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Radiographs as a Diagnostic Tool in Dentistry

January 8, 2018

Although some people dislike the idea of ‘x-rays’ at the dentist, radiographs are one of the key diagnostic tools for determining someone’s overall oral health. This month’s blog will investigate the different types of radiographs that are taken, why they take them, and the importance of them for diagnosing oral disease.


Generally, when patients first come to an office, a comprehensive set of radiographs is taken. Depending on the patient’s age and oral condition, that could consist of a Full Mouth Series (FMX) or Panoramic radiographs. A FMX series consists of about 18 radiographs that examines each tooth at different angles to search for the present of decay or periodontal disease. Panoramic radiographs give a more widespread view of the mouth, but sometimes do not give as detailed of a picture of individual tooth problems. When patients are younger, generally a Panoramic radiograph can provide good imaging of erupting teeth and whether any are missing or impacted.


Once these full sets are taken, they do not need to be retaken for about 5-7 years unless a patient has a new problem. Usually, they just have Bitewing radiographs updated every 12-24 months depending on the rate of tooth decay they get. Bitewings are a set of four radiographs that go straight through the teeth and are usually most useful when trying to diagnose cavities. Dentists can see the exterior enamel layer, inner dentin, and the pulp (nerve/blood vessel) of the teeth. Also usually the supporting bone level and existing fillings/crowns/implants can be viewed.


Many patients have a sense of trepidation about taking dental radiographs. They are usually worried about the amount of radiation they may absorb. While this is a valid concern, sometimes people do not understand the exact amount of radiation they are experienced to every day. The below chart takes different dental radiographs and compares them to the amount of background radiation people receive from everyday life. ‘Background radiation’ comes from many sources – from food/water, occupational exposure, and even substances that are commonly found in homes. From the comparison – the amount of radiation from even a FMX or panoramic radiograph is equivalent of only several days of regular background radiation.


If there is ever any concern about the radiographs being taken at the office, please feel free to speak to your dentist or hygienist about the reasoning behind them. Obviously excess exposure is never a good thing, but they can also be keys to diagnosing oral problems early on before they can worsen. Hopefully this served as an informative source for the types of dental radiographs and why they are necessary.

February 4, 2025
Preventative dental care is a proactive approach to maintaining oral health by preventing diseases and addressing potential issues before they become serious. It involves regular dental check-ups, cleanings, and other preventive measures that help keep teeth and gums healthy. This form of care is essential as it allows for early detection of dental problems, which can prevent more severe conditions such as gum disease and tooth decay. Regular check-ups can identify issues like cavities, misalignment, and oral cancer at an early stage, making them easier and less costly to treat. The economic benefits of preventative dental care are significant. By addressing issues early, patients can avoid expensive treatments in the future. A study published by the American Dental Association highlights that investing in preventative care can lead to substantial cost savings over time. Routine Cleanings: A Cornerstone of Oral Health Routine dental cleanings are vital for removing plaque and tartar buildup that cannot be eliminated by regular brushing and flossing alone. These cleanings play a crucial role in preventing gum disease and tooth decay. During a cleaning, dental hygienists use specialized tools to clean areas that are difficult to reach with a toothbrush, ensuring a thorough cleanse of the oral cavity. Dental professionals generally recommend that individuals have their teeth cleaned every six months, although this frequency may vary based on individual needs and risk factors. According to Dr. Marcos Montoya of Stephens Dentistry, "Regular cleanings are an essential part of maintaining oral health. They help prevent serious dental issues and keep your smile bright and healthy." The Role of Sealants and Fluoride Treatments Dental sealants and fluoride treatments are effective preventative measures that protect teeth from decay. Sealants are thin, protective coatings applied to the chewing surfaces of the back teeth, where decay often starts. They act as a barrier, preventing food particles and bacteria from settling into the grooves of the teeth. Fluoride treatments involve the application of fluoride to the teeth to strengthen enamel and make it more resistant to decay. These treatments are beneficial for both children and adults, particularly those with a higher risk of cavities. According to the Centers for Disease Control and Prevention , fluoride is highly effective in preventing cavities. Tips for Maintaining Oral Hygiene at Home Maintaining oral hygiene at home is crucial for overall dental health. Daily practices such as brushing twice a day and flossing once a day are fundamental. Using tools like electric toothbrushes and water flossers can enhance cleaning by reaching areas that traditional brushes might miss. A balanced diet also plays a significant role in supporting oral health. Foods rich in calcium and phosphorus, such as dairy products and leafy greens, help strengthen teeth. Conversely, limiting sugar intake and avoiding smoking can prevent decay and gum disease. Lifestyle habits have a profound impact on oral health. Smoking and excessive sugar consumption can lead to serious dental issues, including cavities and periodontal disease. By adopting healthy habits, individuals can significantly reduce their risk of dental problems. Common Misconceptions About Dental Prevention Several misconceptions surround dental prevention. One common myth is that only sugary foods cause cavities. While sugar is a major contributor, acidic foods and poor oral hygiene can also lead to decay. Another misconception is that dental visits are unnecessary if there is no pain or visible issue. Regular check-ups are essential for detecting hidden problems that may not yet cause discomfort. Some individuals believe that home remedies can replace professional treatments. While good home care is important, it cannot substitute for professional dental services. Personalized advice from dental professionals is crucial, as they can provide tailored recommendations based on individual needs. The Local Perspective: Dental Care in Evanston and Surrounding Areas In Evanston and surrounding areas like Skokie, Highland Park, Wilmette, and Winnetka, local dental practices emphasize the importance of preventative care . Stephens Dentistry , a prominent practice in the region, has been committed to patient-focused care since 1959, offering a range of services that prioritize prevention. Community initiatives and local programs often promote dental health awareness, encouraging residents to prioritize their oral health. Cultural attitudes towards dental care in these areas reflect a growing recognition of the importance of prevention, with many individuals actively seeking regular dental services. Access to dental care facilities in Evanston and its neighboring regions is generally good, with practices like Stephens Dentistry providing comprehensive services to ensure the community receives the care it needs. By focusing on prevention, these practices help residents maintain healthy smiles and avoid costly treatments in the future.
January 7, 2025
Snoring and sleep apnea can be disruptive not only to one’s own rest but also to anyone in close proximity. Fortunately, dental sleep medicine provides a range of innovative solutions aimed at managing these issues and helping individuals achieve a better night’s sleep. Oral appliance therapy, in particular, offers an effective, non-surgical approach to treating both snoring and obstructive sleep apnea. By focusing on personalized care and leveraging advancements in oral device technology, patients can find relief and improve their overall well-being. Understanding the Impact of Snoring and Sleep Apnea Snoring is often dismissed as a simple annoyance or a sign of poor sleeping posture. However, chronic and loud snoring can be an indicator of underlying sleep-disordered breathing issues. According to the American Academy of Sleep Medicine , about 26% of adults between the ages of 30 to 70 have at least mild obstructive sleep apnea. That condition causes repeated breathing interruptions during sleep, lowering oxygen levels in the body and often resulting in daytime fatigue and other potential health risks. When the body struggles to maintain consistent airflow during sleep, it impacts multiple aspects of daily life. Lack of quality rest has been linked to higher risks of cardiovascular conditions, weight gain, and mood disorders. Centers for Disease Control and Prevention (CDC) research also indicates that insufficient sleep can lead to diminished concentration, impaired cognitive function, and other health complications over time. These findings underscore the importance of early intervention with solutions that target the root causes of both snoring and sleep apnea. Why Oral Appliances Work Oral appliance therapy has emerged as one of the most effective methods for mitigating snoring and mild to moderate obstructive sleep apnea. These devices, custom-fitted for each patient, are often worn at night to support the jaw and keep the airway open. By preventing the soft tissues in the throat from collapsing and obstructing airflow, the device can reduce or eliminate snoring. Different styles of oral appliances are available, but they generally serve one primary function: repositioning the jaw or tongue to maintain a clear airway. National Library of Medicine sources show that oral appliances, when properly fitted, can significantly reduce apnea episodes and improve sleep quality. In many instances, individuals notice an immediate decrease in snoring intensity. Over time, this can lead to better-rested mornings and increased daytime energy levels, reinforcing the importance of a customized and well-monitored appliance program. Personalized Treatment for Better Results One of the key advantages of working with a dental practice experienced in sleep medicine is the emphasis on individualized care. Not all snoring and sleep apnea sufferers have the same anatomy, lifestyle, or medical history. As a result, a standardized, one-size-fits-all device may not effectively address every patient’s needs. Custom-fitted oral appliances reflect detailed measurements of a patient’s bite, jaw alignment, and airway structure. During a thorough consultation, the dental team will examine factors such as: • Jaw position and shape. • Tongue size and positioning. • Dental health and any previous restorative work. • Presence of other underlying conditions that may exacerbate snoring or apnea. After gathering this information, an appliance can be precisely adjusted to maintain proper jaw alignment while minimizing discomfort. Ongoing check-ins, adjustments, and occasional device refinements help ensure continuous effectiveness throughout the treatment process. Improving Overall Sleep Quality Beyond affecting nighttime rest, snoring and sleep apnea can impact various aspects of daily life. When breathing interruptions disrupt sleep cycles, the body misses out on restorative deep sleep that contributes to healthy brain function and stable mood regulation. Chronic sleep deprivation from unmanaged sleep apnea has been linked to heightened stress levels, reduced work efficiency, and even elevated safety risks in professions requiring alertness and quick decision-making. By exerting gentle pressure to keep air pathways open, oral appliances typically offer a more comfortable alternative to surgical procedures or other methods requiring extensive lifestyle changes. In many cases, individuals see improvements in both the duration and quality of their sleep fairly quickly. The increased oxygenation and reduced strain on the respiratory system can have far-reaching positive effects on energy levels and overall wellness. Enhance Your Quality of Life Better sleep translates into more than just feeling rested in the morning. Effective snoring and sleep apnea treatments often result in: Improved concentration and memory. Reduced risk of chronic medical issues tied to poor sleep. Increased emotional stability and lower stress levels. Enhanced relationships due to quieter nights and more harmonious household sleeping arrangements. For those looking to stay proactive about their health, adopting a dental sleep medicine solution can substantially contribute to long-term wellness. It also represents a supportive, non-invasive option that fits seamlessly into daily routines, thereby reducing barriers to consistent use. Looking Ahead: Explore Your Options Today If snoring or sleep apnea is interfering with your everyday life, consider exploring how oral appliances can help. Each patient’s journey is unique, so finding a provider who understands your specific needs can significantly improve your likelihood of success. Visit the Stephens Dentistry website to learn more about how our dedicated team incorporates the latest in dental sleep medicine. Whether you have questions about device customization, follow-up care, or the potential benefits of oral appliance therapy, we’re committed to guiding you through every step.  Ready to take the first step toward better sleep? Feel free to reach out to us through our Contact Page to schedule a consultation. Achieving restful nights and revitalized mornings is well within reach—let’s work together to make it happen.
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In a fast-paced world, the importance of quality sleep cannot be overstated. It is a cornerstone of overall health and wellness, affecting everything from cognitive function to physical vitality. Many individuals suffer from sleep disorders that not only disrupt their nightly rest but also impact their oral health. Dental sleep medicine emerges as a critical field that bridges the gap between sleep disorders and dental care, offering solutions that enhance both sleep quality and oral health.
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