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Two prospective patients came into my Long Island dental office recently with the same emergency situation. Both were edentulous (no teeth) and were wearing old, ill-fitting dentures. Their dentures were loose, they had trouble eating foods they would have liked, their faces had that sunken-in look and they were in constant pain.

Their previous dentists recommended implants to stabilize the dentures. The problem was that as they were both retired and on fixed incomes they could not afford implants. What to do? Yes, the best implants are a wonderful service and have revolutionized what we can do to improve lives. I love implants! But due to the laboratory and materials costs involved, they are expensive.

My approach is different from most other dentists. I make new, custom-fitted dentures for the patient and tell them that if the new denture doesn’t fit and function well, we can then add implants. My experience is that the denture patient does very well with the new dentures and often decides not to go ahead with the implants. Implants are always an option but they don’t have to be the first option. I believe that patients like these can be well served with the best dentures.home alone 3 movie downloadfree redlineoscar dvdripconfessions of a dangerous mind free download

“A child can’t learn when he or she has a toothache,”
says Amy Paulin, a Democratic state Assemblywoman from Westchester County. Thus she was instrumental in passage of a new state law that requires school districts across New York State to ask parents to take their children for a dental examination before they begin school.

The new law is effective for the 2008-09 school year and families will be asked to voluntarily present a dental health certificate when a child enters pre-kindergarten, kindergarten or first grade in public school. The certificate must contain a report of a comprehensive dental examination performed on the child.

The law will only require schools to request parents take their children for a dental check-up twice in elementary school and twice in the secondary grades. There is no requirement that families do so. There is also no requirement that school districts follow up with families who do not turn in dental health certificates.

A dental examination assesses untreated dental disease and addresses good oral health, all of which can affect a child’s performance in school. Hopefully the new law will raise awareness about dental health and encourage regular dental care. The new law with its voluntary compliance is the first step to better dental health for all of our children – so call my Long Island office today to schedule your child’s dental checkup!meltdown free download changing lanes free hostel divx downloaddivx blown away

When they were a year old, I gave the twins their first toothbrushes – green for Rehaan and yellow for Naseem. They each gleefully grabbed their brush, stuck it in their mouth and started brushing. It looked like they knew what they were doing! Maybe they liked the feel of the bristles against their teeth. In any case, hopefully they were accomplishing something. My hope was that they were establishing a habit. Their parents were concerned that they would swallow the toothpaste, but I told them that they really did not have to put any toothpaste on the brush or just a speck if they really wanted to. The brushing action alone was enough to clean the teeth.

Parents should assist the brushing until the child is old enough to accomplish the task without supervision. Parents or caregivers should use a piece of gauze to regularly clean the infant teeth as soon as they erupt. It’s also a good idea to introduce a young child to floss so they get into the habit of cleaning in between the teeth. And don’t forget a healthy diet and regular twice yearly visits to my East Setauket, Long Island dental office.

A patient sent me a text message Sunday morning that she would have to postpone Monday’s appointment because her parrot was dying and might be in the hospital. That is the first time that a patient had to change an appointment to care for a sick parrot. Poor parrot! My daughter-in-law told me that parrots live a very long time – up to 80 years. A friend of hers who is parent to a parrot wanted to provide for her pet bird in her will but she was having trouble finding an appropriate guardian.

Getting back to teeth, of course parrots don’t have teeth but rather a beak with which to begin the digestive process. Nevertheless, animal dentistry is commonly performed on other pets who do have teeth, including cats, dogs and horses.

If you do have a pet with teeth, it is important that you take care of the animal’s oral health, including keeping the teeth clean, a proper diet and regular visits to the veterinarian. Periodontal disease is the most common condition seen by veterinarians. They also see fractured teeth, abscesses, and oral tumors. These conditions can be painful for the animal and affect proper function. Veterinary dental specialists are trained to diagnose and treat dental disease. (Sorry, I only treat people at my Long Island dental office!)

What Price Beauty: The Cost of Teeth-Whitening
I was recently interviewed for an article on teeth whitening on the website Mainstreet.  The article is a very good summary of bleaching options available. Check out the link to learn what I have to say about teeth whitening.  I also have reprints in the office.

I just came back from two fabulous weekends of learning at The Rosenthal Institute‘s Aesthetic Advantage Program at the New York University College of Dentistry. While I was there I studied the latest cosmetic techniques with the best dentists in the U.S., techniques that I brought back with me to my Long Island dental office. It was an inspiring experience.

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Several of my long time Long Island dental patients are taking Fosamax or Boniva to prevent further bone loss. No one wants to lose inches or suffer with broken bones. I prefer to manage with regular weight-bearing exercise, a diet rich in fruits and vegetables and calcium supplements but this is up to you and your physician. There has been a lot of talk in the media about a rare condition called osteonecrosis of the jaw which has been linked to use of bisphosphonate medications.

It is important that you distinguish between the bisphosphonate medications (such as Fosamax, Actonel, Boniva) that are taken orally to treat osteoporosis and others (such as Aredia, Bonefos, Didronel or Zometa) which are administered intravenously as part of cancer therapy.

In rare instances, some individuals receiving intravenous bisphosphonates for cancer treatment have developed osteonecrosis of the jaw, or destruction of the jawbone. Still more rarely, osteonecrosis of the jawbone has occurred in patients taking oral bisphosphonates.

Patients currently receiving intravenous bisphosphonates should avoid invasive dental procedures if possible. The risk of osteonecrosis of the jaw in patients using oral bisphosphonates appears to be low, but be sure to let your dentist know if you use any bisphosphonate medication. It is up to you and your physician whether to modify use of the bisphosphonate medication before dental surgery procedures. The consensus is that good oral hygiene and regular dental care will help to lower your risk of developing osteonecrosis.download desperado dvd

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Yesterday a patient came into my dental office in Suffolk County to tell us how happy she is with the new dentures that I had just completed for her. She was glowing, said that she felt like a movie star and how happy she was to be able to smile again. She was so happy to be able to chew and was surprised at how comfortable the dentures felt. She said that she was very grateful that she had come to my office for her treatment.

She confided in us that she had searched You Tube under “I Hate My Dentures” and found horror videos featuring denture failures. She was glad that she wasn’t experiencing any of the horrors. I have to confide that I also checked out these videos after she told me about them. In contrast, I carefully design each denture and let the patient wear a “trial denture” before going to finalization. That way, patients are always satisfied and I have the gratification of knowing that I delivered the best dentures that fit and function well and look great! No one hates my dentures – I make sure of that.free city of ghosts movie download download sublime movie free b t k bug dvdrip download

You’ve all seen it – those bright white spots on otherwise healthy, straight front teeth. Well, the offending teeth just had bonded orthodontic brackets removed after two years of “wearing braces.” Sometimes the white spots are just an unavoidable byproduct of the bonding procedure. Or sometimes the spots can be a result of poor home care, of accumulated plaque that has decalcified the teeth. So what to do?

It is not easy to mask those white spots. We have bleached these teeth but not always successfully. Sometimes the white spots whiten still more and the situation doesn’t get better. We have prepared the area and bonded composite to the offending areas. This has met with success but the patient has to beware of coffee, red wine and smoking. Bonding will last for several years before it stains and has to be replaced. Another option is veneers – esthetically superior to bonding and long lasting without color change. Veneers are more expensive and are not reversible – which means that the tooth cannot not be restored to its original state and must always be covered.

A difficult choice and up to the patient and her parents to make with help from us at my Long Island dental office!evelyn free dirty dancing free download free cars download london to brighton

It was my day off and I was checking out some daylilies when the text message came. It was the Director of the Chamber of Commerce asking if I could help out a girl with a toothache out on a boat in the Sound. This was a first. So I called the girl back and she said that she was from Vermont and sailing down the east coast about three hours outside of Port Jefferson Harbor. The wind was down and they were waiting for it to pick up. (Already I was feeling seasick.) Her lower left molar had been throbbing for three days and she was clocking the Ibuprofen. Her symptoms sounded like a pulpitis and probably a root canal was in order.

I felt that the prudent course of action was to refer her to an endodontist who could diagnose and treat the offending tooth quickly and easily. I gave her the name, and at length she docked, took a taxi to his Long Island dental office, had the work completed, returned to the boat and set sail to continue her journey.my boss s daughter dvdrip

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I was at a barbeque last weekend (the first of the summer) and was intrigued by a young man – a nice looking fellow who never smiled, not even once. Of course I wanted to check out his smile but he never gave me a chance. Then after he had a few beers he got up the courage to take me aside so he could confide that he was missing his upper left bicuspid. He was so embarrassed by this hole in his mouth that he refused to smile. He knew that he needed an implant but he said that he couldn’t afford one. He also said that he didn’t want to cut down the two teeth on either side to make a bridge and that would be too expensive in any event. He didn’t know what to do. And on top of this, he was getting married. I suggested that he come to my Suffolk County dental office so we could determine if a Maryland Bridge would be an appropriate treatment for him.

 

A Maryland Bridge is a bonded bridge that consists of a replacement tooth with two metal connectors that bond to the teeth on either side. The teeth don’t have to be cut down and the cost is minimal. The procedure is totally reversible so if his financial situation changes in the future, the bridge can be removed without damage to his teeth and an implant placed. You have to be careful with a Maryland Bridge; it isn’t as strong as the more expensive options and it may not last as long. But with careful diagnosis and placement on the part of the dentist and proper home care on the part of the patient, the Maryland Bridge can be a great choice!

 

I did make a Maryland Bridge for Alex and – all smiles – he sent me a wedding photo.

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