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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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While on a walk last week I stopped at the neighborhood playground to watch a 9 year old girl zoom full speed down the slide. A second later she was on her face and had broken her newly erupted front tooth in half. She was hysterical, her mom was hysterical, but I ran to the rescue, swooping up the tooth fragment and hydrating it. Talk about being at the right place at the right time! It was a Sunday and I offered to open my dental office for them. Back in my Long Island dental office, I carefully cleaned off the tooth and fragment and bonded it back in place. As good as new and one happy patient!

 

If you or a family member breaks a tooth, rinse the mouth with warm water to clean the area. Use cold compresses to keep any swelling down. Call your dentist immediately.

 

If a tooth is knocked out or is broken in half, as happened to the girl on the slide, rinse off the tooth or tooth fragment in water if it is dirty. Do not scrub it or remove any attached tissue fragments. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to the dentist as quickly as possible. Remember to take the tooth or fragment with you!download my boss s daughter divxattic the online