Diplomate of Dental Sleep Medicine
We couldn’t be prouder of our own Dr. Daniel J. Kennedy! Dr. Kennedy is now a nationally certified Diplomate for Dental Sleep Medicine. He is one of the very few dentists in the country to be honored with this elite status. For the past 10 years, Dr. Kennedy has been growing his expertise in Dental Sleep Medicine.
Dr. Kennedy has gone through a very rigorous testing process as well as a formal review of his large collection of successful case studies. By being awarded Diplomate Status, he is now considered an expert in the field by the American Board of Dental Sleep Medicine.
Dental Treatment for Sleep Apnea
Dental Sleep Medicine is a crucial alternative treatment for Sleep Apnea. Sleep Apnea can wreak havoc on your sleep and quality of life, and can even be life threatening. It is traditionally treated with a CPAP machine, however not all patients respond well to it. An oral appliance is a much less invasive therapy with a very high success rate. The skilled Apnea Alternatives team at Ann Arbor Smiles will create a custom appliance for you.
Amanda McLean, our Dental Sleep Coordinator, assists Dr. Kennedy in bringing extensive knowledge, clinical experience and expertise to provide you with the excellent care you deserve. Together they will help you get a great night’s sleep. Read more about Apnea Alternatives here.
Wake Up With A Smile
If you or someone you know is struggling with loud snoring and sleep apnea, or any of the symptoms listed here, please do not hesitate to contact Apnea Alternatives today. We can go over with your all the steps you need to get started and how to get insurance to cover your treatment. Come see us today, and start waking up with a smile.
Today is an exciting day! We just launched a contest — a drawing for one of five very exciting prizes. The winner gets their choice of an Apple iPad, a Samsung Notebook, a Spa Day, a Visa Gift Card, or a Free Custom Whitening Tray. To enter, refer a friend or family member to Ann Arbor Smiles Dental Group by January 2017. The more you refer, the more your name gets entered in the drawing!
Chances are you know someone who needs a good dentist. Or someone who needs help with Sleep Apnea. If you refer a friend or family member who becomes a new patient of Ann Arbor Smiles, you will be entered in our drawing to win your choice of five exciting prizes!
How To Enter
Ask anyone you know who needs a great dentist. When they schedule their first visit, please tell those you refer to provide your name and contact information. The front desk staff will enter you!
There is only really one rule: just one entry per each person that you refer. But there’s no limit on how many people you can refer! The more you enter, the better your chances of winning.
The first drawing will be mid-January 2017.
The winner gets their choice of:
An Apple iPad
Visa Gift Card
Free Custom Whitening Tray
They are all great prizes — you can pick the one that suits you best.
Meet Last Year’s Winner
Our 2015 winner of a brand new iPad was Glynis! Thank you, Glynis, for all your hard work.
Please ask our friendly staff! We’re here to help. Email: firstname.lastname@example.org or call: 734-677-8700. You can also leave a comment below!
Thank you for visiting Ann Arbor Smiles. We can’t wait to make you smile.
We couldn’t be more excited about our newest associate Dr. Alexander Marlow! We are truly fortunate to have such a talented dentist (and a great guy!) on our team. Dr. Marlow is known for putting his patients at ease with his gentle touch and great sense of humor. He thrives under pressure and brings to us an excellent prosthodontic education.
He earned his Bachelor of Science degree with a major in Developmental Biology, and minor in Chemistry from the University of Iowa. In 2013, he graduated with his Doctorate in Dental Medicine from Case Western Reserve University in Cleveland, Ohio. And since then Marlow has gained valuable experience practicing at top dental offices around Southeast Michigan. He is passionate about providing fear-free dentistry and making his patients as comfortable as possible.
Dr. Marlow joins us fresh on the heels of Dr. Alexandra Jaquery, who began practicing with us last fall. With six dentists, Drs. Kennedy, Marzonie, Gray, Kennedy Marlow, Jaquery and Marlow, we are pleased to be able to provide comprehensive dental care under one roof. We are thrilled about adding new treatment rooms later this year as well as more convenient evening and weekend hours.
Here’s everything you need to know about Dr. Marlow!
What made you want to be a dentist in the first place?
“I first fell in love with dentistry as a kid after reading the famous ‘Doctor De Soto’, even though I had no idea what it really meant to be a dentist,” Marlow described. ‘Doctor De Soto’ is a Newberry award-winning picture book by William Steig, first published in 1982, about a mouse dentist who works with his wife to treat animals with as little pain as possible. They use special chairs and pulleys to treat animals of all sizes. The refuse to treat animals who eat mice and the main conflict in the book is when they treat a mouse-eating fox who has a horrendous toothache. The book was later made into a short film that was nominated for an Academy Award.
“I remember that in middle school I worked on a book called ‘My Book About Me’ by Dr. Seuss. It’s the type of book where fill out what you want to be when you grow up. I remember writing a dentist,’ even though I had no idea why,” Marlow said. “But as I got older, I realized it really was the perfect profession for me. I love working with people; I love science; I love making beautiful things and working with my hands. Dentistry is the perfect blend of all those things.”
How did your family influence you?
“It makes a lot of sense that I love dentistry. I’m a lot like my dad, who is an artist. A tremendous amount of artistry goes into what we do as dentists. We’re like miniature sculpturists,” Marlow explained.
“I also come from a long line of teachers. My grandma was an amazing teacher, and my father, mother and sister are very talented teachers. I love the continuing education involved in dentistry. In my free time I read the latest dental journals to learn how I can improve and refine my clinical skills. I’m sort of obsessed with finding the newest and best solutions to complex dental problems.”
A most noteworthy example of his commitment to learning: Marlow recently completed a self-funded comprehensive implant training program in Chicago, followed by a practical segment in the Dominican Republic, where he placed 30 implants for patients in need.
What is your favorite part about dentistry?
“My favorite part about dentistry is making drastic transformations. This is my passion. I love to take on challenging cases, especially the parts of the smile that people see everyday. A smile can make such a difference in a person’s life and I love helping people feel better,” Marlow explained. His specialities include oral surgery, invisalign, implants, CERECs, and endodontics (root canals).
What are you looking forward to most about being part of the Ann Arbor Smiles team?
“It’s my dream come true to work at Smiles. The doctors are outstanding clinicians and great people. The staff is warm, caring and everyone works hard together to provide excellent care. It’s clear that each team member is committed to professional and personal growth.
The best part is that I get to work with my incredibly talented and charming wife, Dr. Emily Kennedy Marlow! A University of Michigan Dental School graduate, Emily loves dentistry and to meet and work with people of all ages. What a special opportunity to work with her. And I am grateful to work alongside my father in law, Dr. Dan Kennedy, one the best dentists around. He has decades of experience and I can learn so much from him,” Marlow explained.
More Fun Facts About Dr. Marlow:
* With children patients, he goes by “Dr. Marshmallow,” because his dad went by “Mr. Marshmallow” with his young art students.
* Dr. Marlow is both a British and American citizen and grew up in Iowa City. He maintains lifelong friendships from his childhood.
* Dr. Marlow met his future wife, Dr. Emily Kennedy Marlow, when they were sophomores in dental school, at a Delta Sigma Delta (DSD) fraternity conference Cleveland, Ohio. DSD was established in Ann Arbor in 1882, and is the first dental fraternity in the world. Dr. Emily’s father, Dr. Dan Kennedy, is also a member.
* The Marlows were happily engaged at the Grand Hotel on Mackinac Island, and were joyfully married last summer in Ann Arbor.
* Dr. Marlow loves to volunteer. Most recently he donated his time to Monroe Michigan’s Dentistry From The Heart. He is especially passionate about supporting the Juvenile Diabetes Research Foundation (JDRF) that funds research to cure Type 1 Diabetes. Every September he supports the JDRF’s One Walk in Washtenaw County.
* Iowa Hawkeyes and Green Bay Packers football, woodworking, travel, working out, and playing golf are among his many interests.
* The Marlows enjoy spending time with their two beautiful French Bulldogs, Barry Sanders, named for the famous Detroit Lions running back, and Indiana Jones, a four-month-old adorable piebald puppy named for Indiana Jones’s pet dog in the movie.
Please join us in wishing a very warm welcome to Dr. Marlow! He is currently accepting new patients and looks forward to meeting you!
Construction is well underway on our new addition! We’re hard at work adding treatment rooms, offices, a meeting room, x-ray room and a basement. Most of the expansion is happening in the back of the building. In the front of our building, two of our present offices will be converted to treatment rooms, with a third treatment room to be added later. These changes couldn’t be added at a better time. We just added three new doctors: Dr. Alexandra Jaquery, Dr. Emily Kennedy Marlow, and Dr. Alexander Marlow, and we will finally have more rooms available to better serve our current and new patients.
We plan to offer more evening and weekend hours to accommodate busy schedules. One of the new rooms is designed for dental hygiene and sleep apnea services and the other is for dental procedures. The new hygiene room is timed perfectly with the addition of our newest hygienist, Taylor Davidson. We look forward to being able to offer more hygiene appointment times for our patients.
State of the Art 3-D X-Rays
The most exciting part of our addition is a special x-ray room that will enable us for the first time ever to provide three dimensional (3-D) radiographic images, in house. To do this, we will use our new state of the art imaging system, Sirona Orthophos XG 3D. A technology that is transforming dentistry, Cone Beam Computed Tomography provides significantly superior accuracy for diagnosis, treatment planning and evaluation. We have always been able to offer two dimensional (2-D) x-rays, but until now we had to refer those needing CT 3-D x-rays to a specialty imaging center, such as the University of Michigan Dental School. The CT scanner more predictably answers some of dentistry’s more complex questions. We are pleased to offer convenient and immediate x-rays for patients that require implants and other more advanced dental procedures.
“It’s just amazing — it’s transforming dentistry. This new 3-D imaging provides an incredible outline of the mouth and drills down to just extraordinary detail, and it immediately appears on the computer screen afterwards for us to analyze. That’s the best part,” explained Dr. Dan Kennedy. “Very few dental practices offer this type of x-ray in house. We are just delighted to be one of them. Our top priority is providing convenience and top notch care for our patients. Cutting edge technology makes this possible.” The x-rays diagnose tooth decay, dental bone diseases, gum diseases and infections, and some types of tumors, quickly and at a level of extreme detail. The sooner we detect these, the quicker we can treat and possibly even reverse any damage. And early detection can also significantly reduce treatment costs!
Quickly Diagnose Sleep Problems
Most noteworthy, these 3-D x-rays are especially helpful in diagnosing if and how patients suffer from sleep apnea, which we can often treat in our office. As a result, we are able to quickly design custom oral appliances that will open the airway during sleep and allow you to breathe easily. This can be an excellent alternative to the CPAP machine for some patients. We offer oral appliance therapy through Apnea Alternatives which can significantly improve the quality of life and potentially even save the life of sleep apnea sufferers.
Our Progress So Far
To design and build our addition and this type of special room we enlisted the help of experienced Ann Arbor architect Carl Hueter, who has designed many projects around town including Zingerman’s Roadhouse. We are in excellent hands with local builder, Mike Forner, who has over 40 years of experience with projects like ours. Construction started Spring 2016 and is proceeding quickly.
“This has been one of the more fun and challenging projects we’ve worked on this summer — completing the construction while still safely accommodating access to the building for patients, staff, and doctors, as well as the myriad of construction related workers and heavy equipment. The trickiest part of the project was adding a full height basement that wasn’t there before. And staying on schedule despite the constantly changing weather!” explained Forner. Patients can finally experience all of the new updates early fall 2016. We can’t wait to see what you think!
How We’ve Grown
Ann Arbor Smiles is no stranger to expansions. We built our current building in 1994 when we outgrew our first home at the University of Michigan’s Wolverine Tower on State Street. Dr. Dan Kennedy and Dr. Christopher Marzonie scoped out several locations and finally decided upon Huron Parkway. It’s very centrally located in East Ann Arbor. It is conveniently close to US-23 and is easily accessible for patients from Ann Arbor, Saline, Dexter, Ypsilanti, and other surrounding areas.
Then in 2008 we added a second consult room, new carpet and paint, artwork, and updated bathrooms. We designed all new aesthetics with the goal of providing a peaceful and serene environment. In 2013 we expanded into the front part of our building, which we had rented out to another business. With the addition of Dr. Steven Gray, who joined us in 2003, we had so much demand that we needed more treatment rooms. In response, we added three new treatment rooms, including a surgical suite for more complicated procedures, a meeting room, and three offices. In addition, we updated all dental technology. This expansion finally allowed us to have a total of 10 operatories, and once our current expansion is complete we will have 13.
Future Planned Expansions
Moving forward, we have two more phases planned. In the first phase, we will update our laboratory and in the second phase, we will update our business team reception area. Stations will be a part of the design so that patients can more easily check in and check out, making the process as smooth and efficient as possible. Our reception desk will function similarly to most medical offices. Our passion is to constantly improve our practice. We can’t wait for you to experience all of our new updates!
Ask How We Can Help
Probably you have noticed that the construction can sometimes add noise to your dental experience. Please bear with us! For your convenience we can offer headphones during particularly noisy times. If you are particularly noise sensitive, we can schedule you at a time when construction is at a minimum. Thank you for your patience! Check back for more updates on everything Ann Arbor Smiles.
Out with the Old Fillings, In with the New
by Steven Gray, DDS
Amalgam fillings were an excellent material choice before modern alternatives had been developed. They are simple to place, relatively inexpensive and can last decades. The newer option of composite fillings, or white fillings, had limited success initially because they shrank significantly during curing, which led to sensitivity and failure. They also couldn’t withstand the heavy forces of chewing and would leak after just a few years. With research and development, however, they have become the dominant choice for most dentists and now have excellent longevity when placed with sufficient technical skill. Dentists can be more conservative with tooth structure removal, and most patients find them more appealing. White fillings do not typically last as long as the metal fillings do, but the factors of concern over metal fillings have led to their sharp decline.
These days, trying to filter fact from opinion is a challenge, but what is not disputed is that the mercury in dental fillings has had a significant environmental effect. Studies cited by the U.S. Environmental Agency have shown that as much as 40 percent to 50 percent of waste water mercury contamination may come from dental sources. Environmentally conscious offices install separators that remove most of the mercury from wastewater, but this is a more recent development and not all offices adhere to new guidelines.
What is far more controversial is whether the mercury contained in these fillings poses health risks to individuals. Sources of information range from anecdotal experience to rigorous studies. Perspectives vary widely, and discussing these factors with a dentist is the best advice. They can present their perspective and patients can then exercise their own judgment about the proper next steps.
In addition to the mercury factor, there are other properties of metal fillings which may impact a decision to remove them. Many people that have had metal fillings for decades may experience a cracked tooth, leading to a dentist placing a crown. There are many factors that lead to a cracked tooth, and the properties of metal fillings can indeed be contributors. Metal fillings are designed to undercut tooth structure to lock the filling in place. They are also very rigid, while teeth have some flexibility. Metal fillings also expand and contract differently than tooth structure, so cycles of temperature change over decades can put internal stresses on the tooth. It is possible for these factors, then, to induce microscopic cracks that grow over time, much like a crack on a windshield. If the cracks grow large enough, or connect with other cracks, that can lead to biting pain or even tooth fracture.
In regard to removing the amalgam, mercury in the fillings can be vaporized during removal, and the resulting exposure is a concern. Protocols have been developed to limit this exposure, but it is a factor to consider when debating removal. The other remaining question is what to replace the filling with. When a metal filling is small or medium and cracking is limited, the composite resins are excellent replacements. However, when fillings are large or extensive cracking is present, resin fillings aren’t strong enough to be long-term fillings.
Crowns are often recommended by dentists, but require removing significant tooth structure to make—usually most, if not all of the tooth enamel is removed. Technological advancements have given us a new option with considerable advantages—a porcelain onlay. In layman’s terms, it is like a partial crown, saving significantly more enamel than traditional crowns. If a dental office has their own in-office CAD/CAM technology such as CEREC, this can even be accomplished in just one visit. As an additional benefit with CAD/CAM technology, patients don’t have to deal with the goopy impression material and two weeks in a temporary restoration.
Not every patient should have all of their metal fillings out as soon as possible; some metal fillings can last for 30 to 40 years with little to no concern. But many patients have questions about these fillings and need some basic information on the dilemmas pursuant with their usage and removal. Individual needs and treatment decisions should be discussed with a personal dentist.
This article was originally featured in Natural Awakenings 2015.