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By esmiles
February 08, 2015
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Chances are you or someone you know snores.  Snoring can lead to sleepless nights for those trying to sleep within earshot of a snorer.  Snoring also keeps the snorer from getting a good night sleep as well.  About half of loud snorers also have obstructivce sleep apnea. Obstructive sleep apnea occurs when tissues in the back of the throat block the airway which can cause you to snore and stop breathing for short periods of time.

Imagine how you would feel if you were deprived of oxygen.  Those with sleep apnea can feel unrested and tired throughout the day, have headaches, lack concentration, and could be at risk of nodding off while working or driving.

There is no real cure for obstructive sleep apnea, but there are ways to help keep the airway open. A common type of treatment is the use of a continuous positive airway pressure (CPAP) machine. There are also oral appliances that can help to keep the airway open.  These appliances reposition the jaw forward during sleep to help keep the airway open.

Reposition the jaw to get better flow?  You may think this sounds silly.  To demonstrate, you can do a little test to feel what a more open airway feels like.  In a seated or standing position, tip your head way back.   Did you feel your jaw settle back?  Take a deep breath and keep in mind how that feels.  Now, with your head tipped back, jut your lower jaw forward and take a deep breath with your jaw forward.  An oral appliance can help to keep your jaw forward and your airway open while you sleep.

If you feel that you have a snoring problem or may have obstructive sleep apnea, you should see your physician.  Your physician will help to determine whether you just have a snoring problem or an obstructive sleep apnea issue.  Discuss your treatment options with your physician and let us know if you have questions about or are interested in an oral appliance for snoring or obstructive sleep apnea.  Our patients who have tried an oral appliance or have switched from a CPAP machine to an oral appliance have given them rave reviews.

By esmiles
June 16, 2014
Category: Cosmetic Dentistry
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Do you want a whiter, brighter smile?  Our office offers a range of teeth whitening or bleaching services.  Some people prefer an at home, self-paced whitening option while others prefer the instant results of in office whitening.

At home whitening is the most popular way to whiten, or bleach your teeth and requires 2-3 appointments.  At the first appointment, we take impressions of your teeth that we use to make custom fitted trays for your teeth.   At your second appointment, we try in your trays to ensure that they fit properly and we show you how to use the at home whitening gel.  The third appointment is a quick appointment to check your smile and to be sure that you are seeing the desired results. 

With at home bleaching, you can whiten at your own pace.  Some people will wear the trays every day for a week or two while others may only wear them a few days a week.   Results vary based on the type and amount of stain or shade of your teeth.  Some may see results quickly while others require more sessions in order to achieve their desired results.

 In office whitening is a great option for those desiring a more immediate result.  This is a great option for patients who may have a specific event coming up like a wedding or reunion, or for those who do not want to do the at home whitening.

Your appointment time for in office whitening is usually about 90 minutes.  Before treatment begins, impressions are taken to make custom trays to be used at home for desensitizing treatments or at home whitening to touch up your whitened smile as needed in the future.  Next we use a small mouthpiece and some cotton to hold your lips and cheeks away from you teeth, then a resin material is applied to protect your gum tissues from the whitening gel that is applied to your teeth.  We then attach the ZOOM light to the mouthpiece and the timer is set for 15 minutes.   We recommend that you bring headphones and music to listen to for this appointment as you are in a reclined position with the ZOOM light shining on your teeth for 3 -4 sessions that are 15 minutes each. 

At the end of your whitening session, you will leave with custom trays holding a desensitizing gel on your teeth.  Some patients experience a slight amount of tooth sensitivity following treatment.  It is short lived and usually diminishes within a few days.  The use of the desensitizing gel and fluoride can help with post whitening sensitivity.

 Your custom trays can also be used for at home whitening as needed.  After in office whitening, patients will commonly do a few at home whitening sessions to maintain their whiter teeth.

Zoom Whitening Pen is a new whitening product available in our office.  It is a lower cost option recommended for patients who want to brighten their teeth or for those who prefer not to wear the custom trays needed for at home whitening.

Keep in mind that restorations such as crowns, fillings, or bonding, will not change shade or whiten with bleaching.  These restorations may need to be redone in order to match your other whitened teeth.  You can discuss this with our professional dental staff prior to whitening your teeth.

If you have any questions about whitening your smile, please ask.  We would be glad to help you get a brighter smile.


December 05, 2012
Category: Preventative Care
Tags: Untagged

Cold and flu season is here again. We know that many of our patients may be concerned about catching one of these lovely viruses or one of the many other bugs going around. At esmiles, we take special precautions to prevent disease transmission all year long.

Each of our treatment rooms are cleaned and disinfected after every patient. Instruments are cleaned and sterilized after each patient. Our clinical staff members wear masks, gloves, and safety glasses (personal protection equipment) for protection. Clinical staff also wear gowns or clinic coats not only to protect themselves but also to keep the germs from following us home (or wherever we go after work) on our clothes.

In the reception area we also take extra precautions to prevent disease transmission. Pens, counters, door knobs and the bathroom are cleaned and disinfected multiple times a day. We also have hand sanitizer at the desk that you are free to use. Many of our staff protect themselves by keeping up to date on vaccinations, including the annual flu shot.

We occasionally have patients call and ask if they should still come to their appointment if they are sick. A good rule of thumb is if you are well enough to go to work or school and can comfortably lay back for your treatment or hygiene visit, then keep your appointment. If you are unable to go to work or school, have aches/chills, or fever, please stay home. While our clinical staff wear protective equipment, you will be sharing space with staff memebers and other patients who are not protected. We will kindly reschedule your appointment for a time when you should be feeling better.

If you have any questions regarding how we prevent disease transmission, please feel free to ask.

December 05, 2012
Category: Preventative Care
Tags: Untagged

What would you think if your dentist told you to eat more candy? Would you think we were crazy?

You may have heard on the news or from one of our staff members about xylitol. Xylitol is a natural sweetener that has great dental benefits.

When you eat xylitol, the bacteria that cause decay can ingest the xylitol but can't digest it, so they cannot thrive in your mouth. Xylitol also affects the bacteria's ability to adhere to your teeth, making it easier for your saliva and toothbrush to wash the cavity causing bugs away. Xylitol is especially helpful for those who suffer from dry mouth. People who have dry mouth often suck on hard candies to stimulate saliva flow which can cause tooth decay. By using a xylitol candy, you get the effect of stimulating saliva and fighting tooth decay.

We have partnered with Dr. John's candies, a local company that has made national news with their xylitol products. They have a variety of candies, suckers, coffee sweeteners, and drink mixes, made with xylitol. You can shop online for the Simply Xylitol products: When placing an order, use the code "AAPP" in the coupon or giftcard box at checkout to receive a discount.

If you have any questions regarding the use of xylitol, please ask any of our staff members.

We are proud to announce the launch of our new website. Staying better connected with our patient families and having a great source for current information in the world of dentistry led us to a new format in website technology. This new website is easy to update and will allow better integration with the happenings of day to day business in our office. We hope you will find this a valuable resource!