Posts for: July, 2015

NoGleeinToothGrinding

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.


ConsiderTheseTipstoReduceYourDentalVisitAnxiety

Although we’ve made great strides over the last century making dental visits more pleasant and comfortable, many people still feel a little apprehension about them at one time or another. For a few, though, this apprehension escalates into high anxiety — so high they may even avoid important dental treatment altogether.

If you have a significant phobia regarding dental visits and treatment, here are some things you can do to reduce your anxiety and feel more comfortable when you undergo treatment.

Let us know about your feelings of anxiety. We’re conditioned by society to regard such fears as irrational or “silly,” and so we tend to hide our negative emotions. Dentists, however, have been trained to work with fearful patients to reduce their anxiety levels. Being honest with us about your fears and nervousness is the first step to developing an anxiety-reducing strategy that will make your visits more pleasant.

Counteract bad experiences with good. For most people the fear they have during dental visits stems from earlier unpleasant experiences at the dentist. The fear can be so ingrained that simply trying to convince yourself or to be told “there’s nothing to be afraid of” will have little to no effect. Instead, build a memory collection of positive and pleasant dental visit experiences that serve to counteract the unpleasant. To do this we might first get you acclimated to routine visits and then gradually transition to more invasive procedures. This may increase the normal time for dental treatment, but the reduction in anxiety is worth the extra time.

Consider sedation therapy. In addition to modifying your experiences, you may also benefit from sedation medications that reduce anxiety, especially in the early stages of treatment. Depending on your medical history and current status, we can prescribe a sedative for you to take an hour or so before your appointment to help you relax. We can also increase the level of anesthesia (from local to intravenous or gas anesthesia, for example) if your anxiety is especially acute.

Taking proactive steps to minimize dental visit anxiety will increase the probability that you’ll obtain needed dental care. Your teeth and gums will be healthier for it.

If you would like more information on coping with dental visit anxiety, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”


By George Salem and Associates
July 02, 2015
Category: Dental Procedures
Tags: braces   Invisalign  

InvisalignIf you're considering straightening your teeth, here's a few of the differences between two popular orthodontic procedures - Invisalign and traditional braces.

Invisalign 

Invisalign works by gradually adjusting the alignment of your teeth using a series of clear, flexible plastic trays, called aligners, that blend in with your teeth and are very discreet. Your Braintree dentist Dr. Michael Kacewicz designs these trays for each patient using a combination of x-rays and digital "impressions" taken with a tiny camera. As the teeth move into position, the aligner is switched out for the next one in the series to continue the process. The Invisalign treatment takes between nine and fifteen months.

Traditional braces

Braces consist of metal brackets that are affixed to the surface of the teeth. Semi-rigid wires connect each bracket and need to be adjusted every month by your Braintree orthodontist Dr. Kacewicz in order to move the teeth to their proper location in the mouth.

Which One is Right For Me?

Both Invisalign and traditional braces aim for the same results - to straighten your smile. Which one you choose will depend on a variety of circumstances, the first and foremost being how involved the process of straightening your teeth will be. Invisalign is designed for people who have mild to moderate crookedness or overlapping. Those with severe crowding, gaps or rotation of the teeth may be better suited for traditional braces. If your appearance is a concern, your Braintree dentist may suggest "clear" or ceramic braces; the wires and brackets are tooth-colored and less noticeable.

Invisalign trays are removable, so they can be taken out while eating, drinking, brushing or flossing. However, for best results, the dentists at George Salem & Associates advise their Braintree patients to wear the aligners between 20 and 22 hours per day. This may not be the best route for children or young teens, as Invisalign requires a fair amount of self-discipline and the aligners could become misplaced easily.

Regardless of which type of braces you use, you can be assured that the dental team at George Salem and Associates will provide you with outstanding service and satisfying results.




Contact Us

Dr. George Salem and Associates, P.C.

Braintree, MA Dentist
Dr. George Salem and Associates, PC
60 Adams Street
Braintree, MA 02184
(781) 843-0660
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