Our Blog

Breaking Bad Oral Habits

November 16th, 2016

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

  • Brush your teeth after each meal or at least twice a day.
  • Visit a dentist every six months for an exam and a professional cleaning.
  • Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our Anchorage, AK office and speak with Dr. Michelle Slezewski and Dr. Paul Engibous or a member of our team.

Antibiotic Prophylaxis or Pre-Medication

November 9th, 2016

At Pediatric Dental Associates, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Dr. Michelle Slezewski and Dr. Paul Engibous will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:

  • Patients who underwent cardiac valve surgery in the past
  • Those who have suffered past incidents of infective endocarditis
  • Patients who have mitral valve prolapse, resulting in or causing valve leakage
  • People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
  • Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

When snoring becomes more than just annoying: The dangers of sleep apnea

November 2nd, 2016

Sawing wood. That’s what your wife calls it when you wake her up with your snoring. This type of scenario plays out in homes around the world, and couples have to find a way to make light of the nocturnal annoyance. Snoring can become more than just an irritating nighttime disturbance, however. It can be the first sign of a potentially serious sleep disorder.

Sleep apnea is a disorder in which breathing repeatedly pauses throughout the night. Possible symptoms of sleep apnea include snoring loudly and feeling tired after a full night’s sleep.

Three health problems linked to sleep apnea

Sleep apnea often goes undiagnosed and untreated, which puts you at a greater risk of developing health problems. While being robbed of quality sleep can take its toll on you, sleep apnea can also result in the following.

  1. High blood pressure. When you wake frequently throughout the night, it causes your body's hormonal systems to become unbalanced and go into overdrive. This results in high blood pressure.
  2. Heart disease. The disrupted oxygen flow caused by sleep apnea increases your chances of having a heart attack or stroke. The cutoff of oxygen makes it difficult for the brain to regulate the flow of blood in the arteries.
  3. Excessive daytime sleepiness. Daytime fatigue often results in impaired judgment and slow reaction times, and this may increase your risk of being involved in a motor vehicle accident.

Lifestyle changes like losing weight, avoiding alcohol, and quitting smoking are often enough to cure sleep apnea. Medical treatment is also a potential solution. Surgery, oral appliances, and continuous positive airway pressure (CPAP), which is a treatment involving a specialized breathing mask, are all possible ways to resolve the problem of sleep apnea.

If you think you may be suffering from sleep apnea, or to schedule a visit with Dr. Michelle Slezewski and Dr. Paul Engibous at our convenient Anchorage, AK office, please give us a call! Our entire team at Pediatric Dental Associates look forward to giving you back a full night’s rest!

Oral Health for the Young Adult

October 26th, 2016

Young adults often have the reputation of not taking good care of themselves. You may feel invincible, and not realize how much your behaviors now can affect your health later in life. Oral health is one area that is easy to neglect now, but that can lead to serious financial and quality of life consequences later.

Follow a Good Oral Care Regimen

If you don’t already do so, it’s time to brush, floss, and rinse as Dr. Michelle Slezewski and Dr. Paul Engibous taught you. Brush at least twice a day or after meals, and floss your teeth every day. If recommended, use mouthwash to kill germs in your mouth. If you are not able to brush your teeth after eating, swish water around in your mouth to remove the food from your teeth. Leaving carbohydrates in your mouth allows bacteria to ferment it and produce acid, which can destroy your tooth enamel and put you at risk for decay.

Visit Our Office Regularly

Young adulthood can be a challenging time when it comes to medical care. Your parents are no longer paying for your health insurance or taking you to your appointments. You may not worry much about getting regular cleanings and exams, especially if you’re paying for them yourself.

However, young adults have a lot to gain from visiting our Anchorage, AK office regularly. We can check for signs of problems and fix them early, which can save thousands of dollars and, ultimately, your teeth. These are some examples of what Dr. Michelle Slezewski and Dr. Paul Engibous and our hygiene team can do for you.

  • Get rid of plaque so it does not develop into tartar and cause periodontitis.
  • Identify and fill small areas of tooth decay to prevent it from progressing.
  • Examine your gums for signs of gingivitis, or early gum disease.

Consume a Tooth-Healthy Diet

A nutritious diet is not just for preventing heart disease and diabetes later in life. It also supports your teeth. Make sure to get plenty of calcium, such as from dairy products, canned fish, and leafy green vegetables to allow for strong teeth. Also, limit sticky foods and sugary sweets.