Do You Need to Premedicate?


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An issue that causes a great deal of confusion is whether or not patients need to premedicate before a dental procedure. While your physician may recommend one thing, your dentist might say another, and as a patient, this can be stressful and anxiety-inducing. In today’s episode, Dr. B sheds light on this topic and talks about why you don’t need to premedicate if you have a prosthetic joint. He also gets into why this is such a complex issue and offers advice on what you can do if you are taking antibiotics frequently. As research continues to show, long-term antibiotic use causes more harm than good, so it is vital to be careful when taking them. Be sure to tune in today!

Key Points From This Episode:

There is a problem with the over-prescription of antibioticsWhy you don’t need to premedicate before a dental procedure if you have a prosthetic jointThe complications that arise around premedication protocolsIf you can, bring in the necessary documentation before you visit your dentistWhere the need for premedication comes fromAdvice for what to do if you are frequently taking antibioticsYou can take the pre-medication within two hours of the procedure you are having done

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

The post Do You Need to Premedicate? appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=257

How to Stop Clenching to Prevent Gum Recession


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For today’s episode, we are focusing on clenching, looking at some of the root causes, risk factors, and links to gum recession. This is an important and complex topic that comes up a lot in dental work, with some notable progress being made in understanding it in recent decades. It is also a great proxy through which we can see the differences between a strictly academic approach to dentistry and a more functional and experienced approach. Although there are differences between clenching and grinding, they both fall under the condition called bruxism and shall be grouped together for the purposes of this discussion. As with most issues, understanding the root causes is the most important step, and this can help us begin to unpack treatment and get a handle on the other conditions that may be connected. The first thing to note is the two different classes of bruxism, with the condition being divided into the grinding that occurs during sleep and that which happens during periods of being awake. When it comes to bruxism, there are simple steps such as the use of sleep guards, which can be helpful but are merely a band-aid to the problem. We look at some of the circumstances that can give rise to bruxism, including stress and anxiety, aggressive dental treatments, sleep apnea and more. If we can narrow down the potential causes and patterns, we are then more able to find an effective treatment plan, so for all this and more on how to start unpacking this tricky issue, listen today! 

Key Points From This Episode:

The small differences between clenching and grindingThe root causes for bruxism, the umbrella technical term for clenching and grinding Two types of bruxism; during sleep and wakefulness Primary causes for grinding: stress, anxiety, anger, tension, misalignment, trauma, and facial developmentThe contrasting reasons for sleep bruxism; narrowed airways and sleep apnea for example  Risk factors associated with grinding and the dangers of denialThe symptoms we should be looking out for: disrupted sleep, aches, tooth sensitivity, and moreSome functional dental approaches to dealing with bruxism worth considering The process of narrowing down the risk factors and causes in order to find the right treatmentDangers and continued issues with receding gums; connecting this to grindingAddressing issues with grinding in young children early on How a good relationship with your dentist can simplify complex issues such as these 

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

The post How to Stop Clenching to Prevent Gum Recession appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=255

How to Treat a Topical Cavity


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There are many factors that can attribute to cavities, many of which, play an important role in the management of oral hygiene. In today’s episode, Dr. B goes dives into an explanation behind the factors that need to be addressed when taking oral care into consideration. He shares some key points regarding the dry mouth condition, how your diet factors in, oral hygiene including toothpaste recommendations, flossing, and biofilm management, and genetics. Dr. B also reminds us that it is important to try and stay on the side of remineralization rather than demineralization. Tune in today!

Key Points From This Episode:

We discuss factors that need to be addressed with regards to cavities1. Dry Mouth; dehydration and mouth breathing 2. Diet; why it’s important to factor in what we eat in our daily diets3. Oral hygiene; biofilm management, flossing first and using the right toothpaste 4. Genetics; how your teeth form and why you don’t need to worry about itThe importance of working with a dentistXylitol and how it factors into oral hygiene managementWhy you should floss before brushingWhether or not flossing spreads the disease of decay; no it does not.The importance of staying on the side of remineralization than demineralization 

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

The Dental Diet by Dr. Steven Lin

The post How to Treat a Topical Cavity appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=253

Should You Get Sealants For Your Child?


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When it comes to making dental health decisions for yourself or your children, it is easy to feel overwhelmed. There is no absolute right or wrong decision, so it is often about finding the lesser of two evils. This is why it is important to do as much research as you can, and to find credible sources that you resonate with. In today’s episode, Dr. B. talks about sealants and some of the research around these coverings. We hear about some of the potential adverse effects, when it is necessary to get sealants for your child, and what a good sealant insertion looks like. As with many areas of dentistry, this is a subject with a lot of gray areas, but the more you know, the better informed you will be, so be sure to tune in today!

Key Points From This Episode:

Some background on sealants, including what they are, how long they last, and their efficacyIt is difficult to get patients in at the right time if they need sealantsYou have to weigh up the good and the bad when it comes to dental decisionsSealants contain endocrine disruptors which have adverse long-term effectsWhat researchers have found about BPA exposure with sealantsHow Dr. B’s sealant insertion process worksBefore you put something in your body, you should do thorough research

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

The post Should You Get Sealants For Your Child? appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=251

Signing the new Mouth Cancer Action Charter


Over the last year, 8,772 people in the UK were given the life-changing news that they have mouth cancer – this is one person every hour.
These numbers continue to rise while the disease claims more lives than cervical and testicular cancer combined.
The more we know about mouth cancer, the better chance we have of beating it.  This means knowing how to spot mouth cancer early and knowing where to go when we see something out of the ordinary.  It also means reducing our risk by cutting down on the things that cause mouth cancer.
Sadly, awareness of mouth cancer continues to be poor.
Only one-in-four know the early warning signs while knowledge of the main risk factors is as low as 15%.
Like all cancers, early diagnosis of mouth cancer is crucial.  Yet around two-thirds have never checked their mouth for signs of cancer.  Problems accessing health services during the pandemic has also led to a fall in referrals.
These factors all contribute to a scenario …
Did you miss our previous article…
https://dentistintulum.com/?p=249

What Is PAP and Is It A Safe Teeth Whitening Method?


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This episode is all about one of the most hyped-up topics in dentistry: whitening. While Dr. B has spoken on the topic previously and there is plenty of information available on his website, today’s episode looks at whitening in the context of a new substance on the market that claims to be safer than conventional hydrogen peroxide-based methods. It’s called PAP, or phthalimidoperoxycaproic acid, and today’s question about it comes from Charlotte in the UK; is it actually a safer alternative to peroxide? You might be surprised by Dr. B’s answer!

Key Points From This Episode:

Some background on whitening and why there is so much hype and so little science behind itFind out what PAP is, how it works, and why the narrative that it is safe is dangerousWhy regulations regarding whitening should be stricter in the US, like they are in the EUThe importance of professional supervision when it comes to whiteningHear why Dr. B doesn’t recommend PAP as an alternative to hydrogen peroxide How overexposure to hydrogen peroxide and PAP can increase tooth sensitivityDr. B recommends waiting for further studies to be conducted on PAP before jumping on the bandwagonWhy you should be wary of any dentist that advises you to whiten your teeth

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Recommended Whitening Products

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

The post What Is PAP and Is It A Safe Teeth Whitening Method? appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=247

Is It Sinus Pain?


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This week’s listener question concerns the relationship between sinus infections and tooth pain. Our skulls can often be compared to a laptop, not just because of its processing power, but also because it has so many intricate parts compressed inside a small space. For this reason, it can often be difficult to differentiate between sinus pain and tooth pain. This can lead to indecision over whether to perform a root canal as well as prolonged pain for the patient. In today’s episode, Dr. B examines the intricate relationship between sinus pain and tooth pain and suggests useful tips for determining which one is the root cause. Tune in to learn how you can tell the difference and hear why it’s important to be patient with your dentist so you can avoid an unnecessary root canal!

Key Points From This Episode:

The relationship between a sinus infection and tooth painWhy the skull is like a laptop: it has lots of parts compressed into a small spaceWhy there can often be confusion over whether you might need a root canalHow inflammation due to maxillary sinusitis can lead to inflammation inside the toothSome of the methods for determining whether you have sinusitis or an infected toothHow sinusitis and tooth pain respond differently to cold waterThe debilitating effect that tooth pain can have on an individualWhy it’s often helpful to see a specialist like an endodontistHow sinus infections can lead to unnecessary root canals

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

The post Is It Sinus Pain? appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=245

A simple check for mouth cancer could save your life


17 November 2021
More people in the UK will lose their battle with mouth cancer if we do not get into the habit of checking for signs of the disease at home, according to the Oral Health Foundation.
New research by the charity and Denplan, part of Simplyhealth, has shown that almost two-in-three (64%) have never checked themselves for signs of cancer in or around the mouth.
Carried out as part of November’s Mouth Cancer Action Month, the investigation also found that more than one-in-four (27%) do not know any of the potential early warning signs for the disease.
More than 2,700 people in the UK lost their life to mouth cancer last year – a 48% rise compared to a decade ago.  With almost half (45%) of all mouth cancers diagnosed in stage IV, the most advanced phase of the disease, the Oral Health Foundation is appealing for more people to routinely look for signs of mouth cancer.
According to Dr Nigel Carter, Chief Executive of the charity, a simple check could sa…
Did you miss our previous article…
https://dentistintulum.com/?p=243

What Is Geographic Tongue?


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Geographic tongue is a common, easy-to-spot oral condition, where the tongue takes on an atlas-like appearance. There are white borders around patches on the surface of the tongue, and in some cases, the condition can be painful. So, what causes this problem? In today’s episode, Dr. B gets into some of the potential factors that cause this issue and also unpacks what you can do to overcome it. Like with any medical issue, there is no silver bullet or simple solution. As such, it is important to take a holistic treatment approach rather than a palliative one. Tune in to hear it all!

Key Points From This Episode:

Why the condition is called ‘geographic tongue’, and where it can appear Some of the potential causes of geographic tongue The age group that is most affected by this condition If you have a geographic tongue, your dentist should be looking at a holistic solutionThe possible link between stress and geographic tongue Psoriasis and geographic tongue and the link between the two conditions Other proposed conditions that could cause geographic tongue Dr. B’s take on some palliative home remedies that are commonly suggested to treat geographic tongue More holistic treatments to the causes of geographic tongue A simple solution you use do to treat dry mouth  Dr. B’s best palliative solution treatment for geographic tongue 

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

Why Zebras Don’t Get Ulcers

The post What Is Geographic Tongue? appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=241

Metal or Plastic Fillings?


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Fillings are very common procedures and while they are preventable, they still happen. So, if you are getting a filling done, should you go with metal or plastic as your material of choice? Today, Dr. B outlines these two materials and weighs up the pros and cons of each. Even though plastic is not good for us, the metal in our mouths is far worse. There are numerous side effects of metal fillings that Dr. B explains. We also hear which material he uses for fillings on his patients. Remember, there is no informed consent when it comes to choosing your filling material, so make sure you explicitly tell your dentist which one you’d prefer.

Key Points From This Episode:

You should always ask your dentist before they place anything in your mouthThere is no informed consent when it comes to the type of material that’s used for a fillingA history of metal fillings, why they are so popular, and some of the drawbacks of this materialDetails about plastic fillings and some of the dangers that come with themWhy Dr. B thinks plastic fillings are still overall better than metal onesThe material Dr. B is currently using for his fillings

How to Submit Your Question:

Record your question for Dr. B at speakpipe.com/askthedentist 

Links Mentioned in Today’s Episode:

Ask the Dentist

About Dr. Mark Burhenne

Follow Dr. B on Instagram @askthedentist

Follow Dr. B on Twitter @askthedentist

Ask Dr. B a Question

Functional Dentist Directory

Mercury Fillings Dangers, Who Is At Risk & Removal Checklist

The post Metal or Plastic Fillings? appeared first on Ask the Dentist.

Did you miss our previous article…
https://dentistintulum.com/?p=240