Information from the Pankey Institute

Dr. John G'Sell is a Panky Institute trained dentist. He wants to share this important information on the co-discovery examination,  healthy gums, and your bite straight from The Panky Institute.


The Comprehensive Examination

Dr.G'Sell is one of a small percentage of dentists who have invested in post graduate training at one of the world's premiere continuing dental education institutes, The Panky Institute for Advanced Dental Education.  Because Dr. G'Sell ascribes to the Panky Institute's Principles and Practices of Optimal Oral Health, the comprehensive examination you receive in this office may be unlike any you have received before.

 Dr.G'Sell wants to know you as a unique individual and to examine you in such a way that you can discover together the aspects of your oral health and appearance that can be improved. You and Dr. G'Sell will gain valuable insights as you talk about your past dental experiences and what you want for yourself. hearing about your concerns and opinions will enable the dental team to help you achieve the results you want.

A complete clinical examination is accomplished with your help nd input. Comprehensive clinical examinations are more thorough that the cursory check-up you may have come to expect. In order to reach a complete understanding of your present state of health, Dr.D'Sell must gather data about your chewing muscles, jaw joints, and how your teeth come together against each other. He also must gather information about how these three components work together in your mouth.

Evaluating the health of your gums and other soft parts of your mouth is part of the process. Dr G'Sell will be looking for signs of disease, oral cancer, and injury during this part of the exam. A complete assessment of the health of each individual tooth, as well as the condition of any existing restorations (such as fillings, crowns and bonding) or tooth replacements (such as dentures) is an integral part of the process.

An esthetic evaluation is apt to be included. If you have expressed concern about the way your teeth look, you will have the opportunity to tour your mouth with Dr. G'Sell and discuss each point of concern. In addition to examining your mouth with you, he will suggest appropriate x-rays. These may include images of your teeth, entire jaw system, and if necessary, specific images of your jaw joints.

Diagnostic impressions of your upper and lower teeth will be made using an elastic material. These impressions are a mold into which special plaster material will be poured to make an accurate copy of your mouth. The resultant casts will be mounted on an articulator, which is an instrument that simulates how your teeth come together and move against each other as you bite and chew. A final step in gathering data is a complete set of close-up photographs of your teeth and face.

During this entire process, you and Dr.G'Sell will be talking about what you are discovering. Dr. G'Sell will be actively listening for your questions, concerns, and opinions.

After the examination, before advising you on a treatment, Dr. G'Sell will take time, in solitude, to study all of the gathered information and forms a thoughtful plan that addresses your concerns and any uncovered health problems. He invests substantial time in this phase of the process, as well as tremendous care, knowledge and advance technical training.

You will be invited to schedule a subsequent appointment to discuss the findings and how to best proceed with treatment that meets your goals and objectives. 


Heathy Gums, Healthy Body

Did you know that your oral health can affect your overall health? Well it sure can! When you have gum disease (also know as periodontal disease and periodontitis) your overall health could suffer in a multitude of ways:

  • Expectant mothers who experience significant gum disease are at much greater risk of having a premature or low birth weight baby.
  • Diabetics who are afflicted with chronic periodontitis have far more difficulty controlling their diabetes than those who do not have gum problems.
  • A strong association has been found between having periodontal disease over many years and a higher incidence of cardiovascular disease in the form of heart attacks and strokes.
  • Recent research indicates that kidney disease is also associated.

Has anyone ever told you that you grind your teeth at night? Is your jaw sore from clenching your teeth when you're taking a test or solving a problem at work?

  • Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and can speed up the rate of disease on your gums, teeth, and bone.

Gum disease is a chronic infection that hurts your gum tissue and the bone that holds your teeth. It puts you at risk of the other health problems such as heart disease.

Gum disease is the body's inflammatory response to the bacteria in your mouth. Diabetic complications, cardiovascular disease, and preterm and low birth weight babies are all the result of other inflammatory mechanisms in your body. It is thought that if you have severe enough periodontal disease for long enough, it will trigger these other inflammations.

Periodontitis can strike anyone of any age at any time. Visits to Dr. G'Sell are a must at least twice a year so periodontal disease can be detected and treated before it progresses to a phase where it can affect your general health.

Many people are susceptible to gum disease. Don't be embarrassed. Instead, get serious about it!

The word "periodontal" literally means around the tooth. Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth.

The American Academy of Periodontology (AAP) reports that up to 75% of all americans over the age of 35 are believed to have some form of periodontal disease. There are three stages: mild, moderate, and advanced. It is very important to not let it get to the advanced stage where bone loss can occur and your overall health is at risk.

  • Regular checkups and daily brushing and flossing are crucial for preventing this disease. The mildest form of gum disease is called gingivitis. If you have gingivitis your gums will redden, swell, and bleed easily.  There is usually little to no discomfort to you so it can easily sneak up on you.
  • Although gingivitis is often caused by inadequate oral hygiene, that AAP reports that up to 30% of the population may be genetically susceptible to gum disease. Tooth crowding also can contribute to the problem because it is difficult to thoroughly clean around the crowding teeth.
  • Gingivitis is a serious infection that requires attention. The good news is that gingivitis is reversible with professions periodontal treatment and good dental hygiene.

The good news is that gum disease can be controlled and, even in advanced stages, treated. It is important to catch it as early as possible before your bones, teeth and systemic health are affected.  

The best way to prevent periodontitis is to brush and floss your teeth daily and to see Dr. G'Sell regularly for professional tooth cleaning and gum examination.

If you do contract the disease, all is not lost. Seeing Dr. G'Sell as soon as possible is the most important step you can take to saving your teeth and the health of your whole body. 


You and Your Bite

As you chew, your upper and lower teeth come together , pushing against the skull. If you have an uneven bite, missing teeth, or improperly aligned teeth, your muscles work harder to bring the teeth together. If you clench or grind your teeth, the strain only increases.

Teeth are negatively affected by three diseases: decay (cavities) periodontal (gum) disease, and occlusal (bit) disease. Most of us are acquainted with signs, symptoms, and treatment of the first two, probably from personal experience.

Dr. G'Sell is highly trained in the diagnosis and treatment of decay and periodontal disease. Through education and experience, the doctor is able to look into the future and recommend appropriate treatment to minimize the effects of these diseases by dealing with them as early as possible.

Occlusal disease does not always present itself so obviously. Just some of the effects of occlusal disease can include wear, sensitivity, cracks, loose teeth, breaking teeth, sore muscles, painful jaw joints, and headaches.

Doctors, like Dr. G'Sell, who study at the Panky Institute learn and develop skills in recognizing the signs of occlusal disease and in providing appropriated treatment to halt, and often reverse its effects. Recognizing the disease as early as possible increases the probability that you will have young teeth at an elderly age. Mush of the bridgework, the crowns, and the repairs that adults experience might be avoided if the signs of occlusal disease were recognized and addressed in the early stages.

Dr. G'Sell incorporates evaluation of the signs and symptoms of occlusal disease into a comprehensive evaluation, often through the use of study casts (models of your teeth) and occlusal (bite) analysis. He knows that looking into the future means providing you with all the information about what's happening today that will impact your teeth in five, ten, twenty and more years from now.

You may have a poor bite if you experience any of the following:

  • You clench your jaw muscles for long periods of time.
  • When you wake up in the morning, your jaw muscles feel tires and sore to the touch.
  • You experience pain behind the eyes
  • You grind your teeth while you are sleeping.
  • Your jaw clicks and pops when opening.
  • Your head or scalp feels painful when you touch it.
  • Your ears ache or you hear ringing.
  • You have neck, shoulder or back pain
  • You feel dizzy.
  • If you feel any of these symptoms, Dr. G'Sell can evaluate your bite to determine if it is a probable contributing factor. If so, he will recommend an effective plan of treatment.


Occlusal Disease therapy commonly begins with a bite splint. This hard acrylic appliance is fabricated to fit snugly over either your upper or lower teeth. It becomes a temporary perfect bite for you.

While wearing the bite-splint you will experience what a comfortable difference a stable solid bite can make on your teeth, muscles, and your jaw. It is very likely that many of the signs and symptoms of occlusal disease will diminish or even disappear. How long it takes depends on your situation and the signs and symptoms with which you start.

Following a new bite evaluation, Dr. G'Sell may ask permission to reshape teeth so they move smoothly against each other and fit together in the sane solid position that you felt with the bite splint. 

In rare cases where the joint has been badly damaged, the bite splint may not achieve the desired results. When this occurs, advanced joint imaging and consultation with a specialist may be necessary to address the changes in the joints.

Whatever us recommended, the best dentists will be sure to spend time ensuring that you have a clear understanding of why it is prescribed, what to expect, and a clear picture of the anticipated outcome. They also will welcome your questions and concerns.

Keeping your teeth in maximum comfort, function, and esthetics for your entire lifetime depends on you. Seeing and addressing the signs and symptoms if the disease process that work against that goal depends on what your dentist knows and discovers. Together you can be an unbeatable team that keeps occlusion working for your health and not against it.


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