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Dr. Karen Lawitts and Dr. Nancy Yeates

100 Intrepid Lane
Syracuse, NY 13205

(315) 492-8138
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Posts for tag: common symptoms

By Drs Lawitts and Yeates
June 10, 2014
Category: Oral Health
TheTopTenMainCausesofBadBreath

Nobody wants “halitosis,” commonly known as bad breath. Americans spend an estimated $3 billion per year on breath freshening products like candies, chewing gum and sprays, but that really just masks the problem. Bad breath is clearly a major concern. Treating bad breath effectively means understanding and treating what causes it.

And The Top Ten Main Causes of Bad Breath Are:

  1. You just woke up — because saliva flow is reduced during the night, it is normal to wake up with a dry mouth and “morning breath.”
  2. It was something you ate — garlic, onions, coffee, alcohol, spicy foods and more — are common causes — luckily they are temporary. Brushing, flossing and mouthrinses may help.
  3. It was because you didn't eat — fasting can result in bad breath. In hunger, especially starvation, a person's breath may actually smell like nail polish remover (acetone). This comes from ketones that are produced as the body metabolizes fat for energy production.
  4. “Xerostomia,” literally dry mouth — from plain old dehydration, and certainly many medications can cause dry mouth leading to bad breath. Drinking sufficient quantities of water is helpful and important.
  5. Smoker's breath — If you are a smoker, the telltale odor lingers — for days and weeks. Try quitting for multiple health benefits.
  6. Ineffective oral hygiene — buildup of food remnants and bacteria on and between your teeth and gums is a prominent cause of bad breath.
  7. Bacterial accumulation on the back of your tongue — large numbers of bacteria accumulating in the nooks and crannies, where they may give off volatile sulfur compounds (VSCs), which have an odor reminiscent of rotten eggs.
  8. You may have tooth decay or periodontal (gum) disease — one of the main causes of bad breath is gum disease. Studies have shown that the more VSCs a person has on their breath, the more likely it is that they have gum disease. Openly decayed teeth can also be a cause of bad breath.
  9. You may have a problem with your nose or tonsils — Nasal odors exhaled from the nose and mouth may be a result of sinus infections, foreign bodies, or infections of your tonsils.
  10. Serious health conditions — like diabetes, lung disease and cancer can also be systemic (general body causes of bad breath) that do not emanate from the mouth.

Because some of these problems are serious and need treatment, don't just try to cosmetically camouflage bad breath. Make every effort to remove the film of bacteria (plaque) from your teeth and gums every day; if this does not cure your bad breath, contact us for an assessment, diagnosis, and treatment.

Contact us today to schedule an appointment or to discuss your questions about bad breath. You can also learn more by reading the Dear Doctor magazine article “Bad Breath: More than just embarrassing.”

By Drs Lawitts and Yeates
August 29, 2013
Category: Oral Health
10FactsYouShouldKnowAboutToothDecay

If you have ever had tooth decay, you should know:

  1. Tooth decay is one of the most common of all diseases, second only to the common cold.
  2. Tooth decay affects more than one-fourth of U.S. children ages 2 to 5, half of those ages 12 to 15, and more than 90 percent of U.S. adults over age 40.
  3. Tooth decay causes pain, suffering and disability for millions of Americans each year — even more disturbing, tooth decay is preventable.
  4. If it is not treated, in extreme and rare cases tooth decay can be deadly. Infection in an upper back tooth can spread to the sinus behind the eye, from which it can enter the brain and cause death.
  5. Tooth decay is an infectious process caused by acid-producing bacteria. Your risk for decay can be assessed in our office with a simple test for specific bacterial activity.
  6. Three factors are necessary for tooth decay to occur: susceptible teeth, acid-producing bacteria and a diet rich in sugars and refined carbohydrates.
  7. Babies are not born with decay-causing bacteria in their mouths; the bacteria are transmitted through saliva from mothers, caregivers, or family members.
  8. Fluoride incorporated into the tooth structure protects teeth against decay by making the enamel more resistant to acid attack.
  9. Sealants, which close up the nooks and crannies in newly erupted teeth, stop bacterial collection where a toothbrush can't reach. Teeth with sealants have been shown to remain 99 percent cavity-free over six years.
  10. Restricting sugar intake is important in preventing tooth decay. Your total sugar intake should be less than 50 grams a day (about ten teaspoons) including sugars in other foods. A can of soda may have six teaspoons of sugar — or more!

Contact us today to schedule an appointment to discuss your questions about tooth decay. You can learn more by reading the Dear Doctor magazine article “Tooth Decay – The World's Oldest & Most Widespread Disease.”

WhatOurOfficeCanDoAboutYourSnoringorSleepApnea

Snoring and Obstructive Sleep Apnea (OSA) is a condition that occurs when the upper airway (back of your throat) collapses or is blocked, causing significant airflow disruption. A person with OSA continues snoring at a regular rate but is interrupted by long silent periods during which there is no breathing for atleast 10 seconds or more. Believe it or not, this issue affects millions of people worldwide. It can leave you feeling tired, depressed, irritable, as well as cause memory loss and poor concentration. And if you have OSA that is left undiagnosed and untreated you could fall victim to heart attacks, strokes, irregular heartbeat, high blood pressure, heart disease and even impotence. For these reasons, we feel it is important that you understand the real-world consequences that can occur if you ignore your OSA.

Reality is that most people are unaware that their dentist can be an excellent resource in helping to diagnose and treat OSA. However the first and most important step is to receive a proper, thorough examination and diagnosis with an appropriately trained physician and dentist. If after completing this process you are diagnosed with OSA, we will discuss treatment options. Some of these may include:

  • Suggesting that you exercise and lose weight if you are overweight.
  • Sleeping with a Continuous Positive Airway Pressure (CPAP) machine that provides pressurized air into your airways through a mask that covers both your nose and mouth while sleeping.
  • Sleeping with a professionally made oral appliance or mouthguard that can reposition your lower jaw, tongue, soft palate and uvula (the dangling tissue in the top, back portion of your mouth) into a better position during sleep to relieve blockage.

If you are ready to discuss you questions and concerns about your snoring, or the snoring habits of another family member, contact us today to schedule a consultation. You can also learn more about the signs, symptoms, and treatment options when you read “Snoring & Sleep Apnea.”

By Drs Lawitts and Yeates
December 29, 2012
Category: Oral Health
IfYouSnorePleaseReadMore

Do you constantly feel like you are running on empty? Do you snore, feel like napping every day, or even drink multiple cups of coffee just for the caffeine boost? You may have a sleep related breathing disorder (SRBD) or Sleep Apnea (“a” – without; “pnea” – breath) in which your airways become obstructed causing chronic loud snoring. The good news is that we can help both diagnose and treat this disorder, which means you will be able to finally get the rest that you (and your sleeping partner) so desperately need.

The reason that sleep apnea is so disruptive to daily living is that it causes awakening for a few seconds up to 50 times per night, significantly decreasing the amount of deep sleep that is necessary for full rejuvenation. Airway blockage during sleep commonly results from obesity, an enlarged tongue or tonsils, and other factors that can cause your airway to close off when you lie down, all increasing the likelihood that you will suffer from sleep apnea. These conditions are dangerous and impair the brain and heart from receiving adequate oxygen, increasing your risk for both stroke and heart attack.

The study of sleep and its disorders is relatively new. One successful way to treat sleep apnea is with a “CPAP” machine which uses a Continuous Positive Airway Pressure mask overnight to keep air passages open while sleeping. Another more comfortable, less noisy, and unobtrusive method is to use Oral Appliance Therapy, which features an appliance like a retainer that can be custom fitted to your mouth made by a dentist trained in sleep medicine.

And yes, dentists are increasingly being recruited to help study and treat sleep disorders. There are actually several ways in which we can help. Because we see our patients on a regular basis, we are uniquely qualified to diagnose early signs of SRBDs. For example, if you start to snore almost immediately after falling asleep in the dental chair, we will be able to discuss this important warning sign with you. We can also examine the back of your mouth to see if you possess any of the traits that point to SRBDs, including large tonsils and/or an elongated uvula — the tissue in the back of your throat that looks like a little punching bag.

So, if you want to stop snoring and start sleeping well or you think you may have a SRBD, call our office to schedule a basic oral exam and consultation. If you would like to learn more about the link between dentistry and the treatment of sleep disorders, read the Dear Doctor magazine article “Sleep Disorders & Dentistry.”

By Drs Lawitts and Yeates
November 27, 2012
Category: Oral Health
SleepApnea-aHiddenDanger

Nightly snoring can be a sign of a dangerous condition called sleep apnea (from “a” meaning without and “pnea” meaning breath). When someone snores the soft tissues in the back of the throat collapse onto themselves and obstruct the airway, causing the vibration known as snoring.

If the obstruction becomes serious, it is called obstructive sleep apnea, or OSA. In such cases the flow of air may be stopped for brief periods, causing the person to wake for a second or two with a loud gasp as he attempts to catch his breath. This can cause heart and blood pressure problems, related to low oxygen levels in the blood. The obstruction and mini-awakening cycle can occur as many as 50 times an hour. A person with this condition awakens tired and faces the risk of accidents at work or while driving due to fatigue.

Studies show that sleep apnea patients are much more likely to suffer from heart attack, congestive heart failure, high blood pressure, brain damage and strokes.

What can be done to treat OSA?
Snoring, apnea, and OSA occur more frequently in people who are overweight. So start with losing weight and exercising.

At our office, we can design oral appliances to wear while sleeping that will keep your airway open while you sleep. These appliances, which look like sports mouth guards, work by repositioning the lower jaw, tongue, soft palate and uvula (soft tissues in the back of the throat); stabilizing the lower jaw and tongue; and increasing the muscle tone of the tongue.

Another approach is to use a Continuous Positive Airway Pressure (CPAP) bedside machine. These machines send pressurized air through a tube connected to a mask covering the nose and sometimes the mouth. The pressurized air opens the airway so that breathing is not interrupted.

Much less frequently, jaw surgeries may be recommended to remove excess tissues in the throat. These would be done by specially trained oral surgeons or ear, nose and throat specialists.

Diagnosis and treatment of OSA is best accomplished by joint consultation with your physician and our office. Contact us today to schedule an appointment to discuss snoring and OSA. You can learn more by reading the Dear Doctor magazine articles “Sleep Disorders and Dentistry” and “Snoring and Sleep Apnea.”



Dr. Karen Lawitts

Dr. Karen Lawitts

Dr. Nancy Yeates

Dr. Nancy Yeates

Dr. Lawitts was born and raised in Syracuse, NY. She received her Bachelor of Science and D.D.S degree from Northwestern University in Chicago. Dr. Nancy Yeates graduated from Canisius College with a B.A. in Biology. She then attended Georgetown University School of Dentistry.
       
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