August 22nd, 2017
For over the last 15 years, our office has supplied support services for our patients who have been diagnosed with sleep breathing disorders (often Obstructive Sleep Apnea or OSA). Whether the referral for a sleep study came from signs and symptoms noted in a dental examination, or if was requested by a patient's physician, the method to collect the data necessary to make a diagnosis required a hospital-based overnight sleep study (Sleep Labs). This is medically referred to as a Polysomnography or PSG.
The 'Sleep Medicine' industry has begun to move away from the use of hospital-based Sleep Labs and towards tests that a patient can take in the comfort of their own home. Not only is there huge cost saving for the medical insurance companies but many patients greatly prefer an evaluation that can occur in their home rather than in a hospital room disguised as a hotel room.
This fall we will focus on Home Sleep Tests (HST) and how dentistry is incorporating this into the everyday screening of patients visiting for a routine tooth cleaning and examination.
To learn more about HST, please read further using this link:
December 7th, 2016
Our office has recently began using a new home sleep-monitor on selected patients, called the DDME Bruxism Monitor, to determine the best treatment options for people at risk for extensive tooth damage. New research indicates that people grind their teeth (bruxism) for specific reasons. While most patients attribute the habit to stress; that is often unrelated to a habit that leads to significant damage to the teeth and subsequent excessive dental expenses.
More often people clench and grind their teeth due either to bite (occlusion) issues OR an obstructed airway that occurs during sleep. Determining the underlying cause of tooth grinding/clenching will lead to dramatic differences in the recommended treatment to decrease the habit and protect the teeth. Prior to this research; all bruxism/clenching habits were treated the same. Selecting the wrong treatment can lead to an increase in the habit, and symptoms, while also leaving a dangerous condition untreated.
People that grind/clench their teeth due to bite or stress problems often need a more traditional (but well adjusted) ‘night guard’. Those who show signs of tooth damage from clenching/grinding, and who also report snoring or other indicators of poor sleep patterns, need a very different type of appliance. These type of appliances often improve or correct the airway problem, thus eliminating snoring and providing a more sound and restful sleep, while also protecting the teeth from bruxism. This can be a life-saver as those with Obstructive Sleep Apnea are prone to cardiac and stroke events.
We also now utilize a new in-office, inexpensive, bruxism/airway appliance that can be used to verify the effectiveness of this treatment. This appliance is called the BRX-PRO and is designed to be worn to prevent bruxism and also measure its impact on airway improvement (utilizing the DDME Bruxism Monitor). This is a very nice benefit to our patients as we can now measure the effectiveness of the appliance before they invest more time and money into the more permanent appliance.
Yellow Springs Dental strives to stay educated and ‘cutting-edge’ in order to continue to provide the best dental care possible for our family of patients. On your next visit; let us know if you want us to look further into helping you or your family members prevent damage to their teeth and eliminate an annoying snoring habit.
July 6th, 2016
(CBS News) Snoring has been tied to many health problems in adults, including obesity, sleep apnea, and a higher risk for heart disease. But according to a new study, snoring may also be problematic for kids' mental health.
PICTURES: Sleepy states: 15 most fatigued
The study found toddlers who snore are more likely to develop behavioral problems like hyperactivity once they reach school-age.
For the study, published in the March 5 issue of Pediatrics, researchers at Albert Einstein College of Medicine in The Bronx, New York City, examined the impact of "sleep-disordered breathing" on kids' behavior by looking at survey results from parents of more than 11,000 children over a six-year-period. Sleep-disordered breathing includes snoring, mouth breathing, and sleep apnea.
Parents were asked to fill out sleep surveys at various intervals when their kids were 6 months to 7 years old, and when their kids were approximately 4 or 7-year-olds, the parents filled out a behavioral assessment.
By study's end, the researchers found children whose sleep-disordered breathing peaked at 6 or 18 months old were between 40 and 100 percent more likely to develop behavioral problems by age 7, compared with kids who breathe normally during sleep. What's more, kids who had the worst behavioral problems had breathing problems throughout their infancy, which peaked when the child was 30 months old.
"This is the strongest evidence to date that snoring, mouth breathing, and apnea [abnormally long pauses in breathing during sleep] can have serious behavioral and social-emotional consequences for children," study author Dr. Karen Bonuck, professor of family and social medicine and of obstetrics & gynecology and women's health at Einstein, said in written statement. "Parents and pediatricians alike should be paying closer attention to sleep-disordered breathing in young children, perhaps as early as the first year of life."
According to the American Academy of Otolaryngology-Health and Neck Surgery, nearly one in 10 children snore regularly and 2 to 4 percent have sleep apnea. Common causes of sleep-disorder breathing are enlarged tonsils or adenoids.
What does snoring have to do with bad behavior? The researchers think these breathing troubles are affecting oxygen flow to the brain and disrupting the restorative processes of sleep, which results in problems related to areas of the brain that control for the abilities to pay attention, suppress behavior, and regulate emotions.
"We are sleeping to restore our brains, and sleep-disordered breathing interferes with that process," Bonuck told HealthDay. "For kids, these are critical periods in brain development."
Can anything be done to prevent future behavioral problems in snoring tots? Bonuck says parents should be paying close attention to how their kids sleep, and if they notice signs of sleep-disordered breathing, should talk to their pediatrician or take their child to an ear nose and throat doctor or a sleep specialist.
June 21st, 2016
To our wonderful patients and friends:
At Yellow Springs Dental, we focus everyday on making sure that we treat our patients and their families the same way we’d treat our own families. That is who we are and is at the core of our vision and practice philosophy. We are always looking for new ways to live our vision and provide the best care for our patients. To that end, I am excited to announce the addition of Dr. Jennifer John to our professional and caring team. This decision was made to help our practice to continue to grow, provide better access to our family of patients, and expand some of the cutting edge services we offer. Dr. John brings with her an exceptional education, experience, ethics and high standards and will be a wonderful addition to our practice.
So you can get to know her, here is her impressive background! Dr. John is from Gaithersburg, Maryland. She completed her Doctor of Dental Surgery in 2014. She moved to Pennsylvania to complete her General Practice Dentistry at the Veterans Affairs Medical Center. She has gained experience in the dental management of medically compromised and geriatric patients alike. Dr. John is passionate about preventive dentistry and patient education. She enjoys working with kids and instilling good dental habits at an early age. Dr. John is exceptionally talented in all aspects of general family dentistry. She enjoys attending continuing education courses in order to stay current with research, techniques and medical updates. She is an active member of American Dental Association, Maryland State Dental Society and Pennsylvania Academy of General Dentistry. Dr. John holds a dental license for both Maryland and Pennsylvania.
Dr. John and I will be teaming up to continue to provide the best dental care available today in our comprehensive family dental practice. I will be mentoring her in all aspects of our relationship-based private dental practice, which includes discussing individually tailored treatment plans and learning advanced techniques. It is through our close working relationship that I am excited and very certain this will serve to benefit all of our patients and local dental specialists.
And to even better serve our community with new solutions for care, Dr. John is also ‘in-network’ with select insurance carriers in order to provide better access for dental care for those with dental benefit restrictions. We will now be open extended hours to help accommodate busy schedules and emergency visits. Please call our office at 301-663-1700 if you have any questions and please make sure to welcome her when you have a chance to meet in person.
Thank you for your continued loyalty over the past 25 years. The confidence you have placed in me, and my incredible team of professionals in our office, is something I truly cherish and we will continue to provide new ways to make sure that each of you get the dental care and results you deserve and desire!