Fisher Jones Family Dentistry

CEREC One Visit Crowns, Inlays and Onlays

Dr. Garrett here!  Today I would like to talk about one of my favorite procedures in the office: CEREC crowns, inlays and onlays.  For over a decade now, CAD/CAM technology has been widely used in dentistry to create porcelain restorations.  Within this time, the technology has grown and evolved into an extremely accurate, cosmetic and functional method for repairing teeth.  CEREC crowns, inlays and onlays are all-porcelain restorations fabricated in the office in one visit.  This eliminates the 2-3 week period of wearing a temporary restoration while an outside laboratory fabricates the permanent restoration.  This not only eliminates a second visit for cementing your permanent restoration, but also eliminates the need for an often uncomfortable temporary that can sometimes cause excessive inflammation of your gum tissue.

The porcelain restoration is fabricated from a mono-block of high strength lithium-disilicate. This material is known for not only it’s very high strength, but also for it’s “tooth-like” appearance.  A balance of strength and beauty can be achieved, which is ideal for teeth!  It is a completely metal-free restoration that we expect to last for years and years in a healthy mouth.

The procedure is similar to a traditional crown appointment, with a few beneficial differences.  Local anesthetic is typically applied to the tooth or teeth planned for restoration.  A special white powder is applied to the teeth in the quadrant being operated on.  A photo of the teeth is then taken with the CEREC camera.  This gives us a “pre-operative image” that the computer uses as a baseline to help design the restoration.  The affected or decayed area is removed and the tooth is shaped to make room for the porcelain restoration.  This is in order to ensure the porcelain is thick enough to withstand daily use.  We then apply the powder again and take another photo of the teeth.  Then you get to relax for 20 or so minutes while the doctor designs your new restoration on the computer, and the milling machine fabricates your restoration.  After the restoration is tried onto the tooth to verify its’ fit, it is cemented permanently onto your tooth.  Voila!  That’s it!  You now have an extremely strong and highly cosmetic tooth!  I love this procedure and I especially love the response I get from patients who have this done. They are always so amazed by the technology and love the look and feel of their new tooth!

 

 

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Fundraising Theater Performance Coming up in February

The Olympia School District Education Foundation and the OSD Players are beginning to gear up again for their annual fundraising musical.  Mark your calendars for the February 21st-23rd performances of the 1980’s Broadway production of ‘Is There Life after High School’.  The cast will perform songs, monologues and high school reunions to recall the joys, terrors, envies, hates and loves of those memorable high school years.  It sounds like it will be another great show…and I think we will all be reminded of how grateful we are to have survived the high school drama!   Fisher Jones Family Dentistry is going to be sponsoring the Saturday night show and we hope you will come out and join us.  

 

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Care for the Earth, Care for those in Need and Eating Healthy = Healthy Teeth and Gums!

Madison Elementary Parents + Community Join Forces To Build Garden

It is stories like this that brings all of the important elements of community together!  We love it!   -mary ellen

January 8, 2013 | Filed underEveryday | Posted by ThurstonTalk Editor

Katya Miltimore struggled to find words to describe the field bordering the northeast section of Madison Elementary in East Olympia.

“None of this was here. Just a green field to the pavement, no table or greenhouses. It used to be very boggy, as it was the drainage area for the field. It was known as the Madison Swamp,” Miltimore said with a laugh.

What a difference three years, countless volunteer hours and cooperation from local and statewide organizations makes.

In late January 2010, volunteers broke ground on the Madison – Avanti Giving Garden, located on the premises of the East Olympia elementary school. About 48% of Madison’s population uses the free and reduced lunch program. A portion of the students are considered homeless. What started as a project to boost kid’s morale and the surrounding neighborhood has developed into a model of nutritional education. Students have learned about community cooperation while promoting healthy eating practices.

Thanks to fundraising efforts from the school and grant partnerships, students now grow and cultivate organic produce while learning healthy cooking methods.

Miltimore, a Madison Elementary parent, is one of the original organizers. She has seen the community come together for a positive cause.

“It’s amazing to think about how many people have been involved with this project,” Miltimore said. “It’s such a partnership effort and shows that with hard work and positive people, a lot of great things can happen.”

The idea to create the garden came from Madison Elementary parent Katie Stoll. From there, Stoll contacted the school’s Principal Gayle Marchun and other parents. They began researching how to start the garden. And, the community stepped up.

Miltimore’s husband, who works in construction, turned to his relationships with local suppliers to obtain discounted materials.

Stoll contacted GRuB about installing the garden and a bond between the two groups was forged.

Miltimore’s neighbor and local landscape architect Kurtis Roberts provided a layout plan for the garden beds and other facilities, including a covered gazebo and greenhouse.

Great Western Supply and Curtis Lumber, along many other local businesses, donated a sizeable amount of building supplies.

Eventually, volunteers broke ground at the school.

“When we broke ground, everyone realized how much work was ahead,” Miltimore said. “It just looked awful and we had to strip sod while it was raining. We were sinking down to our knees in mud.”

After grating the area, gavel was delivered and GRuB immediately came out and installed ten beds. After receiving a donation for the landscaping block, the group organized work parties nearly every other weekend.

“We had a lot of student parents help but some of the most active contributors were from parents with really young children who would eventually attend the school,” Miltimore said. “They wanted to improve the school for the future. At that time, the enrollment was smaller and there were a couple of empty classrooms. Everyone wanted to install this garden to bring the community together.”

Thanks to the volunteer work that spring, the garden was ready for summer harvest. Beth Wilson and Joellen Wilhelm, two future Madison Elementary parents, wrote a successful Lowe’s Toolbox for Education Grant. The garden received $5,000 for a greenhouse kit, additional wheelbarrows, rakes and other gardening tools. Based on this success, the group began applying for other local grants, and received funds from the Community Sustaining Fund of Thurston County, the Community For Interfaith Celebration and the Newbridge Community Church, amongst many others.

Karen Ray, the School Gardens Coordinator with the Thurston County Food Bank, was on board from the beginning. The Food bank installed a sprinkler system for the garden. In exchange, a portion of the garden’s harvest was donated to the food bank. In the first year, the garden raised over 250 pounds of donated produce.

During the summer, parents were concerned about wasting produce. Mike Velazquez, principal of Avanti High School, suggested offering a farm stand. During the fall and spring, on the first Thursday of the month, elementary students visit the farm stand and “purchase” produce with wooden tokens earned by good behavior in the classroom. At the garden’s farm stand, students could select either produce from the garden or the Thurston County Food Bank.

“(The farm stand) was incredibly popular with both the parents and students. For this school year, we received a $1,000 grant from the Junior League of Olympia to supply us with more produce from the Food Bank,” Miltimore said.

However, it became clear that farm stand “shoppers” were more attracted to popular produce items such as apples and carrots, leaving a surplus of unfamiliar foods such as kale and rhubarb.

“We saw these trends and decided that we needed to cook with the kids and show them how to utilize these other vegetables and fruits,” Miltimore said.

Within the garden, produce was planted in individual recipe beds and sections. For example, a borscht soup bed was planted, with ingredients such as beets, potatoes and carrots present. Similar beds were planted for salsa and coleslaw.

Miltimore then brought in cooking supplies and demonstrated how to cook the Russian soup. It was a lesson met with positive results.

“I couldn’t believe how positively the kids responded and neither could the teachers,” Miltimore said.

From there, Miltimore partnered with the Olympia School District Education Foundation, who provided Madison Elementary with a $500 grant used to purchase a mobile kitchen island from IKEA, child friendly cutlery and other cooking supplies. Students work in groups to prepare the recipes.

At this point in the project, Miltimore estimated around seven to nine parents were helping with the in-class cooking preparation, requiring a 2.5-to-3 hour daily commitment. The parents received the help they needed from the Washington State University Extension Program, through the nutrition program Food $ense. WSU and the Madison Garden Project agreed that they could mutually benefit one another, and eventually, the food and supplies costs were covered by the university. Now, the Food $ense program also provides instruction for half of the cooking demonstrations.

In addition to that donation, local resident and professional chef Rick Mullins took charge of gardening lessons and a majority of the cooking coordination. Mullins supervises what the students grown in the garden, while at the same time teaching them how to create worm bins and other methods of composting.

“We have parents comment on how they enjoy cooking together and making things they’ve never cooked before,” Miltimore said.

It appears that the rest of the state has taken notice of the positive effects the garden has had on the school and the community. The Washington Office of Superintendent of Public Institution (OSPI) recently published a wellness guide for state schools and addressed topics such as gardening and eating habits within schools. The report highlights Madison Elementary’s Garden Project.

“Madison shines in that guide,” Miltimore said. “Maybe two dozen other schools are cited and when it comes to cooking, gardening, and nutrition, our school was given as a statewide example of best practices.”

Along with the recognition from OSPI, Madison was one of 58 top performing schools in the state to be recognized as a Rewards School and scored in the top ten percent for reading and math on the state test the last three years.

Miltimore noted that the WSU Extension Program Coordinator currently is implementing a similar program in at least three other schools in Thurston County.

“To hear about Madison in such a positive way, as an example how to implement something like this, it’s amazing,” Miltimore said. “We have a lot of pride in this project.”

Most importantly, students of all ages have the opportunity to see what hard work and cooperation leads to.

“The morale around the student population has increased, and I think they can look at this project and see how the community came together in such a positive way for a much needed cause,” Miltimore said. “A project like this, it instills pride, not just for the school, but the surrounding community.”

Volunteers are currently finishing a second phase of the garden, focused on environmental education, native plant species and arts inspired by nature. This coming spring the garden will receive its finishing touches. Learn more by clicking here.

Photos courtesy of Steven Herppich.

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Movember

Dr. Garrett here.  On November 1st, myself and Dr. Matt shaved our faces clean and started the month long journey of growing a mustache.  Although we both looked self-admittedly dapper, the choice to grow a ‘stache was purely noble.  There is an organization called Movember whose sole purpose is to raise awareness and money for men’s health issues, specifically prostate and testicular cancer initiatives.  The idea is to use the mustache as a way to start a conversation about men’s health issues in an effort to raise awareness for these often ignored diseases.  As walking billboards, or “Mo Bros” as we liked to refer to ourselves, we were able to inform many of our patients, friends, family, and even strangers on the many unknown facts of these diseases (as well as obtain constant admiration for our impressive upper lip fuzz!).  For example:

  • 1 in 6 men will be diagnosed with prostate cancer in his lifetime
  • Testicular cancer is the most common cancer in American males between the ages of 15 and 35.
  • 6 million people die every year from tobacco use and exposure to tobacco smoke. One person dies every six seconds
  • 1 in every 13 men will develop lung cancer
  • In 2012, an estimated 13 million or 11.8% of all adult men over the age of 20 in the US have diabetes
  • Approximately 76.4 million men and women in the US have high blood pressure- 1 in 5 do not know it
  • Researchers estimate that at least 6 million men in the United States suffer from a depressive disorder every year
  • Four times as many men commit suicide compared with women
  • 24% of men are less likely to go to the doctor compared to women

These are just a few of the facts, but they are all astonishing in their own right, and point towards a shocking trend of many men ignoring their health.  As men, we often feel as though we need to be tough and deal with these things on our own.  The evidence, however, points to this as being highly damaging and irrational.  Thus, raising awareness of men’s health issues is very important.  We actually found that the wives of many men we talked to were the best advocates for their husband’s health.  Women are much better than men at being advocates for their own health.  As it turns out, they’re even better at advocating for men’s health than men are!  We call these women, Mo Sistas!

Our hope is to do this every November (or “Movember” as we now call it) and make it bigger and bigger each year.  So if you or anyone you know would be interested in joining our team of Mo Bros and Mo Sistas, please let us know.  We would love to have you!

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Floss alternatives?

Dr. Matt here. On Friday November 16, 2012 I received my new Phillips Sonicare Airflosser. It was neatly packaged and easy to get going. I charged it for the recommended time, read the directions and on Saturday was into the maiden voyage. The Airflosser handle is about as large as a banana in girth and length. The tip of the air-water blaster fits perfectly against the triangular space between your teeth. The handle must be filled with a little water. I used really warm water as my teeth are sometimes sensitive to cold. The port that you put the water into looks a lot like an irons. The handle must be primed about 5 times for the water to circulate and be ready to use in the mouth. It makes a clicking noise when you press the large button. You cannot miss it the button is very large. The unit has an separate on/off button that is universal in look and has a light when it is on and charged fully. I have tried many different hand grip positions and have not decided which I am most comfortable with. The main purpose of your grip is to position the tip of the clear tube that will deliver the air-water blast to the area between the teeth. You position it and press the button. You repeat this until you have interrupted the debris between each and every tooth. It didn’t take too long for me to feel how clean the result was. I am going to use it exclusively for a week and see how I like it. I usually use the oral breeze irrigator so this is a new trick to add to my shower routine. The charge of the battery is supposed to last about two weeks. I will keep you posted and let you know what my honest opinion. Floss. Don’t Floss, Irrigate, Don’t Irrigate, Airfloss, Don’t Airfloss. What truly is the easiest, quickest way, to keep  the gingiva healthy.

 

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“Insurance” Math for Patients Who Don’t Like Math or Insurance

We have a guest columnist for this issue of the Fisher Jones Family Dentistry Blog. He is Marshal Brickeen. We like his perspective on dental plans and their role in your dental care.

This has become an important issue as plan benefits decrease and restrictions and exclusions increase. We hope you find this article informative and enlightening. If you have any questions, please feel free to drop us an email or plan to discuss it at your next dental appointment.

Enjoy,

Dr. Jim

“Insurance” Math for Patients Who Don’t Like Math or Insurance

By Marshal Brickeen Reveal Diagnostics

Last night at our dental study club I got on a rant. I rant enough to be diagnosed with Tourettes, and last night’s hit a special nerve that caused more irritation

than a knock-off mystery metal implant through the alveolar canal. Somebody brought up insurance–not real insurance, but dental insurance.

Dental insurance is NOT insurance. It’s so ridiculously not insurance that it deserves lame air quotes. Dental “insurance” is a very simple scam, far less complicated than
the common Bernie Madoff ponzi or “you’ll get Social Security some day” schemes. Here’s how I explain dental “insurance” to patients:

• If a rock strikes my head (and many people are throwing strange objects at me now), Blue Cross says: “Marshall, go get yourself fixed. You pay the first $500 andyourinsurancewillpaytherest.”

• If a rock strikes my car, State Farm says: “Marshall, go get the Prius fixed. You pay the first $500 and your insurance will pay the rest.”

• If a rock strikes my teeth, Delta Dental says: “Marshall, go get your teeth fixed. Delta will pay the first $500 and you pay the rest.”

That is not insurance! Insurance insures against something catastrophically expensive, like the night I had kidney stones and spent four hours in an ER bed with a morphine shot for a total of $16,500. Dental “insurance” gives patients a little bit of

money to pay for a large bill, namely up to $1,500 if you have a “good” plan, or more commonly $1,000. What was the average dental insurance reimbursement back in 1967, you may ask? (Coincidentally I have that data.) It was $1,000. Also in 1967 a gallon of gas cost $0.33, an ounce of gold was $35, the median US house cost $16,500 (now the price of a 4-hour ER visit and some watered- down morphine), and a dental crown was $65. Today that crown is at least $1,000 (anything less and its core was a junked car battery in China two weeks ago). Everything else in the country has inflated in the last 44 years; gas is up 1,320%, gold 4,750%, homes up 1,495% even after the housing crash. Yet dental“insurance”benefits remain exactly the same.

Of course dental “insurance” premiums are up. So are dental “insurance”“company” profits and executive salaries. In 2007 and 2008 Delta CEO Thomas Fleszar brought home $5.5 million in salary and benefits–at least that’s what he reported to shareholders, and I have no reason to believe that a dental “insurance” executive wouldn’t be totally honest. And he deserves every million. Tommy Boy Fleszar and the rest of those geniuses running the “non-profit” known as Delta are all doing a bang-up job!

Let’s get back to the “benefits” of dental “insurance” (and I hate using air quotes, but I hate dental “insurance” more and it’s oddly “appropriate” in this case). As a small business owner (I do own a CBCT dental imaging center and consider its four employees my responsibility) I recently went dental “insurance” shopping. It was almost exactly NOT like shopping for a new car. I didn’t see anything I wanted and the sales people could care less what I bought.

As stated I can get at most $1,500 in dental “insurance” benefits. Does that mean they’ll cover all of my $1,200 crown? Of course not–that’s as likely as the DMV lady enjoying her job. Dental “insurance” will pay an undisclosed portion of
each procedure, based on a top secret equation averaging the Usual and Customary Rates of dentists in my home of San Francisco, the nearby cow-town of Lodi, somewhere in eastern Kansas, and the US territory of Guam. That’s why my dentist, with 25 years of experience and $30,000 of practice management software, has no clue what my dental “insurance” will cover. I finally figured out that if I get enough dentistry done, eventually my “insurance” will pick up about $1,500 of the bill. If I’m lucky.

For this “benefit” I pay only $175 per month. Let me save you a trip to the calculator. $175 per month, times 12 months, equals $2,100 per year I pay to my dental “insurance” for the awesome benefit of wrestling a maximum of $1,500 in dental reimbursement each year. That’s the kind of math that sunk the Greek economy. It also sunk my allegiance to dental “insurance,” and I’m now paying out of pocket (or in CEREC blocks… I “found” a few).

I recently cornered a mid-level executive from a well-known dental “insurance” company and asked a few questions. I can’t say which company, but I can say it rhymes with “smelt ya!”
It went something like this (I changed his name to protect the guilty):

• Me: “Why are my maximum annual ‘insurance’ benefits less than my annual premiums?”

• Thief:“They’re pretty close.”
• Me: “No, I lose about $600 per year if I max out my benefits.” • Thief:“Uh…most clients don’t do that much math.”
• Me: “I multiplied my monthly payment by 12. It’s not quantum physics.”

• Thief: “Still, most people don’t think that way.” (see my We’re Stupid post)

• Me: “That’s not much of an answer… why do I seem to be

losing so much each year.”
• Thief: “[Smelt-Ya] is a big company. We need to cover overhead expenses, and shareholders.”

• Me: “Your executives and shareholders are doing well?”

• Thief: “Very well! We’re a solid company.”
• Me: “But wouldn’t I–and all of your ‘clients’–be better off without you, just pocketing our $2,100 and paying your ‘up to’ $1,500 worth of coverage?”

• Thief:“Like I said, most clients don’t do that much math…”

My We’re Stupid blog post is becoming more all-encompassing, and not just because we’re approaching an election circus. Dental “insurance” is only for people who are really bad a math. Dental “insurance” should be sold at 7-11 with lotto tickets. However, there’s a reason why it cheats all of its clients. With normal insurance, like fire or auto theft, the insurance company charges everybody a little and then gives payouts to the few people who suffer those events. I don’t know anybody who

has had a house burn down or a car stolen, yet I (and all of my friends) have home fire and car theft insurance.

Our mouths are a different story. We use them every day, and humans (for the first 99.5% of our existence) didn’t usually live past our 40s. Now we do… but were our teeth made to? Were our teeth made to withstand chewing ice cubes and opening beer bottles at parties and nail-dissolving soft drinks and hard candy we sadistically label jaw breakers? Our teeth break. And they’ll continue to break, annually, regularly, completely, either by fracture or decay. And we’ll need some level of dental care every year. Dental “insurance” companies can’t spread the risk when there’s a better than average risk that we’ll all need a lot of expensive care. It’s like a life insurance company targeting a leper colony. Bad business…unless you raise the annual rates to exceed the annual coverage, and hope nobody does the math.

I just did the math for you, and it isn’t pretty. Neither is dental “insurance.”

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Simple Pathways to a Whiter Smile

I love coffee. Most people enjoy beverages with color like coffee, tea, red wine, or soda. One of the side effects of these beverages is that it dulls the color of your pearly whites. I noticed this morning that my smile is in need of a whitening boost. What to do? There are essentially three paths to a whiter smile that don’t  involve bonding, porcelain veneers or crowns. We know it as bleaching. The quickest way to begin the whitening process is to purchase a box of Crest White Strips at your local grocery store. They cost about thirty five  dollars depending where you buy them.  These plastic strips are impregnated with a small percentage of hydrogen peroxide, a product proven to remove the surface stains of enamel.  You adhere them to your teeth and leave them there for about 30 minutes.  They work well for those who have slight discoloration and take a couple of weeks depending on how often you use them.

If you have more moderate discoloration, then you need a prescription strength product dispensed by a dental office like Fisher Jones Family Dentistry. This involves a stronger concentration of peroxide gel that is placed in bleaching trays made especially for your teeth. The gel is placed in your trays and you wear the trays for an hour or two at a time at least once a day. This is a more thorough method of bleaching because it is a stronger bleaching solution that flows in between the teeth and gets at those more stubborn stains. In our office, the fee for this professionally delivered product is $217. It takes about two weeks depending how often you wear your trays.

Now for those how want the maximum results in the least amount of time there is Zoom! This involves a powerful bleaching gel activated by a high intensity blue light. A protectant is applied to your gums to protect them from the whitening gel.  The whole process takes two to three hours. The fee for this service is $782.00 and includes custom bleaching trays and gel so you can keep your smile its whitest over time. We typically have people use their touch up product after their routine hygiene visit every six months. When you run out of the bleaching gel, refills are available for purchase.

I compare these choices to different ways to clean your clothes. Crest White Strips are like a Tide Pen. Bleaching trays are like putting your teeth in the washing machine. Zoom! is like taking your teeth to the dry cleaners.  Choose the method that works best for you and then you can smile with confidence!

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Oral Irrigation

Dr. Matt here.  I am so excited by the Oral Breeze Irrigator.  I have one installed in my shower.  I use it every time that I take a shower.  You simply divert a little shower water with the installed valve and use the pencil like handle to deliver the irrigator water through the long hose and onto your teeth and gums.  There is no mess and no ongoing set up like you get with the counter top models available.The feeling of pressure washing your teeth and gums is invigorating.  My mouth has never felt cleaner and healthy.  It is amazing to me that even after flossing my teeth I can still dislodge food particles with my Shower Breeze Oral Irrigator.  Each time I use it I am so thankful for the technology.  I wish that I had invented it, so simple, but so effective.  Check it out they have a Web site (OralBreeze.com) that you can order directly from.

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Your Beautiful Smile

Here is another of my favorite things:  Invisalign “Clearly” the Best Choice for a Better Smile

So this is the question:  How many of you out there (like me) had retainers and at some point stopped wearing them?  So sad when you notice your teeth are shifting and you try to put the retainers in again.  If you can actually force them on, you usually will end up with broken and quite useless remnants of your oral history.  What to do….?  Come in and visit Dr. Jim at Fisher Jones Family Dentistry and he will get you set up for the easiest and most convenient solution:  Invisalign

I have included more details below.  Think about it.  You use your mouth every day, you might as well flash a beautiful smile!

 

The Invisalign orthodontic treatment employs a series of thin, clear plastic aligners that gradually move your teeth to a more ideal alignment. This is achieved using a proprietary system that uses 3D modeling software and cutting edge manufacturing technology to provide these clear aligners. The aligners are changed every two weeks, with visits to the dentist every six weeks to check your progress.

The advantage of Invisalign is the convenience of removing the clear aligners for eating, drinking, brushing and flossing. Because they are clear, most people don’t even know you are wearing them. The average Invisalign treatment takes between 4 and 12 months to achieve the desired results. After Invisalign treatment is completed, you will need to wear retainers on a consistent basis, usually every night, in order to keep your teeth in their new position.

This service is available to you at Fisher Jones Family Dentistry! After a consultation to discuss the Invisalign system, a complementary records appointment is scheduled to take a series of photographs, impressions and necessary radiographs. From this data, a treatment plan is developed and converted to software which allows you to review your treatment plan and see the transformation of your smile with computer animation.

Call today for a complementary consultation. The sooner you start, the sooner you can have the straight, healthy smile you have always wanted.

 

 

 

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Appliance care

Dr. Matt here.  Oh, boy it is time to go to bed.  This is my favorite part of the day, lately.  When I sleep.  When I sleep.  I am now silent.  I say that twice because I haven’t always slept so deeply.  I do not have sleep apnea although I snore so loud that know one in the house gets quality sleep.  So, I searched all the dental media and found that I liked the design of the Thornton Adjustable Positioner (TAP).  My first was the TAP 1.  I am now on the TAP 3 Elite.  Anyway.  At bed time I brush and floss my teeth.  I then brush my TAP appliance and prepare it for a good nights sleep.  Once a week I put it into Polident cleanser and it gets especially clean.  I love that.  Okay moving forward here.  I brush the acrylic and metal and my anti-snoring appliance becomes so clean and fresh.  I say to my wife, “any last words?”, and put it into my oral cavity.  It is a huge mouth full but it positions my lower jaw forward which opens my airway.  I sleep deeply and silent.  I would suggest it to anyone but not everyone would be able to wear one.  If you have had a sleep study and know that you don’t have sleep apnea; you are a prime candidate.  Dr. Matt Nighty Night……….

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