Why do you consider yourself The Gentle Dentist and what do you do for the dental phobic?

At www.TheGentleDentist.com we realize that many have had bad experiences in their past at the dental office.  Typically 5-10 years go by and the high fear patient finally gets to the point of where they can’t stand their oral pain any longer.  This is when they do research on the internet with a desire to find a dentist who specializes in treating the high fear patient who has not been into the dentist for  years.  With a search on Google for “dentists for chickens”, “dentist for the fearful patient” or “dentistry for the dental phobic” we usually come up high on the search engines especially when looking for the Shelby Twp., Macomb Township, Sterling Heights or Washington Township Michigan areas.  After reading through our web site they find it comfortable enough to get the will power to at least email us. 

After they talk to Jessica our scheduling coordinator and make their appointment they will receive electronic health history questionaires to fill our in the convenience of their own home.  The day before their appointment I will call them up to introduce myself.  Because dentistry requires a high level of trust I like to introduce myself to them and see if they have any questions or concerns.  Many times they will give me a history of their horrific experiences at the previous dentist.  These are usually experienced as a child so we try to work through the issues slowly to eventually proceed with the exam.  We will only proceed when they are willing to do so.   

The mouth is an extremely personal space.  Most people don’t want others (including the dentist) to see their embarassing smile because of darkened teeth, missing teeth, cavities or bad gums.  Up to this point it has been their little “secret” and to go beyond that “secret” it is very difficult.  Most often they will say “I’m so embarassed of my teeth” or “I should have been in here years ago”.  The good news is that there is only room for improvement and what has happened in the past has been in the past.  Our goal is to move them beyond the past and to look forward to their future healthy and good looking smile. 

Another issue that has kept them from regular dental check ups is that they fear that they will get scolded or lectured to.  I always reassure them that it is my responsibility to inform them of their situation and we will work together as a team to move.  Lecturing will never work and has never been something that I have done and will never do. 

These are some of the personal things we do at www.TheGentleDentist.com to make the visit for our high fear patient one that can be tolerated and even appreciated.  If you have questions please call our Shelby Township office at (586)247-3500.

Migraine and Tension Headache Treatment in Shelby, Michigan

At The Gentle Dentist located in Shelby Twp., Michigan we see a lot of our new dental clients who  have a history of  tension headaches and migraine headaches which hit them when they wake up from sleep.  Many people like Dawn in this interview have given up hope and just think they will have to just live with headaches for their entire lives.  Their physicians will put them on medications and tell them that this “pill” will take care of your problem.  The problem is that relieving the pain does not get to the source of the pain. Many times headache pain is brought on by a combination of a poor bite, stress and how the patient handles the stress.


I see many patients in our dental practice who have had previous dental treatment including crowns, fillings and orthodontics who have symptoms and regular headaches.  When the teeth don’t fit together and mesh properly it can create disharmony in the jaw joint and the musclesStress and clenching will often bring on tension headaches especially if their bite is off.

Treatment with the NTI prevents the back teeth from touching and therefore the patient can’t clench down hard.  Try this on yourself- Place your finger tips on your temples.  This will be an indicator of how hard you can bite down.  Now put a pencil between your front teeth and bite down and compare this with the amount of force you can generate when biting down on the back teeth.  When only the front teeth touch this prevents the patient’s ability to bite down hardHeadaches usually will diminsh over time when the ability to bite down hard is reduced.

If one of the major influences of the headaches are a bad bite then the maximum affect isn’t obtained until the bite can be adjusted.  This equilibration is necessary to eliminate the triggers that bring on the pain.  When the NTI device is removed after using it during the night the teeth should bite uniformly.  If this isn’t taken care of then only limited resolution of the headache can be accomplished.  The teeth adjustment (equilibration) is a separate process that does’t require numbing and is very effective for long term headache resolution.   For more information visit our website at  The Gentle Dentist or go to www.headachehope.com.

What can be killing you during your sleep? Maybe You!

At www.thegentledentist.com we are concerned about the overall health of our patients and one of the treatments we can team up with the physican is treating Obstructive Sleep apnea (OSA).  OSA is a chronic disorder where patients usually start off snoring and then during the deepest part of the snore will evolve to gasping for air after a period of time when no breathing is present.  This closure and obstruction of the air passage can create a number of problems with the patient:

  • Chronic sleepiness has been shown to increase traffic accident incidence.
  • High blood pressure.  Because the body senses a drop in oxygen in the blood stream it is critical for the adrenal glands to send a surge of adrenaline into the blood stream which increases the heart rate and increase blood pressure.  Over time this creates a lot of stress on the body and can lead to a heart attack.
  • Diabetes.  This high blood pressure can affect the way that blood sugars are metabolized in the body.
  • Impotence.  For men their sexual drive can be affected
  • Relations.  Because snoring keeps the family up at night the use of such a device can provide peace for all concerned.

Treatment:  The cPAP is a pressure filled mask that is plugged into the wall which runs a humidified air compressor which forces air down the trachea and into the lungs.  This has a quiet buzz and is like a Darth Vator mask.  Patients sometimes find it difficult to wear and decided to not wear it and end up being non complient. 

The oral sleep appliance is different in that it is much smaller and convenient to use.  Rather that forcing air into the lungs by pressure this oral appliance shifts the jaw forward and the soft tissues attached to the jaw open the air space.  By eliminating the cPAP things are more comfortable and much more compatible.  Keep in mind that the cPAP is the gold standard and is usually preferred by the sleep doctors but the problem is that the patients have a difficult time tolerating it.  It is important for the patient using the oral appliance go through a series of exercises during the morning after waking up.  This 10 minutes is important because it reseats the jaw back into where it needs to go and when doing so the bite is not affected. 

It is important for your dentist to have a good understanding of the occlusion (bite) and the TMJ (Jaw Joint).  If you have a cPAP and just can’t use it let us know about it.  If you have some of these symptoms mentioned above let us know so we can refer you to a sleep physician and order a sleep study.  Even though you may not think this is a problem you would be surprised to find out just how good you would feel with a good night sleep. 

If you have comments or questions and are in the Shelby Twp. MI area please call us up at (586)247-3500 or email me at DrAntolak@TheGentleDentist.com.