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Drs, Michel Fancelli and Jacques Hebert, dentists, Longueuil, Quebec, Canada

Centre Dentaire Fancelli

Place Hérelle
560 Chemin de Chambly, Suite 100
Longueuil, Qc. J4H 3L8

Website: http://www.centredentairefancelli.ca/

Telephone
450 670-0021
514 990-1930

Fax
450 679-3163
Email
mfancelli@bellnet.ca

hebertj@bellnet.ca

 

Dr. Michel Fancelli

After graduating from McGill University in 1981, Dr. Fancelli completed
a multidisciplinary residency at the Montreal Children's Hospital. He has
been practicing in Longueuil since 1984. He opened a new state of the art, high technology office in 2002 .

Dr. Fancelli has a particular interest in cosmetic dentistry, implantology, the treatment of occlusal and temporomandibular joint dysfunction, sleep disorders, orthodontics as well as laser dentistry.

 Dr. Fancelli is a graduate of the prestigious Dawson Institute for Advanced Dental Studies in Florida and participates in numerous continuing education courses all over North America and Europe to study with leaders in there respected fields. He completed a residency program at the TMJ and Sleep Therapy Research, an advance training on the management of temporomandibular joint and sleep disorders.

Dr. Fancelli is a member of the World Clinical Laser Institute (WCLI), the International Team for Implantology (ITI), the Academy of Clinical Sleep Disorder Discipline (ACSDD), the American Academy of Craniofacial Pain (AACP), the Association des Chirurgiens Dentistes du Québec (ACDQ) and the Quebec Order of Dentists (ODQ). He serves as Quebec Representative and Officer on the Executive Committee and is a member of the Program Committee of the Canadian Chapter of the American Academy of Craniofacial Pain (AACP-Can Chapt). 

Dr. Jacques Hébert

Dr Hebert graduated from Laval University in Québec City in 1981. He then completed a multidisciplinary residency program at the Jewish General Hospital in Montreal the following year. 

Dr. Hebert's areas of expertise are the treatment of jaw joint, chronic pain and sleep disorders, orthodontics, cosmetic dentistry and rehabilitation, implantology and laser dentistry.

 He is also a graduate of the prestigious Dawson Institute for Advanced Dental Studies in Florida. He has traveled all over North America and Europe to study with the leaders in Chronic Head and Neck Pain, Temporomandibular Dysfunction (TMD), Orthodontics and Sleep Breathing Disorders which include snoring and sleep apnea. 

Dr.Hébert completed a residency program at the TMJ and Sleep Therapy Research, an advance training on the management of temporomandibular joint and sleep disorders. He joined the Centre Dentaire Fancelli team in 2004 after 21 years of private practice in Montreal. 

 Dr. Hebert is a member of the American Academy of Craniofacial Pain (AACP), the Academy of Clinical Sleep Disorder Discipline (ACSDD), the International Team for Implantology (ITI), the World Clinical Laser Institute (WCLI), , the Association des Chirurgiens Dentistes du Québec (ACDQ) and the Quebec Order of Dentists (ODQ). In addition, he serve as Officer and Quebec Representative on the executive committee as well as a member of the Program Committee of the Canadian Chapter of the American Academy of Craniofacial Pain (AACP- Can Chapt). 

Tuesday
Jan072014

Smile Make Over: Why and how?, with Dr. Jacques Hebert, Centre Dentaire Fancelli, Montreal (Longueuil), Quebec, Canada

Smile Make Over, Complete Dental Restoration or Full Mouth Rehabilitation are all procedures performed in the dental office to bring back a person’s dentition to its original state both in dental function & dental esthetics explain Dr. Hebert  du Centre Dentaire Fancelli inc, à Longueuil

Usually, theses treatments are needed because teeth have been missing for a long time, teeth have moved and become crooked and mobile, teeth are now short, cracked and discolored from the wear and tear cause by tooth clenching and tooth grinding. 

All of these conditions affect the bite and results in problem chewing, misalignment of the jaws, stress and pain in the TMJ, pain when chewing, digestive problems, all the way to headaches and migraines.  Most of the time, that’s when patients consult dental professional because they are in pain or they’ve lost part of their quality of life.

Since a good number of dentists and specialists can perform these treatments, the important question here is not  “HOW” to realize those procedures but “WHY” did I get to this point.  When you think about it, if you don’t stop to understand the reasons why a person’s best ever dentition has broken down, the original enamel natural dentition, then how can a dentist pretend to do better with artificial material like porcelain?

Dr. Hebert , from the Fancelli’s Snoring Clinic in Longueuil, always take the time to ask “WHY”i. Most of the time, tooth grinding is the main cause of the changes in wear and tear of the dentition. There are many reasons why we grind our teeth but a major one is usually missed. There is a direct link between tooth grinding and OSA or obstructive sleep apnea, meaning that sleep apnea may and will cause tooth grinding. Plus OSA is also found in about 50% of patient with TMJ dysfunctions, the main cause of jaw pain and headaches.  So OSA can be a major factor of why we need a smile make over and it should be investigated and evaluated before starting any treatment.  OSA evaluation is an integral part of Dr. Hebert’s dental and TMJ exam.

Dr. Hebert is a member of the ACSDD, www.acsdd.org, (Academy of Clinical Sleep Disorders Disciplines) and has been practicing dentistry at the Centre Dentaire Fancelli, www.centredentairefancelli. ,in Longueuil, Quebec, Canada, since 2005.

Dr. Hebert is a sleep expert with Sleep Better TV, www.sleepbetter.tv, providing online, on demand sleep disorders video content.

Tuesday
Jan072014

Preventive Orthodontic Treatment For Children, With Dr. Jacques Hebert, Centre Dentaire Fancelli, Montreal (Longueuil), CanadaLE:

Preventive Orthodontic Treatment on children: is it possible?

When Dr.Hébert evaluate patients who suffer from TMD, chronic pain, migraines & headaches or obstructive sleep apnea & snoring, he notice that a great majority of them present different degree of dental malocclusions.  He also sees those same malocclusions during regular and specific orthodontic evaluation. And in most cases mouthbreathing is always a major factor. Mouthbreathing is also present in patients that already had an orthodontic treatment and their teeth are back being crooked. So there is a direct relation between mouthreathing and dental malocclusion.

Mouthbreathing start very early on in life and is related to conditions like forward head posture, a small maxilla and mandibule with a narrow palate, lack of space for the teeth and the tongue, an elongated face and a constantly opened mouth.

Dr Hébert , from the Centre Dentaire Fancelli in Longueuil, says that when you start noticing these conditions, preventive treatment should become a priority to reduce the risk of having malocclusion or to make orthodontic treatments easier and less expensive if they are necessary later on.

What are these preventive treatment?

Since it’s not possible to use braces on young kids, the treatment will be directed at all the surrounding structures that affect the position of the teeth i.e. the muscles of the tongue, the mouth, the face and those used for breathing. For that purpose, Dr Hébert uses special silicone appliances that help reprogram those muscles and redirect the growth of the jawbone and the position of the teeth. We can start as early as 3 to 4 years of age as long as the child is cooperating.  This technique is called the  “Myo-Functional Therapy”, www.mrc.com, and it can extend all the to the late teens.

If we start later like around 7 yo, rapid palatal expansion or RPE maybe necessary to enlarge the palate before the myo-functional therapy can be used. This is done with a special appliance that is fixed inside the maxilla to enlarge it and can last up to 3 months.

With the myo-functional therapy, Dr. Hébert uses a series of exercises to retrain and reinforce all the muscles of the tongue, the mouth and the cheek. These exercises are simple, easy to perform and extremely beneficial. Then come the breathing exercises to help maintain a good habit of breathing thru the nose. Dr. Hébert often enlist other therapists to assist with the implementation and the practice of those exercises.

All those early interventions will definitely help prevent further malocclusion, joint problem like TMD and sleep breathing disorders like obstructive sleep apnea and snoring.

Dr.Hébert is a member of the ACSDD, www.acsdd.org, ( Academy of Clinical Sleep Disorders Disciplines) and has been practicing dentistry for more then 32 years and at the Centre Dentaire Fancelli , www.centredentairefancelli.ca, in Longueuil, Quebec, Canada since 2005. Dr. Hébert is a sleep expert with Sleep Better TV, www.sleepbetter.tv, providing online, on demand sleep disorders content.

Tuesday
Jan072014

Snoring and Sleep Breathing Disorders, With Dr. Michel Fancelli, Montreal (Longueuil), Quebec, Canada

Snoring is a type of obstructive breathing with a partial blockage when breathing at night.  Affecting nearly 90 million Americans, it is now a social problem, leading people to sleep in separate bedrooms.

A lot of people think it's their nose that causes snoring, due to a blocked nose or deviated septum but Dr. Michel Fancelli, of the Centre Dentaire Fancelli in Montreal (Longueuil), Quebec, Canada, says that in reality, it's a problem with the tongue.

When you're asleep, your muscles relax and your tongue falls back into the airway to partially block the airway.  This will cause the air coming out to come out at a higher velocity, making the soft palate and other structures in the throat to vibrate, says Dr. Fancelli.

There are a few treatment options available to people who snore.  Dr. Fancelli says that surgery can be done but is often not very effective, only providing a short-term result.  Dentists, like himself, can do a dental appliance, called a mandibular repositioning appliance, which prevents the lower jaw from retracting backwards.  The tongue stays in a more forward position and doesn't fall back to block the airway.  Lastly, exercises can be done to increase a person's muscle tone.

Snoring can lead to other health problems.  Dr. Fancelli says that a new study shows that the loudness of snoring can cause some plaque deposits in the carotid artery.  90% of people who have sleep apnea snore so Dr. Fancelli says that if you snore, odds are you may have sleep apnea.  With sleep apnea comes a lot of health concerns, to include increased risk of hypertension, increased risk of cardiovascular disease, increased risk of type 2 diabetes, and increased risk of sexual dysfunction in males.

Dr. Fancelli says that anything that causes muscles to relax or lose muscle tone will increase snoring.  This includes alcohol, muscle relaxers, anti-depressants, cold medications and being obese or overweight.

Dr. Michel Fancelli is a member of the ACSDD, (Academy of Clinical Sleep Disorders Disciplines) and has been practicing dentistry at the Centre Dentaire Fancelli in Longueuil, Quebec, Canada since 1984.  Dr. Fancelli is a sleep expert with Sleep Better TV, providing online, on-demand sleep disorder video content.

Tuesday
Jan072014

Orthodontics to Help Sleep Breathing Disorders in Children, With Dr. Michel Fancelli, Montreal (Longueuil), Quebec, Canada

Dentists and orthodontists have a very important role in screening and treating sleep breathing disorders in children, says Dr. Michel Fancelli, of the Centre Dentaire Fancelli in Longueuil, Quebec, Canada.

A new study shows that by doing rapid palatal expansion in children, it's actually curing severe apnea in children, says Dr. Fancelli.  Rapid palatal expansion is the widening of the palate, by using a fixed or removable device placed on the palate.  It widens the palate over a period of 6-8 months.  As the palate widens, it drops down, which opens up the nasal airway, so it's a lot easier to breathe.  Dr. Fancelli says that another study has shown that you can covert 70% of mouth breathers to nasal breathers by doing palatal expansion.

Mouth breathing can cause a lot of problems in a growing child, Dr. Fancelli says, including preventing growth patterns to occurs.  Their posture can be affected and their jaw may not grow to its full potential, which leads to teeth crowding.  It can also cause poor development in two-thirds of their face, leading to a face that's sunken in or a mouth with buck teeth.  Additionally, 65% of mouth breathers grind their teeth and those children can wind up with TMJ problems.

There are treatment options in addition to the palatal expander.  The somio functional trainer is a like a mouth guard worn mostly at night to train the muscles to work differently, says Dr. Fancelli.

The risk factors are different in children than they are in adults.  Usually, when a child is breathing through their mouth, they can have another disorder like apnea, teeth grinding, anxiety, sleep talking, bedwetting, sleepiness and problems at school.

Dr. Michel Fancelli is a member of the ACSDD, (Academy of Clinical Sleep Disorders Disciplines) and has been practicing dentistry at the Centre Dentaire Fancelli in Longueuil, Quebec, Canada since 1984.  Dr. Fancelli is a sleep expert with Sleep Better TV, providing online, on-demand sleep disorder video content.

Tuesday
Jan072014

Sleep Apnea Testing Easier Than Ever, With Dr. Michel Fancelli, Montreal (Longueuil), Quebec, Canada

Sleep apnea has been around a long time and it's now getting a lot of media attention.  Dr. Michel Fancelli, of the Centre Dentaire Fancelli in Longueuil, Quebec, Canada, says that testing for sleep apnea has never been easier.

Dr. Fancelli says that patients no longer have to go to a sleep center and perform a sleep study in surroundings with which they are not comfortable.  Instead, patients can do home testing in their own homes and bedrooms.  This, he says, leads to more patients getting tested, which leads to more people being diagnosed and treated.

The population is aging and the risk of sleep apnea increases 6% every year a person gets older, says Dr. Fancelli.  Some other sleep apnea risks include obesity, being a male, women after they reach menopause, large neck sizes, diabetes, high blood pressure and gastric reflux.

Dr. Michel Fancelli is a member of the ACSDD, (Academy of Clinical Sleep Disorders Disciplines) and has been practicing dentistry at the Centre Dentaire Fancelli in Longueuil, Quebec, Canada since 1984.  Dr. Fancelli is a sleep expert with Sleep Better TV, providing online, on-demand sleep disorder video content.