All posts by writeradmin

Why Send Me to a Dentist for Being Tired?

I’m a little frustrated. I’ve been telling my doctor I’m tired all the time for months. He did some blood work where everything turned out fine. Now he’s not taking me seriously. I persisted, but he said to see a dentist about my sleep habits. What would a dentist have to do with that?

Miriam

Dear Miriam,

man snoring keeping wife awake
One of the most common symptoms of sleep apnea is snoring

I would be willing to bet that your doctor wants you to get a sleep study done, though usually that is done through a prescription from your doctor. Your dentist can get you a sleep study too. It mostly depends on what your insurance requires.

The study can help reveal if you have sleep apnea. As the picture above states, snoring is a common symptom of sleep apnea. So is being tired. That’s especially true if you wake up tired after a full nights sleep.

How Can a Dentist Help Sleep Apnea?

If sleep apnea is the cause of your exhaustion, your dentist can custom design an orthotic which will position your jaw in a proper position so that your body receives the proper amount of oxygen while you sleep. This will allow you to wake refreshed, probably for the first time in a long time.

You’ll want to get your bite evaluated as well. Some recent research has found a link between TMJ Disorder and sleep apnea.

I haven’t examined you, so there is no way I can begin to tell you if either is an issue for you, but those would be some reasons to see your dentist.

I know it’s frustrating when your caregivers can’t seem to figure out what is going wrong with your body. Some medical practitioners go into medicine thinking we know most things and can fix people. When they bump up against something that doesn’t fit with what they know, they get frustrated as well. Some react to that by making the patient feel like it is in their head.

It might help you to see a holistic dentist. They’re a little better at working with people who’ve had trouble diagnosing what’s going on with them. That’s more because they consider the whole body’s health and not just your teeth.

This blog is brought to you by Dr. Steve Bader.

Disappointed Dentist Said No to Porcelain Veneers

I wanted to get porcelain veneers. I’ve got several chipped teeth and ugly stains. I asked my dentist to give me porcelain veneers to fix them, but he said no. When I asked him why he said because as the dentist he’d know what would work and what wouldn’t. He did say he was willing to whiten my teeth but thinks veneers would be a mistake. I think I’d be okay with his decision if he would just tell me why. What am I missing?

Caryn

Dear Caryn,

A dental tool holding up a porcelain veneer

I think the biggest thing you’re missing is a dentist who understands cosmetic dentistry. Yours obviously doesn’t and rather than admit that he tries to lord over you with the “I’m the doc and you’re not” comment. That’s a complete cop-out and unfair to you. If he’s going to tell you no, he owes it to you to tell you why.

My guess is (and this is truly just a guess) is that he doesn’t know how to do the procedure. He also didn’t suggest any alternatives for you outside of giving you teeth whitening. What about the chips on your teeth?

What if You’re Not a Porcelain Veneers Candidate?

The first thing I’m going to suggest to you is to get a second opinion. Porcelain veneers are a great procedure for the two issues you’ve described. They can give your teeth a brilliant white color while repairing the chips at the same time. In fact, they can even change the shape of your teeth if you’re interested in that. Because of that, I’d like you to find out if there truly is a reason for you not to get them.

If for some reason you are not a good candidate, all is not lost. There are options. First, go ahead with the teeth whitening. Next, for the chipped teeth. Dental bonding can fix chips very well. The reason you want to do the whitening first is so your dentist can match the bonding to the new color of your teeth. The bonding won’t whiten after it’s placed on your teeth.

Who Should Place Your Porcelain Veneers?

Let’s assume for the moment that you are a good candidate. Your dentist likely did you a favor by not agreeing to do your procedure. You wouldn’t have gotten a beautiful smile. What you need is an expert cosmetic dentist. To find one in your area, I’d check the mynewsmile.com website. They only recommend artistic, skilled cosmetic dentists. Make sure they have some form of beautiful smile guarantee.

This blog is brought to you by Dr. Steve Bader.

Can’t Find a Holistic Dentist on My Dental Insurance

I’ve just discovered I’m pregnant. I’m thrilled, but do want to go to a holistic dentist during my pregnancy. I’ve been looking through all the specialists and can’t find a holistic dentist anywhere. Are they not covered?

Serena

Dear Serena,

pregnant woman at dentist
Do Pregnant Women Need a Holistic Dentist?

Congratulations! What an exciting time. I can totally understand why you’d want to seek treatment from a holistic dentist during this time of your life. They’re extra cautious when it comes to treatment, considering not just how it affects your body but your baby’s as well.

I think the problem you’re encountering is a misunderstanding of specialties. Your insurance will list things like General Dentists, Pediatric Dentists, etc. because they’re recognized specialties by the American Dental Association. But, things like Holistic Dentistry or Cosmetic Dentistry are not yet recognized as specialties.

What that means is the patient is left trying to determine which general dentists are actually skilled at cosmetic dental work and which just call themselves cosmetic dentists but actually aren’t that great at doing it beautifully.

Similarly, you’ll just have to check a dentist’s website to see if they have a holistic philosophy.

What If I Can’t Find a Holistic Dentist?

While the number of holistic dentists is growing, not every area has one. If you’re in that position, I would take two precautions when choosing who you’ll use for dental care during your pregnancy.

This is the minimum of precaution that should be taken with a pregnant woman. You don’t want a dentist who will introduce mercury into your body, especially when you’re expecting.

  • Always Consult Your Ob/Gyn

Most General dental procedures are safe and it’s actually even more important that you keep up with your oral health care during this time. Pregnancy can be rough on your teeth and a tooth infection is bad for you and your baby. That being said, every pregnancy is different and anything outside of routine care, it’s important you consult your OB to be certain it’s okay in your particular case.

You’ll find the second trimester is the most comfortable time, so try to schedule your appointment then if possible.

This blog is brought to you by Dr. Steve Bader.

Do I Need a Cosmetic Dentist for White Fillings?

My family has been seeing the same dentist for three generations. I feel bad even saying this but I’m thinking of switching. He just seems so set in his ways. My children are beginning to need a filling or two, though right now we’re just keeping an eye on the teeth. I told him if we did get a filling, I’d like it to be those white fillings everyone gets these days. He insists they’re not as good as the old ones and says he doesn’t place them. I’m thinking of switching dentists to get them. I keep thinking my dentist is going to retire anyway so this might be the ideal time to switch. Would I need to switch to a cosmetic dentist in order to get the white fillings?

Olivia M.

Dear Olivia,

Silver amalgam fillings in teeth Composite White Fillings

What’s obvious to most people is the difference in the appearance of the white fillings compared to their amalgam counterparts. However, there are many other benefits as well. Despite what your dentist said, the old fillings are NOT better for your teeth. In fact, it’s the opposite. However, I’m glad you’re not trying to “force his hand” to placing them. The procedure is completely different and it’s rather obvious he hasn’t bothered to learn the new bonding procedures necessary to place composite fillings.

You wouldn’t necessarily have to switch to a cosmetic dentist to have white fillings placed. Many dentists place them these days. All you’ll need to look for is a mercury-free dentist. These dentists will only place white fillings.

When You Need a Cosmetic Dentist

Cosmetic Dentistry isn’t actually a specialty. It just means a general dentist who offers cosmetic procedures. As with any other artistic skill, their results vary from dentist to dentist. The only time that would matter significantly is if you were looking for a total smile makeover, such as with porcelain veneers. If that’s something you’re considering, then choose your dentist wisely.

In your place, I’d look for a dentist who has been recommended by the mynewsmile.com website. They only recommend skilled, artistic dentists on their site. A dentist cannot purchase their way on as a means of drawing in clients. Instead, they have to demonstrate their technical knowledge and skill. It’s worth some time to invest before choosing.

This blog is brought to you by Dr. Steve Bader.

Help! Dentist Won’t Let Me Gift My Wife Invisalign

I want to get my wife Invisalign for Christmas but her dentist won’t let me. You’d think he’d want the business. Can I buy them directly from the company?

Bruce A.

Dear Bruce,

Patient putting in her Invisalign aligner

I’m not sure of your dentist’s exact reasoning behind the refusal so I can only take a guess. If your wife is otherwise a good candidate for Invisalign (which she may not be), it may be that he doesn’t want to “sell” it to you until he knows what her exact price will be. There are several factors which determine the final cost. The biggest factor is regarding how complicated her particular case is.

Maybe hers is easy and only needs a few sets of aligners. Or, maybe she needs a significant amount of work which could triple the number of aligners. Your dentist would have no way of gauging that without her coming in.

Purchasing Invisalign Ahead of Time

Here’s what I’d recommend in your case. First, you cannot purchase it directly from Invisalign. This treatment only can be done effectively under the care of a dentist. The company sells directly to the dentists who in turn treat you.

Instead, I’d talk to your dentist about a gift certificate for the “minimum” it could cost. Then after you’ve surprised your wife for Christmas, you can redeem it and pay any remaining cost. He shouldn’t have a problem with that.

I will let you know that many patients who get Invisalign also get teeth whitening. Combining the two is like an inexpensive mini smile makeover. Your wife will likely be thrilled to bits with that package.

I wish you guys a fantastic Christmas.
This blog is brought to you by Dr. Steve Bader.

Can Children Have Sleep Apnea?

My husband and I were watching a movie the other night and heard something seriously weird. We went upstairs to discover my first grader snoring like a drunken pirate. My husband looked at me and said, “The snoring is strong with this one.” He thought it was funny but I’m concerned. I went in to watch her after the movie and it seemed to me like she stopped breathing a couple of times. Can children have sleep apnea?

Amanda H.

Dear Amanda,

Child sleeping mouth open
Snoring is often a sign of sleep apnea.

There are many things which can cause snoring in children. The obvious one is a cold or upper respiratory infection. But, if your child is otherwise healthy, then snoring is a big sign she may have sleep apnea. Even if the snoring is strong with her, it doesn’t necessarily mean she’ll have to look and sound like Darth Vader with a CPAP machine. There are less bulky and scary solutions.

Speak with a dentist about what you’ve noticed in her sleeping. He’ll likely order a sleep study. The breathing issue you saw is common with sleep apnea as well. In fact, it’s possible that she is doing that many times per night. You’ll notice, even when she has a full night’s sleep she’s a little tired throughout the day.

Is Sleep Apnea Hard to Treat?

Many times you can get a doctor’s prescription for your child’s sleep study, which will help offset the cost. A good dentist will start with the easiest treatment options first. Often, a child’s sleep apnea can be solved by a simple orthotic which fits like a custom designed mouth-guard. It doesn’t always have to be worn for long. Plus, as her jaw develops you may find this solves itself.

It wouldn’t hurt to have her looked at by an orthodontist as well to see if her bite development is an issue. The earlier treatment is planned for those type of things, the smoother and less expensive the procedure will cost you, especially if you can limit the phases of treatment.

This blog is brought to you by Dr. Steve Bader.

Can I Get Porcelain Veneers If I Have an Overbite?

Something my dentist said doesn’t seem right. I want to get porcelain veneers. He said because my overbite almost completely covers my bottom teeth I can’t and need crowns instead. Is that right? I would think crowns would be harder than veneers in that situation. I know I’m not a dentist, but I still wanted to double check. Something else to consider is my teeth are very stained from some medicine I took when I was a kid, so I’ll want to somehow make my bottom teeth match even though my top teeth cover most of them.

Karyn G.

Dear Karyn,

Porcelain veneers being placed on a tooth

Wow! I wish I had a buzzer of some sort…and possibly a time machine. At your appointment when your dentist made that seriously lame excuse, I’d have buzzed it and shouted, “Points for trying!” then dragged you out of his office fast.

Your dentist is obviously not a cosmetic dentist. He’s more comfortable doing porcelain crowns then porcelain veneers, so he makes up an excuse that you astutely picked up didn’t make any sense. Crowns make so much less sense because it affects the back of your teeth. Plus, with crowns, you’d have to grind healthy tooth structure down to nubs.

Getting the Best Porcelain Veneers Results

For you to get a good result, you’ll need to go to a different dentist. You want a highly skilled cosmetic dentist, especially considering the staining you mentioned on your teeth. When you said staining from childhood medicine, I’m thinking you may have tetracycline stains. This also means you need an expert cosmetic dentist even more. Tetracycline stains are especially difficult. You have to get the veneers opaque enough to cover the stains, but still get a natural, translucent look.

So, now that you know you need an expert, how do you find one?

My recommendation is you look on the mynewsmile.com website. They only recommend the best cosmetic dentists in each area. They have to demonstrate both technical skill and artistry. They cannot simply pay a fee to get on the site. You’ll be safe with anyone on their site.

As for whitening, yes, you’ll whiten the bottom teeth. With tetracycline stains it can be difficult, but Kor Whitening has had more success than most. A good cosmetic dentist will know that though, so you should be fine.

This blog is brought to you by Dr. Steven Bader.

Would a Holistic Dentist Remove My Metal Fillings?

I have several metal fillings which I recently learned contain mercury. I was astonished. I went to my dentist and asked him to remove them and put in the white fillings instead, which I’m told don’t have mercury. He said that wasn’t a good idea. While he can give me white fillings in the future, taking out the metal fillings would expose me to mercury vapors. Aren’t I exposed to that already? Would a holistic dentist help? I hear they don’t believe in metal fillings.

Charissa E.

Dear Charissa,

You aren’t the only patient who’s been surprised to learn what is in their old-fashioned, silver-colored fillings. They’re called amalgam fillings because they’re made up of various metals. But, the largest metal content is mercury.

While you are inhaling some mercury vapors from your filling, removing them releases substantially more. That doesn’t mean you’re stuck with them though. They can be replaced with white (composite) fillings, which as you’ve heard are mercury-free. You just have to go to the right dentist to do it.

Can Holistic Dentists Safely Remove Amalgam fillings?

There are two types of dentists who generally understand the importance of getting rid of amalgam fillings. The first is to go to a holistic dentist. They’ll know how to do what is called a sanitary amalgam removal. This protects you from both mercury vapors and from swallowing bits of filling that contain the mercury during the removal process. I recommend Holistic dentists first because they always take more precautions with what they introduce to your body, thinking more about your whole health instead of just your teeth.

However, some patients don’t live near a holistic dentist. In that case, I’d recommend a mercury-free dentist. Many of them also perform sanitary amalgam removals as well. Just be sure to ask that they know the procedure and practice it regularly first.

Once the white fillings are finished, their color can’t be changed. Your dentist will match them to the color of your teeth. If you’ve got very stained teeth, as many adults do, you might want to consider having teeth whitening done prior to having your fillings removed. This will give you a nice healthy white color to match your composite fillings to.

This blog is brought to you by Dr. Steve Bader.

What Do You Think of Lumineers for a Tooth Gap?

I have a giant tooth gap. I think the dentist said 8 mm. Originally my dentist recommended snap on smile, but I ended up not liking those. It looked completely fake. Even if it had looked better, I wouldn’t have been happy with it long because I couldn’t wear it all the time. I wasn’t sure what to do and I definitely don’t want a mouth full of metal braces. So, my dentist recommended Lumineers. This time I want to get a second opinion before I spend money on another useless procedure. Especially, because this one is so much more expensive.

Maddy K.

Dear Maddy,

Newton Invisalign

I can’t tell you how glad I am you wrote. You’re going to be glad to because I am about to save you from a very expensive disaster. You mentioned your snap-on smile looked completely fake. My guess is that’s because your dentist isn’t a skilled cosmetic dentist. Snap-on smile isn’t as stunning as porcelain veneers no matter how well they’re done, but they certainly shouldn’t look fake.

Lumineers are a brand of porcelain veneers which are often marketed to inexperienced dentists as being easy to place. While they may be easy to place, they’re definitely not easy to make beautiful. In fact, most expert cosmetic dentists won’t place them because their lab isn’t one of the best.

Your case is more complicated. The gap between your teeth is large enough to fit another tooth. It would take a highly skilled and artistic cosmetic dentist.

Two Solutions: Invisalign or Porcelain Veneers

There are two good options for you. The first is Invisalign. You mentioned you were opposed to braces. By any chance did your dentist mention Invisalign as an alternative to you? It uses clear aligners to straighten your teeth, and in less time than traditional braces.

Because it uses aligners instead of metal, no one can tell you’re even wearing anything. They also have a very high patient satisfaction rate because of how comfortable they are. And, to top it off, it’s significantly less expensive than the Lumineers options.

Your second option is porcelain veneers. Lumineers are just a brand of porcelain veneers. You won’t want that brand. Find an expert cosmetic dentist by using mynewsmile.com. They recommend the best cosmetic dentists in each area. Get a consultation. Because of its cost, this option really only makes sense if there are other things you want to change about your smile. It can give you a gorgeous complete smile makeover. But, you will only like the results if you get the right dentist.

This blog is brought to you by Dr. Steve Bader.

My Heart Doctor Wants Me to Get Checked for Sleep Apnea

I was sent to a heart doctor because my heart rate has jumped significantly. I’ve had tachycardia on a regular basis. After a consultation, he said the first thing he want’s me to do is get a sleep study. He feels certain I have sleep apnea. What does that have to do with heart problems?

Mila Y

Dear Mila,

Boston Sleep Apnea

Believe it or not, a great many heart problems are caused by untreated sleep apnea. With sleep apnea, the tissue in the back of your throat relaxes while you sleep. In the process, it blocks your breathing passage, depriving you of oxygen. Your body realizes you’re no longer breathing and wakes you up. You wake up with a start (just enough to get a breath) and generally fall back asleep without even realizing you’d stopped breathing and woken up. This cycle can repeat many times throughout the night, sometimes hundreds of times.

You can imagine the type of stress this puts on your heart. It has to pump significantly more in order to make up for the lost oxygenation to your body. If you deal with the sleep apnea, you give your heart the needed rest, which should bring your heart rate back to normal.

A sleep study can tell you a lot. If sleep apnea isn’t the problem, there are other reasons for tachycardia, so there are other things for your cardiologist to look out. But, you always want to eliminate the least invasive solutions first, if they seem like a possibility. One symptom of sleep apnea is snoring.

Why do a heart ablation if a simple orthotic device, while you’re sleeping, will solve the problem?

This blog is brought to you by Dr. Steve Bader.