Sedation Dentistry, Is It Really Safe?

Sedation Dentistry, Is It Really Safe?

Were you that kid who had to be dragged kicking and screaming to the dentist’s office? Are you still nervous about seeing your dentist? Are you concerned that your dental health may be affected because you’re not having your teeth checked as regularly as you should?

You may have heard of sedation dentistry. Sedation dentistry is becoming increasingly popular, and many dental practices now offer it for nervous patients.

In this blog, we’ll explain what sedation dentistry is and look at the safety considerations.

What is sedation dentistry?

It has long been standard practice to offer certain types of sedation for a range of dental procedures.

Most significant dental surgeries are performed under sedation, but the procedure is now becoming more common for routine treatment, and even just for an examination.

Sedation can be administered in a variety of ways. This can be oral (by taking a pill), by inhaling nitrous oxide, or intravenous (a needle directly into your bloodstream).

As well as a range of delivery options, sedation can come in multiple levels. It may be that you receive some local numbing, or you may be given medication to calm you while allowing you to remain conscious. In some cases, you can be given a general anesthetic so that you are unconscious for the entire procedure and won’t remember anything.

So, is sedation dentistry safe?

The American Dental Association publishes guidelines for dentists who wish to undertake all levels of sedation, to ensure that it is practiced safely.

These guidelines apply to the level of sedation, as well as the method of sedation. However, the main takeaway from the guidelines is that sedation dentistry is safe as long as it is performed by a properly trained professional, so you should take care to ensure that you trust your dentist, or any other providers they work with.

In 2015 the Journal of the American Dental Association published a paper entitled How safe is deep sedation or general anesthesia while providing dental care? The authors found that general anesthetic and deep sedation are safe for dental procedures. Again they emphasized that proper training is paramount for anyone administering anesthetic.

Where can I find a sedation dentistry provider?

As we mentioned before, sedation dentistry is becoming increasingly popular, but it is important to make sure you find a provider who is properly trained and safe.

Dr. Mandanas has teamed up with Sheila Jensen, a certified registered nurse anesthetist (CRNA), to help us with patients that require something more than local anesthetics. Sheila has practiced anesthesia for almost twenty years in hospital and surgery centers, providing all types of anesthesia for all types of surgery.

Monitored anesthesia care administered by a separate provider allows Dr. Mandanas to give her full attention to the procedure while Sheila ensures that you are safe and comfortable!

Your sedation will begin once a small IV has been painlessly inserted. Medication to help you relax and to relieve pain will be administered by a pump that will measure exactly the amount of medication you require. Sheila will monitor your blood pressure, heart rate and rhythm, and oxygen saturation continuously throughout your procedure and for a short time after Dr. Mandanas is finished, to be sure it is safe for you to leave our care.

If you’re interested in visiting a dentist who understands your nerves and will do everything she can to ensure a comfortable visit, contact Dr. Mandanas today!

Here's Why Your Oral Microbiome Is So Important

Here’s Why Your Oral Microbiome Is So Important

Humans are not really single organisms, we are really superorganisms, coexisting with our microbiome!

We have three or four microbiomes in our bodies: oral, gut, skin and vaginal. Here we’ll discuss the oral microbiome and its relationship with the gut. We’ll cover some research that reveals how your oral microbiome affects whole-body health.

What is the oral microbiome?

Your mouth is home to the second most diverse community of micro-organisms in your body, after your gut.

In fact, it is home to over 700 species of bacteria that colonize both the hard and soft surfaces of your teeth.

Humans and their microbiomes evolved together over millions of years to create a superorganism, or holobiont, that represents a mostly harmonious symbiotic relationship. We keep them healthy, and they keep us healthy!

How does the oral microbiome get out of balance?

The balance in our oral microbiome can be disturbed by modern-day lifestyles and diets.

This lack of balance is called dysbiosis, and it allows disease-causing bacteria to grow, which can cause problems like caries, gingivitis, and periodontitis.

In particular, our modern consumption of excess refined sugar, as well as consumption of acidic drinks, and even cigarette smoking all impact the oral microbiome.

What happens if my oral microbiome is unbalanced?

Changes to the composition of the microbiome can have large impacts on human health.

There are bacteria in your mouth which convert nitrates in your food into nitrites. These nitrites are then swallowed and get converted into nitric oxide, which has been shown to be highly important to cardiovascular health.

Although the effects of these chemicals on health are still debated, there is some evidence that balance is key to staying healthy.

Even consuming fairly small amounts of nitrates has been shown to have positive effects such as reducing blood pressure and improving heart function. However, the nitric oxide which is produced has also been suggested to have negative effects on cells. It may not have been solved yet, but it’s clear that diet has more of an impact on your health than you might think!

On top of this, it is now accepted that “bad” oral bacteria exist in healthy mouths in low numbers. Oral disease isn’t actually the result of outside infection, but of something causing this bacteria to multiply out of control.

One particular dental issue caused by diet is caries. Carbohydrates in diet can be fermented into acids by oral bacteria, which leads to the demineralization of the tooth enamel. This then causes caries.

This isn’t to say you should stop eating carbs entirely! People have eaten them for centuries without having to much trouble, and they’re a great source of energy. However, sugar, a carbohydrate, is now eaten in way larger quantities than your oral microbiome can deal with, which is why 92% of American adults have had caries.

If you think you may have caries, or just need to make a routine appointment, you can learn more, or contact us!

What You Need to Know About Treatment of Sleep Apnea

What You Need to Know About Treatment of Sleep Apnea

Sleep apnea is a condition that can cause discomfort and tiredness for many people. There are multiple causes that can lead to the condition. Here we’ll cover some of those causes and address some of the treatments.

What are the most common causes of sleep apnea?

There are two main types of sleep apnea. The most common is called obstructive sleep apnea (OSA). The other form is called central sleep apnea and is a result of the brain not sending the correct signals to allow a person to breathe during sleep. OSA is caused by some kind of obstruction to the airways. Both the US National Heart, Lung, and Blood Institute, and the UK National Health Service list some of the most common causes of this obstruction. Among these are obesity, large tonsils, excess growth hormone leading to increased throat size, age, and changes in facial bone structure.

How is sleep apnea treated?

Sleep apnea is typically treated through the use of a CPAP machine. This stands for continuous positive airway pressure. The machine works by continuously and gently pumping air into a mask worn over the mouth and nose during sleep. This works by preventing your airways from narrowing while you sleep, thus improving your breathing. However, there are other options. An alternative is a device called a mandibular advancement device (MAD).

Although a post on the Harvard blog site suggests that this may not be effective for those with the more severe forms of the condition, a MAD may be useful for those with mild sleep apnea.

A MAD is a gum-shield-like device that works by pushing the lower jaw forward during sleep. This helps to open the airway, reducing breathing pauses. Its main advantage over the CPAP machine is increased comfort. Comfort is important in treating sleep apnea as compliance with the treatment is necessary for success. A MAD allows a patient to sleep on their side, rather than on their back, as with the CPAP.

Why should I see a dentist about sleep apnea?

Dr. Mandanas is a dentist, and you may be wondering what sleep apnea has to do with your teeth. However, Dr. Mandanas prides herself on her holistic and integrative approaches to dentistry. As a result of her experience with the mouth and its structure, she has a good idea of when patients may have an oral structure that could lead to sleep apnea. Although Dr. Mandanas is not able to provide diagnoses, she is able to identify symptoms and recommend a visit to your doctor to get a proper diagnosis.

If you are diagnosed with sleep apnea, contact Dr. Mandanas and she will be able to help with finding a treatment that works for you!

Here's Why You Should Go to a SMART Certified Dentist in Anchorage

Here’s Why You Should Go to a SMART Certified Dentist in Anchorage

If you’ve opened this blog, you are probably wondering what “SMART certified dentist” means.

Our very own Dr. Mandanas is a SMART certified dentist in Anchorage. We are very excited to share how this certification makes us different from other dentists and what makes it so beneficial to our patients!

You’ll learn why going to a SMART certified dentist matters. We hope you get a lot out of this blog, especially the information you need to make a smart choice about your dental provider (wink, wink). Enjoy!

What Does “SMART Certified Dentist” Mean?

The acronym SMART stands for the Smart Mercury Amalgam Removal Technique. The SMART certification is something administered by the International Academy of Oral Medicine & Toxicology (IAOMT), a global network of dentists, health professionals, and scientists who research the biocompatibility of dental products.

Biocompatibility (our definition) – Compatibility with the mouth and body, typically used in reference to dental treatments and devices, meaning that they do not pose a risk to the health of the mouth and body.

You can learn more about biocompatibility in our blog, What Is Biocompatible Dentistry? Philosophy and Practice.

The IAOMT is especially interested in the risks associated with mercury amalgam fillings. The Smart Mercury Amalgam Removal Technique (SMART) was created to protect the mouth and body against those risks.

Why Does Going to a SMART Certified Dentist in Anchorage Matter?

So what are the risks of mercury amalgam fillings and why does going to a SMART certified dentist matter?

The risks of mercury amalgam are not agreed on by the scientific community. Mercury amalgam fillings release low levels of mercury in the form of vapors over their lifetime. The levels of mercury vapors released by amalgam fillings are not high enough to pose a risk to your health. Both the American Dental Association (ADA) and the U.S. Food and Drug Administration (FDA) have marked amalgam fillings safe for use in dental practice. However, studies have shown changes in the health complaints of patients who have had their amalgam fillings removed, though the exact reasons for these results have yet to be determined

There are many reasons why you might want to get your mercury amalgam fillings removed besides concern over mercury vapors. Mercury amalgam fillings have a lifespan of 10-15 years, which means they need to be replaced if they are getting old or worn. They can also cause teeth to chip and crack. You can learn more in our blog, 5 Reasons Why You Should Get Your Amalgam Fillings Replaced.

Because health complaints have been correlated with the removal of mercury amalgam fillings specifically, when you need to get your fillings removed, you should go to a SMART certified dentist. A SMART certified dentist is trained to protect you from the risks of mercury amalgam and they will replace your fillings with composite, a material that is known to be biocompatible, or, safe for your mouth and body.

What Is the Smart Mercury Amalgam Removal Technique?

The Smart Mercury Amalgam Removal Technique is a protocol that SMART certified dentists use to remove mercury amalgam fillings as safely as possible. We have broken it down into 10 easy-to-understand steps in our blog, What Is the Safe Mercury Amalgam Removal Technique? Get SMART About Your Fillings. The protocol includes water separation and air filtration devices, mercury absorbent cleaning materials, protective coverings, and more.

Do you need fillings or are you interested in getting your mercury amalgam fillings removed? We would love to get you in to see our SMART certified dentist here in Anchorage, Dr. Mandanas. She can discuss your treatment options with you and talk more about the risks of mercury amalgam. Schedule an appointment today!

We're Your Anchorage Holistic Dentist. Here's What That Means.

We’re Your Anchorage Holistic Dentist. Here’s What That Means.

Out of all the options for dental care in Anchorage, why should you go to your local, holistic dentist?

It’s true that other dentists offer many of the same services that we do, including general and cosmetic dentistry, implants, dentures, and sedation. It’s also true that we have all the same credentials.

So what makes us so different?

Your Anchorage holistic dentist considers some traditional dentistry practices harmful to the human body, whether or not they are beneficial to the teeth and gums. We provide natural alternatives to these traditional dental treatments that promote the health of your teeth and gums without harming your overall health.

Read this article and explore the links to see what we mean. If you agree with our perspective, you may want to switch to your Anchorage holistic dentist.

Ready to make the switch to your Anchorage holistic dentist? Send us a message or give us a call at (907) 276-5522!

1. Your Holistic Dentist Cares About the Health of the Whole Body

Your dental health has a greater impact on your overall health than you may think, affecting things like:

Explore the links above that interest you. We have done a lot of research on the connections between dental health and mental and physical health. The treatments you receive at our office are designed with this information in mind and will always promote your overall health, not just your dental health.

2. Your Holistic Dentist Looks for Natural Alternatives

Whenever a dental issue arises, we will recommend the most natural, non-invasive treatment first, such as:

All these treatments are intended to cause the least damage to your mouth and body and protect you from exposure to unnecessary chemicals.

3. Your Holistic Dentist Wants to Make Change for the Better

Many of the alternative dental treatments we provide are in response to patient discomfort and illness with traditional treatments. There are two in particular that we are most passionate about.

Our primary motivation is to provide dental care that is in your best interest.

If you have found that some of these topics are important to you, we would love to talk. Let’s get you in for an appointment with your Anchorage holistic dentist. Send us a message or give us a call at (907) 276-5522!

What Does Sleep Apnea Do to My Body?

What Does Sleep Apnea Do to My Body?

Have sleep apnea?

Here’s how the story goes, from your body’s perspective:

You fall asleep. Your body relaxes all your muscles, including those in your throat.

Uh oh. When your throat muscles relaxed, the tissues in your throat blocked your airway. Your body responds by waking you up, hoping to breathe.

Not only were you momentarily deprived of oxygen when your airway was blocked, decreasing the levels of oxygen in your blood, but your awakening has plunged you out of any deep sleep you were experiencing.

This awakening creates stress that causes your body to increase hormone production.

These episodes occurring at multiple points over the course of the night, by the time you wake up, your body and its systems are exhausted.

Sleep apnea can have severe long-term consequences to your health. Today, we are going to talk about what some of those may be.

Let’s first focus on the results of the sleep deprivation caused by sleep apnea. Did you know that people with sleep apnea are five times more likely to get involved in car accidents? Sleep deprivation can cause:

  • Severe Fatigue
  • Mental Confusion
  • Difficulty Concentrating
  • Memory Loss
  • Headaches
  • Moodiness, Irritability, and Depression
  • Car Accidents

Now let’s talk about what stress and deprivation of oxygen can do to your body.

  • High Blood Pressure – The stress created by waking up due to oxygen deprivation increases blood pressure.
  • Atrial Fibrillation – Abnormal heartbeat such as atrial fibrillation, a fast, fluttery heart, is linked to sleep apnea.
  • Stroke – Increased levels of stroke is also linked to sleep apnea.
  • Heart Disease – People who have sleep apnea are more likely to have heart attacks, which may be attributed to high blood pressure, the stress of waking up, and oxygen deprivation.

Sleep apnea can also cause the following blood sugar, cholesterol, and weight-related issues.

  • Type 2 Diabetes – Sleep apnea strongly correlates with Type 2 Diabetes, with 80% or more of people who have Type 2 also struggling with sleep apnea. Although obesity could be the root cause of both diseases, lack of sleep can make it hard for the body to process insulin correctly. Sleep apnea increases your risk for developing insulin resistance which leads to Type 2.
  • Abnormal Cholesterol Levels – People who struggle with sleep apnea are more likely to have high levels of bad cholesterol, LDL, which is a risk factor for heart disease.
  • Weight Gain – Sleep apnea also correlates with weight gain. When the body releases additional hormones as a result of the stress caused by waking up, it releases a specific hormone called ghrelin, which makes you crave carbs and sugar. Additionally, when you’re exhausted from sleep apnea, your body struggles to convert food into energy rather than simply storing it as fat.
  • Metabolic Syndrome – Metabolic syndrome involves high blood pressure, high blood sugar, abnormal cholesterol levels, and weight gain. It is also linked to higher risk of heart disease. In general, metabolic syndrome is correlated with sleep apnea.

Finally, the following health issues are related to sleep apnea:

  • Chronic Obstructive Pulmonary Disease (COPD) – If someone already has COPD, sleep apnea can worsen their symptoms.
  • Liver Problems – Sleep apnea is correlated with higher than normal levels of liver enzymes and even fatty liver disease.
  • Complications with Medications and Surgery – People who struggle with sleep apnea can have issues with certain medication, specifically general anesthesia. Some have complications after major surgery because of their breathing problems, especially when they have been sedated or they were lying on their back.
  • Adult Asthma – It has been reported that people who receive treatment for sleep apnea have fewer asthma attacks.
  • Weakened Immune System – Lack of sleep weakens the immune system, something caused by sleep apnea.
  • Acid Reflux – People also report fewer cases of acid reflux after being treated for sleep apnea and vice versa.

Although sleep apnea is a sad story for your body, it can still end with a “happily ever after!” There are treatments available for people who struggle with sleep apnea, specifically mandibular advancement devices, which are far more comfortable than CPAP. Dr. Owen Mandanas would be happy to discuss your options with you. Reach out today!

You Can Have Sleep Apnea and Not Know It - Here Are the Signs

You Can Have Sleep Apnea and Not Know It – Here Are the Signs

It is estimated that 80% of people who have moderate to severe obstructive sleep apnea go undiagnosed. That’s a shocking statistic when you consider how detrimental sleep apnea can be to one’s quality of life!

As an integrative dentist, I (Dr. Mandanas) have a few ways to identify patients who are more likely to have sleep apnea than others. I cannot provide diagnoses, but by looking at facial structures, I can tell you if it might be a good idea for you to ask your doctor about sleep apnea. I also have some alternative treatment methods for patients who suffer from diagnosed sleep apnea but cannot tolerate CPAP!

Early Warning Signs of Sleep Apnea

If you are reading this blog, it is likely that you have already done some research into the signs and symptoms of sleep apnea. Snoring, choking at night, and chronic exhaustion during the day are all important symptoms that should not be ignored, but the root cause of sleep apnea is actually in the anatomy of the jaw and tongue.

1. Retrognathia (Poor Jaw Alignment)

Retrognathia is a developmental deficiency affecting the lower jaw where it is set back further than it should be. In a properly aligned jaw, a ruler can be set against the chin, lips, and nose such that all three of these facial features touch the ruler in an almost perfect line with each other. Here is an example of a properly aligned jaw (after) versus a retrognathic jaw (before):

Source: Deskgram

When the lower jaw is set back, the tongue and other mouth tissues are pushed backwards in the throat, creating the airway blockage that causes sleep apnea.

2. High Tongue Placement

You might think that a tongue is a tongue, and that all tongues operate pretty much the same way. That is not entirely true! Different people have different anatomical structure of the face, making some tongues set higher and lower in the mouth than others. People who have high tongues tend to have more trouble with sleep apnea. When we sleep, the muscles in our mouth relax and our tongue collapses into the back of our throat. In a mouth with a high tongue, it is more likely this will cause airway blockage.

3. Mouth Breathing

Mouth breathing can be a bad habit that you were never able to kick or it can be the cause of a developmental deficiency such misalignment of the upper jaw or a collapsed arch. Either way, if someone is a mouth breather, it is likely that they also suffer from sleep apnea.

The tonsils in the back of the throat are filters designed to catch bacteria and fight it off. Your tonsils can usually handle the amount of bacteria you throw at them on a given day, that is, unless your mouth is open 24/7. Mouth breathing can cause swelling of the tonsils that block the airways.

4. Tongue Positioning

The tongue is a powerful muscle. Ever wondered why the top of you mouth fits your tongue just right? You might think you were born that way, but the reality is, your tongue has been hard at work over the course of your life applying slow but steady pressure to shape your mouth for a perfect fit.

Some people do not have as much luck, and their tongue does not fit in the top of their mouth. This is called a collapsed arch, and it is caused by not positioning one’s tongue in the right place in the mouth. The tongue is supposed to rest on the top palate just behind the front teeth. Improper tongue positioning can cause collapsed arches and mouth breathing, both of which can cause sleep apnea.

If you are experiencing any of these signs–especially combined with other symptoms of sleep apnea–you are probably wondering what can be done! At Mandanas Dental, we provide an alternative treatment to the CPAP machine called a mandibular advancement device (MAD). The device is comfortable and easy to use. Learn more about our sleep apnea services!

Finally, An Alternative to the CPAP Machine for Sleep Apnea

Finally, an Alternative to the CPAP Machine for Sleep Apnea

The CPAP (continuous positive airway pressure) machine has long existed as the “go-to” treatment plan for patients suffering from sleep apnea. It only makes sense–a great way to prevent the airways from collapsing in the back of the mouth is to force air through them. Unfortunately, many people are “CPAP rejects,” struggling to adjust to the “side-effects” of the machine, such as discomfort, dry mouth, and inability to sleep.

Several years ago, our practice discovered the mandibular advancement device (MAD) as an alternative treatment to sleep apnea. These devices are not only more comfortable, but they avoid some of the common “side-effects” of the CPAP machine altogether! Learn more about MAD and if it may be right for you.

Problems with the CPAP Machine

Below are some of the common complaints reported by patients struggling with their CPAP machine:

  • Discomfort – A lot of people find the CPAP mask, worn over the course of the night, to be very uncomfortable. Although the masks come in a variety of styles and sizes, it can be impossible to find a “perfect fit” when you are not used to wearing something on your face while you sleep. Some people describe their CPAP mask as “claustrophobic.” The forced air distributed by the CPAP machine can also be difficult for some people to tolerate.
  • Dry Mouth and Nose – Because the CPAP machine forces air through your airways while you sleep, your mouth and nasal passages can dry out, causing irritation.
  • Skin Irritation – Depending on the style of CPAP mask you have chosen, the mask rests against parts of your nose, mouth, forehead, and chin. As you move around in your sleep, rubbing on these pressure points can cause irritation.
  • Trouble Falling and Staying Asleep – This can be caused by a variety of things. Mask discomfort, forced air intolerance, and skin irritation can all contribute to challenges with sleeping while using a CPAP machine. The CPAP machine also makes a lot of noise–especially older models–which can prove challenging for some people.
  • Difficulty Keeping the Mask On – People who toss and turn in their sleep find it difficult to keep their CPAP mask on over the course of the night.

An Effective Alternative to the CPAP Machine

The mandibular advancement device (MAD) is more comfortable than the CPAP machine, does not force air, and does not require users to stay on their back while they sleep–you can roll around in a MAD device without knocking it out!

Mandibular advancement devices (MAD) are worn in the mouth and work by progressing the patient’s jaw forward, with minor adjustments over time. This prevents the lower jaw and tongue from slipping back in the mouth to block the airways. These devices are custom-made and can be very comfortable! At Mandanas Dental, we use Panthera and SomnoDent brands of devices if you would like to learn more.

If you are interested in mandibular advancement for the treatment of your sleep apnea, give Dr. Mandanas a call! Dr. Mandanas is an integrative dentist who cares about the impact of sleep apnea treatment on the rest of the body. She would love to hear your concerns about the CPAP machine and help you return to comfortable, healthy nights of sleep!

What Is the Safe Mercury Amalgam Removal Technique? Get SMART About Your Fillings

What Is the Safe Mercury Amalgam Removal Technique? Get SMART About Your Fillings

In a previous article, we discussed five reasons why you should get your mercury amalgam fillings removed. We mentioned that our own Dr. Mandanas is trained in the safe removal of mercury amalgam. But what does that mean?

The Safe Mercury Amalgam Removal Technique or “SMART” was developed by the International Academy of Oral Medicine & Toxicology (IAOMT) as a set of scientific research-backed safety recommendations and protective measures for the removal of mercury amalgam silver fillings. It was built on traditional practices of safe removal combined with new conventions as scientific research continues to make new discoveries regarding mercury amalgam fillings. The technique protects both people and the environment from the harmful impact of mercury vapors and amalgam particulate. It is presented as a set of recommendations and not requirements, so it is up to the discretion of licensed practitioners to determine how they will use SMART in their practice. For this reason, it is important for you, the patient to be educated in SMART so that you can be an advocate for your own safety and the safety of those around you!

The Safe Mercury Amalgam Removal Technique (SMART)

The Safe Mercury Amalgam Removal Technique is fully outlined by the IAOMT but it can be summarized into ten steps. Be sure to view the IAOMT’s detailed outline for a complete understanding of the SMART process. Generally speaking, SMART involves the following requirements:

  1. In order to prevent mercury amalgam from getting into the liquid waste of the dental office and releasing into the environment, the dentist should install an amalgam separator in their wastewater system.
  2. The room where the mercury amalgam removal procedure occurs should have proper air filtration systems in place and any windows should be opened to remove the mercury vapor and amalgam particles released by the procedure.
  3. Before the procedure, the patient should be given a mixture of charcoal (or a similar absorbent material) and water to rinse and swallow unless she declines or if she has a medical reason now to take it.
  4. The patient, dentist, and dental personnel involved in the procedure should all be wearing protective gowns and covers to protect them from mercury amalgam particulate.
    • The dentist and dental personnel should also be wearing non-latex nitrile gloves, face shields, hair/head coverings, and a proper mask.
    • The patient should also be wearing a nasal mask, a non-latex nitrile dental dam, and a saliva ejector beneath the dental dam.
  5. An oral aerosol vacuum should be used within two to four inches of the patient’s mouth.
  6. Significant amounts of water and an evacuation device should be used to reduce heat and capture mercury discharges.
  7. The mercury amalgam should be removed in as large of pieces as possible.
  8. After the procedure, the patient’s mouth should be thoroughly flushed with water and rinsed a second time with the charcoal mixture.
  9. The dentist and the dental personnel should comply with all federal, state, and local regulations for the proper cleaning and disposal of all mercury-affected clothes, covers, equipment, and surfaces.
  10. Protective equipment should continue to be used during the maintenance of the suction system.

If you are interested in getting your mercury amalgam fillings safely removed, get in touch with Dr. Mandanas! As mentioned previously, Dr. Mandanas is fully trained in the SMART process and she will be an advocate with you for your safety. Dr. Mandanas is an integrative dentist who views the body as a whole and cares about the effects of dental materials, including mercury amalgam, on the rest of the body.

How You Can Give Your Child a "Healthy Start" at the Dentist

How You Can Give Your Child a “Healthy Start” at the Dentist

As a parent, you are always looking for ways to set your child up for success. Modern parents are focusing more and more on the health and wellbeing of their children in addition to academic readiness and social and emotional competency. At the same time, the field of dentistry has grown to understand that early dental treatments in children can prevent future complications for adults. Ortho-Tain Healthy Start is one of those treatments! Dentists use Ortho-Tain, a comfortable, rubber retainer, to correct developmental deficiencies in children, giving them a “healthy start” and protecting them from a variety of dental-related adult and childhood issues! Learn more.

Ortho-Tain: A Gentle, Preventative Treatment

Ortho-Tain Healthy Start is a comfortable, rubber dental device that is free from braces, wires, and worries! It is used when common, developmental, anatomical jaw structure deficiencies are identified in children. The deficiencies treated by Ortho-Tain frequently lead to sleep apnea in adults. In many cases, sleep apnea is already present in the child and Ortho-Tain can provide relief! Ortho-Tain catches sleep apnea at a young age and prevents it by gently adjusting the teeth and the jaw while children are still growing. Many patients who use Ortho-Tain as a child avoid sleep and behavior issues, braces as teens, and sleep apnea complications as adults, including the uncomfortable CPAP machine, and in advanced cases, surgery!

What Dentists Look for in Young Patients

Dentists look for a few different developmental deficiencies in children before they decide to use Ortho-Tain for treatment. The first is poor alignment of the lower jaw, called retrognathia. Retrognathia occurs when the chin and the lower jaw are pulled back rather than lined-up with the lips and the nose, pushing the tissue in the throat back to block the airway, which can cause sleep apnea. Another deficiency is a poor alignment of the upper jaw or a collapsed arch, which can cause mouth breathing and swelling of the lymphatic tissue in the throat, a cause of sleep apnea. Each of these deficiencies can be gently treated with Ortho-Tain!

3 Benefits of Ortho-Tain Healthy Start for Kids

When dentists correct developmental deficiencies in children using Ortho-Tain Healthy Start, they are treating the root cause of a wide variety of childhood and adult maladies!

  1. Elimination of Sleep and Behavior Issues – Because Ortho-Tain corrects poor jaw structure that can cause sleep apnea, it can also correct the sleep and behavioral issues exhibited in children who struggle with nighttime breathing! Children who have sleep apnea sleep poorly and can become hyperactive during the day as a result. Ortho-Tain works against this for more rested and behaved kiddos!
  2. No Braces in the Teenage Years – Children who use Ortho-Tain are correcting teeth and jaw misalignments before their teenage years, avoiding costly, uncomfortable, and undesirable braces in high school!
  3. Avoiding Sleep Apnea, CPAP, and Surgery as Adults – When Ortho-Tain catches developmental issues early on, they are not allowed to worsen and become complications for adults. Parents can set their child up for success and protect them from sleep apnea in the future by deciding to use Ortho-Tain now!

If you think your child may suffer from a common, developmental deficiency and you would like to give them a “healthy start,” give Dr. Mandanas a call! She would love to talk with you about your options. Dr. Mandanas is an integrative dentist who looks at the whole picture when treating her patients and focuses on the root cause of the problem in her care. Learn more about what she is doing to bring more integrative dental treatments like Ortho-Tain Healthy Start to Anchorage!