Connecting Oral and Overall Health

Regular dental exams not only help decrease your risk of oral health problems, such as cavities and gum disease, but also may help to diagnose other, sometimes fatal, medical conditions. Many diseases with oral signs may first prevent themselves in the mouth. The dental team can often recognize early signs of serious diseases, such as, diabetes and cancer.

Diabetes:
More than 25 million people in the US suffer from diabetes. They have high blood sugar levels and a low resistance to infection and an increase in the chance of:

• Gum disease, including swollen and tender gums that bleed easily
• Tooth decay
• Taste impairment
• Inflammatory skin disease
• Persistent bad breath

Oral Cancer:
During your regular dental check up, we look for signs of oral cancer:

• Sores that bleed easily and do not heal
• Crusted, rough areas of skin
• Lumps or thick hard spots
• Changes in the lymph nodes
• Tenderness, pain, or numbness inside the mouth

People with an increased risk of oral cancer are those that smoke, use smokeless tobacco or drink heavily.

Eating Disorders:
Eating disorders include anorexia nervosa and bulimia nervosa. They can damage your oral and overall health. They can rob the body of much needed nutrition such as vitamins and minerals. The person is often malnourished and sickly. The gums can become soft and tender, bleeding easily. The excess acid from vomiting can eat away tooth enamel, making the theta thin, sensitive and more prone to decay. They may also experience swollen salivary glands and dry mouth.

Regular dental exams, allows the dental team to look for damage to your mouth, teeth, and gums. It allows us to also look for early signs of health problems. Make sure to let us know any changes to your health history and medications you are taking.

Why are my gums receding?

You may have noticed your teeth have discolored by your gum tissue. Your teeth may appear longer than you remember.Are your teeth more sensitive than ever before? These are a few signs your gums are receding. Healthy gums cover the root surface of our teeth so just the enamel shows. Over time gums may retreat to expose delicate root surface which is more susceptible to cavities, abrasion and erosion. Here are a few of the causes of receding gums grinding/clenching habits, orthodontic treatment, periodontal disease and/or aggressive tooth brushing habits. It is important to preserve as much gum tissue as possible to avoid painful sensitivity, root cavities or notches worn in the side of teeth. Gum recession is a serious condition. You cannot grow gum tissue back and gum tissue grafting can be painful and costly. Give us a call to schedule an initial exam with Dr.Berard and the Envision Team we are committed to providing you the best in dental care!

What's up with Wisdom Teeth?

Wisdom teeth are a third set of molars that come in at adulthood.The teeth are named that, because you are at a more mature age than when your other teeth came in. Wisdom teeth vary in size and shape. You may have a couple, all four, or none at all. Many people have had their wisdom teeth removed as teenagers or young adults usually after orthodontic treatment. This is a preventative procedure done prior to the teeth coming in to avoid new crowding or a relapse of crowding. Wisdom teeth that are left to come in the mouth may have trouble along the way. Wisdom teeth can get trapped in the bone (impacted) or only a part of the tooth comes in due to lack of room. Wisdom teeth can cause even more problems as you get older. Periodontal disease can start around the wisdom teeth putting the teeth in front of them in jeopardy. These teeth are hard to clean and you may get an odor from them giving you chronic bad breath. Also, you're likely to get a cavity in one or more of them leading to costly dental repairs. Removing wisdom teeth when your young is a wise decision, because you are healthier and you will heal twice as fast than if you wait till your older. If you have any questions about your wisdom teeth call Envision Dental today!

Obstructive Sleep Apnea (OSA)

     What is OSA?  Obstructive Sleep Apnea is a narrowing or total closure of the airway during sleep.  This happens because the tongue and soft tissue in the back of the mouth press backward on the airway when you lay down.  Most people are not even aware that they may be suffering from this condition and that it could be effecting daily life.  People who have OSA may have hundreds of episodes every night where the airway becomes completely blocked and they stop breathing for ten seconds or more.  The brain then recognizes the lack of oxygen and prompts the body to take a breath.

     The lack of deep sleep caused by OSA can severely stress your body's systems, most notably the cardiovascular system and your metabolism.  Because of the healing and recovery that takes place when we sleep, conditions like the following are often linked to OSA.  These include Obesity, Hypertension (High Blood Pressure), Diabetes, Cardiovascular Disease, Erectile and other Sexual Dysfunctions, Stroke, Congestive Heart Failure and even Death.  Headaches, Depression and increased fatigue-related accidents can also be related to OSA.

   *  40-80% of stroke victims also suffer from OSA
   *  Untreated OSA patients are at a 40% greater risk of suffering depression
   *  If you have OSA, you are twice as likely to die in your sleep and 7 times more likely to have a  motor vehicle accident.
   *  Studies show that about 50% of people who snore also have OSA.


    Severe Obstructive Sleep Apnea is frequently treated with a CPAP machine.  This is a device that increases air pressure in the throat by forcing oxygen through a mask that is worn over the nose and sometimes over the mouth as well.  This forced pressure in the throat prevents the airway from collapsing on the inhale during sleep, allowing for a more restful night for the wearer.  Many people with a CPAP machine do not use it on a nightly basis for a number of reasons.  The head gear required with a CPAP limits sleep positions and people who travel often find that it is not convenient to transport.  This device also requires electricity for use and has parts that need to be replaced on a regular basis and it can take some time to adjust to the sounds it makes.  We often hear that patients do not like their CPAP and choose not to wear it.

     Dr. Berard has special training in treating OSA with a device that is small enough to fit into the palm of your hand.  This device is called the SomnoDent(R) MAS; it is highly effective in treating sleep apnea and it is convenient to use.  The SomnoDent(R) is an oral appliance specially fitted to your mouth and teeth.  It consists of a separate upper and lower piece that allows you to speak, yawn and drink.  The SomnoDent(R) MAS allows treatment of mild, moderate and severe OSA by moving the lover jaw slightly forward.  This creates a slight tightening of the soft tissue and muscles of the upper airway, which prevents obstruction when sleeping.  It also prevents the tissues of the upper airway from vibrating as air passes over them, which is a major cause of snoring. 
     If you know you snore, if you find yourself exhausted when you wake up, easily fall asleep while reading, watching tv or sitting inactive in a public place like a movie theatre or meeting, it would be wise to see Dr. Berard to see if you are suffering from OSA.  Please call the office today at 231-933-9000.

   

The Legend of the Tooth Fairy!

Many Centuries ago in Europe, when a child's tooth fell out, it was common to have it buried in the ground.  It was usually placed in the garden or fields surrounding the child's home.  This was done to encourage the permanent tooth to grow.  Another reason for this tradition was a long believed superstition.  It was believed that if a witch got a hold of the child's tooth, a curse would be placed on the child.  This curse was similar to a voodoo curse.  Fortunately, burying the tooth would prevent this from happening.

As people migrated to the United States many of their superstitions and traditions also came with them.  However, many people moved to towns and cities without their own land available, so in order to maintain this tradition children were encouraged to bury their teeth in flower pots and planter boxes to ensure that it was still covered with dirt.

Over the years the tradition has evolved from burying the tooth in the earth to "burying" it under a pillow.  During the night the tooth is replaced with a treat or money.  The Tooth Fairy?

What do you tell your child when he/she asks what the tooth fairy does with their tooth?  You could explain by having them look up at the sky on a stary night and count how many shiny teeth they see sparkling up above.  Wink Wink!!

Lynne

Some Call It Laughing Gas...

     Nitrous Oxide, often referred to as Laughing Gas, or N2O, is an excellent way to get through your dental visit with a little less anxiety.  Nitrous Oxide is simply administered via a small nose-piece that is worn for the duration of your visit or as long as you are feeling the need or desire for it's use.  There are many benefits to using "Nitrous" for your dental visits.

     *  It works rapidly - reaching the brain in 20 seconds.  Pain-killing and relaxation properties develop within 2-3 minutes.

     *  The amount of sedation can be adjusted by the administrator on a momentary basis, either more or less.

     *  Is is easy to give doses in very small incriments until the desired effect is reached.

     *  It can be given only for the time needed with no after effects.

     *  There is no "hangover" effect.  The gas is eliminated from your body in 3-5 minutes after the gas supply is stopped.  Oxygen is administered to help clear your head faster, so that you are able to drive safely.

     *  It is very safe to use.  It has few side effects and no ill effects on the heart, lungs, liver, kidneys or brain.

     *  Nitrous oxide use has been shown to limit or eliminate severe gagging.

     *  For some procedures it may be possible to use nitrous instead of local anesthesia.  (Usually for treatment that involves the gums, not the teeth) N20 acts as a painkiller on soft tissue like the gums,  however, the pain-relieving effects can be different from one person to the next.  When using nitrous you may find that you feel like you are floating or your fingers and toes may tingle slightly.  Generally people enjoy the experience and request it for all of their dental treatment.

If you have never used nitrous during a dental visit please feel free to request it at your next appointment.  There is no additional charge and it often makes your time in the chair more comfortable.

Smiles, Holly

...Brian B. (Neuromuscular Dentistry)

"For nearly 20 years I suffered from sometimes debilitating headaches.  As the years went by the headaches became stronger and more frequent in nature.  Diagnosed as migraines, cluster headaches and finally "face pain of unknown origin", no treatment was able to reduce or eliminate my headaches or provide significant relief.  My painful headache episodes, which often involved pain lasting more than 48 hours could only be somewhat relieved by narcotic pain medication."  

"After numerous trips to various doctors including neurologists and other specialists, and cat scans, MRI and other diagnostic tools coming up with no definitive cause, it was finally recommended to me by an Ear, Nose and Throat specialist that I seek out a doctor of dentistry familiar with the latest techniques in Neuromuscular Dentistry.  Much to my relief, I was able to find Dr. Berard right here in Traverse City!"  

"After a consultation with Dr. Berard, where he explained that 80% of headaches are (related to an imperfect bite), I availed myself of his services and the virtually painless process of identifying the specifics of my problem and creating an orthotic to treat it, were completed."

"Despite my suspicions, after so many years of suffering, I'm incredibly grateful to have been absolutely 100% headache and pain free since just a week or so after beginning to wear my orthotic device!  Dr. Berard's treatment has radically improved my quality of life and I would enthusiastically encourage anyone suffering from migraines or other headaches who are not finding relief to consult with Dr. Berard at ENVISION Dental."

Early Dental Implants...

When we think of dental implants, most people consider the process to be fairly new, however, Maya Civilization has shown the earliest known evidence of dental implants to be from around 600 A.D.

During an excavation in Honduras in 1931, a lower jaw bone (mandible) was discovered.  It is believed to be that of a female in her twenties.  This bone showed evidence of the first known dental implants.  Three tooth-shaped pieces of shell had been placed into the sockets of three missing lower teeth.

Over the years of development we have seen a wide range of materials used to replace missing teeth including shells, carved stones such as jade, silver, gold and even real teeth from donor patients.  It has become evident that the most consistently integrated material with the highest success rate is Titanium.  Titanium implants have become the standard of care when implants are used.  They became very popular in the 80's and have steadily increased in use and success.

A modern dental implant is a Titanium post that is inserted into the bone of the upper or lower jaw to replace the root of a missing tooth.  The implant integrates with the bone of the jaw and provides a solid foundation for a crown, allowing for a natural looking smile.  Implants are also used to help anchor dentures more solidly in place for better chewing and function.

If you have a missing tooth or several teeth or an ill-fitting denture call our office to see if you would be a candidate for dental implants.

Smiles,
Holly

TMD? Signs and Symptoms

If you have any of the following signs or symptoms you could be suffering from TMJ (Temporomandibular Joint) also known as  TMD  (Temporomandibular Disorders).

*Headaches                                        *Clenching or grinding
*Jaw joint pain                                    *Facial pain
*Jaw joint noise or clicking                  *Sensitive teeth
*Limited mouth opening                       *Chewing difficulties
*Ear congestion                                   *Neck pain
*Dizziness                                           *Postural problems
*Ringing in ears                                   *Tingling of the fingers
*Difficulty swallowing                          *Hot and cold sensitivity of teeth
*Loose teeth                                       *Nervousness or insomnia


Dr. Berard is a Dentist in Traverse City, MI who is trained in Neuromuscular Dentistry. He is able to treat the causes of TMD and relieve or eliminate the symptoms above.  It is important to locate a dentist who is familiar with the latest techniques in treating TMD to properly diagnose and treat the issues specific to you.  Dr. Berard and the team at ENVISION Dental has received special training through the LasVegas Institute of Cosmetic Dentistry in LasVegas, Nevada.

Because there is a relationship between the teeth, jaw joints, head and neck muscles, and head posture, a problem in any one of these areas may affect others...we don't want you to continue suffering from the above symptoms and would love to help you improve your quality of life.  Please call today to get started on your way to an improved you!

Tooth Emergency!

          As the Mother of two children and because I work in the dental office, I have often thought about what to do in case of a dental emergency.  How many times do our kids fall and bump their teeth while playing at school, participating in a sporting event or messing around at home?  It happens all the time and usually there is no cause for concern, however, at some point in the life of your child or grandchild you may find the need for the following information.

If a tooth becomes completely knocked out there are a few things to remember:

*  Rinse the tooth off in gently running water if dirty.
    Do NOT scrub tooth or remove any attached tissue fragments.

*  Gently insert and hold tooth in it's socket, OR place in a cup of milk or cool water.  This temporarily keeps the cells of the tooth from dying.

*  Go immediately to your dentist.  Often the tooth can be "saved" and put back in it's rightful place if done within 30 minutes of the accident.

I pray that you never have to face this kind of dental emergency but if you do I hope these tips come to mind!

Smiles, Holly




       

....Joan H.

" I tell people who comment on my "smile" how wonderful it was to have the sedation dentistry to restore my teeth!!!!  It was so easy, and painless......I just took a "nap" for a few hours, woke up feeling great, and had received hours of dental work without feeling any discomfort at all!!!!   It was awesome!!!!   Dental work that would have taken a year to complete, one tooth at a time, was done in just a few sessions.....The sedation worked very well, I slept during procedures, woke up feeling good, and had absolutely no discomfort...and no after-effects......"

"I was very fearful of dental work and had delayed necessary care due to my intense anxiety about having fillings and crowns....so I needed extensive dental procedures.  Dr. Berard did an exam, took x-rays and then presented his recommendations for the necessary and desired dental restoration.  He was very informative, we discussed essential procedures, recommended procedures and cosmetic procedures to restore a more attractive appearance.  The financial investment I made was significant in my budget, but when I took into consideration the cost of each filling, root canal, crown, office visit and x-ray, it was less costly than it would have been to make individual appointments for the work, and I got to "sleep through it"!!!    Win~Win.  "

"The results are incredible!!!!  No pain, no problems, the dental work is precise and the teeth are lovely!!!  I would recommend the sedation dentistry to anyone anxious about having dental procedures!!!"