My Blog
By Steven F. Hinchey, DMD
February 17, 2018
Category: Oral Health
FebruaryFocusesonChildrensDentalHealth

The month of February gets its name from the ancient spring cleansing ritual called “Februa.” So perhaps it’s appropriate that February is now celebrated as National Children’s Dental Health Month. Having a healthy mouth starts with good oral hygiene—a practice that’s important for everyone, but especially for kids, because the healthy habits they develop in childhood can keep their teeth and gums in good condition for life. How can you help your kids achieve the best oral health? We’re glad you asked. Here are five tips:

Brush and floss daily
Sure, you knew that already. But did you know that for effective cleaning, your kids should brush for two full minutes, twice a day? And despite reports you may have heard, the American Dental Association maintains that using an interdental cleaner (like floss) is essential part of good oral hygiene: It’s the best way to clean decay-causing bacteria from tooth surfaces that your brush just can’t reach.

Limit snacking to around mealtimes
If you allow kids to have sugary snacks, limit them to around mealtimes. That way, the teeth aren’t constantly bathed in substances that can feed harmful bacteria. It also gives the healthful saliva a chance to neutralize acids that can attack the tooth’s protective enamel coating.

Avoid soda and other sugary, acidic drinks
That includes so-called “sports” and “energy” drinks, which often contain extremely high levels of sugar. These beverages, along with diet sodas and some fruit juices, may also be highly acidic, and can damage teeth. What’s the best drink for your kids’ health? Plain old refreshing water!

Pay attention to baby teeth
Sure, in a few years, those teeth will be gone. But in the mean time, they have an important job to do: They not only contribute to proper speech, eating and appearance, but also hold a space for the permanent teeth that will follow them. If they are lost too early, problems with permanent teeth may follow.

Get regular checkups
Routine office visits are the best way to monitor your child’s dental health and development, prevent disease, and solve minor problems before they get bigger.  Plus, we can address any questions you may have about oral hygiene and a range of other topics. So if we haven’t seen your child lately, maybe February is a good time for a visit.

If you have questions about your child’s oral health, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “How to Help Your Child Develop the Best Habits for Oral Health” and “Importance of Baby Teeth.”

By Steven F. Hinchey, DMD
February 02, 2018
Category: Dental Procedures
Tags: dental implants   bone graft  
NotEnoughBoneSupportforanImplantHeresaWaytoRebuildIt

Due to financial circumstances, people often have a lost tooth restored with a removable partial denture, an effective appliance that restores function and a degree of aesthetic appearance. Later, though, they may want to improve both function and appearance with a dental implant.

If this describes you, you’re making a great choice. Dental implants are the closest technology we have to a natural tooth. But there may be a roadblock to your implant, especially if a long time has passed since your tooth loss—there may not be enough bone at the site to place an implant.

The heart of an implant is a titanium metal post surgically imbedded in the jawbone. The titanium naturally attracts bone cells, which grow and adhere to it to form a solid hold that can support a porcelain crown or other restorations like bridges or dentures. But to achieve a natural appearance it’s important that the implant is placed in the right location. To achieve that requires adequate bone.

But there may not be adequate bone if the tooth has been missing for a while. The forces generated when we chew travel through the teeth to the jawbone, which stimulates bone growth. If that stimulus is absent because of a missing tooth, new bone cells may not replace older ones at a healthy rate and the total bone volume begins to diminish. A denture can’t compensate and, in fact, accelerates bone loss.

But there may be a solution: bone grafting. With this procedure we place a donor bone graft into the area of bone deficiency some time before implant surgery. The graft serves as a scaffold for new bone cells to grow upon. Hopefully, this will produce enough healthy bone to support an implant. If the bone deficiency is minor, we may place the implant and the bone graft at the same time.

If you have experienced bone loss, we must first determine the amount of bone at the missing tooth site and whether grafting is a viable option. Bone grafting postpones your implant, but the delay will be worth the wait if we’re successful. With increased bone volume you’ll be able to obtain a new tooth that’s superior to your current restoration.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation.

By Steven F. Hinchey, DMD
January 24, 2018
Category: Oral Health
Tags: sleep apnea  

Could your sleep disturbances be the result of this common sleep disorder?

sleep apneaWhile a lot of Americans deal with sleep problems at some point during their lifetime, when we talk about sleep apnea we aren’t talking about the normal tossing and turning that can often occur. Sleep apnea is a potentially serious and chronic sleep disorder that causes a person to stop breathing for several seconds throughout the course of a night. From the office of our South Glastonbury, CT, dentist Dr. Steve Hinchey, find out the common symptoms associated with sleep apnea and why this condition needs to be treated.

Symptoms of Sleep Apnea

Common signs and symptoms of sleep apnea include:

  • Loud snoring
  • Gasping for air during the night
  • Pauses in breath (a symptom your partner may notice while you are sleeping)
  • Frequent headaches in the morning
  • Waking up exhausted
  • Excessive daytime fatigue
  • Increased irritability
  • Lack of focus and concentration
  • Memory loss

A lot of people with sleep apnea don’t even know they have it; however, if you find yourself nodding off throughout the day and you never wake up feeling refreshed then you could very well be dealing with sleep apnea. This is a good time to see a sleep specialist.

Why does sleep apnea need to be treated?

Anything that negatively impacts your sleep is a serious problem. You need proper sleep for your health and well-being, and if there is a way to get more restorative sleep why wouldn’t you do it?

Plus, untreated sleep apnea has been linked to a variety of serious and chronic health problems. Those with sleep apnea are at an increased risk for heart attack, stroke, high blood pressure, diabetes, etc. By getting sleep apnea under control we can also reduce these health risks.

How can my dentist help me?

When you think about sleep disorders you probably don’t think about seeing a dentist for treatment; however, our South Glastonbury, CT, general dentist could also provide you with the relief you need to get a better night’s rest. Instead of wearing a CPAP facemask every night, which can be cumbersome and uncomfortable, a custom oral appliance that will fit over your upper and lower teeth (similar to a mouthguard) can be made and will prevent the tissue in the back of the throat from collapsing or the tongue from obstructing the airways while you sleep. This device alone could help many people that are suffering from mild-to-moderate forms of sleep apnea.

If you or a loved one is dealing with sleep apnea then it’s a great time to schedule a consultation with our South Glastonbury, CT, family dentist to find out if oral appliance therapy is a simple solution for managing your symptoms and helping you sleep better at night.

By Steven F. Hinchey, DMD
January 18, 2018
Category: Oral Health
AnyTimeAnyPlaceCamNewtonsGuidetoFlossing

When is the best time to floss your teeth: Morning? Bedtime? How about: whenever and wherever the moment feels right?

For Cam Newton, award-winning NFL quarterback for the Carolina Panthers, the answer is clearly the latter. During the third quarter of the 2016 season-opener between his team and the Denver Broncos, TV cameras focused on Newton as he sat on the bench. The 2015 MVP was clearly seen stretching a string of dental floss between his index fingers and taking care of some dental hygiene business… and thereby creating a minor storm on the internet.

Inappropriate? We don't think so. As dentists, we're always happy when someone comes along to remind people how important it is to floss. And when that person has a million-dollar smile like Cam Newton's — so much the better.

Of course, there has been a lot of discussion lately about flossing. News outlets have gleefully reported that there's a lack of hard evidence at present to show that flossing is effective. But we would like to point out that, as the saying goes, “Absence of evidence is not evidence of absence.” There are a number of reasons why health care organizations like the American Dental Association (ADA) still firmly recommend daily flossing. Here are a few:

  • It's well established that when plaque is allowed to build up on teeth, tooth decay and gum disease are bound to follow.
  • A tooth brush does a good job of cleaning most tooth surfaces, but it can't reach into spaces between teeth.
  • Cleaning between teeth (interdental cleaning) has been shown to remove plaque and food debris from these hard-to-reach spaces.
  • Dental floss isn't the only method for interdental cleaning… but it is recognized by dentists as the best way, and is an excellent method for doing this at home — or anywhere else!

Whether you use dental floss or another type of interdental cleaner is up to you. But the ADA stands by its recommendations for maintaining good oral health: Brush twice a day for two minutes with fluoride toothpaste; visit your dentist regularly for professional cleanings and checkups; and clean between teeth once a day with an interdental cleaner like floss. It doesn't matter if you do it in your own home, or on the sidelines of an NFL game… as long as you do it!

If you would like more information about flossing and oral hygiene, contact us or schedule an appointment for a consultation.

PartialDenturesanAffordableAlternativetoMoreExpensiveRestorations

Dental implants are today’s preferred choice for replacing missing teeth. They’re the closest restoration to natural teeth—but at a price, especially for multiple teeth. If implants are beyond your current financial ability, there’s an older, more affordable option: a removable partial denture (RPD).

Similar in concept to a full denture, a RPD replaces one or more missing teeth on a jaw. It usually consists of a lightweight but sturdy metal frame supporting a resin or plastic base (colored pink to mimic gum tissue). Prosthetic (false) teeth are attached to the base at the locations of the missing teeth. Unlike transitional dentures, RPDs are designed to last for many years.

Although simple in concept, RPDs certainly aren’t a “one-size-fits-all” option. To achieve long-term success with an RPD we must first consider the number of missing teeth and where they’re located in the jaw. This will dictate the type of layout and construction needed to create a custom RPD.

In addition, we’ll need to consider the health and condition of your remaining teeth. This can be important to an RPD’s design, especially if we intend to use them to support the RPD during wear. Support is a fundamental concern because we want to prevent the RPD from excessively moving in place.

Besides dental support we’ll also need to take into account how the jaws function when they bite. The RPD’s design should evenly distribute the forces generated when you eat and chew so as not to create undue pressure on the bony ridges of the jaw upon which the RPD rests. Too much pressure could accelerate bone loss in the jaw, a common issue with dentures.

It takes a lot of planning to create a comfortably-fitting RPD with minimal impact on your dental health. But you’ll also have to maintain it to ensure lasting durability. You should clean your RPD daily, as well as brush and floss the rest of your teeth to minimize the chances of developing tooth decay or periodontal (gum) disease. You can further discourage disease-causing bacterial growth by removing them at night while you sleep.

A RPD can be a viable alternative to more expensive restorations. And with the right design and proper care it could serve you and your smile for a long time to come.

If you would like more information on removable partial dentures, 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 “Removable Partial Dentures.”





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