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At North Appleton Dentistry, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Drs. Emily Ruthven and Daniel Cepeda.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Drs. Emily Ruthven and Daniel Cepeda can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Drs. Emily Ruthven and Daniel Cepeda and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our North Appleton office. Our team at North Appleton Dentistry can help you return to getting a better night’s sleep.

When you’re pregnant, you expect physical changes. That’s part of the excitement of the journey! What isn’t expected—and not nearly as exciting—is when your familiar smile seems to be changing as well.

If you’ve noticed that your teeth feel loose, or that your regular tooth alignment has shifted, you might be experiencing one of the unexpected, but quite common, side effects of pregnancy—tooth mobility.

How is this “wiggle room” possible? After all, you’re making sure that you’re eating a diet rich in protein, vitamins, and minerals, including calcium, vitamin D, and all the other nutrients which keep teeth and gums healthy. You’re brushing and flossing regularly to prevent cavities and gum disease. You haven’t changed your healthy dental habits, so why are you seeing different results?

The answer lies in the hormonal changes which occur with pregnancy. Your body has significantly increased production of hormones such as estrogen, progesterone, and relaxin. One of the benefits of these higher hormonal levels is their relaxing effect on your ligaments and joints. Relaxed ligaments and joints help make pregnancy and childbirth easier.

But you can’t target hormones just where they’ll be most useful. An increase in hormones affects the ligaments and joints throughout your body. And while this explanation might seem unrelated to loose teeth, it is, in fact, the “root” of the matter.

A complex support system holds our teeth securely in their sockets. Instead of being rigidly fused to the jaw, each tooth root is surrounded by a periodontal ligament within the socket. This ligament is largely made of flexible connective tissue, and attaches to both the root of the tooth and the bone tissue of the jaw, holding the tooth in place. Its flexibility helps cushion your tooth from pressure and impact, and allows the tooth movement which makes orthodontic work possible.

The hormones which relax ligaments and joints throughout the body have that same relaxing effect on the flexible ligaments and joints in the mouth. So it’s not uncommon to find that your teeth feel a bit looser, or that your customary tooth alignment has shifted, or that you’re experiencing discomfort in your jaw joint, especially if you grind or clench your teeth.

Fortunately, while loose teeth are alarming, it’s most often only a temporary condition. Your teeth and ligaments should return to their normal, stable status after your baby is born. But because dental health can impact on your pregnancy, see us if you notice any changes in your smile. We want to rule out any other causes of tooth mobility, including gum disease, tooth abscesses, or other serious conditions.

Other proactive prenatal tips to keep your smile its healthiest?

• Call us when you learn about your pregnancy. We can offer suggestions for caring for yourself and your dental health during this exciting time.
• Keep up with your dental hygiene. Brushing and flossing are more important than ever to keep your gums healthy.
• And, because your gums might be more prone to gingivitis now, extra cleanings as needed can keep plaque buildup from forming.
• Don’t forget your regular appointments at our North Appleton dental office for exams and cleanings. We want to help prevent any small problems from becoming larger ones.

Pregnancy is a time of many physical changes. Drs. Emily Ruthven and Daniel Cepeda will work with you to ensure that one thing which remains constant is your beautiful, healthy smile!

Painful nails and cuticles, ruined manicures, reluctance to shake hands—there are so many good reasons to overcome the nail biting habit. But did you know that biting your nails is also bad for your dental health? Let’s look at a few more reasons to give our nails a break.

• Bacteria Bonanza

It’s a vicious—and unhealthy—circle. Nail biting leads to injuries to the nails, cuticles, and skin surrounding the nails. These broken, jagged nails can now cause injury to delicate gum tissue. And to make things worse, fingernails harbor a lot of germs and bacteria, leading to the risk of illness and oral infections.  At the same time, bacteria from our mouths can get into the area around the injured nail, potentially leading to painful infections in the fingers.

• Bruxism

Studies have indicated that nail biters have a greater risk of bruxism. Bruxism, better known as tooth grinding, can lead to a number of serious problems over time. Grinding and even clenching teeth on a regular basis can cause chronic headaches, worn enamel, fractured teeth, broken dental restorations, receding and inflamed gums, and loose teeth.

• Breakage & Bad Bites

Your nails suffer obvious breakage, clearly, but your teeth are also at risk. The constant pressure of nail biting can lead to cracking, chipping, and erosion in the front teeth. Further, the pressure put on your teeth can even move them out of alignment, leading to bite problems. As you can imagine, nail biting has an even greater impact if you are wearing braces, because those teeth are already under pressure.

Why do we bite? Nail biting, or onychophagia, is a habit often started in childhood. Some people quit on their own as they reach adulthood, but for others, it can be a lifelong and painful habit. The explanations for nail biting are many: some researchers regard the habit as a form of compulsive behavior, others believe it to be a grooming impulse gone haywire, still others think it’s a way that we respond to anxiety or other stresses.

Whatever the cause, if you want to break the habit, you have options. There are over the counter polishes that use an unpleasant taste to deter biting. Learning to recognize triggers such as stress or boredom can help you choose a different response, such as snapping a rubber band around your wrist or gripping a stress ball. Drs. Emily Ruthven and Daniel Cepeda can recommend some techniques for modifying this behavior. And finally, we can offer you suggestions for quitting, or even customize a mouthguard at our North Appleton office to discourage nail biting and prevent the problems that come with bruxism.

It’s never too late to quit. If nail biting has become more than a cosmetic problem, let’s work on a solution. Healthy, attractive nails are a great goal to work toward, but nothing beats a beautiful, healthy smile!

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

• Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.
• Eight to 12 months old: The upper incisors (8-12 months) are the next to show.
• Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.
• Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

• 13 to 19 months old: You can generally expect to see the upper first molars arrive.
• 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

• 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.
• 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

• 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!
• 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as Drs. Emily Ruthven and Daniel Cepeda will tell you when you visit our North Appleton office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.