Uncategorized

The Many Benefits of Braces

May 15th, 2019

It’s true that orthodontic braces can give you a beautiful smile. But did you know there are other benefits of having braces than just getting perfectly straight teeth? Dr. Lapsi and our team want you to understand the other positives that can come out of having braces and relate to your oral health.

When teeth are crooked or crowded, it’s hard to brush and floss effectively. When there isn’t enough space in your mouth, bacteria and plaque can build up between these teeth. This can lead to serious issues like tooth decay and gum disease. When braces correct the spacing between teeth, and get rid of the tight spaces, patients are able to brush and floss more effectively and not miss essential areas of the mouth.

Surprisingly, braces can also address speech problems. They can shift problem teeth that may be causing embarrassing speech impediments. When an overbite or underbite gets adjusted, patients can pronounce certain words more clearly.

Spaces between teeth may also cause whistling, which braces can fix by closing off the gaps. Word slurring can also be improved with the help of braces by realignment of the jaw or teeth, which opens room for your tongue to move with greater ease.

Braces can also be helpful in supporting the bones and tissues in your mouth. Braces move periodontal ligaments by stretching the connective tissues and nerves. The bones naturally rebuild once they’re settled in their new spot.

Without support from poorly aligned teeth, gum tissue can erode. Braces help prevent erosion of the gums, and will alleviate pressure from the jawbone by fixing a bad bite over time.

If teeth are misplaced, they may not break down food effectively before it enters your stomach. Teeth aid with digestion when you can thoroughly chew your food. If your teeth are badly placed, braces can straighten them for optimal alignment. Once you can chew properly with the help of braces, your food will be more easily and fully digested.

If you have questions regarding braces and how they can help you, contact our Carlsbad, Mission Viejo, or Laguna Hills office and set up a consultation appointment. Braces can help with many oral health problems, and may save you a lot of money and time in the future.

If you’re not sure whether braces would be worth your time or money, consider the benefits above, and how they add to the value of this treatment. You’ll be getting more than just a beautiful smile!

 

Is Invisalign® Right For You?

May 8th, 2019

When patients ask Dr. Lapsi 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 Excel Dental and Orthodontics 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

Dr. Lapsi 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 Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Why Adults Are Choosing Invisalign®

May 1st, 2019

These days, it’s become more common to see adults at our office getting their teeth straightened with Invisalign clear aligners . . . that is, if you can see them! Whether they are seeking to overcome the stigma that “braces are just for kids,” or simply want straighter teeth without a mouth full of metal, Invisalign is an effective and easy solution.

According to the American Association of Orthodontists, from 1994 to 2010 the number of adults 18 and older who request braces increased by 58 percent: from 680,000 to 1.1 million a year. Many adults enjoy how discreet the aligners are and that the user doesn’t need to avoid any foods or make dietary changes the way you would with traditional braces. Also, each treatment is unique to the patient.

With an Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

  • The total treatment time is more precise with Invisalign because your treatment is modeled by a computer. Traditional braces depend more on an estimate and aren’t as exact.
  • You’ll make fewer trips to our Carlsbad, Mission Viejo, or Laguna Hills office, since you’re able to change your trays on your own every few weeks or whatever is prescribed.
  • Without brackets to place over your teeth, there’s less risk to the health of your tooth enamel.
  • Invisalign aligners are clear and practically invisible, so most people won’t even know you’re wearing them!

If you’re interested in Invisalign as a treatment option, please let Dr. Lapsi know. We’d be happy to help you on your journey to a straighter, healthier smile!

Ask Us about These Dental Treatments

April 24th, 2019

There are a few dental treatments that Dr. Lapsi and our team recommend for all patients to get if they wish to protect their oral health. Sometimes it’s hard for patients to decide which treatment plan would be best for their teeth. Learn about these three must-have treatments and how they can help protect your teeth in various ways.

Professional Cleanings

First, get a professional dental cleaning every six months. Regular cleanings can protect you from potential gum disease because they enable us to catch it early.

Cleanings also will get rid of plaque and tartar that have collected on your teeth over time. Oral health has been linked to your body’s overall health. We recommend scheduling your appointments in advance: Feel free to contact our practice’s Carlsbad, Mission Viejo, or Laguna Hills location if you forget when you scheduled your next visit. Our staff will be happy to assist you.

Periodontal Exams

We also recommend that all our patients at Excel Dental and Orthodontics receive a complete periodontal exam each year. You can ask about this during your regular, scheduled cleanings.

It’s a quick and painless procedure in which our hygienist probes each tooth to make sure the bone and soft tissue are healthy. If there’s a sign of infection, we will be able to treat it effectively before painful symptoms kick in.

Many adult patients are unaware that they have periodontal disease, and they may suffer the loss of a tooth if it goes untreated. Make sure you schedule a periodontal exam each year and save yourself a lot of time and pain.

Sealants

We also recommend dental sealants, particularly to protect your molars. Many people assume this treatment is just for kids to prevent cavities, but it can be used for adults too!

Sealants provide a protective barrier on your teeth that can help block against the buildup of plaque in those hard-to-reach areas in the back of your mouth. If you received sealants as a child, chances are they’ve worn off over time.

So if you want to save dental costs over the long haul, we recommend getting sealants again for cavity protection.

Dr. Lapsi and our team hope you take our advice when it comes to your oral hygiene and schedule regular appointments for your dental cleanings. We look forward to seeing you at your next appointment!

Caring for Your Invisalign® Aligners

April 17th, 2019

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

  • Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
  • When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
  • Rinse your aligners whenever you remove them during the day.
  • Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our Carlsbad, Mission Viejo, or Laguna Hills team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

  • If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
  • Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
  • Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
  • Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Dr. Lapsi about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

Caring for Your Smile after Invisalign® Treatment

April 10th, 2019

You went through a lot of effort and work to achieve your perfect smile. You wore your Invisalign aligner trays, brushed and flossed diligently, and now your treatment is done! What happens now?

In order to keep your teeth healthy and beautiful, you should keep several practices in play.

Retainers

Although everyone’s needs are different, many patients require a retainer after Invisalign treatment. If a retainer is recommended by Dr. Lapsi, use it as directed. Not wearing retainers could result in shifting teeth and potentially ruin your results.

It’s also recommended that you avoid hard, crunchy foods for the first few weeks as your teeth adjust. For younger patients, retainers are normally worn until the wisdom teeth come in or are extracted.

Brushing and Flossing

It should come as no surprise that flossing should still be done every day to remove plaque, which can develop into tartar or calculus. The build-up can lead to gingivitis and gum disease.

Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm saltwater rinse may relieve discomfort.

Because your teeth have been protected by your Invisalign aligners and are now fully exposed, they may be more sensitive the first few weeks after treatment. If that’s the case, we can recommend a sensitive toothpaste to relieve your discomfort. If your teeth are stained, a professional whitening treatment may be considered.

Regular Dental Checkups

Regular dental exams ensure your teeth stay healthy for life. Professional cleanings, X-rays, and cavity treatment can be addressed by staying on top of your routine checkups.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Carlsbad, Mission Viejo, or Laguna Hills team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Top Ways to Ensure You and Your Braces Have a Good Relationship

April 3rd, 2019

You and your braces will become good friends over the coming months or years, so it’s important to get your relationship off to a good start. Consider the following recommendations to prevent rocky times ahead:

  1. Floss, floss, floss. Yes, it’s a pain to floss around your braces, but it's the best way to prevent gum disease and other oral health problems. Ask Dr. Lapsi and our staff for floss threaders to make the chore easier. Just a few minutes per day will ensure that you don’t face significant dental health issues when the braces come off.
  2. Avoid sticky or hard foods. It’s tough to forgo toffee, caramel, gum, and other favorite sticky treats, but your braces will thank you. Sticky or hard foods can break a bracket or wire, so it’s best to avoid them altogether.
  3. Chew with your back teeth. If you’re used to taking large bites with your front teeth, it might be time to switch your eating habits. Taking a large bite of food with your front teeth can leave your braces vulnerable to damage. Instead, cut large foods into pieces and use your back teeth to chew. This is especially important with corn on the cob, which should always be cut from the cob.
  4. Wear rubber bands and headgear. Rubber bands, headgear, and other orthodontic appliances may seem annoying, but failing to comply with wearing them can increase the length of your treatment by months. Wear them now to avoid problems in the future.

Adults and Braces

March 27th, 2019

Nowadays, many adults are taking advantage of getting straighter teeth with braces. Dr. Lapsi and our team love to help patients create the dazzling, confident smile they’ve always wanted.

Our adult patients usually fall into two categories: some had braces in the past but didn’t wear their retainers, while others are brand-new to wearing braces. Either way, both groups want the same thing: straighter teeth and a beautiful smile!

You will have several options for getting braces, depending on your financial situation and how quickly you would like your treatment to finish. Traditional metal braces are a less-expensive option and can help people who have severely crooked teeth. But many adults may not prefer this option because they dislike the appearance of metal brackets.

If you’re concerned about how you’ll look, we offer clear ceramic braces that aren’t as visible. These are more expensive than metal braces, and patients need to be careful with colored drinks that can stain them, such as coffee or red wine.

Another popular option is a clear aligner treatment called Invisalign®. This type is practically invisible; it uses a series of aligners that are customized to fit your teeth. The process of straightening your teeth can last anywhere from three to 18 months. For people who have extreme bite problems or crowded teeth, a different method may work better.

Don’t hesitate to call our Carlsbad, Mission Viejo, or Laguna Hills office today to set up a consultation. Dr. Lapsi will help you choose the best option so you can be on your way to a straighter, more confident smile!

I have fluoride toothpaste and fluoridated water; do I need a fluoride treatment?

March 20th, 2019

Fluoride is a naturally found ion with a history of greatly reducing the incidence of tooth decay in children. However, over the past decade, people have increasingly consumed bottled water, most of which does not contain fluoride, and children are no longer getting the recommended dosage of fluoride. In addition, many areas do not add the optimum amount of fluoride to the town drinking water.

Everyone’s dental needs are different. The amount of fluoride a person needs is determined by age (children), tooth sensitivity, risk for cavities, and medical conditions. When a patient needs additional fluoride it can be applied in a foam or varnish.

Children receive additional topical fluoride because teeth in the early development stages have a higher mineral uptake. The future strength of the enamel depends on this. When a tooth absorbs the fluoride ion, it creates hydroxyapatite, a harder mineral compound than enamel alone.

Those who have a dry mouth from medication also need extra fluoride. A daily fluoride rinse and a semi-annual fluoride varnish treatment are standard. If you are on medicine for high blood pressure, anxiety, diabetes, depression, or cholesterol, you may fit in this category.

Cancer treatments can also greatly impact your oral health. Fluoride varnish treatments prior to, during, and after radiation and chemotherapy can be beneficial. There are other mouth conditions which coincide with cancer treatments which make it difficult to brush and floss daily, and can contribute to an increased risk for decay. An infection during cancer treatment can be especially harmful, which is why preventive measures are important.

Fluoride treatments, administered topically, are highly beneficial in preventing decay. Feel free to call Excel Dental and Orthodontics to schedule an appointment or if you have any questions.

When should my child be seen for an orthodontic evaluation?

March 13th, 2019

Thanks for asking! It really depends on the dental age of the patient rather than their chronological age. Usually a good time to have your child evaluated by an orthodontist is after the front permanent teeth have erupted into the mouth or if there appears to be extreme crowding of the teeth.

The American Association of Orthodontists recommends that children between the ages of seven and nine should be evaluated by an orthodontist. There are times when an early developmental treatment is indicated to correct situations before they become major problems. In these circumstances the patient will most likely benefit from a second phase of orthodontics when all of their permanent teeth have erupted.

Most full orthodontic treatment begins between ages nine and 14, and lasts from one to three years, with two years being the average. It’s important, however, that children be screened at an early age for Dr. Lapsi and our staff to assess if your child can benefit from orthodontic treatment and when treatment should begin.

We hope this helps, and invite you to give us a call if you have any questions about your child’s treatment at Excel Dental and Orthodontics.

What NOT to Eat after Wisdom Teeth Extraction

March 6th, 2019

Now that you’re having your wisdom teeth removed at our Carlsbad, Mission Viejo, or Laguna Hills office, you’re probably looking forward to spending a few days on the couch with a cool dish of ice cream in hand. Good! Give yourself time to heal, and choose foods that will be soothing and safe for your mouth as you recover. We’ll provide you with detailed instructions on how to take care of yourself immediately after your surgery, and that includes suggesting the best menu options.

But while you’re making your post-wisdom teeth shopping list, there are several kinds of foods and beverages that should be crossed right off. If it’s small, spicy, sticky, or steamy, put it back on the shelf. Spirits? Not this round. Drinks with straws? Absolutely not. Items like these can undermine your healing and recovery.

  • Small and Crunchy

Any small particles, such as seeds or grains, or items like cookies, crackers, nuts, and popcorn which turn into small particles, can wind up lodged in the surgical site where your tooth was removed. These particles can also interfere with the blood clot that forms to protect the socket as it heals. If the clot is dislodged, there is a chance that a painful condition called “dry socket” can develop.

  • Spicy

Spicy and acidic foods can irritate delicate gum tissue. It’s best to wait until your gums are back to normal before uncapping the hot sauce.

  • Sticky

Sticky, crunchy, and chewy foods can be hard on the extraction site, so stick to a soft diet until you have healed. Now is the time to try all the pudding flavors!

  • Steamy

Piping hot foods and drinks can interfere with the protective clot—ask us about the best time to resume your morning coffee.

  • Spirits

Mixing pain medication and alcohol can be dangerous. Talk to Dr. Lapsi about possible interactions. And some studies have suggested that alcohol use slows healing, so even without pain medication, it could be a good idea to wait until you are healed to toast your beautiful smile.

  • Straws

And last, but by no means least, leave the straws in their little paper wrappers! Any kind of suction brings a real risk of dislodging the protective blood clot that has formed at the surgical site. Milkshakes are delicious, but eat them with a spoon. (And please, no cigarettes!)

Follow our suggestions for a soothing, safe diet, and you will be enjoying your regular menu favorites in no time. So rest, relax, eat sensibly, and enjoy that second bowl of ice cream. Doctor’s orders!

How does whitening toothpaste work and how effective it is at whitening teeth?

February 27th, 2019

Brushing your teeth twice a day with fluoride toothpaste that has the American Dental Association seal of approval can help prevent tooth decay and relieve other conditions, such as bad breath, sensitive teeth, and gingivitis.

Beyond these health effects, another motivation for frequently brushing your teeth with high-quality toothpaste is to keep your teeth white. If you want whiter teeth but do not want to undergo in-office or at-home bleaching treatments, you might consider choosing whitening toothpaste for your daily brushing.

Why Consider Whitening Toothpaste

Whiter teeth are more attractive, which can help you feel more confident in your smile. Your smile is also one of the main components of the first impression you make on people in your professional and personal life. Having a whiter smile and greater self-assurance can send the message that you take care of yourself and are confident in your abilities.

How Whitening Toothpaste Works

The American Dental Association explains that all toothpaste has whitening properties because they help remove food particles from your teeth. To carry the American Dental Association seal for whitening, however, toothpaste must contain certain chemicals that help remove stains.

Unlike bleaching products, which contain carbamide peroxide or hydrogen peroxide, whitening toothpaste only cleans the enamel rather than changing the color of your teeth. To obtain the benefits of whitening toothpaste, you need to use it regularly.

The Effectiveness of Whitening Toothpaste Varies

Due to individual variations in the color of your teeth, some people are more likely than others to achieve the desired results with whitening. Teeth that are tinted grayish are unlikely to respond well to bleaching, while brown teeth can sometimes respond, and yellowish teeth are most likely to become pearly white with bleaching.

If Dr. Lapsi and our staff believe that bleaching is not a viable option for you, proper oral hygiene and the use of a whitening toothpaste are your best bets for keeping your teeth as white as possible. In addition, avoid using tobacco products, and rinse your mouth after drinking coffee.

What happens if I have an orthodontic emergency while I'm on vacation?

February 20th, 2019

At Excel Dental and Orthodontics, there are a few things we want to remind you of when you're on vacation, so that a day with friends and family won’t be spent dealing with an orthodontic emergency. Firstly, we are here for you whether you are in town or out of town on vacation. Give us a call and we may be able to address the problem over the phone. Second, if we are unable to help you fix the problem over the phone, we will help you find an orthodontic practice in your vacation area that can help you.

If you experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get them out of pain or discomfort.

If you have braces, whether they are metal, ceramic, or lingual, Dr. Lapsi and our team suggest steering clear of the following foods to avoid broken brackets and/or wire distortion while you are on vacation:

  • Chewy, sticky, or gummy food
  • Apples, pears and other whole fruits (cut fruit into thin wedges before consuming)
  • Bagels and hard rolls
  • Bubble gum
  • Corn on the cob
  • Hard candies
  • Hard cookies
  • Pretzels
  • All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you have clear aligners and you lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation!

Team Dark Chocolate

February 13th, 2019

Valentine’s Day is the holiday to celebrate all the treasured relationships in your life. It’s a time to honor love in all shapes and forms with cards, social gatherings, and sometimes even binge eating of sweets.

It's hard to look the other way when grocery stores and pharmacies are invaded with goodies connected to the Valentine’s Day theme, and especially if you’re on the receiving end of some of these sweets. We get it. In fact, we’re all for it!

However, we also support a cavity-free smile. So in the interest of your dental and general health, and because we think it’s genuinely tasty, Dr. Lapsi recommends an alternative to the Valentine treats you may be accustomed to: dark chocolate. 

Yes, Healthy Chocolate Exists

Studies have shown that dark chocolate is high in flavonoids, an ingredient found in the cocoa beans used to make chocolate. Flavonoids can help protect the body against toxins, reduce blood pressure, and improve blood flow to the heart and brain.

By opting for dark chocolate rather than milk chocolate, you get to reap these benefits! Pretty sweet, right? Just make sure to stick to high-quality dark chocolates that have undergone minimal processing.

Dark Chocolate, AKA Protector of Teeth

Not only does dark chocolate provide some nice benefits for your overall health, it also helps protect your teeth against cavities! According to the Texas A&M Health Science Center, dark chocolate contains high amounts of tannins, another ingredient present in cocoa beans.

Tannins can actually help prevent cavities by interfering with the bacteria that causes them. Think of them as scarecrows for bacteria. They don’t always prevail, but isn’t it nice to have them there?

Smooth Never Sticky

Unlike many popular candies, dark chocolate is less likely to stick in the crevices of your teeth. Chewy, gooey sweets are more likely to hang around in your mouth for longer periods of time, which means they raise the odds of your harboring cavity-creating bacteria.

While some dark chocolates have additives like caramel or marshmallow, it’s best to opt for the plain varieties, which are just as delicious. If you’re feeling festive, though, a dark chocolate with caramel is still better than a milk chocolate with caramel, so that’s the way to go!

While dark chocolate has some pretty sweet benefits, the most important thing to remember (whether you go the dark chocolate route or not), is that moderation is key. That being said, we hope you have fun satisfying your sweet tooth and shopping for treats for your friends and loved ones. Happy Valentine’s Day from all of us at Excel Dental and Orthodontics!

Orthodontic Care on the Go!

February 6th, 2019

Whether you’re heading out for a day with friends or running from classroom to volleyball practice, you don’t always have the luxury of taking care of your braces or aligners in the comfort of your home. But don’t stress! Here are some suggestions for handy items you can take with you to handle most of the dental situations that might come up.

Basic Care Kit

  • Travel Toothbrush—the perfect size for quick cleanings after a meal on the go. You might want to bring a travel size tube of toothpaste as well.
  • Dental Floss, Threader, and Dental Picks—you don’t want something stuck in your teeth or braces through three hours of play rehearsal.
  • Water Bottle—if you don’t have time to brush, a good rinse will help keep teeth and appliances clean.
  • Small Mirror—to make sure your smile is picture perfect after eating.
  • Our office phone number—just in case. If something happens to your braces or aligners, or if you suffer a dental emergency, call our Carlsbad, Mission Viejo, or Laguna Hills office immediately.

For Braces

  • Orthodontic Wax—if one of your brackets is irritating your mouth, you’ll be ready.
  • Braces-Friendly Snacks—soft, healthy foods that will help keep your energy up while keeping your braces intact.

For Aligners or a Retainer

  • Your case! If you need to take your aligners or retainer out, use your case to protect them and keep them from getting lost. You have better things to do after lunch than sifting through a garbage can full of used napkins. Much better things.

All of these items can fit easily in a case or bag in your glove compartment, locker, or backpack. Want more tips? Talk to Dr. Lapsi and our team on your next visit, and let’s work together to make caring for your orthodontic appliances a quick and convenient addition to your busy schedule!

What are the benefits of early orthodontic treatment?

January 30th, 2019

Orthodontic treatment should begin earlier than most parents are apt to assume. According to the American Association of Orthodontists, orthodontic treatment should start at around seven years of age.

Dr. Lapsi can evaluate your child’s existing and incoming teeth early on to determine whether treatment might be necessary or not.

What is early orthodontic treatment?

Early orthodontic treatment usually begins when a child is eight or nine years old. In stage one, bite problems such as underbites and the jaw’s growth pattern are corrected. It can also help to make room in the mouth for the permanent teeth to take their proper places as they come in, which reduces the chance that the patient will require extractions later, due to overcrowding.

Does your child need early orthodontic treatment?

If you notice any of the following characteristics in your son or daughter, you may want to have a chat with Dr. Lapsi.

  • Early loss of baby teeth (before age five)
  • Late loss of baby teeth (after age five or six)
  • Your child’s teeth do not meet properly or at all
  • Your child is a mouth breather
  • Front teeth are crowded (you probably wouldn’t see this until your child is about seven or eight)
  • Protruding teeth, typically in the front
  • Biting or chewing difficulties
  • A speech impediment
  • Your child’s jaw shifts when he or she opens or closes the mouth
  • Your child is older than five years and still sucks a thumb

 

What are the benefits of seeking orthodontic treatment early?

There are many benefits to early orthodontic treatment. One of the biggest is that, because a child’s jaw and bones are soft and pliable, corrective procedures such as braces can work much faster than they do for adults.

Treatment at our Carlsbad, Mission Viejo, or Laguna Hills office can enable your child to avoid lengthy procedures, extraction, or surgery in adulthood. Early orthodontic care will give your son or daughter a healthy, stable smile.

Top Five Ways to Improve Heart Health

January 23rd, 2019

While there is no definite evidence that if your prevent gum diseases, like periodontitis, that you may be able to prevent a heart condition or heart disease. The only thing experts, like Dr. Lapsi, know for sure is that if you take care of your gums it can lessen atherosclerosis, (build-up of artery clogging plaque) that may result in a heart attack or stroke.

Could periodontal disease cause heart attacks?

Regardless of your oral health, if you're at a high risk for heart disease, you need to take action.

  • Maintain a healthy weight or lose weight.
  • Consume healthy foods and beverages.
  • Exercise several days the week. Walking is a powerful and lightweight exercise and will clear your head while helping your body get or stay healthy.
  • Control any medical conditions you may have such as high cholesterol, diabetes, or high blood pressure.
  • Reduce your stress. Have lunch with a friend, go for a walk in the park, take a bubble bath, mediate, or do whatever you find relaxing.
  • Get a social life. Laughing reduces stress and “feel good” hormones. Everyone needs to feel like they are a part of something: join a book club or any activity where you can interact with other people at least once or twice a week
  • Be sure to get enough sleep. The recommended amount is eight to nine hours a night. It has been proven that a lack of sleep increases your risk for angina, strokes, and heart attacks.
  • Practice good oral hygiene to keep bacteria in check and your mouth healthy.

Contact our Carlsbad, Mission Viejo, or Laguna Hills office if you have questions about your heart and oral health. If you take practice good oral hygiene, both your mouth and your heart will thank you.

Three Signs You May Have Gingivitis

January 16th, 2019

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Dr. Lapsi to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Dr. Lapsi can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Dr. Lapsi to keep it in check. Contact our Carlsbad, Mission Viejo, or Laguna Hills office to schedule an exam today!

Electric Toothbrushes vs. Regular Toothbrushes

January 9th, 2019

Convertible or sedan? Downtown or suburbs? Electric or manual toothbrush? As life decisions go, it’s certainly not choosing your next car, or deciding where you want to live. But, even when you are selecting a toothbrush, it helps to make a list of the pros and cons of the contenders before you make that final selection.

  • Efficiency

The most important factor in choosing a toothbrush is finding out which model works best to eliminate bacteria and plaque. And studies have shown that, used properly, both electric and manual toothbrushes do a great job of removing plaque. Some electric models can reach the backs of teeth and the gumline more easily, some manual head designs work better for your individual mouth and teeth, so your particular needs should dictate which style of toothbrush you use. Talk to us about the best methods to brush with your preferred toothbrush, and we’ll let you know if one type of toothbrush or the other might work better for you.

  • Health Considerations

Brushing too energetically can actually harm teeth and gums, causing sensitivity and damage to the enamel and gum tissue. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums.

An electric toothbrush can also be more efficient for older and younger brushers, those with limited mobility, and those with health conditions or injuries that make brushing with a regular toothbrush more difficult.

  • Cost

An electric toothbrush is not a one-time investment. You should change the removable head as often as you change your manual toothbrush (every three to four months, please). But this cost is offset if an electric toothbrush is more efficient in removing your plaque, easier to use, or even if you just prefer it to manual brushing. If you find that you brush better and more often with an electric toothbrush, the added expense is well worth it.

Whichever brush you decide on, the most important part of the brush is the person holding it! A regular appointment with your toothbrush for two minutes of thorough brushing in the morning and two in the evening, daily flossing, and regular visits to our office for checkups and cleanings will keep your teeth healthy and strong no matter which toothbrush you choose.

Questions about your toothbrush choices? Don’t hesitate to ask Dr. Lapsi at our Carlsbad, Mission Viejo, or Laguna Hills office.

Tooth Protection and Winter Sports

January 2nd, 2019

Just because it’s cold out there doesn’t mean you’ll give up keeping fit and active! Winter is the season for some of our favorite team sporting activities, and when you’re donning your protective gear, don’t forget to protect your teeth as well.

  • Basketball

This sport actually tallies one of the highest counts of dental injuries. Running, jumping, and diving for the ball on an unforgiving court can lead to tooth and jaw injuries.  And for every ten men on the floor, it seems like there at least 50 flailing elbows in the paint.

  • Hockey

Notorious for the toll it takes on teeth, hockey is a game of sticks, ice, and whizzing pucks. And when your sport’s penalties include the terms hooking, slashing, and tripping, the more protection, the better.

  • Skiing

When you are flying down the slopes, combining powdery snow and speed, mouth protection is a good idea. This also applies to snowboarding and other snow sports.

  • Wrestling

Grappling and pinning in close quarters can lead to unintended injuries after accidental contact with the mat or your opponent.

Different uniforms, different equipment, and different playing fields, but all these sports have one thing in common—the easiest way to protect your teeth while playing them is with a mouth guard.

Mouthguards generally come in three forms:

  • Over the counter, ready-made appliances. These are available in drugstores and sporting goods stores, but might not be a comfortable fit as they are pre-formed sizes.
  • The “boil-and-bite” option is a mouthguard form placed in hot water. You then bite down to shape it to your mouth and teeth.
  • Custom mouthguards can be fabricated just for you through our Carlsbad, Mission Viejo, or Laguna Hills office. These appliances are designed to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, you definitely need a custom mouthguard to prevent an injury to your mouth or braces caused by an ill-fitting appliance.

Whether you play on a team or pursue individual athletic activities, keeping safe as you keep fit is your first priority. We would be happy to discuss your mouthguard options for any sport, any time of year.

Things You Probably Didn’t Know About New Year's Eve

December 26th, 2018

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Lapsi and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Carlsbad, Mission Viejo, or Laguna Hills or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

I drink a lot of coffee. Could it be hurting my smile?

December 19th, 2018

At Excel Dental and Orthodontics, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

    • Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
    • Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
    • Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
    • Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Dr. Lapsi and our team also invite you to visit our convenient Carlsbad, Mission Viejo, or Laguna Hills office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at Excel Dental and Orthodontics, please give us a call!

Is a Crown Necessary for My Child’s Baby Tooth?

December 12th, 2018

Part of the charm of your child’s smile is those delicate, diminutive baby teeth. We enjoy those smiles while we can, because soon enough, primary teeth make way for the adult teeth that will last your child a lifetime. So you might be surprised if Dr. Lapsi and our team recommend a crown for your child’s baby tooth. Is this procedure necessary when the tooth is going to fall out eventually anyway?

Yes, it really is. If a primary tooth is lost before its normal lifespan, several problems can arise.

  • Biting and chewing—a full set of baby teeth is best for proper chewing and digestion. And chewing also helps develop face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to replace it. If a primary tooth is lost too early, teeth may drift from their correct location and cause overcrowding or misalignment.

When is a Crown Necessary?

The enamel in a baby tooth is thinner than the enamel found in adult teeth, and a cavity can spread quickly throughout a tooth. Within a short period, the tooth’s structure might be too weak for a regular filling. Sometimes the pulp inside the tooth becomes injured or infected and an endodontic treatment is necessary to remove pulp tissue from inside the tooth. The interior will be filled, but the delicate enamel surrounding it will be fragile. Or an accident can leave a tooth fractured or broken, but still vital.

In each of these cases, a crown will protect the tooth from further decay or damage, and will allow the tooth to function normally until an adult tooth is ready to replace it.

What Types of Crowns are Available?

By far the most common choice for a primary tooth is a stainless steel crown. These crowns are prefabricated and can be fitted snugly to your child’s individual tooth. They are easy to place, less expensive than other crown alternatives, and will last until the tooth is ready to fall out in its proper time. If your child suffers from a metal allergy, or a more natural looking crown is necessary, talk to us about other possible options during your appointment at our Carlsbad, Mission Viejo, or Laguna Hills office.

Sure, preserving a baby tooth that was never designed to be permanent seems contradictory. But saving a tooth that helps your child develop proper eating habits, speech production, and correct adult tooth alignment? Those are benefits that will last a lifetime.

Mouthguard Q&A

December 5th, 2018

Today, Dr. Lapsi and our team at Excel Dental and Orthodontics thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Dr. Lapsi can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Dr. Lapsi and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Carlsbad, Mission Viejo, or Laguna Hills office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

Suffer from Dental Anxiety? Not a Problem.

November 28th, 2018

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Excel Dental and Orthodontics, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Carlsbad, Mission Viejo, or Laguna Hills office!

How Braces Can Work at Any Age

November 21st, 2018

Are you an adult who is considering getting braces? Perhaps you’ve had them before, but over the years that dental work has been reversed. Or maybe you’ve never had any orthodontic work done, but are considering braces for the first time. In either case, Excel Dental and Orthodontics can help you enjoy straighter teeth, an improved bite, and a more beautiful smile. If you are considering getting braces, here is what you need to know about adult orthodontic work from Dr. Lapsi.

Can braces work for adults?

Absolutely! Braces work for just about anyone. However, there are several different types of braces, and not all of them may work for you. Different types of orthodontic treatments include:

  • Ceramic braces
  • Metal braces
  • Self-ligating brackets
  • Lingual brackets (braces behind the teeth)
  • Invisible braces
  • Rubber bands for bite correction
  • Headgear and other appliances

By scheduling a consultation, we can determine which treatment or combination of treatments would be best for your specific needs.

How do I get started?

Getting braces can be a little bit daunting. At first glance, the process may appear expensive and time-consuming. However, if you take it step by step, getting braces can be a simple and relatively pain-free experience. Here are the first steps you need to take to get on the road to straight teeth:

First, you need information. If you are nervous about getting braces, or are having trouble getting started, learning more about the process can help ease your mind. Here are a few sample questions to ask:

  • What kind of braces do you recommend for my teeth?
  • How long will the treatment take?
  • How often will I need to come in for adjustments?
  • What is the total cost of the treatment? Do you accept insurance? Will you require the full amount up front, or do you have payment plans?

Asking these types of questions will help you understand what to expect during the entire process, which can aid your decision on the proper course of action.

The next step is to complete any prerequisite treatment. During your first meeting with Dr. Lapsi, we’ll need to take some X-rays and molds of your teeth, and then help you determine an appropriate treatment plan. Recommendations may include some preliminary dental work before you get your braces, which can be an important step in making sure your orthodontic treatments are effective.

Once you have completed these steps, you are ready to get started! After you’ve chosen a treatment plan and undergone any necessary prerequisite dental work, you’ll be able to get your braces. Just like that, you’re on your way to a better smile! If you’d like to get started right away, call our Carlsbad, Mission Viejo, or Laguna Hills location today!

Brushing with Braces: How to Keep a Clean Mouth

November 14th, 2018

A clean mouth is a happy mouth. And when Dr. Lapsi and our staff see you have a clean mouth, we are happy too. Of course, all of this should make you happy because you’re the one preventing sneaky little food bits from getting trapped under the wires of your braces.

Still, you need to be thorough with your brushing. When you have braces, you’re playing a game of hide-and-go-seek with everything you eat. Here are five tips to keep your mouth (and us) happy.

  1. How is brushing with braces like geometry? It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down. Brush the bottom of your teeth with the brush angled up. Pointy brushes, aka interproximal brushes, are good for reaching the tiny spots around braces.
  2. Brush after every meal. If those sneaky little food bits hide in your mouth for very long, they’ll turn into plaque. And plaque is a sign of a very unhappy mouth.
  3. Brush one tooth at a time for at least ten seconds, and pay close attention to the spots where your braces touch your teeth.
  4. Fluoride is your new BFF. Make sure your toothpaste and mouthwash contain this cavity-fighting ingredient.
  5. Braces are no excuse not to floss. In fact, saying you can’t floss because you have braces is like saying the dog ate your homework. Dr. Lapsi and our staff, like your geometry teacher, aren’t going to buy it. Be sure to floss after every meal.

You broke your tooth; now what?

November 7th, 2018

You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a broken tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Dr. Lapsi after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. A minor chip or tiny fracture line may easily be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Excel Dental and Orthodontics will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We specialize in emergency dental care and are available to serve you 24 hours a day, seven days a week.

How does wisdom tooth removal affect orthodontic care?

October 31st, 2018

The purpose of braces and other forms of orthodontic treatment at Excel Dental and Orthodontics is to correct malocclusion, also known as crooked or crowded teeth, or “bad bites.” Past orthodontic practice dictated that wisdom teeth be removed, especially in cases of crowding.

The wisdom teeth are the last teeth to come in, and are officially known as the third molars. The teeth typically erupt, or break the surface of the skin, in young people between the ages of 13 and 20.

Sometimes, wisdom teeth are impacted. That means they cannot break through the gum tissue. This typically happens when the mouth or jaw is too small to accommodate the teeth. Impacted wisdom teeth can become infected, and some dentists and orthodontists may want to remove them as prophylaxis to prevent possible future infection.

Justification for removing wisdom teeth

Dr. Lapsi will tell you that in some cases, wisdom teeth attempt to come in the wrong way, either tilting in the jaw, or sideways. If the mouth is too small to accommodate these additional teeth, they inevitably become impacted. Swelling or infection of the gum flap above an impacted wisdom tooth may cause pain. The greatest danger is pericoronitis, a potentially dangerous infection that can occur in the gum area around an impacted wisdom tooth, or around a wisdom tooth that has erupted.

Orthodontists base their decision to remove wisdom teeth on each patient's individual circumstances. To learn more about the impact wisdom teeth have on orthodontic treatment, or to schedule a visit with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Five Tips in Caring for Your Braces During Orthodontic Treatment

October 24th, 2018

After getting your braces, it is important to know how to take care of your teeth in order to ensure that your braces stay intact and do their job so that your teeth are in top-notch condition after you complete your orthodontic treatment. Today, our team at Excel Dental and Orthodontics thought we would provide you with five tips you need to know to ensure you undergo successful treatment at our Carlsbad, Mission Viejo, or Laguna Hills office.

Flossing
Flossing twice a day or after every meal can help you clean areas between teeth and other places a toothbrush can miss. We also recommend using a floss threader, which can be used to help you navigate safely around your braces and brackets. It is vital to floss twice a day, preferably after lunch and before bedtime to keep gum disease and tooth decay at bay.

Brushing
Teeth and appliances should be brushed after every meal and before bedtime using fluoride toothpaste and gentle, soft strokes. We recommend using an interdental toothbrush, which can help you clean the hard-to-reach areas under wires better than an ordinary toothbrush.

Using Elastics
This phase of orthodontic treatment requires cooperation and consistency on your part. If your orthodontist has prescribed elastics, make sure they are worn at all times, except when eating meals or brushing teeth. It’s important that you wear the correct size elastics and have extras in case they are misplaced. By failing to wear your elastics for even one day, you run the risk your teeth moving back toward their original position.

Addressing Damage to Your Braces
In case your appliances are damaged, we ask that you call our team at Excel Dental and Orthodontics immediately to set up an appointment.

Eat Friendly Foods
When undergoing treatment, there are certain foods you must avoid. Foods that are hard, sticky, chewy or sour can add months to your treatment time. These includes gum, caramels, taco shells, nuts, ice, chips or hard candies.

We hope that helps! If you have any questions, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office or ask us during your next adjustment appointment!

The Importance of Orthodontic Treatment at a Young Age

October 17th, 2018

When you think of orthodontic treatment, you may automatically assume that it only relates to older children and teens with alignment and spacing issues. But this isn’t the case: Orthodontic treatment at Excel Dental and Orthodontics offers many benefits when applied at a young age.

By considering orthodontic treatment at a younger age, Dr. Lapsi and our staff are able to identify your child’s alignment issues early on, and are able to intervene in order to provide treatment as the teeth begin to develop. It is important to start dental care early, not only for proper dental health and the cosmetic benefits, but to improve a child’s overall health as well.

The Benefits of Straighter Teeth

Besides the cosmetic benefits, there are multiple advantages to starting orthodontic treatment at a young age:

  • It can reduce the extent of orthodontic treatment needed later.
  • With early treatment, the pediatric dentist helps guide the teeth into their right position to prevent the removal of teeth and improve an overbite, underbite, or crossbite.
  • Straighter teeth are easier to clean and better for preventing tooth decay.
  • As a benefit to you, the parent, your child’s orthodontic expenses will be much lower with early treatment.
  • Lastly, much early treatment is covered by dental insurance.

Stages of Orthodontic Treatment

Multiple stages are included in early orthodontic treatment, with three stages in all:

The first stage is early treatment that starts around age two or three, and continues until the child is around six years old. This stage deals with preventive measures, such as avoiding bad habits that lead to crooked teeth and creating a plan for the future based on how the teeth are growing in.

During stage two, when the child is six to 12 years old, the first permanent teeth erupt and the dentist looks at possible early treatment for misalignment or bite issues.

Finally, stage three occurs during adolescence to correct any further problems with permanent teeth.

Dr. Lapsi and our staff are able to see how the teeth first erupt and know right away whether or not your child will need to have braces later on. Early treatment means fewer procedures, cleaner teeth, and less expense.

What is early intervention?

October 10th, 2018

Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. Lapsi and our team at Excel Dental and Orthodontics recommend children have their first orthodontic evaluation no later than age seven, or younger if the front four permanent teeth have replaced the baby teeth. Early treatment, also known as interceptive treatment or Phase I treatment, provides both timely detection of problems and greater opportunity for more effective treatment. Early intervention guides growth and development, preventing serious problems later.

If your child is showing these signs, it may be time to think about early orthodontic treatment:

  • Early or late loss of baby teeth (your child should typically start losing teeth around age five or six, and will have all their permanent teeth in around age 12 to 13)
  • Difficulty chewing and/or biting
  • Mouth breathing
  • Sucking his or her thumb
  • Speech impediment
  • Protruding teeth (the top teeth and the bottom teeth extend away from each other)
  • Crowded front teeth
  • Teeth that don't come together in a normal manner or even at all

Early intervention will greatly reduce the severity of your child’s case, and therefore reduce the length of treatment time and cost for a second phase of treatment when all of his or her permanent teeth have erupted. An evaluation at our Carlsbad, Mission Viejo, or Laguna Hills office will determine if your child’s dental and skeletal growth is proceeding properly or if interceptive treatment is needed. Many times, a more severe problem can be corrected using sophisticated removable appliances instead of traditional orthodontic treatment.

To schedule a consultation for your child to visit with Dr. Lapsi, please give us a call! We will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.

What is expected of me during my orthodontic treatment?

October 3rd, 2018

We hear this question a lot at Excel Dental and Orthodontics, and we don’t mind when patients who are eager to complete their orthodontic treatment ask us. After all, we know there is no better feeling than getting your braces off!

During your initial consultation with Dr. Lapsi, we will map out a specific treatment for you and will try our hardest to give you a timeline of when we expect you to wrap up treatment.

Having said that, we know every patient is different. People have different biological responses to orthodontic treatment and some people’s teeth may move faster than others.

Luckily, there are things you can do to ensure your treatment wraps up in a timely manner. By following these suggestions, you can avoid any setbacks during your treatment.

  • Make sure to keep your adjustment appointments. Postponing or cancelling will delay treatment!
  • Be sure to show up on time to your appointments. This will give Dr. Lapsi and our team time to do everything we planned during your adjustment visit.
  • When prescribed, make sure you are diligent about wearing rubber bands or other appliances.
  • Avoid damage to your braces and teeth by wearing a mouth guard during sports activities.
  • Make sure to brush and floss regularly! Gum disease or other dental work can delay orthodontic treatment.

If you remember to follow these guidelines, you’ll be on your way to having the dazzling, healthy smile you’ve always wanted. As for us, our team at Excel Dental and Orthodontics will do our part to move your orthodontic treatment along efficiently. If you have any questions about your treatment time, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office or ask us during your next visit!

Is there really a link between my mouth and heart?

September 26th, 2018

Yes, indeed! While brushing, flossing, and regular visits to Excel Dental and Orthodontics are all key to maintaining a healthy smile and mouth, Dr. Lapsi and our team want you to know the state of your oral health has a significant effect on your overall health.

Our mouths are full of bacteria—some good, and some harmful. Some types of bad bacteria can cause cavities, gingivitis and even periodontal (gum) disease. Without proper oral care and hygiene, these harmful types of bacteria are capable of entering your blood stream through inflamed gums, when inhaled through the mouth or through saliva.

Gum disease, in turn, has been linked to a number of health problems, researchers have found. These include:

  • Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
  • Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries.
  • Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
  • Premature birth: Women who suffer from gum disease during pregnancy may be more likely deliver their baby early, and it is likely her infant may be of low birth weight.

Dr. Lapsi and our team at Excel Dental and Orthodontics are experts in identifying and treating periodontal disease. Give us a call today at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment to improve your oral health and your overall health, too!

How does a tooth decay?

September 19th, 2018

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Carlsbad, Mission Viejo, or Laguna Hills office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Excel Dental and Orthodontics immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Lapsi, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

What role do elastics (rubber bands) play in orthodontics?

September 12th, 2018

Wearing orthodontic braces may be the best choice for correcting your teeth and improving your smile, and that's why you've come to see Dr. Lapsi at Excel Dental and Orthodontics. Braces, which consist of brackets and wires, work by gently applying pressure to the teeth, and that pressure causes them to move into the correct position. In some cases elastics, or rubber bands, are used to apply additional pressure needed to move your teeth.

The Purpose of Elastics

Customized for each patient, the rubber bands typically stretch over tiny loops on the top and bottom brackets. If worn consistently, and every day, these tiny elastics will apply the steady pressure needed to guide your teeth into the correct position.

These elastics are crafted from medical-grade latex, which is safe to be in contact with your mouth. It's common to remove the elastics during meals if opening your mouth wide enough to eat is difficult. Our staff will demonstrate how to affix the elastics so it will soon become second nature to replace them.

The Do’s and the Don'ts

DO - Get in the habit of carrying around extra rubber bands and replace them as soon as one breaks. By consistently wearing the elastics, you may shorten the overall time needed to wear braces.

DON'T - Double up on elastics as this will cause too much pressure on the tooth or teeth and can actually harm the root of the tooth.

DO - Always wash your hands before removing or replacing the rubber bands.

DON'T - Overstretch the rubber band or it will lose its strength and it will be ineffective.

DO - Call us if you run out of rubber bands.

DO - Have fun with your braces and elastics. There are many different colors available that can let you show off your soon-to-be perfect smile.

Rubber bands are a key part of your orthodontic treatment, and learning how to remove and replace them is an important part to maintaining your braces. Before we set you on your journey to a perfect smile, we'll make sure you understand all there is to know about how to take care of your braces. Of course, if you have any questions about your orthodontic treatment, or orthodontics in general, be sure to contact our Carlsbad, Mission Viejo, or Laguna Hills office, and our staff will be happy to assist you!

Some Benefits to Giving Your Smile an Extra Boost

September 5th, 2018

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Dr. Lapsi and our team at Excel Dental and Orthodontics know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

  • Personal and work-related relationships
  • Job interviews and meetings
  • Success when dealing with customers and potential clients
  • Your personality and general happiness with your age
  • Overall outlook on daily interactions

A Real Effect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.

Diabetes and Dental Care

August 29th, 2018

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Dr. Lapsi and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

  • Cavities
  • Tooth decay
  • Gingivitis (early gum disease)
  • Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

  1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
  2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
  3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Excel Dental and Orthodontics is able to detect early dental conditions before they develop into something more serious and costly.
  4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
  5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Invisalign® and Invisalign Teen®

August 22nd, 2018

There are so many adults and teens in our Carlsbad, Mission Viejo, or Laguna Hills office who would love to have their teeth straightened but that are unwilling to go through the long and unsightly process of traditional metal braces. Well, that's where Invisalign® and Invisalign Teen® come to the rescue; the most advanced clear aligner systems in the world!

There are several reasons why, if you're considering getting braces, you should consider Invisalign too. Here are some of them:

  • You can eat whatever food you'd like, without worrying about it getting caught in wires or breaking brackets.
  • Most people won't even know you're wearing them!
  • If you need to, you can remove your aligners at any time.
  • The removable aligners let you brush and floss as you normally would, making for better overall oral health.
  • Since they are made of a smooth BPA-free plastic, Invisalign aligners are simply more comfortable to wear than traditional braces. No metal means no more roughed up gums or irritated tongue!
  • You'll need to visit our Carlsbad, Mission Viejo, or Laguna Hills office less often — only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before you get started with treatment, you’ll have a consultation with Dr. Lapsi to see if Invisalign or Invisalign Teen is right for you. If your case is a good fit, then you’ll have X-rays, pictures, and impressions of your teeth taken. That information will be used to make the 3D models of your teeth that let Dr. Lapsi see how they will move throughout the entire treatment and approximately how long it will take.

After that, you’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. Then all you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter healthier smile. Don’t hesitate to a member of our Carlsbad, Mission Viejo, or Laguna Hills team for more information about Invisalign!

Helpful Hygiene Tips for Patients Who Wear Braces

August 15th, 2018

Today, Dr. Lapsi and our team thought we would offer a few tips for our patients currently undergoing orthodontic treatment. For those of you wearing braces, it’s important to be even more dedicated to good oral hygiene than those not currently in treatment.

After getting your braces, it is important to know how to take care of your teeth in order to ensure that your braces stay intact and do their job so that your teeth are in top-notch condition after you complete your orthodontic treatment.

Braces are known to trap food, which contributes to plaque formation. If it is not carefully removed from the teeth and gums, plaque will develop into decay or gum disease, leading to costly delays during your treatment. It is important to practice good oral hygiene by following instructions from Dr. Lapsi during your treatment.

We are proud to offer supplies to help fight plaque, such as a proxabrush, dental floss, and floss threaders. The use of an electric toothbrush and or a water pick can also be helpful in combating cavities and decay. And, of course, our team at Excel Dental and Orthodontics suggests brushing at least twice a day.

We hope that helps! If you have any questions, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office or ask us during your next adjustment appointment!

Improve Your Overall Health with Regular Cleanings

August 8th, 2018

It’s common knowledge that you should get your teeth cleaned every six months. But do you know why that timing is crucial? Studies have shown that your oral health connects directly to the rest of your body. Over time, an unhealthy mouth can cause trouble in other parts of your general system.

Undergoing a regular cleaning every six months at our Carlsbad, Mission Viejo, or Laguna Hills office is vital. During your dental checkups, we remove plaque that collects on your teeth and around your gums. If the plaque gets left in place for an extended period, inflammation can develop and may lead to painful gum diseases such as gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for health conditions such as heart disease, stroke, diabetes, inflammation, and osteoporosis. Bacteria from your mouth can spread throughout the rest of your body. So a healthy mouth leads to a healthy body.

Regular checkups can prevent issues from arising in your mouth if problems are caught early by Dr. Lapsi. If you have been avoiding the dentist, you could be making issues worse for yourself in the long haul. Generally, a dentist will go over a few routine matters during your checkup. They might include taking X-rays, checking for gum disease and tooth decay, examining your bite, inspecting your head and neck for swelling, and of course performing a thorough cleaning of your teeth and gums to remove built-up plaque and tartar. All of these routine practices are worthwhile when it comes to keeping your oral health in top shape.

Now that you know the importance of getting your teeth checked every six months, you should be sure to schedule your next appointment with Excel Dental and Orthodontics at our Carlsbad, Mission Viejo, or Laguna Hills location. Keeping your mouth healthy will prevent any form of bacteria from spreading to the rest of your body. If you have any questions or concerns regarding your oral health, don’t hesitate to call and our staff will be happy to assist you.

The Five Most Common Reasons for Emergency Visits

August 1st, 2018

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

  1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
  2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
  3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
  4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
  5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, Dr. Lapsi and our team are here to assist you with any and all dental emergencies. Don’t wait; give our Carlsbad, Mission Viejo, or Laguna Hills office a call!

Top Things to do BEFORE You Get Braces

July 25th, 2018

So you’re about to get braces. Congratulations! You are taking a very smart step to improve the health of your teeth as well as get that killer smile in shape. But, as with anything that is good for you, there are a few things you will have to avoid while you “do your time.”

Some foods don’t do so great with braces. The foods listed below should be avoided while you are wearing your braces because they can pop the brackets and bend the wires. In other words, these foods can really ruin your day, and send you back to Excel Dental and Orthodontics to get your braces repaired.

So before you hit the chair, hit the grocery and candy store – one last time – for:

  • Beef jerky
  • Raw carrots
  • Taffy
  • Pizza crust
  • Bagels and other crusty bread
  • Popcorn
  • Hard candy
  • Nuts and seeds

Dr. Lapsi and our staff will give you more information about eating with braces. Some foods, such as apples, are okay as long as you cut them in pieces first. Others, like pudding and pasta, are fine just as they are. But then there is “the list”: the foods that are a big no-no and should be avoided. It won’t be forever, so hang in there.

Your braces time will pass before you know it and you can resume more normal eating. But before the braces go on, enjoy these tasty treats. Go ahead and indulge!

What causes crooked teeth?

July 18th, 2018

Crooked teeth, more correctly called malocclusions, have reached epidemic proportions in the late 20th and early 21st centuries. According to the American Association of Orthodontists, approximately 80 percent of American teenagers are currently undergoing orthodontic treatment. Although advances in orthodontic devices and increased availability of such devices explain part of this increase, it still means there are a lot of crooked teeth in the world.

The theories about what is causing so many crooked teeth range from the ridiculous to the scientific. For years, oral health professionals believed that crooked teeth were an evolutionary result of the change in Western diets from raw, wild foods to soft, processed foods. That theory has since been debunked.

The truth is that crooked teeth can be caused by a number of things. Crooked teeth can be an inherited trait. Parents with crooked teeth and malformed jaws are more likely to have children with malocclusions. Ill-fitting or poorly-executed dental restorations, such as fillings and crowns, can also cause teeth to become crooked. Baby teeth that fall out early, gingivitis, and even a jaw that is too small to accommodate all of a person’s adult teeth are additional causes of crooked teeth. In addition, thumb sucking and the use of a pacifier for too long can contribute to crooked teeth.

What to do about crooked teeth

Fortunately, modern orthodontics offers a number of solutions for crooked teeth. Traditional metal braces are the most popular, though our Carlsbad, Mission Viejo, or Laguna Hills office provides a number of clear, aesthetic options as well. If you’re tired of hiding your smile because of crooked teeth, contact Dr. Lapsi and our team at Excel Dental and Orthodontics and set up an appointment. We’ll have you showing off your straight pearly whites in no time!

Headaches, TMJ, and Dentistry

July 11th, 2018

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

  • Recurring headaches with no other cause
  • Pain along and behind your ears
  • Pain in your cheeks or lower face
  • Clicking noises when you talk or chew
  • Tired or sore jaw muscles after eating
  • Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

  • Relaxation and stress reduction techniques
  • Pain reduction recommendations, which might involve visualization or medication
  • Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Carlsbad, Mission Viejo, or Laguna Hills office to learn how we can reduce your pain and restore comfort to your life.

Don’t let a dental emergency ruin your summer vacation!

July 4th, 2018

For many of our patients at Excel Dental and Orthodontics, summer means a season of relaxation, vacation, and outdoor fun and activities. While you can’t take a vacation from dental emergencies, you can always be prepared for anything that can happen. Today, Dr. Lapsi and our team thought we would give our patients a few tips on handling a dental emergency when you’re far from home (and our office).

Throbbing Toothache – Try brushing and flossing to ease the pain; the issue could be simply that a piece of food is nestled in an uncomfortable spot between your teeth. If that is the case, try to gently remove the object with dental floss. If it still hurts, stick to soft foods, try an over-the-counter pain reliever, or dip a cotton ball in clove oil and insert it on the affected area until you can get to a local dentist.

Bitten Lip or Tongue – Clean the area gently with a cloth and apply cold compresses to reduce swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

Lost Filling or Crown – Dental wax will work to keep the sharp edges of your tooth from bothering you. If you can, save the crown or filling, and if you happen to have denture adhesive handy, you can use it to temporarily reattach the crown until you can get to a local dentist.

Broken Tooth – Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to a local dentist as quickly as possible.

Broken Jaw – Apply cold compresses to control swelling. Visit a hospital emergency room as soon as possible.

If you have a dental emergency after regular office hours and you happen to be in town, please give us a call. If you are calling us after hours, please follow the emergency prompts to contact Dr. Lapsi.

Oral Health during Pregnancy

June 27th, 2018

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Dr. Lapsi at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Dr. Lapsi at our Carlsbad, Mission Viejo, or Laguna Hills office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

What causes tooth loss?

June 20th, 2018

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Excel Dental and Orthodontics.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Dr. Lapsi and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Dr. Lapsi every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Dr. Lapsi at our Carlsbad, Mission Viejo, or Laguna Hills office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

Solutions for Dry Mouth (Xerostomia)

June 13th, 2018

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Lapsi and our team at Excel Dental and Orthodontics will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Dr. Lapsi will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Getting Ready for Summer Sports

June 6th, 2018

With the warmer and longer days here, we know many of our patients at Excel Dental and Orthodontics will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Excel Dental and Orthodontics before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office! Have fun!

Canker sores, cold sores, and mouth sores: What's the difference?

May 30th, 2018

At Excel Dental and Orthodontics, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Lapsi may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Lapsi if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Carlsbad, Mission Viejo, or Laguna Hills office.

How do I know if my gums are receding?

May 23rd, 2018

Gum recession, a common result of gum disease, occurs when the gum tissue that surrounds the teeth wears away or pulls back, forming pockets between the gumline and exposing more of the tooth. Gum recession occurs gradually, so you might not know that you have it. Left untreated, gum recession can result in tooth loss. In addition, there are several studies that suggest that gum disease is associated with modest increases in coronary heart disease. Here are five ways to know if your gums are receding.

1. Healthy gums are firm, light pink, and very elastic. If your gums don’t fit that description, then it’s time to visit our Carlsbad, Mission Viejo, or Laguna Hills office. Red, swollen gums are a common symptom of gum disease, and may lead to gum recession.

2. Do your gums bleed easily when you brush or floss? If you have gum recession, even if you brush gently and with toothpaste specifically designed for sensitivity, it may still result in bleeding.

3. When you look in the mirror, do you see more of a tooth than you used to? This is one of the easiest ways to tell if you have gum recession. When gums recede, more of the tooth is visibly exposed. Look for lines or notches along the bottom of the teeth, as this typically indicates areas where the gums have receded.

4. One of the first signs of gum recession is tooth sensitivity. Does it hurt when you bite down or chew? The more gums recede, the more painful it is going to be. However, before you experience tooth sensitivity or pain, you may notice awkwardness when you bit down. When gum recession occurs, teeth can shift slightly, making it feel as if they are not properly aligned.

5. Loose teeth are a symptom of advanced gum recession and periodontal disease. In other words, the supporting bone structure of the teeth has already begun to deteriorate. If left untreated, it will result in tooth loss.

From deep cleaning (scaling) to gingival tissue grafting surgery, there are several ways to combat gum recession and periodontal disease. How gum recession is treated depends on how far advanced it is. Talk to Dr. Lapsi about what options are best for you.

How do braces move my teeth?

May 16th, 2018

Great question! Tooth movement is your body’s natural response to light pressure applied by braces over a period of time (usually two years). Braces work by using brackets that are glued onto your teeth; these brackets have small slots, and that is where Dr. Lapsi and our team insert orthodontic wires. These wires are held in place by small elastic ties that fit around the brackets. As time passes during your treatment, these wires apply pressure on your teeth, which sets in motion the movement of your teeth into their desired positions. Each of your teeth has a different size and shape to them, as do the brackets. Each bracket is custom-made for the particular tooth on which it’s supposed to fit.

Not long ago, orthodontists had stainless steel wires and that was about it. Today, however, we have a number of different high-tech wires at our disposal to move your teeth faster and more comfortably.

When you first get your braces on, the first wire or two will typically be very flexible, but still strong enough to apply a constant force on your teeth. As your teeth straighten out over time, however, Dr. Lapsi will use progressively thicker and firmer wires to help move your teeth in place for an ideal bite.

Every time you visit our office for an adjustment, we will swap out the wires in order to keep putting pressure on your teeth, which is why it’s so important for you to keep your adjustment visits during your treatment. Most adjustment appointments are scheduled four to eight weeks apart to give your teeth time to move.

As for rubber bands and elastics, most of our patients will need to wear elastics or rubber bands at some point during their treatments. These elastics typically go from one or more of the upper braces to one or more of the lower braces, and pull on your teeth to move them in the direction they need to move in order to achieve an optimal bite.

If you have any questions about wires, brackets, or elastics, or have any general questions about your treatment, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office.

Pregnancy and Oral Care

May 9th, 2018

Pregnancy involves a lot of alterations in your health. Excel Dental and Orthodontics is here to help you understand the oral health aspects of your pregnancy.

As you may already know, your body becomes more susceptible to bacterial complications. In terms of oral health, you may be at a higher risk for gingivitis and periodontal disease during the course of your pregnancy.

The hormonal changes in your body can create a more welcoming environment for gum infections, including gingivitis. Although you may continue to brush and floss on a regular basis, and maintain your schedule of cleaning appointments, you are still prone to an increased risk of gingivitis. Your gums may feel more sensitive and become more prone to bleeding because of the increased amount of blood flowing through your body. This can also be a side effect of periodontal disease, which nearly 40% of pregnant women have.

In order to avoid painful dental visits, you should attempt to brush more than twice a day and always floss regularly. We recommend investing in a good mouthwash for extra protection against plaque buildup. Other oral conditions to watch out for during pregnancy include oral gingival lesions, tooth mobility, tooth erosion, and dental caries.

Keeping your oral health in top shape will prevent bacteria from circulating to other places in your body during pregnancy. Your immune system is more likely to be compromised, which means you generally face an increased risk for illnesses.

Don’t forget that you share nutrients and pathogens with your baby, so it’s crucial to reduce your risks in every possible way. If you think you may be experiencing an oral health issue during your pregnancy, please call our Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment, and we will be happy to help you.

Tips to Avoid Common Problems Associated with Braces

May 2nd, 2018

While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. We urge those who experience a sore mouth or any of the following problems to call our office to schedule an appointment.

  • Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.
  • Loose bands: These must be secured in place by your orthodontist. Try to save the band for repair.
  • Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.
  • Loose spacers: These will need to be repositioned and sometimes replaced.

Foods to Avoid

Some foods can also help or hurt you while you’re wearing braces. Remember to cut your food into small pieces that can be easily chewed. You will want to avoid hard and chewy foods that can break your hardware. Foods such as corn on the cob, nuts, carrots, apples, ice, and bubble gum should be avoided.

Braces, rubber bands, springs, and other mouth appliances associated with braces will normally attract food particles and plaque. Without the proper care, this could cause staining of your teeth.

Our staff at Excel Dental and Orthodontics recommends brushing after every meal or snack and carefully removing any food that might be lodged in the braces. A fluoride mouthwash might be helpful as well as flossing. At your next appointment, Dr. Lapsi can advise you how to floss with a brush specially designed for braces!

Does chronic stress impact periodontal health?

April 25th, 2018

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

  • Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
  • Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
  • Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. Lapsi at our Carlsbad, Mission Viejo, or Laguna Hills office.

Keep that candy at bay during your treatment!

April 18th, 2018

Now that you have braces, it is more important than ever to maintain good oral hygiene during your treatment, as Dr. Lapsi will tell you. While we trust you will continue brushing and flossing on a regular basis throughout your treatment at Excel Dental and Orthodontics, you also have to mindful of what you eat. While all those sweet, sour, and sticky candies may taste great, these treats can actually damage your teeth and braces!

Sour candies  can be acidic to your teeth, and actually wear down the enamel that protects them, resulting in tooth decay and cavities. If you do indulge in eating these candies at some point during your treatment, be sure to wash your mouth out with water, drink milk or eat a few slices of cheese. These foods will help neutralize the acid in your mouth.

Besides cavities and tooth decay, many people do not realize that good oral health and hygiene are important to your overall health, too; researchers have discovered the connection between periodontal disease and other major health concerns, such as heart disease. Therefore, it is important to maintain a good oral hygiene routine just as you did before your braces. This includes visiting your dentist here in Carlsbad, Mission Viejo, or Laguna Hills every six months, brushing and flossing daily, and using an antibacterial mouthwash, as well as visiting Dr. Lapsi for your regular adjustment appointments.

For more questions about foods you should avoid while wearing braces, or if you have any general questions about your treatment, we encourage you to give us a call, ask us at your next adjustment appointment or ask us on Facebook!

No Wooden Teeth, Please! Why Oral Health is So Important

April 11th, 2018

Your teeth are precious. Once your permanent teeth come in, they need to last you a lifetime. Extensive tooth decay can lead to dental caries and the need for fillings, crowns, bridges, and dentures.

While these fixes can go a long way toward maintaining your quality of life, they cannot compare to your natural teeth. Getting braces is no excuse to let up on your thorough oral health routine: You need to take good care of your teeth before, during, and after braces to benefit completely from the gains you get from newly straightened teeth.

Why You Should Maintain Good Oral Health for Life

Begin a complete oral health regimen as early as possible in life, and maintain this routine throughout your life. Keeping your (or your child’s baby) teeth clean establishes a routine. It preserves healthy baby teeth whose function is to save space for the permanent teeth when they are ready to come in. Care of your permanent teeth helps preserve the enamel and prevent decay.

Take Special Care with Braces

It is important to pay attention to oral health when you have braces. If you do not take special care of your teeth during the months or years that you have braces, you risk irreversible damage to your teeth. Care is more difficult with braces because food can easily get stuck. In addition to brushing twice daily and flossing each day, Dr. Lapsi and our staff suggest avoiding sticky foods.

Oral Cancer Awareness Month

April 4th, 2018

Happy Oral Cancer Awareness Month! We know oral cancer can be kind of a scary topic, but it’s worth using this opportunity to learn about the disease and spread knowledge so everyone becomes more aware. The more we know, the better we can work to prevent it!

Oral cancer is exactly what it sounds like: cancer that occurs anywhere in the mouth. It could occur on the tongue, the lips, the gums, the tongue, inside the cheek, or in the roof or floor of the mouth. Every  year, more than 8,000 people die from oral cancer. It’s a truly deadly disease.

The reason oral cancer scores a higher death rate than other common cancers such as testicular cancer, Hodgkin’s disease, thyroid cancer, cervical cancer, or even skin cancer, is because it often goes undetected until it's become too advanced and has spread to another part of the body.

So what causes this devastating disease? There is no clear answer, but some potential causes have been identified. By being aware of these, we can be alert and promote prevention of this illness:

  • Age: Most patients who develop oral cancer are above the age of 40. If you’re over 40, make sure your doctor checks for signs of oral cancer and that you stay on your dental hygiene regimen.
  • Tobacco: Excessive tobacco use, whether in the form of cigarette smoking or tobacco chewing, can be a substantial contributor and cause of oral cancer. So that’s another reason, among many, you should avoid tobacco.
  • Alcohol: Excessive alcohol consumption can put you at risk because alcohol converts into a chemical called acetaldehyde, which damages the body’s DNA and blocks cells from repairing the damage. When paired with tobacco, the dehydrating effects of alcohol make it even easier for tobacco to infiltrate mouth tissue.
  • Sun exposure: Your lips need SPF, too! Repeated sun exposure increases your risk of contracting cancer on your lips, especially the lower lip.
  • Diet: Not getting all the nutrients you need, from vegetables and fruits for instance, can weaken your immune system and make you more vulnerable to the disease.

Obviously, many of these causes relate to lifestyle choices, which we have control over. It's all about balance, being aware, and making small tweaks to our habits if we need to.

If you’re concerned that you may be at risk for oral cancer, give us a call to talk about a screening. And if you’ve been putting off a visit to our Carlsbad, Mission Viejo, or Laguna Hills office, now is an excellent time to schedule one. Regular visits to the dentist can be the first line of defense against oral cancer!

Ugh, Not Braces!

March 28th, 2018

Getting your child excited about braces is a lot like: A) convincing a grumpy toddler that it’s time to take a nap? B) convincing a teenager to stop texting during dinner? C) convincing your husband to eat his peas? The answer, obviously, is all of the above.

And that’s why you may need a few thoughtful ways to get your child on board with braces.

  1. Throw a pre-braces party. It can’t be just any party, however, but a Willy Wonka celebration of candy, chips, gum, and all the sticky and sweet foods your child won’t be able to indulge in during the time he or she is wearing braces. Promise a post-braces celebration, too, and watch as your child’s eyes widen at the thought of an all-you-can-eat junk food buffet.
  2. Encouraging phrases like “braces aren’t eternal, but your straight smile will be” can go a long way.
  3. If your daughter is worried about getting picked on because of braces, then name-drop some A-list celebrities who have worn them. The list includes Cameron Diaz, Kelly Clarkson, Dakota Fanning, and Gwen Stefani.
  4. Emphasize that braces today aren’t the same as they were in the Stone Age. From clear ceramic braces to different-colored braces, more options are available. Braces can be cool accessories to express a personal style.
  5. To get your child to embrace braces, you need to sing the praises of beautiful teeth, even if that means pointing out how crooked your teeth are because you never got braces.

Timing Matters!

March 21st, 2018

Many patients at Excel Dental and Orthodontics are under the impression that harder brushing leads to cleaner teeth, but that is not true. Gentle brushing is just as effective, and less likely to cause damage. Other good brushing habits include brushing your teeth at least twice a day, replacing your toothbrush after a few months, and brushing for at least two minutes each time. It can be tough to keep track of the time when you are aiming for two minutes, but these tips can help.

Set a Timer

Setting a timer is a sure-fire way to hit your two-minute goal on the dot. Leave a kitchen timer in your bathroom so that it is easy to set each time you start brushing your teeth. Hit each surface of all of your top and bottom teeth, and keep brushing until the timer rings. Many electric toothbrushes have a built-in timer that you can use instead of a kitchen timer.

Entertain Yourself for Two Minutes

Time flies when you are having fun, and you can stay entertained as you brush your teeth for two minutes. These are some ideas.

  • Time your favorite song and sing it in your head as you brush your teeth.
  • Find a two-minute video on the Internet that you want to watch, and start it when you begin to brush your teeth.
  • Do squats in the bathroom as you brush. Go down for three slow counts, and up for three slow counts. By the time you get to 20 squats, your two minutes will be over.

Let Your Children Use Technology

Toothsavers is an app designed to inspire children to brush. The app was developed and released by the Ad Council and the Partnership for Healthy Mouths, Healthy Lives. It includes:

  • A game to fight an evil sorceress who causes cavities
  • A two-player version that lets children interact with friends and parents
  • Real-life reminders to brush twice a day
  • A built-in timer that helps kids brush for two minutes

Positive Aging with Orthodontics

March 14th, 2018

Crooked or crowded teeth aren’t always just a cosmetic issue; they also are more difficult to clean, which can lead to tooth decay and gum disease. Likewise, if your teeth don’t align properly when you bite (known as malocclusion), this can cause chewing, swallowing, and speaking problems.

You can put these risks to rest and look amazing, however, with well-thought-out orthodontic treatment from Dr. Lapsi. More and more adults are opting for orthodontic treatment and changing their lives in the process.

Childhood is of course the ideal time to get treatment, since the mouth and jaws are still growing, but many adults still can get beautiful and lasting results which can be achieved discreetly and effectively with modern orthodontic appliances and technologies.

Traditional braces used to be the only thing going, and many adults understandably don’t like the way they look. There are so many other options for braces these days that it’s possible for almost any patient to be treated effectively and efficiently — usually in one to two years.

Here are some of the technologies being implemented in our modern Carlsbad, Mission Viejo, or Laguna Hills orthodontic office:

  • Clear aligners: Practically invisible clear plastic aligners are great for less severe cases.
  • Lingual braces: These are placed on the back of your teeth instead of the front, and can handle anything that traditional braces can.
  • Ceramic braces: Translucent ceramic brackets make for effective and more discreet treatment.
  • Self-ligating braces: These require less manipulation by the orthodontist, which means fewer appointments and quicker results.

It should also be noted that the goal of orthodontic treatment (especially in adults) isn’t always limited to straightening teeth and/or correcting a bite. Teeth provide support for the lips and cheeks and help define your face.

The relationship between the jaws, teeth, face, soft tissues, and underlying skeleton of the face are important, and an orthodontist takes this into account when designing a smile.

In short, getting orthodontic treatment won’t just give you a good-looking and healthy smile; it can help define and enhance the entire appearance of your face. Knowing just how crucial your teeth are in determining how you look and live will help you age positively and confidently.

Braces-Friendly Foods

March 7th, 2018

Having braces can be frustrating when you have to be cautious about eating certain foods or having to avoid them altogether. Making sure your braces don’t bend or break is vital when you’re trying to straighten your teeth quickly and properly. Dr. Lapsi and our team have come up with a list of foods to avoid, and which foods you can enjoy while you have braces.

No matter how careful you are, excessive chewing of hard-to-eat foods will eventually cause problems for you and your braces. Knowing what you can and cannot eat at a meal may be helpful when you first get your braces on.

Some foods are too hard for braces, because they can break wires or create damage that will have to be fixed by Dr. Lapsi. Avoiding the following snacks will prevent this from occurring:

  • Hard candies
  • Gum
  • Nuts
  • Popcorn
  • Some hard raw vegetables or fruits (carrots, apples)
  • Ice
  • Chips

There are plenty of safe options for breakfast. They include eggs, yogurt, pancakes, oatmeal, soft toast, bananas, and even bacon.

For lunch, avoid hard or abrasive foods, undercooked vegetables, or apples. Safer options include a delicious stew, soft-breaded deli sandwich, or a mixed salad. Always be careful when biting into foods, and try to cut solid meal items into small chewable portions whenever possible.

A healthy braces-friendly dinner can come in many forms. Soft, steamed vegetables paired with a lean protein make a great option. The addition of rice or quinoa can complete the meal. Just remember to brush and floss after, because these small grains are likely to get stuck between braces and teeth.

During your treatment, Dr. Lapsi will tighten your braces at each checkup. Braces tightening can sometimes leave your teeth feeling sore afterward. During this time, we recommend picking soft food options until the pain goes away, such as:

  • Pudding
  • Mashed potatoes
  • Soup
  • Ice cream
  • Cottage cheese
  • Peas
  • Pasta
  • Yogurt
  • Muffins

It’s also essential to pay close attention to your oral health routine. When food is stuck between braces, you’re more likely to experience plaque and decay buildup. If you want to keep your teeth from appearing discolored when your braces come off, keep up with brushing and flossing after every meal!

If you notice your braces are damaged after you’ve eaten a meal, contact our Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment right away. Our team is here to help with any issues that come up while you are in braces, and to answer any questions you may have about which foods you can and cannot eat.

Are braces ruining your photos?

February 28th, 2018

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Lapsi and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Lapsi and our staff can also show you options for braces that are not as visible as the traditional style.

Preventing Periodontal Disease

February 21st, 2018

Periodontal disease is one of the most prevalent health issues in America, with the Centers for Disease Control reporting it affects approximately 65 million people, or roughly 47 percent of the population. People with periodontal disease have bacteria beneath the surface of the gums, which are responsible for tissue inflammation that can lead to pain, bleeding, gum recession, and even permanent tooth loss. Unfortunately, the chances of developing gingivitis and periodontitis only increase with age, with 70 percent of adults over age 65 having at least some degree of gum disease. However, a lot can be done to prevent periodontal disease and keep teeth and gums healthy.

Daily Hygiene

The process you take each day to clean your teeth and gums goes a long way towards preventing periodontal disease. Since gingivitis and periodontitis are caused by plaque build-up, the most important steps you can take to prevent them involve cleaning your teeth each morning, night, and after meals. Start by brushing your teeth and tongue, and follow up with mouthwash to kill any lingering bacteria. At least once per day, take time to floss thoroughly along the gum line to prevent gum infection from occurring in between teeth.

Periodontal Exams

In addition to caring for your teeth and gums at home, it is also important to see Dr. Lapsi for comprehensive exams. We can detect gingivitis in its earliest stages and treat it before it has a chance to progress. Everyone needs occasional periodontal exams, though people with certain risk factors may require them more often. Examples include individuals who smoke or have a personal or family history of gum disease.

Treating Periodontal Disease

See Dr. Lapsi right away if you suspect that you may be experiencing the warning signs of periodontal disease. Symptoms may include red, swollen, or bleeding gums, gum recession, pockets that have formed between the teeth and the gums, and even tooth loss. If you are diagnosed with periodontal disease, treatments are available to help restore your oral health depending on how advanced your gum disease has become. For example, gingivitis may require only a thorough cleaning and topical antibiotic. Periodontal disease that has been allowed to progress may require scaling and root planing, and in some cases, surgery to prevent tooth, bone, and gum loss.

Contact our Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment and learn about the ways we can help prevent and treat periodontal disease.

The Origins of Valentine's Day

February 14th, 2018

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Lapsi and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Excel Dental and Orthodontics!

What makes teeth crooked?

February 7th, 2018

Dr. Lapsi and our team hear this question a lot. Some of the common reasons for crooked teeth include:

  • Thumb sucking
  • Tongue thrusting or improper use of the tongue during speaking and swallowing
  • Premature loss of baby teeth, which causes teeth to drift and shift
  • Poor breathing airway caused by enlarged adenoids or tonsils

There are also hereditary factors we get from our parents, like:

  • Extra teeth
  • Large teeth
  • Missing teeth
  • Wide spaces between teeth
  • Small jaws

Dr. Lapsi and our team know that having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:

  • Interfere with proper chewing
  • Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
  • Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth

There are several treatment options we offer at Excel Dental and Orthodontics that can help correct crooked teeth. Please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to learn more or to schedule an initial consultation.

The Consequences of Sports and Energy Drinks

January 31st, 2018

They’re refreshing and tasty. They’re easy to find and pretty cheap. They help us get through a long day or a long workout. They’re everywhere.

We know it’s hard to say no to an energy or sports drink. That’s why Dr. Lapsi and our team want to make sure you know the effects that energy and sports drinks can have on your smile and overall oral health. You might just think twice next time you crave one.

There’s a common misconception that sports and energy drinks are somehow healthier than soda beverages. None is particularly good for you, but because sports and energy drinks have higher acidity levels, they put you on a fast track to enamel erosion, which can lead to cavities over time. However, studies show that energy drinks may be the worst of the bunch.

In a study published in General Dentistry, the energy drinks that showed the highest acidity levels were 5-hour Energy, Monster, Rockstar, and Red Bull Sugar free. These drinks almost doubled in acidity when compared to sports drinks. The sports drinks that came in second as far as acidity levels go were Powerade, Gatorade, and Propel.

You may be thinking, “What's the big deal; lots of other drinks damage your teeth, too,” and you’re right. Even all-natural beverages like orange juice and other fruit juices, which are advertised as full of vitamins, contain acid that damages tooth enamel. The point here is that moderation is key.

We certainly encourage you to choose a glass of orange juice over an energy drink, but if you feel like you just can’t give up your sports and energy drink habit, then please consider the following tips:

  • Limit yourself to a certain number of said beverages a week and stick to it.
  • Rinse with water after consuming an energy or sports drink.
  • Brush your teeth after an hour of downing the drink, so your mouth has time to return to its normal pH level.

If you have any questions, don’t hesitate to give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office. Shoot us a message on Facebook, or let us know on your next visit!

What causes crooked teeth?

January 24th, 2018

Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

  • Thumb sucking and tongue thrusting
  • Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
  • Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Lapsi and our staff suggest that parents bring your child to Excel Dental and Orthodontics around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

Are you a candidate for dental implants?

January 17th, 2018

When you are missing teeth, it is critical to replace them. Without all your teeth, chewing and eating can be challenging, as well as uncomfortable. Missing teeth can also destabilize your bite. Dental implants are a great option for replacing teeth that are missing or are badly diseased. A dental implant at Excel Dental and Orthodontics offers relief, support, and stability to your bite, and often, implants are the most natural and effective option available.

Dr. Lapsi and our team have helped many patients using implant dentistry at our Carlsbad, Mission Viejo, or Laguna Hills office restore their smiles to look more natural. Each implant is created to fit in perfectly with the look of the rest of your teeth.

Besides making your smile appear more natural, dental implants have other benefits. They include:

  • Restoring your ability to properly chew food
  • Preventing your teeth from shifting and moving
  • Stabilizing your bite, helping you avoid pain or discomfort

If you are missing a tooth or multiple teeth and feel like you are a candidate for dental implants, Dr. Lapsi and our team at Excel Dental and Orthodontics encourage you to give us a call to schedule an appointment. See you soon!

What exactly is a root canal?

January 10th, 2018

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Dr. Lapsi will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our Carlsbad, Mission Viejo, or Laguna Hills office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

Dental X-Ray Safety

January 4th, 2018

It's easy to be skeptical about X-rays whether we speak of a full-body X-ray or a dental X-ray. Radiation is radiation. It's vital to know all the facts before judging too harshly, though. Dental X-rays can be one of the best preventive tools for your dental health. We offer various treatments at Excel Dental and Orthodontics, but helping you become better informed is one of the best ways to decide what will be best for you.

According to the AmericanDental Association, healthy adults typically receive routine dental X-rays every two to three years. The timeline for children is every one or two years, and one and a half for teens. Children and teens require more X-rays than adults because their teeth are still developing, which makes them more susceptible to cavities.

In general, Dr. Lapsi will determine how often dental X-rays need to be taken for each individual patient, taking into consideration physical symptoms, clinical findings, and risk for infection. Most dental professionals use Caries Management by Risk Assessment (CAMBRA) to help them determine how often X-rays should be taken, so you can rest assured that we are making an informed decision.

In addition to that, it should be reassuring to know that these days, most dental X-rays are digital, which significantly reduces your exposure to radiation. In fact, you’re likely to pick up more radiation just from being in the sun! Lead aprons and thyroid collars are also tools that Dr. Lapsi and our team use to keep X-ray exposure to a minimum.

At our office, we believe that diagnosing cavities and other potentially harmful conditions by dental X-ray does you more good than harm. If you have any questions about our X-rays, feel free to give our Carlsbad, Mission Viejo, or Laguna Hills office a call or bring up the subject during your next appointment!

Smile, the New Year is Almost Here!

December 27th, 2017

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Carlsbad, Mission Viejo, or Laguna Hills area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Excel Dental and Orthodontics

  • Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
  • Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
  • Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Lapsi, have a fantastic New Year!

Proper Diet while Undergoing Orthodontics

December 20th, 2017

Many people undergo orthodontic treatment during childhood, adolescence, and even into adulthood. Wearing orthodontic appliances like braces is sure to produce a beautiful smile. Though orthodontic treatments at Excel Dental and Orthodontics are designed to accommodate your lifestyle, chances are you will need to make some dietary modifications to prevent damage to your braces and prolong orthodontic treatment.

The First Few Days with Braces

The first few days wearing braces may be the most restrictive. During this time, the adhesive is still curing, which means you will need to consume only soft foods. This probably will not be a problem, however, as your teeth may be tender or sensitive while adjusting to the appliances.

Orthodontic Dietary Restrictions

You can eat most foods normally the way you did without braces. However, some foods can damage orthodontic appliances or cause them to come loose. Examples of foods you will need to avoid include:

  • Chewy foods like taffy, chewing gum, beef jerky, and bagels
  • Hard foods like peanuts, ice chips, and hard candy
  • Crunchy foods like chips, apples, and carrots

How to Continue to Eat the Foods You Love Most

Keep in mind that you may still be able to enjoy some of the foods you love by making certain modifications to the way you eat them. For example, steaming or roasting carrots makes them softer and easier to consume with braces. Similarly, you can remove corn from the cob, or cut up produce like apples and pears to avoid biting into them. Other tips include grinding nuts into your yogurt or dipping hard cookies into milk to soften them. If you must eat hard candies, simply suck on them instead of biting into them.

If you have any question whether a food is safe to eat during your treatment with Excel Dental and Orthodontics, we encourage you to err on the side of caution. Of course, you can always contact our Carlsbad, Mission Viejo, or Laguna Hills office with any questions you have about your diet and the foods that should be avoided during treatment. By following our dietary instructions and protecting your orthodontic appliances from damage, you will be back to chewing gum in no time.

Why do wisdom teeth need to be removed?

December 13th, 2017

Dr. Lapsi and our team at Excel Dental and Orthodontics get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Dr. Lapsi and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Dr. Lapsi and our team at Excel Dental and Orthodontics typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Love your new smile? Tell us about it!

December 6th, 2017

At Excel Dental and Orthodontics, we proudly treat adults, teens, and children; no matter what your age, we believe you deserve a great smile. Our warm and welcoming team is known for their for their exceptional orthodontic skills. Dr. Lapsi and our talented team have been creating beautiful smiles for years, and today would like to ask: what do you love about your new smile? How has your smile improved your life?

Whether you’ve just come in for an initial orthodontic consultation with Dr. Lapsi or your family has been visiting office for years, we would love to hear your thoughts about your treatment. In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Hypersensitive Teeth

November 29th, 2017

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Excel Dental and Orthodontics can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Lapsi can reduce the sensitivity, and provide you with some relief!

Thanksgiving in North America

November 22nd, 2017

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Excel Dental and Orthodontics!

How much do braces cost?

November 15th, 2017

This is one of the most common questions that is asked at Excel Dental and Orthodontics and, unfortunately, it does not have a simple answer. Just as every patient we see is unique, so is their treatment plan. Some patients have very simple problems which require less appliances and time, while other cases are much more complicated and may require multiple appliances and phases.

The treatment fee usually reflects the amount of orthodontic work required to complete the treatment plan. The only way to find out how much braces will cost is to schedule a consultation with Dr. Lapsi. During your consultation, we will perform a complete oral examination, listen to your concerns, and explain how we will address your needs.

Our findings will include the cost of orthodontics and how long the treatment will take to complete. Give us a call today at our convenient location in Carlsbad, Mission Viejo, or Laguna Hills for a consultation and discover how quickly we can make you smile!

Sugar and Your Orthodontic Treatment

November 8th, 2017

One word no one likes to hear is “cavity!”

For those patients of ours wearing braces, hearing that word is especially problematic, considering that delaying any dental work may result in delaying treatment time.

We often blame candy as the culprit behind tooth decay, but other foods and drinks that kids consume can be just as harmful to their teeth, and can lead to cavities and tooth decay. Keeping your teeth or your child’s teeth from decay during treatment starts with a proper diet, and today, our team at Excel Dental and Orthodontics will explain the negative effects that candy and other treats, including peanut butter, raisins, fruit juice, and chewy fruit snacks, have on your child’s teeth as he or she undergoes orthodontic treatment. Keep in mind that half of your child’s sugar intake may be coming from beverages that he or she drinks. A major offender is soda, but be mindful of fruit juices as well.

While sugar is known to sit in your child’s teeth and in between and under brackets and wires after consumption, it is important to know sugar is not the only cavity-causing culprit. Carbohydrates, starches, acids, and any food that is chewy or sticks break down into sugars, and can promote tooth decay.

So, what are the alternatives?

Candy such as dark chocolate, sugar-free gum, or anything that contains xylitol, a sugar substitute, is not as harmful for your teeth as hard, chewy, or sticky sweets. Sugar-free gum or gum that contains xylitol are known to reduce levels of bacteria on teeth.

And if you’re still looking for something to snack on, we recommend cutting up easy-to-eat fruits and vegetables. You would also be surprised how much eating a banana or sipping on a glass of water helps you curb snack cravings.

If you’re one of those folks who just can’t stay away from sweets, we encourage you to brush your teeth immediately afterward and swish water in your mouth.

Whatever you eat, Dr. Lapsi and our team want you to remember to brush often, floss regularly, and visit your general dentist as your treatment progresses. If you have any questions about sugary foods or drinks, please give us a call or ask us during your next adjustment visit!

Dental Visits Are Not So Bad

November 1st, 2017

Many people dread going to the dentist. Dental visits have the reputation of being painful and uncomfortable, and it is common for people to compare unfortunate situations such as having a root canal or feeling the dentist’s drill. However, at Excel Dental and Orthodontics, dental visits are not that bad.

Your regular cleaning and checkup are noninvasive. They require no drilling, Novocain, or needles, and you go home with refreshingly clean teeth. When your hygienist cleans your teeth, you are literally receiving individualized care from a professional as you sit back and relax.

In the days before the use of Novocain or other anesthetics, dental work could be painful. Thankfully, those days are gone! Now you are unlikely to feel a thing, even during the most extensive procedures. In addition, most dental work such as fillings, root canals, and crowns can be performed in one to two visits, so you do not need to keep returning to Excel Dental and Orthodontics.

An incentive for getting over your fear and coming to the dentist is that getting your dental work done can dramatically improve your quality of life. Dr. Lapsi can address tooth problems that have caused toothaches or prevented you from eating the foods you like. As a bonus, regular visits with Dr. Lapsi and our staff allow us to identify conditions such as periodontal disease, which can indicate risk for seemingly unrelated health conditions, such as heart disease and diabetes.

Aging and Oral Health

October 25th, 2017

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

  • Dry mouth
  • Diminished sense of taste
  • Root decay
  • Gum disease
  • Uneven jawbone caused by tooth loss
  • Denture-induced tissue inflammation
  • Overgrowth of fungus in the mouth
  • Attrition (loss of teeth structure by mechanical forces)
  • Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

  • Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
  • Clean between your teeth once a day with floss or another interdental cleaner.
  • If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
  • Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
  • Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
  • Visit Excel Dental and Orthodontics regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

Permanent or Removable Retainers: Which is right for you?

October 18th, 2017

When the time comes for Dr. Lapsi to remove your braces, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow Excel Dental and Orthodontics recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type. If you’re still not sure whether the choice you’ve made is truly right for you, get in touch with us at our Carlsbad, Mission Viejo, or Laguna Hills location right away!

Tooth Worms? The History of Cavities and Tooth Fillings

October 11th, 2017

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Dr. Lapsi can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our Carlsbad, Mission Viejo, or Laguna Hills office so we can take the proper action to protect the health of your mouth.

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 4th, 2017

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

  • Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
  • Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
  • Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
  • Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Lapsi can help you learn more about proper care for your teeth and gums.

Braces-Friendly Recipe: Dinner

September 27th, 2017

Wearing braces during your treatment at Excel Dental and Orthodontics presents some unique challenges in the types of food you can safely eat. The wrong items can be difficult to remove from between your teeth and the appliance. Other foods may even break or loosen your braces.

Dinner recipe ideas

Lasagna is a great dinner choice because it provides you with several food groups in one easy dish.

  • 1 ½ pounds ground hamburger
  • 1 garlic clove
  • 1 tsp. basil
  • 1 pound diced tomatoes — canned is fine
  • 12 oz. tomato paste
  • 1 package of dry spaghetti sauce mix for seasoning
  • 10 oz. box dry lasagna
  • 3 cups ricotta or cottage cheese or 1 ½ cups each mixed
  • ½-cup Parmesan cheese
  • 2 eggs
  • 1 pound sliced or shredded Mozzarella cheese

Brown and drain your hamburger meat. Dice the garlic and simmer the hamburger, garlic, basil, diced tomatoes, tomato paste and powdered sauce mix for ½ hour.

Cook the lasagna noodles as directed on the package and drain.

Beat the eggs and combine them with your ricotta or cottage cheese.

Layer ½ of the noodles in a 13 x 9 pan. Spread ½ of your cottage cheese mix on top of the noodles, then layer ½ of the mozzarella on top. Finish this layer with ½ of your hamburger mix. Repeat the layering with the other half of your ingredients. Bake at 350 F for 30 minutes.

Meats

You can enjoy ribs and chicken wings as long as you cut the meat from the bone before you eat. The same rule applies to turkey legs; do not gnaw on bones, because this can damage your braces.

Vegetables and fruits

You still need to include fruits and vegetables in your daily meals. Skip corn on the bob, whole apples, and raw carrots. Broccoli is soft but particles can become stuck in your braces, so be sure to brush and floss after your meal.

Desserts

Avoid caramel, taffy, and hard candies for dessert. Pudding and ice cream are fine, but low-sugar versions are best.

Remember that your mouth will be sore after adjustments with Dr. Lapsi. Stick to softer foods until the sensitivity is reduced. Please do not hesitate to ask our team for recipe and meal ideas. We will be happy to take the time to explain which foods items are the best choices and why.

If you have any questions about these recipes, or if you have any questions about eating with braces, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office!

Oral Health Concerns for Teens

September 20th, 2017

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Lapsi and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Excel Dental and Orthodontics to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit Excel Dental and Orthodontics twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

Oh no, not the dentist!

September 13th, 2017

If you or your children suffer from dental anxiety, you aren’t alone. According to the Cleveland Clinic, between nine and 15 percent of Americans admit to feeling sufficiently afraid of going to the dentist to avoid making an appointment. The potential consequences of dental anxiety extend beyond poor oral health. Lack of dental care can cause serious but easily preventable medical conditions.

Dental Anxiety versus Dental Phobia

Dental anxiety provokes a sense of fear in people, typically before they arrive at Excel Dental and Orthodontics. Those fears or worries are often exaggerated. Dental phobia shares many of the symptoms that characterize dental anxiety. It is a much more serious manifestation of that anxiety, and may provoke a sense of panic or terror in people. While people who suffer from dental phobias know that their feelings are irrational, they are unable to control, stop, or change those thoughts.

People who have dental phobias often avoid going to the dentist, and they come up with every possible excuse to justify not going. The only time a person who suffers from a dental phobia will go to the dentist is when he or she is forced to do so, or because of intense tooth pain. People who have dental anxiety don’t go to such extremes to avoid going to the dentist; anxiety usually begins in anticipation of the appointment.

What We Do to Ease Patient Anxiety

Dr. Lapsi and our staff have many techniques we can use to help patients feel more comfortable at their appointments. Dental Fear Central gives some simple suggestions to help children and adults who are apprehensive about going to the dentist, even if they suffer from the more severe form of anxiety: full-blown dental phobia.

  • The Tell-Show-Do Approach: We help our patients relax by making sure they understand what is involved in the exam and any procedure they may undergo. We tell patients about the procedure, show them the tools and equipment we intend to use, and answer questions before actually performing the procedure. This is helpful for patients who don’t know what to expect.
  • Distraction: We offer personal music players and a collection of CDs that patients can listen to. The relaxing qualities of music may help distract a patient enough to make the process less stressful. In-office televisions allow you to watch TV while waiting for your appointment.

Dr. Lapsi and our staff know that some patients are anxious about dental treatment, and we go to great lengths to make you feel more comfortable. Good oral health is very important, and when your mouth isn’t healthy, you can suffer from many other easily preventable medical problems.

What was your favorite part of summer?

September 6th, 2017

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Lapsi and our team at Excel Dental and Orthodontics are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Happy Labor Day!

August 30th, 2017

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Carlsbad, Mission Viejo, or Laguna Hills community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

  • Every year, more than 30 million Americans travel over Labor Day weekend.
  • Canada was the first to celebrate Labor Day, and the US soon followed.
  • President Cleveland made Labor Day and official US holiday in 1894.
  • Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
  • Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our dental office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

What is gum disease?

August 23rd, 2017

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Dr. Lapsi. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Excel Dental and Orthodontics for an exam and learn the best course of action.

Implants: Why it's important to replace missing teeth

August 16th, 2017

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Dr. Lapsi and our team at Excel Dental and Orthodontics will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Misconceptions About Orthodontics

August 9th, 2017

While everyone understands that a dentist takes care of teeth, not everyone is aware of what an orthodontist does. This confusion sometimes leads to misunderstandings about what Excel Dental and Orthodontics does for our patients and how exactly Dr. Lapsi can help them. Let’s take a closer look at a couple of the myths and misconceptions about orthodontists.

Perhaps the biggest misconception about the orthodontist is that they’re just like your family dentist. The truth is, they’re actually very different. While it’s true that both orthodontists and dentists care about helping you enjoy a lifetime of good dental and oral health, orthodontists go about achieving this goal in different ways. For instance, if you need to have a cavity filled, you probably won’t make an appointment to see an orthodontist. Dentists are the health professionals to see if you’re concerned about a cavity or need a filling. A dentist can also treat gum disease, tooth decay, toothaches, and other common oral health problems.

People see an orthodontist for very particular services. Most of the patients we see on a daily basis are here because they have braces, or they need to be fitted with braces or another form of tooth-straightening device. In other words, they consult an orthodontist when they are concerned about the alignment of their teeth. As a child grows up, his or her teeth may come in crooked. This can happen for a number of reasons, so it’s important for an orthodontist to take a look at a child’s teeth at about seven years of age. At that age, it’s possible to detect any problems that have not become too advanced to treat easily. Your family dentist may also refer your child to an orthodontist once the adult teeth have fully grown in.

Another common misconception about orthodontists is that they only treat children. It’s true that when you visit an orthodontic clinic you’re apt to see a lot of young kids, but you’ll also see teenagers, college students, and adults. Because crooked teeth can be caused by a number of different factors, it’s entirely possible for someone to require orthodontic treatment at any age.

If you want to know more about the practice of orthodontics or what your orthodontist can do for you, then simply ask Dr. Lapsi. It’s best to get answers to your specific questions directly from the person who will be treating you. While you’re sure to find Internet resources helpful, there really is no substitute for the personal attention you’ll get during your appointment at our Carlsbad, Mission Viejo, or Laguna Hills office.

Looking Back at the Old Days of Braces

August 2nd, 2017

Braces can be painful, but if you are a teen who loves being social, the worst part about them can be their look. They show up in your photos, and you will not be able to take braces-free photos for several months, or even years. The time will pass, though, and your teeth will be the better for it. In the meantime, consider the other people who have survived braces.

Plenty of People Get Braces

There are many reasons for getting braces:

  • Correct an overbite or underbite
  • Straighten teeth
  • Fix poorly-spaced teeth

With so many possible ways to get braces, it’s no surprise that they are so common.

Find Out Who Had Braces

The long lists of celebrities who had braces as teenagers or even adults can give you the comfort of knowing you are in good company. Even better, these lists provide visible proof that there is life on the other side of braces. Actors and actresses on the Cosby Show, Scrubs, and Ugly Betty, as well as tennis star Martina Hingis and Miss America 1975, Shirley Cothran, had braces. Ask your parents. If they didn’t have braces, there is a good chance that some of their siblings did.

Benefits of Braces

Wearing braces can make your life a lot better in the future. Your teeth will be more attractive, and your smile will shine through in photos of you. Straight teeth are not just about looks, though. They can prevent a variety of health problems, such as caries, gum disease, speech impairments, and trouble chewing. Be patient, and the benefits of braces will come.

How do I know if I need dentures?

July 26th, 2017

The choice to get dentures is a permanent decision so there are several important factors you should take into consideration. Many people have teeth that are not able to be repaired due to a variety of reasons, but for those who have the option and the money to repair their natural teeth they need to consider every choice they may have.

You have a choice!

Yes, it’s true! We do have a choice about whether we will have to have dentures in the future. Many people don’t realize that just by taking certain precautions they can actually prevent any serious issues from arising. For example, it’s very easy to reschedule that dental cleaning. However, it’s very important that you keep every appointment because Dr. Lapsi will be able to catch small problems before you even realize you have them. Also, if there are any signs of gum disease you will know early enough to stop any further damage. One of the main reasons that many people end up needing dentures is because of either gum disease or because severe cavities have cause too many teeth to be extracted.

If you notice any of the following you should make an appointment at our Carlsbad, Mission Viejo, or Laguna Hills office right away:

  • Teeth are moving further apart
  • Soreness or tenderness of the gums
  • Trouble eating hard food
  • Sensitivity
  • You have already lost several teeth
  • Toothaches

The key to avoiding dentures is prevention. Avoiding dentures is not impossible and can be as simple as staying on top of your oral hygiene. However, if you are currently experiencing any dental issues you should see Dr. Lapsi now, because a small problem can quickly escalate into a very large and expensive dental procedure.

Eating with Braces: Braces-friendly snack recipe

July 19th, 2017

At Excel Dental and Orthodontics, Dr. Lapsi and our staff know that eating with braces can be tricky. You want to avoid damaging the bands, brackets, and wires, since any damage can delay the progress of your treatment. After adjustments, your mouth may also feel sore, which will make eating more of a chore than a pleasure.

The good news is you do not have to avoid all of your favorite foods; there are ways you can still enjoy them. Try some of these ideas and recipes for great snacks that are friendly to your braces.

Fruits and Vegetables

You still need to eat fruits and vegetable for the healthy nutrients. The trick is to cut harder items into small pieces that you can chew easily with your back teeth. Canned fruits are also a great choice, but select fruits packed in water to avoid the heavy, sugary syrups. It’s a good idea to avoid excess sugar with braces, since sugar build-up around your braces can lead to plaque formation.

Single-serving packages are available to make your snack portable and convenient. Enjoy vegetables with a small amount of a healthy dip. Hummus or yogurt can be used for flavor without adding unnecessary fat or calories.

Banana and Honey Smoothie

Smoothies are a healthy treat, and you can create these drinks with your favorite ingredients. You can use a variety of yogurt types for your smoothie: regular, low or non-fat, and Greek are all great choices.  Here’s one of our favorite smoothie recipes:

  • 6 ounces of your choice of yogurt
  • 1 or 2 teaspoons of honey
  • 1 ripe banana
  • 6 ounces milk

Chop the banana into smaller pieces and put all your ingredients into a blender. Blend on low until everything is mixed and then blend on high for about 20 seconds to make your smoothie fluffy.

The great thing about this recipe is that you can substitute just about any small or cut-up fruit for the banana. Try blackberries, raspberries, or peaches for variety. Try to avoid fruits with small seeds; strawberries can leave bits stuck in your braces. You can even make a smoothie with peanut butter and jelly!

Please ask our team if you have any concerns regarding the foods you can safely eat while wearing braces.

Your Five-Step Guide to Preventing Tooth Decay While Wearing Braces

July 12th, 2017

If you’re wearing braces, then you know they are working hard to straighten your teeth. However, those hard-working braces are also preventing you from easily cleaning your teeth. It is essential that you put some extra attention into preventing tooth decay while wearing your braces. When your braces are finally removed by Dr. Lapsi, you want a beautiful, white smile, not decayed or stained teeth. Here, we’ve listed the five best ways to ensure you have the smile you’ve always dreamed of once your braces are gone.

Use a Special Toothbrush

A regular toothbrush just doesn’t cut it when you are wearing braces. You also need to use an interdental toothbrush so that you can effectively clean behind the braces. This type of brush has bristles that are shaped like a Christmas tree that can remove food residue in the braces and on the teeth. We also recommend using a WaterPik, with its highly pressurized pulsating water, to help get all of those hard-to-reach places.

Brush after Every Meal

Since braces block food from naturally escaping your teeth after eating, it’s important that you take the time to brush and floss after every meal. The less time food has to sit on your teeth, the less likely it is to cause decay. This may seem like an inconvenience, but trust us, when you get your braces off, you will be very glad you brushed after every meal.

Don't Forget the Mouth Rinse

Even after properly brushing and flossing, there are probably some food particles in your braces. A fluoride mouth rinse is the best way to ensure that every bit of food is removed after meals. If you do not have a mouth rinse available, we suggest using water — it’s better than nothing.

Avoid Sweets

Prevention is definitely the best medicine when it comes to avoiding tooth decay. If you can nix decay-causing sugary foods from the outset, we promise you’ll spend less time trying to treat problems in the future.

Get Regular Checkups

Visit your dentist regularly while you are wearing braces. Our office recommends a thorough cleaning every three to six months. Let our Carlsbad, Mission Viejo, or Laguna Hills office know if you have questions about your oral health while in braces - our entire team at Excel Dental and Orthodontics is here to make sure your teeth are as beautifully straight as they are healthy!

Teeth Whitening For a Bright Summer

July 5th, 2017

Summer brings sunshine and warm weather, and many of our patients begin thinking about brightening their smiles this time of year. A whiter smile is one just one visit away at Excel Dental and Orthodontics!

Teeth whitening is safe, quick, and inexpensive. It can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted. Just let us know at any appointment if you would like a brighter smile.

Get your beautiful smile today! Give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment!

Happy Fourth of July!

June 28th, 2017

Happy Independence Day from Dr. Lapsi and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Excel Dental and Orthodontics blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

Oral Health Problems: An indicator of overall health problems?

June 21st, 2017

If you are like many people, you might think of your oral health as separate from your overall health. After all, most dental coverage plans are distinct from health care coverage. However, your oral health goes far beyond being able to chew nutritious and enjoyable foods. Oral health problems may be an indicator of a variety of other health problems.

Links between Oral Health and Overall Health

In the late 1980s, researchers noticed a trend among patients who had recently suffered from heart attacks. As the Journal of the American Dental Association reported, they observed that these patients were more likely to have dental caries or cavities, periodontitis or inflammation around the tooth, and other forms of gum disease. Later studies found similar results, and dentists and doctors now recognize poor oral health as a risk factor for a variety of heart conditions, such as heart attacks, atherosclerosis, and coronary heart disease.

There are even more links between oral health problems and overall health problems. Some individuals do not find out that they have Type 2 diabetes until a dentist sees that they have periodontitis. If you have diabetes, worsening periodontitis can indicate that your diabetes is not under control.

Poor oral health is also associated with rheumatoid arthritis. Furthermore, poor oral health puts you at higher risk for respiratory infections, such as pneumonia, because harmful pathogens can enter your body through your mouth.

Take Care of Your Teeth

Keeping your teeth healthy remains important, especially as you grow older. Older adults are more prone to dental caries and other oral health problems, as well as to chronic diseases. While taking care of your oral health might not prevent a specific disease, a healthy mouth is a significant factor in your overall health.

You can take care of your teeth by continuing to brush twice a day and floss every day. Avoid consuming too many sugary and starchy foods, and drink water after each meal or snack to rinse your teeth. See Dr. Lapsi for regular checkups, and contact Excel Dental and Orthodontics if you have any concerns about your teeth or gums.

Besides straight teeth, what are the benefits of braces?

June 14th, 2017

Everyone wants a naturally aligned and beautiful smile, and it is no secret that orthodontic braces from Excel Dental and Orthodontics can help deliver one. However, there are greater benefits to wearing braces than just having straight teeth. You’ll gain many oral health benefits in addition to the cosmetic ones.

Tooth Decay and Gum Disease

Crooked or crowded teeth may overlap each other and create tight spaces in between. These can make it very difficult to brush and floss effectively, allowing bacteria and plaque to build up, and eventually leading to tooth decay and gum disease. With orthodontic treatment, your teeth will become properly aligned and spaced, which allows for more effective brushing.

Difficulties with Speech

Your teeth play an essential role in speech. When they are out of line or lean too far forward or backward, this can affect your speaking patterns, and possibly cause embarrassment and frustration. Braces can readjust the positioning of the teeth to allow for clearer, more professional speech.

Bone Erosion

Bone and gum tissues begin to erode when there are no teeth to support. This is also true for poorly aligned teeth that leave gaps and spaces or place too much pressure on the jawbone due to a bad bite. With braces, the bones and tissues are less likely to erode and can continue to support the teeth in their new alignment.

Digestion

Your teeth play an important role in digestion. Before food ever enters your stomach, it has been partially digested by the teeth. If teeth are severely out of line, however, they may not play their role in breaking down food as effectively as they should. With braces, your teeth will be straightened into optimal alignment for eating and chewing.

Dr. Lapsi and staff will be happy to answer any of your questions about your orthodontic treatment. Visit us in Carlsbad, Mission Viejo, or Laguna Hills today!

June is National Smile Month: Show off your smile!

June 7th, 2017

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Lapsi and our team at Excel Dental and Orthodontics thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Eat a healthy, well-balanced diet
  • Reduce your intake of sugary foods and drinks
  • Visit Dr. Lapsi for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

Post-Braces Care: Wear your retainer!

May 31st, 2017

Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Lapsi, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Lapsi will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our Carlsbad, Mission Viejo, or Laguna Hills staff.

Memorial Day

May 24th, 2017

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Excel Dental and Orthodontics remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Carlsbad, Mission Viejo, or Laguna Hills area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

Why should I visit the dentist during my treatment?

May 17th, 2017

So, you just got your braces on, and you're wondering why you should continue visiting your general dentist since you’re seeing Dr. Lapsi every other month. Patients always ask us if they should continue to see their dentist while in orthodontic treatment. In short, the answer is yes.

Today, we thought we would share a few reasons why it’s crucial to keep up with your regular visits with your dentist in addition to coming in for your regular adjustments at Excel Dental and Orthodontics.

One of the best reasons to visit your dentist while you undergo orthodontic treatment is to remove plaque and tartar. Having braces provides additional nooks and crannies in which food particles and bacteria can hide. Eventually, plaque and tartar can form around your brackets, bands or other appliances which can lead to cavities. Having your teeth professionally cleaned can help ensure most, if not all, plaque and tartar is removed. Even if you are undergoing clear aligner treatment, dental checkups and cleanings are equally as important.

The next reason to visit a dentist is to help protect your teeth from decalcification, or the loss of calcium in your teeth. A potentially serious condition in which white spots on your tooth surfaces, decalcification is irreversible and if left untreated, can lead to cavities. Decalcification is preventable; patients who cut down on sugary sweets and acidic foods, practice good oral hygiene, and visit their dentist regularly can help prevent decalcification.

The final reason we recommend visiting your dentist while you have braces is this: cavities can prolong your treatment. If you are interested in completing your orthodontic treatment on time and without any delays, visiting your dentist every six months or as recommended can go a long way toward making that a realistic goal. Your dentist can provide fluoride treatments or other treatments that strengthen your teeth and protect them from cavities.

Making sure to visit your dentist will help ensure your teeth look their best once your braces come off. If you do not have a general dentist and would like a recommendation on finding one in the Carlsbad, Mission Viejo, or Laguna Hills area, please give us a call or let us know at your next adjustment appointment!

What are the benefits of early orthodontic treatment?

May 10th, 2017

Parents usually have numerous questions about orthodontic treatment for their children. According to the American Association of Orthodontists, orthodontic treatment for children should start at around seven years of age. This allows Dr. Lapsi to evaluate the child’s existing and incoming teeth to determine whether or not early treatment might be necessary.

What is early orthodontic treatment?

Early orthodontic treatment, known as Phase One, usually begins when the child is eight or nine years old. The goal is to correct bite problems such as an underbite as well as guide the jaw’s growth pattern. It also helps to make room in the mouth for the permanent teeth to be properly placed as they come in. This will greatly reduce the risk of the child needing extractions later in life due to his or her teeth getting crowded.

Does your child need early orthodontic treatment?

There are several ways that you can determine whether your child needs early treatment. If you observe any of these characteristics or behaviors, you should talk to Dr. Lapsi.

  • Early loss of baby teeth (before age five)
  • Late loss of baby teeth (after age five or six)
  • The child’s teeth do not meet properly or at all
  • The child is a mouth breather
  • Front teeth are crowded (you won’t see this until the child is about seven or eight)
  • Protruding teeth, typically in the front
  • Biting or chewing difficulties
  • A speech impediment
  • The child’s jaw shifts when he or she opens or closes the mouth
  • The child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

Early orthodontic treatment is begun while the child’s jaw bones are still soft. They do not harden until the children reach their late teens. Because the bones are still pliable, corrective procedures such as braces work faster than they do for adults.

In short, early treatment at our Carlsbad, Mission Viejo, or Laguna Hills office often allows your child to avoid lengthy procedures, extraction, and surgery in adulthood. Early treatment is an effective preventive measure that lays the foundation for a healthy, stable mouth in adulthood.

Summer is Almost Here: Tips for a bright, white smile!

May 3rd, 2017

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Excel Dental and Orthodontics.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

Women's Hormones and Oral Health

April 26th, 2017

At Excel Dental and Orthodontics, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. Lapsi and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. Lapsi may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

  • Brushing your teeth at least twice a day with a toothpaste containing fluoride
  • Flossing at least once a day
  • Eating a well-balanced diet
  • Avoiding sugary or starchy snacks

Dr. Lapsi and our team at Excel Dental and Orthodontics encourage you to visit our Carlsbad, Mission Viejo, or Laguna Hills office and practice good oral health habits at home.

Make Every Day Earth Day

April 19th, 2017

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Excel Dental and Orthodontics to schedule an appointment. Have a happy and healthy Earth Day, from Dr. Lapsi!

Five Braces-Friendly Dinner Recipes

April 12th, 2017

Did you know that more than four million children throughout the US and Canada have braces? At Excel Dental and Orthodontics, Dr. Lapsi and our staff know that kids can be picky and meticulous eaters. If cooking for children without braces is difficult, preparing meals for children with braces is especially daunting.

“Comfort food takes on a whole new meaning when cooking for children with braces,” says Pamela Waterman, author of The Braces Cookbook: Recipes You and Your Orthodontist Will Love. “Whether you have new brackets, elastics, headgear, or more, there are great foods you can eat; it just takes some thought.”

These five braces-friendly dinner recipes will be sure to keep your kids smiling!

  1. Macaroni and cheese is the ultimate comfort food. Pasta is soft, so it’s easy for children with braces to eat. The warm, gooey cheese melts in the mouth and doesn’t get stuck in the braces like hard or sticky foods. Chances are good that even the pickiest eater has a soft spot for this homespun classic.
  2. The key to braces-friendly cooking is to replace hard, crunchy foods with softer substitutes. In other words, burritos are a better option than tacos, and lasagna is a better choice than pizza. At the same time, if you have the culinary skills to whip up a pizza with a soft crust, you’re going to win the Best Mom (or Dad) of the Year award.
  3. Your child may not like fruits and vegetables. In fact, he or she may even try to convince you that with new braces, fruits and vegetables are off limits. Nice try, kids. While your child is wearing braces, prepare meals with cooked vegetables instead of raw vegetables. A vegetable stir-fry is a healthy and soft dinner choice for kids with braces.
  4. Whether it’s beef or chicken, meat is a good source of protein. However, meat, even when it’s carefully taken off the bone (kids with braces should never eat meat from a bone), can easily get caught in braces. Sloppy Joes are a good alternative. The beef is softened by the addition of the sauce and less likely to get strung in the wires and brackets of the braces. Serve the Sloppy Joes with a side of mashed potatoes.
  5. Ask any child and he or she will tell you that the best part of dinner is dessert. While hard candy, licorice, taffy, caramel, popcorn, and all other chewy candies should be avoided, ice cream and cake are braces-friendly treats that keep kids smiling.

Need more braces-friendly food ideas? Feel free to ask any member of our team.

What are dental sealants and how do they work?

April 5th, 2017

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.

Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. Lapsi and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.

Simple Application

Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.

Sealant Benefits

The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.

A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.

After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. Lapsi may recommend fluoride treatments to strengthen and protect your child's teeth further.

If you have any concerns about sealants, please discuss them with during your child's next appointment at Excel Dental and Orthodontics. We want your little one's teeth to stay healthy for life.

My mouth is dry. What can I do?

March 29th, 2017

Nobody likes a dry mouth. It is an uncomfortable and sometimes oddly unexplainable sensation that most people like to avoid. It is not a condition that automatically sends you into a panic about your health, however, a dry mouth can be a bother and something you certainly want to change if possible. So, if you find yourself in the unpleasant position of having a dry mouth, here is what you can do.

Chew Sugar-free Gum: Chewing sugar-free gum will stimulate saliva in your mouth. The chewing motion of your jaw and teeth should take care of at least some of your dry mouth problem.

Suck on Sugar-free Candy: Similarly to chewing sugar free gum, if you suck on sugar free candy it should create more saliva in your mouth and moisturize it in the process.

Cut out the Caffeine:Caffeine can contribute to a dry mouth so by limiting, or eliminating your intake all together, you may find that your dry mouth is no more.

Stop Using Tobacco Products: Tobacco is another cause of dry mouth. Whether it is smokeless tobacco products or cigarettes, if you stop using them your dry mouth will likely improve. And not to forget, these products are exceedingly bad for your oral health to begin with, so you will be doing your mouth a favor even more so.

Drink Lots of Water: It may seem obvious, but drinking lots of water will likely improve your dry mouth. This is because dry mouth is usually a sign of dehydration, so plenty of fluids will surely help.

Dry mouth can be unpleasant, but it is often easily solved by either drinking more water, or trying one of the previously mentioned techniques. If the problem still persists you can always visit our Carlsbad, Mission Viejo, or Laguna Hills office to see Dr. Lapsi. More often than not, doing one of the above will leave your mouth more moisturized than it was previously, and hopefully it will be long-lasting as well.

What is orthognathic surgery?

March 22nd, 2017

Orthognathic surgery is surgery to correct a wide variety of abnormalities of our patients' jaw and teeth. The surgery is often done in conjunction with orthodontic treatment. While the patient’s appearance may be significantly improved as a result, the primary purpose of the surgery is to correct functional problems including but not limited to:

  • Unbalanced facial appearance
  • Protruding jaw
  • Open bite (upper and lower teeth don’t overlap properly
  • Excessive wearing down of the teeth
  • Difficulty with chewing or biting
  • Chronic mouth breathing
  • Sleeping problems such as sleep apnea
  • TMJ pain (jaw joint pain)
  • Restoring facial injuries

Knowing when to start the orthodontic treatment in preparation for orthognathic surgery can also be tricky if our team at Excel Dental and Orthodontics is treating a teenager. It is important to know when to get started. If orthodontic treatment is initiated too soon and the teenager is still growing, the patient will either need to hold in braces until his or her growth is complete and they are ready for surgery or the braces will have to be removed and then placed again when growth is complete. Neither of these options is attractive since it requires longer time in treatment, which is something all our patients want to avoid. Our team at Excel Dental and Orthodontics strives to get all patients finished with treatment as quickly as possible because it is healthier for the teeth and gums and gives them a beautiful smile to enjoy for a lifetime.

If you are considering orthognathic surgery or you have been told that you need jaw surgery, give us a call to schedule your initial consultation today. Dr. Lapsi and our team at Excel Dental and Orthodontics will explain our treatment plan in a way you will understand and we will keep you informed every step of the way.

Go Green for St. Patrick’s Day

March 15th, 2017

Millions of people, around Carlsbad, Mission Viejo, or Laguna Hills and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Lapsi thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Excel Dental and Orthodontics!

Orthodontics and Whole Body Health

March 8th, 2017

In recent years, many links have been established between orthodontic treatments and whole body health. According to the National Institute of Dental and Craniofacial Research, researchers have observed that people with gum disease are more likely to develop heart disease or experience difficulty controlling blood sugar than people without gum disease. While researchers continue to find associations between oral health and the overall health of the body, as of yet it hasn’t been determined whether gum disease is the sole cause of these health conditions. What can be determined, however, is that good oral health isn't just about maintaining a healthy smile; it has an impact on the health of your entire body.

The associations between gum disease and whole body health

The links between the health of your mouth and the health of your body are too many to ignore. Is it a coincidence that gum disease and other health problems occur together? Researchers don’t think so, despite the lack of definitive proof.

Here are four possible connections between the health of your mouth and the health of your body.

  • Excessive oral inflammation has been linked to a greater incidence of clogged arteries.
  • The American Society of Microbiology has revealed that certain types of oral bacteria can infect the arterial cells and weaken the wall of the heart.
  • Loose teeth are often believed to be a warning sign for osteoporosis, a disease that causes the bones to become less dense.
  • Some studies suggest women with gum disease are more likely than those without gum disease to deliver preterm, low-weight babies.

Orthodontics and gum disease

So what does undergoing orthodontic treatment at Excel Dental and Orthodontics have to do with gum disease? Braces do so much more than give you a nice-looking smile. Quite simply, straight teeth are easier to keep clean than crooked teeth. Your toothbrush is able to remove more plaque-causing bacteria, and your floss is more effective at ridding tiny particles between your teeth.

Despite the lack of hard facts in these findings, the message is clear: If you improve your oral health, you will also have a greater chance of maintaining the health of your entire body. And that’s a chance Dr. Lapsi and our team at Excel Dental and Orthodontics believe is worth taking. For more information about this topic, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office or ask Dr. Lapsi during your next visit!

March is National Nutrition Month!

March 1st, 2017

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Lapsi and our team at Excel Dental and Orthodontics tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office to learn more!

Good Oral Health Habits When You’re Pregnant

February 23rd, 2017

Dr. Lapsi and our team at Excel Dental and Orthodontics will tell you that good oral health habits when you are pregnant are very important. A plaque or infectious buildup can affect the baby in gestation, and cause some unforeseen issues during birth. There are a few steps relating to oral health that can help prevent complications and other pregnancy issues. Here are a few things to consider about oral health when you are expecting.

Proper brushing

Brushing your teeth at least twice a day is essential when you are pregnant. This will peel away any buildup that you have on your teeth, and help create a shield against future buildup. Swallowing large amounts of plaque or bacterial buildup can and will affect the gestation of the fetus, and can cause certain complications.

Floss

Flossing will also help remove a lot of the buildup in your teeth that can promote infection. Make sure you floss at least once a day. Bacterial infections fester on food buildup, and certain destructive viruses can also breed and grow on these remnants.

Morning sickness

The acidity of vomit can erode the enamel on your teeth, and create buildup of damaging particulates in your teeth. If you are experiencing regular morning sickness, rinse your teeth with a mixture of baking soda and water. This will remove buildup, and alleviate some of the acidity from the vomit.

Alcohol-free, antimicrobial mouthwash

Regardless of whether you are trying to or not, you will swallow small amounts of your mouthwash. Alcohol can affect your gestating baby. Use an antimicrobial, alcohol-free mouthwash.

Visit the dentist

If you have any dental issues, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office away. We will be able to diagnose and treat any oral health issues immediately, and make sure they do not affect your developing child. Protecting your baby includes protecting your oral health.

Energy Drinks and Dental Health

February 15th, 2017

Are energy drinks bad for your teeth? Many of our patients at Excel Dental and Orthodontics ask us this question, so here’s the scoop.

Energy drinks have been on the rise, taking up more and more space on grocery store shelves. Drinks such as Red Bull, 5-Hour Energy, Monster Assault, Rockstar, and the like promise to jump-start your day, give you more energy, and help you feel more alert. But they also do a lot more than that. Turns out, they do a pretty good job of stripping your teeth of enamel, which is a very bad thing.

Many of these energy drinks are loaded with a lot of citric acid. In addition, they are laden with preservatives (not to mention sugar), not only to enhance flavor, but extend shelf life. While enamel loss, tooth decay, teeth sensitivity, and cavities cannot be blamed entirely on energy drinks (improper oral hygiene at home and lack of professional dental care also play a role), they can wreak havoc on the health of your teeth and gums, especially when consumed in more than moderation. Over time, energy drinks can strip enamel, which is the outer layer that protects your teeth.

What can you do?

Although Dr. Lapsi and our team aren't recommending you drink energy drinks at all, if you must drink one occasionally, there are a few things you can do to minimize the damage to your teeth.

  • Drink through a straw.
  • Don’t hold the drink in your mouth before swallowing.
  • Rinse your mouth with water immediately after drinking this kind of beverage. Water helps both to neutralize the acid and to increase the production of saliva.
  • Chew sugar-free gum immediately after, to increase saliva production.
  • Don’t brush your teeth right after drinking an energy drink. Wait at least an hour instead, because the combination of the acid and brushing will further damage tooth enamel.

The best advice is to refrain from drinking energy drinks altogether. One of the best hydrators is water. Water is a natural energy-booster and hydrator, and it doesn’t contain calories.

Give us a call today at our Carlsbad, Mission Viejo, or Laguna Hills  office if you have any questions or concerns about energy drinks and dental health. We can provide additional tips and a treatment plan to help reduce enamel loss, eliminate tooth sensitivity, and repair cavities and tooth decay as a result of drinking energy drinks.

Valentine's Day History

February 8th, 2017

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Excel Dental and Orthodontics wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

More Adults Are Opting for Invisalign®

February 1st, 2017

These days it's becoming more and more common to see adults at our Carlsbad, Mission Viejo, or Laguna Hills office getting their teeth straightened with Invisalign clear aligners — that is, if you can see them! Treatment with Invisalign is effective and aesthetically pleasing for all ages, but adults have certainly taken to them.

For some it may be to overcome the stigma that "braces are just for kids," but for others it may be the displeasing appearance and discomfort of traditional braces. According to the American Association of Orthodontics, from 1994 to 2010 the number of adults 18 and older getting braces increased by 58 percent, from 680,000 to 1.1 million annually. Many of these adults opt for Invisalign because of how discreet they are and since they don't need to avoid any foods or make dietary changes like you do with traditional braces.

The benefits of getting your teeth into proper alignment are many, and so are the advantages of Invisalign. By following your individual course of Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

  • The total treatment time is more precise with Invisalign since your treatment is modeled by a computer, as compared to traditional braces where it is really just an estimate.
  • You'll need to make fewer trips to our Carlsbad, Mission Viejo, or Laguna Hills office since you can change your trays on your own every few weeks or as prescribed.
  • There's less risk to the health of your tooth enamel since there is no need to place brackets on your teeth.
  • Invisalign aligners are clear and practically invisible, so most people won't even know you're wearing them!

If you're interested in Invisalign treatment, please let Dr. Lapsi know. We'd be happy to help you on your journey to a straighter, healthier smile!

Dangers of DIY Orthodontics on the Internet

January 25th, 2017

All over the Internet you'll find videos and articles showing how you can close the gap between teeth or space them out. There is a plethora of DIY orthodontic techniques out there — you can even mail order your own impressions to get clear aligners, without even seeing a dentist or orthodontist. Following the instructions laid out in these videos and articles (by people who have zero training in orthodontics) is about the worst decision you can make for your overall oral health.

Performing DIY or at-home orthodontia can lead to or cause:

  • Loss of teeth
  • Infection
  • Cavities or infections that are missed or undiagnosed
  • Gum damage

Dr. Christina Carter, president of the Northeastern Society of Orthodontists, says that DIY orthodontics can have terrible consequences. She spoke to TODAY about closing gaps between teeth using rubber bands or elastics:

"The teeth are connected to the gums and the blood supply and there is a risk of infection, of tearing the gums which might not heal properly, and a risk of damaging the attachment between the tooth and gums so the tooth no longer gets the support it needs." She also noted, "A simple rubber band can actually slide up the tooth and cut all the attachments to it and you can actually lose a tooth."

One of the worst parts about DIY orthodontics is that you never consult with a trained orthodontist, so you're really operating on a dangerous lack of information. It's best not to risk damage to your teeth or infection. Let Dr. Lapsi know what you want to accomplish with your teeth and we will help you find the safest and most cost-effective way to achieve it.

Dr. Lapsi want you to be informed and practical about your oral health. Should you have any questions about orthodontic treatment options, please do not hesitate to give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office.

What is gingivitis, and how can I treat it?

January 18th, 2017

Gingivitis is an early stage of gum disease that results when bacteria in your mouth cause inflammation in your gums. This is a common condition, and you can treat it effectively if you are aggressive. Otherwise, it could develop into more advanced gum disease, or periodontitis, and you could lose one or more teeth.

Watch for symptoms of gingivitis so you can ask Dr. Lapsi for help as soon as you need it. Strategies for treating gingivitis include thoroughly cleaning your teeth and assessing the scope of your gingivitis and how serious the problem is.

Gingivitis: Early Gum Disease

Your mouth contains many bacteria that form plaque, which is a sticky substance. You can get rid of plaque by brushing well, but if you don’t, it can build up on your teeth and form tartar. Bacteria can make your gums inflamed and cause pain and bleeding, or gingivitis. Other symptoms include loose teeth, bad breath, receding gums, and sensitive teeth. You’re at higher risk for gingivitis if you’re a smoker, if you have a weakened immune system, or if you have diabetes.

Assessment and Diagnosis

If you think you recognize the symptoms of gingivitis, contact our Carlsbad, Mission Viejo, or Laguna Hills office to make an appointment. We will ask you about your risk factors for gingivitis and examine your teeth and mouth for signs of red and swollen gums. We may also measure the pockets around your teeth. If they are larger than usual, your gingivitis may be more advanced. Finally, will take some X-rays to get a picture of the bone structure of your jaw.

Deep Cleaning

You can’t get rid of the tartar on your teeth just by brushing at home. Instead, you need a deep cleaning consisting of scaling and root planing. Scaling involves scraping the plaque off of your teeth, both below and above the line of your gum. In root planing, the rough surfaces of your teeth where tartar is more likely to build up are smoothed. A laser may be used to make the procedure more effective, more accurate, and more comfortable.

How long does orthodontic treatment take?

January 11th, 2017

The dental procedures that focus on the correction of alignment and bite are known as orthodontic care. With the aid of braces, aligners, retainers, brackets, and similar appliances, orthodontic treatment can correct oral disorders such as protruding teeth, crowding, difficulty biting or chewing, and speech issues. Seeking orthodontic treatment at Excel Dental and Orthodontics can drastically improve your oral appearance, comfort, and health, while also encouraging proper oral hygiene and enhanced self-esteem. Both growing children and adults with oral alignment issues can benefit greatly from completing customized orthodontic treatment with Dr. Lapsi.

Due to the uniqueness of each mouth and the severity of each malocclusion disorder, there is no one set timeframe for orthodontic treatment. The length of your treatment is determined by many factors, including the severity of your alignment issue, your age, the health of your teeth, and the specific orthodontic procedure you need to undergo. Nevertheless, typical treatment usually takes between 12 and 36 months.

Avoiding alignment issues

While some alignment issues are brought on by unavoidable matters such as accidents, genetics, and physical disorders, some issues arise out of certain actions you should not be doing. Finger sucking and improper oral hygiene are the two most common self-inflicted reasons for alignment issues. Constant finger sucking can alter the pattern in which your teeth grow, which in turn may cause bite issues. Improper oral hygiene such as infrequent dental visits and improper brushing and flossing can lead to decay and loss of teeth, which will interfere with the bite in your mouth.

To avoid advanced alignment issues, it is important to establish a relationship with a quality dentist when you’re young and seek orthodontic treatment at the first sign of alignment problems to encourage healthy and straight teeth for a lifetime.

For more information about orthodontic treatment, or to schedule a consultation with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Easing the Teething Blues

January 4th, 2017

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

  • Tender and sore gums
  • More drooling than before
  • Being crankier than usual
  • Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that Dr. Lapsi and our team recommend:

  • Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
  • Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
  • Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
  • Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our Carlsbad, Mission Viejo, or Laguna Hills office. The American Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. Dr. Lapsi can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

New Year's Day Around the World

December 28th, 2016

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Lapsi. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Excel Dental and Orthodontics wishes you a healthy, prosperous, and happy New Year!

The Secret to Fresh Breath

December 21st, 2016

Bad breath: We’ve all dealt with it. You’ve been around people who have it and, like it or not, you have had it yourself. It can be embarrassing and uncomfortable, but how do you know if you have it? There is actually a simple test you can do to see if you have bad breath.

Wash your hands well, then put your finger in your mouth, way in the back. Scrape a little saliva from the back of your tongue, and then dab it on the back of your hand. Wait for one minute, then hold your hand to your nose and sniff. Is it fresh as a daisy? Or do you need to keep reading and learn how to freshen your breath?

How Bad Breath Starts

There are several ways that bad breath starts. Knowing the causes of bad breath is a solid start toward the cure.

  • The bacteria in your mouth: Bacteria is always in your mouth. It covers your gums, hides between your teeth, and hangs out on your tongue. As it multiplies, it produces toxins that cause the foul odor in your mouth.
  • Your bad habits: If you smoke cigarettes, a pipe, or cigars, or chew tobacco, you are not only harming your mouth and body, you are creating some really smelly breath.
  • Your tonsils: If you still have your tonsils, they can be the cause of bad breath. They are pitted, so smelly substances can collect in the pits and lead to bad breath.
  • Stomach issues: A stomach virus, ulcer, GERD, and other stomach issues could be the cause of your bad breath. A low-carb diet can put your body into a state of ketosis, which causes very bad breath.
  • The foods you eat: Garlic, onion, and other pungent foods will linger with you … on your breath.

Tips for Busting Bad Breath

Achieving fresh breath isn’t difficult, but it does require a little work. Try these tips for fresher breath and a healthier mouth.

  • Brush your teeth after every meal. You can also pick up a tongue scraper to use a couple of times a day to remove any lingering bacteria on your tongue.
  • Floss once a day to remove food particles between your teeth as well as plaque. Your mouth will thank you.
  • Gargle with special mouthwash to banish bad breath. The oxygen in it will kill the bacteria in your mouth that is causing your bad breath, and leave you fresh as a daisy!
  • Drink water to avoid dry mouth, which is a common cause of bad breath.
  • Ease your tummy troubles with antacids and other remedies. Ginger tea is a great tummy tamer.
  • Chew gum that contains xylitol. Saliva keeps your mouth moist, and chewing gum makes you salivate. Bye bye, bad breath!
  • Eat yogurt. It contains “good” bacteria that helps balance your gut and gives you a healthier mouth.
  • Soothe your sinuses. Sinus infections can cause you to have bad breath. Actually, it is the post-nasal drip that causes the foul odor. Cure the infection and your breath will improve.
  • Avoid all tobacco products (cigarettes, pipes, cigars, chewing tobacco, and snuff).
  • Eat a healthy diet of fresh fruits and vegetables, lean meats, and whole grains.

And don't forget! Get regular dental checkups at Excel Dental and Orthodontics.

How can parents help prevent tooth decay?

December 7th, 2016

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Lapsi and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Lapsi and our staff recommend parents bring their children to Excel Dental and Orthodontics for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Carlsbad, Mission Viejo, or Laguna Hills office to schedule a dental consultation and checkup.

At what age should my child have an orthodontic evaluation?

November 30th, 2016

You may have noticed that kids seem to be getting braces and other orthodontic care a lot earlier these days. There was a time, only a decade or two ago, when braces were mainly seen on teenagers, but that is beginning to change. If you’re wondering when to bring your child to our Carlsbad, Mission Viejo, or Laguna Hills office for an orthodontic evaluation, the answer actually has several parts.

The Telltale Signs

If your child has a very crowded set of adult teeth coming in, or if the permanent front teeth came in very early, these are signs that your child should see Dr. Lapsi, regardless of age.

The Dental Age

Barring signs of trouble or early adult teeth as mentioned above, the time that your child needs to be seen for initial orthodontic evaluation depends not so much upon your child’s actual age, but on what is known as a “dental age.”

The dental age of the patient might be entirely different from his or her actual chronological age; for example, an eight-year-old could have a dental age of 13. It is part of Dr. Lapsi and our staff’s job to determine the dental age and then make appropriate recommendations for the resolution of orthodontic issues if they are emerging.

The Official Recommended Age

The American Association of Orthodontists officially recommends that kids should see an orthodontist for the first time between the ages of seven and nine. Even if the child does not have all his or her permanent teeth, the teeth growth pattern can usually be predicted quite effectively by an orthodontist.

This allows for a proactive response to emerging problems, and this is the reason that some younger children are now getting orthodontic devices earlier in life. If a young child has serious orthodontic issues emerging, Dr. Lapsi can usually address the problems immediately and then follow up with another round of treatment when the child has all the adult teeth.

Thanksgiving

November 23rd, 2016

At Excel Dental and Orthodontics, we love to celebrate the holidays with vigor! Dr. Lapsi would love to share some unique ways of celebrating Thanksgiving from beyond the Carlsbad, Mission Viejo, or Laguna Hills area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

I got my braces. Now what?

November 16th, 2016

You’ve taken the first step toward a healthier and more beautiful appearance by getting braces at Excel Dental and Orthodontics, and you’re probably wondering what comes next. The first week is the period of biggest adjustment, and there’s a lot to learn in this short time. Don’t worry; in a few short days your braces will feel completely natural.

The first week

On the first day, your braces will probably feel very odd in your mouth; it will take time to get used to them. By the second day, you may feel some soreness or pain. If you are going to experience any pain, the second and third days are when it will happen. Most pain can be dealt with by taking an over-the-counter pain reliever, such as Tylenol.

What about sore spots?

Your cheeks and tongue are getting used to your new braces, just like your teeth are. You may develop sore spots where this soft tissue rubs against the harsh metal of your braces. The best way to avoid this and allow your mouth to heal is by covering the metal spot with orthodontic wax. Break off a small piece and roll it into a ball in your hands. Dry the metal of the braces with a cotton swab, then wrap the wax around the sharp spot to create a cushion.

What if they break?

Braces are held onto your teeth with special orthodontic glue. Once in a great while, part of your appliance may come loose from the surface of a tooth. This won’t harm anything; it will just be slightly inconvenient. Call our office right away and we will be able to glue the bracket back on.

Make sure you avoid hard items such as ice, brittle, and other hard candies, and don’t open packages with your teeth. These habits can contribute to braces popping off. Even fairly innocent-sounding items like popcorn or French bread can be a culprit, so avoid eating any hard foods, or cut them up into small pieces before consuming.

If you have questions about which foods to eat and avoid, or if your braces are more sore than expected, feel free to contact our Carlsbad, Mission Viejo, or Laguna Hills office and ask Dr. Lapsi and our team. We’re more than happy to help!

What's in my mouth? A Rundown of Orthodontic Appliances

November 9th, 2016

Dr. Lapsi and our team correct the alignment of your teeth and jaws so that you can speak clearly, chew food effectively, and look attractive when you smile. We do this by putting sophisticated gadgets in your mouth. While many of these dental devices look similar, we use a wide variety of orthodontic appliances to straighten your teeth and repair jaw problems.

Orthodontic appliances are devices that move your teeth, change the position of your jaw, or hold your teeth in their finished positions after your braces are removed. These devices may be attached to your teeth or removable.

Braces straighten your teeth. Brackets, bands, and wires characterize traditional braces. Braces are attached to the teeth, so they are not easily removable.

Spacers are small plastic rings fitted between your back teeth before your braces are placed by Dr. Lapsi. These spacers create space between your teeth to optimize the alignment your braces provide.

Retainers hold teeth in their finished position after your braces come off. A Hawley retainer is the most common type of retainer; it features an acrylic plate that rests against the roof of your mouth and a wire crossing in front of your teeth. Essex retainers are quite popular, as they are durable and nearly invisible.

Bite plates correct a deep bite, where the upper front teeth come down too far over the lower front teeth to cause bite problems.

Holding arches prevent the back teeth from moving forward to crowd the front teeth. A lower lingual holding arch prevents your permanent molars from migrating forward. The Nance holding arch maintains space between teeth after you lose baby teeth and before the permanent teeth come in.

A palatal expander widens your upper jaw by separating the bones of your palate. This appliance helps your top and bottom teeth fit together better. The Quad Helix widens your jaws to create more room for crowded teeth.

Contact our Carlsbad, Mission Viejo, or Laguna Hills office today to learn more about the ways we can improve the appeal and function of your smile.

Worst Candy for Braces

November 2nd, 2016

Most kids love candy; actually, most people in general love candy. So when it comes time for you to get braces there can often be a natural conflict between candy consumption and maintaining the integrity of your braces. For that reason, Dr. Lapsi and our team know that it’s good to know which types of candy are not good for your braces. To better illustrate, here are some candies that you will want to avoid.

Caramel

Caramel is a sweet and often exceedingly sticky and chewy type of candy that just does not mix well with braces. Caramel can cause a mess in regular teeth, but teeth with braces are a whole other story. The sticky candy can very easily get lodged and stuck between the teeth, gums, and braces, making for a difficult task of cleaning your mouth. And if your teeth don't get cleaned properly, cavities can easily form. If you get cavities while you have braces, that could mean additional appointments at our Carlsbad, Mission Viejo, or Laguna Hills office and an extended treatment time.

Salt Water Taffy

Another sticky and chewy candy to avoid with braces is salt water taffy. For many of the same reasons as caramel, it is best to avoid taffy until you get your braces removed. It may be a long wait, but when it comes to the health of your teeth, and the purpose of your braces, it really is best to avoid taffy.

Popcorn

Popcorn of any kind is best to avoid when you have braces. The kernels can easily do damage to the braces as you chomp on them, and they can get stuck between your teeth and the braces causing discomfort and further complications. In this sense it does not matter which flavor of candy popcorn you eat, all popcorn is bad news until you get your braces off.

Generally speaking, any candy that is chewy, crunchy, or sticky is not a good idea to eat with braces in your mouth. These types of candy will make life wearing braces much more difficult than if you were to just wait until your braces come off. With a little patience you will be back to eating all your favorite candy again, and with straightened teeth at that.

Halloween: Candy, costumes, and more!

October 26th, 2016

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Dr. Lapsi hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Excel Dental and Orthodontics!

Fluoride and Your Orthodontic Treatment

October 19th, 2016

Our team at Excel Dental and Orthodontics knows that there are many ways you can protect your pearly whites throughout your orthodontic treatment. If you follow the rules and brush your teeth twice a day, floss often, and protect your appliances from damage, you should have a successful treatment.

But did you know there’s another way to keep your teeth sparkling and healthy during your time wearing braces?

Fluoride, the mineral that helps you prevent cavities and tooth decay, can also help keep your teeth strong. Fluoride comes in two varieties: topical and systemic. Depending on your oral health or the recommendation of Dr. Lapsi, you may be required to have a fluoride treatment every three, six, or 12 months. We may also prescribe a fluoride product such as a mouthwash, gel, or antibacterial rinse for at-home treatment to keep your teeth happy in between visits.

If you have any other questions about fluoride or your treatment, please don’t hesitate to give us a call!

Germs living on my toothbrush? Say it ain’t so!

October 12th, 2016

You may have heard talk about the germs that can reside on your toothbrush and thought, “really?”

It’s true—there are several kinds of bacteria that can lurk on the bristles of your toothbrush, including streptococci, staphylococci, Herpes Simplex I, and the Influenza virus. To protect your toothbrush from bacteria, Dr. Lapsi and our team want you to consider the following three tips:

  • Wash your hands before and after brushing.
  • Allow the brush to air dry after each use, as harmful bacteria dies after being exposed to oxygen. It is best to disinfect your toothbrush weekly and allow it to dry in between use. Store the toothbrush in an upright position to allow water to drain and dry faster
  • Replace your toothbrush every three to four months, or after being ill. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office or ask us on Facebook if you have any questions!

What's on your fall reading list?

October 5th, 2016

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Lapsi and our team at Excel Dental and Orthodontics encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Carlsbad, Mission Viejo, or Laguna Hills for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

Do adults need fluoride treatments?

September 28th, 2016

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Lapsi at your next appointment whether you might benefit from a topical fluoride application.

How to Protect Your Braces During Sports Activities

September 21st, 2016

Proper mouth protection is recommended by Excel Dental and Orthodontics when you participate in any sports activities. If you wear braces, this protection becomes essential. Injuries to your mouth can not only damage your teeth, but your braces could break and cut open your lip.

Full Facial Guards

Full facial guards are often used in football and offer protection to your mouth from most injuries. Even with full facial protection, you may benefit from additional mouth protection. While your face is protected from outside impact, you could still suffer from cuts or damage to your braces from internal impact.

Mouthguards

Mouthguards referred to as boil-and-bites can be purchased at many retail stores. As the name implies, these guards are boiled in water to heat and soften the material. While the guard is still warm, you place it in your mouth and bite down gently. This causes the guard to form to the shape of your mouth. Unfortunately, these guards do not necessarily offer the best protection or fit.

Dr. Lapsi can make custom mouthguards specifically for you. The custom fitting ensures you of better protection and a comfortable fit. Custom guards are also built in layers for durability. The American Dental Association recommends custom guards for orthodontic patients. Your mouthguard will be designed to provide proper protection for both your teeth and your braces.

No matter what type of sport you participate in, a mouthguard can protect your braces. Even an activity as seemingly harmless as table tennis can result in a contact injury. The Academy for Sports Dentistry states that a properly fitted mouthguard should not interfere with any athletic activity.

Excel Dental and Orthodontics will provide you with properly-fitting mouth protection to ensure the safety of your braces and your teeth. We will be glad to answer any questions you have so you can continue the activities you enjoy with little concern. If you do suffer any injuries to your mouth or braces during sporting activities, please contact us immediately. The sooner we can care for your mouth, the better the results will be.

Orthodontic Emergency Care

September 14th, 2016

Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

Orthodontic Emergencies

Acute, Direct Injury to the Mouth, Jaw, or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

Minor Orthodontic Issues

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

  • Poking wire
  • Loose bracket
  • Loose elastic band
  • Loose wire
  • Loose appliance
  • Headgear does not fit
  • Lost or broken elastic band
  • General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Carlsbad, Mission Viejo, or Laguna Hills office with any questions, or to schedule an appointment with Dr. Lapsi at Excel Dental and Orthodontics.

September is National Gum Care Month!

September 7th, 2016

Can you believe it's already September? At Excel Dental and Orthodontics, we know that gingivitis, the early stage of periodontal disease, can be difficult to recognize. Many people don’t recognize the warning signs, bleeding and swollen gums, as a precursor to gum disease. This month, a national campaign is under way to raise awareness about gum health and periodontal disease, and we wanted to help do our part to spread the word!

Dr. Lapsi will tell you early recognition and action are the most important steps to health gums, and ultimately a health body, too! Studies are published every year linking oral health, including the gums, to the health of other areas of the body, such as your heart. One of the most important steps to improving the care of your gums is recognizing the warning signs for gum disease. These can include:

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent halitosis, or bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If you happen to notice any of these signs with you or your child, please schedule an appointment at our convenient Carlsbad, Mission Viejo, or Laguna Hills office as soon as possible. Dr. Lapsi and our team can take proactive steps to prevent gingivitis and gum disease, while showing you how to improve gum care in your or your child’s daily oral hygiene habits.

Labor Day: Our favorite holiday to rest!

August 31st, 2016

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Excel Dental and Orthodontics hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Carlsbad, Mission Viejo, or Laguna Hills area, or travel out of town, have fun, and don't forget to brush!

The Importance of Baby Teeth

August 24th, 2016

Dr. Lapsi and our team know it can be easy to underestimate the significance of baby teeth. At Excel Dental and Orthodontics, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Carlsbad, Mission Viejo, or Laguna Hills office.

Are baby teeth really that important?

August 17th, 2016

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

  • Do not let your baby fall asleep with a bottle in his or her mouth.
  • Brush your child’s baby teeth twice a day as soon as they come in.
  • Floss your child’s teeth as soon as he or she has two teeth that touch.
  • Visit Excel Dental and Orthodontics for your baby’s first checkup when the first tooth arrives.

What are dental implants?

August 10th, 2016

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with millions of implants placed in the United States and Canada. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Dr. Lapsi. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

Helpful Hints for Dealing with Braces Pain

August 3rd, 2016

Your first few days with braces will feel rather odd, awkward, and even painful. The day you get your braces you will probably just feel weird, like you have something in your mouth – because you do. You are most likely to feel pain and soreness during the second and third days. After that, you should be fine. If you experience any pain with your braces, there are a few things you can do to get some relief.

Home Remedies

Rinsing your mouth with warm salt water will soothe it and promote healing. Rinse several times a day or when your mouth, particularly mouth sores, are hurting. You can also take some Tylenol every four hours. Dr. Lapsi and our team advise against products that contain ibuprofen because it slows down the movement of your teeth.

You can also eat cold foods like ice cream or yogurt. The cold of the food will help dull the pain. Ice packs applied to your mouth help as well. You can also swish ice water around your mouth, but DO NOT eat ice!

Cool Products

Products for canker sores can be applied to the mouth sores you develop from your braces. There are also various rinses you can use that act as a shield or barrier in your mouth, and protect your mouth sores from further irritation.

Dr. Lapsi and our team may have given you some dental wax to put on the abrasive areas of your braces to protect your mouth. Putting dental wax on the brackets creates a barrier that keeps your mouth from getting scraped and sore.

Bite wafers are another great pain relief too. When you bite down on the wafer, it increases circulation in your gums, which can ease the pain a bit. Just a little pressure will work; you don’t want to bite too hard. And they usually come in cool colors, too!

The pain won’t last forever. One day you will wake up and you won’t have any pain. In fact, you probably won’t even notice the braces in your mouth at all!

How do I know if I need braces?

July 27th, 2016

Perhaps you feel your teeth are not perfectly straight, or you think your bite could be adjusted. It’s quite possible that braces and other orthodontic treatments might be the right choice for you. As orthodontic professionals, our team at Excel Dental and Orthodontics works with your general dentist in order to determine the best options for your oral health and cosmetic appearance.

You might need braces if ...

  • You lost your baby teeth relatively early in life. If your baby teeth fell out too early and your adult teeth did not come in for a while, this could have affected the way your adult teeth grew and developed.
  • Your teeth look crowded or crooked. If you are embarrassed to smile because your teeth are not straight, it might be time to consider the cosmetic options available to you.
  • Your jaw shifts or makes sounds. This can signify a developmental issue with your teeth and your jaw line, and orthodontic treatment may be able to help. Set up an appointment with Dr. Lapsi if your jaw is recessed or protruding as well.
  • You are constantly biting the sides of your cheek or hitting the roof of your mouth. This could indicate that your teeth are not properly aligned. Braces can address an underbite or an overbite.
  • You have a difficult time chewing your food. This is not only an inconvenience, but it can also be detrimental for your health. Braces can help fix the alignment of your teeth.
  • You have to breathe through your mouth on a regular basis. You may not attribute this to an issue with the development of your teeth or jaw, but orthodontic treatment might be able to help.

The ideal age for a child to be seen by an orthodontist is age seven. However, there are many orthodontic treatment options available to adults. It is becoming increasingly common for adults to wear braces and other orthodontic devices. We recommend that people who are interested in braces and other orthodontic treatment options set up a consultation appointment with Dr. Lapsi today.

Are you visiting the dentist during your orthodontic treatment?

July 20th, 2016

If you’re brushing your teeth twice a day during your orthodontic treatment, Dr. Lapsi and our team think that’s wonderful! But, don’t forget that it’s also important for you to visit your general dentist every six months, or as recommended, in addition to brushing your teeth and flossing. (And visiting Excel Dental and Orthodontics for regular adjustments, of course.)

Dental checkups are crucial for maintaining good oral health. Your general dentist can check for problems that might not be seen or felt, detect cavities and early signs of tooth decay, as well as catch and treat oral health problems early. During an oral exam, your dentist can also check the health of your mouth, teeth, gums, cheeks, and tongue. Checkups will also include a thorough teeth cleaning and polishing.

If you have not been to the dentist in the last six months, let us know during your next adjustment visit and we will provide a few great references in the Carlsbad, Mission Viejo, or Laguna Hills area!

Diet and Dental Health: What to eat and what to avoid

July 13th, 2016

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Excel Dental and Orthodontics will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Dr. Lapsi about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Tell us about your summer!

July 6th, 2016

The dog days of summer are upon us, and what better time for Dr. Lapsi and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Carlsbad, Mission Viejo, or Laguna Hills and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

Happy Fourth of July

June 29th, 2016

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Lapsi and our team at Excel Dental and Orthodontics wish you a safe and happy Fourth of July!

What are the benefits of visiting a dentist regularly?

June 22nd, 2016

Your regularly scheduled dental checkups with Dr. Lapsi are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with Dr. Lapsi every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Excel Dental and Orthodontics, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While Dr. Lapsi and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our Carlsbad, Mission Viejo, or Laguna Hills office!

Is your child a mouth breather?

June 15th, 2016

Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at Excel Dental and Orthodontics sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment with Dr. Lapsi.

Can I use mouthwash instead of flossing?

June 8th, 2016

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Lapsi can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Carlsbad, Mission Viejo, or Laguna Hills team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

Summer Break: An ideal time for wisdom teeth removal

June 1st, 2016

After your son or daughter departs for college, the last thing you want to get is a call or text to learn he or she is in pain. Dr. Lapsi and our team at Excel Dental and Orthodontics will tell you there aren’t many emergency situations that can be avoided when it comes to dental health, but one crisis that can easily be prevented before your teen heads hundreds of miles away for college is wisdom tooth extraction.

What are wisdom teeth?

Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. Wisdom teeth can go from barely noticeable to extremely painful in a very short period of time.

When your teen’s wisdom teeth erupt, they may cause overcrowding of his or her teeth, which can have a negative effect on their alignment. Most people’s mouths do not have enough room for wisdom teeth to erupt fully and remain perfectly aligned. Thus, pain, swelling, infection, damage to adjacent teeth, and decay are often the most common problems associated with wisdom teeth. These problems can brew beneath the surface for weeks or months, offering no warning before painful symptoms hit.

If your child does elect to go through wisdom tooth extraction, we want to inform you that the first few days of recovery consist of careful measures to control bleeding and swelling, an adherence to a special soft diet, as well as a medication routine that must be followed as recommended by Dr. Lapsi after surgery.

Dr. Lapsi and our team are dedicated to providing exceptional service before, during, and after your wisdom tooth procedure, so you can have peace of mind knowing that your child’s oral health is in good hands. We will do everything we can to minimize discomfort and help your child heal safely and quickly.

Summer break is the perfect time to remove wisdom teeth so that your child can avoid the stressful scenario of experiencing this medical emergency far away from home. If you have any questions on wisdom teeth removal or to schedule an initial consultation with Dr. Lapsi, give us a call today!

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 25th, 2016

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Excel Dental and Orthodontics wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Carlsbad, Mission Viejo, or Laguna Hills area or beyond, Happy Memorial Day to you and yours from Dr. Lapsi!

Things You Should Never Use Your Braces For

May 18th, 2016

When you get your braces, Dr. Lapsi and our staff will also give you a list of foods you should not eat and things you should not do. Pay particular attention to these items to keep your teeth and braces safe.

Charms belong on bracelets. While you can decorate your braces with colored bands, hanging a charm off them is a bad idea. If you bite down on the charm, you could damage your braces or your teeth. You could also swallow your jewelry.

Never use your teeth as a bottle opener. This is just as important when you are wearing braces. While braces straighten your teeth, your teeth are moving in the process. That makes them weaker, and the metal in the braces does not make them invincible. Invest in a bottle opener; you can buy one for a few dollars, which is much less expensive than having to replace your braces.

Contrary to what you might think, your braces are not designed to work as a radio. There are tales of people who have picked up radio signals from dental fillings or braces. While this is remotely possible, attaching an antenna to your mouth is just not a good idea. You will get better quality music from a radio.

On the other hand, you can still kiss someone while wearing braces. In fact, even if both of you wear braces, the chances of your getting locked together are almost negligible. However, to avoid cutting your partner’s lips, kiss with caution.

If you have any questions about taking care of your braces, please ask Dr. Lapsi and our staff. We want you to get the best results from your treatment without needless delays.

Kristin Cavallari and Palatal Expanders

May 11th, 2016

It’s no easy feat to have one of the best smiles in Hollywood. The reality TV starlet Kristin Cavallari attributes her gorgeous smile to routine oral hygiene, the removal of two impacted wisdom teeth, and having undergone orthodontic treatment. Kristin’s treatment began in sixth grade when she was fitted with a device Dr. Lapsi and our team call a palatal expander, which is used to guide upper jaw growth in our younger patients.

What is a palatal expander?

A palatal expander “expands” (or widens) your upper jaw by applying gentle pressure on your upper molars, and is used to make the bottom and upper teeth fit together better. In addition, palatal expanders work to create more room for teeth, as well as promote a broader, more appealing smile.

Do palatal expanders hurt?

Palatal expanders are usually not painful, however you may experience difficulty speaking and swallowing for the first few days. Adjusting your palatal expander as instructed by Dr. Lapsi will ensure there are no delays in regards to your treatment plan.

Typically, it takes a few weeks to achieve the desired amount of expansion, after which you will keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Dr. Lapsi and our team at Excel Dental and Orthodontics will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.

If you have any questions about your palatal expander or your treatment plan with Dr. Lapsi, please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office!

May Marks National Physical Fitness and Sports Month!

May 4th, 2016

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

  • Improved stamina and energy as well as toned muscles and bone strength and density
  • Improved circulation and breathing for a healthier heart and lungs
  • Reduced risk for Type 2 diabetes and certain forms of cancer
  • For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, Dr. Lapsi and our team at Excel Dental and Orthodontics recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

  • Take a friend along for company on a walk through your neighborhood.
  • Pursue gardening or other yard work, including mowing or raking.
  • Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

  • Take the stairs instead of the elevator.
  • Take exercise breaks for walks around the building or parking lot.
  • Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Three Valuable Dental Treatments

April 27th, 2016

In our office, we customize treatment for every patient. Amid all of the fillings, crowns, and veneers, we find there are three treatments that are most valuable when offering our patients options: dental implants, bite guards, and teeth whitening.

Dental implants are a great tool for those who have lost teeth from trauma, genetic predetermination, decay, or fracture. Technology and design have allowed these implants to look and function like a natural tooth. They are a great investment when maintaining bone structure and smile presentation.

In our fast-paced lives, people take their stress and tension out on their teeth. Clenching and grinding, or bruxism, is on the rise. This is traumatic to crowns, fillings, and natural teeth. Headaches are a symptom of bruxism and when not treated, jaw joint inflammation and pain are a result. Bite guards are often worn at night when most of the action occurs. Many are not even aware of this habit until presented with evidence of cracked teeth, broken crowns, and pain.

Last, but most definitely not least, is whitening. Tooth whitening is safe and effective. There are different types of tooth whitening: in-office, custom trays, and over-the-counter strips. Each is effective, though at different levels. First, and your best option, is done in the office. The gums are protected and a gel with high potency is applied to the teeth. Some methods have a light shining on teeth and some have timed intervals without the light. Next are custom trays, which require an impression of your bite. Trays are picked up at a later date. At that point, instructions are given and the gel and trays are delivered. A final option is whitening strips, which can be found in many local stores. They are effective, though the whitening process is slower and some areas may not whiten.

Each treatment has risks and rewards that should always be considered prior to any treatment. Implants must be well cared for. Bite guards must be an accurate fit and worn regularly. Comfort is most important. Whitening causes temporary sensitivity and some people’s teeth whiten better than others.

Consider what your needs are, and then customize your wants to fit into the equation. A little stability from implants, protection from a bite guard, and a brilliant smile may be just what the doctor ordered. And if you have any questions, don’t hesitate to call our office, Excel Dental and Orthodontics.

Earth Day

April 20th, 2016

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Excel Dental and Orthodontics wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Excel Dental and Orthodontics.

Should I use a water pick during my treatment?

April 13th, 2016

Dr. Lapsi and our team at Excel Dental and Orthodontics know that for some of our patients wearing braces, it can be difficult to weave through those wires and brackets as you brush and floss during your treatment.

Some of our patients use a water pick to flush out food and other particles and bacteria stuck between their teeth as the water can reach behind the metal wires and hit spots where your floss simply cannot reach. People suffering from gum disease also find water picks quite effective because of their ability to flush out bacteria from inside the deep pockets.

Water picks are friendly to braces and are also gentle on the gums. They are less likely to cause bleeding for people with sensitive teeth or gums. But as many benefits as they may have, Dr. Lapsi and our team want you to know that water picks should never be used as a substitute for flossing. Though they are great tools for helping improve oral health while you are in treatment, they are just not a good enough tool on their own to keep your mouth and gums gingivitis- and decay-free. Water picks are also incapable of removing plaque from teeth as effectively as floss can. While water picks rinse the sticky bacteria off your teeth, flossing is actually more effective as it actually scrapes the bacteria off of your pearly whites.

If you have any questions about water picks or any general questions or concerns about your orthodontic treatment, we encourage you to please ask us below or give us a call!

April is Oral Cancer Awareness Month

April 6th, 2016

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Carlsbad, Mission Viejo, or Laguna Hills office, now is an excellent time to schedule one. Regular visits to Excel Dental and Orthodontics can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What causes oral cancer?

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption (especially in combination with tobacco use)
  • Persistent viral infections, such as HPV16
  • A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

Making Your Life Better with Orthodontics

March 30th, 2016

The number one goal of orthodontic treatment is to give you or your child a beautiful, healthy smile that will last a lifetime. One of the first things people notice about others is their smiles so take the first step towards getting the smile you’ve always wanted and make your initial consultation at Excel Dental and Orthodontics

A good bite not only makes it easier to eat and speak, but will enhance your dental and overall health as well. Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean reducing the risk of gingivitis and periodontal disease. 

Let your smile express yourself! Give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to schedule your consultation today!

 

What is dentofacial orthopedics?

March 23rd, 2016

You may have noticed that we specialize in orthodontics and dentofacial orthopedics. And while most people we talk to have heard of orthodontics, many are confused by the dentofacial orthopedics part of the title. Today, Dr. Lapsi and our team thought we would explain the difference.

While orthodontics entails the management of tooth movement, dentofacial orthopedics involves the guidance of facial growth and facial development, which occurs for the most part during childhood, and is a reason why kids are often the best candidates for receiving dentofacial orthopedic therapy. Dr. Lapsi will examine and monitor your child’s growth to determine when starting treatment will be most effective. If your child begins orthodontic treatment before his or her adult teeth have erupted, it is known as Phase-One treatment. During this phase, Dr. Lapsi will use treatments designed to correct your child’s jaw growth and make sure that the jaw bone is properly aligned before beginning the next phase of treatment, which usually involves placing braces to straighten your child's teeth.

Dentofacial orthopedics is also used to treat adult patients at Excel Dental and Orthodontics, however, this process may involve surgery. With our younger patients, we know the jaw bones are still forming, making it easier for our team at Excel Dental and Orthodontics to control bone growth and tooth movement. Adults, however, are a different story; their bones are no longer growing, and their jaw bones have hardened, so it is more difficult to adjust the bite and move teeth into proper alignment. Dr. Lapsi may recommend surgery to adjust the jaw bone and establish the proper bite alignment before beginning treatment.

Because our team at Excel Dental and Orthodontics is skilled in both areas, we are able to diagnose any misalignments in the teeth and jaw as well as the facial structure, and can devise a treatment plan that integrates both orthodontic and dentofacial orthopedic treatments.

We hope that helps! To learn more about dentofacial orthopedics, and to find out if this type of treatment is right for you, please contact our Carlsbad, Mission Viejo, or Laguna Hills office and schedule an initial consultation for you or your child. It’s never too late to get a great smile, and we can’t wait to help you or your child get started.

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 16th, 2016

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Excel Dental and Orthodontics is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Lapsi !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

Periodontal Disease Associated with Cardiovascular Risk

March 9th, 2016

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Excel Dental and Orthodontics. Dr. Lapsi and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

Are your teeth ready for the big day?

March 8th, 2016

Capturing the Moment

At Excel Dental and Orthodontics we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in Carlsbad, Mission Viejo, or Laguna Hills to think of Dr. Lapsi!

Don’t procrastinate about dental work!

February 17th, 2016

When you have dental issues or just need routine care, you may try to put off making an appointment at Excel Dental and Orthodontics. Common reasons for procrastination are not having the time or fear of pain. Avoiding Dr. Lapsi is not a good idea, though. Putting off dental care can turn small problems into large ones. Short appointments turn into long ones with significantly more work and expense.

What happens when you wait?

The small cavity that could have been filled easily has turned into a large cavity. The larger the cavity, the more work required to fill it. However, this is only a minor problem compared to more advanced issues. The minor toothache you are trying to ignore could be a small fracture or an abscess. Small fractures can sometimes be repaired, but if you wait and the fracture increases, you may need to get a crown.

An abscess can be treated in the early stages. Ignoring an abscessed tooth may lead to root damage and the need for a root canal. Infection can spread to other teeth, which multiplies the damage. These treatments will require more of your time than you would have spent taking care of the problem early.

Perhaps you are just putting off a routine cleaning. Even if you brush, rinse, and floss the way you are supposed to, you need a professional cleaning at Excel Dental and Orthodontics. Plaque that is left behind hardens into calculus or tartar that you cannot remove by yourself. A build-up of calculus can also lead to gum disease.

Unfortunately, avoiding appointments due to a lack of time may mean that you have to give up substantially more time later on. You also can experience needless pain from tooth problems. It’s always best to visit Dr. Lapsi for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

The Transformation of Valentine's Day

February 10th, 2016

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of Dr. Lapsi.

What do I do if I fall and loosen my teeth?

February 3rd, 2016

Although teeth are strong enough to tear through food, they are also fragile. An accident such as a fall may loosen teeth or knock a tooth out entirely. When a child loses a baby tooth in this manner, no permanent damage is usually done. However, adults who loosen permanent teeth may need to visit our Carlsbad, Mission Viejo, or Laguna Hills office.

The Anatomy of a Loose Tooth

The hard external layer of teeth covers a more vulnerable interior. The center of a tooth consists of the pulp, which contains blood vessels and nerves. The entire tooth extends below the surface of the gums into the jaw. Special tissue called cementum and the periodontal ligament hold teeth in place, preventing them from moving.

When a fall or blow to the face loosens a tooth, the tissues anchoring a tooth to the jaw may be damaged. This results in a loosened tooth that wiggles in place. There may be inflammation or bleeding of the gums, which signals dental damage.

Dental Treatments for a Loose Tooth

The range of dental treatments for loose teeth varies by the severity of the problem. If your teeth are just slightly loose following a fall, it may be fine to wait a few days. Teeth often retighten on their own. Simply avoid chewing with that tooth and enjoy softer foods for a few days.

If a tooth is very loose or nearly falling out, call Dr. Lapsi immediately. Immediate placement of the tooth back into the socket is needed to ensure its survival. In general, a tooth must return to its socket within two hours or it may be lost.

In some cases, Dr. Lapsi may recommend splinting, in which teeth are joined together to strengthen them and reduce strain on an individual tooth. Tightening or straightening the tooth can restore your ability to chew regularly without stressing the loosened tooth.

Regardless of the extent of the problem, it is essential to keep the tooth clean to prevent decay. Brush carefully with a soft-bristled brush, and use mouthwash regularly to kill bacteria.

Questions, questions…

January 27th, 2016

When beginning orthodontic treatment, most patients ask Dr. Lapsi and our team a lot of questions about what to expect, while others choose to just "go with the flow" and leave it to us to build for them a beautiful smile. And for our team at Excel Dental and Orthodontics, that's understandable.

But for those who do ask questions, two of the ones we frequently hear are "Will my braces hurt?" and "How long will these be on?"

We explain to our patients that despite what they've heard, braces do not hurt when they're initially put on. Yes, you will experience soreness after your braces are placed and when your teeth start to move. Too often, our patients hear horror stories about how much it hurts to get the braces on, so they tend to over-worry. The truth is, after their braces are on, almost all patients say "that's it?" because it's actually easy and painless!

At Excel Dental and Orthodontics, we answer most of your other questions during your initial exam. When a patient visits our office for the first time, we give him or her a time estimate of how long it will take to achieve their ideal smile. All other questions are answered at the bonding appointment when the braces are placed. We cover all the topics, everything from eating to brushing with braces, but we also know that after your initial appointment, it's natural for you to have questions about your or your child's treatment. And we are always here for you; we are thorough and always try to answer any questions or concerns you may have. As a patient, that's one thing you never have to worry about. You will always know what's going on throughout your orthodontic experience.

Why Visiting the Emergency Room for Your Dental Problem isn’t a Good Idea

January 20th, 2016

Emergency rooms are for emergencies, so before you head to the hospital because of a dental problem, you need to ask yourself this question: Is what you're experiencing really a medical emergency? While emergency room visits for dental related issues are on the rise across the United States , they’re not necessarily the best solution for every problem. Many people don't know about emergency dental care services, many of which are available 24/7, and so they go to the ER.

These types of statistics are common across the country. However, despite the numbers, not all dental problems are created equal. If you've experienced some type of injury to your mouth, jaw, or face, then an ER visit is a good idea, but if you're suffering from a toothache, cavity, or broken crown or veneer, then the ER is not the best place to handle the situation. If you're having a dental emergency, then seeking emergency dental care should be your course of action.

Seeking Long-Term Solutions

The ER doesn't provide a long-term solution to your dental issue; it only gives you temporary relief. There’s a chance they will simply hand you a prescription for pain medication and tell you to call your dentist in the morning. In the end, you’re going to be saddled with two medical bills, and nobody wants that. Even if the ER outfits you with a temporary crown or filling, you're still going to have to make a follow-up appointment our office.

There are numerous homemade remedies that can sooth tooth and gum pain. However, if you're experiencing a dental emergency, the ER is not the place to go. The specialized emergency team at Excel Dental and Orthodontics is available to take care of every dental problem you may have. In the case of a dental emergency, don't wait any longer than necessary. Feel free to contact our Carlsbad, Mission Viejo, or Laguna Hills office at any time, day or night.

The Importance of Wearing Your Retainer after Orthodontic Treatment

January 13th, 2016

It's the big day and your braces are finally coming off! Does that mean you are completely done? Not so fast! After you complete your treatment here at Excel Dental and Orthodontics, Dr. Lapsi and our team will recommend you wear a retainer, which must be worn routinely after treatment in order to hold your teeth in their proper, new position while your gums, ligaments and bones adapt. Most patients are required to wear their retainer every night at first, with many also being directed to wear them during the day. It's important to know there are different kinds of retainers, and today we thought we would explain the differences between them.

Hawley Retainers

The Hawley retainer is one of the most common types of retainers. It is a removable retainer made of a combination of a metal wire that typically surrounds the six anterior teeth and is designed to keep your teeth in place. This retainer is made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while the wire and acrylic framing keeps your teeth in an ideal position. The acrylic can also be personalized with a large number of colors or patterns.

Essix (Clear) Retainers

The Essix retainer is a transparent removable retainer that fits over the entire arch of your teeth. This clear or transparent retainer fits over the entire arch of teeth and is produced from a mold. Similar to Invisalign’s clear aligner trays, Essix retainers have no metal or wires. They can also be used to produce minor tooth movements and can be helpful in prevention of tooth wear due to tooth grinding at night.

Bonded Retainers

Bonded lingual retainers are cemented directly to the inside surface of your lower canines. Dr. Lapsi and our team at Excel Dental and Orthodontics encourage our patients with bonded lingual retainers to be careful with their bite as the bonding material may break due to incorrect biting and cause your teeth to shift. As with removable retainers, it is important to keep your bonded retainers clean. When brushing, make sure to carefully clean the inside of your lower teeth, as well as the wire itself.

The retention phase of treatment begins when the patient’s braces are removed. Retainers are worn full time, typically for the first nine months, except while eating. Retainers should also be removed before brushing your teeth.

If you have any questions about the retainers we offer or to learn more about post-orthodontic treatment, please feel free to contact us at our convenient Carlsbad, Mission Viejo, or Laguna Hills office and we will be happy to answer any of your questions!

Top Reasons People Choose Veneers

January 6th, 2016

Dental veneers are a way to correct and transform your smile by using “contact lens”-thin shells of porcelain or ceramic material and bonding them to the front of your teeth. They are strong and durable, look and feel like natural teeth, and improve your smile immediately. Here are some of the top reasons to consider getting dental veneers.

They Correct Multiple Cosmetic Issues

Dental veneers can help with cosmetic and dental health issues, and treat multiple problems at once. Some common reasons that individuals choose veneers is to close gaps and spaces between the teeth, fix alignment issues, change the overall shape and appearance of a tooth, whiten a smile by covering stained or discolored teeth, and cover chipped or cracked teeth.

If you have teeth that are already worn down and weakened, veneers help prevent further damage by covering them with a thin, tooth-colored shell.

Durability

Dental veneers are also extremely durable. They last several years longer than traditional composite fillings. You’ll have peace of mind when you choose veneers, knowing that you’ll have your new smile for many years. On average, dental veneers last about ten to 15 years. Just like your natural teeth, when you take good care of your veneers, they last longer.

Easy to Clean and Maintain

Keeping your veneers healthy and white is easy: You simply brush and floss them the way you do all of your teeth. Shortly after having your veneers installed, you’ll begin to think of them as your natural teeth because the thin shells lie right on top of your existing teeth. This makes it easy to floss and brush the way you normally would and keep them as clean as possible.

The Process is Simple

Getting dental veneers is a quick and easy process. You have a few short visits at Excel Dental and Orthodontics and see results. On average, it only takes about four weeks from your first appointment to your last to complete the veneer process.

If you are considering getting dental veneers, schedule a consultation appointment with Dr. Lapsi to find out exactly how they can benefit you.

It's a Wrap: Ending the year with a smile!

December 30th, 2015

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Carlsbad, Mission Viejo, or Laguna Hills area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Excel Dental and Orthodontics

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Lapsi, have a great new year!.

Which whitening is right for you?

December 23rd, 2015

Many of our patients at Excel Dental and Orthodontics have been asking us about brightening their teeth lately, and today we thought we would discuss the options available to you to put the sparkle back in your smile!

Over-the-counter products – You’ve probably seen over-the-counter whiteners such as whitening strips on store shelves. While whitening strips may work for some, they do have certain restrictions. For example, they are not nearly as effective when crowns or fillings are involved. Teeth that are stained gray instead of brown or yellow typically don’t respond as well to these types of whiteners. Whitening strips typically save you money but take longer to work and also require discipline on your part to keep them in place for the right amount of time each day.

Whitening at our office – This type of whitening can be done right at Excel Dental and Orthodontics. A whitening agent is applied directly to teeth and a special light helps accelerate the whitening process. This may be accomplished in one session or take several appointments. You should expect to spend anywhere from 30 to 60 minutes at each session. If you have a mix of natural teeth and fillings or crowns, Dr. Lapsi may recommend bonding or veneers on your natural teeth instead of regular bleaching. Teeth whitening at our office can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted.

At-home whitening – If you choose this option, Dr. Lapsi will take a mold of your teeth and create a custom-fit whitening tray. Gel whitening solution is poured in the mouthguard-like tray, and the tray is worn for a pre-determined amount of time, generally from a couple of hours a day to every day during the night, until you’re back in our office for an evaluation.

Give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment! Whiter teeth are one just one visit away at Excel Dental and Orthodontics!

Rubber Band Horoscopes: What your color says about you

December 16th, 2015

One exciting part about wearing braces from Excel Dental and Orthodontics is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place. These rubber bands may be individual or connected, depending on your mouth’s needs. From Dr. Lapsi, you have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth. Here are a few options to consider:

  • School spirit colors
  • Favorite sports team colors
  • Patriotic colors
  • Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

  • Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
  • Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
  • Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
  • Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
  • Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
  • Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

Surprising Ways to Prevent Cavities

December 9th, 2015

There are numerous ways to prevent cavities. Some, like brushing your teeth regularly and visiting our Carlsbad, Mission Viejo, or Laguna Hills office, are more obvious than others. Beyond the standard methods of preventing cavities there are a number of different ways to keep your mouth healthy that you might also find surprising.

1. Reduce your consumption of carbs and sugar.

The consumption of sugar is ultimately the biggest catalyst for cavities. By limiting the sugar you consume both at meals and while snacking you will in turn be preventing cavities. But this goes for all carbs, not just sugar. See, even more complex, lower glycemic, carbs can lead to cavities in your mouth, so the best way to prevent them is to limit your carbohydrate intake. This is not to say that you have to cut out carbs all together, but by reducing your intake, you will prevent cavities and it can also lead to a healthier body overall.

2. Rinse your mouth with food-grade hydrogen peroxide.

For some people this may seem a little odd, but washing your mouth out with a food-grade hydrogen peroxide is an excellent way to prevent cavities. Doing so will kill harmful bacteria that accumulates in your mouth much in the same way applying the anti-septic to a cut does. That said, when you rinse your mouth out similar to how you would use a mouth wash, you want to make sure you don't swallow the hydrogen peroxide, spit it out instead.

3. Use a straw.

If you are someone that drinks a lot of sugary beverages a great way to prevent cavities is to use a straw. This way the sugar in the beverage does not come into contact with your teeth as much as it would if you were to drink straight from a glass, can, cup, or bottle.

4. Chew gum.

Chewing gum is another viable way of preventing cavities. You, of course, will need to chew a sugarless gum flavored with a substitute like Xylitol, and preferably with a cavity fighting ingredient in it.

5. Eat cheese.

Plain and simple cheese has a protein called casein which helps build calcium in your teeth which is vital to the integrity of your mouth and preventing cavities.

The Invisalign® Treatment Process

December 2nd, 2015

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, Dr. Lapsi will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Dr. Lapsi will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our Carlsbad, Mission Viejo, or Laguna Hills office every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Dr. Lapsi may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

Thanksgiving Trivia

November 25th, 2015

At Excel Dental and Orthodontics we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Lapsi wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Dreaming of a stunning smile without using braces?

November 18th, 2015

Most of us aren’t born with a red carpet smile. And if you’ve thought about straightening your teeth but are apprehensive about doing so with traditional orthodontic treatment, Dr. Lapsi and our team at Excel Dental and Orthodontics want you to know there is another option – Invisalign®!

Invisalign is an ideal solution for most adults looking for a less noticeable way to achieve a better smile. In fact, Invisalign has increasingly become a very popular choice for adults looking for a more comfortable, convenient and cosmetically-appealing treatment for straightening their teeth.

Our team at Excel Dental and Orthodontics is proud to offer Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you’re wearing, which allows you to smile more during treatment, as well as after. Not only are the aligners invisible, they are also removable, so you can eat and drink what you want; brushing and flossing is easier with Invisalign than with traditional braces.

Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

A consultation with Dr. Lapsi can determine if Invisalign is right for you. We encourage you to give us a call at our friendly Carlsbad, Mission Viejo, or Laguna Hills office if you’re interested in learning more about Invisalign or if you are ready to visit us for an initial consultation! We look forward to seeing you!

Caring for Your Smile While Wearing Invisalign®

November 11th, 2015

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our Carlsbad, Mission Viejo, or Laguna Hills office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Dr. Lapsi for other ways to clean your trays.

November Marks National Diabetes Awareness Month

November 4th, 2015

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Excel Dental and Orthodontics to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Carlsbad, Mission Viejo, or Laguna Hills office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Lapsi can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office.

The Intriguing History of Halloween

October 28th, 2015

Halloween is fast approaching, and Dr. Lapsi wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Carlsbad, Mission Viejo, or Laguna Hills office, make your Halloween a safe one!

Caring for Your Smile after Invisalign® Treatment

October 21st, 2015

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.

Retainers

Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Dr. Lapsi, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.

Brushing and Flossing

Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.

Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.

Regular Dental Checkups

You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Carlsbad, Mission Viejo, or Laguna Hills team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

The Clear Benefits of Invisalign®

October 14th, 2015

Straighter teeth is something many people desire. A nice smile is one of the most attractive things about a person. However, wearing a mouth full of braces for two, three, or more years can be a major pain, both literally and figuratively.

Luckily, there is another option. Invisalign is an alternative to traditional braces. Learn more about the benefits Invisalign offers and why you should consider this exciting method of straightening teeth.

  • When you have straight teeth, your mouth is healthier in general and there is less chance of tooth decay and gum disease. Invisalign makes it possible for more people to straighten their teeth.
  • Invisalign is essentially invisible. You can straighten your teeth without unsightly metal in your mouth.
  • The average cost is similar to that of traditional braces, which makes it affordable for many families.
  • With Invisalign, the aligner trays are smooth and comfortable to wear. Traditional metal braces can be uncomfortable and cause irritation to the mouth.
  • Invisalign is removable, so you do not have to wear the system during special occasions, or when you’re eating. With normal metal braces, you are stuck with them for the entire straightening process.
  • Brushing and flossing are simple. Since the system is removable, you can brush and floss just like normal.

As you can see, Invisalign is an exciting option we provide at Excel Dental and Orthodontics for those who want straighter teeth. If this is something that sounds interesting to you, talk to Dr. Lapsi and find out if it would work for your particular situation. Get started today, and before you know it you will be enjoying your straighter teeth.

For more information about Invisalign, or to schedule an initial consultation with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office today!

Year-End Insurance Reminder

October 7th, 2015

Dr. Lapsi, as well as our team at Excel Dental and Orthodontics, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

IV Sedation Dentistry: What is it, and how can it help?

September 30th, 2015

While Dr. Lapsi and our team at Excel Dental and Orthodontics strive to offer a comfortable and unmatched experience for all our patients, we realize that fear or anxiety while visiting the dentist still affects some of our patients. For those of our patients who need extra comfort and relaxation during their visits, we are more than happy to offer IV sedation, a safe and effective option that provides a deeper and more complete relaxing state than most common oral medications.

Sedation dentistry at our Carlsbad, Mission Viejo, or Laguna Hills office can turn a nerve-wracking and sweaty-palmed visit into a comfortable and pleasant one, and allows our patients to drift through their appointments, including complex dental work, feeling completely relaxed and without any discomfort or pain.

During sedation, Dr. Lapsi and our team will monitor your comfort, providing as much medication as necessary to keep you relaxed. We will also use the best tools we have at our disposal to monitor your vital signs so that you can have peace of mind before your procedure.

Dr. Lapsi and our team will be able to tell you if you are a candidate for sedation dentistry and will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit. By talking with us about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Excel Dental and Orthodontics. Give us a call today!

Toothache: A dentist or the emergency room?

September 23rd, 2015

Emergency care dentists are equipped to handle any tooth emergency. Seeing us first takes less time than having to sit in a hospital emergency room, only to be told to see a dentist. When dental emergencies occur, seek emergency care with Excel Dental and Orthodontics as soon as possible. We are prepared and equipped for any type of dental emergency: day or night, seven days a week, we stand ready to advise and treat you with great dental care.

There are several types of dental emergencies, but only one or two should require a hospital emergency room visit. If you suspect you have a broken jaw or nose, emergency medical attention is required. For pain associated with teeth and gums or injury to a tooth, Excel Dental and Orthodontics is the better choice. Dental pain almost always becomes worse without treatment, and can create other serious health issues.

If a tooth has been traumatized or knocked out of your mouth, our team can treat the sensitive nerves and tissues that could be damaged. If you can replace the tooth quickly enough, chances are it can be saved. There are certain precautions to take during a dental emergency that could help preserve a tooth until you can see our professional dentists for emergency dental care.

Call our Carlsbad, Mission Viejo, or Laguna Hills office at the first onset of pain. If you have lost a tooth, crown, or filling, try to keep the tooth or restoration moist. Teeth are strong, but they will crack and shift after an injury or the loss of a bridge or crown. If the crack extends to the root, or the loss of a tooth or crown leaves sensitive tissue or nerves exposed, the pain can be excruciating. Our emergency care dentists will always treat your pain immediately upon examination, and fix the problem or advise you of a plan to address the cause of the pain.

Make your appointment immediately if you have suffered an accident-causing tooth injury. If the pain is the result of decay or cavities, medication for infection may be necessary. Depending on the extent of the decay, a filling, extraction, or root canal may be recommended. These treatments are not available in a hospital emergency room, but can be completed quickly and comfortably at Excel Dental and Orthodontics .

What’s the advantage to Invisalign®?

September 16th, 2015

Invisalign, which we happily provide at Excel Dental and Orthodontics, is a great alternative to traditional orthodontic treatment if you've been apprehensive about the thought of metal braces. During your initial visit, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Invisalign treatment, which consists of a series of aligners that you switch out approximately every couple of weeks, can help patients with crowded teeth, crossbites, overbites, underbites and more. Invisalign gradually shifts your teeth into place, creating the dazzling smile you’ve always wanted. During treatment with Dr. Lapsi, patients wear the aligners all day and night, except for during meals and when they’re brushing and flossing; cleaning your teeth and eating are a snap since you can easily remove your aligners! And because they’re clear, no one will know that your teeth are steadily straightening!

To find out if you are the right candidate for Invisalign treatment, we invite you to give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office and schedule a consultation.

How to Handle a Dental Emergency

September 9th, 2015

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Excel Dental and Orthodontics is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Dr. Lapsi can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Celebrate Labor Day by Getting Away

September 2nd, 2015

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend each year. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Excel Dental and Orthodontics to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the dental practice of Dr. Lapsi!

The Evolution of the Toothbrush

August 26th, 2015

Oral hygiene has always been an important part of maintaining overall health. For thousands of years, humans have found ways to keep their teeth and mouths clean. According to the American Dental Association (ADA), “early forms of the toothbrush have existed for nearly 5,000 years.” But what exactly did the first toothbrush look like?

Toothbrush Timeline

With help from The Library of Congress, Dr. Lapsi and our team have compiled a timeline with some interesting details about the evolution of the toothbrush:

  • 3000 BC – Perhaps the earliest form of the toothbrush, the “chew stick” was used by Ancient civilizations. People would rub this thin twig with a frayed end against their teeth to remove food and plaque.
  • 1498 – The bristle toothbrush was invented in China and had many similarities to the toothbrushes used today. These devices were made by attaching the stiff, coarse hairs from the back of a hog’s neck to handles that were typically made from bone or bamboo.
  • 1938 – Signaling the end of the boar bristle, Dupont de Nemours introduced nylon bristles, and Americans welcomed Doctor West’s Miracle Toothbrush, the first nylon toothbrush.
  • 1960 – The Squibb Company introduced Broxodent, one of the first electric toothbrushes, to the American market.

Toothbrushes Today

Today, there are many brands of toothbrushes that often advertise different benefits. The variety of options may seem overwhelming, but the most important thing is for you to find a toothbrush that you like and find easy to use.

The ADA recommends that you choose a toothbrush that fits comfortably and allows you to effectively reach all areas of your mouth. Whether you decide to use a manual or a powered toothbrush, make sure that you thoroughly clean all surfaces of your teeth twice a day.

Society has come a long way since the days of the chew stick, but one thing that remains the same is the importance of consistent and effective personal oral hygiene.

Is it possible to over brush?

August 19th, 2015

Our team at Excel Dental and Orthodontics will tell you brushing on a regular basis is critical for a healthy mouth, but you can definitely overdo a good thing. Known as “toothbrush abrasion,” over brushing can lead to sensitive teeth and receding gums, not to mention the wearing down of the protective layers of your tooth enamel. Over brushing can also push back your gums, and in the process, expose the dentin layer under the enamel.

“So, how do I avoid over brushing?”

  • Use a soft or extra-soft bristled toothbrush to prevent gum damage and wear on the soft tooth dentin
  • Keep in mind which direction bristles face when you brush. They should be perpendicular, not parallel. Place the head of your toothbrush with the tips of the bristles at a 45-degree angle to the gum line and brush away!
  • Move the toothbrush with short strokes and a scrubbing motion, several times in each spot – don’t saw back and forth across the teeth with your toothbrush.
  • Apply just enough pressure to feel the bristles against the gums. If you are squashing the bristles, you're brushing too hard.
  • Replace your toothbrush when you notice frayed and bent bristles.
  • Brush for two minutes at a time

If you have any questions about proper brushing techniques, ask us about it at your next appointment or give us a call today!

Who benefits from Invisalign®?

August 12th, 2015

One problem with trying to answer the question as to who benefits from Invisalign is that the simple answer is “almost everyone.” The see-through, almost invisible aligners for straightening teeth are specifically molded to fit each individual’s mouth. Unlike conventional braces, they can be removed when eating and when cleaning the teeth. Because they use less force in straightening teeth than metal braces, the risk of harm to teeth is lessened.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but cannot decide which is worse: having crooked teeth or wearing metal braces. They also worry about having to change their diet by not being able to eat the foods they normally enjoy.

If you are an adult considering braces, our team at Excel Dental and Orthodontics will tell you Invisalign aligners will give you the best of all worlds. Your teeth will be straightened with virtually invisible braces. You can remove your aligners when you eat so you can enjoy any food you normally would consume. You do not have to worry about embarrassing yourself by getting food stuck in your braces. You simply clean your teeth normally after eating and replace your aligners. If there is a special occasion during which you do not want to have any braces at all, you can remove the aligners for a few hours without causing any damage.

Benefits to teenagers

Dr. Lapsi and our team know that teenagers are often involved in contact sports or gymnastics. Others find that having metal in their mouth interferes with their ability to play a musical instrument. Traditional metal braces contain wires and brackets that can cause damage to the mouth and gums; this is not a risk with Invisalign aligners.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is avoided. The aligners can be removed during sports activity, and a normal mouthguard is worn. Teenagers who play musical instruments simply remove the aligners when practicing or playing in the band or orchestra.

Teenagers often feel they are too busy to spend time and trouble flossing teeth between the wires and brackets of traditional braces. Since the Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen, or to schedule an initial consultation with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

The Importance of Oral Cancer Screenings

August 5th, 2015

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Excel Dental and Orthodontics, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. 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. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Lapsi and our team at Excel Dental and Orthodontics can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Dr. Lapsi and our team at Excel Dental and Orthodontics about a screening at your next appointment!

Invisalign® Q&A

July 29th, 2015

It’s estimated that up to four million people at any one time are wearing braces in the United States and Canada. But Dr. Lapsi and our team at Excel Dental and Orthodontics know that braces have come a long way from the early days of orthodontics, so much so that these days, options are available that are not visible to onlookers. The most popular of these “invisible” braces is Invisalign. Here’s a list of FAQs regarding Invisalign:

Are they really invisible?

Yes, the clear liners are virtually invisible, so they enable patients to feel good about themselves and their appearance, while getting the orthodontic treatment they need.

Are there wires, rubber bands, and brackets with Invisalign?

Nope. Invisalign is truly an alternative to conventional braces. The treatment consists of clear liners that can easily be removed and cleaned throughout the day. There are no wires, so there’s less poking and mouth irritation compared to braces. There’s also no wire tightening at adjustment appointments, so patients don’t have to worry about a sore mouth in the days that follow in-office visits.

I’ve heard that if I get braces, I won’t be able to eat certain foods like popcorn and hard candy. Is this true with Invisalign too?

No. With Invisalign, there are no food restrictions. You simply remove your aligners when you’re eating, and replace them after you’ve finished and brushed any leftover food particles away.

Does Invisalign cost more than braces?

While overall cost varies on a patient-by-patient basis and is based largely on the level of treatment, Invisalign costs about the same as traditional braces, which makes this treatment option a truly affordable alternative.

How does brushing compare with conventional braces?

Brushing your teeth while wearing conventional braces takes some getting used to. Patients have to brush around the metal brackets and floss with a specialty tool to get into the hard-to-reach areas of the mouth. By contrast, Invisalign can be removed at any time to permit regular brushing and flossing.

Every patient is different and Invisalign might not be the best course of orthodontic treatment for everyone, but it's an option that's gaining more and more popularity, and it's an orthodontic alternative that doesn't sacrifice comfort and convenience for results. For more information, or to schedule a consultation, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Thanks to Invisalign®, you can have a perfect smile without metal wires or brackets!

July 22nd, 2015

When it comes to straightening your smile, our team at Excel Dental and Orthodontics knows that having a mouth full of metal braces may not be your idea of fun. Luckily for you, Dr. Lapsi can offer a cosmetic alternative: Invisalign!

Using a series of clear, comfortable, and completely customized aligners, you can get the smile you’ve always wanted without traditional braces.

Since Invisalign aligners are discreet, they’re hardly noticeable when you speak and smile, and because they’re removable, you can eat and drink whatever you want. Just remember to brush and floss before putting your aligners back in! Treatment with Invisalign is just as effective as with metal braces, and the results are just as amazing!

If you want to know more about Invisalign, contact our Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment.

Breaking Bad Oral Habits

July 15th, 2015

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

  • Brush your teeth after each meal or at least twice a day.
  • Visit a dentist every six months for an exam and a professional cleaning.
  • Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our Carlsbad, Mission Viejo, or Laguna Hills office and speak with Dr. Lapsi or a member of our team.

What to do about Sensitive Teeth

July 8th, 2015

If you suffer from sensitive teeth, you already know the frustration of having a type of pain that is hard to deal with. Because tooth sensitivity is sometimes unpredictable, you can't necessarily take medication to ward off the pain like you could if you just felt a headache coming on.

However, there is still something you can do about sensitive teeth. Use the following tips to help put your sensitivity and pain problems with your teeth behind you!

Use the Right Toothbrush: Select a toothbrush made just for sensitive teeth, or the softest bristles possible. This helps you avoid putting any extra pressure on your teeth or gums.

Choose a Special Toothpaste: There are several good options for toothpastes made just for sensitive teeth today. Usually, toothpaste formulated for sensitive teeth will be fluoridated and use a non-abrasive formula. The toothpaste will help with the pain usually associated with brushing and flossing if you use it regularly.

Avoid Trigger Foods: You may have noticed certain trigger foods that cause tooth sensitivity and pain for you. Avoid these foods whenever possible, and if you absolutely must eat them, try to consume them in very small quantities. Trigger foods may include:

  • Foods with high acid content for example citrus fruits
  • Very hot or very cold foods
  • Hard or crunchy foods

Visit Our Office

If your sensitive teeth problem is too serious to manage on your own, a visit to our Carlsbad, Mission Viejo, or Laguna Hills office may be in order. There are a couple of ways Dr. Lapsi can help:

  • Fluoride Treatments: We can put a special fluoride formula on the most sensitive areas to help make your enamel stronger and to help lower pain levels.
  • Sealing Exposed Roots:In some cases, your roots become exposed due to a receding gumline, which in turn causes teeth sensitivity and pain. We can apply a dental sealant that protects the exposed roots and reduces your pain dramatically.

Fun Facts for the Fourth

July 1st, 2015

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Excel Dental and Orthodontics.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Carlsbad, Mission Viejo, or Laguna Hills, or even participating in a hot dog eating contest, Dr. Lapsi and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

Three Must-Have Dental Treatments

June 24th, 2015

In dentistry, there are a wide variety of treatments, everything from elective procedures to those that are necessary and potentially lifesaving. So given the slew of treatment options, how do you choose what’s right for you? Our experts at Excel Dental and Orthodontics have handpicked the three must-have procedures that we believe can benefit nearly every patient.

The first: A complete periodontal exam. If you are going to the dentist for scheduled cleanings, this exam should happen at least once a year. A periodontal exam is quick and relatively painless. The dentist or hygienist will carefully probe around each tooth to take measurements that show the health of the bone and its supporting tissue, all while looking for signs of any active infection. It has been suggested that there is a link between periodontal (gum) disease and the increased risk of some potentially fatal diseases such as heart disease, stroke, and diabetes. Signs of some diseases show up in the mouth sometimes before the patient is aware of changes in the body. Diabetes is one of these silent diseases. Many Americans are unaware that they have the disease until sudden and severe changes in the periodontal health of the teeth lead to a trip to the patient’s physician. And did you know that more adults lose teeth to periodontal disease than to cavities? A simple screening once a year can lead to saving your teeth.

The second treatment our team at Excel Dental and Orthodontics recommends is a dental sealant; it’s not just for kids! Dental sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood. Replacing a sealant as an adult can also help prevent decay in adulthood. This is a great cost-effective procedure for adults. Dental insurance will likely not cover sealants as an adult, but the cost of a sealant for prevention versus the cost of a filling is much less.

Our third must-have dental treatment is often the most fun: in-office whitening. Who doesn’t want an instantly dazzling smile? In-office whitening is one of the most dramatic and quick ways to brighten a smile. It will take a few years off your age in a two-hour period of time. Whitening is very safe and can give a patient newfound confidence to smile.

How do I know if I need a root canal?

June 17th, 2015

Tooth decay affects everyone, with studies reporting that 92% of adults have had a cavity at one point in their lifetime. In more serious instances of tooth decay, however, the nerve of the tooth may become infected. This type of infection requires a root canal, in which the affected nerve is removed, and the interior of the tooth is cleaned and filled.

Tooth Anatomy

Although each tooth is covered by a hard outer shell, the interior of a tooth consists of dental pulp. This pulp is soft, containing blood vessels that bring nutrients to the tooth. Each tooth also has an associated nerve, which resides within a root canal passing from the tooth’s root into the dental pulp. This nerve provides information about temperature, allowing teeth to sense heat or cold.

Symptoms of Nerve Infection

Damage to the dental pulp or nerve tissue leads to a rapid multiplication of bacteria within the interior of the tooth. The result may be an abscess, a small pocket near the root of the tooth that becomes full of pus. This infected area commonly causes the following symptoms:

  • Intense pain or sensitivity when pressure is applied to the tooth
  • Sensitivity to hot or cold temperatures, even after the heat or cold has been removed
  • Darkening or discoloration of the affected tooth
  • A small, persistent pimple that forms on the gums
  • Swollen or tender gums
  • Swelling in other areas of the face, neck, or head

Nerve infection may occur due to deep decay, although repeated dental procedures, facial trauma, chipping or cracking of a tooth, or large fillings may also contribute to an abscessed tooth.

What to Do if You Think You Need a Root Canal

Only a visit to Dr. Lapsi can confirm whether a tooth’s nerve has become infected. We will perform an oral examination and X-rays to confirm whether the tooth is abscessed. If a root canal procedure is needed, a small hole will be placed in the tooth. The pulp and nerve tissue are removed from the tooth, which is thoroughly cleaned and filled. Then, the hole is sealed with a special compound to prevent bacteria from entering the tooth’s interior. The entire procedure is performed under local anesthesia to numb pain.

If you think you may have tooth or nerve decay, call our Carlsbad, Mission Viejo, or Laguna Hills office today to schedule a diagnostic appointment.

How Smoking Increases the Risk of Oral Cancer

June 10th, 2015

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Dr. Lapsi and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Healthy Summer Foods

June 3rd, 2015

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Dr. Lapsi will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

What’s the advantage of Invisalign®?

May 27th, 2015

Dr. Lapsi and our team know it is natural for you to feel some concern when you need to wear any type of dental device to correct a problem with your teeth. Both braces and Invisalign can produce good results in giving you the smile you’ve always wanted. Both methods can straighten your teeth and alleviate such issues as crowding, spacing, cross bite, overbite, and underbite. Both methods of treatment have a similar cost.

You can take a cross-country road trip in a ten-year-old economy car or you can make the trip in a brand-new luxury sedan. Both will get you to your destination, but you will be far more comfortable traveling in the luxury sedan. Similarly, your journey to a great smile is much more comfortable and convenient with Invisalign as opposed to braces.

Comfort

Some of the discomfort you may experience with braces is greatly reduced with Invisalign. Because Invisalign is custom-fit to your mouth and made of plastic, you will feel less pain, irritation, and soreness. Unlike braces, there are no food restrictions; you can eat anything that is on your diet.

Brushing and flossing

Of course you will want to brush and floss your teeth to prevent plaque buildup, tooth discoloration, and dental decay. If you wear braces, these simple tasks can become quite a challenge. Invisalign aligners are very easy to remove and replace, so you can brush or floss like normal without having to work your way around any metallic framework covering your teeth.

Appearance

You do not have to be embarrassed to show your teeth when you are using the Invisalign system. Since the aligners are practically invisible, no one will even notice you are wearing them! Whether you are a teenager or an older adult, you can live your life normally.

If you want to learn more about Invisalign, or are wondering what your treatment options are at Excel Dental and Orthodontics, feel free to give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Memorial Day and Getting Ready for Summer

May 21st, 2015

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

  • Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
  • Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
  • Visit Dr. Lapsi Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Excel Dental and Orthodontics wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Eating and Invisalign®

May 13th, 2015

One of the greatest advantages to using Invisalign is that it provides maximum results with minimal impact on your everyday life. Invisalign is comfortable, easy to insert, and simple to remove. Because you can remove Invisalign aligners, you can enjoy all your favorite foods and beverages without worries about getting food stuck in the wires and brackets of traditional braces.

Eating and Invisalign

While the aligner is durable and strong, you should remove it before you eat or drink beverages, as the chewing action inside your mouth can break, crack, or distort the aligner. Even minute damage to the Invisalign tray will prevent it from aligning your teeth properly. Furthermore, eating with Invisalign in your mouth can be quite messy.

Beverages and Invisalign

Repeated exposure to hot liquids may also cause the Invisalign aligner to distort. This distortion changes the shape of your aligner in a way that will affect how it straightens your teeth. Contact our Carlsbad, Mission Viejo, or Laguna Hills office if your Invisalign aligner has distorted after consuming a hot beverage.

Fluids can settle inside the aligner to “bathe” the teeth. Bathing teeth in acidic fluids can be especially problematic, as the acids can wear away tooth enamel. Exposure to acidic fluids is not normally a problem, as saliva neutralizes and buffers the acid then washes it away. Wearing an aligner, however, prevents the saliva from doing those jobs, increasing your risk for tooth decay.

Colored drinks may also change the color of your teeth. Most discoloration is temporary but stubborn stains may occur.

To prevent discoloration and tooth decay, brush your teeth after every meal or beverage before putting in your Invisalign aligners. If you do not have access to clean water, chew sugar-free gum to remove bacteria, acid, and food particles from your teeth. As a last resort, you may leave your aligners out for an hour or two until you can brush and floss properly. Before inserting Invisalign, rinse the aligner in lukewarm water or use the Invisalign cleaning kit.

Contact our Carlsbad, Mission Viejo, or Laguna Hills office for more information about eating and Invisalign.

Wishing all our moms a happy Mother’s Day!

May 6th, 2015

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Excel Dental and Orthodontics. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Lapsi and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Antibiotic Prophylaxis or Pre-Medication

April 29th, 2015

At Excel Dental and Orthodontics, 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. Lapsi 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. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

Every Day is Earth Day

April 22nd, 2015

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Excel Dental and Orthodontics wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Is periodontal disease contagious?

April 15th, 2015

According to the Centers for Disease Control and Prevention, half of adults age 30 and over suffer from some form of gum disease. Caused by plaque buildup, gum disease is an infection of the tissue that surrounds and supports the teeth. In its advanced stages, it is known as periodontal disease. If left untreated, it can result in the loss of tissue and bone that support the teeth, causing teeth loss. It’s a preventable condition seen far too often by Dr. Lapsi.

Research between periodontal disease and other diseases is ongoing. Some studies have indicated that gum disease is linked to other health conditions such as stroke or diabetes. Furthermore, while most factors that lead to periodontal disease are dependent on the individual (genetics, diet, poor oral hygiene) there is a possibility that periodontitis is capable of spreading from one person to another.

What the Research Says

Periodontitis is a gum infection, and the bacteria that cause the gums to become infected travels in saliva. Researches have used DNA coding techniques to track the path of infection from one person to another. In other words, kissing and close contact play a role in the transmission of the infection, so if you’re married to a spouse with periodontal disease, then your chances of having gum problems are slightly increased. Other studies have indicated that saliva contact is common in family settings through coughing, sneezing, and shared utensils and food. Children with parents who have periodontal disease are at a somewhat higher risk of developing it. At the same time, just because you exchange bacteria with your loved ones doesn’t mean you will get periodontal disease.

It is important to note that the scientific evidence supporting the spread of periodontal disease is limited and ongoing. The best way to prevent gum disease is through proper plaque control, which includes brushing, flossing, mouthwash, and twice a year trips for professional cleanings. Contact our Carlsbad, Mission Viejo, or Laguna Hills office if you have any questions about periodontal disease.

How Missing Teeth Can Affect Your Health

April 8th, 2015

According to the American Academy of Periodontology, an estimated three out of four Americans suffer from gum disease. In milder cases, the disease is called gingivitis. More severe cases are called periodontitis. Despite the prevalence of periodontal disease (and it is very common), only three percent of people who suffer from periodontal disease get treatment for it. Gum disease has been linked to other serious diseases, including cancer, diabetes, and heart disease.

Periodontal Disease Is Common Among Americans

The Journal of Dental Research published the findings of a joint study from the Centers for Disease Control (CDC) and the American Academy of Periodontology (AAP). The study compared the full periodontal exam that participants received for this study against partial periodontal exams participants received for an older study.

The results show the rate of periodontal disease today could be as much as 50 percent higher than earlier estimated. Shockingly, this means that about twice as many Americans as previously believed suffer from gum disease – either moderate or severe.

The Link between Chronic Illness and Periodontal Disease

Many people who have chronic medical problems don’t have dental insurance, or the money to spend on dental care. Not surprisingly, this and a lack of understanding about proper oral hygiene leads to situations in which an initially minor problem turns into something far more severe, and probably preventable.

Gum diseases and cavities are caused by infections. When you get a cavity, the infection develops in the tooth itself. You may never feel anything, so unless you get regular, twice-a-year dental exams, you might not know there is a problem.

With gum disease, the infection occurs in the bones and tissues that form the gums and support the teeth. The tissues that surround teeth, and the bones that lie below the gums, are necessary to hold your teeth in. When those aren’t strong enough to support your teeth, you lose them.

Tooth loss has been linked to heart disease, diabetes, and an increased risk for kidney disease. Gum disease and severe infections in the mouth can spread to other parts of the body faster than people realize. A healthy mouth is alkaline. It’s vital for you to maintain an alkaline pH to keep harmful bacteria away.

When people eat, their pH changes, and the environment inside the mouth becomes more acidic. Since the typical American diet is very acidic, harmful bacteria thrive in the mouth. Typical foods include breads, grains, starches, and sweets – the foods people love the most. Since it isn’t always possible for people to brush after every meal, the mouth pH remains acidic, and the acid contributes to faster tooth erosion.

What does all this mean for you? The health of your mouth is more important than you realize. Get those regular dental exams, and make sure that you and your family keep to a regular routine of brushing and flossing. Good oral hygiene can help prevent periodontal disease, and that will lower your risk of tooth loss.

April is National Facial Protection Month

April 1st, 2015

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Lapsi and our team at Excel Dental and Orthodontics want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Excel Dental and Orthodontics for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Lapsi, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office!

How to Care for Your Invisalign® Aligners

March 25th, 2015

Is it possible to straighten the teeth without braces? Yes, it is. Welcome to the world of Invisalign aligners. Invisalign aligners are made from a clear, thermoplastic material that is custom made to fit your teeth. Unlike conventional braces, Invisalign aligners are removable. More importantly, the clear thermoplastic material makes the aligners invisible, which is ideal if the thought of metal braces and elastics make you self-conscious. For the best results, proper handling and care of your Invisalign aligners is important. Follow these steps to take care of your aligners:

1. Do not eat or drink hot beverages while wearing aligners. It's a good idea to get in the practice of removing the aligners before eating and drinking. Because the aligners are made of plastic resin, heat can distort and damage them. Also, eating while wearing the aligners will cause sugar and other food particles to stay on your teeth, which contributes to plaque and tooth decay.

2. Clean the aligner trays regularly. Invisalign aligners are exposed to the same bacteria and plaque that your mouth is, so you need to clean them as regularly as you clean your teeth. However, avoid cleaning the aligners with harsh chemicals. We recommend using a cleaning kit or some other type of specific solution. When it comes to cleaning Invisalign aligners, carefully follow the instructions given by Dr. Lapsi.

3. Store aligners in a cool, dry, safe place. When you’re not wearing the aligners, store them in the case provided by our office. If you don’t use the case, they can easily be lost. Keeping them out of reach of small children and pets is also a good idea. The last thing you want is for Fido to think your Invisalign aligners are chew toys.

4. Don’t chew gum while wearing aligners. There’s one thing that conventional braces and Invisalign aligners have in common: chewing gum damages both of them.

5. Don’t soak aligners in mouthwash. Many popular mouthwashes contain a color pigment. It’s possible that soaking Invisalign aligners in mouthwash will tint or stain them.

For more tips and tricks for a successful Invisalign experience, contact our Carlsbad, Mission Viejo, or Laguna Hills office!

Happy Gums, Happy Heart!

March 18th, 2015

Medical doctors and dental health professionals, like Dr. Lapsi, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

  • Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
  • Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

St. Patrick's Day

March 11th, 2015

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Lapsi - have a great St. Paddy’s day!

Good Nutrition Leads to Healthy Mouths

March 4th, 2015

At Excel Dental and Orthodontics, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Dr. Lapsi about it. See you soon!

What are the benefits of Invisalign®?

February 25th, 2015

A popular option for straightening teeth at Excel Dental and Orthodontics, Invisalign can be a great method for improving your smile, and can help patients with crowded teeth, crossbites, overbites, underbites, and more.

Invisalign, which is different from traditional braces, works by applying a series of clear, retainer-like aligners in order to eventually move your teeth into their ideal positions. Patients typically swap aligners approximately every couple of weeks.

At Excel Dental and Orthodontics, we have lots of experience using this technology to give our patients the beautiful and healthy smile they’ve always wanted. During your initial visit at our Carlsbad, Mission Viejo, or Laguna Hills office, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Not only are the aligners invisible, they are also removable, so you can eat and drink what you want, and brushing and flossing are easier. Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And, no metal and wires usually means you spend less time at our office getting adjustments. With Invisalign, you can view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

Depending on the severity of the problem, Invisalign treatment may take anywhere from three to 18 months to complete. You should be aware that Invisalign is not as effective as traditional braces in treating bite problems, teeth that are lower or higher than others, or severely overcrowded teeth. Both teens and adults are now great candidates for Invisalign, so we invite you to contact our Carlsbad, Mission Viejo, or Laguna Hills office to set up an initial consultation and learn more on how Invisalign can give you the smile you’ve always wanted!

Love your new smile? Tell us about it!

February 18th, 2015

At Excel Dental and Orthodontics, we have been creating beautiful smiles for years. Whether you have visited Dr. Lapsi and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Choose Chocolate on Valentine's Day

February 11th, 2015

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Excel Dental and Orthodontics!

February is Heart Month

February 4th, 2015

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Carlsbad, Mission Viejo, or Laguna Hills office a call!

Tips for Using Invisalign®

January 28th, 2015

More than one patient has come into our office and asked, “What can I do to help my teeth when wearing Invisalign?”

While everyone’s teeth and dental needs are different, there are certain things everyone can do to make wearing their Invisalign aligners a more rewarding experience. Always follow the list of instructions and tips from Dr. Lapsi, and add the following advice to your daily routine.

Always ask us about teeth whitening. Our team at Excel Dental and Orthodontics knows how important it is for you to keep your teeth white and stain-free from the foods and drinks you consume daily. If you have attachments to your teeth, they will not whiten properly. Ask our office about teeth whitening when wearing your aligners; it might be best to wait until your treatment is complete.

Continue flossing every day. You should be flossing in any case. But it can be easy to assume that Invisalign will protect your teeth from bacteria. This is not true. Bacteria can get behind the aligners and affect the health of your teeth and gums, so keep up with your flossing schedule.

Follow the 48-hour rule when wearing your aligners. When you insert every new set of aligners, you should leave them in as much as possible during the first 48 hours. Your teeth will move more during this timeframe, and the aligners do the most good during this time.

You may experience slight discomfort while wearing your Invisalign aligners. You can take a pain reliever to help with the discomfort, but if you experience too much pain, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment!

What is hyperdontia?

January 21st, 2015

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Excel Dental and Orthodontics calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Carlsbad, Mission Viejo, or Laguna Hills office to be evaluated.

What is a water pick and do I need one?

January 14th, 2015

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Lapsi and our team at Excel Dental and Orthodontics want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Carlsbad, Mission Viejo, or Laguna Hills office if you have any questions about water picks, or ask Dr. Lapsi during your next visit!

What is a cavity?

January 7th, 2015

Cavities are the reason why most people fear going to the dentist. But they’re also the reason you should be visiting Dr. Lapsi on a regular basis.

Specifically, cavities are the breakdown of teeth caused by acid from food, bacteria, and plaque that inhabit the inside of the mouth. While many people simply think that cavities only form on top of a tooth, Dr. Lapsi and our team at Excel Dental and Orthodontics want you to know they can actually form on the sides along the gum line and between the teeth, too. This acid will eat away at the tooth, forming a soft hole.

Anybody, either children and adults, can get cavities. In fact, according to the Centers for Disease Control and Prevention, in the U.S. alone about 16 percent of all children ages six to 19 have untreated cavities, and about 24 percent of adults 20 to 64 years old have them. This is detrimental to overall oral health, because cavities have a tendency to grow over time, potentially spreading to other teeth and causing increased oral pain, possibly even affecting the nerve.

That's why it's important to ensure that you're visiting Excel Dental and Orthodontics at least once every six months, so that cavities can be found and filled before they become too problematic and painful. Typically, they're found by doing a routine teeth cleaning, though X-rays or further examination may be necessary to determine the full extent of a cavity. Cavities are treated by removing the area of the tooth where decay has set in and rebuilding the tooth with a metal filling. If the cavity is too large, however, more extreme measures may be necessary, such as placing a crown or performing a root canal.

As we noted above, cavities are why people dread going to the dentist, but also the reason everyone should see the dentist every six months. Additionally, brushing twice daily, flossing, and cutting down on sugar-packed foods can reduce the risk of developing cavities.

For more information on how to best care for your teeth and why it's important to visit the dentist twice a year, please give us a call at our convenient Carlsbad, Mission Viejo, or Laguna Hills office today!

New Year's Eve

December 31st, 2014

Watching the clock tick down the final seconds until midnight, many of us- Excel Dental and Orthodontics included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Carlsbad, Mission Viejo, or Laguna Hills, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

Does smoking affect oral health?

December 24th, 2014

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. Lapsi and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Carlsbad, Mission Viejo, or Laguna Hills office to schedule an appointment with Dr. Lapsi.

Warning Signs of Impacted Wisdom Teeth

December 17th, 2014

When your wisdom teeth start to emerge it can definitely be painful, but it can be even worse if your wisdom teeth become impacted. Impacted wisdom teeth are trying to erupt but are unable to do so because there is not sufficient room for them to emerge. This usually means that your wisdom teeth are painfully lodged in your jawbone.

While you may not see any real signs of the emerging wisdom teeth when they are impacted, what you can’t see can still definitely hurt you. Some of the indicators of impacted wisdom teeth are listed below.

  • Jaw Pain: Pain in the back of your jaw is a common indicator of impacted wisdom teeth. The pain often concentrates in the area around your gums.
  • Changes in the Mouth: You may notice some changes in your mouth when you have impacted wisdom teeth. Reddish gums, swelling in the jaw, bleeding gums, and bad breath can all be indicators that you are dealing with impacted wisdom teeth.
  • Headaches: If you suddenly start having headaches, especially at the same time as some of the other issues mentioned above, they may indicate impacted wisdom teeth.
  • Chewing Issues: Problems with chewing normally can indicate impacted wisdom teeth. If you are having trouble making the chewing motions because your mouth won’t quite open and close as easily as it used to, impacted wisdom teeth may be the culprit.

The Solution

If you are suffering from impacted wisdom teeth, the best solution is usually going to be removal. This is not a problem that will resolve naturally, and in fact, your pain and other symptoms may worsen as your wisdom teeth become increasingly impacted. At Excel Dental and Orthodontics, Dr. Lapsi can review the details of wisdom teeth removal surgery with you and help you determine if this is the best solution for your situation.

Getting to the Bottom of Chewing Gum Myths

December 10th, 2014

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Dr. Lapsi and our team at Excel Dental and Orthodontics hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

california dental association american academy of impland dentistry american board of oral implantology american dental association orange county dental society