osteoporosis medications on oral health

A recent study showed that a rare disease, osteonecrosis, is caused by biophosphenates, a drug taken by people for treatment of osteoporosis. In most cases, the cause was linked to those who take IV biophosphenates for treatment of cancer, but in six percent of cases, the cause was oral biophosphenates. If you are taking a biophosphenate drug, let Dr. Gary Yanowitz know.

Symptoms of osteonecrosis

Some symptoms you may see are pain, swelling, or infection of the gums or jaw. Additionally, injured or recently treated gums may not heal: teeth will be loose, jaws may feel heavy and numb, or there may be exposed bone. Some of the steps you can take for healthy bones are to eat a healthy diet rich in calcium and vitamin D, regular physical exercise with weight-bearing activities, no smoking and limited use of alcohol, and report problems with teeth to our office, such as teeth that are loose, receding gums or detached gums, and dentures that don’t fit properly.

For more information about the connection between osteoporosis and oral health, or to schedule an appointment with Dr. Gary Yanowitz, please give us a call at our convenient Pembroke Pines, FL office!

Sleep Apnea and Snoring

January 14th, 2014

Snoring may not be something you take seriously. You might even laugh or joke about it. But the fact is, anytime you or your partner snore to the point of waking, it could be a sign of serious health problems.

Sleep Apnea and Its Effects

Sleep apnea is a sleep disorder that is potentially dangerous, and the most common symptom is loud snoring. Breathing repeatedly starts and stops throughout the night, and you wake up feeling tired. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed.

Besides losing a good night's sleep, you may experience difficulty concentrating. Depression, risk of heart attack, irritability, high blood pressure, memory loss, sexual dysfunction, and chances of stroke all increase when sleep apnea is not treated.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for ten to 20 seconds. This lowers the oxygen level in the brain. As the brain senses the inhibited oxygen levels it rouses the sleeper awake so the airway can reopen. Normally, the reawakening is so brief the person won't remember it.

If you think you may have sleep apnea, visit our Pembroke Pines, FL office and let Dr. Gary Yanowitz determine what treatment is needed. Without it, you could risk losing more than a restful night's sleep.

Prevention and Treatment

Anyone can develop sleep apnea, but it is more common among middle-aged adults who are overweight. Dr. Gary Yanowitz can help you determine the cause and suggest positive treatment.

A common treatment for apnea is the placement of oral devices that are designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and thereby discourages snoring. We are experienced in sleep apnea appliances, and Dr. Gary Yanowitz can prescribe a fitted device and monitor its success with follow-up therapy.

A continuous positive airway pressure mask, known as a CPAP, is among the other treatment options. A mask is fitted over the mouth and forces oxygen through the throat while you sleep. The pressure holds the soft tissue and throat muscles open.

Our professionals at Gary Yanowitz, DDS can advise you of other ways to prevent sleep apnea, including weight loss, avoiding alcohol, or alternative sleeping positions. We can help you sleep return to easy sleep, knowing you are safer and healthier during your resting hours.

Dental Infections

January 7th, 2014

Dr. Gary Yanowitz and our team at Gary Yanowitz, DDS will tell you that dental infections can be very serious; sometimes, they develop into a life-threatening situation. Cavities are caused by acid-generating microorganisms that deposit themselves on teeth surfaces. Over time, acid erodes tooth enamel, compromising tooth strength. The major culprit or cause of cavities is sweets, but even diet soda plays a substantial role in tooth erosion, largely because the phosphoric acid it contains alters the oral pH. Cavities can pave the way for other, more serious infections to develop.

Types of infections

Pulpitis

Pulpitis is an inflammation of the tooth pulp. It typically occurs when cavities get deep enough to allow infection to reach the pulp. When this happens, bacteria travel through the pit or fissure that the cavity created. It can also develop from a fractured tooth. The symptoms may include moderate pain that comes and goes. Pain may intensify when cold liquids touch the pulp.

Periodontitis

Periodontitis is a consequence of chronic gingivitis, which occurs when the supportive bone structure of the tooth erodes, causing the periodontal tooth ligament to detach from the tooth. Kids between the ages of 12 and 17 and adults over age 30 are most likely to develop this disease. In severe cases of periodontitis, a periodontal abscess may form. Symptoms of the infection typically include redness, sensitivity to touch, and swelling.

Pericoronitis

Pericoronitis is an infection that occurs when food particles and other microorganisms get trapped under gum flaps. It typically happens when impacted wisdom teeth erupt. Pain at the site of the infection is a common symptom. You should try to prevent food particles from lodging in the gingivitis flaps.

Dental abscesses

A dental abscess is one of the most serious dental infections anyone can get. It begins at the base of the tooth, but without treatment can spread rapidly. When the abscess is more severe, the bacteria spread, often very rapidly, and cause severe facial swelling, pain, and discomfort.

The best way to minimize the risk of developing a dental infection is by practicing good oral hygiene, making sure that food or other particles aren’t trapped between the teeth for too long, flossing, using oral rinses that bear the ADA seal of approval, and seeing the dentist regularly. If or when there are any symptoms of infection, even if the only symptom is pain, be sure to visit the dentist. Early intervention may prevent the infection from escalating into something far more severe, painful, and costly to treat.

To learn more about dental infections, or to schedule an appointment with Dr. Gary Yanowitz, please give us a call at our convenient Pembroke Pines, FL office!

New Year's Day Around the World

December 31st, 2013

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Gary Yanowitz. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Gary Yanowitz, DDS wishes you a healthy, prosperous, and happy New Year!