Our Blog

You might have experienced painful morning headaches. Or have a partner or housemate who begged you to please keep those grinding noises down at night. Or perhaps you were unhappily surprised to find that your teeth had mysteriously become worn, loose, or cracked.

So you made an appointment at our Middleton, WI office. And you learned that you needed a night guard designed to protect your teeth from the damage done by night time bruxism—that grinding and clenching which is hard on enamel, bad for teeth, and painful for jaws. Good work!

Your night guard prevents your teeth from making contact, saving teeth and enamel from injury. It distributes the pressure placed on your teeth, muscles, and bones when your jaws clench through the night. Bonus: it can reduce nocturnal noises caused by grinding.

Guards are available over-the-counter in general sizes, or a custom night guard can be created for you by Dr. Joel Hartjes and Dr. Jon Szewczyk. Custom guards are uniquely fitted to your teeth and jaw, and last longer than over-the-counter models. Whichever kind of appliance you choose, daily care is a must for a long and healthy partnership.

To make sure you get the best and longest use from your night guard, there are some easy steps to keep it in top shape when it’s off-duty.

• Keep It Clean

Plaque and bacteria can build up on your night guard just as they can on your tooth enamel. Rinse your guard in the morning and brush it gently. Ask Dr. Joel Hartjes and Dr. Jon Szewczyk about using toothpaste, because toothpastes, especially abrasive toothpastes, can scratch your appliance. And don’t forget to clean your case!

Every week, or as directed, your night guard will benefit from a more serious cleaning. Follow the instructions for your appliance, whether it’s using cleaning tablets, a soaking solution, or another recommended cleanser. Your dentist can suggest how, how long, and how often to treat your night guard to a deep cleaning, because using the wrong products or cleaning methods can damage it.

• Keep It Dry

Putting a damp night guard into a closed case, even a ventilated one, provides an ideal setting for bacteria growth. Before you put your guard away, give it time to air-dry on a clean surface.

• Keep It Safe

Once your guard is clean and dry, make sure it keeps its shape and stays intact by keeping it in its clean, dry case when you’re not using it. Night guards and their cases are no fans of sun, extreme heat, very hot water, or (gulp!) dishwashers. A misshapen, melted, or broken night guard should not be used. If your night guard is damaged, it’s time to call us.

Spending just a moment or two each day caring for your night guard will result in a long-lasting appliance and many hours of healthy and comfortable sleep. Your night guard is protecting you. Be sure to return the favor for a long and healthy dental partnership.

You find yourself drowsy and irritable all day. Or you have trouble sleeping, and when you do, you snore loudly throughout the night punctuated with silent pauses where you aren’t breathing at all. Or your loved ones tell you that you’ve been keeping them awake with your snoring or frightening them awake when you gasp for breath. Whatever symptom may have brought you to the doctor, you’ve been diagnosed with obstructive sleep apnea, and now it’s time to get this sleep disorder under control.

Obstructive sleep apnea occurs when the tissue in the back of the throat relaxes, partially blocking the airway, or structural problems in the mouth and throat (such as enlarged tonsils or tongue) obstruct air flow. The tissue around the air passage vibrates with every breath causing those annoying snoring sounds. More dangerous, an obstructed airway means that there is not enough oxygen getting into the lungs. The struggle to breathe wakes us, interrupting the deep sleep we need to function. Untreated, the results of sleep apnea can range from drowsiness and irritability to a greater risk of high blood pressure, heart disease, and stroke. Luckily, there are several approaches to combatting this form of sleep apnea, including life style changes, surgery or breathing machines, and orthodontic appliances.

• Lifestyle Changes

Sleep apnea is more likely to affect those who are overweight, smoke, use alcohol, take certain medications, or sleep on their backs. If you can make changes in your lifestyle that will restore the quality of your sleep, this is a great first option.

• Surgery or Breathing Machines

Sometimes obstruction of the airway is caused by structural problems in the throat or mouth. Tissue can be reshaped or removed during surgery to widen and stabilize the breathing passage. Or you might be prescribed a machine such as a CPAP (continuous positive airway pressure) machine, which blows pressurized air through a tube and mask to keep the airway open during sleep.

• Oral Appliances

Dr. Joel Hartjes and Dr. Jon Szewczyk can also be an important resource if you struggle with obstructive sleep apnea. Many people suffering from this disorder prefer an oral appliance for its effectiveness, comfort, and convenience. One common oral sleep appliance is designed to support your lower jaw in a forward position. This jaw movement increases the open space of your airway as you sleep. Other appliances can prevent the tongue from blocking the airway and obstructing air flow. These appliances resemble mouthguards and retainers, and, like them, are custom made just for you. We will recommend the type of appliance best suited to your needs, and will take a model of your mouth and teeth so that a lab can craft an appliance that will be a perfect fit. We will adjust it for comfort if necessary, instruct you on its use and care, and schedule follow up treatment to make sure the appliance is treating your sleep apnea as efficiently as possible.

Whether you opt for a change of lifestyle habits, a CPAP machine, surgery, or an oral appliance, it is important that you treat this sleeping disorder. Left untreated, obstructive sleep apnea can have many serious consequences. If you suspect you might have sleep apnea, talk to us during your next visit at our Middleton, WI office. You deserve a good—and healthy—night’s sleep.

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at hartstone dental.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Joel Hartjes and Dr. Jon Szewczyk. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Middleton, WI office today!

Dr. Joel Hartjes and Dr. Jon Szewczyk and our team know that as a parent, you want your child to be as healthy as possible. By now, you probably know that your son or daughter’s oral health plays a huge role in overall health.

When there are so many toothpaste ads and different styles of brush to choose from, it can be difficult to know which will serve your child the best. We recommend you break down the decision process to make it simpler.

First, your child’s age and stage of development are vital to consider. Until about the age or 12, your youngster may not be prepared to brush or floss adequately alone, due to dexterity issues. If that’s the case, it can be easier to use a battery-powered toothbrush to improve the quality of brushing.

Next is to select the right size of toothbrush head to fit your child’s mouth. As a general rule, the head of the toothbrush should be a little larger than the upper portion of the child’s thumb.

Flossers are great for children and easy to use. They have handles and a horseshoe shape on one end with floss in between. Your child can choose a color he or she likes as well as the handle size, shape, etc.

Not only are there many brands of toothpaste to choose from, there are also many different ingredients that offer varying benefits. Kids are at high risk for developing cavities so you want to make sure the following ingredients are in your child’s toothpaste if you wish to avoid problems later on.

Sodium fluoride is the standard ingredient for cavity prevention, while stannous fluoride is anti-bacterial and anti-cavity. Anti-sensitivity toothpastes often contain potassium nitrate, and triclosan can be found in one particular brand for anti-bacterial action.

Fluoride should not be ingested, so if your child can’t spit yet, use a toothpaste that contains xylitol. This is a natural sweetener and should be the first ingredient listed on the tube.

Now comes the fun part: choosing a flavor! Your little one may sample different flavors and select the one he or she likes the best. A youngster is more likely to adopt good brushing habits if the flavor is appealing.

Don’t hesitate to speak with Dr. Joel Hartjes and Dr. Jon Szewczyk if you need to make an appointment at our Middleton, WI office, or if you have any questions about toothpastes or toothbrushes.