Online Dental Education Library

Dr. Goldman and his staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions, please contact us.

Oral and maxillofacial surgeons are unique among dentists in that they all have completed an additional four years of hospital-based training alongside medical residents, and can administer all types of anesthesia. If you have a diseased or impacted tooth that needs to come out, implants to be placed, a suspicious lesion that needs a biopsy, or any other oral health condition requiring surgical diagnosis or treatment, we can help. Learn more about Oral Surgery.

Snoring & Sleep Apnea

Chronic loud snoring is a common symptom of Obstructive Sleep Apnea (OSA), which occurs when the upper airway is blocked to the point of causing significant airflow disruption, or even no airflow whatsoever for 10 seconds or more. This can be a dangerous situation. Learn more about Snoring & Sleep Apnea.

Tooth Extractions

There are times when it is in your best interest to have a tooth extracted (removed). This could be the case for a variety of reasons, including: damage or trauma to the tooth; an impacted wisdom tooth that may cause trouble for you later on; or overcrowding. Learn more about Tooth Extractions.

Implant Dentistry

Dental Implant Video

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that deteriorates when even one tooth is lost.

Oral Diagnosis & Biopsies

When it comes to detecting certain oral or systemic (whole-body) diseases, a thorough dental exam may be your first line of defense. Learn more about Oral Diagnosis & Biopsies.

Bone Grafting

Bone grafting, a minor in-office surgical procedure, is commonly used in dentistry to correct deficiencies in bone quality and to build support for teeth or dental implants. Learn more about Bone Grafting.

Sedation Dentistry & Anesthesia

We want you to have the most comfortable dental treatment experience possible. That's why we offer sedation, to help you relax, and/or anesthesia, to block your sensations of pain. Learn more about Sedation Dentistry.

Facial Trauma & Reconstructive Surgery

Oral and maxillofacial surgeons are capable of treating the full scope of injuries to the structures of the face, mouth or jaws — including the teeth, the bones of the jaws and face, and the tissue of the skin and gums. We can also treat congenital defects such as cleft palate.

TMJ Disorders

If you have chronic pain in or around your jaw, or find the movement of your jaw is restricted, you may be suffering from a temporomandibular joint (TMJ) disorder. Learn more about TMJ Disorders.

Treating Dental Emergencies

We can treat a variety of traumatic dental injuries, including teeth that have been moved or knocked out entirely. Please call our office for assistance, or click here to learn more about what to do in a dental emergency.

Boy Sleeping.

The number of children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) has been steadily increasing over the past decade. Yet according to a recent study, many children diagnosed with this condition don't really have it; their behavioral problems are actually related to sleep-related breathing disorders (SRBD), such as sleep apnea.

The 2012 study, published in the journal Pediatrics, followed more than 11,000 children for six years, starting when they were 6 months old. The children who had SRBD were 40 percent to 100 percent more likely than kids without breathing issues to develop behavioral problems resembling ADHD by the age of 7. So if your child is exhibiting ADHD-like symptoms — or has even been diagnosed with ADHD — it's worth considering whether interrupted sleep might be an issue.

It makes perfect sense when you think about it: A well-rested individual, young or old, can function a lot better on a good night's sleep. Yet a lack of sleep affects adults and children differently. While sleepy adults tend to act sluggish and drowsy, sleep-deprived kids are more likely to become hyperactive, uncooperative and unable to focus — just like kids with ADHD.

So what exactly is SRBD?

The condition is characterized by recurrent episodes of interrupted breathing during sleep. The child's airway becomes blocked by soft tissues near the back of the throat — tonsils or the tongue, for example — that partially close off the windpipe. These tissues can vibrate as air passes by, causing snoring. It's often worse while sleeping on one's back because this encourages the lower jaw to slip back, which in turn pushes the tongue in front of the airway.

Overweight children have a higher incidence of sleep apnea due to fatty tissue deposits in the soft palate, which decrease the size of the child's airway.

Does your child have a sleep-related breathing disorder? You can gather clues to report to your health professional by observing your child sleeping. Look for the following signs:

  • Snoring
  • Pauses in breathing
  • Chronic mouth breathing
  • Constant tossing and turning
  • Night panics
  • Bed-wetting

How is sleep apnea treated in children?

There are various treatments that can be very effective, depending on the cause. Enlarged tonsils and adenoids can be surgically removed. A therapy known as Continuous Positive Airway Pressure (CPAP) involves the use of a machine that delivers mild air pressure through a mask worn during sleep to keep the airway open.

How palatal expanders work.

Dentistry also can also play a role in treatment. For younger children who are still growing, the use of an orthodontic appliance called a palatal expander has proven helpful in some cases. A palatal expander gently widens the roof of the mouth (palate) over time by separating bones that don't permanently fuse together until puberty. It's most often used to create more room for crowded teeth, but the expansion can also increase airflow.

Older children who have stopped growing can sometimes benefit from Oral Appliance Therapy (OAT). This involves wearing a custom-made oral appliance designed to reposition the jaw during sleep so that the tongue is held away from the back of the throat, reducing the potential for obstruction.

The first step is to figure out what's keeping your child from getting the restful sleep that's so crucial to good health and well-being. For that to occur, and for your child to receive the best treatment, you will need to see a trained professional.

Related Articles

Snoring and Sleep Apnea - Dear Doctor Magazine

Sleep Disorders & Dentistry If my partner snores loudly, should I be concerned and what can be done to alleviate the problem? Why does my sleeping partner have lapses in breathing while sleeping and is it dangerous? Why do I wake up exhausted even though I get up to 10 hours of sleep at night? The answers to these and other questions — and how dentistry can help — are all revealed within... Read Article


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