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At Weaver Dentistry, we understand that getting high-quality sleep is vital to maintaining your overall health. Insufficient sleep can lead to an inability to concentrate, motor vehicle accidents, and difficulty performing at work. Since approximately 18 million Americans suffer from sleep apnea, this poses a significant public health problem. If you think you may have sleep apnea, talk to Dr. Gregory Weaver and our team about devices that can help you get a good night’s rest.

What is sleep apnea?

Sleep apnea is a relatively common disorder in which breathing stops or becomes very shallow during the night. These bouts of paused breathing may last a few seconds or as long as several minutes. When 30 or more breathing interruptions occur per hour, sleep apnea leads to dramatic reductions in sleep quality. In many cases, this condition is caused by your airway becoming blocked or collapsed during sleep.

Anyone can get sleep apnea, but there are certain factors that increase your risk. Having small airways, being overweight, being male, or having a family history of sleep apnea increases the likelihood that you will develop the disorder. If you think you have sleep apnea, visit highly encourage you to visit our Raleigh, NC office for a thorough physical exam, comprehensive medical history, and a sleep study.

Treatment Options

Several treatment avenues are available for people with sleep apnea. One popular option is to wear an oral appliance. For example, a mandibular advancement device (MAD) looks like a sports mouthguard and slightly repositions your jaw, to keep your airway unobstructed. Another option is a tongue-retraining device (TRD), which holds your tongue in place to ensure that your airway stays open during the night.

For individuals with mild-to-moderate sleep apnea, dental devices are a smart option. Many patients enjoy improved sleep, reductions in snoring, and less fatigue during daytime hours. If you’re curious about getting an oral appliance to help with your sleep apnea, please consult our team at Weaver Dentistry. After a consultation and examination, we can fit the type of device that works best for your condition.

The dental section of your local drugstore or favorite online site offers more dental tools for home care than ever before. Little angled mirrors. Tongue scrapers. Gum stimulators. Interproximal brushes. Why, there are even curettes and scalers to help you remove tartar at home.

But should you try do-it-yourself scaling (the technical term for scraping tartar off enamel) at home? Let’s weigh the facts.

• Tartar Buildup is Harmful

Plaque, a sticky biofilm composed of bacteria, food particles, saliva, and fluids, starts forming within hours after you brush. And within days, if it’s not brushed and flossed away, plaque starts to mineralize, becoming tartar, a hard, rough, yellow or brown deposit that you can’t simply brush away.

Tartar often develops in the places we where we don’t brush or floss effectively. If you run your tongue across the back of your front teeth and feel a rough surface, that might be tartar. If you check out the back of your mouth and discover yellow discoloration on your molars, that might be tartar. If you see brown staining between your teeth or at the gumline, that might be tartar.

Why worry about tartar, especially if it’s not visible? Several good reasons.

• Tartar provides a rough surface which makes it easier for plaque to stick to teeth, and more plaque leads to more cavities.
• Tartar irritates delicate gum tissue, which causes inflammation and gum disease. Not only can the gums themselves hurt, swell, or bleed, but they can begin to pull away from the teeth, creating pockets between tooth and gum. These deep pockets become home to harmful bacteria, making gums and the bone supporting your teeth more vulnerable to infection.
• When gum tissue recedes, the parts of your roots normally protected by that gum tissue are now exposed to bacteria and plaque. Because roots are coated with cementum, which is weaker than enamel, they are more vulnerable to cavities.

For all these reasons, cleaning tartar from your teeth is an essential part of every professional dental cleaning at our Raleigh, NC office.

• Your Dental Professional Is an Expert in Tartar Removal

Your dental team has extensive academic and clinical training which enable them to discover and remove any plaque or tartar thoroughly and effectively. They are also experts in using specialized tools to remove plaque and tartar gently and safely, including:

• Ultrasonic scalers, which use ultrasonic sound waves to break up tartar deposits.
• These metal hand tools have small, curved hooks on one or both ends, with sharp side edges and a pointed tip to fit between the teeth. They’re used to scrape away tartar above the gumline, and come in several angled shapes to accommodate the shape of different tooth surfaces.
• These tools look a lot like scalers and also come in a variety of shapes. The curette, though, can remove plaque above and below the gumline because its rounded tip and back are gentler around delicate root surfaces and gum pockets.

The scalers available at your drugstore certainly look a lot like these professional tools. But,

• Should You Try This at Home?

There are many DIY home projects which are satisfying and well worth your time—but DIY dental scaling isn’t one of them. Let’s take a look at some of the dangers of home scaling.

• Ineffective cleaning. Without removing tartar completely from around and under the gums, you’re more likely to suffer gum disease and cavities below the gumline.
• Your enamel is hard, but it’s not indestructible! A bit too much force, and you can scratch and damage tooth surfaces. And, if you’ve ever flossed a little too vigorously, you know how delicate your gum tissue is. The sharp ends of scaling tools can cause gum injuries, mouth injuries, and tongue injuries. Which brings us to . . .
• There’s not only the danger of infection due to cuts and lacerations, but you can accidentally push plaque and tartar into and under gum tissue, leading to irritation and infection.
• Finally, imagine using a sharp tool to scrape tartar from the back of your teeth, around your delicate gum area, and in pockets below the gum surface, using a tiny backwards mirror image to guide you in the dark interior of your mouth. There’s no way to make this sound like a good idea!

So, on balance, should you do your own scaling? We think the answer is clear. Keep your teeth healthy and plaque-free at home with regular brushing and flossing, and see Dr. Gregory Weaver when it’s time for a cleaning. When you need tartar removal that’s safe, precise, and thorough, the experience and skill of your dental team outweigh any potential DIY satisfaction!

Congratulations! You’ve made the decision to replace a missing tooth with an implant. While an implant will restore the appearance of your smile, you also know that there are many reasons that an implant will improve your health, too.

A missing tooth causes structural problems as well as cosmetic ones. Remaining teeth can shift to fill the gap, leading to wear and bite problems. Without the stimulation of biting and chewing, bone tissue under the lost tooth gradually shrinks and is resorbed. The shapes of our jaws, cheeks and lips can be affected. Replacing a lost tooth with an implant can not only restore the appearance of your smile, but maintain it.

And implant procedures have a very high rate of success. Implants are made of materials compatible with the body, and surgically placed in the jaw to act as anchors for replacement teeth. The implant will actually integrate with the bone growing around it for strong, stable, and long-lasting support. After the time it takes for the implant to integrate and the area around it to heal, a crown, designed to match your own teeth perfectly, will be securely attached to the implant post.

What can you do to help the healing process? Follow our instructions carefully. Dr. Gregory Weaver will give you suggestions for the time immediately following the procedure as well as instructions on the importance of keeping the area clean while healing takes place. And one very important favor you can do yourself? If you smoke, this is the time to stop.

Studies have shown that smokers have a significantly increased risk of dental problems and implant failures, and there are several theories as to why.

• Smoking slows the healing process. Some studies indicate that smoking impairs blood flow in the gums, so that less oxygen and fewer nutrients are delivered to healing tissue.
• Smokers tend to be more vulnerable to gum disease.
• Smoking has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.
• More marginal bone loss around implants is seen in smokers than in non-smokers.
• Peri-implantitis, an inflammation of the gum tissue around the implant that can lead to bone loss and implant failure, is also more common in smokers.

Now that you have decided on a dental implant at our Raleigh, NC office, make one more decision to ensure the success of the procedure. Talk to us about ways to quit smoking before your implant, and how to reduce the chance of smoking-related complications. We know that quitting can be difficult, but your improved smile—and your improved health—are worth it!

The best way to protect yourself from gum disease is to be proactive: practice good oral hygiene at home and schedule regular checkups and cleanings in our Raleigh, NC office.

How do you know if your dental routine is doing the job? There are specific symptoms you might notice when you brush and floss, and less obvious signs of gum disease we look for during your dental exams.

The early stage of gum disease is known as gingivitis. It’s generally caused by poor dental hygiene, although certain diseases, age, hormones, and a number of other factors can also put you at risk. It’s time to talk to Dr. Gregory Weaver about your gum health if you notice any of these symptoms:

• Bright red or purple gums
• Swollen gums
• Pain or tenderness
• Bleeding when brushing or flossing
• Persistent bad breath
• Receding gums

And sometimes, there are no obvious symptoms at all. That’s why regular checkups are so important. If you have gingivitis, careful attention to your oral hygiene, professional cleaning, prescription mouthwash, or other treatments as needed can reverse the effects of gingivitis and restore your gums to their normal, healthy state.

Why be so proactive? Because, left untreated, gingivitis leads to more serious gum disease, called periodontitis. The bacteria in plaque and tartar cause inflammation, and inflammation leads the gum tissue to pull away from the teeth, forming pockets which become deeper over time. Here, where brushing can’t reach, bacteria continue to multiply, leading to further inflammation, infection, and the eventual breakdown of gum and bone tissues.

The results of untreated periodontitis can be very serious, including:

• Significant gum recession, leaving roots more vulnerable to decay
• Periodontal abscesses
• Loose teeth, or teeth that shift from their proper positions
• Bone loss in the area surrounding the teeth
• Tooth loss

If we see signs of advanced periodontitis, we may refer you to a periodontist.

Periodontists specialize in the diagnosis, prevention, and treatment of gum disease. After dental school, a periodontal degree requires three years of additional advanced education. Periodontists have the training and skill to perform surgical and non-surgical procedures to treat gum disease, as well as to perform cosmetic procedures and place dental implants.

Periodontists are trained to diagnose and treat periodontitis with a number of procedures which they will recommend based on your specific needs. Among the treatments they provide to restore your gum health:

• Topical, time-release, or oral medication
• Scaling and root planing, non-surgical deep cleaning procedures which remove plaque and tartar above and below the gumline, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth
• Flap surgery to treat persistent gum infection, reduce pocket depth, and re-secure the gums snugly around the teeth
• Bone grafts, gum grafts, and other regenerative procedures which help restore and repair tissue damaged by gum disease

If we recommend a periodontal consultation, be proactive. The best way to protect yourself from the significant consequences of untreated gum disease is to see a specialist in this field. Your periodontist has the knowledge and experience to stop gum disease from progressing, treat damaged bone and gum tissue, and restore your healthy smile.