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Your Jaws and bed-wetting

In my last post I mentioned a very interesting book by Dr. David C. Page called YOUR Jaws YOUR Life. We have spoken many times about the relationship of jaw position to our upper airway and its relationship to sleep disordered breathing. Dr. Page also devotes at least a chapter of his book to this topic. Another interesting fact is the relationship of jaw position to bed-wetting, also known as nocturnal enuresis. The cause of bed-wetting still remains somewhat of a mystery for modern medicine. He states that "normal bladder control should occur by age 3-4. It is considered medically abnormal when a child over age 5 chronically wets the bed. From 15 to 20% of all 5 year-olds and 10% of all 6-10 year-olds chronically wet the bed. ...." Bed-wetting can be very devastating psychologically. It is embarrassing, upsetting, humiliating, for the child and for family members. In spite of this it has been given very low priority by the medical community.

"Current medical treatment approaches ... include drugs, bed-is-wet alarms, psychotherapy, electro-physiology, and surgery." The alarm seems to be the most effective method to the date of his writing the book. "Drugs ... may be the least effective." Because the true cause of bed-wetting is not fully known, it is difficult to arrive at an effective targeted treatment. Interestingly dental treatment can be effective in reducing or stopping chronic bed-wetting.

In the 1990's it was found that children who had palatal expansion performed by dentists and orthodontists using palatal expansion appliances showed great improvement in the condition. It seems, according to research that a lack of oxygen due to obstruction of the upper airway can lead to bed-wetting. Reversing the airway blockage with oral devices helps change the children from mouth-breathers to nose breathers. Tonsil removal also opens airways and improves bed-wetting. Study results showed that dental treatment of this sort to be about 80% effective in reducing or stopping bed-wetting within a few months. It seems that the earlier this treatment starts, the more effective it can be.

There are so many ways that a healthy properly formed oral space can have a positive impact on the well-being of the body.  It is my mission to help people understand these connections and work together to improve their health and vitality.

Yours for Beautiful Smiles and More Health,

Dr. Marty Frankel,

3030-3080 Yonge St., Toronto Ontario, M4N 3N1, 416-770-8526


In his book Your Jaws Your Life, Dr. David C. Page tells us about how vitally important correct jaw position is to our overall health. I have talked about this in previous blog posts but mostly in regard to TMD (temporomandibular disorders) or OSA (obstructive sleep apnea), however he takes this one step further and discusses the importance of the jaws to teeth, heart disease, facial form and development, high blood pressure, and snoring to name a few. Never before have we known more about the connection between the mouth and the rest of the body than at this time, and the body of knowledge keeps growing. This has been termed "medical dentistry" and I find this to be fascinating and of vital importance to health and fitness.


This may seem at first to be an odd question. One might think that everyone would say "why of course I want to be very healthy!". I have found that everything in life has a price. This can be a financial price, or a time commitment price, or even a price of self-discipline or effort that is required to achieve the desired result. Not everyone is willing to pay the price to have what it is they want. Some examples of this could be: 1) Some people want great physical assets - large muscular arms, washboard abs, great posture, ... the question is, are they willing to do what it takes? Hours in the gym, eating a great clean, healthy diet, plenty of quality sleep, etc. 2) Some people want beautiful teeth - white, straight, functional, pain-free, beautiful, free of cavities, absence of gum disease ... are they willing to do what it takes? Daily flossing, eating sweets in moderation not excess, daily tooth brushing especially at night before bed, regular visits to the dentist for maintenance ... etc. Some are willing, some are not.
On some dental history forms there is a question: "On a scale of 1 to 10 how important are you teeth to you?."" Because we have separated the importance of our teeth to our life and body that question doesn't sound that crazy. But, what if I asked "How important are your eyes to you?". I think everyone would agree that virtually 100% of people would respond by saying that is a crazy question ... of course our eyes are of upmost importance to us! No one would willingly live without eye sight. I would like to propose that our teeth, gums, and jaws, are of vital importance to our health, well-being, and quality of life and should be valued and cared for.
A friend of mine who was diagnosed with high cholesterol and given a prescription for Lipitor by his physician said to me once "It's great! I can still eat ice cream, cake, and all the things I like and my cholesterol is in line." What is the price to pay? Compromised health? Complications of long term use of medication? Yes, cholesterol might measure fine, but what is the additional toll of eating the wrong foods? For me, the effort to avoid the medication would spur me to choose foods with care, increase exercise, and develop good health habits that would help me live with as much vibrant health as I could muster.


No one can really answer the question above for you, but I believe that if people would take the time to really think about what they want, more people would seek excellent health, and do the "healthy" thing. If you want more information about how to create health for your mouth and body, we are only a phone call or a click away. Yours for better health, Dr. Marty Frankel, 3030 - 3080 Yonge Street, Toronto Ontario, M4N 3N1 ...416-770-8526,