Keeping in touch by blog!

Thank you for spending a few minutes and checking out my blog!

This is a great way for me to keep you informed about what's new at Oakdale Dental.  You'll find stories about todays dentistry and how it can make your life better and healthier, and sometimes some random thoughts I hope you find interesting. 

If you are already one of my patients, let me know what you think.  Any topics you would like to read about or questions you have, just send me an email.There is lots of information already on this site and my other practice website: Oakdale Dental! 

For those of you who I have not had the pleasure to meet yet, I'm glad to have here and feel free to drop by and pay us a visit at Oakdale Dental in beautiful Oakville.

So, come back once in a while...I try to post regularly and have some interesting things for you to check out and maybe a story or two to tell.


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"Great things start with a smile!" Dr Rosenblat

Thoughts for you, from my blog...

 

Entries in pain (5)

Wednesday
Jun082016

Wisdom teeth...I could take 'em or leave 'em....

When a patient comes in to see me at my office in Oakville, with jaw pain, it is often necessary to take an "X-ray" or "radiograph"

The kind you see above is great because it shows all the teeth.  It is not detailed enough to diagnose cavities but I can see many pathologies and the developmental stages of the various teeth. This young lady is 15 and has no room for her wisdom teeth.  The teeth on the extreme right and left in the image are not in the mouth yet and you may notice the roots are not formed yet.  As they form the teeth try to come in to the mouth. Since there is no room, they are pressing on the teeth already there causing pain.  These are "impacted wisdom teeth". Now what is interesting here is where the arrow is pointing.  This is an abnormality that we found that doesn't hurt and I would never know was there unless we took the x-ray. While this mass may very well be benign, I have  referred her to have this evaluated and deal with it if need be. My oral surgeon will do that and remove the impacted wisdom teeth.

Now impacted wisdom teeth can often be painless, but if no, the symptoms can include; jaw pain, headaches, inability to open your mouth normally, swelling in the gums at the back of the mouth, as well as a bad odour or taste in the mouth.

So what happens if you leave a painless impacted wisdom tooth to sit quietly in the jaw.  Often nothing.  They may just sit there and cause no problems.  But if they are pressing against another tooth, they can cause the tooth they press against to start to disolve away and if bad enough, the wisdom tooth and the tooth it pushes on would be lost.  So sometimes if there is no room, wisdom teeth are removed proactively because of problems they can cause ( and if I see there is no room for them to come into the mouth).  It is also important to think long term too because it is easier to remove a wisdom tooth in a younger person since the bone is softer and healing is better in younger people.

Routine dental exams with x-rays can find things you never knew were there. Call us and we'll be glad to have a look around! 

Dr Steven Rosenblat

Great things start with a smile!  at TheOakvilleDentist.com

905 827-0301

 

Thursday
Jul042013

Waking up with headaches? Maybe the dentist can help...

Headaches are a big problem for many people.  Many treatments and medications are available for headaches too, just look at all the ads on TV.  But to treat a headache effectively it is best to know the cause of the headache in the first place.  There are dental causes for headaches too.  The type of headache dentists can help with are muscle strain or tension headaches, commonly felt in the morning, possibly with neck and jaw pain.  This pain is caused by intense  contractions of muscles around your jaws.  These muscles even extend way up on both sides of your head ( called the Temporalis muscles). Many people exhibit involuntary clenching and grinding of their teeth at night that can overload these muscles.  This is a reflex action - feedback from the teeth causes even more clenching and pain. theoakvilledentist.comTraditionally dentists have fabricated a "niteguard"- an appliance that covers all the teeth on the upper or lower arch ( similar to a sports mouthguard).  It has a flat biting surface that lets the teeth slide so there is no grinding damage to teeth.  But this will not stop the positive feedback cycle, the teeth can sense the jaws clenching, causing more clenching - a reflex remember?  So there is another type of appliance I have used successfully for pain relief called an "NTI".  In short, it's a mini niteguard that fits over 4 front teeth.  The back teeth don't touch and there is much reduced  chewing muscle action. So these muscles are more relaxed and won't be painful. And so the "NTI" may help eliminate the need for pain medication.

Want to see if an NTI can help you too.? Call us.

Great things start with a smile!

Dr Steven Rosenblat

theoakvilledentist.com

Tuesday
Apr032012

Infections...can't you just prescribe pennicillin doc?

It is not unusual, even today, to have patients ask for an antibiotic for a tooth ache or dental infection.Pennicillin for a tooth ache?

But I think most people today know that antibiotics are losing some of their effectiveness and usefulness.  Many of my patients have allergies to one or more antibiotics.  And in the news we hear of drug resistant bacteria causing serious infections that we have no drugs to help us fight. What has brought us to this point? Well, it's because antibiotics have been over used.  Here's the thing.  Antibiotics don't cure infections.  Patients cure themselves. Antibiotics give your natural defense mechanisms a chance to catch up.

Click to read more ...

Wednesday
Jun022010

In the morning I often have sore jaws and sometimes a headache...

Headaches and muscle soreness are conditions that are often related to how your teeth and jaws work together.  85% of people show signs of tooth grinding (bruxism) or clenching.  These are non functional uses of your teeth and jaws (that overstress you chewing muscles) and often happen only at night.  In today’s world there is a great deal of stress and anxiety and this, as well as caffeine use and some medications can all lead to these destructive and painful muscle activities ( dentists call this ``parafunction`` ).  The result is tension, headaches and excessive wear and destruction of your teeth.  This may show up as flattening of your teeth or chipping as well as grooves or notches in the side of your teeth near the gums ( ``abfraction``).  

The most common way to treat muscle pain caused by clenching or grinding is to have a “nightguard” made.  This is a custom fitted acrylic appliance usually worn at night that takes the stress off your jaw joints and will safely prevent tooth wear.  There are different types of  Nightguards for different purposes and which one I recommend depends on a patient’s particular problem and tolerances.   They are designed specifically for the way your teeth fit together. 

Every persons teeth fit together and function in unique ways and this is why the simple grinding appliance available at drugstores cannot accomplish the same protection and pain relief. 

 I have found that this kind of conservative therapy has helped many of my patients reduce or eliminate their muscle and headache pain.



Sunday
Mar212010

Oral Cancer.

I am not writing this post to tell you how bad smoking is.  Today, it's not possible to avoid hearing that important health message.  I just wanted to relate a story about a patient. And  I'm not going to show any pictures or his x-rays.

About two weeks ago I met a new patient in a great deal of pain.  He was 45 years old.  It was severe pain and when I met him the pain was etched across his face.   With him was his young teenage daughter.  He smoked a pack a day and he didn't like going to doctors and hadn't been to a dentist since his teenage years.   The pain made him do something he didn't want to do, see me. 

The cancer I found in his mouth was something a general dentist only sees occasionally, usually only  in a pathology text book. 

I arranged for him to see my Oral Surgeon immediately who called me back an hour later to advise me of his findings.  He arranged the patient to see an oncologist.  The cancer had spread quite a bit and the prognosis is not good.

I couldn't stop thinking about that patient all day.  And his daughter.  I probably won't ever see him again but I still think of him. He is only 45.

If he routinely went to a dentist this could have been detected early.  We could have been sure we could  save his life.

If only he didn't smoke.

We always believe it won't happen to us.

If you smoke...quit.