(571) 434-800046165 Westlake Dr. #330
Potomac Falls, VA 20165

June 28, 2017

“Perio Protect” Method of Treating Periodontal Disease Between Cleanings

bryce @ 9:24 pm

Gum Disease is an aggressive disease affecting tens of millions of adult Americans.  A chronic type which affects the jaw bones around the teeth, is known as Adult Periodontitis.  This disease not only results in vast tooth loss, it may be quite disfiguring of the jaws as well. (B.T.W., there is Juvenile Periodontitis, affecting children entering puberty).

Oral bacteria communities known as Biofilm build up beneath the gum line.  Manual and rotary toothbrushes, floss and mouthwash , occasionally only make a dent in the problem.  The Biofilm is difficult to see, hard to reach, and typically requires a Dentist or a Dental Hygienist to determine its presence and remove it.  Most people are totally unaware of any problem, because for the most part, no pain is involved.

While it may be common to experience bleeding while flossing or brushing, it is certainly not normal.  Bleeding gums need to be recognized as a definite sign of trouble.

Signs that you may have Periodontal Disease are:

  • Bleeding Gums
  • Unexplained Gaps between teeth
  • Swollen gum tissue
  • Bad Breath
  • Receding Gums
  • Loose Teeth

So here is a dilemma…. You leave your Dentist office feeling great.  You have a new electric toothbrush and all the newly acquired skills you just received from your Hygienist.  Then a day or two goes by and you notice that fresh clean feeling isn’t there anymore.  Why?  Did your Dentist fail you?  Did your Hygienist forget to tell you something?  Is the new electric toothbrush just bunk?  Are you doing something wrong?

The credit lies in the pockets between your teeth and gum tissue.  It’s Biofilm!  The home care methods are going to be effective to a depth of approximately 2-3mm at best.  Assuming you have reached perfection with oral hygiene, some Biofilm is certain to exist in any pocket deeper than 3mm.  This 4mm pocket or greater will be plaque or biofilm dominated until the next cleaning.  So what can you do?

In my office, I ask my patients to use Perio Protect Trays.  This approach combines your dental cleaning visit with the comfortable Perio Tray.  The Perio Tray is a soft tray worn for several minutes per day.  The key element is the tray’s unique sealing system which locks the medicated gel into place below the gum line.  The medication fights the infection for you.  It’s so easy.

The advantage of using Perio Protect method between cleanings is that it is so very easy to use.  It is not technique sensitive.  You add the Perio gel to the tray and place the tray in position.  There is no special technique to be learned.  No systemic antibiotics required, comfortable, less invasive, more effective for between cleaning Biofilm control.  The only side effects noted by using the Perio gel is fresher breath and whiter teeth.

If you are aware of any of the signs noted above, do not hesitate to call our office for a thorough examination. Dr. Robert Bryce is a Certified Provider in the Perio Protect Method of treating Gingivitis and Periodontal Disease. His office serves Sterling/Potomac Falls,  Ashburn ,  Leesburg ,  Herndon ,  Reston , Great Falls , as well as all of Northern Virginia.

Dr. Bryce can be reached by calling , (571) 434-8000.

October 30, 2013

Mouthguards: Custom Fit vs Boil-n-Bite

bryce @ 9:48 pm

It is estimated by the American Dental Association, that approximately 200,000 injuries each year in high school and collegiate football are prevented by wearing mouthguards.  Since dental injuries are the most common injury in sports, Dr. Raymond Flander did a study in 1995, reporting the high incidence of injuries in sports other then football.  The study notes that in football where mouthguards are mandatory, .07% of injuries were orofacial.  Contrast this to basketball where mouthguards are elective, 34% injuries are orofacial.  It seems obvious that custom fit mouthguards should be a routine piece of equipment in the prevention of dental and orofacial injuries.

Consider the cost of a custom fit mouthguard compared to the lifetime dental costs of treating orofacial injuries sustained from not wearing a mouthguard.  It’s a no-brainer.  Professional fabricated mouthguards are a great deal.  It is estimated that a victim of total tooth avulsion may face costs of $10,000.00 – $15,000.00 per tooth in a lifetime of dental costs to rehabilitate the area.  So it begs the question…

Are you or someone in your family participating in sports?

If so, you will need a mouthguard to protect yourself from mouth injuries that have the potential to affect your life for years to come. While most equipment can be purchased online or at a local sporting goods store, you will want to think again about  buying an over the counter mouthguard. While they do offer some protection, they do not provide the best fit and ultimate protection that your mouth and head require.

Boil-n-Bite vs. Custom Fit

Boil-N-Bite Mouthguards

  • Same basic design since 1960.
  • Formed by boiling, biting and using fingers and tongue to form your fit.
  • Bite too hard and the protection decreases as the plastic compresses.
  • If not formed accurately, the mouthguard can easily be jarred loose.
  •  Also they are bulky making it hard to breathe and talk during the activity.
  • Can cause thin spots and holes, leading to a POOR FIT and chipped teeth.
  • Does not give total tooth coverage.

Custom Fit Mouthguards

  • Custom fit allows for a snug fit.
  • Mouthguards stay in place and has a consistent thickness ensuring your protection.
  • You can breathe properly which will increase your performance.
  •  A properly fitted mouthguard will stay in place and you can talk more easily.
  • A custom fit mouthguard  helps reduce the likelihood of jaw injuries, chipped, broken, and lost teeth.
  • Reduced likelihood of lacerations of the tongue, lips, and cheeks.
  • Jaw joint (TMJ) injuries are reduced.
  •  Custom fit mouthguards are FUN!  They can be made in a variety of colors, solids and decals.
  •  They can be tailor made to your or your sports specifications.

Having the satisfaction that you or your family member is safer on the field with a properly fitted mouthguard is a priceless benefit.  It’s called peace of mind.

Please call our office today, 571-434-8000. We are dedicated to keeping you in the game!

August 15, 2013

Snoring and Sleep Apnea

bryce @ 3:45 pm

Snoring and Obstructive Sleep Apnea (OSA) are common problems that can affect your sleep, and have a significant impact upon your health and quality of your life. Everyone knows what snoring is, but did you know that more then 50% of snorers have OSA.

You may say “So what!?” “What’s the big deal? It’s only snoring…” Well, it is a BIG DEAL. The fact that you may snore means that changes have already occurred in your upper airway to make you snore. Your airway is narrowing, limiting air flow as you breathe. In fact, it may completely collapse, causing you to stop breathing.

Collapse of the soft tissue of the airway is called Obstructive Sleep Apnea (OSA).

When this happens, YOU ARE NOT BREATHING!

Symptoms of OSA include:

  • Excessive daytime sleepiness
  • Depression
  • Fatique
  • Irritability
  • Impaired Concentration
  • Decreased Sex drive
  • Morning Headaches

Increase Risk associated with OSA include:

  • Stroke
  • Diabetes
  • Obesity
  • Memory Loss
  • Heart Disease
  • High Blood Pressure
  • Death

The list presented here is very limited, but if you have any of the signs or risk factors, I can help. I have received Advance Training in Dental Sleep Medicine. We can provide Home Sleep Testing (HST), sleep apnea therapy, and on-going care which can save your life.

Please call today, 571-434-8000, to allow us to improve the quality of your life.

June 25, 2013

Migraines may actually come from muscle tension

bryce @ 6:13 pm

I wonder how many people know that certain headaches, thought to be Migraines, may actually come from muscle tension underlying the Temple area of your head. These muscles known as the Temporalis muscles, acts as reigns to the lower jaw, keeping your jaw in proper position as you chew, speak and swallow. A missing tooth, chipped tooth, or high filling can cause a change of position to your lower jaw. This may result in added tension on your Temporalis muscle in order to keep your jaw in its proper position. This tension may subsequently result in inflammation of your muscle and tendons connecting to the bone.

This condition known as Temporal Tendonitis may consist of the following symptoms:

  • Temple area pain
  • TMJ pain
  • Sensitive upper teeth
  • Eye pressure or pain
  • Ear pain or pressure

As a Neuromuscular Dentist I can diagnose this problem and treat it. Sometimes with the use of medications, sometime without medications. It really depends on your particular situation and what you and I decide to do once we uncover the root cause.

Regardless, if you are a Migraine sufferer you may be falling victim to a Migraine mimic. There are actually several types of Migraine mimics. Once we identify the mimic, we can help you live your life “normal” again. Patients with chronic Migraines are usually over joyed saying “is this what normal feels like?”

I would like to be the instrument in your life, to help you feel normal again. Call me today, 571-434-8000, and let’s discuss your symptoms.