1. Snoring is obstructive breathing, a type of sleep breathing disorder. Snoring affects approximately 90 million people in the US.
    Snoring is a big problem in today’s society. You hear about it more and more, it disrupts the bed partner, couples sleep in different bedrooms. In many cases snoring can lead to more serious problems according to Dr. Michel Fancelli of the Fancelli snoring and apnea clinic of Montreal (Longueuil).
    A recent study has demonstrated a direct corrolation between snoring loudness and carotid artery blockage caused by plaque deposits along the arterial walls.
    The other problem says Dr. Michel Fancelli of the Snoring and Sleep Apnea clinic of Montreal (Longueuil) is that in most cases snoring will eventually lead to sleep apnea . Not all snorers have apnea but 90 % of sleep apnea patients snore.
    We know that people suffering from sleep apnea have a four times greater risk of stroke, three times greater risk of high blood pressure, of type 2 diabetes and heart disease, a higher risk of weight gain not forgetting loss of mental alertness and fatigue.

    Most people think that snoring is caused by a blocked nose however snoring is actually caused by a partially blocked airway mostly due to the tongue. As we sleep the tongue moves to the back of the throat and partially obstructs the airway says Dr. Michel Fancelli of the Fancelli Snoring and Sleep Apnea center of Montreal (Longueuil). An example is a garden hose with water flowing out, if you pinch the hose and shrink the diameter, the water will come out at a much greater velocity. The same thing happens when the tongue partially blockes the airway as we sleep. The air in the lungs as we exhale will come out much faster, like in a wind tunnel, causing the soft palate, the uvula and other soft tissues to vibrate making the snoring sound.
    We know that snoring gets worse as we get older due to the loss of muscle tone which is also why the risk of sleep apnea increases with age.

    There are different methods to treat snoring according to Dr. Michel Fancelli of the Fancelli Snoring and Sleep Apnea Clinic of Montreal (Longueuil). The medical profession’s first option is often surgery where the vibrating tissues are removed. Exercises that can increase the muscle tone of the mouth and oropharynx is one option however few people actually do their exercises. Another option is a mandibular repositionning appliance which is a dental appliance that prevents the lower jaw and the tongue from moving backwards and obstructing the airway therefore eliminating the snoring noise.

    There are other causes of snoring for example many different types of medication, like antihistamines, antianxiety meds, antidepressants and alcohol will cause muscle relaxation leading to snoring .
    In conclusion Dr. Michel Fancelli of the Fancelli Snoring and Apnea Clinic of Montreal (Longueuil) suggests that all snorers get screened for sleep apnea before being treated for their snoring,

    Dr. Fancelli is a member of the ACSDD (Clinical Sleep Disorder Disciplines) and practices at Centre Dentaire Fancelli (centredentairefancelli.ca) Montreal (Longueuil) Quebec, Canada since 1984. Dr Fancelli is a sleep expert for Sleep Better TV which provides on demand sleep disorder video content.

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  2. Smile Make Over: Why and how?

    Smile Make Over, Complete Dental Restoration or Full Mouth Rehabilitation are all procedures performed in the dental office to bring back a person’s dentition to its original state both in dental function & dental esthetics explain Dr. Hebert du Centre Dentaire Fancelli inc, à Longueuil

    Usually, theses treatments are needed because teeth have been missing for a long time, teeth have moved and become crooked and mobile, teeth are now short, cracked and discolored from the wear and tear cause by tooth clenching and tooth grinding.

    All of these conditions affect the bite and results in problem chewing, misalignment of the jaws, stress and pain in the TMJ, pain when chewing, digestive problems, all the way to headaches and migraines. Most of the time, that’s when patients consult dental professional because they are in pain or they’ve lost part of their quality of life.

    Since a good number of dentists and specialists can perform these treatments, the important question here is not “HOW” to realize those procedures but “WHY” did I get to this point. When you think about it, if you don’t stop to understand the reasons why a person’s best ever dentition has broken down, the original enamel natural dentition, then how can a dentist pretend to do better with artificial material like porcelain?

    Dr. Hebert , from the Fancelli’s Snoring Clinic in Longueuil, always take the time to ask “WHY”i. Most of the time, tooth grinding is the main cause of the changes in wear and tear of the dentition. There are many reasons why we grind our teeth but a major one is usually missed. There is a direct link between tooth grinding and OSA or obstructive sleep apnea, meaning that sleep apnea may and will cause tooth grinding. Plus OSA is also found in about 50% of patient with TMJ dysfunctions, the main cause of jaw pain and headaches. So OSA can be a major factor of why we need a smile make over and it should be investigated and evaluated before starting any treatment. OSA evaluation is an integral part of Dr. Hebert’s dental and TMJ exam.

    Dr. Hebert is a member of the ACSDD, acsdd.org, (Academy of Clinical Sleep Disorders Disciplines) and has been practicing dentistry at the Centre Dentaire Fancelli, centredentairefancelli. ,in Longueuil, Quebec, Canada, since 2005.
    Dr. Hebert is a sleep expert with Sleep Better TV, sleepbetter.tv, providing online, on demand sleep disorders video content.

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  3. Dr. David Rawson, with the TMJ Sleep Therapy Centre in London, Ontario, Canada, talks with Sleep Better TV about how parents need to be directly involved with monitoring a child's behavior and sleep habits with regards to obstructive sleep apnea.

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