Family Dentistry

August 2014 Newsletter


It’s back to school time and a few basic safety reminders for parents and kids are included in this month’s feature article below.
Dr. Adler was recently awarded a Fellowship from the IACA (International Association of Comprehensive Aesthetics). We’ve included a couple pictures in our second newsletter feature.

Our special offer for Invisalign “invisible braces” teeth straightening continues through September. If you have an interest in improving your smile with Invisalign please see the offer below and contact us soon for more information.

Our best!

Adler Cosmetic & Family Dentistry

Boulder Center for Advanced Dentistry

(303) 449-1119

[email protected]


Awarded IACA Fellowship

Today was a great day at the IACA Meeting at Paradise Island, Bahamas.

Ron Jackson gave a heartwarming farewell lecture. He has been such an inspiration to me over the past few years and was instrumental in developing composite resin bonding. He worked with KERR to develop the Sonic Fill resin system, the absolute best posterior filling material. The white filling material is liquified and flows into the cavity preparation leaving virtually no voids.

I received a Fellowship from the International Association of Comprehensive Aesthetics.

IACA Fellowship AWARD
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Jaw Pain and Automobile Accidents

The IACA 2014 Dental Conference, Paradise Island, Bahamas


This Morning I listened to great lecture by Dr. David Miller about how low velocity impact car accidents can cause TMJ pain from whiplash injuries. Jaw pain can occur even if the car did not suffer any damage . The newer cars are now made with very stiff frames so as not to deform in these types of collisions. Remember when cars would be totaled in minor accidents? Well carmakers changed the design so that the bumpers would deform but the car body would not. The stiffness of the frame now transmits the force through the car creating tremendous forces that cause whiplash injuries. ” Cars that do not sustain damage can produce higher dynamic loading on their occupants than those which plastically deform”. One in three people exposed to a whiplash injury have delayed TMJ symptoms. These can take up to six weeks to show up. The good news is we can treat many of these symptoms with neuromuscular dentistry.

Arrived in the Bahamas for the IACA Dental Conference

The IACA Dental conference is the best event for Cosmetic and Neuromuscular Dentistry. I am excited to bring my family to Atlantis for this epic event to network and learn from the best neuromuscular dentists in the world. We stepped off the plane and received great hospitality from the Bahamian people. We endured a tremendous tropical rainstorm as we stepped off the plane. Looking forward to some conch chowder tonight and sun tomorrow . That’s why I brought my big cowboy hat.

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Does Your Dentist Use Decay Indicator?

Decay indicator or caries indicator has been around for quite a while. I remember when I was taking histology in college and working in research labs at U.C. Berkeley, we used a cellular stain that reacted with the organic components of the cell. For several years in practice I wondered if certain stains could be used to identify cavities. A cavity is an area of demineralized enamel or dentin. Enamel and dentition are composed of a dense calcium rich matrix and relatively inorganic in its composition. The enamel is in fact one of the hardest naturally occurring substances allowing us to eat beer nuts and popcorn! When decay happens, bacteria penetrate into the tooth feeding on carbohydrates or sugars that we eat. The acid byproduct of the breakdown of these sugars demineralize the tooth structure. Once the decay has reached the dentin the bacteria can also feed on the existing tooth structure that is less mineralized and is softer. This bacteria and now much softer material can pick up organic stains more readily.

The other day I was removing the decay from this tooth. This cavity did not show up very well on X-rays and I used the Diagnodent laser to find it. I will go into the use of the Diagnodent later. As soon as I penetrated into this area with a small bur I dropped into a soft area, after some cleansing, I placed the decay indicator. Look how it stained the underlying area. This is remaining decay! This needs to be removed or the decay will remain under the filling. After cleaning and scraping the walls of the preparation the decay indicator is applied again. When there is no more uptake by decay indicator the cavity has been cleaned out and the tooth is ready for a filling. Without the decay indicator this cavity would not have been cleaned properly.

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Before Decay Indicator

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With Decay Indicator

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After Decay Removal

Boulder Dentist picks 2014 Bolder Boulder ZOOM Winner

Meet our ZOOM whitening winner, Bella!

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Bella entered our ZOOM drawing at the 2014 Bolder Boulder, and she was picked as the winner! Bella’s teeth were already pretty white, so her results weren’t as dramatic. For her, ZOOM freshened up her smile and evened out some minor discolorations.


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IMG_1699 AFTER (edited)

In the after photo, we compared Bella’s previous tooth shade to her whitened one. There is a big difference! Many of our guests have even more dramatic results.

ZOOM whitening is a two hour in-office whitening procedure that can make your teeth up to eight shades lighter. Additionally, results typically last for a year, and we give you your own trays and bleach, so that you can maintenance whiten at home.

Looking for a non-invasive way to freshen your smile? ZOOM is a great option! It is a relatively inexpensive way to take years off of your smile, and has minimal downtime. It is safe for the gums, tissues, and teeth. ZOOM can eradicate stains that over the counter bleaching cannot. The best time to do a whitening treatment, such as ZOOM, is after you have your teeth professionally cleaned. Next time you come in for your cleaning, make sure to ask if we have any ZOOM specials!

Boulder Denver Neuromuscular Dentistry | June 2014 Newsletter


To all our patients we saw at the Bolder Boulder thanks for stopping by. A write up about our recent race day experience appears below.
An explanatory article about neuromuscular dentistry and the TENS unit is included this month. It’s an area of dentistry that we specialize in. Neuromuscular dentistry is an effective treatment for complex pain and migraine symptoms among other conditions.

Our special offer for Invisalign “invisible braces” teeth straightening continues. If you have an interest in improving your smile with Invisalign please see the offer below and contact us for more information.

Our best!

Adler Cosmetic & Family Dentistry

Boulder Center for Advanced Dentistry

(303) 449-1119

newsletter.june .2014

Why Neuromuscular Dentistry and the TENS unit

We see many neuromuscular TMJ pain and bite destruction patients at Adler Cosmetic and Family Dentistry… and a frequent question is :

Why do I need to use the TENS unit and how is it training my bite to a new position?

First let’s start with the definition of TENS. TENS is transcutaneous  electrical neural stimulation. That means when we place the TENS electrodes  on a specific  spot on the face we pass an electrical current through the skin to a nerve that controls the muscles of the jaw . These muscles begin pulsing the jaw.  When someone closes their teeth together  this sends a signal to the brain and the brain begins to understand how to bring the teeth together maximally. This may in fact be a bad bite relationship causing pain in some patients and  or tooth destruction in others.

The TENS unit begins pulsing the muscles along their normal resting length  this also begins to take the stress out of the joint. The Jaw begins to work along a consistent trajectory.  After approximately 45 minutes to an hour the jaw is consistently pulsing along what is called the neuromuscular trajectory. This is only achieved after a certain period of time. We can tell when this occurs by tracking the trajectory of the jaw. There is a little blip called the m wave which happens to be the brain or central nervous system trying to affect the trajectory. When the m wave disappears we know the patient has tensed for the sufficient period of time. When we take a bite at this position or make an orthotic a device to simulate the ideal bite this position is usually very comfortable.

Often we have also decompressed the TMJ (Joint)and eliminated clicking and popping. There is no training to this spot because it is based on the ideal muscular and joint  position. The brain will quickly begin to recognize this trajectory and close there all the time. We call this the engram or program that the brain recognizes. Sometimes the engram is good , but a misaligned bite has a bad engram. By removing the pathological engram we are able to treat complex pain and migraine headache patients. We are also able to eliminate clenching and grinding. This is truly a life changing treatment and has often eliminated a life time of suffering.


Boulder Denver Cosmetic Dentistry | April 2014 Newsletter


This month’s newsletter includes a list of some healthier choices for bedtime snacks. Maybe give one a try!

Looking your best is important personally and professionally. Many people these days opt for some form of cosmetic dentistry. Some before and after pictures are featured below.

Our best!

Adler Cosmetic & Family Dentistry
Boulder Center for Advanced Dentistry
(303) 449-1119
[email protected]

newsletter.april .14

colorado lvi dentist 6092d565c8e67

Colorado LVI Dentist

Boulder Dentist Serving Denver, Ft. Collins & Nearby Areas in Colorado


Apple’s iPad is one of the most popular (and useful) electronic gadgets around. This month we call attention to one tech writer’s list of some of the top apps to consider.

 Dr. Cherie Brown is our in-office periodontist. Her brief video introduction to periodontics below offers some insight into this interesting area of dental specialization.



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