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Antibiotic Prophylaxis or Premedication

June 16th, 2021

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Drs. Baalbaki and Alsabbagh suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

  • A history of infective endocarditis
  • Certain congenital heart conditions (heart conditions present since birth)
  • An artificial heart valve
  • A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our London office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.

Is Invisalign® Right For You?

June 9th, 2021

When patients ask Drs. Baalbaki and Alsabbagh about who benefits from Invisalign clear aligners, the simple answer is this: almost everyone. Unlike conventional braces, they are removable, which makes eating and cleaning your teeth much easier.

They are molded to fit each patient’s mouth and are practically invisible. Because aligners apply less force in straightening teeth than metal braces, the risk of harm to your teeth is reduced.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but hesitate to wear metal braces. They also worry about having to change their diet and not be able to eat the foods they normally enjoy.

If you are an adult who’s considering braces, our team at Alba Dental Centre will tell you Invisalign aligners is a great option for discreet teeth straightening. Your teeth will be straightened with virtually invisible braces.

The aligners are easily removable when you eat, so you can enjoy any food you normally would consume. You simply clean your teeth normally after eating and you won’t have to worry about getting food stuck in your braces.

If there is a special occasion during which you do not want to have any braces in your mouth at all, you can remove the aligners for up to four hours without causing any damage.

Benefits to teenagers

Drs. Baalbaki and Alsabbagh and our team know that teenagers are often involved in sports and other after-school activities, and generally lead pretty busy lives. If your teen plays a musical instrument, you may be concerned that having metal in his or her mouth will interfere with ability to play. Invisalign aligners avoid the damage that can happen with traditional metal braces.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is also eliminated. The aligners can be removed during sports activities and teens can easily wear a mouthguard. Teenagers who play musical instruments simply remove the aligners while practicing or playing in the band or orchestra.

Teenagers routinely have trouble flossing teeth between the wires and brackets of traditional braces, but Invisalign allows for easy dental cleaning. Since Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen® treatment, or to schedule an initial consultation with Drs. Baalbaki and Alsabbagh, please give us a call at our convenient London office!

June is National Dairy Month!

June 2nd, 2021

People have known for a long time that including dairy in their diets can help maintain healthy bones and even help promote weight loss. But what you may not know is that the routine intake of dairy products may also help promote periodontal health. Since June is National Dairy Month, Drs. Baalbaki and Alsabbagh and our team at Alba Dental Centre want you to know that patients who consume at least 55 grams of dairy products, such as milk, cheese, and yogurt, may significantly reduce instances of gum disease.

Have questions about which foods to choose when trying to improve your oral health? Contact our London office and ask our team!

Why should I have my child’s wisdom teeth removed?

May 26th, 2021

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the Canadian Association of Oral and Maxillofacial Surgeons (CAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Drs. Baalbaki and Alsabbagh; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the CAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Drs. Baalbaki and Alsabbagh and our team at Alba Dental Centre may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Drs. Baalbaki and Alsabbagh, please give us a call at our convenient London office!