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Posts for: December, 2020

By Montgomery Dental Care
December 29, 2020
Category: Oral Health
Tags: Sleep Apnea  

"A third of US adults report that they usually get less than the recommended amount of sleep," says the Centers for Disease Control and Prevention. Not getting the sleep you need can be linked to many diseases, which is why it's important to contact Dr. Janette Williams of Montgomery Dental Care in Cincinnati, OH, to learn more about sleep apnea.

Sleep Apnea

Sleep apnea is an SRBD, sleep-related breathing disorder that affects a person's respiratory airflow. Soft tissue, like the tongue, interrupts breathing, which vibrates and results in snoring as well. The tissue at the back of your throat collapses while you're asleep causing the windpipe to be partially closed off.

Obstructive Sleep Apnea occurs when the upper airway is blocked and significant airflow disruption occurs, complete blockage of airflow may result as well. Sleep apnea makes it difficult to sleep and people suffer from micro-arousals that prevent deep sleep.

Need to know more about lack of sleep from Montgomery Dental Care?

More than 160 million people reported feeling drowsy while driving, according to the National Sleep Foundation's 2005 Sleep in America poll.

Not getting enough sleep isn't just important for your health but for the well-fare of others. Don't drive your children to school if you're tired. If you fall asleep behind the wheel, you'll end up endangering yourself and others.

There are many diseases that are linked to a lack of sleep, so make sure you ask your Cincinnati doctor about how he can help you cope with or treat certain illnesses to improve the quality of your sleep.

What are a few examples of conditions that affect sleep?

  • Diabetes
  • Heart disease
  • Obesity
  • Depression

Do you need to consult a doctor?

If you have any questions or concerns regarding your health and would like to know if you are suffering from sleep apnea, contact your Cincinnati, OH, dentist Dr. Janette Williams of Montgomery Dental Care at (513) 793-5703.

By Montgomery Dental Care
December 29, 2020
Category: Oral Health
Tags: dental implant  

Daily oral hygiene and regular dental cleanings help keep your natural teeth and gums healthy and disease-free. But they're also a priority with dental implants. Here's why.

Unlike other restorations, an implant replaces both a tooth's crown and root, the latter by way of a titanium metal post imbedded into the jawbone. Bone cells grow and adhere to the metal surface, forming a secure and lasting hold.

But although quite durable, this hold differs significantly from natural teeth, which are actually held in place by a tough, elastic tissue called the periodontal ligament. The attachment of the ligament's tiny fibers to both tooth and bone secure the tooth in place, as well as supply it and the surrounding gums with nutrients and defensive antibodies to fight infection.

Implants don't have this relationship with the periodontal ligament. The tissues around an implant are thus susceptible to an aggressive form of periodontal (gum) disease called peri-implantitis. This kind of gum infection can progress rapidly, leading eventually to bone loss and possible failure of the implant.

Daily brushing and flossing of both natural and implant-supported teeth lowers the risk of gum disease, particularly peri-implantitis. It's also imperative that you undergo regular cleanings, at least every six months, with your dentist or dental hygienist.

These, however, won't be the typical cleanings performed on natural teeth. Hygienists don't use metal cleaning implements to remove plaque and tartar deposits because they can scratch the metal materials of the implant and crown. These microscopic scratches can then attract bacteria that trigger gum infections. Instead, they'll use instruments made of plastics or resins.

Hygienists also rely heavily on ultrasonic equipment that vibrates plaque loose on or around implants, which are then flushed away with water. The tips used with these instruments are also typically made of nylon or plastic sheathing.

Even with the extra hygiene care needed, implants still enjoy a 95% or higher survival rate after ten years. You can ensure your implants achieve that level of durability by keeping them clean and seeing your dentist at the first sign of a gum infection.

If you would like more information on maintaining dental implants, 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 “Dental Implant Maintenance.”


Kids get pretty inventive pulling a loose primary (baby) tooth. After all, there's a profit motive involved (aka the Tooth Fairy). But a young Kansas City Chiefs fan may have topped his peers with his method, revealed in a recent Twitter video that went viral.

Inspired by all-star KC quarterback Patrick Mahomes (and sporting his #15 jersey), 7-year-old Jensen Palmer tied his loose tooth to a football with a line of string. Then, announcing “This is how an MVP gets their tooth out,” the next-gen QB sent the ball flying, with the tooth tailing close behind.

It appears young Palmer was no worse for wear with his tooth removal technique. But if you're thinking there might be a less risky, and less dramatic, way to remove a loose tooth, you're right. The first thing you should know, though: Primary teeth come out when they're good and ready, and that's important. Primary teeth play an important role in a child's current dental and speech function and their future dental development. For the latter, they serve as placeholders for permanent teeth developing within the gums. If one is lost prematurely, the corresponding permanent tooth might erupt out of position and cause bite problems.

In normal development, though, a primary tooth coming out coincides closely with the linked permanent tooth coming in. When it's time, the primary tooth lets you know by becoming quite loose in the socket.

If you think one of your children's primary teeth is ready, clean your hands first with soap and water. Then using a clean tissue, you should be able to easily wiggle the tooth with little tension. Grasp the tooth with the tissue and give it a little horizontal twist to pop it out. If that doesn't work, wait a day or two before trying again. If it does come out, be sure you have some clean gauze handy in case of bleeding from the empty socket.

Normally, nature takes its course from this point. But be on the lookout for abnormal signs like fragments of the tooth left behind in the socket (not to be mistaken for the top of the permanent tooth coming in). You should also look for redness, swelling or complaints of pain the following day—signs of possible infection. If you see anything like this, make a prompt appointment so we can take a look. Losing a primary tooth is a signpost pointing the way from childhood to adulthood (not to mention a windfall for kids under their pillows). You can help make it a smooth transition—no forward pass required.

If you would like more information about caring for primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Importance of Baby Teeth” and “Losing a Baby Tooth.”

By Montgomery Dental Care
December 10, 2020
Category: Oral Health
Tags: Invisalign  

What's the best way to straighten teeth? For nearly eight million Americans over the past two decades, Invisalign aligners have solved many orthodontic issues, and they've done it discreetly. At Montgomery Dental Care in Cincinnati, OH, Dr. Janette Williams is the dentist who uses Invisalign to give patients the healthy, beautiful smiles they deserve.

Just what is Invisalign?

An innovative way to correct many smile alignment issues, Invisalign aligners are custom-made in clear, close-fitting pairs that fit over the top and bottom teeth. Each pair accomplishes a specific purpose in your treatment plan, and there are 18 to 30 pairs in all.

Instead of metal or ceramic, these appliances are crafted from SmartTrack acrylic, a light, thin material exclusive to Invisalign. As a result, the removable aligners are comfortable and totally unnoticeable. That's right. No one but you and Dr. Williams will know you are under treatment.

What Invisalign treats

The short answer is Invisalign fixes most everything, except for very complex orthodontic problems. In other words, Invisalign corrects:

  • Overbite, underbite, open bite, and crossbite
  • Protruding front teeth
  • Gaps
  • Crowding
  • Overlapped, rotated teeth
  • Tooth tipping

Your dentist will do a specialized Invisalign scan to determine your care plan and to show you how your smile will look at each stage. You'll be amazed at the changes.

During your treatment

Invisalign patients enjoy:

  • Quick treatment times
  • Full removability of their aligner pairs (take them out for meals, oral hygiene, and any special occasions, such as job interviews or weddings)
  • Easy brushing and flossing
  • A full menu of your favorite healthy foods
  • Easy monthly check-ins with your dentist in her Cincinnati, OH, office
  • Aligners which do the job without the discomforts of conventional metal brackets and wires

After your treatment

You will wear a retainer to keep your teeth in line permanently. Not only that, you'll enjoy a great smile, improved confidence, improved biting, and chewing.

Learn more about Invisalign

Contact Dr. Janette Williams at Montgomery Dental Care in Cincinnati, OH to learn more about Invisalign. Don't hesitate. A full 20 percent of today's orthodontic patients are adults, says the American Association of Orthodontists. Phone us at: (513) 793-5703.

By Montgomery Dental Care
December 09, 2020
Category: Oral Health
Tags: oral hygiene  

If we were playing word association with the term “oral hygiene,” you'd probably answer “brushing.” And you would be right—brushing cleans tooth surfaces of accumulated bacterial plaque, a thin biofilm most responsible for dental disease.

But brushing is only half of the oral hygiene equation: You also need to remove dental plaque between teeth where brushing can't reach. And, that requires that other practice—flossing.

Unfortunately, brushing is more popular than its hygienic sibling because many people find traditional thread flossing more difficult and messier than brushing. That can make it tempting to skip flossing—but then you're only getting half the benefit of oral hygiene for reducing the risk of tooth decay or gum disease.

There is, however, a way to floss that doesn't involve a roll of thread: oral irrigation. This form of flossing uses a countertop device that directs a pressurized spray of water between teeth through a handheld wand. The directed spray loosens and then flushes away accumulated plaque.

Oral irrigators (also known as water flossers) have been an important tool for decades in dental offices, and have been available for home use since the 1960s. In the last few years, though, the devices have become more compact and easier to use. More importantly, studies have shown they're as effective in removing between-teeth plaque as regular flossing.

These irrigation devices are especially useful for people wearing braces. The attached brackets and wires make it extremely difficult to maneuver flossing thread between teeth. Because of this (as well as similar difficulties in brushing), patients are more susceptible to dental disease while undergoing orthodontic treatment.

But a 2008 study showed that oral irrigators are quite effective for braces wearers in removing between-teeth plaque. It found those who used an irrigator after brushing removed five times the amount of plaque than those that only brushed.

Even if you're not wearing braces, you may still find an oral irrigator to be a useful flossing alternative. Speak with your dentist for recommendations on what to look for in an oral irrigator and tips on how to use it. It could make a positive difference in your dental health.

If you would like more information on how best to keep your teeth and gums clean, 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 “Cleaning Between Your Teeth.”