Orthodontic Tips May 3, 2012

“Walk a mile in my shoes.”

Four weeks ago I became an Invisalign patient!

I’ve been using Invisalign for my patients since the product was introduced. Many of the cases worked great. Some did not. On the whole I was very happy with the product. Now I am thrilled with it.

I’ve worn braces twice in the past so I know what’s going on from a personal basis. Here is what I found out by wearing the product myself.
1. There is about 1/3 of the pain and discomfort of orthodontic treatment with Invisalign. The initial tightening is only slightly annoying. There is no irritation from braces on my lips or tongue!
2. I can eat with the Invisalign aligners in my mouth, even hard things like nuts. This fact makes it easier to get the required 20 – 22 hours of wear each day.
3. I keep a long piece of dental floss in the Invisalign case so that after a meal I can floss my teeth and replace the aligners immediately to maintain the required hours of wear.
4. I change to the next aligner at nighttime when I go to sleep. New aligners are difficult to remove initially. By the time morning comes, the new aligners are easier to remove.
5. After a week the aligners need to be brushed with toothpaste to reduce odour.

When I show my patients my “invisible braces” they are impressed for many reasons. But the Invisalign patients are thrilled that I’m using the same product that I recommended for them.

I never would have know these things if I didn’t wear them myself. Now I’m walking in their shoes and I feel great about it.

Let’s talk about a wonderful addition to a morning routine to get you started on your day.

Be a “holy roller”.

Use a foam roller, which is a long tube of firm Styrofoam about two feet long and eight inches in diameter. They come in many sizes and shapes. In fact, I have three different rollers; one for gentle morning rolling, one for more punishing muscle releases at night time and a small travel roller. Here is a good web site for instructions.

The instructor will raise your heart beat just by watching if you are interested in “buff male trainers”.

Here is a neat salad that my daughter Jessica brought to our house for dinner last month.

Spring mix’ lettuce
1 package of blackberries
Very thinly sliced red onion
Candied walnuts (sauté walnuts in a little sugar and butter until the sugar is brown – cool on wax paper)
Goat’s cheese

Dressing:

1 part grape seed or walnut oil
1 part white wine vinegar
1 part maple syrup
Jessie

How does one meditate?

The benefits of meditation are documented all over the Internet. I do it regularly and I recommend it strongly. Here’s how I do it.

I find a comfortable spot to sit and be alert. I like to sit on the floor with my legs out straight in front of me and my back supported by a footstool. Sometimes I do cross my legs in a Yoga position, but not always. My hands are relaxed on my thighs; I close my eyes and hold my head alertly upright but relaxed.

I start to clear my mind of all thoughts. As thoughts pop into my head I mentally lift them out of my mind and move them to a place outside of my head. I ask my Angels to hold these thoughts for me until after my meditation. I ask the Angles to give the thoughts back to me after the meditation in a more “solvable” form. If you are not comfortable with asking Angels for help, just put the thoughts out of your head for now.

I do this for one thought after another until there are no more thoughts left. When my mind is blank I have reached the meditative state. Cool!

I feel or listen to my breathing and I feel the “love” that the universe is made of flood into me. I allow it to happen because just the fact that I was born makes me worthy of being loved. I don’t have to have done anything at all to be worthy of that.

After about 20 – 30 minutes of meditating I slowly accept the thoughts back that I placed out of my head. Surprisingly, solutions are often attached that I didn’t think of before. Fancy that.

Have a great day!

Stan

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Orthodontic Tips February 27, 2012

“Stay on the leading edge.”

This has always been my motto.

I have been instrumental in some orthodontic advances personally. My perspective on intra-oral volume and the way that teeth can affect breathing is respected at the University of Toronto where I teach the sleep apnea module to the Orthodontic Grad students. In addition, a letter of mine was published on this subject in the American Journal of Orthodontics and Dento-Facial Orthopedics.
Also, I have developed a unique TMJ splint therapy, which takes conservative treatment of jaw problems further along to provide improved care.

However, the latest advance that I am incorporating into my practice is not my own. It is computer-aided placement of braces on the teeth.

Ormco, which is the largest of the companies that supply braces, has developed a CAD program for ideal placement of braces on the teeth. It is called “Insignia”. The program allows the orthodontist to first correct the patient’s malocclusion on a computer and then Insignia places braces on the teeth to facilitate the ideal result.
This will result in better and faster treatment for the patient. I’m very excited about this new step.

Let’s build a short exercise routine to get you started in the morning.

First, get the “sleepy stuff” out with a basic Sun Rise Salutation that I’ve talked about before. (You can Google Sun Rise Salutation for a review).

Then redo the Sun Rise Salutation with a little more style now that your heart is beating a little faster.

Next, try a “Flip the Dog” move to provide a mild cardio movement while you are completing your wake up. Here is a link for instructions: http://www.youtube.com/watch?v=EXzUZc6auNw

Do this three times on each side. Say a prayer for a great day and get dressed for breakfast.

I’ll add additional moves to create a 10-minute routine that will really get you started for the day. However, just these two items will create a big impact.

Diet tips are repetitive because there really is only one diet that will get you to a ripe old age. (See Dr. Oz and Oprah for the full “Monty”)

What we need to do is change our mind set and thought patterns. If we can grasp the skin above our waist and find a thickness more than 1 ½”, we need to challenge what we are doing now. If your mid body bulge is bigger than this, stop fooling yourself!

Pick one “white sugar” or “white flour” item that you eat daily and replace it with a vegetable or fruit. That’s the tip for today. Period!

Create the Intention to be useful.

I’ve talked about using “Intention” to create ripples that affect the world around you. Today let’s create an intention to be useful. This will increase our self-esteem and confirm that we are here for a purpose.

While doing your morning Sun Rise Salutation, ask your special spiritual guide to allow you to be useful. That’s it! Trust me it works. You will find that the world will line up to give you opportunities to be useful.

Have a great week.

Stan

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Orthodontic Tips February 1, 2012

Orthodontic Tips February 1, 2012

Are you moving?

Your teeth do!

Throughout your life your teeth will shift and move in response to the balance of forces in the mouth. This becomes an issue for people in their thirties and forties when problems that they could ignore earlier in life now are more pressing. The reason for this for some people in middle age, is their periodontal support is no longer strong enough to resist mouth habits. Tooth shifting is the result.

I saw a woman in her mid forties this morning who complained to her dentist that the crowding in her lower teeth getting worse. Indeed, the lower right lateral incisor was pushed toward the tongue so far that the bone and gum covering was gone 2/5 down the root of the tooth.

There were several factors that caused the crowding to get worse. Mouth breathing and tongue thrusting were two big reasons. In addition, she was experiencing mild generalized periodontal bone loss.

The solution is simple. In her case two lower bicuspids will be extracted and the teeth aligned with braces. In a similar case, we removed a single lower incisor and we used Invisalign for the tooth movement. Both cases will be retained by bonded lingual wires and upper and lower thick Essex retainers that will act not only as retainers but also like TMJ splints.

So, teeth do move later in life, especially when people start to experience some periodontal bone loss in middle age. Fortunately we can do something about it.

Now about me!

Here is an abs crunch that I like.
1. Lie on a thera-ball, positioning it under the lower back.
2. Cross your arms over the chest or place them behind your head.
3. Contract your abs to lift your torso off the ball, pulling the bottom of your ribcage down toward your hips.
4. As you curl up, keep the ball stable (i.e., the ball shouldn’t roll).
5. Lower back down, getting a stretch in the abs, and repeat for 1-3 sets of 12-16 reps.
6. When you get good at this start adding weights by holding them on your chest. (I use 45 lbs.)

Here is a diet tip of mine.

Take Vitamin D every day. I take 1000 IU each day throughout the year. However, during these dark days of winter I take 2000 IU.

My spiritual thought for today is something that I hope to mention a lot. It is the power of Intention.

Dr. Wayne Dyer wrote a book on this subject. If I could shorten the book into a phrase it would be “if you want something, ask for it!” If you ask for something in a positive way you will create an “intention” that will affect the world around you like ripples in a lake. Each ripple aligns the world in a way to grant your request. If you don’t ask, there is no “intention” and there is no reason for anything to happen. It works for me.

Have a great week.

Stan

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Orthodontic Tips December 5, 2011

Am I feeling good yet? Does the patient know when they are improving?

In some cases, no.

This week a woman who is in her early 50’s, came to see me for her first TMJ recall after upper and lower TMJ splints were inserted. Her symptoms were headaches, jaw pain, jaw clicking and ear aches. Her dentist had given her a soft maxillary splint but her symptoms got worse. She presented with the soft splint chewed up!

Because she had some mild symptoms of sleep apnea, I chose to use a hard TMJ splint system that allows the tongue to protrude forward between the upper and lower splints. I inserted the splints and asked her to come back in a week and bring the splints with her.

When she came into the office this week I asked how she was doing. She said “not much change really”.

I said “OK. Are your jaws still clicking?”

“No, they aren’t” was her reply.

“Do you have headaches in the morning?” I asked?

“No, I don’t” she said.

“Is it easier to open your mouth?”

“Yes” was her reply.

“So, then” I asked “why do you think you are not getting better?

“I don’t know” she said. “I guess I am getting better.”

TMJ is a stress related problem. In this woman’s case I believe that even though her TMJ symptoms were reduced, the stress in her life was not.

Let’s get personal!

I try to eat oatmeal at least 5 times a week. Studies show that oatmeal lowers bad cholesterol. I’ve got an elaborate recipe for it; if you are interested email me for it.

This morning I worked on shoulders and back in my morning exercise. The external rotation with a Theraband was one of the exercises.

Here is a link for a good example of it. http://www.youtube.com/watch?v=JQqR2scexuw

Here is a favourite mental health tip. “Kick the cat when you get home!” I’m joking. Talk it out with your significant other. You don’t need an answer for your problem; you just need to let off some steam.

Have a great week.

Stan

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Orthodontic Tips November 28, 2011

My consultant told me to make my practice fun and to reflect the real me.

But, who am I?

Or more to the point which aspect of me relates to my orthodontic practice?

The aspect that I choose is my obsession with health. There is a strong link between health of the body and health of the mouth.

I’m going to take that obsession with health to my office and make it fun! Drop in and check it out.

That’s your ortho tip for this week. Have your office reflect who you are and make it fun!

Now here is my health thought for this week. I’m making it personal so take it any way you want to.

Did you know that I constantly analyze my diet and try to replace refined carbohydrates with complex carbs? White sugar is bad; whole potatoes are good. Candies are out; fruits are in. This affects the teeth and also body health for better insulin metabolism.

Here is one of my favourite exercise tips. I do a Yoga Sun Salutation in the morning when I get up before my morning exercise routine. I also do it as part of my “going to bed” Yoga stretches. You can Google “Yoga Sun Salutation” and start doing it tonight and tomorrow morning.

Here is a favourite mental health tip. While doing the night time “Sun Salutation” I release all of the day’s events to my guardian angels for the night. You can release your concerns to whomever you choose. I pretend those daily events are yesterday’s news.

Have a great week.

Stan

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Orthodontic Tips November 21, 2011

Have you ever wondered if you moved too soon?

How about too late!

I met two sisters last week for an orthodontic consultation. They were fraternal twins. One of them came to me too late.

She had two impacted permanent cuspid teeth. One was locked in the palate behind the roots of the permanent lateral incisor. The other was just stalled at the apex of the primary cuspid and its root extended up into the maxillary sinus. Why did this happen?

The maxillary primary cuspid teeth failed to resorb. They were in their normal place with full roots on them.

There is no “down side” to extracting primary cuspid teeth to let incisors align or to let the permanent cuspid teeth erupt. There might be spaces on either side of the laterals for a while but lots of kids look like that. However, if you move too late sometimes the permanent cuspid teeth become impacted.

If you need some moral support to extract the primary cuspids, make the orthodontic referral and I’ll be happy to write the extraction letter and take responsibility. We can both team up to save some patients a “nasty” surgical exposure.

(Send kids at 7 yrs. old for their first orthodontic consultation.)

Have a great week.

Stan

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Orthodontic Tips November 9, 2011

Orthodontic Tips November 9, 2011

What do you do when a perfect occlusion slips into an end to end bite?

Eight months ago patient’s mother scheduled an appointment for her son whose braces had been removed for about one year and a half.

Sure enough his bite was end to end instead of the perfect that he had when I removed the braces. He experienced a greater than normal late growth spurt of the mandible.

I have seen this before. And, I have been successful in restoring the proper bite without putting braces back on the teeth.

First I bonded retention bumps of tooth coloured acrylic to the upper first molars and the lower first bicuspids. Then I made upper and lower Essex appliances for him with elastic hooks. I inserted the appliances with class lll elastics.

He wore the appliances full time for three months. By that time his teeth were back in the proper place. Then I asked him to continue to wear the appliances at night time because he was still growing.

Now eight months later everything continues to be fine. We will continue this care at night time until he finishes growing.

Have a great week.

Stan

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Orthodontic Tips November 1, 2011

We Are Appreciated.

When the patient entered the clinic, a shy smile crossed her lips.

What was up with the smile?

The patient with the smile was happy with my work.

Often we get so caught up with the technical aspects of what we do, we forget that the dentistry and orthodontics we provide is elective care. And, our patients chose to have it done.

About 10 years ago I had braces on my teeth to correct my bite which was distorted by a sleep apnea appliance. I could not bite my teeth together comfortably. My braces fixed the problem. But what I didn’t expect was the appreciation I felt for the care. It came from my heart.

Now every time I pick up my pliers, and every time you pick up your drill, know that the patient in the dental chair chose our care and is prepared to be very appreciative when it’s done.

I hope that brings a shy smile to your lips.
Have a great week.

Stan

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A Small Maxilla

Orthodontic Tips October 4, 2011

Does it matter if facial bones aren’t balanced?

Usually, yes it does.

The effect of unbalanced facial bones is often seen in the teeth.

Here is a case of a patient who is 7 years and 10 months and has a small upper jaw (maxilla).

There are three dental problems here because of the small upper jaw. First is the obvious crossbite of the central incisors on the left side. Second is the gum loss on the front of the lower left central incisor because it has been pushed forward outside of the jaw bone. Finally and not so obvious is ectopic eruption of the upper left first molar erupting underneath the upper left second primary molar.

The correction is easy and straightforward. The upper and lower primary cuspids will be extracted to create space for incisor alignment. Then a steel button will be bonded to the upper left first molar. Finally, a removable appliance will be made with a bite plane and spring to correct the anterior crossbite with an additional spring to move the ectopically erupting molar distally.

Fortunately this patient was referred at the age of 7 years so we can take care of these small problems before they turned into big problems.

Have a great week.

Stan

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Orthodontic Tips September 8, 2011

Orthodontic Tips September 8, 2011

Why do people have dental problems?

It could be so that we can “practice perfection”.

That’s silly isn’t it? Aren’t we there to help people with their problems, not for our own amusement? Or, are we?

The movie “Benjamin Button” asked a similar question. “Does time flow forwards or backwards?” Is Benjamin Button the norm and are we the illusion?

Every time a patient comes to us with a malocclusion or a broken tooth or an abscess, it gives us the opportunity to practice perfection, so that we can mimic the Divine, so that we can practice healing.

And we get paid for the privilege.

I can’t wait until the next person comes in so I can do it again…

Have a great week.

Stan

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