1836 Broadway Street, Paducah, KY 42001



Posts for: April, 2016

By Bohle Family Dentistry
April 28, 2016
Category: Oral Health
Tags: snoring   sleep apnea  

If your sleeping partner snores, it could be more than an annoyance: it could be a sign of sleep apnea. This occurs when air flow into the lungs becomes obstructed in the throat for a few seconds during sleep. The obstruction can take many forms, but a common one arises from the tongue relaxing against the back of the throat, producing snoring sounds as air attempts to pass through this restricted area.

Sleep apnea can cause severe problems: lower daily energy levels and mood from poor sleep; lower oxygen saturation that could affect brain function; and increased risk for cardiovascular disease. So, if you’re awakened by your partner’s snoring (or they’re complaining about yours!), it’s important to have it checked and treated.

This begins with a visit to us for a complete oral examination. Like many dentists, we’re well trained in the anatomy and structures of the mouth, as well as the causes and treatment of sleep apnea. We’ll examine your mouth, take into account any possible symptoms you’re experiencing and, if your suspicions are correct, refer you to a sleep physician to diagnose if you have sleep apnea.

Treatment will depend on its cause and severity. An oral appliance worn during sleep is the recommended first treatment for mild to moderate sleep apnea that involves the tongue as an obstruction. We develop a custom appliance that helps move your tongue away from the back of the throat, reducing both apnea and snoring sounds. For more advanced sleep apnea you could benefit from a Continuous Positive Airway Pressure (CPAP) machine. This device generates continuous air pressure through a mask worn while sleeping that helps keep the airway open.

Of course, there are other causes for obstruction, some of which may require surgical intervention to relieve the problem. Abnormally large tonsils, adenoids or excessive soft tissue can all restrict air flow. Surgically removing or altering these structures could help reduce airway restriction.

Whatever type or degree of sleep apnea you or your partner may have, there are solutions. The right treatment will not only improve overall health, it will help both of you get a better night’s sleep.

If you would like more information on sleep apnea and how to treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “If You Snore, You Must Read More!

By Dr. Charles Bohle and Bohle Family Dentistry
April 21, 2016
Category: Cosmetic Dentistry
Tags: tooth pain   dentist  

What to do When You Have a ToothacheWhat to do when you have a toothache.

Oh no, you have a toothache,  What do you do know?  Here are some tips for trying to control that pain if you get that screaming toothache.

  • Painkillers can help-It doesn't have to be a full strenght prescription medication.  Several over the counter meds can help.  Products like Advil and Aleve are very effective anti-inflammatories.  Try taking 600-800mg of Advil or 2 Aleve.  These doses are only for short term use.  Also  acetamenophen (Tylenol) is a good product.
  • Apply a cold Compress-Make a home made icepack and apply to your face.  Make sure not to get frost bite on your skin.  Never use a hot pack as it can cause the infection to spread.
  • Apply a Numbing Gel-There are several over the counter products that work here.  Oragel is a favorite.
  • Make a Record of your pain-write down when it hurts, how long it hurts and what makes it hurt.  This will be valuable informatin once you see a dentist.

Just a tip, you won't find those cocaine toothache drops at your local store.  Those are long gone.

Click to learn more about the Services or to get an Appointment at Bohle Family Dentistry.

By Bohle Family Dentistry
April 13, 2016
Category: Dental Procedures

Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?

Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?

Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.

Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.

But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?

In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.

Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.

What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.

If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”

By Dr. Charles Bohle & Bohle Family Dentistry
April 07, 2016
Category: ooral health

These Bad Habits Are Hard On Your Teeth
These habits are bad for your teeth

Do you have a bad habit that is hard on your teeth.  Let's discuss a few of the most common things we see that cause a problem with your smile and are unhealthy.

Tongue Piercings-It might be trendy and your friends think it is cool, but tongue and lip piercings can do serious damage to your teeth.  The most common issue is causing a fracture or broken teeth.  Usuallly this in permanent teeth so it is a serious issue.  If you must have a piercing at least use a plastic stud and not a  metal  one.  I would hate to see you lose a tooth for a fashion statement.

Chewing On Ice-At least it is sugar free but the habit of constant chewing or crunching on ice causes undo stress on your enamel and can lead to crazing or breakage.  Try chewing sugarless gum as a substitute.

Playing Sports With No Mouthguard-Wearing a small piece of plastic covering your teeth can be a lifesaver when it comes to your smile. No one plans on getting a tooth knocked out but it is all too common.  Hockey players are famous for it.  It is mandatory for football players to wear one and now you see more and more basketball and baseball players wearing a mouthguard.  It is certainly cheap insurance compared to the cost of replacing a tooth or repairing a broken one.

Bedtime Bottle For Babies-Bottles do not belong in the crib!  Do yourself a favor and don't let the habit start.  Milk, formula and juices all have some level of  sugar in them and having your baby hold that in their mouth is a path to decay.  This is one of the most unhealthy things we see and it is very sad to see a two year old with a mouth full of cavites.  You are not doing your baby any favors by putting them down with a bottle.  

Teeth Grinding-The formal name for this is burxism and it very much stresses not only your teeth but the gums, bone a jaw joint.  We recommend protecting your teeth by getting a boil and bite mouthguard.  This is an inexpensive fix.  There are more exact ways of dealing with this if the easy nightguard will not work.

Constant Use of Cough Drops or Candy-We see people who are trying to quit smoking have a piece of candy in their mouth at all times.  This can be very destructive if you do not use sugarless candy.  We also see a person with a cold use constant cough drops.  These are two sneaky ways you can harm yourself.  Anything you are doing for a long period of time needs to be sugarless.

Opening Things With Your Teeth-Your teeth are made for biting chewing and helping with speech.  Don't use them to cut fishing line and tear open packaging.  Scissors work much better anyway.  We see lots of front tooth fractures from using your teeth in an incorrect way.

Chewing On A Pencils And Pens-After everything else we have said about how to treatr your teeth this now is obvious but some people have this habit.  This also can be very destructive because of the long term stresses it involves.  Once again, try using sugarless gum as an alternative.

Smoking-There is nothing good about tobacco use and your health.  You mouth is no different.  Besides staining your teeth you run the risk of oral cancer on your mouth, lips and tongue.  This is certainly a habit you need to break.

Click here to find out about all the Services at Bohle Family Dentistry.  Click here if you would like to make an Appointment.  #paducahkydentist