Comments for Your Best Smile http://www.yourbestsmile.net/blog The Bellevue Center for Cosmetic Dentistry Wed, 30 Jun 2010 18:41:00 -0700 hourly 1 http://wordpress.org/?v=3.0.1 Comment on Seattle Dentist Deprogrammer FAQ’s by Susie http://www.yourbestsmile.net/blog/2007/02/07/dental-deprogrammer/dental-deprogrammer-faq%e2%80%99s/comment-page-1/#comment-8589 Susie Wed, 30 Jun 2010 18:41:00 +0000 http://www.yourbestsmile.net/blog/?p=18#comment-8589 I was wondering what material the deprogrammer is made off? Also do you need an impression and is it sent to the lab? The reason I asked I have a bad gag reflex and I hate impressions. I do clench my teeth at night and currently wear a nightguard. I been wearing one for over 10 yrs. Do I need to wear both? Is the deprogrammer a longterm thing.Thank you I was wondering what material the deprogrammer is made off? Also do you need an impression and is it sent to the lab? The reason I asked I have a bad gag reflex and I hate impressions. I do clench my teeth at night and currently wear a nightguard. I been wearing one for over 10 yrs. Do I need to wear both? Is the deprogrammer a longterm thing.Thank you

]]> Comment on Seattle Dentist Deprogrammer FAQ’s by dan http://www.yourbestsmile.net/blog/2007/02/07/dental-deprogrammer/dental-deprogrammer-faq%e2%80%99s/comment-page-1/#comment-8486 dan Thu, 03 Dec 2009 18:15:50 +0000 http://www.yourbestsmile.net/blog/?p=18#comment-8486 Dear Lillian, I just returned from Scotland where I was giving a lecture to dentists on occlusion and the use of the deprogrammer. How long one should wear the deprogrammer was a question that came up during the question answer period so you are not alone with your inquiry. The deprogrammer is usually used as a diagnostic appliance and the duration of use is limited. Since I don't know the specifics of your situation I can only share what we do here. Typically we have our patients wear the deprogrammer for one week or less and evaluate the position of the jaws to confirm that they are fully deprogrammed. Often this is all the time they need but we will extend the amount of time the deprogrammer is worn if necessary for up to two or three months as needed. Occasionally patients will keep their deprogrammers and use them when they have flare ups with head aches, popping tmjs, muscle tension and other TMJ symptoms. The appliance is not recommended for long term use because it could potentially damage the teeth or bite if worn for extensive periods of time. With regards to your treatment plan estimate, I am not shocked by the amount because extensive dental reconstructions can run that high, especially if there are many teeth or surgery involved. This type of work requires a great deal of precision and skill and quite a few hours of work by a team of technical and highly trained individuals. With this being said, it is also fair to say that there might be alternatives that ane not quite so expensive. Have you asked your dentist for alternative treatment plans? Most dentists will give you options and the pros and cons of each. If you still feel like you need more information then you can go to another dental office for a second opinion. Generally for complex treatment plans like yours there is more thatn one approach that make sense. I do like the fact that your current dentist is using a deprogrammer for diagnostic planning. It sounds like you are probably seeing a conscientious practitioner who has taken extra training classes for this type of work. Dear Lillian,

I just returned from Scotland where I was giving a lecture to dentists on occlusion and the use of the deprogrammer. How long one should wear the deprogrammer was a question that came up during the question answer period so you are not alone with your inquiry.

The deprogrammer is usually used as a diagnostic appliance and the duration of use is limited. Since I don’t know the specifics of your situation I can only share what we do here. Typically we have our patients wear the deprogrammer for one week or less and evaluate the position of the jaws to confirm that they are fully deprogrammed. Often this is all the time they need but we will extend the amount of time the deprogrammer is worn if necessary for up to two or three months as needed. Occasionally patients will keep their deprogrammers and use them when they have flare ups with head aches, popping tmjs, muscle tension and other TMJ symptoms. The appliance is not recommended for long term use because it could potentially damage the teeth or bite if worn for extensive periods of time.

With regards to your treatment plan estimate, I am not shocked by the amount because extensive dental reconstructions can run that high, especially if there are many teeth or surgery involved.

This type of work requires a great deal of precision and skill and quite a few hours of work by a team of technical and highly trained individuals. With this being said, it is also fair to say that there might be alternatives that ane not quite so expensive. Have you asked your dentist for alternative treatment plans? Most dentists will give you options and the pros and cons of each. If you still feel like you need more information then you can go to another dental office for a second opinion. Generally for complex treatment plans like yours there is more thatn one approach that make sense. I do like the fact that your current dentist is using a deprogrammer for diagnostic planning. It sounds like you are probably seeing a conscientious practitioner who has taken extra training classes for this type of work.

]]> Comment on Seattle Dentist Deprogrammer FAQ’s by Lillian Monella http://www.yourbestsmile.net/blog/2007/02/07/dental-deprogrammer/dental-deprogrammer-faq%e2%80%99s/comment-page-1/#comment-8482 Lillian Monella Wed, 11 Nov 2009 22:41:15 +0000 http://www.yourbestsmile.net/blog/?p=18#comment-8482 My dentist tells m I have one of the worse overbites very advanced...But he wants me to purchase a deprogrammer and wear it for one week...Does that sound right to you? also the work will be over 100,00 dollars and I dont have it.... My dentist tells m I have one of the worse overbites very advanced…But he wants me to purchase a deprogrammer and wear it for one week…Does that sound right to you? also the work will be over 100,00 dollars and I dont have it….

]]> Comment on Ultreo Ultrasonic Tooth Brush by rob http://www.yourbestsmile.net/blog/2007/07/25/ultrasonic-tooth-brush/ultreo-ultrasonic-tooth-brush/comment-page-1/#comment-8468 rob Sun, 30 Aug 2009 14:02:51 +0000 http://www.yourbestsmile.net/blog/2007/07/25/ultreo-toothbrush/ultreo-ultrasonic-tooth-brush/#comment-8468 do you have a second recommendation now that Ultreo is out of business? Thanks. Rob do you have a second recommendation now that Ultreo is out of business? Thanks. Rob

]]> Comment on Bellevue Dentist Evidence Based Treatment Planning: Managing Occlusal Problems – Part 1 by Tim http://www.yourbestsmile.net/blog/2007/01/28/occlusal-problems/evidence-based-treatment-planning-managing-occlusal-problems-part-1/comment-page-1/#comment-8467 Tim Thu, 27 Aug 2009 00:52:48 +0000 http://www.yourbestsmile.net/blog/?p=3#comment-8467 I have had upper and lower jaw surgery to correct an open bite on the right side of my mouth. (the only places my teeth met were the back two moelers on both sides. The surgery went well and the problem looked corrected. But my teeth have since moved and now my occlusal plane is canted. Can this be corrected with braces? It is getting very frustrating. I just want straight teeth! I have had upper and lower jaw surgery to correct an open bite on the right side of my mouth. (the only places my teeth met were the back two moelers on both sides. The surgery went well and the problem looked corrected. But my teeth have since moved and now my occlusal plane is canted. Can this be corrected with braces? It is getting very frustrating. I just want straight teeth!

]]> Comment on CNN Reports – Stress and Teeth Grinding go Hand in Hand. by Dental Lodi http://www.yourbestsmile.net/blog/2009/01/27/cosmetic-dentistry/cnn-reports-stress-and-teeth-grinding-go-hand-in-hand/comment-page-1/#comment-8459 Dental Lodi Mon, 15 Jun 2009 10:00:06 +0000 http://www.yourbestsmile.net/blog/?p=67#comment-8459 This video is very informative. It's true that stress affects problems with teeth grinding. The dentist will be able to help in reducing buxism but not totally cure it though. This video is very informative. It’s true that stress affects problems with teeth grinding. The dentist will be able to help in reducing buxism but not totally cure it though.

]]> Comment on Beautify your Smile with a Gum Lift by Bellevue Cosmetic Dentist Lynn A. Jones DDS by Lawrence dentist http://www.yourbestsmile.net/blog/2007/05/12/gummy-smile/beautifying-your-smile-with-a-gum-lift-by-bellevue-cosmetic-dentist-lynn-a-jones-dds/comment-page-1/#comment-8393 Lawrence dentist Wed, 11 Mar 2009 14:01:26 +0000 http://www.yourbestsmile.net/blog/?p=21#comment-8393 I go to a dentist in Lawrence and I was searching around for information about the procedure my dentist wants to do, and I found your site. This video while a little graphic explains it very well. Thank you for showing it here. I go to a dentist in Lawrence and I was searching around for information about the procedure my dentist wants to do, and I found your site. This video while a little graphic explains it very well. Thank you for showing it here.

]]> Comment on Seattle Dentist Neuromuscular Smile Training by Maria Tatman http://www.yourbestsmile.net/blog/2007/04/11/neuromuscular-smile-training/neuromuscular-smile-training/comment-page-1/#comment-8356 Maria Tatman Thu, 16 Oct 2008 18:19:55 +0000 http://www.yourbestsmile.net/blog/?p=19#comment-8356 I am wondering what CDT code you use for the deprogrammer? Thank you! I am wondering what CDT code you use for the deprogrammer? Thank you!

]]> Comment on Bellevue Evidence Based Treatment Planning: Managing Occlusal Problems – Part 2 by Angelika Oeckl http://www.yourbestsmile.net/blog/2007/02/04/occlusal-problems/evidence-based-treatment-planning-managing-occlusal-problems-part-2/comment-page-1/#comment-3298 Angelika Oeckl Mon, 21 Apr 2008 00:33:35 +0000 http://www.yourbestsmile.net/blog/?p=14#comment-3298 Hello, I am a dental technician and in the process of learning for the accreditadtion written exam in New Orleans. I just finished test No 9 and have a question about one of the questions on the test. It ask for the definition of the envelope of function. I was sure it meant masticatory function only. But I seem to be wrong. I can't seem to understand where phonation influences the envelope of function since the maxillary and the madibulary arch are discluded during phonation. Please help me understand this. Thank you Angelika Oeckl Hello,
I am a dental technician and in the process of learning for the accreditadtion written exam in New Orleans. I just finished test No 9 and have a question about one of the questions on the test. It ask for the definition of the envelope of function. I was sure it meant masticatory function only. But I seem to be wrong. I can’t seem to understand where phonation influences the envelope of function since the maxillary and the madibulary arch are discluded during phonation.
Please help me understand this.
Thank you
Angelika Oeckl

]]> Comment on Seattle Dentist Neuromuscular Smile Training by Jen http://www.yourbestsmile.net/blog/2007/04/11/neuromuscular-smile-training/neuromuscular-smile-training/comment-page-1/#comment-258 Jen Tue, 02 Oct 2007 03:53:58 +0000 http://www.yourbestsmile.net/blog/?p=19#comment-258 How can I find out more about this procedure using self curing silicon into the nasal spine to hold down the lip in a gummy smile. I have been trying to find a good plastic surgeon or cosmetic dentist that can help me with this problem, but I can't seem to find anyone in my area who can help me. How can I find out more about this procedure using self curing silicon into the nasal spine to hold down the lip in a gummy smile. I have been trying to find a good plastic surgeon or cosmetic dentist that can help me with this problem, but I can’t seem to find anyone in my area who can help me.

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