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You’re biting into something delicious, and, Ouch! You bite into something you didn’t mean to—the inside of your tender cheek.

Painful moments like this happen every now and again. But if you find that more frequent cheek biting means that you’re extra-cautious when eating or speaking, if you wake up with sore cheeks in the morning, or if you catch yourself habitually chewing on your cheeks during the day, it’s time to visit our Anchorage, AK office.

Causes of Cheek Biting

Many of us experience the occasional cheek chomp when we’re eating or talking. No fun! Besides the pain, a bite can cause broken skin, inflammation, a canker sore, or a mucous cyst. Luckily, the discomfort from these accidental bites generally resolves after a few days.

Sometimes, though, biting becomes a more frequent annoyance. Regular bites can be caused by several conditions, including:

• Sleep Bruxism

Bruxism is the medical term for tooth grinding. When sleepers unconsciously clench or grind their teeth as they slumber, it’s known as sleep bruxism. Sleep bruxism not only causes tooth damage, jaw problems, and facial pain—that nightly gnashing can mean bites to delicate cheek tissue.

• Problems with Dental Restorations

The placement of a crown, bridge, or implant can cause biting to occur more often if the alignment of your restoration with your other teeth isn’t ideal or has shifted, or if the restoration needs replacement.

• Wisdom Teeth

Most of us don’t have the room to welcome four new—and large—teeth. When wisdom teeth come in, they can lead to cheek bites, especially if they erupt leaning outward toward your cheeks.

• Orthodontic Misalignment

If you notice that you seem to be biting your cheek a lot when eating or speaking, it could be an orthodontic problem.  When your teeth or jaws don’t align properly, if your mouth is small, or if your teeth have shifted over time, your cheeks might feel the consequences.

Treatment Options

Why see Dr. Michelle Slezewski and Dr. Paul Engibous? A one-time bite can be extremely uncomfortable, and might lead to inflammation or even a sore spot inside your mouth. Usually, both pain and sore spot fade in a short while, and saltwater rinses or oral gels can soothe your injured cheek tissue. Your dentist’s office can give you advice on treating minor bites.

But what about continuous biting? Regular biting injuries can lead to bigger problems. Tissue in the cheeks can thicken or erode. Scar tissue can build up inside the mouth. Ulcers and other sores can become larger and more painful.

If you’ve been biting your cheeks more often, Dr. Michelle Slezewski and Dr. Paul Engibous can diagnose the cause and offer you treatment options depending on the reason for this frequent biting:

• Sleep Bruxism?

Dr. Michelle Slezewski and Dr. Paul Engibous might suggest a nightguard to provide protection from the damaging effects of bruxism. Nightguards not only prevent further biting, they give your cheeks the chance to heal. We can custom fabricate a guard for the most comfortable and effective fit.

• Restoration Problems?

If regular cheek biting occurs after you’ve gotten a crown, a bridge, or an implant, visit our Anchorage, AK office. This might be a problem that can be resolved with a bit of reshaping, whether removing a bit of the restoration or building up a spot. If a crown or other restoration has shifted or is failing, replacement might be in order.

• No Room for Wisdom Teeth?

Most of us don’t have room in our mouth to accommodate wisdom teeth, and extracting them is a common dental procedure. Wisdom teeth can be the source of many dental problems, including impaction, shifting teeth, and even damage to surrounding teeth. If you see signs that your wisdom teeth are starting to come in, talk to your dentist about your options.

• Orthodontic Problems?

Orthodontic treatment can improve tooth and bite alignment—and can eliminate those painful cheek bites if misalignment is what’s causing them. Modern orthodontic treatment offers patients of all ages more options than ever before, including traditional and lingual braces, clear aligners, and functional appliances.

Whatever the reason for painful cheek biting, you deserve to eat and speak and enjoy your day without constant “Ouch!” moments affecting your comfort and health. If these moments are happening all too often, visit Pediatric Dental Associates for the answers to your biting problems.

Today, Dr. Michelle Slezewski and Dr. Paul Engibous and our team at Pediatric Dental Associates thought we would examine the relationship between osteoporosis and oral health, since 40 million Americans have osteoporosis or are at high risk. Osteoporosis entails less density in bones, so they become easier to fracture. Research suggests a link between osteoporosis and bone loss in the jaw, which supports and anchors the teeth. Tooth loss affects one third of adults 65 and older.

Bone density and dental concerns

• Women with osteoporosis are three times more likely to experience tooth loss than those without it.
• Low bone density results in other dental issues.
• Osteoporosis is linked to less positive outcomes from oral surgery.

Ill-fitting dentures in post-menopausal women

Studies indicate that women over 50 with osteoporosis need new dentures up to three times more often than women who don’t have the disease. It can be so severe that it becomes impossible to fit dentures correctly, leading to nutritive losses.

Role of dental X-rays in osteoporosis

The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) released research that suggest dental X-rays may be used as a screening tool for osteoporosis. Researchers found that dental X-rays could separate people with osteoporosis from those with normal bone density. As dental professionals, our team at Pediatric Dental Associates are in a unique position to screen people and refer them to the appropriate doctor for specialized care.

Effects of osteoporosis medications on oral health

A recent study showed that a rare disease, osteonecrosis, is caused by biophosphenates, a drug taken by people for treatment of osteoporosis. In most cases, the cause was linked to those who take IV biophosphenates for treatment of cancer, but in six percent of cases, the cause was oral biophosphenates. If you are taking a biophosphenate drug, let Dr. Michelle Slezewski and Dr. Paul Engibous know.

Symptoms of osteonecrosis

Some symptoms you may see are pain, swelling, or infection of the gums or jaw. Additionally, injured or recently treated gums may not heal: teeth will be loose, jaws may feel heavy and numb, or there may be exposed bone. Some of the steps you can take for healthy bones are to eat a healthy diet rich in calcium and vitamin D, regular physical exercise with weight-bearing activities, no smoking and limited use of alcohol, and report problems with teeth to our office, such as teeth that are loose, receding gums or detached gums, and dentures that don’t fit properly.

For more information about the connection between osteoporosis and oral health, or to schedule an appointment with Dr. Michelle Slezewski and Dr. Paul Engibous, please give us a call at our convenient Anchorage, AK office!

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Dr. Michelle Slezewski and Dr. Paul Engibous and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Pediatric Dental Associates for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Dr. Michelle Slezewski and Dr. Paul Engibous check the sealant at every visit to our Anchorage, AK office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Pediatric Dental Associates. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

We all know that sleep apnea causes many a difficult night. Noisy snoring, gasping for breath, and waking up dozens of times a sleep cycle are the unhappy consequences of Obstructive Sleep Apnea (OSA). What you may not realize is that sleep apnea can make your days just as challenging.

Obstructive sleep apnea is caused by an obstructed airway. The throat muscles may relax as you sleep and make it impossible to inhale fully with each breath. Or you may have a physical condition such as a deviated septum, enlarged tonsils or excess throat tissue that blocks the free passage of air into your lungs. As a result, you stop breathing for a short time and often choke or gasp for breath. Your body responds by waking every time you need to start breathing properly again, and this can happen dozens of times each hour you are asleep. The result is that, while you may think you have slept through the night, you have never gotten the deep sleep your body needs to restore itself.

How can sleep deprivation affect our daytime hours? You might find yourself suffering from any of these problems:

• Constant drowsiness
• Falling asleep at work or while driving
• Headaches every morning
• Sore throats
• Dry mouth (which can lead to gum and dental problems)
• Memory and attention problems
• Moodiness or depression
• Decreased libido

As if these reasons weren’t cause enough to find a solution to your sleeping disorder, the longer term results of sleep apnea can be devastating. High blood pressure, heart disease, stroke, dangerous responses to medication or general anesthesia, a higher risk of accidents, and many other serious consequences have been linked to sleep apnea.

Sleep apnea doesn’t just ruin your night. If you suffer from any of the daytime problems listed above, please give our Anchorage, AK office and your doctor a call. If obstructive sleep apnea is the cause, Dr. Michelle Slezewski and Dr. Paul Engibous can work with you to find a solution that will improve your quality of life 24 hours a day.