Expressions Of Gratitude From Members Of Our Team

 

The holiday season means different things to different people. For some, it may be that they look forward to celebrating and spending time with family and friends. For others, it may be a time for faith and devotion.

 We’re Reflecting On The Things We’re Most Grateful For…

Everyone on our team has taken some time to reflect on her (or his) life and to list some of the things we’re grateful for.  We want to share those thoughts with you!  FYI, there was no collusion amongst we participants…

 What we are thankful for:

 Dr. Nadler

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“I’m thankful for having found my wife, Elizabeth, thirty years ago!  And, for our many friends who provide our lives with so much joy and meaning.  And, finally, for my dental practice which has been my raison d’etre for three decades…”

Liz

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“I am most thankful to have found my best friend, my soul mate, my husband, Richard.”

April

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“This year I’m most thankful for my family. Having a baby changes your life and I’m so thankful to have the continuous support from my loved ones.”

Remi

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“I am thankful for my beautiful family and wonderful friends, also for our freedom, the Country that we live in and everyone that helps keep us healthy and safe.  I am thankful for my daughter Sara, she is my sunshine and she makes me smile every day!  I am grateful for learning new things every day and being able to find humor in the craziest places.  And Lastly, I am thankful for my Parents.  When I became a Mom I gained a priceless appreciation for all parents!  Wishing everyone a Great Thanksgiving!”

Maria

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“This year, I am most thankful for my family, friends and life. I’m thankful for my husband, the love of my life and my best friend. I am thankful for my beautiful daughter that I love unconditionally and am so proud of everyday.  I’m thankful for my supportive parents who sacrifice a lot in order to give me and my brother a better life.  But above all, I am most thankful to have a great job that I love, and work together with amazing colleagues that I respect and appreciate.”

Allison

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“I am thankful that I have the opportunity to spend this holiday with my loving family and reconnect with great friends that are visiting during this time of the year. I am also thankful for all of the wonderful opportunities I have had throughout my life including schooling, traveling, and being involved in my favorite sports and activities.”

We Would LOVE To Hear From You Too!

As the holiday season approaches, what are you grateful for? Please share your thoughts with us in the comments section below.

 One More Thing…

We’re so grateful for each of you—our wonderful patients and friends! Because of you, we love working here each day. We’re thankful for our relationships, and for the trust you place in us each time you visit and reach out with your health concerns and feedback.

We wish you a very happy holiday season!

Free Sleep Apnea Screenings Offered in November

Again this year, we are offering free Obstructive Sleep Apnea (OSA) screenings during the month of November. This is our way of giving thanks for all the blessings which we have received during the year, and it is our hope that we may potentially save a life by providing this service.

 Sleep apnea is a serious condition with potentially life-threatening side effects. Most people are not at all aware of this condition and certainly do not think that it affects them.  People who have Obstructive Sleep Apnea are at risk for various medical conditions including:

  •  Adult onset diabetes (the #1 growing disease currently in the US!)
  • High blood pressure (especially when resistant to treatment)
  • Anxiety and depression
  •   Daytime sleepiness
  •  Heart attacks and strokes
  •   Gastro-esophageal reflux disease (GERD)

In addition, OSA patients are prone to daytime sleepiness which places them at risk when driving. Also, these patients may struggle with diet-resistant weight gain.  Such patients frequently lose significant weight when treated for their sleep apnea condition.

If you have any of the above symptoms or conditions, or have been told that you snore or stop breathing while asleep – or you just sleep poorly – perhaps finding out if sleep apnea is the problem may be the prudent thing to do. The screening is very quick and easy. It involves a history form and a brief examination, after which a preliminary diagnosis can immediately be made.

This offer is available to all of our patients as well as their friends, family, and coworkers. Please take advantage of this service! The first step is to determine if you are at risk for sleep apnea.   Once a diagnosis is established, there are various ways to control the condition, allow you to sleep better, live healthier and feel great!

Call us at 908.359.6655 or visit our website at www.DesignsForDentalHealth.com to schedule your free screening.

Have a wonderful holiday!

Richard M Nadler DMD, FAGD and the Designs For Dental Health Team

I Learned First Hand What Being a TMD Patient Feels Like! AND, It’s All About the Bite!

First, I believe that this is one of the most important articles that I’ll write.  For the past twenty plus years, the study of occlusion (how the teeth meet plus A LOT more) has been my passion.  It is very difficult to explain to patients how the bite can be responsible for so many dental issues.  And, it is even more difficult for patients to understand that fixing the bite does not generally mean just getting braces (orthodontics).

richardtensTENS To Relax Muscles

Having just returned from a three-day advanced TMD (Temporomandibular Disorder or TMJ disorder) program, I learned updated techniques to assist in the establishing of proper bites for patients –  especially those who suffer form head, neck and facial pain.  We were able to see objectively with the help of computer analysis how getting the jaw position right results in muscles which RELAX, and, therefore, STOP HURTING!

 And that is the big paradigm shift that is difficult for patients to understand.  Occlusion involves a system which includes the teeth, the upper and lower jaws, muscles, ligaments, nerves, etc.  And, when this system is out of balance, there may be a variety of signs (what the dentist sees) and symptoms (what the patient experiences) which develop.

If a person’s occlusion is out of balance, he or she may develop loose teeth, sensitive or painful teeth, worn and broken teeth, headaches, neck and shoulder pain, facial pain, dizziness, clicking or popping jaw, ringing in the ears, tingling fingers, and much more.  Most people, if told that they have problems due to their bite, assume that the only way to fix it is by having orthodontics or braces on their teeth. 

Orthodontics is a dental specialty which addresses how to straighten teeth and how to make the upper and lower teeth fit together.  It does not address the position of the jaw nor the muscles and other “soft” tissues which support the jaw.  And it is the jaw position and the muscles which need treatment to solve most bite-related problems.   Picture the jaw just hanging from the skull by muscles and ligaments.  As we close our mouths, we bite to bring our teeth together as best we can.  If our ideal “physiologic” jaw position and the tooth biting position do not match, the jaw is forced into a ”bad” position requiring muscles to work overtime.  Muscles which are over-worked build up lactic acid and begin to hurt.  Most people experience such pain when they begin a new exercise program.   So, just straightening the teeth without regard for jaw position nor muscle relaxation will not solve most problems of occlusion.

 Please do not misunderstand the value of orthodontics.  Due to various hereditary and environmental conditions, children develop crooked teeth which require straightening.  Such “malocclusions” are best treated early and after a thorough analysis of how the problem developed.  Orthodontists provide an excellent service and help both children and adults to look great and function well.  Having dabbled in orthodontics, I have a real appreciation for the amazing work that they perform.

richardk7Establishing a Correct Bite

But this article is intended for those who have true “occlusal” issues which tooth straightening alone will not resolve.  A thorough examination including a complete history, comprehensive examination, necessary xray evaluations, and diagnosis by a doctor or dentist who is well-versed with occlusal issues is the first step to successful  treatment.

 I am very excited about the wonderful advances that are being made in this field, and I welcome your comments and questions.  I plan to continue addressing this subject in upcoming blog articles.  Please let me know if you have specific questions which you will find interesting and pertinent.  You may contact me by calling the office at 908.359.6655 or through our website at www.DesignsForDentalHealth.com .

Need a Dose of Commitment?

Need A Dose Of Commitment?

If you had plans to change or improve or evolve in some way this year, I would love to know how you are doing!

Year after year, all of us who are regulars at the gym witness the “January Phenomenon.”  For about six weeks beginning at the end of December, there are too few parking spaces near the gym entrance.  It seems like long walks in the cold wearing only gym clothes is the norm until mid February.  Similarly, those of us who like to take classes – and I do love spin class – must arrive very early to claim an available bike as classes are generally full during that same time period.  Those that arrive in the nick of time are often bikeless and very disappointed.

Maintaining my commitment to exercise has never been an issue for me – I enjoy both working out as well as the people I’ve come to know at the gym.  As reported to you earlier this month, I began the “Clean” nutritional program again this year for the second time.  I felt great and had lost most of the holiday pounds which had been gained.  Then, came my birthday last week!  My wife loves to travel that week, so we went away for five days to “celebrate.”  Boy did we celebrate!  We traveled with two of our closest friends and played golf, ate great food, drank some nice wine, and forgot the cold weather – and our commitments.  Actually, for the first few days, except for some really nice wine, I ate only foods which were on the program and did not overindulge even a tiny bit.  On my birthday, fuggettaboutit!  What the heck, it was my birthday!
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That one day turned into a four-day food fest, and I felt like the prior two and a half weeks were wasted.  But, not true!  On Monday I started the program in earnest all over again without any signs of withdrawal!   So, I’m back on track with goals in tact and a plan to succeed.  The discomfort in my arthritic knees and the mirror in my bedroom are all I need to stay on track.  In the back of my mind is always the thought that a little compromise grows into a big one resulting in a loss of focus and the end of commitment.  Rewarding one’s self is another story and can help us meet our obligations to ourselves for the long haul.  That’s my view.

So, I wonder.  What can you share about your commitments?  What helps you to meet your goals or resolutions?  What experience can you share to help others?  I’d love to hear from you!  You may add a comment on this blog, send me an email via our website at www.DesignsForDentalHealth.com , or post a comment on our Facebook page.  May you all enjoy smooth sailing in the direction you have chosen for your lives!  All the best in 2013!

Improve Your Workouts And Lessen TMJ Pain With Six Exercises

Mariano Rocabado, DPT is a physical therapist who specializes in problems with the head, neck and spines. His work with Temporomandibular Joint Disorders (TMJ or TMD) is very extensive, and he developed an exercise program that is taught to all over the world to address postural relationships with the head to neck, neck to shoulders and lower jaw to upper jaw. The objective of this home exercise program is for patients to learn a new postural position, fight the soft tissue memory of the old position, restore the original muscle length-tension relationships, restore normal joint mobility and restore normal body balance.

Temporomandibular joint (TMJ) disorder is a term which encompasses inflammatory disorders of the jaw. Symptoms of TMJ may include headache, earache, neck pain, jaw tenderness and clicking or aching facial muscles. TMJ usually occurs when the muscles used for chewing and your jaw joint are out of balance.  The cause of TMJ is most commonly improper alignment of your teeth, and is exacerbated by stress and tooth grinding.

What is most interesting is that when the body’s posture is corrected, amazing things happen with regard to strength, flexibility and balance.  Similarly, there are bite appliances which place the jaw in its “physiologic” neuromuscular position.  Such appliances are used not only to treat TMJ but are also worn by athletes of all kinds to improve their performance – golfers, basketball players, football players, etc.  I have seen demonstrations of such “instant” improvements and they are amazing.  Feel free to ask me for a demonstration the next time that you visit the office.

I began using one of these exercises during my workouts in cycle classes which I have grown to love.  These spin classes have been the core of my cardiovascular exercise for many years now.  Proper posture improves performance while exercising and playing sports, and I find that that there is a simple maneuver to help ensure good body position to allow me to get the most of my workouts.  It’s the last exercise in the series described below.

Rocabado advocates that the program be performed by the patient at home, and it consists of six different exercises and six repetitions of each exercise, performed six times per day until symptoms subside. The Rocabado exercises emphasize correct postural position and help to combat the soft tissue memory of your old posture. Perform the exercises one after the other until your session is complete. It will take about one minute.

The six exercises:

  1. Place your tongue on the roof of your mouth. Position the tip just behind your teeth and take six deep breaths.
  2. Keep your tongue on the roof of your mouth and open and close your mouth six times.
  3. Your tongue remains on the roof of your mouth and two fingers are placed on the chin to open your mouth against gentle resistance. Following that, place your fingers on both sides of your jaw and move the jaw sideways six times.
  4. Place your hands behind your neck and bend your chin down as if nodding your head.
  5. Move your chin down and back as if making a double chin.
  6. Finally, correct your posture by lifting your ribs and chest upward while squeezing your shoulder blades together.

Perform six repetitions of these exercises six times a day.

Give these exercises a try.  If you feel pain while performing these exercises, stop doing them and consider calling us to arrange a TMJ screening or consultation about your symptoms.  If you have questions, feel free to call us at 908.359.6655 or send us an email via our website at www.DesignsForDentalHealth.com

New Year ~ Old Resolution: How Dr. Nadler eats “Clean”

On January 2, I began my annual nutritional cleansing program as I have done for the past decade and a half.  After a solid month of holiday and party food, I usually have a few pounds to shed and just don’t feel 100 percent.

This year, just like last year, I began the twenty-one day “Clean” program, which I had heard about from another dentist who attends the Las Vegas Institute for Advanced Dental Studies, where I also studied.  Not only does this cleanse help me to lose weight – eight pounds so far – but, it also has changed the way I eat entirely.  And, most importantly, this program introduced an awareness of the quality and healthiness of the foods that my family and I eat.

I had never before heard of GMO’s – Genetically Modified Organisms.  These are foods which have been engineered for a variety of reasons to produce more crops, be more insect resistant, be bigger and so forth.  And, there are a growing number of consumers, health professionals and producers who feel that GMO’s can be hazardous to our health.  I guess this is why we see an ever-increasing assortment of organic and gluten-free products and dairy substitutes like almond milk in our grocery stores.

To get a better sense of what has been happening to our food supply, I recommend that you watch a 2008 movie called “Food, Inc.”  This 90-minute documentary created quite a stir in the agribusiness community and was highly rated by critics.  You may also wish to read a short article (read here) entitled “GMO alert:  top 10 genetically modified foods to avoid eating.”

As for the cleanse, the program is rather rigorous as there is only one solid meal per day for three weeks.  Only fresh, non-processed, preferably organic foods are consumed.  After the initial cleanse, different foods are reintroduced to the diet.  This way, you can easily see which foods may be having a negative effect on your health and well-being.  After last year’s cleanse, I learned that dairy (except eggs) were out for me.  I have also eliminated gluten and starches like potatoes.  The result?  More energy, excellent health, much less flab.

So, if this is of interest to you, check out the book CLEAN by AlejandroJunger, M.D.  If you have any questions about this program or my experiences with it, feel free to call me in the office at 908.359.6655 or send an email via our website at www. DesignsForDentalHealth.com

Dr. Nadler is writing a BOOK! Put your “2 Cents” in!

Have you always wanted to put your “2 cents” in on a book that was being written?  Well, Dr. Nadler would love your help!

He is writing a book for dental patients with the working title of:

Transform Your Life With A Smile, The Book on Designing Life-Changing Smiles

Please use the comment space below to:

  • What topics you would you think would be of interest in such a book?
  • Are there any specific questions which you would like to see addressed?
  • And, Finally, how do you feel that a healthy and beautiful smile can impact your life?

To thank you for your invaluable input, Dr. Nadler will give each person who puts in their “2 Cents” with an autographed copy of the book!

Are We Making Our Kids Sick?

The Link Between Food, Childhood Obesity and Type 2 Diabetes         

For the first time in human history we are experiencing a childhood obesity epidemic.    40% of children are overweight and 2 million children in the US are considered morbidly obese, exceeding the 90th percentile for weight.  Even more alarmingly, the current childhood obesity epidemic is giving way to an increase of over 1000% in the cases of type 2, or “adult onset”, diabetes, in children.  In the past fifteen years the percentage of new cases of diabetes in children has risen from only 3% of all diabetes cases to over 50%!

On top of that, a new study has found that medications that are taken by adults with Type 2 diabetes are not as effective in children and often stop working altogether after a few years, leaving no option other than increasing the amount of insulin injections, which themselves can lead to weight gain, high blood pressure and high cholesterol.

This is one of many adult diseases that are becoming commonplace in children.  According to a colleague who is concerned over the state of children’s health in our society:

I recently spoke at an Emory University conference on childhood type 2 diabetes.  I met a pediatric gastroenterologist and wondered what he was doing at a conference on diabetes.  He told me he now has 5-year-old patients with cirrhosis from fatty liver caused by years of drinking soda. There has been an over 50% increase in strokes in children aged 5 to 14(8).  We are now seeing heart attacks in teenagers, and twenty year olds needing cardiac bypass surgery because obesity and diabetes clogs their arteries.

Are We Making Our Kids Sick?

Are we making our own kids sick?  Is there a way to stop this?  Diabetes, specifically, is preventable and reversible, but it is not something that can be fixed with medication, health pamphlets or a handful of healthy meals.  To address and reverse this disturbing trend will take a series of lifestyle changes for our whole society.

Looking just at the obesity and diabetes issue, take these statistics, for example:

  • The average American consumes 54 gallons of soda each year
  • The average child in America consumes 34 teaspoons of sugar every day.

Does any doctor or parent honestly think that one can medicate a child out of the results of years of this behavior?  Sugar and junk food have been proven to be biologically addictive.  That it is acceptable and normal for children to be consuming such a high amount of this substance despite the known health risks associated with it is illogical and absurd, but it continues to be the norm.  We need to move beyond setting our children up for a lifetime of sickness and ill-health.

This is not just about “making better choices” or “cutting down” on harmful foods in the diet, nor is it about individual parents taking charge of their own children’s food choices one at a time.  In order to address the issue of food and health, our culture needs a complete overhaul of the way we look at food. 

According to our colleague, Dr. Mark Hyman:

The food industry has hijacked our taste buds, our brain chemistry, our kitchens, our homes, our schools and our communities.  When children have nearly unlimited access to sugar and processed food, when we have 600 calories more per day of sugar calories per person than 30 years ago we have to have an honest accounting of the playing field.  The food environment is designed for kids and adults to fail.

Making a Change

Making a change is imperative for everyone, not just those with children.  It is important for the future of our culture and society as a whole that Type 2 diabetes as well as childhood obesity are eradicated from the equation.  Healthy children are much more likely than sick children to grow into healthy, productive, successful adults.  The well-being of our children can increase the health of our communities and our culture as a whole.

There are many approaches to making the changes necessary for making living an unhealthy lifestyle unacceptable.  This means fostering health instead of disease.  It starts at home, with a healthy diet consisting of fresh and nutritious meals, low in sugar.  Breaking the sugar habit is a difficult, but important step to health. 

However, there are forces outside the home which encourage the consumption of sugar and junk food, and initiatives that could be undertaken to address these.  Some include stopping government subsidies of agricultural products that allow cheap, high-calorie, nutrient-deficient sugars and fats into the marketplace in a more accessible manner than nutritious, wholesome foods; taxing sugar and possibly processed junk food with added sugars to help cover the hundreds of billions of dollars worth of health care costs related to increasing obesity, diabetes and heart disease; banning the marketing of junk foods to children; and funding and supporting community-based initiatives such as community gardens and local farmstands, cooking and nutrition classes and programs to create healthy school lunches.

We have included a list of tips and actions you can take in your own home and community to address this issue and begin making a change, for the sake of our children and our future.  Please comment on this article to add your own ideas to the list of tips and steps we can take.  This is in our hands!

It starts with food.  Tips for a healthier future.

  1. Eat carrots, not cookies.  100 calories of a vegetable is NOT equal to 100 calories of processed sugars and fats.  Healthy snacks are packed with essential vitamins and minerals that you will not find in a snack pack of chips or cookies.
  2. Lead by example.  If you have kids, work with kids or are ever around them, you know that children follow the example of the adults around them.  If they see YOU making healthy choices on a regular basis, they will follow suit.
  3. Shop at your local farmer’s market.  You won’t find as many processed foods there and you may even be able to meet the farmer who grows your food.  Shopping at a farmer’s market instead of a grocery store will encourage you to purchase and use more fresh fruits and vegetables instead of processed foods high in sugar, fats and preservatives.
  4. Support a ban on marketing junk food to children.  The USA is only 1 of 2 countries who still allow junk food marketers to target children.  Contact your legislators and tell them you would support such a ban to ensure a healthy future for our children and our nation.
  5. Support a ban or reduction of government subsidies of junk food and products high in sugars.  Contact your legislators and tell them you would support such a ban to ensure a healthy future for our children and our nation.
  6. Support healthy school lunches.  Even if you don’t have children, contact your local PTO or PTA and Board of Education and tell them you want healthy, nutritious lunches for the children in the school to help ensure a healthy community and a healthy future for the community.
  7. Reduce sugar consumption in your diet and encourage the same for your family members and friends.
  8. Get active!  Don’t remain sedentary.  Move around, exercise, walk, run, play, anything to keep your body active and moving.
  9. Choose fresh foods over processed foods.  Processed foods contain many sugar and chemical additives and usually contain less nutritional content than fresh foods.
  10. Cook your own meals.  You know what goes into the meals you cook, but the same cannot always be said for pre-prepared meals, restaurant meals, fast foods and processed, pre-packaged meals.  You can control your sugar, fat and chemical additive intake with ease when you prepare your own meals.
  11. Change zoning around schools to limit access to fast food and convenience stores.  Help make it harder to get that bad food!
  12. …YOUR TIPS HERE! Don’t forget to comment on the article with YOUR tips for healthy eating and living.

 

LINKS AND RESOURCES

Livestrong.com: The Link Between Childhood Obesity and Diabetes: 

NYT- Obesity-Linked Diabetes in Children Resists Treatment: 

Time Magazine: Childhood Obesity and Diabetes 

Free E-book-Food Marketing to Children

Nutrition Education Resources for Teaching Children Healthy Eating Habits: 

 

Photo Credits in order of appearance (All Creative Commons on Flickr.com)

  1.  Clare Bloomfield
  2.  Stuart Miles
  3.   Imagerymajestic
  4.   Clare Bloomfield
  5.   Lobster20
  6.   Digitalart
  7.   David Castillo Dominici