Archive for: �’

Frequency of eating

November 23, 2011 Posted by Dr. Sasha Baston, DDS

The best way to prevent tooth decay is to limit the frequency of eating. It is not possible to clean the teeth fast enough, frequently enough, and thoroughly enough to overcome every acid attack we experience after every bite of food.
Furthermore, not only can sweets cause decay; but all carbohydrates can promote decay! Especially any that stick to teeth such as pretzels or crackers.

Hope everyone has a safe, cavity free holiday and remembers these tips while feasting!

Happy Thanksgiving

November 23, 2011 Posted by Dr. Sasha Baston, DDS

Happy Thanksgiving! Hope everyone enjoys being with their families, eating turkey, and flossing :)

Bisphenol A, the endocrine-disrupting chemical used in containers, appeared to inhibit and disrupt meiosis in human eggs in vitro.

November 12, 2011 Posted by Dr. Sasha Baston, DDS

Bisphenol A, the endocrine-disrupting chemical used in the manufacture of many kinds of food containers, appeared to inhibit and disrupt meiosis in human eggs in vitro.
BPA has been found in human follicular fluid, and its meiosis-disrupting effect on eggs is supported by animal studies, according to research presented October 17 at the annual meeting of the American Society for Reproductive Medicine in Orlando, Florida.

Dr. Linda Giudice, a reproductive endocrinologist at the University of California, San Francisco who was not involved in the study, told Reuters Health that the type of disruption seen in the study could lead to chromosomal abnormalities.
Dental Cosmetic
Dental Health

Mouth Wash Recalled

November 5, 2011 Posted by Dr. Sasha Baston, DDS

Colgate-Palmolive has recalled its Periogard 0.2% chlorhexidine mouthwash as a precaution, owing to possible bacterial contamination. The bacteria concerned, Burkholderia, are unlikely to cause harm to healthy people but may cause infection in those with a compromised immune system or with a chronic lung condition such as cystic fibrosis.

Fluoride debate….is it beneficial in our water?

November 2, 2011 Posted by Dr. Sasha Baston, DDS

ADA’s Fluoridation Facts Short Answer
Fluoride, at the concentrations found optimally fluoridated water, is not toxic according to generally accepted scientific knowledge.

ADA’s Fluoridation Facts Long Answer
Like many common substances essential to life and good health — salt, iron, vitamins A and D, chlorine, oxygen and even water itself — fluoride can be toxic in excessive quantities. Fluoride in the much lower concentrations (0.7 to 1.2 ppm) used in water fluoridation is not harmful or toxic.

Acute fluoride toxicity occurring from the ingestion of optimally fluoridated water is impossible.104 The amount of fluoride necessary to cause death for a human adult (155 pound man) has been estimated to be 5-10 grams of sodium fluoride, ingested at one time.140 This is more than 10,000-20,000 times as much fluoride as is consumed at one time in a single 8-ounce glass of optimally fluoridated water.

Chronic fluoride toxicity may develop after 10 or more years of exposure to very high levels of fluoride, levels not associated with fluoride intake in drinking optimally fluoridated water. The primary functional adverse effect associated with long term excess fluoride intake is skeletal fluorosis. The development of skeletal fluorosis and its severity is directly related to the level and duration of fluoride exposure. For example, the ingestion of water naturally fluoridated at approximately 5 ppm for 10 years or more is needed to produce clinical signs of osteosclerosis, a mild form of skeletal fluorosis, in the general population. In areas naturally fluoridated at 5 ppm, daily fluoride intake of 10 mg/day would not be uncommon.74 A survey of X-rays from 170,000 people in Texas and Oklahoma whose drinking water had naturally occurring fluoride levels of 4 to 8 ppm revealed only 23 cases of osteosclerosis and no cases of skeletal fluorosis.141 Evidence of advanced skeletal fluorosis, or crippling skeletal fluorosis, “was not seen in communities in the United States where water supplies contained up to 20 ppm (natural levels of fluoride).”74, 121 In these communities, daily fluoride intake of 20mg/day would not be uncommon.74 Crippling skeletal fluorosis is extremely rare in the United States and is not associated with optimally fluoridated water; only 5 cases have been confirmed during the last 35 years.74

Additional discussion on this topic may be found in Question 16 and Question 32.

The possibility of adverse health effects from continuous low level consumption of fluoride over long periods has been extensively studied. As with other nutrients, fluoride is safe and effective when used and consumed properly. No charge against the benefits and safety of fluoridation has ever been substantiated by generally accepted scientific knowledge. After 50 years of research and practical experience, the preponderance of scientific evidence indicates that fluoridation of community water supplies is both safe and effective.98

At one time, high concentrations of fluoride compounds were used in insecticides and rodenticides.27 Today fluoride compounds are rarely used in pesticides because more effective compounds have been developed.104 While large doses of fluoride may be toxic, it is important to recognize the difference in the effect of a massive dose of an extremely high level of fluoride versus the recommended amount of fluoride found in optimally fluoridated water. The implication that fluorides in large doses and in trace amounts have the same effect is completely unfounded. Many substances in widespread use are very beneficial in small amounts, but may be harmful in large doses – such as salt, chlorine and even water itself.

Repeat of Question 21.
Is fluoride, as provided by community water fluoridation, a toxic substance?

Opposition’s Response

Yes. “It is now clear that fluoride is a potentially harmful substance when present in the water supply in any amount. Those who want their children to have fluoride can give it individually, in measured doses, and more safely, reliably and cheaply than when put in the water. We can see no justifiable reason why everyone in the city should be needlessly subjected to any degree of life-long risk such as is created when a known poison is added to the water. We can accept no compromise with the established principle that the city’s water supply must be kept as safe as possible for everyone.” (Dr. Simon Beisler, Chief of Urology, Roosevelt Hospital, New York City, Dr. Fred Squier Dunn, Head of Oral Surgery Department, Lenox Hill Hospital, NYC, Dr. John Garlock, Consulting Surgeon, Mount Sinai Hospital, NYC, Dr. Edgar A. Lawrence, Director of Medicine at Lenox Hill Hospital, NYC. and Dr. Girard F. Oberrender, Director of Otalaryngology at Lenox Hill Hospital, NYC.)

“It is well documented in the scientific literature that the substance sodium fluoride (used in fluoridation) has an effect on the metabolic cycle, from which we get the energy to maintain the life process and repairs to the body. The amount of the dosage has very little to do with the question because it is a ‘cumulative material’ — that is, it collects in the body — its effect would vary from person to person.” (Professor J. Earle Galloway, Drake University, Bio-Chemist and Chairman, Dept. of Pharmacology, Des Moines, IA.)

Dr. L. O. Maynard, Cornell University, authority on the role of minerals in nutrition, states: “There is no proof that fluoride is a dietary essential.”

“Fluorine has never been proved to be an indispensable chemical element for the maintenance of healthy body and healthy teeth. There is no disagreement about the fact that fluorine is a protoplasmic and enzymatic poison.” (Dr. V. O. Hurme, former director of Clinical Research, Forsyth Dental Infirmary for Children, Boston, MA.)

Many Britons still unaware of human papilloma virus

October 30, 2011 Posted by Dr. Sasha Baston, DDS

A new study suggests that many British parents and young people are unaware of one of the most common sexually transmitted infections (STIs), the human papillomavirus (HPV). The virus has been linked to cervical cancer and mouth cancer transmitted by oral sex. Experts predict HPV will overtake the current main risk factors for mouth cancer—alcohol and tobacco—within the next ten years. Without early detection, an estimated 30,000 people in the UK will die from mouth cancer in the next decade.

Halloween is busiest night of year for the Toothfairy

October 30, 2011 Posted by Dr. Sasha Baston, DDS

Halloween is just around the corner, and the Toothfairy’s nightmare is about to begin. Believe it or not, Halloween is the busiest night for the Toothfairy, and it marks the beginning of the tooth season. “I know kids will be eating lots of candy, and I am certainly going to have my work cut out for me this year,” remarked the Toothfairy in a recent interview.

Fruits significantly more dangerous for teeth than carbonated drinks

October 30, 2011 Posted by Dr. Sasha Baston, DDS

Eating fruit such as apples could do up to four times the damage to teeth than carbonated drinks, new research has found. In a study led by Prof David Bartlett at the Dental Institute, King’s College London, scientists looked at links between diet and tooth wear at several sites in the mouth, in more than 1,000 men and women aged 18 to 30.

Tooth movement could be an alternative to bone transplants

October 28, 2011 Posted by Dr. Sasha Baston, DDS

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Researchers at the University of Gothenburg’s Sahlgrenska Academy have found a way to replace lost teeth without building up the jaw artificially. With the researchers’ method, existing teeth are moved into the toothless area using a brace, which offers clinicians a less complicated and painful option for giving patients their lost teeth back.

Introducing Dr. Lennie Beth Stern – Cosmetic Dentist

September 27, 2011 Posted by Dr. Sasha Baston, DDS

Dr. Stern graduated from University of Maryland Baltimore College of Dental Surgery where she received her Doctoral degree in Dentistry. She completed her hospital residency training at the Veterans Affairs Medical Center in New York. Prior to dental school, she received her Bachelor of Science in Nutrition from the University of Texas at Austin with Dean’s list honors. Dr. Stern holds certification in Invisalign Level I, and a special training in patients with medically compromised conditions.

She is a member of the American Dental Association, New York State Dental Society, Alpha Omega International, American Academy of General Dentistry, and American Academy of Cosmetic Dentistry. A Florida native, Dr. Stern enjoys running, yoga, and spending time with family and friends.  You May Contact Dr. Stern at 877-917-3636 or info@dentalcosmetic.com

Women’s Fertility related to oral health

August 17, 2011 Posted by Dr. Sasha Baston, DDS

Women who are trying to become pregnant should look after their oral health, a fertility expert announced at the 2011 European Society of Human Reproduction and Embryology meeting in Stockholm earlier this week. According to the preliminary research presented, gum disease can potentially lengthen the time it takes a woman to become pregnant by an average of two months.
RELATED ARTICLE
Periodontal treatment no harm to newborns
“Our data suggest that the presence of periodontal disease is a modifiable risk factor, which can increase a woman’s time to conception, particularly for non-Caucasians,” Roger Hart, Professor of Reproductive Medicine at the University of Western Australia and Medical Director of Fertility Specialists of Western Australia, said. “It exerts a negative influence on fertility that is of the same order of magnitude as obesity.”
In their study, Hart and colleagues analysed data from over 3,400 pregnant women from Western Australia. They found that women with gum disease took two months longer on average to conceive than women without gum disease (seven months instead of five). Non-Caucasian women appeared to be the group most affected. They were likely to take more than 12 months to become pregnant if they had gum disease.
“All women about to plan for a family should be encouraged to see their general practitioner to ensure that they are as healthy as possible before trying to conceive,” Hart recommends. “Additionally, it now appears that all women should also be encouraged to see their dentist to have any gum disease treated before trying to conceive.”
In addition, the study confirmed other known negative influences on a woman’s time to conception, such as being over 35 years of age, being overweight or obese, and being a smoker. It also demonstrated conclusively that while treatment of periodontal disease does not prevent pre-term birth in any ethnic group, the treatment does not have any harmful effect on the mother or foetus during pregnancy.

Lost Weight Vitamin

August 17, 2011 Posted by Dr. Sasha Baston, DDS

Want to save money on vitamins? One option could be to lose weight. Researchers say overweight or obese women in a diet-and-exercise program who lost more than 15 percent of their weight gained 8 nanograms of vitamin D per milliliter of blood.
Caitlin Mason of Seattle’s Fred Hutchinson Cancer Research Center:
“That’s an amount that could be equivalent to taking a multivitamin with about 800 international units of vitamin D in it, for a few months.’’ (8 seconds)
This is about double what is currently recommended. But Americans – especially those who are overweight or obese – tend to be low on vitamin D, which helps to build bone strength and may help against diabetes and cancer.
The study in the American Journal of Clinical Nutrition was supported by the National Institutes of Health.

Second- Hand flu Vaccine

August 17, 2011 Posted by Dr. Sasha Baston, DDS

Babies of mothers who get flu vaccinations seem to pick up protection in the womb. A study found this in data on 1,500 babies younger than 6 months who had been hospitalized for flu-like symptoms in the 2002 to 2009 flu seasons. Those babies are too young for their own vaccination.
At Wake Forest University, Kathy Poehling says babies were less likely to have the flu if their mothers had been vaccinated while pregnant. So she advises mothers to get vaccinated:
“Not only do they personally benefit, but there’s additional benefits for their children.’’ (4 seconds)

Antidepressants Don’t Impact Stimulants’ Efficacy in ADHD

August 17, 2011 Posted by Dr. Sasha Baston, DDS

Concomitant use of antidepressants doesn’t affect osmotic release oral system methylphenidate
In adults with attention deficit hyperactivity disorder (ADHD), concomitant use of antidepressants does not affect the safety or efficacy of osmotic release oral system methylphenidate (OROS-MPH), according to a study published online Aug. 5 in CNS Neuroscience & Therapeutics.

Joseph Biederman, M.D., from Massachusetts General Hospital in Boston, and colleagues examined whether the response to OROS-MPH was moderated by the concomitant use of antidepressants in adults with ADHD. A total of 223 patients with anxiety disorders and depression were analyzed, including 109 in the OROS-MPH group and 114 in the placebo group. Patients treated with a stable medication regimen of non-monoamine oxidase inhibitor antidepressants or benzodiazepines for at least three months were enrolled. Patients were required to have Hamilton-Depression and Hamilton-Anxiety scales below 15 (mild range) at the time they were enrolled.

The investigators found no association between concomitant antidepressant use at baseline and ADHD response, OROS-MPH dose, study completion rate, adverse effects, or worsening of anxiety or depression. There was nominally significant evidence of a lifetime history of mood or anxiety disorders being a moderator of ADHD symptoms. A potential moderator of dose at end point was a lifetime history of substance use disorder.

“We found few moderating effects in this large clinical trial of OROS-MPH in adults with ADHD, which supports the robustness of the clinical response to OROS-MPH in adult ADHD despite variable clinical pictures,” the authors write.

Silence is golden during eye injections

August 17, 2011 Posted by Dr. Sasha Baston, DDS

If you’re getting a drug injection for macular degeneration or another eye condition, a new study suggests you might want to make sure your doctor doesn’t talk while doing the procedure.

Researchers found that in just a few minutes of talking over an imaginary patient, unmasked volunteers spewed out bacteria which could potentially land on eyes or injection needles and cause infection.

One in every few thousand injections for vision loss results in endophthalmitis. But because patients typically need frequent injections, as many as 1 in 200 eventually get the infection.

Some of those infections are caused by Streptococcus, commonly found in the mouth.

The new finding “doesn’t prove anything conclusively,” said study author Dr. Colin McCannel, from the Jules Stein Eye Institute at the University of California, Los Angeles.

Still, he said, “My advice to patients would be, until the injection is complete … minimize conversation or talking with the physician.”

Dr. McCannel and his colleagues simulated a typical eye injection appointment in an ophthalmologist’s office. Volunteers stood in front of an exam chair, which had a plate for culturing bacteria placed where a patient’s head would be.

There, they read from a script for five minutes under different conditions — facing directly at the imaginary patient, with or without a mask, or facing sideways mask-free. Then, they stood in silence for five minutes. In a role reversal, the volunteers also took a go lying in the exam chair, reading the script with a bacteria plate mounted to their own foreheads.

When the 15 volunteers talked while wearing a mask or stood in silence, hardly any bacteria grew on the plates. But when they didn’t wear a face mask, either while facing the patient or turned away, most plates sprouted bacteria colonies. And when “patients” talked themselves, about half of the plates grew bacteria.

That shows that even though the eye injections aren’t major procedures and don’t happen in an operating room, patients and their doctors should still take the possibility of eye or injection needle contamination seriously, researchers said.

Teething an unlikely cause of serious symptoms

August 17, 2011 Posted by Dr. Sasha Baston, DDS

High fevers and other potentially serious symptoms in infants should not be written off as normal signs of teething, according to a new study.

The study, which followed 47 infants over eight months, found that teething typically caused fairly mild problems — including irritability, drooling, a day or so of diarrhea and poor sleep.

But it was not linked to any serious symptoms, like high fevers or prolonged bouts of diarrhea.

The findings, reported online August 8 in Pediatrics, are in line with other studies that have failed to connect teething to severe signs and symptoms.

On days when babies had a tooth erupt, they typically had a slight increase in temperature, explained Dr. Ramos-Jorge, a pediatric dentist at the Federal University of Minas Gerais in Brazil.

But they did not have outright fevers.

The findings are based on 47 Brazilian infants between the ages of 5 and 15 months. Over eight months, researchers visited their homes daily to take the babies’ temperature, check for tooth eruptions and interview mothers about any symptoms.

Overall, the study found, the babies were more likely to be fussy or have diarrhea, sleep problems or a poor appetite on the day a tooth emerged, or the day after. But the symptoms weren’t severe or prolonged.

Mouthwashing moms less likely to have an early labor

August 17, 2011 Posted by Dr. Sasha Baston, DDS

Expectant mothers who have gum disease are less likely to deliver their babies prematurely if they use mouthwash throughout their pregnancy, a new study suggests.

Pregnant women with periodontal disease are known to have more preemies than women with healthy gums. But it’s unclear whether that link is causal, and so whether better oral hygiene would make a difference.

The new study, although not ironclad proof, found that regularly using an alcohol-free mouth rinse appeared to cut women’s risk of early labor by about 75%.
The research team, which included staff and funding from Procter and Gamble, the company that markets the mouthwash used in the study, asked 71 pregnant women with gum disease to rinse twice a day for 30 seconds with Crest Pro Health mouthwash. The mouthwash does not contain alcohol.

They compared the number of pre-term births in this group to 155 pregnant women who also had gum disease, but rinsed only with water.

Among the water-only group, 34 mothers — or about one in five — delivered their babies before 35 weeks of pregnancy.

In the mouthwash group, just four mothers delivered their babies prematurely, which is about one in 20 births.

But she pointed out that the women knew which treatment they were getting — water or mouthwash — which in principle might have influenced the results.

Inflammation in gum disease involves the hormone-like substance prostaglandin E2, Dr. Jeffcoat explained. This same chemical is involved in labor.
The study, published online July 20th in the American Journal of Obstetrics and Gynecology, found that mouthwash did appear to help the gum disease.

Mothers who didn’t use the mouthwash had more inflammation and sites along the gums where the tissue would bleed.

Aggressive teeth-cleaning is also used to fight gum disease during pregnancy, and a study from April found the procedure appeared to be safe for expectant mothers.

But whether it has an effect on pre-term births is still unclear.