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Diastema closure. The patient’s sole chief complaint was the space between the teeth. .
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The challenge here is the substrate. A porcelain layered to zirconia bridge and a porcelain crown.
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☑️Rubber dam isolation
☑️Microetch Al. oxide.
☑️Interface etch/silane
☑️Optibond FL
☑️Brilliant Everglow A2
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#sohoblog

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Are Pacifiers Helpful or Detrimental to Baby’s Developing Teeth and Jaw?

Did you know that the pacifier was invented by Christian Meinecke, a Manhattan druggist, in 1901? Before this modern pacifier was created, babies would suck on knotted rags dipped in water or honey or wooden beads or ‘gum sticks’ made of stone, bone or coral.  As the mothers quickly adopted the use of this new pacifier, it had it’s critics.  An outraged 1909 letter to the editor of the New York Times railed against the ‘villainous contrivance’ which was said to ‘thicken the tongue and deform the mouth’ (New York Times, June 22, 2014).  Despite these warnings, the use of the pacifier has grown; and still experts continue to object. Pediatricians, speech and language pathologists, dental hygienists, dentists, orthodontist and orofacial myologists all recognize that prolonged use can negatively impact upon good facial, dental and articulation development.

Here’s why: when the pacifier is inserted in the mouth, the jaw opens beyond its normal position, increasing the vertical dimension.  This increased vertical dimension can cause the face to grow long and narrow (Long Face Syndrome).As the face develops and grows, the bottom jaw grows down and back creating a retruded lower jaw.

With continued sucking, the mouth is opened for a prolonged period of time. The cheek muscles create tension and help to pull the hard palate downwards.The tongue drops down and under the pacifier which then pushes the pacifier up against the roof of the mouth. This light continuous pressure of the pacifier, along with the added tension of the cheek muscles, can help change the palate from wide and rounded into a high and narrow shape.

This is alarming as the roof of the mouth is the floor of the nasal cavity. As the child grows, this upwards pressure against the hard palate can buckle the nasal septum, causing a deviated septum; in turn, causing difficulty with consistent nasal breathing. Mouth breathing ensues.

Extensive pacifier use can also alter dental eruption. The pacifier can create an anterior open bite as it blocks the front teeth from coming in.  Once the sucking habit is eliminated and the obstruction is removed, the teeth will be allowed to erupt and drift together.  Its imperative that a prolonged sucking habit never start but more importantly, it doesn’t persist beyond 4 years of age.  Many of my adult patients with a history of Temporal Mandibular Joint Disorders (TMD) reported they were pacifier/digit suckers for years.

In addition, with the tongue resting low in the mouth, the jaw hinged open with lips parted causes the muscles to be underused, underdeveloped and weak. The tongue isn’t placed properly in the oral cavity. This can lead to a frontal or lateral lisp, imprecise speech or multiple misarticulations.

Developmentally, babies don’t need the pacifier to self-soothe after six months of age. Persistent, vigorous sucking beyond the age of four creates those negative changes just described.

This is compared to typical or preferred oral rest postures.  The lips are closed with the tongue placed up against the roof of the mouth.  The correct tongue position acts as scaffolding to ensure development of wide rounded dental arches.  A slight space between the teeth, known as the dental freeway space, should occur.  Nasal breathing is observed at rest.

The best way to avoid orthodontic, TMD or speech issues is to break the pacifier habit early. Start weaning your child from sucking as early as you can. An orofacial myofunctional therapist can help your child break the habit. Children 3 years of age or older can follow a positive behavior program!

Remember:

If your child is still using the pacifier, remove it nightly once your child falls asleep; using your fingers, gently place their lips together.  This approach should be used during nap time too.

Another approach to help your child break the pacifier sucking habit is to cut a hole in the nipple of the pacifier.  This makes it difficult to suck the pacifier and your child will loose interest.

Article originally appeared at: http://myologyworks.com

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Move over « snap on smile », introducing the newer, quicker and easier « wear over smile »! 😄.
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If you are looking for a more permanent smile transformation, come meet our lovely associate dentist Dr. Ramirez, the woman behind the picture. She would be happy to meet you and answer any questions that you may have regarding aesthetic dentistry. #sohoblog

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Soho Dental’s Dental Operating Microscope

Dr Haji has been using a dental operating microscope for almost 4 years. The benefits for you as a patient are many. Dr Haji is able to detect problems before they become a bigger issue  which may cause unnecessary discomfort or expense.

“There is a learning curve when first using the dental microscope but having used it now for many years I have become accustomed to the advantages of  high magnification for most of my treatments. I can now truly appreciate the increase in accuracy and precision of the treatment that I am able to provide specifically by using the microscope instead of just dental loupes.”

To see photography from the microscope and the high level of care that we provide at Soho Dental please visit our Instagram page or our Facebook page.

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Is Smoking Marijuana Bad For Your Teeth?

Despite the hotness of the Marlboro Man (and, let’s face it, Joe Camel), smoking cigarettes impacts the teeth. Tobacco and oral health aren’t exactly best friends. In fact, per the Oral Health Foundation, lighting up a Benson and Hedges or a Virginia Slim (or any other brand) causes gum disease, tooth staining, tooth loss, and predisposes a person to cancerous tumors of the mouth.

The fact that cigarettes aren’t good for canines and incisors isn’t breaking news: we’ve known this for some time. But what about smoking cannabis? Is that dangerous as well? Or is it the tobacco and nicotine that provide the danger and not the actual act of smoking itself?

Scientists were wondering the same thing, so they did what scientists do – experimented. According to Jama Psychiatry, Arizona State University researchers conducted a study to examine the effects of cannabis among a group of people who had consumed it for two decades.

The Facts Behind Cannabis and Your Teeth

They followed 1,037 New Zealanders ranging in ages from 18-38 for for twenty years and measured changes in dental health (as well as body weight, blood sugar, cholesterol levels, lung function, and blood pressure). What they found was the cannabis didn’t really influence physical health (as we’ve discussed in earlier articles, many of the health benefits of cannabis are found in older crowds). There was an exception, however – people who used cannabis had an increased risk of developing gum disease and poorer periodontal health, overall..When compared to tobacco, the effects of cannabis weren’t as drastic – people who smoked cigarettes had worse periodontal health (and worse health altogether). Still, it’s natural that tobacco would impact teeth – it’s clearly bad for us. But researchers were stumped as to why the green ganja was interfering with the pearly whites.twenty years and measured changes in dental health (as well as body weight, blood sugar, cholesterol levels, lung function, and blood pressure). What they found was the cannabis didn’t really influence physical health (as we’ve discussed in earlier articles, many of the health benefits of cannabis are found in older crowds). There was an exception, however – people who used cannabis had an increased risk of developing gum disease and poorer periodontal health, overall.

Part of the explanation came down to dental regimes: people who used cannabis heavily didn’t get a gold star in the brushing department

They brushed less regularly and flossed less often. But even those who practiced good dental hygiene were affected.

The Effects of Cottonmouth

According to Livestrong, one of the reasons for this decline lies in marijuana’s most annoying side effect: dry mouth. Dry mouth happens with many strains and is a result of the cannabinoids in weed interfering with the production of saliva.

Without saliva, the body can’t wash away bacteria and food from the gums and teeth. This promotes tooth decay

In fact, dry mouth is one of the reasons people who use meth have such damaging oral issues. Per PBS, meth causes the salivary glands to dry out, ultimately allowing the acids in the mouth to eat away at enamel. But meth users tend to add to the damage by grinding their teeth obsessively, consuming foods high in sugar or drinks high in sugar, and forgetting to brush for long periods of time. Meth is infamous for impacting dental health, whereas cannabis’s impact is nowhere as drastic.

Still, research suggests a potential link to bad teeth and it doesn’t just have to do with cavities. Gum disease may also be a factor –  this disease tends to manifest when oral bacteria runs rampant in the mouth, resulting in inflamed gum tissue and inflamed bone. Gum disease can be treated and controlled, but without attention, it worsens until tooth loss occurs. Dry mouth, because it inhibits the removal of bacteria as mentioned above, likely contributes to gum disease too.

Whether or not people who smoke pot are at risk for oral cancer is another topic of debate. Cannabis isn’t dangerous in the sense that tobacco is, but smoking isn’t healthy, no matter what you’re smoking – smoke an orange rind and it probably won’t be great for the body. This is why so many people suggest vaporizing over pipes or joints. Until more is known about the effects of smoking weed, it’s best to err on the side of caution.

A study published in 2014 did tie oral cancer to marijuana smokers. The American Association for Cancer Research found that the high temperature of marijuana smoke irritates oral tissues and triggers changes. These changes can repair themselves or they can lead to precancerous lesions, lesions that may become cancerous if they mutate further.

How to Avoid Problems

Whether you smoke pot or not, the best way to avoid problems with your teeth is to brush, floss, and visit your dentist regularly (at the very least once a year even though you pretend you go every six months). Good dental hygiene can help cannabis users dodge complications. And regular visits can address minor issues instead of allowing those issues to turn into major ones.

You can also help yourself by changing the way you smoke – put down the pipe and pick up the vape. And stay hydrated by drinking water each time you inhale – if your mouth won’t make saliva, make your own!

Stopping smoking altogether – and getting your fix through edibles, patches, or tinctures – can save your teeth too. That’s unless the edibles are laden with sugar – then they might impact oral health but not because of the weed!

Strain choice is important as well – ask your budtender for strains that don’t have a propensity for dry mouth. Some strains are specifically designed to minimize this side effect while others are so well known for it you may as well skip the blunt and just drink the bucket of sand.

When it comes to dental health, there are lots of things that leave a mark – from your brushing habits to what you eat to if you raid your child’s Trick-or-Treat bag every Halloween. Even genetics play a role (because they play a role in everything). Cannabis may be a factor too, at least according to research. If another study comes out ten years from now revealing that pot’s not as impactful as predicted, they’ll be no harm done. You might even get fresher breath out of the hysteria.

Author: Jenn Keeler

Article originally posted at: https://www.wikileaf.com

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It’s all about teamwork! An artfully coordinated effort by my two excellent assistants helped the implant surgery go beautifully for myself and most importantly for our patient. Thank you @missmoodyy and @michka.poursaleh 🙏 #sohoblog

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Happy to return to the Dawson Academy as an alumnus and ambassador for the treatment planning course. Looking forward to supporting other dentists in their journey towards complete care dentistry! #sohoblog

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