August 10th, 2018
If so, it may not be a lack of interest of boredom but something important YOU as a parent can help with.
Here are some crucial facts about SCHOOL AGE SCREENING FOR SLEEP PROBLEMS IN YOUTH.
Sleep Disordered Breathing (SDB) problem causes:
- Obstructive: Large adenoids / tonsils or tongue displaced back into an airway.
- Environmental: Allergies or chronic sinusitis.
- Genetic: Mismatched, narrow jaws.
- Anatomic/structural: Misaligned jaws or airway dysplasia.
Here are important symptoms to watch for with your child:
- Mouth breathing, loud snoring, tossing and turning, gasping and choking during sleep.
- Attention difficulties, unpredictable behavior, mood disorders at school, even depression can be caused by a lack of restful sleep.
- Bed-wetting, sleep-walking, diminished growth, hormonal problems, metabolic problems and narrow dental arch problems are common.
Obstructive sleep apnea increases the risk of heart disease, stroke and diabetes.
Insufficient sleep in the youngster’s formative years is associated with metabolic, cognitive and emotional behavioral effects. Pediatric sleep-disordered breathing is a growing area of interest and kids can fall through the diagnostic cracks when this is not recognized and managed.
25% of ADHD problems are children deprived of restful sleep and thus behavioral problems.
Sleep-disordered breathing in the first five years of life is associated with 40 – 60% greater chance of special educational needs by age 8.
The American Association of Pediatrics “Practice Parameters” recently stated that all children should be screened for snoring because of the 70% overlap of snoring and sleep apnea. The numbers are staggering.
Sleep-disordered breathing is under diagnosed, and often clinicians take a wait and see approach. Invasive interventions are needed to correct the problem later. Your child suffers lessened quality of life, behavioral and/or learning challenges unless helped to restore normal breathing and sleep.
A simple questionnaire and selective 3-D images of a child’s airway helps identify restrictions. Facial orthopedics can help to open the airway, with teamwork by medical and dental sleep specialists for related treatments to optimize the airway and sleep quality.
Patients may benefit from a home sleep study, or see an Ear/Nose/Throat (ENT) doctor if tonsils or adenoids need to be removed. Simple allergy medications may work for some. A common approach may be simple upper jaw orthopedic expansion to correct a narrow jaw, or lower jaw lengthening with widening of the dental arches. Within weeks / months the child typically rests better and awakens normally.
Studies show a strong association between pediatric sleep disorders and childhood obesity. Weight management, oral appliances, or positive airway pressure therapy are very effective treatments.
Bruxism (teeth grinding) occurs during restless sleep and causes primary teeth to become worn – a direct connection with sleep-disordered breathing. Also, sleep-deprived kids may have a lisp caused by inadequate tongue space and poor teeth alignment, chronic dark circles under the eyes, difficulty waking up in the morning, irritability, fidgety behavior, mouth breathing and recurrent episodes of nasal congestion.
DO THE RIGHT THING TO HELP EACH CHILD
Clinicians and parents can do harm by doing nothing. The key factors are recognizing and preventing airway problems and breathing conditions when your child is young.
Everyone feels, performs and behaves our best when well rested.
Contact Jupiter Orthodontics for simple screening and proper guidelines for your child.
Dr. Roy King, Board Certified Facial Orthopedics/Orthodontics, Jupiter Orthodontics
July 13th, 2018
Once you have decided to seek orthodontic treatment and the braces have been applied, your next question is probably “how soon can the braces come off?” We understand that a straight, beautiful smile is the number one goal but the second goal is achieving that smile quickly. In this post, we have listed a few suggestions to help you work with your orthodontist to achieve fantastic results as quickly as possible.
Follow the Orthodontist’s Instructions
Dr. King carefully charts out every patient’s treatment plan/timeline. At each appointment, he will give instructions on how to continue to move the teeth into perfect formation. It is important to make and keep your appointments in order for your progress to be closely monitored. Trust the expert, not following the instructions given can lead to a major setback in creating the smile of your dreams!
Eating Healthy and Safe Foods
Following a diet that is low in excessive sugar will help prevent plaque buildup in the mouth. If excessive tooth decay or gum disease occurs during orthodontic treatment, the braces may have to be removed in order to address the problem properly. Furthermore, make sure that you avoid foods that could damage the brackets or wires. Crunchy, sticky or hard foods/candy can knock wires loose or break brackets. When this happens, it is not only uncomfortable, but the braces are unable to work properly. Still, accidents happen and if you experience a loose wire or bracket, call the office and we will fix it for you.
Wear Your Rubber Bands
Wearing rubber bands helps to accomplish tooth movement and not wearing them can cause a need for additional months in braces. We understand that it is annoying to take them in and out when you eat, but being consistent with your rubber bands will keep your progress on track. A small inconvenience for a beautiful end result…
Protecting Your Braces
If you or your child plays sports, wearing a mouth guard will help prevent braces from being damaged. It can also lessen the likelihood of injury to you or your child. Another potential hazard for your braces is mindlessly chewing on pencils, pens or any other non-food item. It is important to be aware of what is put into the mouth. Believe it or not, aggressive brushing can also damage braces and the wires. Be sure to clean the teeth properly. Any member of Dr. King’s team would be happy to show you proper brushing technique, if you need a reminder.
Lastly, be patient with the process. A beautiful smile is not attained overnight. It takes time and precision. As treatment nears the end, it is very common for patients to want to quit or to become frustrated. Dr. King has almost 40 years of experience and has every patient’s best interest as his top priority. If at any point, you have questions or want further explanation, feel free to ask. Orthodontic treatment is a partnership between the orthodontist and patient. Both parties have a role to play in order to achieve the best possible results.
June 15th, 2018
There are several direct-to-consumer orthodontic companies on the market right now and they love to make their treatment sound convenient, cheap and effective. What people may not realize is that they are often times treated as consumers and not patients. For example, in some instances direct-to-consumer companies do not involve an in-person evaluation and/or in-person supervision. Being seen in an office by an actual licensed orthodontist is imperative because there is more to creating a beautiful and healthy smile than just shifting some teeth. Orthodontic treatment, if not done correctly could lead to irreversible tooth and gum loss, bite changes and other expensive damage. Ask yourself this question: What other transforming medical procedure would you undergo without being evaluated and supervised before, during and after IN PERSON by a doctor? You want to be treated as a patient not a consumer.
The American Association of Orthodontists (AAO) believes you should do your due diligence when selecting an orthodontist and/or method of orthodontics. Below are several questions for you to ask while you are researching direct-to-consumer orthodontic treatment.
- As part of your orthodontic treatment fee, do you receive any in-person visits to a licensed orthodontist’s office during your treatment?
- If YES:
- How many?
- What occurs during these visits?
- What credentials does the doctor have?
- What do other patients have to say about the treatment they received?
- If NO:
- Are you comfortable receiving orthodontic treatment without any in-person visits from a licensed orthodontist?
- If YES:
- As part of your treatment, are comprehensive diagnostic records like x-rays taken before your treatment?
- If an emergency arises, does the company have an orthodontist in your area that you can see in-person?
- How do you know if your gums and teeth are healthy enough to start orthodontic treatment? Who makes that decision?
- Is only one treatment type offered (such as invisible aligners or a certain appliance)?
- YES- how will you determine that it is the best treatment option for you?
- NO- who will help you determine what the best course of treatment is?
- Who can you speak with at the online orthodontic company about your treatment, financial aspects, dental health and the potential risks involved with your treatment?
- Who is responsible for monitoring and evaluating your course of treatment? Is it you?
- Does the treatment model comply with the dental laws in your state?
- To check your state’s dental laws, click https://www.aaoinfo.org/state-laws-and-regulations
We hope that you have found this information helpful. Please keep in mind that orthodontic treatment is not a product you are purchasing but a medical service that is best handled by a medical professional. If you seek treatment from an orthodontist who is a member of the American Association of Orthodontists, you can rest assured that they have spent many years in a post-doctoral residency program. To find an AAO orthodontist near you, click here: https://www.aaoinfo.org/
October 31st, 2017
One of the most frequent questions patients ask is, “Is there a way to accelerate orthodontic treatment?” Dr. King is happy to respond with a resounding, yes! As a Propel® provider, Dr. King can get you in and out of Invisalign in about a third of the time. Dr. King’s continuing education hours are ten times greater than the required amount so he has the skinny on safe and proven ways to help his patients achieve results quickly, comfortably and effectively. That’s something he’s happy to make available to you and why he recommends Propel technology.
WHAT IS PROPEL?
For a variety of reasons many patients don’t like the thought of spending years straightening their teeth and thanks to Propel Orthodontics it’s not necessary. Propel is a procedure that is used in conjunction with Invisalign. Dr. King is able to incorporate the procedure at your regular office visit and can complete a session which makes the teeth move faster. Often treatment time is cut by up to 66%.
HOW DOES PROPEL WORK?
Many things can influence the duration of your treatment time. The largest factor affecting how quickly your teeth move into their new position is the rate of bone remodeling. Okay, so this may be a little technical but you’ll be able to understand. The osteoclasts and osteoblast increase which is caused by the Rapid Acceleration Phenomenon (RAP). The bone is treabsorbed and rebuilt which is known as bone remodeling.
The Propel device is used to make micro-osteoperforations (MOPs), or tiny perforations that are the size of a pinhole in the bone around the teeth. The MOPs encourage a natural inflammatory response, which stimulates the release of the cells involved in the breakdown of the bone. This kicks off bone remodeling and accelerates tooth movement. MOPs increase the rate of tooth movement reducing treatment time by up to 66%.
Propel is gentle and very little discomfort is experienced during the procedure. Numbing is required and one should take Tylenol the next day. One or two Propel treatments are usually required but complicated tooth movement may require additional treatments. Patients go back to work that same day.
IS PROPEL SAFE?
Absolutely! The American Journal of Orthodontics and Dentofacial Orthopedics noted that Propel is an “effective, comfortable, and safe procedure that accelerates tooth movement significantly.”
PROPEL TREATMENT AFTERCARE
Remember, there’s zero recovery time after a Propel procedure but to get the most out of treatment there are a few recommended steps:
- You might experience minor sensitivity which will go away in a day or two. It’s extremely important that you don’t take anti-inflammatory pain medication like Aspirin or Ibuprofen. Inflammation is a good thing in this case because the inflammatory response is how Propel works its magic to speed up orthodontic treatment.
- Spicy food is not your friend for a few days. Stay away from anything with citric acid (e.g., orange juice, lemons or limes) for several days because the treatment area will be a bit sensitive.
- While the micro-perforations are healing, swish with undiluted hydrogen peroxide or rinse with chlorhexedine two or three times a day ensuring a clean and disinfected mouth. Brushing afterward will make the whole hydrogen peroxide rinse experience fade away quickly!
AM I A CANDIDATE?
Perhaps, but because every mouth and orthodontic needs are different the best thing to do is come in to the office so Dr. King can determine that for you. Diagnostic records will be taken to see exactly what the needs are in your specific case. We’ll have the coffee ready and are looking forward to meeting you.