Monday, October 15, 2018

The effects of Mandibular Position on Airway and TMD

Dr. Do's article of "The effects of Mandibular Position on Airway and TMD" has been published under the monthly tips. If you wish to discuss how we can correct narrow airways or obstructive sleep apnea (OSA) with orthodontics, do not hesitate to give us a call.





Tuesday, October 9, 2018

Congratulations to Dr.Do

The International Association for Orthodontics has chosen Dr.Do's article :The Effects of Mandibular Position on Airway and TMD" as their October monthly tip. This case report highlights the relationship between temporomandibular joint disorder and how it negatively affects the airway opening. TMD has been shown to also have a link with obstructive sleep apnea, which incidentally is also related to a narrow airway. Unfortunately, many clinicians treat OSA with palliative treatment such as a CPAP, and ignore curing the true origin of OSA which is the narrow airway and TMD.

Tuesday, September 18, 2018

Orthodontics and airway

It's hard to imagine that something simple such as straightening teeth can affect the entire body. This 45 year old patient has had two upper premolar teeth removed in preparation for braces in her teens. The removal of the teeth created space and then the orthodontist pulled back her upper teeth to bite with her lower teeth. This "trapped" the jaw into a retruded position and decreased her airway. The decreased airway has led to obstructive sleep apnea and TMD symptoms which have gotten progressively worse. The proper treatment should have been not to extract any teeth and instead allow the jaw to come forward to meet the upper teeth. Braces would then be applied to make sure the bite is correct once the jaw is comfortable at this position.



Saturday, September 8, 2018

Fixing an underbite without surgery

An under bite is difficult to treat with braces or even surgery. However, Dr. Do can correct this problem without the need for invasive treatment. This is usually viewed as a cosmetic problem, and most cosmetic dentists are not trained for this protocol. Dentists that can use braces are usually trained to remove teeth from the lower jaw to fix this problem, but that can lead to another set of complications with your TMJ. We are fortunate at Manoa Dental that Dr. Do is trained in all three disciplines of orthodontic, TMJ, and cosmetic dentistry at one location.

Tuesday, August 28, 2018

Braces for all ages

The common misconception is that braces are only for kids. The reality couldn't be farther from the truth. Braces can solve many bite and cosmetic problems that numerous adults have developed as they got older. Sometimes a second treatment of braces are needed to correct problems, such as TMJ disorder or a bad bite, from the initial treatment. Invisalign is a frequently requested treatment and can fix many of these problems as well. Dr. Do has trained extensively to diagnose and treat many of the disorders.

Friday, August 3, 2018

Correcting Invisalign treatment

Invisalign treatment is a great cosmetic procedure that can correct many types of problems such as crowding of teeth. The procedure also requires some enamel removal on the sides of teeth called inter-proximal reduction (IPR) to gain space in order to alleviate crowding. It's critical when the dentist that performs this procedure is able to maintain the shape of the teeth to achieve a great result. In this case, the dentist performed IPR for Invisalign but removed too much tooth structure during the treatment. The conclusion of the case resulted in straight teeth, but with abnormal shapes, especially between the two front incisors which created a gap. This gap can be corrected with cosmetic dentistry such as bonding or veneers. 

 

Tuesday, July 17, 2018

Clear braces

Orthodontics used to be known for their metal braces that anyone could see when you smiled. Technology and materials have improved to the point where we can say goodbye to the metal and welcome to tooth-colored braces. They are made of ceramic which is similar to tooth-colored crowns. Ceramic braces can be used in nearly all the same cases as metal braces and are much less likely to draw any attention.