• Aesthetic Dentistry - Martin P. Abelar DDS, San Diego, CA
    Aesthetic Dentistry - Martin P. Abelar DDS, San Diego, CA
    Aesthetic Dentistry - Martin P. Abelar DDS, San Diego, CA
    Aesthetic Dentistry - Martin P. Abelar DDS, San Diego, CA
    Aesthetic Dentistry - Martin P. Abelar DDS, San Diego, CA

Dr. Abelar's Blog

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b2ap3_thumbnail_baby-smile.jpgBringing your child to the dentist by their first birthday is very important for their long-term health. Introducing them to their home dentist, hygienists, office atmosphere and the normality of a professional cleaning helps create a positive association with oral care and encourages healthy habits from the very beginning.

Dr. Abelar believes in creating a lasting relationship with his patients from early childhood to ensure consistent and comprehensive care. Regular cleanings every six months beginning in babyhood allow for Dr. Abelar to get to know your child’s teeth and mouth. This creates an opportunity to notice when something looks off much sooner than jumping from dentist to dentist that may be unfamiliar with the nature of each child’s unique oral structure.

The Center for Disease Control says that 40% of children are suffering from tooth decay by the time they begin Kindergarten. It’s currently the most common chronic childhood disease in the United States.

The misconception that baby teeth are not important is very dangerous and can have lasting negative impacts well into adulthood. Bad habits such as irregular flossing or brushing carry on into adulthood. Infections don’t just hold consequences for the tooth itself. Infections involving baby teeth, especially when left untreated, spread to the roots surrounding the teeth.

Adult teeth mature in the gums underneath the baby teeth until they fall out. This infection in the root can easily disrupt the development of these permanent teeth and even cause damage to their appearance and structure. If a baby tooth falls out or is removed for any reason, the emergence of a healthy adult tooth can be affected. The permanent tooth may come in crooked, at the wrong angle or emerge before it's ready.

The best way to promote healthy habits and a lifetime of good oral health is to bring your children into the office as early as possible and maintain those vital twice a year cleanings. Even if you get behind, our office is only a phone call away. Let us help you keep your whole family healthy and on track today by scheduling an appointment at 858-866-9692.

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Comprehensive oral care at an early age is no longer just something that seems like an obviously good idea. Research and scientific studies are finding alarming evidence that neglecting to take childhood oral health seriously is having lost lasting impacts on the health of children well into their adult years.

Dr. Martin Abelar, San Diego Cosmetic Dentist, says,

"A lot of people think that they baby teeth aren’t important. That’s not good. If you lose a baby tooth early, it affects the development of the jaw and the development of the face, that means, there is less room for teeth down the road when the permanent teeth come in. "

According to the CDC, about 1 in 5 children (20%) aged 5 to 11 have at least one untreated decaying tooth. In 2014, The Amerb2ap3_thumbnail_child-happy-dentist.jpgican Academy of Pediatric Dentistry released their first "State of Little Teeth Report." The report found that early childhood caries (ECC), a disease of rapid tooth decay, is the most common disease young children are facing today.

They list the dangers associated with ECC:

-Pain

-Damage to permanent teeth

-Vulnerable to more oral diseases throughout lifetime

-Life-threatening infections

-Poor sleeping habits

-Challenges in social development

-Impact on speech development

-School performance can be affected

The concern doesn’t end with one visit to the dentist. Simply getting emergency childhood dental care for things like cavities or chipped teeth does not protect children from long-term issues if not maintained. Abelar is finding this misconception concerning.

"One thing I’ve noticed is that people really underestimate the value of family dentistry. It starts with the baby teeth. Every bit of work you do even on the baby teeth has to be maintained properly the patient’s whole life. If baby teeth aren’t maintained properly, things will start to change as they get to adulthood. They will lose the bite, they will loose too much tooth structure, they will lose a tooth altogether. What happens early on in life really makes a difference as to the type of work that’s needed later on in life. "

"The State of Little Teeth Report" found many solutions to combating this tooth decay epidemic that is facing the children of the nation

-early oral health routines

-first dental visits in infancy

-establishing a routine of dental visits every six months or more -‘Home Dentist’: that is a dentist that your family builds and maintains a relationship with

-‘Home Dentist’: that is a dentist that your family builds and maintains a relationship with

Abelar stresses the importance of a close relationship with a dentist that can see a child through all their dental concerns and changes.

"I do a lot of complicated, full mouth reconstruction and complicated full mouth restoration dentistry. And, I’m looking at these patients, and I’m seeing why they need this work. If I had this patient when they were a child and I could maintain them the way they needed to be maintained, we wouldn’t be doing this expensive treatment right now", he says.

Comprehensive dental care from infancy to adulthood is imperative in maintaining overall health. Good habits begin in childhood and can make a lasting impact on the lifestyle and health over the entire lifespan of a child.

 

A study at the University of Wisconsin-Madison found that 93% of women with sleep apnea have not been clinically diagnosed. As drastic as these numbers are, many experts and health professionals are not surprised.

Many dentists around the nation feel that women are less likely to be diagnosed due to the stereotyped idea of the typical apnea patient. Overweight, middle-aged and male, this patient profile has been ingrained into the minds of medical professionals for years and habits can be hard to break. Another reason for the lower statistics related to diagnoses is that women often experience symptoms that are misdiagnosed as other disorders. Men most frequently present with symptoms witnessed by themselves or others of snoring and gasps or breaks in breathing. Women, on the other hand, are more likely to complain of less specific symptoms like fatigue, insomnia, headaches, depression, restless legs and lack of energy.

A 2008 review of studies published about sleep apnea determined that the number of women affected by this disease is higher than previously thought. 3-7% of men suffer from sleep apnea compared to 2-5% of women. The numbers take a twist when women reach menopause as the percentages become nearly equal in men and women. After menopause women are three times more likely to have obstructive sleep apnea than before. Pregnant women and those with polycystic ovary syndrome or endocrine disorders are also more likely to have sleep apnea.

General Risk Factors

Weight

BMI over 25

Neck Size

Men- 17 inches or moreb2ap3_thumbnail_woman-snore.jpg

Women- 16 inches or more

Age

Men- young adulthood through middle age

Women- post-menopausal

Heart

High Blood Pressure (hypertension)

Inherited Traits

Family history of sleep apnea

Obesity

Recessed jaw

 

Diagnosis and Treatment

The most often prescribed treatment for sleep apnea is a CPAP (continuous positive airway pressure) machine which pumps pressurized oxygen into the airway. Many people dislike these machines or are actually ‘CPAP intolerant’ and are searching for alternative ways to treat their sleep apnea.

Dr. Martin Abelar DDS provides us with a step-by-step in the typical diagnosis process for his San Diego dental practice.

Step 1: Consultation and Exam

In this step, the doctor discusses the concerns a patient might have that have brought them in. He also asks questions about their symptoms and gets a family history to help uncover any details that may help in a diagnosis.

Step 2: Take Home Sleep Study

If deemed necessary, the patient will be sent home with a take home sleep study. This allows the doctor to gather data that can help him better understand how the patient is sleeping. The results of this study will be sent to a sleep physician for feedback and interpretation.

Step 3: Create Customized Oral Device

After the results of the study, if a diagnosis is made the doctor will begin to record measurements, take impressions and gather everything necessary to create a custom fitted oral device for treatment.

Step 4: Deliver Oral Device

The doctor will explain how to use the simple device and give any further instructions or advice. All questions will be answered to ensure the patient leaves the office confident in their treatment and care.

In an interview with the Wellness Show, Abelar said.

"One of the more rewarding things that we treat is sleep apnea. Sleep apnea WILL shorten your life. In most cases, an appliance can be made that holds your jaw in such a position that you get oxygen all night. Most people that come to me for sleep apnea, come to me because they don’t want to use the CPAP or they can’t."

Getting screened for sleep apnea is the first step in improving your quality life if suffering from any of these symptoms. Treating sleep apnea has been shown to eliminate daytime sleepiness, improve psychological health, reduce the risk for cardiovascular disease, and improve symptoms of hypertension and diabetes.

b2ap3_thumbnail_tooth-with-crown.jpgA crown strengthens an existing tooth or implant and improves its appearance. It becomes the new face of the tooth, in essence, and is usually color matched to the other teeth that surround it. With all the research that exists showing that smiles are one of the first things people notice about someone, Dr. Abelar feels you should be very concerned about the quality of the care that goes into taking care of one of your most valuable assets.

A huge range of materials can be used in crowns. There are many cheap materials available, and you get what you pay for. Some are sturdy and long-lasting while others may fracture and crack easily requiring a mouth guard to be worn to protect them.

‘You get what you pay for’ may be cliché but experience has shown that cheap goods and services are made cheap, look cheap and last just long enough to get by. Sometimes you have no choice, and Dr. Abelar is truly understanding of those situations, that’s why 40% of his work is spent correcting work that has been done in the past by others trying to make a quick buck.

It takes skill and precision to place a crown correctly. Even an error the width of a single strand of hair can create an opening that harbors bacteria and creates even more oral health problems than what the crown was placed to fix.

Low-quality crowns, even when placed by skilled dentists, are only lasting about five years according to the insurance companies. That means these patients are having to go through the process of having a new crown placed every five years and will have to continue for the rest of their life. The time, hassle, pain, and cost of have the same procedure done four times more often than you would at a quality dentist is astounding.

At Dr. Abelar’s office, crowns are expected to last 15 to 20 years. He uses top quality materials and has been perfecting his technique through years of instruction and keeping up with the latest technology and techniques with regular training. He feels cutting corners with crowns may be one of the worst places to choose cost over quality. Watch a quick video here
 about Dr. Abelar’s all time favorite story about quality care.

Call the office at 858-866-9692 to schedule an appointment today or to get more information on the quality materials and skills he uses in all of is his procedures every day.

b2ap3_thumbnail_tooth-fairy-2.jpgWhen children are little, they expect adults to be experts on all subjects. Many parents and even educators find themselves "winging it" on occasion or simply having to stall while they go find the information they need.

Rosemary Wells found herself in this predicaments when her students at Northwest University’s School of Dental Hygiene began asking questions about the Tooth Fairy. During her search to provide answers to her students, she found very little information on this mysterious but well-loved childhood icon.

She began researching in depth, reading through folklore and stories passed down among many different cultures. She did surveys and studies to gain insight. In fact, she became so involved in her quest that it quickly turned into a passion and she decided to open a Tooth Fairy Museum in her home in Deerfield, Illinois, in 1993.

The museum offers a tour, and the rooms are filled with artwork, dolls, books and over 500 drawings and stories created by children around the nation. She also has a collection of tooth holders from around the world. One of the strangest has a spot for each baby tooth in a model of pink gums.

Wells' research was fascinating as it found that 74% of Americans believe the tooth fairy is a female and that 97% of parents had positive or neutral feelings about her.

She concluded that the American concept of a tooth fairy probably came from a blending of a generalized happy, good fairy from Europe, specifically from England, Ireland and Scotland and a tradition involving mice and rats from Central and South America.

In Spain, he is Ratoncito Perez and in France La Petit Souris. The "Tooth Mouse" as they refer to the mythical creature in some literature is the epitome of a good sturdy show of teeth. As a prominent feature in stories and science the teeth of these animals are notoriously strong and large; and so, as an offering to these strong-toothed characters, they too hoped their children would be blessed with healthy, strong adult teeth in the place of their lost baby teeth.

It seems to be widely accepted that these traditions didn't stem from boredom but necessity and comfort. Losing baby teeth can be a scary experience for small children who don't yet grasp the difference in the permanent and temporary nature of things. Leaving gifts or money seems to help transition them into the world of growing up while helping distract them from the confusion of that empty spot in their mouth.

Dr. Abelar recommends cleanings every six months, even for children, and will be happy to help your little ones understand how their teeth work and grow together as they make the transition from little kid to big kid. Call us at 858-866-9692 for more information and resources.

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