Category Archives: Preventive

Are You Tired??

Do you feel tired throughout the day? Are you having mood swings, depression, or irritability? Do you wake up with a dry mouth or sore throat? Have you been diagnosis with GERD, diabetes,  or high blood pressure? You may be one of the 30% to 50% of Americans that suffer from snoring which could be correlated to obstructive sleep apnea. Obstructive Sleep Apnea (OSA) is a disorder that causes you to stop breathing for short periods of time while sleeping. It is caused by a physical obstruction in your airway. These episodes usually last 10 seconds or longer and are followed by gasping or chocking for air which usually wakes you up in the middle of the night.

Thankfully there is help!! There are 2 main devices to help reduce snoring and help treat OSA. The first one is the Mandibular Advancement Device (MAD) and the other is a Tongue Retaining Mouthpiece (TRM).

MDA look very similar to sports guards worn by athletes. These devices help open your airway by moving your lower jaw and tongue forward allowing you to breathe normally.

TRM’s are a little different than the MADs. TRMs use suction and have a compartment around the tongue to prevent the tongue from collapsing into the throat area. This devise is used if the dentist is not able to move the jaw forward.

So if your significant other complains that you snore or you have any of the symptoms that were listed above then you might be a good candidate for Sleep Apnea testing. It’s always better to sleep knowing your breathing properly and adding years to your life!

Do You HATE to floss?

Here at Livery Dental we are always about the optimal oral hygiene care. You hear our hygienists ask you how often you are brushing and flossing. You answer proudly that you brush your teeth every morning and night with some sort of electric toothbrush. But when it comes to the point where, Alissa, Cheryl, or Rita ask you, “And how often are you flossing?” You are having a battle in your head, you know that you need to floss but you just haven’t been doing it. So you say sheepishly, “Not often as I should.” You are laying in their chair, cringing that you have “let them down” by not flossing. Well, here’s a big secret for you….you are not letting us down. We are not going to give you some big guilt trip or long stern talking to. We are all human, life gets busy. You are running here and there and at the end of the day you want to fall into your bed and let the day’s busyness melt away. And that means you do the bare minimum, run the toothbrush across your teeth and tell yourself that you WILL floss tomorrow. Then before you know it…BAM it’s time for your dental cleaning and you didn’t floss tomorrow or the next day or the day after that.

Let’s let the guilt of not flossing go. Breathe in and out….feel better?! Okay, we have the answer to your forgetful flossing. It’s called the AirFlosser! What? The air will be flossing my teeth, you say. No, it’s an amazing little device that can free you of your guilt. The AirFlosser is made by Philips. Those guys that make your Sonicare!!!! They have developed a way to deliver microdroplets of water and air to remove plaque and biofilm (that hairy feeling on your teeth!) It has been proven safe on gums and teeth!

There is a one button technology and safe guiding tip that targets in between the teeth. It takes about 30 seconds to go through the whole mouth and creates a clean environment. Philips has stated that people who use the AirFlosser continues using it long after a dental cleaning. Rejoice in worry free cleanings, and proudly tell our hygienists, I AIRfloss everyday!!!!!!!

If you are interested in helping your gums and teeth here is a site to buy the AirFlosser!!!


Xerostomia sounds like a strange word, and when it happens to your mouth it feels very strange as well. It is the medical term for a dry mouth due to a lack of saliva.


It can be caused by dehydration, stress and anxiety, the after effects of chemotherapy or radiation near the head and neck, excessive mouth breathing, and trauma to the salivary glands. Probably the most common cause of xersotomia, is medications. There are over 700 types of medications that can cause that pesky dry mouth, and when combined with other drugs can increase the effect.


The greatest symptom is obviously the feeling of your mouth being dry. You may also feel:

* That your lips are sticking to your teeth when you try to talk 

*Burning feeling in your tongue

* Cracked lips 

* Trouble swallowing, eating, or speaking

* Mouth sores.


Saliva does more than “wet your whistle.” It has amazing properties that can aid in digestion, protects teeth from decay, prevents infections from forming on teeth, gums, and the whole mouth. When saliva levels drop just below normal, insanity can ensue. Sometimes, it can be difficult to realize that you have xerostomia. It doesn’t always feel like a dessert in the mouth, but just a slight difference in feel in the mouth. That is the time when most of the damage can occur.


In order to keep xerostomia under control, there a many things you can do to help. The easiest cheapest way, is to increase your intake of water. Drinking more water can sometimes flush out a clogged saliva duct. There are specialized dry mouth toothpastes that can stimulate saliva flow. At Livery Dental, we offer several types of toothpastes that work very well and keeping xerostomia symptoms at bay. Make sure to eat foods low in sugar and drink liquids that are low in acid, decaffeinated, and carbonation. And as always visit our office regularily for cleanings and check ups.

Xerostomia can be troublesome, but with the right help you can prevent damage and annoyance.

Oral HPV and Oral Cancer: Are you at risk?

What is HPV?

Human Papillomavirus (HPV) is one of the most common virus groups in the world. There are many different types of HPV. Medical research shows that certain high-risk types of HPV are linked to approximately 90% of cervical cancers. Similarly, recent studies show that these same high-risk types cause cancers of the mouth, tongue, tonsils, and throat areas.

How do people get HPV?

Low risk HPV can be transmitted by close contact between people. However, the more serious types of HPV (high-risk) that may lead to cervical cancer or oral cancer are known to be sexually transmitted. Other avenues of transmission may occur. Both males and females are at risk.

How common are HPV-related diseases?

According to the Centers for Disease Control, approximately 20 million Americans are currently infected with HPV. Another 6 million people become newly infected each year.

How do I know if I have an Oral HPV infection?

Early oral HPV infections do not typically cause any clinical signs or symptoms; thus, a visual exam would not detect people that may already have an infection caused by oral HPV. A simple test called OraRisk® HPV is available here with Dr. Adams. Together we can detect oral HPV infections very early. Just a 30 second “swish and gargle” with sterile saline solution. The sample is sent to a lab for analysis and Dr. Adams will contact you to discuss the results.

Who should be tested for Oral HPV?

  •  Individuals with “traditional” risk factors for oral cancer such as smoking and alcohol
  • Males and females that are sexually active
  • Individuals with a history of oral cancer

 If I test positive for Oral HPV, Does it mean I have cancer?

No. A positive test does not necessarily mean that cancer is present, nor does it mean that you will definitely develop cancer. The earlier the risk for oral cancer is detected or the earlier oral cancer itself is detected, the more likely it can be treated successfully. Oral HPV is now a known cause for cancers of the mouth and throat areas; it is important for you and your dental professional to know if an oral HPV infection is present and if so, which type of oral HPV infection is present. The OraRisk® HPV test helps you and your dental professional better understand your risk for oral HPV-related oral cancer.

For more information visit The National Cancer Institute

Dental Resolutions

Welcome to 2011! Where has the time gone that it is now a new year?

Resolutions. We all make them, we all want to stick to them. Sometimes we do, like spending more time with the family, eating well, and exercising more. We at Livery Dental, hope you make some dental resolutions too. They can range from the very simple like flossing more, or big ones, like a dental makeover! Whatever the resolution is, dental ones are always great to stick to. 

Another great thing about the new year is that dental insurance replenishes after the ball drops. It’s like getting charged up for the year. And we are here for you and whatever need you have in the year to come.

So, welcome 2011! We hope your resolutions will stick with you throughout the year.