Our Blog

Do you suffer from sleep apnea?

May 8th, 2018

At Gary Yanowitz, DDS, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Dr. Gary Yanowitz.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Dr. Gary Yanowitz can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Dr. Gary Yanowitz and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our Pembroke Pines, FL office. Our team at Gary Yanowitz, DDS can help you return to getting a better night’s sleep.

Antibiotic Prophylaxis or Pre-Medication

May 1st, 2018

At Gary Yanowitz, DDS, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Dr. Gary Yanowitz will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:

  • Patients who underwent cardiac valve surgery in the past
  • Those who have suffered past incidents of infective endocarditis
  • Patients who have mitral valve prolapse, resulting in or causing valve leakage
  • People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
  • Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Dr. Gary Yanowitz, please give us a call at our convenient Pembroke Pines, FL office!

Avoid the Emergency Room for Dental Problems

April 24th, 2018

There are certainly situations when going to an emergency room is the best response for your problem. A severe injury to your mouth, jaw, or face would qualify.

However, when it comes to long-term solutions for other dental problems, an emergency room visit may fall short. If you suffer from a major toothache, cavity, a broken tooth, crown, or veneer, it’s better to go straight to the dentist for treatment.

Dr. Gary Yanowitz can provide you with a treatment plan that will be long lasting. When you visit an ER for a common dental problem, more likely you’ll only be given temporary relief for a serious and ongoing problem.

In many cases, the emergency room will give you pain medication to mask the symptoms until you can schedule an appointment at our Pembroke Pines, FL office. That results in a lot of wasted time, as well as two separate medical bills. The ER may give you a temporary crown or filling, but you will still need a follow-up appointment for a permanent restoration.

We recommend you find the nearest emergency dental clinic, or even try a home remedy to relieve the pain until you can schedule an emergency appointment at Gary Yanowitz, DDS. A warm salt-water rinse or cold compress can be used to sooth tooth and gum pain in the meantime.

If you experience a dental emergency and are unsure about what to do, feel free to contact our Pembroke Pines, FL office at any time. We will fit you into our schedule right away and figure out the best course of treatment for your problem.

Oral Cancer Facts and Figures

April 17th, 2018

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at Gary Yanowitz, DDS recently put together some facts and figures to illustrate the importance of visiting our Pembroke Pines, FL office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Gary Yanowitz and our team to conduct an oral exam during your next visit to our Pembroke Pines, FL office.

  • Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
  • The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
  • Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
  • Oral cancer is the sixth most common cancer among men.
  • Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
  • Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
  • About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
  • The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
  • For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
  • It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Gary Yanowitz and our team at Gary Yanowitz, DDS can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.