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Posts for: April, 2015


Daily fatigue or complaints of your snoring from family have led you to see your doctor about the problem. After an exam and a test session in a sleep lab, your problem now has a name — obstructive sleep apnea.

This common sleep-related breathing disorder (SRBD) occurs when the soft tissues in the back of the throat over-relax during sleep. The relaxed tissues obstruct air flow to the trachea (windpipe) and cause “apnea,” where you cease to breathe. The lack of oxygen causes you to wake, even for a micro-second, to begin breathing again. This may occur multiple times throughout the night, diminishing the quality of your sleep and leading not only to drowsiness and daily fatigue but also contribute to cardiovascular disease or other systemic conditions.

The most effective treatment for sleep apnea is the use of a Continuous Positive Airway Pressure (CPAP) machine while you sleep. The machine delivers pressurized air to a face mask you wear while you sleep; the additional pressure keeps the airway open. However, a CPAP machine does have a few disadvantages, including discomfort while attached to the machine, nasal congestion and dryness, or claustrophobia. These effects can be so pronounced for some patients, they’re unable to adjust themselves to the machine.

If you have mild to moderate sleep apnea, there may be an alternative — a custom-fitted oral appliance we manufacture for you to wear in your mouth while you sleep. The appliance pulls the lower jaw forward resulting in a wider opening of the airway. In addition to being less cumbersome than a CPAP mask, an oral appliance is easier to wear, compact in size for easy travel and doesn’t require electricity.

While an oral appliance is an effective alternative to a CPAP machine for many patients, it does have a few disadvantages including problems with saliva flow (too much or too little), muscle or teeth soreness and minor tooth or jaw movement. Still, an oral appliance might be the right solution to relieve your sleep apnea over the long-term.

If you would like more information on treatments for sleep apnea, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Sleep Disorders & Dentistry” and “Sleep Apnea FAQs.”

By Dental Arts of Englewood
April 16, 2015
Category: Dental Procedures

Cosmetic Gum SurgeryDon’t let aesthetic gum issues keep you from the smile you deserve.

When you think about having an ideal smile, for many their thoughts turn to brighter, straighter teeth; however, others may have issues with their gums that make their smiles less than aesthetically pleasing. If you are dealing with a smile that looks a little gummy or you are noticing that your gums are being to recede, then you may be looking for a cosmetic dentist in Englewood, NJ who could give you a more appealing smile. Find out about cosmetic gum surgery and what it can do for your gums.

What Cosmetic Gum Surgery Repairs


There are several things that gum surgery can improve when it comes to the look of your gums. If you suffer from excess tissue, which creates a gummy-looking smile, or receding or uneven gums you could benefit from this procedure.


What to Expect from Cosmetic Gum Surgery


Cosmetic gum surgery is conveniently performed at our Englewood, NJ office under local anesthesia. If laser gum surgery is being performed you may only need a topical anesthesia before your procedure to reduce discomfort.


Those with uneven gum lines may require a surgical scalpel to contour the gums for a more even appearance. However, laser gum surgery offers a variety of advantages of traditional surgery because it offers less bleeding and other post-procedural side effects, less recovery time and it’s less invasive.


If you require gum grafting as well, particularly for those with excessively receding gums, you may require stitches at the site where the tissue was removed; however, these stitches will usually dissolve on their own as you heal. The healing process for gum grafting may take several weeks. In the meantime, you can ease your recovery symptoms by eating a softer diet, taking OTC anti-inflammatories and pain medications, and icing.


If you want to find out more about our cosmetic gum surgery then schedule an appointment with your Englewood, NJ cosmetic dentist, Dr. Mark H. Docktor with Dental Arts of Englewood.


Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?