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Do You Need to Premedicate?

Stories & helpful tips on Dental Crowns.

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

This post was provided here.

We hope you found the above of help and of interest. Similar content can be found on our blog here: BarlowFamilyDentistry.comdentist/blog Let me have your feedback in the comments section below. Let us know which subjects we should cover for you next.

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Stories & interesting info on a Dental Cleaning.

Every prospective dental student has their reasons for why they want to become a dentist. I came to the field like many others, taken by the opportunity to help patients day-to-day by relieving their dental pain and addressing their aesthetic concerns through clinical and artistic skills. Now as a dental student, approaching the halfway point of my dental education, I appreciate dentistry for these things and a considerable amount more. 

Perhaps one of the most influential reasons for my widened view was working as an assistant at an oral surgery practice during my gap year prior to dental school. My applications were already submitted, my personal statement documenting “why dentistry?” was finally set in stone, and interview season had begun. And still as I went on each interview, I felt my perspective on the field and on my future profession expanding in ways I had not expected. 

As an assistant in a practice taking emergencies every day, I saw more intense dental pain and fear than I ever had shadowing in general dentistry practices. In these times where patients were experiencing intense pain, I saw I had the ability to be a part of their relief. 

My role as an assistant was a smaller one. After all, I was not extracting the offending tooth or directly resolving the source of pain. However, I was standing there with each patient through their often uncomfortable and painful procedure, offering support for the dentist and our patient however I could. For the patient, that support was giving encouraging words, other times a reassuring look, offering a hand or just being present, but each time I could feel its importance. 

Orofacial pain (OFP) is a specialty built on being present for one’s pain. According to the American Academy of Orofacial Pain (AAOP), OFP pain is differentiated by the lack of a clear source or sign of pathology, which not only challenges our traditional perception of pain but also can lead to its misdiagnosis and unnecessary — and sometimes irreversible — procedures. I have witnessed relatives who have been searching for years for answers and hope of relief from their facial pain. Yet, after countless doctors’ visits and attempted treatments and treatment plans across specialties, their chronic pain has persisted. Unfortunately, cases like these are not unusual in the realm of orofacial pain.

In 2020, the ADA officially recognized orofacial pain as the 12th dental specialty. According to the AAOP, OFP disorders include temporomandibular muscle and joint (TMJ), jaw movement, neuropathic and neurovascular pain disorders, as well as headache and sleep disorders. Oftentimes to successfully manage these disorders, a multidisciplinary approach is required that addresses pain through a “bio psycho social model,” the AAOP says. This approach acknowledges that there are the biological, psychological and sociological effects and consequences of diseases and disorders that have a reciprocal relationship with one another. The most effective therapy must treat all three aspects of pain. It is important to use this integrated approach from the beginning of treatment because when the main focus is on biological factors until treatments fail, later attempts to bring in the psychosocial aspects could be thought of by patients as reducing their pain to something imagined or in their head. The process of pain reduction can be far from linear, but as the specialty grows and research continues, it is hoped that patient access and quality of care will improve. 

In pursuing a specialty like orofacial pain, I hope to be able to offer my patients a light at the end of the tunnel, and to start, I hope to be a witness to their pain — a pain that is seldom understood.

~Colleen Proietto, Columbia ’23

The above article was first published here.

I trust you found the above useful or interesting. Similar content can be found on our blog here: BarlowFamilyDentistry.comdentist/blog Let me have your feedback below in the comments section. Let us know which subjects we should write about for you next.

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Practicing wellness through birdwatching and photography – ASDA Blog

News and important up-dates on a Family Dentist.

I grew up in Heredia, Costa Rica, one of the richest coffee-producing cities in the country. Costa Rica has over 900 bird species, which account for 10% of the earth’s avian population diversity. Being surrounded by beautiful flora and fauna and being huge nature lovers, my dad and I would wake up early to go birdwatching. Later, in undergrad at the University of California – Irvine, I took bird biology and was able to learn and identify many bird species in California, which led me to continue birdwatching throughout college and in dental school. Here are some of the benefits I experienced as a result.

Practicing mindfulness

Incorporating birdwatching into my weekly routine is a great way to get outside and practice mindfulness. It helps me understand and appreciate my surroundings, and being outside provides me with comfort, a sense of well-being and connects me to nature. Research has shown that participants who listened to bird songs were more relaxed than those who listened to a meditation app. Another study found a positive correlation between the number of birds and trees in an area and residents’ mental health. Not only will birdwatching help you with stress recovery, but it is a great way to improve your physical wellness by going on a moderately paced walk or a hike.

Becoming environmentally aware

Birdwatching lets you explore and become aware of the number of bird species in an area. There are many birdwatching apps that can help you identify and record the number of species that you’ve seen on your walk. By observing and recording birds with one of these apps (such as eBird, a project of Cornell Lab of Ornithology), you can help scientists understand the impact of environmental changes and trends in breeding successes. Not only are you contributing to the understanding of bird species and conservation, but you are also taking a break from studying to enjoy the outdoors.

Photo credits: Dr. Robert Ho, UCSF ’91

Developing attention to detail

It took me hours of studying for our dental morphology class to detect differences in a tooth’s tilt and noting small traits from different perspectives such as buccal or occlusal views. Much like the details that make each tooth unique and knowing each cusp and specific dental anatomy, after birdwatching continuously, you can fine-tune this observation. You will slowly become aware of different bird characteristics such as the seasonal changes in a bird’s plumage, their beaks’ shapes, and their webbed or palmate feet. You will develop an attention to detail while noticing these hard to see field marks.

Telling a story

If you continuously photograph in an area, you are likely to see the same birds. Of course, the birds you see may change with each season, but by paying them a visit, you will learn more about a species’ behavior, and you can create images that tell a story. When quickly grabbing your camera or binoculars to get the bird shot you have been waiting for, you are also practicing your reflex speed. Exercising your reflex speed will improve the time it takes you to capture these quick moments in nature or in your day-to-day photography.

Practicing mindfulness in this way will give you the state of mind you need as a provider to care for and comfort the patients we serve. Taking a mental break outside will make you feel refreshed and ready to tackle your next midterm or crown prep. The skills used for bird photography, such as developing your attention to detail and reflex speed, can translate to excellent skills that can be used in the dental operatory as well. There are many benefits to birdwatching, but the most important is taking good care of our minds to be the best providers we can be to best serve our patients and communities. Always make time to take care of yourself by going outside. You never know what surprises you will find along the way!

~Nicole Iribarren, San Francisco ’23

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We trust that you found the post above useful or interesting. You can find similar content on our blog: https://BarlowFamilyDentistry.com/dentist/blog Please let me have your feedback in the comments section below. Let us know which subjects we should cover for you in the future.

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News & important info on a Dentist Near Me.

If you have been on TikTok recently, you have probably come across a video featuring the following quote: “You have to start romanticizing your life. You have to start believing that your morning commute is cute and fun — that every cup of coffee is the best that you’ve ever had. That even the smallest and most mundane things are exciting and new. You have to because that’s when you start living. That’s when you look forward to every day.”

Throughout my time in dental school, I have found this to be more and more accurate, and have truly seen the importance of making the most of every little thing every day. Dental school is a long, demanding four years of your life, and the one thing we can never get back is our time.

In the May 2021 issue of ASDA’s Contour magazine, the “Probing Question” asked four dental students: “How do you take care of your mental health?” My answer to this question was that I make time for things that I love and enjoy outside of dental school, even the little things such as drinking coffee and reading in bed in the mornings, working out after clinic or doing yoga on Sundays.

The Oxford dictionary defines wellness as the state of being in good health, especially as an actively pursued goal. Wellness is something that must be pursued. As dental students, it is often hard for us to put ourselves first, but the only way to achieve wellness is to consciously make time for the things that we enjoy. A good way to start is to establish a morning routine. My morning routine has made all the difference. This could be as simple as having coffee in the morning while not multitasking — just allowing yourself the time to enjoy your cup of coffee. 

If you like to read, I’ve found that sitting down with a book and reading something not related to dentistry is such a nice change of pace, compared to staring at a computer screen like we do so much in dental school. (My book recommendations include: “Tears of Salt: A Doctor’s Story” by Pietro Bartolo, “The Firekeeper’s Daughter” by Angeline Boulley, “The Magic Strings of Frankie Presto” by Mitch Albom and “Just Mercy” by Bryan Stevenson.)

There are also many apps that focus on meditation and wellness. Spotify even has a wellness section with podcasts and guided meditations. Other apps include Insight Timer, Headspace and Calm.

Regardless of what you decide to do, dedicating time to your wellness and the little things that make you happy is always worthwhile, especially while in dental school. 

~ Stephanie Jaipaul, Georgia ’22, Chapter Immediate Past President

This post was first published on this site.

I hope that you found the above useful or interesting. Similar content can be found on our blog here: BarlowFamilyDentistry.comdentist/blog Please let me have your feedback below in the comments section. Let us know what subjects we should write about for you in the future.

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How to Stop Clenching to Prevent Gum Recession

Stories & helpful tips on an Emergency Dentist.

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 above post was first published here.

I hope you found the above of help and/or interesting. You can find similar content on our main site here: BarlowFamilyDentistry.comdentist/blog Please let me have your feedback below in the comments section. Let us know which topics we should cover for you next.

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News reports and useful up-dates on Dental Implants.

If your child is having difficulty with anxiety or concentration it is a good idea to consider whether poor sleep is the culprit. Today on the show, Dr. B responds to a question from a listener in which she asks if it is a good idea to suggest mouth taping to her 14-year-old daughter. Dr. B recommends mouth taping for anybody over three years of age and he spends this episode talking about why. Before diving into the benefits of using sleep tape our host takes a few moments to refresh listeners on the functional medicine approach and why patients would be better off choosing a healthcare practitioner that follows this framework for diagnosis and treatment.

Moving onto the subject of sleep, we hear about how sleeping with the mouth open changes blood chemistry as well as respiratory rate, is indicative of developmental issues, and how these changes can have detrimental consequences on our wellbeing. Dr. B makes recommendations for the best kinds of mouth tape to use, how to breach the subject of mouth taping with teenagers, and the kinds of problems that sleep tape could clear up. Tune in today! 

Key Points From This Episode:

How the functional medicine approach is a better choice because it treats causesThe limits of the information that is taught to healthcare providers during collegeNoelle asks Dr. B whether her 14-year-old should use sleep tapeWhy Dr. B recommends mouth taping from ages three and upRecommendations for the best types of tape to useReasons for the yellowing of the teeth including sleeping with the mouth openDiagnosing one’s children to see if they are sleeping with their mouths openThe kinds of problems sleeping with one’s mouth open indicatesThe benefits of mouth taping for better sleep and the knock-on effects of this

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

This article was provided here.

We trust that you found the article above of help or interesting. Similar content can be found on our main site here: BarlowFamilyDentistry.comdentist/blog Let me have your feedback in the comments section below. Let us know which topics we should write about for you in future.

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The mental effects of ‘gunner’ culture – ASDA Blog

Stories and useful posts on a Dentist Near Me.

In dental school, we are often surrounded by ambitious and driven students, who are often called “gunners.” Gunners seek success, can be competitive and may act on self-interest without thinking of their fellow classmates. They may boast about their grades or accomplishments in clinic, and in doing so, they may cause other students to feel inadequate in their own efforts. Gunners are not often team players and can feel disassociated if assigned to work in a group environment.

Working hard vs. overworking There is a difference between working hard and working too much. Working hard is successfully achieving your daily and weekly goals in a timely manner, whereas being overworked may cause exhaustion, grogginess and burn out. Hard work is what helped most students get into dental school and also be successful in their studies. Striving for success is certainly not a bad thing. However, dentistry is a team sport, and it is important to learn how to be a team player in dental school so that you can be successful in private practice. We will all graduate and become professional colleagues, so it makes little sense to burn bridges during dental school instead of networking and building lifelong connections.

Wellness impact There are numerous studies that show a highly competitive culture impacts students’ overall well-being. A student’s greatest academic stressor is the competition for grades (Posselt & Lipson, 2016). There are further studies that correlate competition to higher rates of anxiety and depression among students (Gilbert et al. 2009). A study of 808 medical students from the University of Queensland characterized medical students into two personality types: resilient and conscientious. Resilient personalities were defined as highly cooperative, persistent, and self-directed. On the other hand, conscientious personalities were defined as more anxious, less resilient and less likely to avoid harm.

Read the rest of this article in the June/July issue of Contour magazine, focused on the road to residency.

~Olivia Kalloo, Roseman ’22

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I hope that you found the above of help and/or interesting. Similar content can be found on our main site: https://BarlowFamilyDentistry.com/dentist/blog Please let me have your feedback in the comments section below. Let us know what topics we should write about for you next.

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Reflecting on our history and profession on Juneteenth – ASDA Blog

Stories & helpful up-dates on Dental Fillings.

June 19, 1865. This date commemorates General Gordon Granger arriving with Union soldiers in Galveston, Texas, revealing the end of the Civil War and declaring the emancipation of those who were still enslaved two and a half years after the Emancipation Proclamation. This day is now commonly known and celebrated as Juneteenth, Emancipation Day or Juneteenth Independence Day, and it serves as a time to not only celebrate African American freedom, but it provides an opportunity to learn and appreciate African American history, culture and achievements. This year will mark the 156th year since the news of emancipation reached the slaves.

Juneteenth is celebrated in a number of cities and states across the country. These celebrations involve traditional festivities including rodeos, picnics, barbecues, educational and historical services, and church ceremonies, just to name a few. Despite the various advancements African Americans continue to make in society, they remain an underrepresented minority in the dental workforce.

According to the American Dental Association, Black Americans only make up 3.8% of the dental workforce. Dr. Jeanne Sinkford of Howard University College of Dentistry, the first woman dean of any dental school, said dental schools are only graduating 300 Black dentists out of 5,000 graduates per year. A few of my dental colleagues have made statements, such as, “I never saw anyone who looked like me” and have stressed the importance of representation within dentistry. Some have expressed that their motivating factors for pursuing dental school involved bringing comfort to others who look like them.

The disproportionate growth in the dental profession, compared to other minority populations, could be the result of historical systemic barriers Black people have faced and continue to face to this day. A poll conducted by National Public Radio (NPR) in 2017 reported 32% of Black Americans who participated said they experienced racial discrimination when seeking medical care; 22% avoided seeking care due to the fear of being discriminated against. A 2016 Pew Charitable Trusts analysis reported that Black American adults and children experience untreated tooth decay at twice the rate of their white counterparts. Untreated tooth decay can eventually lead to a higher rate of tooth loss.

Determinants such as socioeconomic status, access to care and access to affordable nutritious foods disproportionately affect communities of color, especially Black communities, and can influence oral health and overall health outcomes. Racial discrimination and challenges due to health disparities can oftentimes result in health conditions worsening for individuals, leading to shorter lifespans. Lack of oral health care can negatively influence people with diabetes or heart disease and can even affect women during pregnancy. As future providers, it is important to study and be aware of racial disparities individuals face in health care in order to dismantle these structures that create imbalance and distrust.

As I reflect on my journey from a predental to a dental student, I give credit to my mentors and advice from people who looked like me. Social media has become a great method of networking and mentorship, and I have seen numerous individuals share their experiences and journey to guide and inspire people like them who are underrepresented in health care. It’s exciting to witness the increase in diversity, especially underrepresented people of color and women, in healthcare and how communities are being built with great leadership and mentorship for future health professionals.

So, how can we as dental students celebrate Juneteenth? We can use this holiday as a time to educate ourselves and others about Black history and culture, and the inequities many in this community face in obtaining (and maintaining) health care. We can support and empower the efforts of Black dental students by participating in their campus-led or local events, in addition to supporting Black-owned businesses, artists and organizations. More importantly, we can amplify Black voices by creating meaningful conversations through listening, learning and teaching. Diversity and inclusion in the dental profession is important to show that it is a career that can be available to people of all backgrounds. This enhances the cultural competency amongst dental professionals and provides greater health outcomes. Patients in diverse communities may be more willing to seek dental care if they see dental providers who look like them. Representation matters.

Happy Juneteenth!

~Karishma Ghadia, Arizona ’24, Chapter Lingual Groove/Gold Crown Chair for ASDOH ASDA Magazine

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I hope you found the article above of help and/or of interest. You can find similar content on our main site: https://BarlowFamilyDentistry.com/dentist Let me have your feedback in the comments section below. Let us know which subjects we should write about for you in future.