Mike Wiegenstein: You are watching a special edition of Medical News Network, your trusted source for the latest in medical news and information. I am Mike Wiegenstein and thanks for joining us. Today we take an in depth look at sleeping disorders including sleep apnea with one of the leading providers of cutting edge treatments available. So, if you have trouble sleeping, snore, toss and turn at night or just always find yourself tired, restless, run down or may be you know someone who is then stick around some life changing advice. We will be right back.
Female Speaker: Welcome to an educational and comprehensive discussion with today’s top medical experts, your trusted source for the latest in medical news and information. You are watching Medical News Network.
Mike Wiegenstein: Welcome back, we are very pleased to have in studio Dr. William Langstaff. Dr. Langstaff is widely known and recognized, he is a leader in the treatment of sleep disorders. Dr. Langstaff is a member of the American Academy of Sleep Medicine, The American Sleep Apnea Association and the International Sleep Medicine Association and focuses on staying on the cutting edge of treatment available today. Dr. Langstaff welcome to the show.
Dr. William Langstaff: Thanks for having Mike.
Mike Wiegenstein: I invite you on the show today to talk about sleep apnea, sleep disorders but before we get into that tell me little about your background, your practice and basically your practice was of.
Dr. William Langstaff: Mike, I have been in practiced dentistry for 30 years in the little town Villa Park, California. I graduated at dental school Case Western Reserve University and came to California and never looked back.
Mike Wiegenstein: Okay, now your practice and obviously you know if I have invited you on the little research little background, you have been 30 years in the same spot. Your practice has evolved to include all sorts of things including if I am not mistaken what all do you do in your practice?
Dr. William Langstaff: Just about everything. We do all cases of dentistry it doesn’t require putting people to sleep, we will do root canals, we will do extractions, we will do minor tooth movement for orthodontics, we will do all cases within the last 15 years we started doing other expanding our horizons in doing things like dental implants and.
Mike Wiegenstein: Now you tell the originally you did dental implants and I hate to say this but back in the 70s when they were first came out.
Dr. William Langstaff: Yes, yes. The first implants, the first dental implants actually were around in the 40s, the late 40s and didn’t really become known in the United States until the 60s and 70s. Problem with dental implants at that time is they weren’t ready, the material wasn’t really --
Mike Wiegenstein: Right, it’s only-- they weren’t using that, now they made out of.
Dr. William Langstaff: They made out of titanium, which they were made of the stainless steel dint work if they had been made out of titanium they would have worked better so.
Mike Wiegenstein: How long have you been doing them as a pretty much of a regular practice.
Dr. William Langstaff: Since the early 90s.
Mike Wiegenstein: Does time and experience make a difference in the placement of all?
Dr. William Langstaff: Well, absolutely and also keeping up with what’s going on until so always changing, always improving new implant companies are always coming out, there is lots of changes and lots of improvements.
Mike Wiegenstein: Doctor, I know you brought a model to show us what an implant is and how it works, wants to take a minute in them.
Dr. William Langstaff: I would love to.
Mike Wiegenstein: Okay.
Dr. William Langstaff: This is a model of two implant procedures, the first one I want to show you is the single implant for a front tooth. Basically, a dental implant is replacement of the root of your tooth, so if you are missing a front tooth and its not there in the roots not there for whatever reason, this is replacement of it. So, this shows you the implant and the implant itself.
Mike Wiegenstein: So, if you dismiss in a single tooth you can put an implant in.
Dr. William Langstaff: Right but the implant is just the root not the tooth itself. The implant has to heal first and then later 2, 3, 4 months depending on the type of implant you place and make a tooth just like regular.
Mike Wiegenstein: And how long will that last?
Dr. William Langstaff: Usually life time.
Mike Wiegenstein: Right, except for an implant what would normally be the treatment?
Dr. William Langstaff: The alternative would be to whack down or prepare these two teeth, the two adjacent teeth, usually these are natural teeth that haven’t had any fillings or what we call virgin teeth to whack them drill them down and place what we call three unit bridge.
Mike Wiegenstein: So, you are going to take two good teeth on either side and its basically providing better work, cut them down or destroy them in order to be able to put in that three unit bridge.
Dr. William Langstaff: And the problem with the three unit bridge is according to insurance companies they are in last five years.
Mike Wiegenstein: And how long does an implant last?
Dr. William Langstaff: Forever.
Mike Wiegenstein: Okay. Now I know that you got it to show in the back actually putting a bridge on an implant if you are missing bad teeth yes.
Dr. William Langstaff: Well, this is another alternative since where if you are missing all your teeth, I mean posterior teeth and place implants to replace the roots that were once there and again but the area heal and then go ahead and place some teeth.
Mike Wiegenstein: Now how did you, why did you get in the implants?
Dr. William Langstaff: I dint like whacking down their teeth and it’s a superior procedure.
Mike Wiegenstein: Okay, if am a patient am going out to look for a dentist, its going to do because its my understanding that implants are not recognized specially that any dentist in the world -- is that true?
Dr. William Langstaff: That’s true.
Mike Wiegenstein: How would I find a good dentist but what would be some questions I would ask before I got implants done?
Dr. William Langstaff: I think length of time that the dentist has been placing implants and the background that they have had at various studies, my background goes to back to a -- is the leader in dental implants in the country and this was a year long course that I took in order to learn more about dental implants.
Mike Wiegenstein: Now you also do --
Dr. William Langstaff: Yes.
Mike Wiegenstein: I spoke right before you are in to the sleep -- can you give an idea of what can be accomplished. So, let’s take a look at the stream.
Dr. William Langstaff: By the way I call this my fun time in my practice.
Mike Wiegenstein: When you get the creating smiles for people.
Dr. William Langstaff: I love it.
Mike Wiegenstein: Okay, tell me what’s going on with this gentleman.
Dr. William Langstaff: Well, this is this gentleman that has been a patient of mine for many, many years. He is an attorney and a trial attorney. So, he spends basically facing juries for many, many years with teeth like this. He doesn’t smile much. So, he decided that he wanted to have with his wife’s encouragement nice looking front teeth.
Mike Wiegenstein: Like, she has been kissing him back for years.
Dr. William Langstaff: I can’t see how yes, that’s true.
Mike Wiegenstein: So, he comes in.
Dr. William Langstaff: So, right.
Mike Wiegenstein: Now if we take a look at the after picture because we are running a short of time and I want to get to the sleep definition. You are telling me that now this is a picture of this is not him done this is the temporary.
Dr. William Langstaff: Right exactly, what we do is we create his smile before he even comes in, we whacks up and create a model what it is going to look like, take a mold of that and after we prepare his teeth fill the mold with plastic, place it on his teeth and now he has got what’s going to be like his permanent is.
Mike Wiegenstein: So, these are permanent. If he doesn’t like these he can change them.
Dr. William Langstaff: Absolutely.
Mike Wiegenstein: But have them anyway he wants. So, is that something that you do with everybody is that because
Dr. William Langstaff: Absolutely.
Mike Wiegenstein: Once they are glued in they are pretty much in.
Dr. William Langstaff: Right but at this stage this is a stage where we can change things and alter things and with our communication with the laboratory special with the internet being able to send pictures through the internet and.
Mike Wiegenstein: Is your communication with the lab critical?
Dr. William Langstaff: Absolutely, the lab is the one that fabricates the veneers.
Mike Wiegenstein: We are now to take a quick break. We come back we are going to talk a little bit of more about implants and veneers but mostly I want to discuss with you sleep apnea, sleep disorders and the causes and the concerns but before we go to break real quick who can be helped by implants, people who are dentures.
Dr. William Langstaff: Absolutely.
Mike Wiegenstein: Age limit, and what about veneers, is there any age limit?
Dr. William Langstaff: Absolutely, well. You know they are very young, things change when they grow so there is a age limit but once you reach it also its 18 19 years old and any of these procedures can be required.
Mike Wiegenstein: We are going to take a quick break. We are in studio with Dr. Langstaff discussing sleep apnea and sleep disorders. We will be right back.
Female Speaker: Mr. and Mrs. John, having some behavioral problems.
Mrs. John: I guess our reward system is not working.
Mr. John: All the time I will try neither.
Female Speaker: --
Mrs. John: Why are you just so lenient?
Mrs. John: While you are too strong.
Mrs. John: No, you are.
Mrs. John: No, you are.
Mrs. John: No, you are.
Mrs. John: No, you are.
Male Speaker: When adults don’t have the answers they can feel as frustrated as kids. Connectforkids.org has thousands of resources for helping kids in your community. Connectforkids.org guidance for grownups.
Mike Wiegenstein: Welcome back, we are in studio with Dr. Langstaff discussing sleep apnea and sleep disorders. Okay, Doc, before we went to break we talked a little about implants and veneers. I know I want to get into sleep apnea but I wanted to definitely go with this picture because this has made a huge impression. You brought me basically two x-rays, the first one we are going to look at right now and I know everybody can tell because you see a big white kind of archy part that goes across the bottom, that’s the jaw bone, tell me over what happens?
Dr. William Langstaff: Well, this is a edentulous amendable.
Mike Wiegenstein: So, I mean the -- lost all his teeth.
Dr. William Langstaff: Lost all his teeth.
Mike Wiegenstein: But still there is always jaw bone.
Dr. William Langstaff: And this stage is when implants are going to be done for a patient, this is the stage it should be done.
Transcription by:
Scribe4you Transcription Services