Bite Checks

The bite check is one of the most important parts of a biannual dental check-up. We provide thorough cleanings at the dental offices of Doctors Ressler, Hirschl, and Lelchuk and do examinations for oral cancer, but the bite check allows us to identify issues with a patient’s teeth and jaw alignments that could have implications for their head, neck, and shoulders.

Bruxism (night time teeth grinding) wears down enamel and can push teeth out of place. In the most extreme cases, it can even cause teeth to crack. Although people are often unaware of whether they are grinding their teeth in their sleep, our hygienists can identify unusual wear patterns in a patient’s enamel. If they see something, they can perform a tactile inspection of the temporomandibular joints, which connect the mandible to the rest of the head and which can radiate soreness to the neck and shoulders when jaws are misaligned. We also ask patients to demonstrate closing their teeth together and will ask them about any feelings of discomfort they’ve had while chewing or after getting up in the morning.

Bite checks are particularly important for pediatric patients. The eruption of wisdom teeth may cause overcrowding and cause soreness. Children often begin orthodontic therapy when they are around eleven years old, but it is possible for adults to undergo some orthodontic procedures, as well. We’ll also want to ensure that an adult’s implant-supported prosthetic teeth are still stable and ascertain whether dentures need to be refitted.

Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163^rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.

 

How to Clean a Night Guard

A night guard can be a blessing for a person’s oral health. These custom-fitted appliances prevent a wearer’s teeth from grinding against each other while they’re asleep and can reposition the jaw to reduce obstructive sleep apnea. But a night guard that isn’t properly cared for could become an infection nightmare, which is why we at the dental offices of Drs. Ressler, Hirschl, and Lelchuk want our patients to know how to keep them clean.

When a wearer removes a night guard in the morning, they should brush it with a soft-bristled toothbrush. The guard may also be soaked in a purpose-designed solution or cleaned with soap and water, but manufacturers still generally recommend brushing them to remove bacterial build-up. It may be a good idea to use a secondary toothbrush just for the night guard because the fluoride minerals in toothpaste could scratch plastic. It’s also important to use cool or room-temperature water to avoid warping the night guard, and to store it somewhere it won’t get too hot.

Maintenance for night guards is similar to that for dentures with one major difference: the night guard should be kept dry. Wearers should also clean the guard’s ventilated case each day and pat it and the night guard dry. Some migration in a patient’s teeth is natural, so wearers should expect to sometimes need the night guard to be professionally refitted.

Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163^rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.

 

Sleeptember

If your jaw hurts or your teeth are misaligned, obstructive sleep apnea (OSA) may be to blame. Although OSA is believed to be one of the most common health conditions in the United States, it is underdiagnosed. Consequently, nighttime tooth grinding (bruxism) being caused by OSA often is not treated properly. At the Miami Beach and North Miami Beach dental offices of Ressler, Hirschl, and Lelchuk, we want our patients to know how to address the source of the problem, which is why we’re pleased the American Sleep Apnea Association’s “Sleeptember campaign” is raising awareness of this issue.

In people with OSA, there is something, usually the tongue, blocking the airway. This prevents enough oxygen from getting to the patients’ blood and causes them to be pulled out of deep sleep throughout the night, leaving them fatigued. Bruxism results from the body unconsciously attempting to open an airway. The pressure put on teeth could cause them to tilt outward or, in the worst cases, crack.

Besides fatigue, other signs might include snoring and floppy eyelids. Overweight men are especially at risk. People who suspect they have OSA can get assessed at a sleep clinic, where their airways will be examined. They may be provided with a CPAP machine. We can also assist by fabricating custom-fitted oral appliances called night guards that will keep the jaws apart at night, protecting the teeth from further damage.

Dr. Allen Ressler, Dr. Andrew Hirschl, and Dr. Ira Lelchuk operate from two locations. To schedule an appointment at the location at Mount Sinai Medical Center, 4300 Alton Road, Suite 1190, Miami Beach, Florida, 33140, call 305-532-1444. To schedule an appointment at Intracoastal Mall, 3909 NE 163^rdSt, Suite 310, North Miami Beach, Florida, 33160, call 305-949-2630. They can also be reached on their website, Miami Dental through a contact form.