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New Report From Rep. Katie Porter Reveals How Big Pharma Pursues ‘Killer Profits’ at the Expense of Americans’ Health

Rep. Katie Porter on Friday published a damning report revealing the devastating effects of Big Pharma mergers and acquisitions on U.S. healthcare, and recommending steps Congress should take to enact “comprehensive, urgent reform” of an integral part of a broken healthcare system. 

“In 2018, the year that Donald Trump’s tax giveaway to the wealthy went into effect, 12 of the biggest pharmaceutical companies spent more money on stock buybacks than on research and development.”
—Report

The report, entitled Killer Profits: How Big Pharma Takeovers Destroy Innovation and Harm Patients, begins by noting that “in just 10 years, the number of large, international pharmaceutical companies decreased six-fold, from 60 to only 10.”

While pharmaceutical executives often attempt to portray such consolidation as a means to increase operational efficiency, the report states that “digging a level deeper ‘exposes a troubling industry-wide trend of billions of dollars of corporate resources going toward acquiring other pharmaceutical corporations with patent-protected blockbuster drugs instead of putting those resources toward’ discovery of new drugs.”

Merger and acquisition (M&A) deals are often executed to “boost stock prices,” to “stop competitors,” and to “acquire an innovative blockbuster drug with an enormous prospective revenue stream.” 

“Instead of spending on innovation, Big Pharma is hoarding its money for salaries and dividends,” the report says, “all while swallowing smaller companies, thus making the marketplace far less competitive.” 

Today, our office released a bombshell report exposing the devastating effects of Big Pharma’s mergers and acquisitions. Featuring exclusive interviews with former Immunex, and later Amgen employees, our report shows how consolidation curbs innovation at the expense of patients.

— Rep. Katie Porter (@RepKatiePorter) January 29, 2021

Our report is clear: Consolidation destroys scientific cultures that once celebrated creativity and transforms them into places that cater to the whims of shortsighted shareholders.

But our investigation also shows how we can chart a new path forward https://t.co/1jxtK9J6rh

— Rep. Katie Porter (@RepKatiePorter) January 29, 2021

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The report calls M&As “just the tip of the iceberg of pharmaceutical companies’ anti-competitive, profit-driven behaviors”:

Pharmaceutical companies often claim that lowering the prices of prescription drugs in the United States would devastate innovation. Yet, as prices have skyrocketed over the last few decades, these same companies’ investment in research and development have failed to match this same pace. Instead, they’ve dedicated more and more of their funds to enrich shareholders or to purchase other companies to eliminate competition.

“In 2018, the year that [former President] Donald Trump’s tax giveaway to the wealthy went into effect, 12 of the biggest pharmaceutical companies spent more money on stock buybacks than on research and development,” the report notes.

Some key findings from the report:

“Competition is central to capitalism,” Porter said in a press release introducing the report. “As our report shows, Big Pharma has little incentive to invest in new, critically needed drugs. Instead, pharmaceutical giants are free to devote their resources to acquiring smaller companies that might otherwise force them to compete.”

“Lives are on the line; it’s clear the federal government needs to reform how it evaluates healthcare mergers and patent abuses,” Porter added. 

To that end, Porter’s report recommends the following actions:

“It’s time we reevaluate the standards for approving these mergers,” the report concludes. “It’s time we pass legislation to lower drug prices. And it’s time we rethink the structure of leadership at big pharmaceutical companies. Together, these strategies can help us bring more innovative, and critically needed, cures and treatments to market.”

This content was originally published here.

How Young Can Kids Get Braces? An Orthodontist Weighs In

Youve adored your childs goofy grin since forever. Then, those beautiful little baby teeth fall out and in come the permanent ones. If your kids teeth begin to grow in crooked or flaring, you might find yourself thinking about correcting that dental dilemma. So how young can your child get braces if it turns out they might need it not only for a straight smile, but also help the way they might eat and speak.

“The American Association of Orthodontics (AAO) recommends that children have their first orthodontic consultation at the age of seven, Dr. Erika Faust, an orthodontist at Elite Orthodontics in New York City, tells Romper. By this age, your childs first adult molars have appeared and her permanent bite has been established. So, if there is any deviation from a normal bite we can take steps to correct it early. Of course, there are some exceptions to this rule, such as correcting a thumb-sucking habit or for a patient who might need to learn proper tongue placement while swallowing, reported the American Association of Orthodontics (AAO).

During an initial visit, there are some things that orthodontists look for to see if getting braces at an early age might be necessary. At the first consultation, we determine if there are any severe bite or alignment issues that need to be immediately addressed, and if so, we begin treatment, says Dr. Faust. In many cases, more moderate orthodontic treatment is recommended and the patient can wait until most baby teeth have come out. That said, an early intervention procedure might be performed prior to getting braces, such as removing a baby tooth, so that a permanent tooth can take its place. Orthodontists also evaluate for proper tooth development and eruption to make sure that all of the permanent teeth are coming in properly. Thats why taking your child to the orthodontist for an initial appointment sooner rather than later can help determine if early intervention methods might be necessary.

In most cases, braces go on around ages 11-13. At this point, pretty much all of your childs baby teeth will have fallen out and hell have his permanent ones. And thats when you might start seeing superficial issues, like crowding or crooked teeth. But theres a small window when orthodontics will work, and thats mostly due to your child’s age and attitude. Starting treatment later than ages 11-13 risks poorer patient cooperation and the likelihood that treatment wont be finished before important life events like senior pictures, prom, and graduation, explains Dr. Faust. That’s why it’s best for your child to brace himself (ha) and get braces before becoming a full-blown teenager.

But having straight teeth isnt the only end goal of electing to get braces. Proper orthodontic treatment can allow your child to chew and eat correctly as well as speak more clearly. Jaw discrepancies are corrected much easier and faster in growing children than in adults, says Dr. Faust. Neglecting these issues can result in the need for a much longer time in braces in adolescence, extraction of permanent teeth, and in severe cases, jaw surgery later in life.

Getting braces is almost a rite of passage in the tween years. While most children should be assessed during their elementary school years, middle school is often when many kids begin orthodontic treatment. And before you know it, your child’s smile will be picture-perfect once again.

This content was originally published here.

Interest in vampires boosts the fang trade – Dentistry for the undead

VAMPIRES HAVE been a boon for Maven Lore’s bottom line. Once a graphic designer by trade, Mr Lore now makes fangs full-time in New Orleans. He attributes an increase in demand for his prosthetic vampire teeth to a growing interest in the undead. The popularity of vampire-themed films, novels and television programmes has helped create a customer base with a growing taste for fangs.

Halloween is now a billion-dollar industry in America. The National Retail Federation expected consumers to spend $8.8bn this year. Yet unlike candy corn or spider-web decorations, fangs have become a year-round phenomenon. Most of Mr Lore’s clients wear their fangs—which can cost as much as $1,200—regularly. Ninety percent of his customers are women between the ages of 20 and 40. They tend to be active in the vampire subculture of people who identify as or at least behave like vampires. Other customers want pointier teeth or simply think fangs will help them express their personalities better—“like jewellery”, Mr Lore says.

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A “fangsmith” in industry parlance, Mr Lore begins making vampire teeth by examining a client’s face and smile. He then tries to match the shade of the client’s human teeth to one of six acrylic tones. Next, he rolls two small balls of putty between his fingers and places each shaped fang on the tooth it is meant to cover—either the canine or the incisor, depending on the style. Finally, Mr Lore asks clients to hold their lips up for about five minutes as the acrylic sets.

Ninety percent of the time the fit is so precise that the fangs—which are otherwise removable—remain in place without glue. Unless, that is, they are being fitted on dentures, in which case they require a bit of adhesive.

Among Mr Lore’s most popular fangs are his Classic Canines, which look friendly, as fangs go. The Daywalkers are a double set covering the canine and the lateral incisor teeth that mimic fangs appearing in films such as “Underworld” and “The Vampire Diaries”.

Teresia Lischewski (pictured) bought a pair of Mr Lore’s fangs last Halloween and wears them “as often as humanly possible”. She says she gets regular use out of her fangs by attending vampire balls, comic-book conventions and events in the world of cosplay, in which humans dress up as characters from cartoons or video games. Ms Lischewski’s vampire teeth have been so well received that her human husband is even saving up for a pair of his own.

This content was originally published here.

Legislator who questioned Black hygiene to lead health panel

COLUMBUS, Ohio (AP) — A Republican lawmaker and doctor who questioned whether members of “the colored population” were disproportionately contracting the coronavirus because of their hygiene is drawing new criticism from Black lawmakers after his appointment to lead the state Senate Health Committee.

“Could it just be that African Americans – or the colored population — do not wash their hands as well as other groups? Or wear masks? Or do not socially distance themselves?” state Sen. Stephen Huffman asked a Black health expert in June 11 testimony. “Could that just be the explanation of why there’s a higher incidence?”

The comments resulted in calls from Democrats and the ACLU of Ohio for him to resign from the GOP-controlled Senate.

Huffman, of Tipp City, was appointed last week by Senate President Matt Huffman, his cousin, to chair the committee even after he was fired from his job as a Dayton-area emergency room physician for his comments.

In a letter Wednesday, the Ohio Black Legislative Caucus demanded a health committee leader who understands and can respond to the inequities of healthcare in Ohio “without political influence.”

“If the Senate leadership will not replace Sen. Huffman as Chair, then we will expect Sen. Huffman to use his position to improve the health of Ohio’s African-American population by working with OLBC to pass legislation that effectively addresses health disparities in the state of Ohio,” director Tony Bishop said in a news release.

Huffman remains a licensed medical doctor in Ohio.

“Senator Huffman is a medical doctor and highly qualified to chair the Health Committee,” spokesperson John Fortney said Friday in a written statement. “He has a long record of providing healthcare to minority neighborhoods and has joined multiple mission trips at his own expense to treat those from disadvantaged countries.

Fortney added that Huffman apologized at the time “for asking a clumsy and awkwardly worded question.”

“Sincere apologies deserve sincere forgiveness, and not the perpetual politically weaponized judgement of the cancel culture,” he said.”

Farnoush Amiri is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.

This content was originally published here.

Health care worker taken to ER just a few hours after getting second COVID-19 vaccine shot. Four days later he was dead.

An X-ray technologist from Orange, California, fell ill and was taken to an emergency room just a few hours after receiving his second dose of Pfizer’s COVID-19 vaccine earlier this month — and four days later he was dead, the Orange County Register reported.

What are the details?

Tim Zook, 60, seemed quite hopeful in a Jan. 5 Facebook post, the Register said.

“Never been so excited to get a shot before,” Zook wrote above a photo of a Band-Aid on his arm and his COVID-19 vaccination card, the paper reported. “I am now fully vaccinated after receiving my 2nd Pfizer dose.”

It would turn out to be his final Facebook post.

Just a few hours later, Zook — an X-ray technologist at South Coast Global Medical Center in Santa Ana — had an upset stomach and trouble breathing, the Register said. By 3:30 p.m. his condition worsened so much that his co-workers walked him to the emergency room, the paper added.

“Should I be worried?” his wife, Rochelle, texted him when after receiving the news, the Register said.

“No, absolutely not,” Zook texted back, the paper noted.

“Do you think this is a direct result of the vaccine?” she texted, the Register noted.

“No, no,” he replied, according to the paper. “I’m not sure what. But don’t worry.”

The Register said Zook “passionately urged folks to embrace COVID precautions such as masking up and staying home as ICUs were inundated in December.”

Rapid decline

But Zook’s condition quickly worsened.

There were suspicions of COVID and a diagnosis of congestive heart failure. Zook was put on oxygen, then — just four hours later — a BiPAP machine to help push air into the lungs. Multiple tests came back negative for COVID.

Shortly after midnight on Jan. 7, the hospital called. Zook was in a medically induced coma and on a ventilator to help him breathe. But his blood pressure soon dropped and he was transferred to UC Irvine Medical Center. “On Friday I get a call, ‘His kidneys are failing. He needs to be on dialysis. If not, he could die — but there’s also a chance he might have a heart attack or stroke on dialysis because his blood pressure is so low,’ ” Rochelle Zook said.

By 4 a.m. Saturday, Jan. 9, Zook had gone “code blue” twice and was snatched back from the brink of death. There was a third code blue in the afternoon. “They said if he went code blue a fourth time, he’d have brain damage and be a vegetable if he survives,” Rochelle Zook said.

Zook died later that day, the paper said.

‘We are not blaming any pharmaceutical company’

“We are not blaming any pharmaceutical company,” Rochelle Zook told the Register. “My husband loved what he did. He worked in hospitals for 36 1/2 years. He believed in vaccines. I’m sure he would take that vaccine again, and he’d want the public to take it. But when someone gets symptoms 2 1/2 hours after a vaccine, that’s a reaction. What else could have happened? We would like the public to know what happened to Tim, so he didn’t die in vain. Severe reactions are rare. In reality, COVID is a much more deadly force than reactions from the potential vaccine itself. The message is, be safe, take the vaccine — but the officials need to do more research. We need to know the cause. The vaccines need to be as safe as possible. Every life matters.”

Zook’s widow also told the paper he had high blood pressure, but that for years it had been controlled with medication. Zook was slightly overweight but healthy, the Register added.

“He had never been hospitalized,” Rochelle Zook told the paper. “He’d get a cold and be over it two days later. The flu, and be over it three days later.”

His death has been reported to the national Vaccine Adverse Event Reporting System, run by the Food and Drug Administration and Centers for Disease Control. The Orange County coroner has said the cause of death is inconclusive for now, and further toxicology testing will take months.

“The family just wants closure,” said Zook’s cousin, Ken Polanco of Los Angeles. ” ‘Inconclusive’ is not closure. The family wants the pharmaceutical companies to do more research — if there’s some sort of DNA that doesn’t work with this vaccine, if episodes like this can be prevented, they need to do what they can to pin that down.” […]

The Vaccine Adverse Event Reporting System — which officials caution is a “passive surveillance system” and represents unverified reports of health events that occur after vaccination — has gathered more than 130 reports of death after vaccine administration thus far in 2021. A total of 1,330 adverse reactions have been reported, while more than 23.5 million doses of the Pfizer and Moderna vaccines have been administered.

Experts caution that drawing a causal line between vaccination and death is often very difficult to do. When millions of people are being vaccinated — more than 13 million have gotten the Pfizer vaccine as of Jan. 26, and more than 10.5 million have received the Moderna vaccine — some would die for any number of unrelated reasons, as a matter of pure statistics.

What did Pfizer have to say?

A Pfizer-BioNTech spokesman told the paper that pharmaceutical company is aware of Zook’s death and is thoroughly reviewing the matter.

“Our immediate thoughts are with the bereaved family,” the company said in an emailed statement, the Register reported. “We closely monitor all such events and collect relevant information to share with global regulatory authorities. Based on ongoing safety reviews performed by Pfizer, BioNTech and health authorities, [the vaccine] retains a positive benefit-risk profile for the prevention of COVID-19 infections. Serious adverse events, including deaths that are unrelated to the vaccine, are unfortunately likely to occur at a similar rate as they would in the general population.”

The Orange County coroner said it has an open death investigation for Zook and will be conducting more tests as part of its autopsy protocol, spokeswoman Carrie Braun told the paper, adding that the coroner’s office will use its findings to issue a final determination concerning the cause and manner of death.

“If it’s determined there may be a correlation to the vaccine, we will immediately notify the OC Health Care Agency,” Braun added to the Register.

This content was originally published here.

Candid adds connected device to remote orthodontics – MedCity News

The ScanBox connected device helps to monitor patients who are using aligners virtually.

The device looks like a virtual-reality headset. But instead of covering people’s eyes, it peers into their mouths.

A teledentistry startup — Candid — hopes the device can give it an edge in the crowded field of straightening people’s teeth.

The company is one of several offering clear teeth aligners and treatment plans to match. This year the company has been field-testing a technology called Dental Monitoring that involves handing patients a connected device, called a ScanBox. The device connects to a patient’s smartphone, captures images and sends them to a remote orthodontist. The uploaded images also are scanned using an AI algorithm that can track a patient’s progress, assess their oral hygiene and detect any potential health issues, such as visible cavities or gingival recession.

Patients are asked to send images every seven to 10 days, more often than they would go for checkups at a traditional orthodontist, said Dr. Lynn Hurst, chief dental officer for Candid, in a phone interview.

Hurst, who is based in Austin, Texas, had been using an earlier version of the technology in his own practice since 2016. The introduction of the ScanBox has made it easier to use, he said.

“It’s extremely robust,” Hurst said.

Based in New York City, Candid was founded in 2017 and features a network of several dozen orthodontists. Some patients may be assessed in one of Candid’s retail studios in major cities like Atlanta, Chicago, San Diego and Seattle. Others come through online channels.

An orthodontist reviews each patient’s case, determines whether they are eligible for treatment and, if so, comes up with a treatment plan. The aligners are then mailed to patients, who generally must be at least 16 years old and have mild to moderate alignment issues. Orthodontists monitor their treatment.

Altogether, the program costs about one-third as much as traditional teeth straightening, said Nick Greenfield, Candid’s president and CEO.

Dental Monitoring will add a couple hundred dollars to the price. But patients using the ScanBox have been more likely to stick to their treatment plans and complete their plans more quickly, Greenfield said in a phone interview. Compliance typically is around 80% range. Patients on Dental Monitoring were 95% compliant, he said. And their treatment time was 27% shorter on average.

The company evaluated other devices but its orthodontists liked the Dental Monitoring program best. The ScanBox and the program are the products of a company itself called Dental Monitoring.

“For us it was a really exciting opportunity,” Greenfield said, adding that Candid’s goal is to make care safe, accessible and affordable.

The global market for clear aligners is valued at roughly $2.2 billion but is expected to reach $8.2 billion by 2026, according to a report by Fortune Business Insights. Candid has plenty of company in the market. There are Invisalign clear aligners made by Align Technology Inc. and mail-order provider SmileDirectClub Inc. SmileDirectClub went public this year but has faced criticism, as has remote orthodontics in general. The American Association of Orthodontists has issued a consumer alert on direct-to-consumer orthodontic companies.

However, Candid executives defended their approach saying that it exceeds the standard of care offered in bricks-and-mortar offices.

“Not only am I doing what they’re doing in their practices, I’m actually going beyond that,” said Hurst, a co-founder of Candid. He sees patients through the Candid platform and noted that it is designed and implemented by orthodontists themselves.

“I think that’s extremely critical,” Hurst said. “We’re the experts in that space.”

Hurst was one of five orthodontists in the Candid network who field-tested the Dental Monitoring program. It was offered first to patients who came in through Candid’s studios, where aides could train patients in using the ScanBox. In early 2020 it will be available to patients online.

The program also could allow Candid to expand into moderate and moderate-to-severe cases of misaligned teeth, a condition known as malocclusion, Hurst said.

For now, he said, “We’re just choosing to stay in the shallow end of the pool.”

Hurst said his practice also has been testing remote services for patients under 16, though it means ensuring parents are on board as well.

So far Hurst has tested starting treatment of children with in-person consults at a Candid studio and with remote consults via audio-video conference. Those have gone well, he said. The next step is to start treatment entirely online, where a patient uploads information and waits for the orthodontist’s response and treatment plan.

“Ultimately our patients will tell us, and our parents will tell us, does that make them comfortable,” Hurst said.

Photo: Candid

CORRECTION: An earlier version of the story wrongly identified the chief dental officer of Candid. His name is Lynn Hurst and not Nick Hurst. The company is based in New York, not Austin.

This content was originally published here.

7 summertime dental tips from Vestavia Family Dentistry and Facial Aesthetics

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Vestavia Family Dentistry
The staff at Vestavia Family and Facial Aesthetics Dentistry staff

What is it about summer and forgetting to take care of our teeth?

Is it the oppressive heat in Birmingham, Alabama or just having more time on our hands? We all seem to lapse into some bad habits concerning our dental care. Think about it – Summer is the only time we all try “Pop Rocks and Cokes”… Right?

Let’s get the summer started off right in 2019. Dr. G. Robin Pruitt, Jr. and the staff at Vestavia Family Dentistry & Facial Aesthetics gave Bham Now some useful tips to pass along to our readers for the summer. Check them out.

Front entrance of Vestavia Family Dentistry & Facial Aesthetics

Tip #1 – Drink the right beverage

It is hot out there. Birmingham has already experienced record high temperatures reaching in the mid 90s in May. This summer, stay hydrated and healthy. But think carefully when you choose your beverage – some drinks can increase your risk of tooth decay.

For example – When you are hot, you sweat. Don’t reach for a sports drink to rehydrate. Many sports drinks contain sugar as their top ingredient and can be as bad for your teeth as drinking soda. If you are going to have a sports drink, look for one that is low in sugar to prevent damage to your teeth.

The best alternative? Water. Keep your mouth moist by drinking water throughout the day. This helps wash away plaque-causing bacteria and can even improve your breath. Also, save some money by choosing tap – fluoridated tap water which strengthens your enamel, making your teeth more resistant to decay.

Tip #2 – Avoid bubbles, try tea

Photo from Milos Tea Facebook page

Simply put, drinks with bubbles – the carbonated drinks which may contain acid – can wear down your enamel. If you must drink the carbonated drinks use a straw. This reduces contact with your teeth. Finish the drink quickly, instead of sipping over a long period of time. Same concept. Less contact, less damage to your teeth.

An alternative to the bubbles. Along with water, try tea. Tea contains compounds that suppress bacteria, slowing down tooth decay and gum disease. Just remember: Don’t add sugar!

Tip #3 – Don’t chew ice

Chewing ice may cool you off on a hot summer day, but it is not good for your teeth. Use ice as something to cool your drink and not as a food. Chewing ice can leave your teeth weak and vulnerable to breaking and can cause damage to your enamel.

Tip #4 – Teeth Healthy Snacks

Whether it is packing snacks for summer day camps or on vacation. Choose teeth-healthy snacks. Fresh foods are full of vitamins and dairy products such as cheese & yogurts are full of calcium. Make sure to pack a healthy snack for days on the go!

Tip #5 – Play Sports – Protect your teeth

. Photo via Children’s of Alabama’s Instagram

Stay safe during summer activities – Wear a mouthguard during summer sports. Even though summer sports may not be high contact, your teeth can still be at risk if you take a fall. Also, don’t run at the pool – wouldn’t want to slip and fall! Be safe and protect your teeth.

Tip #6 – Pack a dental “kit” for those vacations

Don’t you hate checking into a hotel or beginning that camping trip on that summer vacation and you notice your remembered the shampoo and soap, but forgot the toothbrush, floss and mouthwash. Hop on over to the local drugstore and fully stock your travel bag with all these dental necessities for the whole family.

Tip #7 Make your summer appointment now

Stay on routine and go ahead and schedule your end-of-summer appointment – it’s a good idea to make your child’s back-to-school appointment early in the summer to avoid the August rush and help ensure you get the appointment time that works best for you.

If you have any questions about any of these tips, Dr. Pruitt and the staff at Vestavia Family Dentistry & Facial Aesthetics welcome your questions and will try to provide you answers.

Also, feel free to re-visit their New Year’s resolution list of tips story – Vestavia Family Dentistry & Facial Aesthetics recommends 5 dental resolutions for 2019.

Who says you can’t make mid-year summer dental resolutions too!

Reach them at 205-823-3223 or visit their website at:

http://www.vestaviafamilydentistry.com

Sponsored by:

The post 7 summertime dental tips from Vestavia Family Dentistry and Facial Aesthetics appeared first on Bham Now.

This content was originally published here.

Lawyer for ‘QAnon shaman’ claims client’s health deteriorating in jail without organic food – POLITICO

Last week, Chansley filed a request for organic food, which he said is all he has eaten for the past eight years, according to court documents. He said the last time he ate was the morning of Jan. 25 and asked for some canned vegetables, canned wild-caught tuna or organic canned soup.

“I will continue to pray thru the pain and do my best not to complain,” Chansley wrote in the request. “I have strayed from my spiritual diet only a few times over the last 8 years with detrimental physical effects. As a spiritual man I am willing to suffer for my beliefs, hold to my convictions, and the weight of their consequences.”

Eric Glover, general counsel for Washington, D.C.,’s Department of Corrections, disputed that Chansley hasn’t eaten in a Tuesday email to Watkins filed in court documents.

At a hearing Friday, a judge urged Chansley’s lawyer to try to work out the issues related to his diet with Glover. Chansley’s request for organic food was denied on Monday, according to the documents, which said his claims had no “religious merit.”

In the filing Wednesday, Watkins called for Chansley to be released before his trial, saying he doesn’t have a criminal history, wasn’t “part of a grand scheme to … overthrow the Government” and that it would remove any issues with Chansley’s “worsening health situation.” Watkins wrote Wednesday that Chansley has also been compliant with the FBI. The judge in the case has said he’d be open to considering bail for him in early March.

The Phoenix man was among the first people indicted by federal prosecutors in wake of the Capitol insurrection that left five people dead. Chansley, also known as Jake Angeli, was charged with violating the Federal Anti-Riot Act and obstructing Congress, among other charges. Former President Donald Trump was subsequently impeached for inciting an insurrection. Chansley would also be willing to testify at Trump’s Senate trial next week, Watkins has previously said.

Prosecutors have argued Chansley was “an active participant in” the “violent insurrection,” suggesting charges of sedition or insurrection could be in the works for people involved.

The horns and fur Chansley wore Jan. 6 that made him one of the most recognizable faces of the riots were all part of his “Shaman beliefs,” Watkins wrote in the filing Wednesday.

Watkins also argued in his Wednesday filing that Trump incited the riot by saying “‘if you don’t fight like hell you’re not going to have a country anymore” at a rally before the riot. In an interview on CNN in wake of the riots, Watkins said Chansley “felt like he was answering” Trump’s call and called on Trump to give him a pardon.

“He felt like his voice was, for the first time, being heard,” Watkins said of Chansley. “And what ended up happening, over the course of the lead-up to the election, over the course of the period from the election to Jan. 6 — it was a driving force by a man he hung his hat on, he hitched his wagon to. He loved Trump. Every word, he listens to him.”

This content was originally published here.

Canadian Man Accused Of Unauthorized Horse Dentistry: ‘A Display of Lawless Bravado’

A Canadian man is facing a lifetime ban on practicing veterinary medicine after accusations he’s been performing unauthorized horse dentistry.

The Manitoba Veterinary Medical Association (MVMA) is seeking a permanent injunction against Kelvin Brent Asham, accused of treating horses—including giving one horse a sedative—without veterinary certification.

An investigator described Asham’s actions as “a display of lawless bravado,” according to court documents.

The MVMA says it’s been trying to stop Asham for the past three years: It first became aware of his activities in 2015, when a complaint was filed about a 16-year-old gelding he had treated. Asham sedated the horse, filed down its teeth—a process known as “floating”—pulled one tooth and tried to extract another.

horse teeth dentist
The sharp edges of horses’ teeth occasionally needs to be filed down to save the horse from pain when eating or holding a bit in its mouth. The term “floating” comes from the file used in the process, known as a “float.”
Anna Elizabeth/Getty

Leon Flannigan, an animal protection officer in Manitoba, investigated the claims and determined the horse had suffered “irreparable damage.” In an affidavit, Flannigan said he’d met with Asham in 2016 at a Tim Horton’s donut shop in Selkirk. Asham allegedly told Flannigan he’d been floating horse teeth since 1996 and had performed the procedure on four other horses owned by the same person as the gelding.

Asham also told Flannigan that most vets float teeth improperly, and that he had different tools than vets use. “Off the record, I do thousands of horses,” Asham allegedly told Flannigan. “I do a good job. I am willing to fight this in court.”

This incident caused the MVMA to send Asham a cease-and-desist letter in 2017, as he is not a licensed veterinarian.

But last year, the MVMA found out that Asham was still working as a equine dentist and was recommended on Facebook. The MVMA hired private investigator Russ Waugh to go undercover and try to hire Asham.

According to Waugh’s affidavit, Asham told him the horse Waugh brought in could be treated for $200 CAD (about $150), the average price for floating teeth. After the investigation, the MVMA filed suit against Asham, asking a judge to ban Asham from acting as a vet.

“By engaging in the unauthorized practice of veterinary medicine, the respondent effectively declares himself to be outside the law,” writes Robert Dawson, an attorney for the association.

This isn’t Asham’s first run-in with the law: In December 2001, the then-37-year-old was arrested after admitting to carrying 10 one-kilogram bricks of cocaine in his truck. Asham and Barry Vaughan Hancock, who was also in the truck when it was pulled over, were each charged with possession of cocaine for the purposes of trafficking.

At the time, Hancock was an equine dentist.

This content was originally published here.

The year global health went local

We are writing this letter after a year unlike any other in our lifetimes.

Two decades ago, we created a foundation focused on global health because we wanted to use the returns from Microsoft to improve as many lives as possible. Health is the bedrock of any thriving society. If your health is compromised—or if you’re worried about catching a deadly disease—it’s hard to concentrate on anything else. Staying alive and well becomes your priority to the necessary detriment of everything else.

Over the last year, many of us have experienced that reality ourselves for the first time. Almost every decision now comes with a new calculus: How do you minimize your risk of contracting or spreading COVID-19? There are probably some epidemiologists reading this letter, but for most people, we’re guessing that the past year has forced you to reorient your lives around an entirely new vocabulary—one that includes terms like “social distancing” and “flattening the curve” and the “R0” of a virus. (And for the epidemiologists reading this, we bet no one is more surprised than you that we now live in a world where your colleague Anthony Fauci has graced the cover of InStyle magazine.)

Bill:
Fans of the movie Contagion might have already known this.

When we wrote our last Annual Letter, the world was just starting to understand how serious a novel coronavirus pandemic could get. Even though our foundation had been concerned about a pandemic scenario for a long time—especially after the Ebola epidemic in West Africa—we were shocked by how drastically COVID-19 has disrupted economies, jobs, education, and well-being around the world.

Only a few weeks after we first heard the word “COVID-19,” we were closing our foundation’s offices and joining billions of people worldwide in adjusting to radically different ways of living. For us, the days became a blur of video meetings, troubling news alerts, and microwaved meals.

Melinda:
Neither of us are decent cooks.
I miss him every day.

But the adjustments the two of us have made are nothing compared to the impact the pandemic has had on others. COVID-19 has cost lives, sickened millions, and thrust the global economy into a devastating recession. One and a half billion children lost time in the classroom, and some may never return. Essential workers are doing impossible jobs at tremendous risk to themselves and their families. Stress and isolation have triggered far-reaching impacts on mental health. And families in every country have had to miss out on so many of life’s most important moments—graduations, weddings, even funerals. (When Bill Sr. died last September, it was made even more painful by the fact we couldn’t all come together to mourn.)

History will probably remember these last couple of months as the most painful point of the entire pandemic. But hope is on the horizon. Although we have a long recovery in front of us, the world has achieved some significant victories against the virus in the form of new tests, treatments, and vaccines. We believe these new tools will soon begin bending the curve in a big way.

The moment we now find ourselves in calls to mind a quote from Winston Churchill. In the fall of 1942, he gave a famous speech marking a military victory that he believed would be a turning point in the war against Nazi Germany. “This is not the end,” he warned. “It is not even the beginning of the end. But it is, perhaps, the end of the beginning.”

When it comes to COVID-19, we are optimistic that the end of the beginning is near. We are also realistic about what it’s taken to get here: the largest public health effort in the history of the world—one involving policymakers, researchers, healthcare workers, business leaders, grassroots organizers, religious communities, and so many others working together in new ways.

Melinda:
Many of the parents who took on added caregiving responsibilities when schools closed last March.

That kind of shared effort is important, because in a global crisis like this one, you don’t want companies making decisions driven by a profit motive or governments acting with the narrow goal of protecting only their own citizens. You need a lot of different people and interests coming together in goodwill to benefit all of humanity.

Philanthropy can help facilitate that cooperation. Because our foundation has been working on infectious diseases for decades, we have strong, long-standing relationships with the World Health Organization, experts, governments, and the private sector. And because our foundation is specifically focused on the challenges facing the world’s poorest people, we also understand the importance of ensuring that the world is considering the unique needs of low-income countries, too.

To date, our foundation has invested $1.75 billion in the fight against COVID-19. Most of that funding has gone toward producing and procuring crucial medical supplies. For example, we backed researchers developing new COVID-19 treatments including monoclonal antibodies, and we worked with partners to ensure that these drugs are formulated in a way that’s easy to transport and use in the poorest parts of the world so they benefit people everywhere.

Bill:
These are manufactured antibodies that grab onto a virus and disable it, just as the naturally occurring antibodies in your immune system do.

We’ve also supported efforts to find and distribute safe and effective vaccines against the virus. Over the last two decades, our resources backed the development of 11 vaccines that have been certified as safe and effective, and our partners have been applying the lessons we learned along the way to the development of vaccines against COVID-19.

Melinda:
These include vaccines for pneumonia, cholera, meningitis, rotavirus, typhoid, and Japanese encephalitis—which together have saved millions of lives.

It’s possible that by the time you read this, you or someone you know may have already received a COVID-19 vaccine. The fact that these vaccines are already becoming available is, we think, pretty remarkable—especially considering that COVID-19 was a virtually unknown pathogen at the beginning of 2020 and how rigorous the process is for proving a vaccine’s safety and efficacy. (It’s important that people understand that even though these vaccines were developed on an expedited timeline, they still had to meet strict guidelines before being approved.)

No one country or company could have achieved this alone. Funders around the world pooled resources, competitors shared research findings, and everyone involved had a head start thanks to many years of global investment in technologies that have helped unlock a new era in vaccine development. If the novel coronavirus had emerged in 2009 instead of 2019, the road to a vaccine would have been much longer.

Of course, creating safe and effective vaccines in a laboratory is only the beginning of the story. Because the world needs billions of doses in order to protect everyone threatened by this disease, we helped partners figure out how to manufacture vaccines at the same time as they were being developed (a process that usually happens sequentially).

Bill:
This is why some people were able to get the COVID-19 vaccine as soon as it received FDA approval.

Now, the world has to get those doses out to everyone who needs them—starting with frontline health workers and other high-risk groups. Our foundation has worked with manufacturers and partners to deliver other vaccines cheaply and on a very large scale in the past (including to 822 million kids in low-income countries through Gavi, the Vaccine Alliance), and we’re doing the same with COVID-19.

Melinda:
And that women who don’t want to get pregnant continue to have access to contraceptives.

Our foundation and its partners have pivoted to meet the challenges of COVID-19 in other ways as well. When our friend Warren Buffett donated the bulk of his fortune to double our foundation’s resources in 2006, he urged us to stay focused on the issues that have always been central to our mission. Tackling COVID-19 was an essential part of any global health work in 2020, but it hasn’t been our sole focus over the last year. Our colleagues continue to make progress across all of our program areas.

The malaria team has had to rethink how to distribute bed nets in a time when it’s no longer safe to hold an event to give them to a lot of people at once. We’re helping partners understand COVID-19’s impact on pregnant women and babies and making sure that they continue to receive essential health services. Our education partners are helping teachers adjust to a world where their laptop is their classroom. In other words, we remain trained on the same goal we’ve had since our foundation opened its doors: making sure every single person on the planet has the chance to live a healthy and productive life.

A high school teacher in Seoul, Korea, works with her students remotely. (Chung Sung-Jung/Getty Images)
Health workers deliver mosquito nets in Benin. (Yanick Folly/Getty Images)
A high school teacher in Seoul, Korea, works with her students remotely. (Chung Sung-Jung/Getty Images)
Health workers deliver mosquito nets in Benin. (Yanick Folly/Getty Images)
A healthcare worker wearing personal protective equipment helps a pregnant woman in labor in Ankara, Turkey. (Ozge Elif Kizil/Getty Images)
A young woman talks about contraception at a community center in Nairobi, Kenya. (Alissa Everett/Getty Images)
A healthcare worker wearing personal protective equipment helps a pregnant woman in labor in Ankara, Turkey. (Ozge Elif Kizil/Getty Images)
A young woman talks about contraception at a community center in Nairobi, Kenya. (Alissa Everett/Getty Images)

If there’s a reason we’re optimistic about life on the other side of the pandemic, it’s this: While the pandemic has forced many people to learn a new vocabulary, it’s also brought new meaning to old terms like “global health.”

In the past, “global health” was rarely used to mean the health of everyone, everywhere. In practice, people in rich countries used this term to refer to the health of people in non-rich countries. A more accurate term probably would have been “developing country health.”

This past year, though, that changed. In 2020, global health went local. The artificial distinctions between rich countries and poor countries collapsed in the face of a virus that had no regard for borders or geography.

We all saw firsthand how quickly a disease you’ve never heard of in a place you may have never been can become a public health emergency right in your own backyard. Viruses like COVID-19 remind us that, for all our differences, everyone in this world is connected biologically by a microscopic network of germs and particles—and that, like it or not, we’re all in this together.

Melinda:
Growing up, I heard a lot about how WWII had changed my family’s life—especially my maternal grandmother’s. She’s one of the many women who entered the workforce to fill roles left open by men fighting overseas.

We hope the experience we’ve all lived through over the last year will lead to a long-term change in the way people think about global health—and help people in rich countries see that investments in global health benefit not only low-income countries but everyone. We were thrilled to see the United States include $4 billion for Gavi in its latest COVID-19 relief package. Investments like these will put all of us in a better position to defeat the next set of global challenges.

Just as World War II was the defining event for our parents’ generation, the coronavirus pandemic we are living through right now will define ours. And just as World War II led to greater cooperation between countries to protect the peace and prioritize the common good, we think that the world has an important opportunity to turn the hard-won lessons of this pandemic into a healthier, more equal future for all.

In the rest of this letter, we write about two areas we see as essential to building that better future: prioritizing equity and getting ready for the next pandemic.

This content was originally published here.

Important Studies on Opioid Prescribing: Implications for Dentistry – TeethRemoval.com

Recently on this site several articles have appeared discussing opioid prescribing after wisdom teeth removal see for example the posts Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? and Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse. Very recently several interesting studies regarding opioid prescribing have published.

The first study is titled “Trends in Opioid Prescribing for Adolescents and Young Adults in Ambulatory Care Settings” written by Hudgins et al. appearing in Pediatrics in June 2019 (vol.143, no. 6, e20181578). The article explored opioid prescribing for adolescents (ages 13 to 17) and young adults (ages 18 to 22) receiving care in emergency departments and outpatient clinics. Data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) and National Ambulatory Medical Care Survey (NAMCS) over the time period from January 1, 2005, to December 31, 2015 was used. It was found the most common conditions associated with opioid prescribing among adolescents visiting emergency departments was dental disorders (59.7%), clavicle fractures (47%) and ankle fractures (38.1%) and among young adults visiting emergency departments was dental disorders (57.9%), low back pain (38%), and neck sprain (34.8%). Thus in both cases when someone ages 13 to 22 goes to an emergency department because of a dental disorder they are nearly 60% likely to leave with an opioid prescription. Studies suggest that adolescents and young adults are the most likely to misuse and abuse opioid medications. Thus the authors imply it is possible that many of these opioids being prescribed for dental disorders are being used for non medical use.

An accompanying commentatory of the article by Hudgins also provides additional insights into the article titled “Opioids and the Urgent Need to Focus on the Health Care of Young Adults” written by Callahan also appearing in Pediatrics in June 2019 (vol. 143, no. 6, e20190835). Callahan says that research looking at young adults is often not available as they often get grouped into adolescents in studies. Callahan states:

“Efforts to improve research and health care for young adults are further hindered by (1) the lack of a consensus definition of young adulthood, (2) the false perception that young adults are healthy, (3) fragmented health insurance coverage during young adulthood, and (4) little organized advocacy on behalf of young adults.”

Callahan thus calls for more research tailored to young adults. Young adults are of course a target demographic for wisdom teeth surgery.

The second study is titled “Comparison of Opioid Prescribing by Dentists in the United States and England” written by Suda et al. appearing in JAMA Network Open in 2019 (vol. 2, no. 5,e194303). The article explored opioid prescribing differences by dentists in the United States of America and England. The authors looked at data from IQVIA LRx in the U.S. and the NHS Digital Prescription Cost Analysis in England. The authors found in 2016 dentists prescribed more than 11,440,198 opioid prescriptions in the U.S. and 28,082 opioid prescriptions in England. Dental prescriptions for opioids were 37 times greater in the US than in England. In the U.S. various opioids were prescribed including hydrocodone-based opioids (62.3% of time), codeine (23.2% of the time), oxycodone (9.1% of the time), and tramadol (4.8% of the time) whereas in England only the codeine derivative dihydrocodeine was prescribed. The authors state:

“The significantly higher opioid prescribing occurs despite similar patterns of receiving dental care by children and adults, no difference in oral health quality indicators, including untreated dental caries and edentulousness, and no evidence of significant differences in patterns of dental disease or treatment between the 2 countries.”

The authors in the article by Suda point out that the patients included in the study from England were limited to receiving medications from the U.K.’s National Health Service. However they feel that their study shows that U.S. dentists prescribe too many opioids and this practice is contributing to the opioid epidemic in the U.S.

In both studies above it seems that the authors feel that patients in the U.S. are receiving too many opioids for dental related issues and that other medications that can provide pain relief should be given. When opioids are given they should be prescribed in the shortest duration necessary to deal with the expected amount of pain the patient is dealing with. However, a limitation of both studies is the authors were unable to assess the appropriateness of the opioid prescriptions given.

This content was originally published here.

Health care worker dies after second dose of COVID vaccine, investigations underway

Tim Zook’s last post on Facebook brimmed with optimism. “Never been so excited to get a shot before,” he wrote on Jan. 5, above a photo of the Band-Aid on his arm and his COVID-19 vaccination card. “I am now fully vaccinated after receiving my 2nd Pfizer dose.”

Zook, 60, was an X-ray technologist at South Coast Global Medical Center in Santa Ana. A couple of hours later, he had an upset stomach and trouble breathing. By 3:30 p.m. it was so bad his colleagues at work walked him to the emergency room. “Should I be worried?” his wife, Rochelle, texted when she got the news. “No, absolutely not,” he texted back. “Do you think this is a direct result of the vaccine?” she typed. “No, no,” he said. “I’m not sure what. But don’t worry.”

There were suspicions of COVID and a diagnosis of congestive heart failure. Zook was put on oxygen, then — just four hours later — a BiPAP machine to help push air into the lungs. Multiple tests came back negative for COVID.

Tim Zook’s last Facebook post.

Shortly after midnight on Jan. 7, the hospital called. Zook was in a medically induced coma and on a ventilator to help him breathe. But his blood pressure soon dropped and he was transferred to UC Irvine. “On Friday I get a call, ‘His kidneys are failing. He needs to be on dialysis. If not, he could die — but there’s also a chance he might have a heart attack or stroke on dialysis because his blood pressure is so low,’ ” Rochelle Zook said.

By 4 a.m. Saturday, Jan. 9, Zook had gone “code blue” twice and was snatched back from the brink of death. There was a third code blue in the afternoon. “They said if he went code blue a fourth time, he’d have brain damage and be a vegetable if he survives,” Rochelle Zook said.

Later that day, Tim Zook died.

Reaction? But no blame

“We are not blaming any pharmaceutical company,” said Rochelle Zook, a resident of Orange. “My husband loved what he did. He worked in hospitals for 36 1/2 years. He believed in vaccines. I’m sure he would take that vaccine again, and he’d want the public to take it.

“But when someone gets symptoms 2 1/2 hours after a vaccine, that’s a reaction. What else could have happened? We would like the public to know what happened to Tim, so he didn’t die in vain. Severe reactions are rare. In reality, COVID is a much more deadly force than reactions from the potential vaccine itself.

“The message is, be safe, take the vaccine — but the officials need to do more research. We need to know the cause. The vaccines need to be as safe as possible. Every life matters.”

Zook had high blood pressure, but that had been controlled with medication for years, she said. He was slightly overweight, but quite healthy. “He had never been hospitalized. He’d get a cold and be over it two days later. The flu, and be over it three days later,” she said.

His death has been reported to the national Vaccine Adverse Event Reporting System, run by the Food and Drug Administration and Centers for Disease Control. The Orange County coroner has labeled the cause of death “inconclusive” for now, and further toxicology testing will take months.

“The family just wants closure,” said Zook’s cousin, Ken Polanco of Los Angeles. ” ‘Inconclusive’ is not closure. The family wants the pharmaceutical companies to do more research — if there’s some sort of DNA that doesn’t work with this vaccine, if episodes like this can be prevented, they need to do what they can to pin that down.”

Other deaths post-vaccine

Zook’s death comes on the heels of a Florida doctor who died on Jan. 3, weeks after getting his first Pfizer shot. Gregory Michael, a 56-year-old obstetrician and gynecologist in Miami Beach, suffered idiopathic thrombocytopenic purpura (ITP), a rare immune disorder in which the blood doesn’t clot normally. His death is under investigation.

In California, Placer County officials said a man died shortly after receiving a COVID-19 vaccine on Jan. 21. They did not identify the vaccine or the person, but said he had tested positive for COVID in late December and that the vaccine was not given by the Placer County Public Health Department. Facebook posts say the man was a 56-year-old aide in a senior living facility. That death is under investigation as well.

Tim Zook had to work with COVID patients, and posted this selfie in full gear, urging people to be safe.

The Vaccine Adverse Event Reporting System — which officials caution is a “passive surveillance system” and represents unverified reports of health events that occur after vaccination — has gathered more than 130 reports of death after vaccine administration thus far in 2021. A total of 1,330 adverse reactions have been reported, while more than 23.5 million doses of the Pfizer and Moderna vaccines have been administered.

Experts caution that drawing a causal line between vaccination and death is often very difficult to do. When millions of people are being vaccinated — more than 13 million have gotten the Pfizer vaccine as of Jan. 26, and more than 10.5 million have received the Moderna vaccine — some would die for any number of unrelated reasons, as a matter of pure statistics.

Every year in the United States, more than 2.8 million people die. That averages out to more than 7,800 deaths per day, according to CDC data.

“No prescription drug or biological product, such as a vaccine, is completely free from side effects. Vaccines protect many people from dangerous illnesses, but vaccines, like drugs, can cause side effects, a small percentage of which may be serious,” says the Department of Health and Human Services in its primer on the VAERS data. “About 85-90% of vaccine adverse event reports concern relatively minor events, such as fevers or redness and swelling at the injection site. The remaining reports (less than 15%) describe serious events, such as hospitalizations, life-threatening illnesses, or deaths. The reports of serious events are of greatest concern and receive the most careful scrutiny by VAERS staff.

“It is important to note that for any reported event, no cause and effect relationship has been established. The event may have been related to an underlying disease or condition, to medications being taken concurrently, or may have occurred by chance.”

Pfizer-BioNTech probe

A spokesman for Pfizer-BioNTech said the company is aware of Zook’s death and is thoroughly reviewing the matter.

“Our immediate thoughts are with the bereaved family,” the company said in an emailed statement. “We closely monitor all such events and collect relevant information to share with global regulatory authorities. Based on ongoing safety reviews performed by Pfizer, BioNTech and health authorities, (the vaccine) retains a positive benefit-risk profile for the prevention of COVID-19 infections. Serious adverse events, including deaths that are unrelated to the vaccine, are unfortunately likely to occur at a similar rate as they would in the general population.”

The Orange County Coroner has an open death investigation into Zook’s death and will be conducting additional tests within its autopsy protocol, spokeswoman Carrie Braun said. It will use those findings, along with autopsy findings, to make a final determination into the cause and manner of death. “If it’s determined there may be a correlation to the vaccine, we will immediately notify the OC Health Care Agency,” she said.

The FDA said it takes all reports of adverse events related to vaccines seriously, and, along with CDC, “is actively engaged in safety surveillance” of the COVID-19 vaccines that are being administered under emergency use authorizations.

“Any reports of death following the administration of vaccines are promptly and rigorously investigated jointly by FDA and CDC,” it said in an emailed statement. “Such an investigation includes working with health care providers to obtain medical histories and clinical follow-up information.”

Mark Ghaly, secretary of health and human services in California, said the state is looking into these incidents as well. He sends condolences to those who’ve lost loved ones, but stands by the scientific conclusion that the vaccines are safe.

“The details are complex and worthy of further investigation, and that’s what we’re doing now,” Ghaly said on Monday, Jan. 25, on the heels of the Placer death. “Overwhelmingly, though, we’ve seen so many individuals successfully, and without any significant reactions, receive both the Moderna and Pfizer vaccines.”

Results of the state’s probes will be shared publicly, Ghaly said, along with “lessons learned.” That’s key to continuing the development of confidence in the vaccines “and getting us on the other side of this pandemic,” he said.

This photo of Rochelle and Tim Zook was Zook’s Facebook profile picture.

Caring, generous man

Zook was a man who passionately urged folks to embrace COVID precautions such as masking up and staying home as ICUs were inundated in December. He loved food, posting photos of home-grown zucchinis, thick steaks, sumptuous Sunday breakfasts, wine tasting in Sonoma.

He shared memes urging calm on Election Day, quoting Lincoln saying “We are not enemies, but friends,” and was moved to share the speech President John F. Kennedy never got to deliver: “Let us not quarrel amongst ourselves when our Nation’s future is at stake. Let us stand together with renewed confidence in our cause — united in our heritage of the past and our hopes for the future — and determined that this land we love shall lead all mankind into new frontiers of peace and abundance.”

Zook was a caring, generous man with deep love for his family, an always-open door and a gift for making others feel comfortable and welcome, friends and family say. Sympathies for his passing have poured in.

“Our deepest condolences are with Tim Zook’s family and loved ones,” said Matt Whaley, CEO of South Coast Global Medical Center, by email. “Tim was a part of our family, too, and we are all grieving his loss.”

Zook and his wife have three grown sons — Aaron, 30, Jared, 26, and Kyle, 24. Zook took a day off work on Monday, Jan. 4 — his last healthy day — to spend with Kyle, who’s fascinated by trains. They went train-spotting.

“They had the most beautiful day together,” Rochelle Zook said.

This content was originally published here.

Breakthrough for tomorrow’s dentistry speeds tooth sensitivity treatments

teeth toy
Credit: Pixabay/CC0 Public Domain

New knowledge on the cellular makeup and growth of teeth can expedite developments in the treatment of tooth sensitivity and regenerative dentistry—a biological therapy for damaged teeth. The study, which was conducted by researchers at Karolinska Institutet, is published in Nature Communications.

Teeth develop through a complex process in which soft tissue, including connective tissue, nerves and blood vessels, is bonded with three types of hard tissue into a functional body part. As an explanatory model for this process, scientists often use the mouse incisor, which grows continuously and is renewed throughout the animal’s life.

Despite the fact that the mouse incisor has often been studied in a developmental context, many fundamental questions about the tooth cells, stem cells and their differentiation and cellular dynamics remain to be answered.

Using a single-cell RNA sequencing method and genetic tracing, researchers at Karolinska Institutet, the Medical University of Vienna in Austria and Harvard University in the U.S. have now identified and characterized all cell populations in mouse teeth and in the young growing and adult human teeth.

“From stem cells to the completely differentiated adult cells, we were able to decipher the differentiation pathways of odontoblasts, which give rise to dentine—the hard tissue closest to the pulp—and ameloblasts, which give rise to the enamel,” say the study’s last author Igor Adameyko at the Department of Physiology and Pharmacology, Karolinska Institutet, and co-author Kaj Fried at the Department of Neuroscience, Karolinska Institutet. “We also discovered new cell types and cell layers in teeth that can have a part to play in tooth sensitivity.”

Some of the finds can also explain certain complicated aspects of the immune system in teeth, and others shed new light on the formation of tooth enamel, the hardest tissue in our bodies.

“We hope and believe that our work can form the basis of new approaches to tomorrow’s dentistry. Specifically, it can expedite the fast expanding field of regenerative dentistry, a biological therapy for replacing damaged or lost tissue.”

The results have been made publicly accessible in the form of searchable interactive user-friendly atlases of mouse and human teeth. The researchers believe that they should prove a useful resource not only for dental biologists but also for researchers interested in development and regenerative biology in general.

More information:
Jan Krivanek et al. Dental cell type atlas reveals stem and differentiated cell types in mouse and human teeth, Nature Communications (2020). DOI: 10.1038/s41467-020-18512-7

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Concerns grow that the loss of sports is taking a toll on young athletes’ mental health – Portland Press Herald

Portland High senior Danny Tocci is a co-captain on the Deering/Portland ice hockey team, which is unable to gather in-person because Cumberland County has been designated as “yellow.” “I do definitely worry about some of my teammates’ mental health because (playing sports) is all we’ve known,” he says. Derek Davis/Staff Photographer Buy this Photo

Portland High School senior Danny Tocci considers himself a “glass half full person.” So he sees the benefits of virtual meetings with his Portland/Deering ice hockey teammates and coaches as he hopes for some form of a season this winter.

HOW TO GET HELP

If you or someone you know is struggling with a mental health crisis, call the Maine Crisis Line 24 hours a day at 1-888-568-1112. For more information about mental health services in Maine, visit the website for the state’s chapter of the National Alliance on Mental Illness.

But Tocci said it is getting tougher and tougher to maintain a healthy outlook as the coronavirus pandemic grinds on and he and his teammates are not allowed to gather for any type of in-person athletic activities because they are in one of Maine’s four “yellow” counties.

“It’s saddening in a way and I do definitely worry about some of my teammates’ mental health because (playing sports) is all we’ve known,” said Tocci, a co-captain. “It means so much. It’s a way to release energy, see people and converse. It’s just having something to belong to and a place where you feel comfortable and you can go there and express yourself.”

With high school teams in yellow counties unable to meet for practices or even socially distanced workouts after school, educators and medical professionals are sounding the alarm that, in the effort to limit the spread of COVID-19, the mental well-being of student-athletes is increasingly at risk.

“I think for a good percentage of the kids, yes, it is affecting their mental health,” said John Ryan, the certified athletic trainer at South Portland High and president of the Maine Athletic Trainers’ Association. “And for me, it’s not so much being able to play games, it’s being able to get together with their buddies and do something. … For a lot of these kids, being involved in athletics is a driving force for them to go to school. So now you’ve taken that away and they’re sitting at home thinking, ‘Why bother to go to school?’”

On Dec. 18 Cumberland County became the fourth county to be designated yellow in the Maine Department of Education’s color-coded health advisory for schools. Cumberland, along with Androscoggin, Oxford and York counties, will remain yellow at least until Jan. 29, the DOE announced on Friday. And when a county is deemed “yellow” for academic purposes, it means a full-stop “red” for athletics, according to pandemic guidelines set by the Maine Principals’ Association and key state health and education agencies. More than one-third of the state’s high schools – including 17 of the 20 largest schools – are located in those four counties.

Across the state, people like Ryan and Greely Athletic Director David Shapiro have raised concerns. They point to data collected in Wisconsin, Maine and across the country that show high school athletes have become more depressed and anxious, particularly when they are unable to participate in sports. The research also indicates a significant increase in thoughts of self-harm or suicide and an overall decline in quality of life measures.

“I think it’s my job that people have studies of that nature in their hands whenever they make a decision,” Shapiro said. “I’m trying to send it to whomever I can, the Department of Health and Human Services, the governor’s office, Dr. (Nirav) Shah (at the Maine CDC) to make sure information about the mental health of kids is in the forefront.

“I’m deeply concerned about the lasting effects of their current inactivity,” Shapiro added. “We know in a good year, a regular year, there are significant health benefits of just being active. Now you figure all the other stressors that our kids have right now are further compounded by not being able to be active.”

Dean Plante, the athletic director and girls’ basketball coach at Old Orchard Beach High, says “athletics should not be shut down” at schools in counties designated as yellow by the state. Derek Davis/Staff Photographer

Shapiro and Ryan are not suggesting that schools ignore the recent spike in COVID-19 cases and deaths and return to a pre-pandemic approach. What they and many others want is for the 51 high school programs affected by yellow status to at least be allowed to have small groups gather for simple and physically distanced conditioning.

“Those schools that are yellow and in-person should be able to do skills and drills in my opinion; athletics should not be shut down,” said Dean Plante, the athletic director and girls’ basketball coach at Old Orchard Beach, where students are attending in-person learning four days a week. “Yellow should not be red in that instance. It makes no sense. It’s contradictory to what we’re doing during the school day.”

In-person physical education classes are being held during the school day. Meanwhile, club and youth sports teams in yellow counties have been given the go-ahead to practice and play games. And even though daily case counts have steadily increased across the state, more than 90 schools in green counties began interscholastic competitions on Jan. 11.

So while athletes at Mt. Ararat in Topsham, in Sagadahoc County are able to run, shoot, skate, ski and ride the bus to away games, just across the Androscoggin River in Cumberland County, coaches and players on Brunswick High’s teams are only able to connect via virtual conferences.

“We’re worried all the time about kids being on screens too much and now we’re pushing them there,” said Sam Farrell, the girls’ basketball coach at Brunswick. Farrell contends the pandemic’s effects are discouraging participation. “I’ve seen it with my own program. We have 18 signed up and last year we had 29.”

DATA SHOW RISE IN ANXIETY, DEPRESSION

Since the onset of the pandemic, mental health professionals have warned about the dangers of isolation and loneliness in the general population. As Maine’s daily case rate of COVID-19 started to spike in November, crisis and wellness call centers experienced an increase in service requests.

For many high school athletes, much of their self-worth is tied to their association with sports, said Rob Smith, a clinical sports psychologist in Waltham, Massachusetts.

“It’s an identity. That’s what’s on the line for kids and why it’s so stressful, is that (being an athlete) is how they define themselves,” Smith said, noting that “if you think about what the pandemic has done, it’s created this giant series of losses.”

Isolation and time away from friends and sports were key contributing factors to the Dec. 4 suicide death of Brunswick High sophomore Spencer Smith, 16, his family said.

“The worst thing for kids is to be sitting in their room ruminating about what they lost,” said Dan Gould, the director of the Institute for the Study of Youth Sports at Michigan State University.

High school athletes reported increased feelings of depression and anxiety as early as May, when spring sports were shut down across the country. In a solicited survey of over 3,200 Wisconsin high school athletes, conducted by the University of Wisconsin School of Medicine and Public Health, researchers found 62 percent of both females and males reported mild or moderate/severe depression symptoms.

In previous studies of Wisconsin high school athletes, 35 percent of females and only 21 percent of males reported any depression symptoms. The increase in the moderate/severe category was more than three times greater for girls and more than four times greater for boys.

The survey was then expanded to high school athletes across the country, drawing over 13,000 responses, including 102 from Maine (62 girls, 40 boys). While 102 represents a far smaller sample size, the Maine students reported greater levels of depression, including moderate to severe depression, than their peers in Wisconsin. In a separate measure for anxiety, 50 percent of the female respondents from Maine reported moderate to severe anxiety, compared to 43.7 percent in the overall national survey.

“The research is very consistent with what is being seen across the country,” said Ryan, the athletic trainer at South Portland High. “The problem is getting state policy leaders to fully understand that decisions they are making are adversely affecting the kids.”

The researchers repeated the survey in September to compare Wisconsin students playing a fall sport to those who had their fall sport canceled because of the pandemic.

“We found they were twice as likely to be mildly or moderately depressed if they were not playing their fall sport,” said Tim McGuine, a co-author of the original study.

VIRTUAL MEETINGS ARE NO SUBSTITUTE FOR PRACTICES

Virtual team meetings serve one primary purpose, said Eric Curtis, the athletic director at Bonny Eagle High in Standish.

“What I’m trying to get across to my coaches is, honestly, just to make connections with the kids and keep their spirits up,” Curtis said.

Rachel Wall, a senior co-captain of the Freeport High girls’ basketball team, said she and her teammates are working hard to make sure they maintain a positive connection. Freeport girls’ basketball coach Seth Farrington asked Wall and her fellow captains Hannah Groves and Mason Baker-Schlendering to become active leaders in the virtual team meetings. Each captain has a cohort of teammates whom they direct in daily individual workouts.

Rachel Wall, one of the captains of the Freeport High girls’ basketball team, says she and her teammates are working hard to make sure they maintain a positive connection while they are unable to practice. Derek Davis/Staff Photographer Buy this Photo

“With my group I’ve been trying to make sure they stay active and doing their workouts,” Wall said. “If we do get to have a season and can practice again, it’s super important that we can just start right back. And, I’m also trying to encourage them because just being a student now is really hard.

“We are separated so much of the time. You want them to stay connected and encourage them throughout the week so they don’t feel alone. And a lot do feel that way right now,” Wall added.

Kennebunk girls’ basketball coach Rob Sullivan said virtual meetings shouldn’t be considered a substitute for practices. Rather, they can be effective for team bonding. He tries to meet with his team three or four times a week for 30- to 45-minute sessions broken into several segments. There is some coaching and drill demonstration but there are also trivia contests or word games to lighten the mood.

Like many other coaches, Sullivan wonders why, when it comes to high school sports, “yellow means red.” He’s not advocating a full start-up of cross-town games. Rather, Sullivan says there is great value with relatively little risk for teams in yellow counties to get in the gym.

“I can put 10, 12 kids in a gym with six hoops and they can stay pretty far apart,” Sullivan said. “Part of me would like to do that but there’s another part that would like to wait longer knowing that, when we do start (practicing), we’ll be able to finish a season.”

Others are more adamant that practices need to be allowed – and soon. Plante says he’s already sensed waning interest in virtual meetings, particularly among students drawn to a sport primarily for its social engagement.

“You always have those fringe kids that (play sports) to be part of something and that’s the beauty of education-based sports. It gives kids that sense of belonging,” Plante said. “Now, those on-the-cusp kids are looking around, and if they have the opportunity to bag groceries and make $12 an hour or stare at me on the computer, it’s a tough sell for a lot of kids. And a lot of families.”

“I’m hoping there’s some movement on the yellow designation,” said Farrington, the Freeport girls’ basketball coach. “The only thing it affects is co-curricular” activities because almost all schools are already operating in a hybrid model.

“If our county goes yellow, we should be yellow in sports. Not red. Yellow. Which means we socially distance, wear a mask,” Farrington said. “And I’m not worried about games. I just want to be in the gym, practicing with those kids that wear Freeport jerseys. I think they need each other, they need the coaches. And the coaches need them, too.”

“There’s some things that don’t make sense to us,” Shapiro said. “We can have in-person learning and we’re an education-based activity, why can’t we extend that learning to the gym, or the rink? For that matter, why can’t we do alpine skiing? Or be in a pool, where chlorine kills (the virus)?

“Everything still centers on their mental health and the long-term effects that this may have and we know the antidote: let them play. At the very least practice.”

For that to happen, the Maine Principals’ Association’s guidance, developed in conjunction with officials across the state, would need to be modified. Executive Director Mike Burnham said he has shared a presentation made by McGuine about the Wisconsin research to some of the key agencies in the state.

“All the state agencies are meeting (this) week to talk about winter sports and what’s transpiring now,” Burnham said.

Until changes are made, though, online practice workouts and attempts at team bonding through virtual meetings are likely to continue.

“As for our team, a lot of girls are trying to make the most of the situation we can,” said Freeport’s Wall.

Meanwhile, COVID-19 case numbers remain high in Maine. With the winter high school sports schedule slated to end in late February, time is running out for some teams to have a meaningful season.

“I try to keep positive,” said Tocci, the hockey player at Portland High, “but some kids in our grade, some of the basketball players especially, are saying, ‘We’re never going to get out of it. We’re never going to have a season.’ I try to tell them to stay positive, but there’s no real evidence that everything is going to get better.”

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ClearCorrect vs Invisalign: Benefits, Before and After, Safety, and Cost

Contents

If you’ve been thinking of getting your teeth straightened, you probably know how difficult it is to find a treatment option that’s tailor-made to your unique goals. Traditional braces have been proven effective, but there’s a host of downsides, too — they’re bulky, uncomfortable, and not the most attractive option.

Enter invisible braces. Chances are you’ve already heard about Invisalign, but there’s another company that’s out to revolutionize the way we smile. ClearCorrect invisible braces are a new kind of orthodontic treatment that promises straight teeth with the least amount of fuss.

Bonus points: these industry-disrupting braces are made in the United States by a socially conscious company that uses recycled and eco-friendly packaging. These details, coupled with the fact that they’re more affordable than the competition, make ClearCorrect a popular choice among millennials.

What is ClearCorrect?

ClearCorrect aligners are a unique alternative to traditional metal braces. The primary benefit is that they’re totally invisible — in theory, they’ll give you a straight smile without anyone even noticing. They’re also removable, which means you can take them out before eating or during special occasions.

Like most clear aligners, ClearCorrect braces provide gradual adjustments to the teeth. Your orthodontist will first take photos and x-rays of your smile and then submit your prescription to ClearCorrect. Next, the company will create a set of custom aligners just for you. Occasionally, your orthodontist will request new sets that change along with your teeth.

Most people are required to wear their clear braces for up to 22 hours a day until an orthodontist deems the treatment plan complete. Treatment time varies from person to person, but most people see full results within one to two years.

Orthodontists recommend this treatment for both adults and teenagers to correct crowded teeth, spacing, underbites, overbites and crookedness.

Does ClearCorrect work?

ClearCorrect has been proven effective in a wide range of orthodontic studies.

One study showed that it was a valuable tool in correcting anterior crossbite, a condition where the top teeth rest behind the bottom teeth when the mouth is closed. Another showed that it was a great option for treating the correction of crowding, an issue that makes it hard to floss between teeth and compromises a perfectly straight smile.

Not only that, but ClearCorrect can be used in instances where traditional orthodontics failed. For example, some orthodontists use ClearCorrect as a solution to issues caused by traditional orthodontic bonding. In other words, clear braces are as good as — and in some cases even better — than traditional methods that are commonly used to straighten teeth. There’s even evidence to suggest that they’re just as effective at treating severe crowding as standard methods.

What’s better, ClearCorrect or Invisalign?

ClearCorrect and Invisalign are often compared, primarily because they both provide clear, custom-fit aligners that are more appealing to those who don’t want to fuss with traditional braces.

Both are excellent options with successful track records for mild to extreme cases of various dental issues. In either case you will be required to wear your custom-fit aligners for the majority of the day, except when you’re eating, drinking, flossing or brushing your teeth.

Still, there are some differences. The most significant reason why many orthodontists and patients are beginning to favor ClearCorrect over Invisalign is the cost: since ClearCorrect only charges the dentist a third or less of the cost of Invisalign, many dentists feel that it’s a more profitable option.

What’s more, many people report that ClearCorrect aligners are more comfortable than Invisalign. This is because ClearCorrect fabricates several trays at a time to ensure that they fit perfectly. Some patients also prefer ClearCorrect because their aligners are made in America.

>>To learn more frequently asked questions about Invisalign, check out our article on how Invisalign works

Does ClearCorrect hurt?

Doctors often recommend the use of ClearCorrect and other invisible braces as a more effective treatment option for patients who have “appliance-phobia.” This means that people who have fears associated with fixed appliances on the teeth (i.e. traditional braces) tend to do better with removable aligners that aren’t permanent.

Metal braces can be uncomfortable and even painful, which is why many people are hesitant to go the traditional route. On the other hand, ClearCorrect is virtually pain-free. A multi-stage polishing process ensures that no sharp or rough edges are found on the aligners, making ClearCorrect a relatively comfortable experience, even when worn for long periods of time. And while most patients do experience some mild discomfort in the first couple of days of wearing ClearCorrect aligners, this typically fades away relatively quickly.

When you’re wearing ClearCorrect aligners that are properly fitted to your teeth and gums (achieved through a 3D model that perfectly matches your teeth), you shouldn’t feel a thing. With that said, some patients do complain of sore gums. You should see your orthodontist if this persists for more than two days — he or she will be able to tell if your aligners are not the ideal size and shape for your mouth.

Are ClearCorrect aligners safe?

Most people aren’t too keen on the idea of having a foreign object inside their mouth for most of the day. That’s totally understandable.

The good news is that ClearCorrect aligners are designed to be safe for long-term use. They contain no BPA or phthalates, and have been approved for use by the FDA. Because of this, ClearCorrect is generally considered safe for use by pregnant or nursing patients. Nevertheless, you should speak with your primary care physician and orthodontist if you become pregnant while using ClearCorrect.

How much does ClearCorrect cost?

As mentioned above, the cost of ClearCorrect makes it one of the most desirable orthodontic treatment options on the market for those who dream of straight teeth.

ClearCorrect treatment costs less than Invisalign and other clear aligner treatments because the company itself charges ClearCorrect providers significantly less.

There are several different treatment plans which differ in terms of cost. Your customized treatment will help you determine the right option for your budget and dental needs. The company offers Flex (limited) and Unlimited pricing options. Those who require the full treatment option can expect to pay anywhere between $4,000 and $5,000 for the best results. The Flex option is a good choice for those who don’t have severe crowding or crookedness, and costs between $2,500 and $3,500 total.

Will my insurance cover it?

Another great thing about ClearCorrect is that many dental insurance companies cover the procedure right alongside traditional braces and other orthodontic treatments.

Make sure to check with your insurance provide to see whether or not this type of treatment — which typically falls under the category of clear aligners — is covered. Those who do qualify for some relief under insurance may be able to save up to $3,000 on ClearCorrect braces.

Is ClearCorrect better than traditional braces?

As modern dentistry advances, it’s becoming more and more apparent that clear braces have the capacity to do all of the same things that metal braces can and more. In fact, one of the biggest myths associated with clear braces is that they move teeth more slowly than their metal counterparts. This just isn’t true. A good straightening treatment will work as quickly (or as slowly, depending on your perspective) whether the aligners are made of metal, ceramic or plastic.

Metal braces aren’t the most economical option — a full treatment rings up for as much as $6,000 — but they are almost always at least partially covered by insurance. However, metal braces are by and large considered the most durable solution out there.

The fact that metal braces last longer than other types makes them appealing for people who have to wear braces for long periods of time. Make sure to talk to your orthodontist or ClearCorrect provider about all of your different treatment options before committing to one.

This content was originally published here.

Updated Sedation Guidelines in Dentistry for Children – TeethRemoval.com

Recently new guidelines have been issued regarding the use of sedation for dental procedures performed on children. In the past on this site some scrutiny has been placed on sedation provided to children during dental procedures because of many deaths that have occurred, see for example What to Ask the Dentist Before Children Have Sedation and Pediatric Dental Death in Cambridge, Ontario, Canada Spurs Comments on Dental Anesthesia. In the June 2019 edition (vol. 143, no. 6) of Pediatrics in an article titled Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures written by Coté and Wilson updated guidelines for the use of sedation in dentistry is provided. These guidelines were updated for the American Academy of Pediatric Dentistry (AAPD) and American Academy of Pediatrics (AAP) for the first time in three years. These recommendations apply to all of those whom are providing deep sedation or general anesthesia in an office environment to children even if the state board does not mandate such a recommendation.

What has changed in these recommendations has been intensely contested when it comes to giving sedation to those undergoing wisdom teeth removal. The guidelines in the 2019 edition of Pediatrics call for two trained personnel to be present when deep sedation or general anesthesia is given to a child at a dental facility. The previous guidelines called for one trained person to be present when deep sedation or general anesthesia is given to a child at a dental facility. Specifically the June 2019 guidelines state:

“During deep sedation and/or general anesthesia of a pediatric patient in a dental facility, there must be at least 2 individuals present with the patient throughout the procedure. These 2 individuals must have appropriate training and up-to-date certification in patient rescue… including drug administration and PALS [ pediatric advanced life support] or Advanced Pediatric Life Support (APLS). One of these 2 must be an independent observer who is independent of performing or assisting with the dental procedure. This individual’s sole responsibility is to administer drugs and constantly observe the patient’s vital signs, depth of sedation, airway patency, and adequacy of ventilation.”

The guidelines call that the independent observer must one of: a certified registered nurse anesthetist, a physician anesthesiologist, an oral surgeon, or a dentist anesthesiologist. The independent observer must be trained in PALS or APLS and capable of managing any airway, ventilatory, or cardiovascular emergency resulting from deep sedation or general anesthesia given to the child. The person performing the dental procedure must be trained in PALS or APLS and be able to provide assistance to the independent observer if a child experiences any adverse events while sedated.

It is reported that the guidelines developed rely mostly on medical data because data for sedation in dental offices is not as readily available. Steps are being taken to incorporate more data regarding dental sedation into new guidelines. The reason for the updated guidelines is to increase safety for children having dental procedures in dental offices.

It is not clear how the American Association of Oral and Maxillofacial Surgeons may react to these June 2019 guidelines. They have long argued that their care model of having an oral and maxillofacial surgeon administer the sedation and perform the dental surgery is safe and cost effective (as seen in a recent May 2019 tweet below). Even so other physician organizations in the past have questioned their care model and it has long been suggested on this site that it may be safer to have oral surgery performed at a hospital if you are receiving sedation or anesthesia, see for example Anesthesia in the Oral and Maxillofacial Surgeons Office.

Oral and maxillofacial surgery anesthesia teams have the extensive training and experience needed to assist patients with pain and anxiety during procedures. https://t.co/sN9C5LCVHo #oralsurgery #myoms pic.twitter.com/fDhR3Jiz2d

— AAOMS (@aaoms)

Additional Source:

This content was originally published here.

With COVID-19 at record levels, reopening schools is unwise, say health experts | The Star

Epidemiologists are warning that reopening elementary schools on Monday as planned, at a time when COVID-19 transmissions are at record-high levels in Ontario, would be unwise.

“One of the real challenges that this virus presents is that you have transmission that can occur before people are symptomatic, and the additional challenge is that many kids show very few symptoms if any,” said epidemiologist Amy Greer, a Canada research chair in population disease modelling at the University of Guelph.

In a long Twitter thread posted on Sunday, she characterized the decision to let children back into school as “reckless and dangerous.”

Education Minister Stephen Lecce reassured parents on the weekend that elementary school classrooms will reopen on Jan. 11 and high school students will return to classrooms Jan. 25, two days after the current provincial lockdown is scheduled to end.

In the face of soaring COVID-19 cases, Quebec is considering keeping schools closed for at least another week. Schools in the U.K. are closed until Jan.18, and possibly longer in areas hardest hit by the pandemic.

It made sense to let students back into classrooms in September when community transmission rates were low, said Greer. But with the positivity rate approaching 10 per cent, the number of daily cases in Toronto often approaching 1,000 and Ontario surpassing 3,000 new cases a day, the level of community transmission is so high it will mean more children infected with the virus showing up for class and infecting their classmates, who will bring the virus home to their families.

Screening tools don’t work on children who are asymptomatic, Greer pointed out. If they don’t have a fever; if they’re not coughing or sneezing or fatigued, checklists and thermometers won’t catch the illness and won’t prevent infected students from taking a seat beside a classmate.

If other measures are in place to prevent transmission, the impact of the asymptomatic cases can be attenuated — for example if classes are smaller and children are seated far apart, if ventilation has been optimized — students without symptoms are less likely to pass along the virus. But Greer said classrooms have not been sufficiently modified to prevent that kind of transmission.

“I feel frustrated that we don’t appear to have a plan for how we’re going to compensate to keep schools open in the context of high community transmission,” said Greer, in an interview with the Star.

Dr. Andrew Morris, a professor of medicine at the University of Toronto and the medical director of the Sinai Health System-University Health Network Antimicrobial Stewardship Program, said the role schools play in transmission of COVID-19 remains unclear — although they are a contributing factor.

He said the COVID-19 numbers are so bad now it’s hard to imagine keeping anything open beyond what is absolutely essential.

“I think that opening schools up now as we have an up going trajectory and when we really have a fair amount of uncertainty about the role of schools in transmission, is not wise,” Morris said.

Dr. Eileen de Villa, Toronto’s medical officer of health, has said in the past that schools are critically important and provide an important conduit for social services and even food, through school nutrition programs, for children who need support.

She echoed those concerns at the first COVID-19 update from city hall on Monday, adding on Tuesday that the subject is under active consideration and discussion.

“What we are trying to do is balance control of COVID-19 along with ensuring that we’re meeting the health needs of children and their families, and we know that there is a specific benefit, a clear benefit to having children attend school in person … but it is a very delicate balancing act, and one that may seem like a relatively straightforward decision, but actually has much more complexity underneath it,” she told CBC’s “Metro Morning.”

The decision to open or close schools is a provincial one. Students are currently receiving virtual instruction.

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The Ministry of Education did not respond to questions from the Star in time for this story’s deadline.

Lecce told parents in a letter sent out over the weekend that “schools are not a source of rising community transmission.”

Francine Kopun is a Toronto-based reporter covering city hall and municipal politics for the Star. Follow her on Twitter: @KopunF

Do you think it’s too soon to send kids back to school in Ontario?

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This content was originally published here.

Fauci assures World Health Org. Biden regime is committed to funding abortions

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WASHINGTON, D.C., January 21, 2021 (LifeSiteNews) – In comments made to the World Health Organization (WHO) today, Dr. Anthony Fauci announced the Biden regime’s commitment to the promotion of abortion, as well as a new relationship between the United States and the WHO.

Fauci has been named as Chief Medical Adviser to Joe Biden, who was sworn in as president yesterday, and became Biden’s de facto spokesman to the WHO at the 148th session of the Executive Board of the organization which is currently taking place. Fauci is the head of the National Institute of Allergy and Infectious Diseases who became famous for his constant media appearances during the coronavirus outbreak.

He made clear that the Biden regime would be very closely aligned with the WHO, noting that Biden had already “signed letters retracting the previous Administration’s announcement to withdraw from the organization.”

“I am honored to announce that the United States will remain a member of the World Health Organization,” Fauci declared.

Under Biden’s authority, the U.S will be “fully engaged in advancing global health,” he added, and would “work constructively with partners to strengthen and importantly reform the WHO.”

However, the newly appointed Chief Medical Adviser also highlighted Biden’s commitment to the promotion of “sexual and reproductive health,” and “reproductive rights,” both of which are common euphemisms for abortion and contraception.

“And it will be our policy to support women’s and girls’ sexual and reproductive health and reproductive rights in the United States, as well as globally. To that end, President Biden will be revoking the Mexico City Policy in the coming days, as part of his broader commitment to protect women’s health and advance gender equality at home and around the world.”

The Mexico City Policy prohibits federal funding of abortion abroad. Under former President Donald Trump, it was expanded into a policy called Protecting Life in Global Health Assistance.

Biden is very public about his claims of being Catholic, even attending Mass shortly before his inauguration, yet has been very open about his strong support for abortion as well as LGBT ideology. He has called abortion an “essential health service” and wishes to enshrine abortion on demand through all nine months of pregnancy into federal law.

Pope Francis extended his congratulations to Biden yesterday, yet did not call mention the issue of abortion in his message.

In the flurry of executive orders which Biden signed by yesterday evening, he gave permission for gender-confused soldiers to serve openly in the military.

Aside from committing the U.S. to assist the WHO in funding, and promoting abortion, Fauci repeatedly mentioned the close relationship which would exist between the two going forward. He thanked the WHO for its “role in leading the global public health response to this pandemic,” and assured the organization that that U.S. “intends to fulfill its financial obligations.”

Trump had defunded the WHO for its botching of the coronavirus response and its close ties to Communist China.

In a “directive” to be signed by Biden today, Fauci related that the U.S. would “join COVAX and support the ACT-Accelerator to advance multilateral efforts for COVID-19 vaccine, therapeutic, and diagnostic distribution, equitable access, and research and development.”

“We will commit to building global health security capacity, expanding pandemic preparedness, and supporting efforts to strengthen health systems around the world and to advance the Sustainable Development Goals,” he added, referring to the U.N.’s 2030 pro-abortion goals.

Despite advocating for a renewed focus on promoting abortion and contraception, Fauci closed his speech by claiming that the U.S. would work to “improve the health and wellbeing of all people throughout the world.”

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Bellingham Pediatric Dentistry Uses New Technology to Improve Safety, Comfort – WhatcomTalk

In the wake of the coronavirus pandemic, small businesses across the country have had to make changes to stay in operation. Bellingham Pediatric Dentistry has implemented new technology to not only better protect their patients from transmission of COVID-19, but to change kids’ experience at the dentist altogether. 

The laser also operates at such a high temperature that it kills all bacteria and viruses with which it comes into contact—great news for reducing the spread of coronavirus from the aerosolization of particles in saliva. Photo courtesy: Bellingham Pediatric Dentistry

“We were closed down for two and a half months,” says Dr. Sawyer Negro, pediatric dentist and owner of Bellingham Pediatric Dentistry, referring to the initial coronavirus lockdown in March and April. “It really gave us a good time to pivot and accelerate where I wanted my practice to go, so that I could be delivering the most compassionate care to all of my families and kids.”

Part of Dr. Sawyer’s business pivot was to implement use of the Solea dental laser. It’s the first dental laser to be cleared by the FDA as safe and effective for both hard and soft tissues, meaning the hard enamel that covers teeth as well as the surrounding gums. Because of the type of energy the laser uses and the tiny wavelength at which it operates, the Solea allows Dr. Sawyer and his team at Bellingham Pediatric Dentistry to offer patients a safer and more comfortable dental experience. 

Dr. Sawyer most frequently uses the laser for filling cavities and frenectomies, a procedure in which he operates on infants with a constriction in their tongue or lip that is inhibiting them from successfully breastfeeding. With the Solea laser, he is able perform the frenectomies knowing that infants will feel less post-operative discomfort. The way the laser energy penetrates into the tissue provides natural analgesia, causing the area to be numb for about four to six hours.

Dr. Sawyer Negro is the pediatric dentist and owner of Bellingham Pediatric Dentistry, which serves families throughout Whatcom County. Photo courtesy: Bellingham Pediatric Dentistry

“Often these little one-month-olds come out of the procedure smiling,” Dr. Sawyer says. “It’s one of my favorite parts of my practice.”

The natural numbing is true for most cases where Dr. Sawyer uses the Solea laser, which also helps him be more efficient in seeing his patients. Instead of having to give kids a shot of local anesthetic, wait until it takes effect, and then come back to administer a procedure—which takes more time and often ends up requiring more than one visit to the dentist—Dr. Sawyer can fill a cavity or do another simple procedure during a routine teeth-cleaning appointment.

The efficient and relatively pain-free nature of the Solea laser was a big motivator for its implementation. 

Bellingham Pediatric Dentistry is open to the public for all its regular services. They have implemented many new protocols to keep their patients safe and healthy, including having patients wait in their car before their appointment rather than the waiting room. Photo courtesy: Bellingham Pediatric Dentistry

“I always try to view my patients as my own kids and how I would like to treat them,” says Dr. Sawyer. “If I don’t have to give my daughter the scariest part of the dental visit, of course I’m going to go for that option.”

If he’s able to take away the connotation that going to the dentist is scary or every time you go to the dentist you have to get a shot, that will be a success for Dr. Sawyer.

“I’m really trying to reshape the dental experience, so that these kids can grow up to be young adults with healthy smiles and low dental fear anxiety, so they don’t have to dread it,” he says. “There are so many adults who avoid going to the dentist and then end up with larger cavities that get out of control.”

The Solea laser also allows Bellingham Pediatric Dentistry to lower the chance of coronavirus transmission within their office. The laser greatly reduces the aerosolization of particles from the mouth that could spread around the clinic, because it operates with about 75 percent less air pressure than a conventional hand drill. 

The laser also kills any viruses or bacteria with which it comes into contact. The Solea uses thermal energy at a temperature that far exceeds the temperature required to kill viruses and bacteria. So if a patient were carrying the virus in their saliva, any saliva that gets pushed out of their mouth wouldn’t still carry the virus.

Bellingham Pediatric Dentistry has started using a new technology for some of its procedures. The Solea dental laser is the first laser to be FDA approved for all tissues and allows Dr. Sawyer to see his patients more efficiently, better protect them from the spread of COVID-19 and is less painful and scary for kids. Photo courtesy: Bellingham Pediatric Dentistry

Dental lasers have existed within the industry for several decades, but this laser is the first FDA-certified laser for all tissues. By targeting collagen and hydroxyapatite—the main component of enamel—the Solea laser helps decrease potential bleeding after a surgery and provides the natural numbing.

While it doesn’t mean he will never have to use a conventional drill or a numbing shot again, Dr. Sawyer is proud to be the first dentist in Whatcom County to be using a Solea laser.

“Just having this option [so] I can do work without having to get the kids numb is, I think, revolutionary,” he says. “The technology is great, but it’s really about their experience, and making sure they have a good experience to carry with them through the rest of their lives.”

This content was originally published here.

Unarmed Black Pastor Having Mental Health Episode Is Killed By ‘Aggressive’ Texas Police Officer After Family Called for Wellness Check

A wellness check for Patrick Warren Sr., a Black pastor, turned fatal Sunday, Jan. 10, when an officer in Killeen, Texas, shot Warren after his family had called 911 to request assistance from a mental health professional. The family was concerned that 52-year-old Warren, who lives with mental health issues, was having an episode, according to civil rights attorney Lee Merritt, who is representing the family.

“They noticed their loved one deteriorating, undergoing some sort of psychosis it appeared,” Merritt said in an exclusive interview with ABC25. “They spoke with medical professionals. They wanted to get him some help.”

According to Merritt, the family was told a mental health deputy was not available so the police department dispatched an officer who has been identified as Reynaldo Contreras instead.

Merritt said the family described Contreras as “an aggressive officer who’s speaking in an abrasive tone who clearly had an attitude.” Merritt also said Contreras slammed the door on the way out of the family’s home before killing Warren, which is corroborated by video footage from the family’s ring camera.

The video footage shows Warren, who also was a veteran, coming out of the door with his hands up. Then his behavior seems to become increasingly more erratic. At that point Warren goes offscreen and the family can be seen in distress asking Warren to sit down and begging the officer not to shoot. However, a taser can be heard being deployed off-camera followed by three shots. “No, no I told you don’t use a gun,” a family member screams over and over on the video.

“When Patrick’s family protested, ‘Don’t shoot,’ an officer fired his first shot into Patrick and redirected his weapon toward Patrick’s wife, Barbara, telling her to get back from Patrick. The officer again trains his weapon on Patrick’s body and continues to fire his weapon, killing him,” a press release from Merritt’s firm states.

Warren was taken to Carl R. Darnall Army Medical Center where he later died. Merritt said the family is calling for “the immediate firing and arrest of the officer.” Warren’s son, Patrick Warren Jr., said Warren was “tragically killed by Killeen Police … in front of his family in a nonviolent encounter.”

Warren Jr. created a GoFundMe campaign to assist with funeral expenses. On it, he noted his father was the “sole provider” for their family and had lost his job due to the coronavirus pandemic. He added his father’s life insurance policy had expired three months prior and that the family would be grateful for any contribution. The campaign had raised over $34,000 at time of publication.

Warren Jr. also created an Instagram account, Justice For Patrick Warren. It had over 3,000 followers at time of publication.

Patrick Warren,sr Husband Father and Pastor Was shot and killed by local police in his front yard he was unarmed #BLM #BlackTwitter pic.twitter.com/HhOjzOXuNV

— Ananda Robinson (@AnandaRobinson3)

The Killeen Police Department released a statement that said Contreras was dispatched “in reference to a psychiatric call” and when he arrived “he encountered an emotionally distressed man.” They added Contreras initially used his taser but it didn’t work so he “then discharged his duty weapon during the encounter, striking the subject.”

Dr. Jeremy Berry, professor of Counseling and Psychology and a mental health crisis advocate, said there was a way to deescalate the situation without killing Warren.

“I’ve been on calls that looked exactly like that, hundreds of them, and I know that there’s a way that that plays out better. I know there is. I’ve seen it. I’ve been involved in it,” Berry told ABC25. “There are other methods to address that situation that might not require someone to lose their life.”

Activist Shaun King, who said he has gotten involved with helping the Warren family, shared video footage of the encounter on Instagram. He described Warren as “a pastor … beloved father” and “cherished husband.”

On Twitter, Merritt said Warren Sr. was “killed in his front lawn during a wellness check. Shot 3 times in his chest for being ill.” He also listed eight other Black men who were killed by police for similar reasons.

Everyone must say #PatrickWarrensr’s name. He was killed in his front lawn during a wellness check. Shot 3 times in his chest for being ill. Just like #DariusTarver#StephenTaylor #DamianDaniels🇺🇸 #EverettPalmerJr🇺🇸#BrandonRoberts #DewayneBowman#AdrianRoberts🇺🇸#toomany pic.twitter.com/Z2pAautKWS

— S. Lee Merritt, Esq. (@MeritLaw)

Many on social media said Warren’s death was another painful reminder that Black and white Americans face two justice systems.

“Wow all that restraint the police had with thousands of aggressors in my city but this officer couldn’t handle one man coming towards him,” Instagram user @mealnin_monroe wrote.

“We saw last week it’s possible for police to not kill aggressive people. Even actually attacking people. But a family calls for HELP for a mental episode and this unarmed man is shot in the chest and dies. Like…..I OBVIOUSLY get it, but I don’t f—ing get it,” user @Nikkilooovesit wrote on Twitter.

The Killeen Police Department said there is an ongoing investigation being conducted by their Criminal Investigation Division and the Texas Rangers.

For Merritt, the evidence is clear. “A mental health call should not be a death sentence,” he said.

This content was originally published here.

Dental House NYC: Dentistry with a Pampering Spa Twist – Beauty News NYC – The First Online Beauty Magazine

Start 2019 with a dental re-boot. There’s nothing typical about the newly opened Dental House apart from its efficiency and professionalism. Located on the NE corner of 13th Street and Seventh Avenue in Greenwich Village, it’s an art-filled, airy, modern neighborhood dental practice – where things are carried out with more thought and pampering than your typical dental practice. For example, your lips are slathered with a softening, aromatic Rose Salve for your comfort, you’ll savor dark chocolate treats, sunglasses to cut any machine glare, and glasses of water to stay hydrated. Here you can enjoy all of the typical dental office treatments: x-rays, cleanings, whitening treatments, and more.

If you’ve ever hoped for a dental visit that would be soothing and reassuring while offering a full suite of typical services, then Dental House is indeed your dream dental office. Dr. Sonya Krasilnikov is well-experienced, charming, and able to thoroughly explain every aspect of your necessary treatments. You may have just found your favorite new dentist! Her partner, Dr. Irina Sinensky, is equally awesome.

Check out the Dental House website, and schedule and appointment to check off those health-oriented New Year’s resolutions:

You’ll leave Dental House with a Theo Dark Chocolate bar. Dark chocolate is a healthy snack option for dental care because cocoa beans contain beneficial ingredients that disrupt plaque formation and strengthen enamel. The less sugar in the chocolate, the better the chocolate is for you. Enjoy!

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This content was originally published here.

Vaccine rollout hits snag as health workers balk at shots

The desperately awaited vaccination drive against the coronavirus in the U.S. is running into resistance from an unlikely quarter: Surprising numbers of health care workers who have seen firsthand the death and misery inflicted by COVID-19 are refusing shots.

It is happening in nursing homes and, to a lesser degree, in hospitals, with employees expressing what experts say are unfounded fears of side effects from vaccines that were developed at record speed. More than three weeks into the campaign, some places are seeing as much as 80% of the staff holding back.

“I don’t think anyone wants to be a guinea pig,” said Dr. Stephen Noble, a 42-year-old cardiothoracic surgeon in Portland, Oregon, who is postponing getting vaccinated. “At the end of the day, as a man of science, I just want to see what the data show. And give me the full data.”

“It’s far too low. It’s alarmingly low,” said Neil Pruitt, CEO of PruittHealth, which runs about 100 long-term care homes in the South, where fewer than 3 in 10 workers offered the vaccine so far have accepted it.

Many medical facilities from Florida to Washington state have boasted of near-universal acceptance of the shots, and workers have proudly plastered pictures of themselves on social media receiving the vaccine. Elsewhere, though, the drive has stumbled.

While the federal government has released no data on how many people offered the vaccines have taken them, glimpses of resistance have emerged around the country.

In Illinois, a big divide has opened at state-run veterans homes between residents and staff. The discrepancy was worst at the veterans home in Manteno, where 90% of residents were vaccinated but only 18% of the staff members.

In rural Ashland, Alabama, about 90 of some 200 workers at Clay County Hospital have yet to agree to get vaccinated, even with the place so overrun with COVID-19 patients that oxygen is running low and beds have been added to the intensive care unit, divided by plastic sheeting.

The pushback comes amid the most lethal phase in the outbreak yet, with the death toll at more than 350,000, and it could hinder the government’s effort to vaccinate somewhere between 70% and 85% of the U.S. population to achieve “herd immunity.”

Administrators and public health officials have expressed hope that more health workers will opt to be vaccinated as they see their colleagues take the shots without problems.

Oregon doctor Noble said he will wait until April or May to get the shots. He said it is vital for public health authorities not to overstate what they know about the vaccines. That is particularly important, he said, for Black people like him who are distrustful of government medical guidance because of past failures and abuses, such as the infamous Tuskegee experiment.

Medical journals have published extensive data on the vaccines, and the Food and Drug Administration has made its analysis public. But misinformation about the shots has spread wildly online, including falsehoods that they cause fertility problems.

Stormy Tatom, 30, a hospital ICU nurse in Beaumont, Texas, said she decided against getting vaccinated for now “because of the unknown long-term side effects.”

“I would say at least half of my coworkers feel the same way,” Tatom said.

There have been no signs of widespread severe side effects from the vaccines, and scientists say the drugs have been rigorously tested on tens of thousands and vetted by independent experts.

States have begun turning up the pressure. South Carolina’s governor gave health care workers until Jan. 15 to get a shot or “move to the back of the line.” Georgia’s top health official has allowed some vaccines to be diverted to other front-line workers, including firefighters and police, out of frustration with the slow uptake.

“There’s vaccine available but it’s literally sitting in freezers,” said Public Health Commissioner Dr. Kathleen Toomey. “That’s unacceptable. We have lives to save.”

Nursing homes were among the institutions given priority for the shots because the virus has cut a terrible swath through them. Long-term care residents and staff account for about 38% of the nation’s COVID-19 fatalities.

In West Virginia, only about 55% of nursing home workers agreed to the shots when they were first offered last month, according to Martin Wright, who leads the West Virginia Health Care Association.

“It’s a race against social media,” Wright said of battling falsehoods about the vaccines.

Ohio Gov. Mike DeWine said only 40% of the state’s nursing home workers have gotten shots. North Carolina’s top public health official estimated more than half were refusing the vaccine there.

SavaSeniorCare has offered cash to the 169 long-term care homes in its 20-state network to pay for gift cards, socially distanced parties or other incentives. But so far, data from about a third of its homes shows that 55% of workers have refused the vaccine.

CVS and Walgreens, which have been contracted by a majority of U.S. nursing homes to administer COVID-19 vaccinations, have not released specifics on the acceptance rate. CVS said that residents have agreed to be immunized at an “encouragingly high” rate but that “initial uptake among staff is low,” partly because of efforts to stagger when employees receive their shots.

Some facilities have vaccinated workers in stages so that the staff is not sidelined all at once if they suffer minor side effects, which can include fever and aches.

The hesitation isn’t surprising, given the mixed message from political leaders and misinformation online, said Dr. Wilbur Chen, a professor at the University of Maryland who specializes in the science of vaccines.

He noted that health care workers represent a broad range of jobs and backgrounds and said they are not necessarily more informed than the general public.

“They don’t know what to believe either,” Chen said. But he said he expects the hesitancy to subside as more people are vaccinated and public health officials get their message across.

Some places have already seen turnarounds, such as Our Lady of the Lake Regional Medical Center in Baton Rouge, Louisiana.

“The biggest thing that helped us to gain confidence in our staff was watching other staff members get vaccinated, be OK, walk out of the room, you know, not grow a third ear, and so that really is like an avalanche,” said Dr. Catherine O’Neal, chief medical officer. “The first few hundred that we had created another 300 that wanted the vaccine.”

Contributing to this report were Associated Press writers Jake Bleiberg in Dallas; Heather Hollingsworth in Mission, Kansas; Janet McConnaughey in New Orleans; Candice Choi in New York; Kelli Kennedy in Fort Lauderdale, Florida; Jay Reeves in Birmingham, Alabama; Brian Witte in Annapolis, Maryland; Jeffrey Collins in Columbia, South Carolina; John Seewer in Toledo, Ohio; Melinda Deslatte in Baton Rouge, Louisiana; and Bryan Anderson in Raleigh, North Carolina.

This content was originally published here.

Growing Your Invisalign® Practice from the Inside Out – Oral Health Group

Three Key Principles to Starting One Invisalign Case Every Day

Let me start by asking a simple question – where do Invisalign patients come from?

Expensive marketing campaigns?

Social media posts and fancy Facebook lead-generating ads and sales funnels?

That poster you hung on your wall and those brochures you placed on your front counter in hopes the patients will ask you about it?

If you think these things are going to fill your schedule with patients lining up for Invisalign consults, then I am going to challenge you to think differently.

I want to get you excited about the idea that all the Invisalign patients you could ever want are already inside your practice.  

In a small rural town with a population of only 7000 people, I have been able to achieve and maintain Platinum status since 2017.

In this article I will share with you the 3 Key Principles I used to grow my Invisalign practice from the INSIDE OUT – without any fancy marketing campaigns or rock bottom pricing strategies.  

My Invisalign journey began in 2008 when I completed Level 1 certification, which allowed me to do a handful of cases per year.  That was until 2017 when everything changed. In 2017, I started over 100 cases – with 46 of those cases started in the last 2 months of the year.  And yes – I did this without any external expensive marketing campaigns and no rock bottom pricing. In 2018, I started 167 cases and worked 151 days – over one case for every day I worked, and I’ve never looked back.  So what changed?

Principle #1  

Changing YOUR MIND is the first step

“If it’s been done before it’s probably possible.”

One of my favourite quotes from Zig Ziglar.

Over one weekend in late 2017 after a series of “fortunate” events including attending a minor hockey league game with my son and downloading a chance book to my Kindle, a lightning bolt of inspiration hit me.

I was inspired both by Zig Ziglars’ quote (which appeared in the book I was reading) and by what other dentists I looked up to and admired were achieving.

I was inspired to be a dentist who started one Invisalign case every day.  

Not only did I know Invisalign clear aligners to be a fun part of practice, but I also knew starting a case every day would more easily allow me to reach the financial goals for my practice.

Your mind is powerful and until you really commit and believe you can achieve the unthinkable – like starting an Invisalign case every day – you won’t.

Changing your mind has to be the first step.  That’s all I changed in three days over that one weekend in 2017, and I started 46 cases of Invisalign treatment in the next two months.

I knew I could be a dentist who started one Invisalign case every day because others had done it – and if it’s been done before, it’s probably possible.

I went from thinking “there is no way I can start more Invisalign cases, there just isn’t that much opportunity” (scarcity thinking – which we will get to in a moment!) to believing in myself and my team that I absolutely could do more…and we did!

I know what you are thinking – “Is she serious? Just change my mind and magically all the Invisalign cases will appear?”

Stay with me because yes, over that weekend, I made the mental commitment but at the start of the week was where the rubber hit the road so to speak, and I had to put action to my thoughts.  That’s where principal number two comes in…

Principle #2  

Get Engaged in Your Practice

If you are anything like I was, I loved running back to my office to check social media, my phone, the stock market, read the latest article on the newest bond, or who knows what else, while I was waiting to begin treatment for my patients. And I was a master of hiding from my hygienists –  What an interruption in my already busy day!

Just let me do the dentistry and do not stretch me outside my comfort zone and I’m happy…

Unfortunately, what I didn’t recognize was that by doing that I was missing huge opportunities, and if I wanted to start one case of Invisalign treatment every day, I could no longer afford to be disengaged. I could no longer afford to take my patients and their needs for granted.  But to do that I had to put some effort in.

What do I mean by this?

I put my phone down and scoured every chart of every patient who was in my office today.  I was actively looking for opportunities to talk about Invisalign clear aligners. Who could I talk to today?

Checking email? Forget it. Now I checked all the hygiene charts looking for opportunities!

Surfing the web? Not anymore. I needed to dig deep into all the restorative charts.

What I’m getting at is that opportunities don’t just happen – you create them!

You need to become keenly aware of the outstanding dentistry and opportunities that are in your office TODAY!

I bet you are thinking, “My assistants and hygienists already do a chart audit and tell me about outstanding dentistry.” And you know what? Mine did too!!!  But finding patients to talk to about Invisalign clear aligners is much different.

There is something to be said for YOU – THE DOCTOR – getting intensely engaged with your patients.  Reading your last notes yourself, reviewing your last x-rays or even better – the last photos – and getting yourself mentally prepared for another conversation is very powerful.   Your team will start to notice the shift too – and trust me – they will like it!

Get focused for a revisit of the already diagnosed dentistry, and if you want to start more Invisalign cases, get focused on who you can talk to about Invisalign clear aligners today.  Don’t underestimate the value of being prepared for those conversations.  Preparedness brings confidence.

Once I was prepared, once I knew with a laser focus who I was talking to today and once my team was prepared for me to have those conversations, you would be surprised how often those patients said “YES”!

But the truth is I had to find those opportunities because they weren’t just going to be handed to me on a silver platter.  

I had to put the work in and get engaged. 

We have a specialized set of skills that only we as dentists possess and that we as dentists only get to practice while we are at work! So make hay while the sun shines!!!  Get out of your personal office, get off your phone, turn off the TV, quit making phone calls, stop returning emails, and quit checking Facebook.

Do what only you can do: provide dentistry and get engaged with your team and your patients!  Everything else can wait.

Getting engaged also means (and yes I am gonna say it) you need to have a motivating, impactful, laser focused and empowering morning huddle.

My first day back in the office after that life-altering weekend in late 2017 began with a morning huddle like I had never had before.  And the day ended with four Invisalign case starts and another three on the schedule to start later that week.

To run a great meeting, my suggestion is for you as the doctor to be the happiest, most positive and overly energetic person on your team. You set the tone for that in the morning meeting!  If you come to work tired and unfocused, your team will follow suit. And no, I don’t believe this can be delegated.  You are the leader and you need to lead the charge, especially in times of change and new goals.  To reach new heights, you must be willing to go outside your comfort zone.

I would suggest every doctor needs to meet with their main assistant(s) and head scheduler in the morning. The agenda needs to be crystal clear: you now have a daily goal and intention of starting one Invisalign case every day and you need their help to reach this goal.  Who are you going to talk to today about Invisalign clear aligners and what is the plan if they say YES?

Get your team happy, get them motivated and get them believing in you! End with high fives, fist bumps or some other positive affirmation of the day, and start the day with good energy and clear intentions.

Trust me, there is no better way to start the day than by celebrating an Invisalign case start from yesterday!  

So get out of your personal office, stop hiding, take charge, get excited about the future and see the magic that follows.

Now you might be thinking, “Ok, I can get excited about the goal and start a mindset shift, and I can be more engaged with my practice, but you still didn’t answer the question you began with: where do these Invisalign patients come from?”  This leads me to principle number three.

Principle #3 

Invisalign patients are in your schedule already! (you just need to know how to talk to them)

In order to start more Invisalign cases, you have to believe that diagnosing a malocclusion is just as important as diagnosing a cavity.  Period.  Read that again if you have to.

Until we as dentists understand how to talk to patients about their malocclusions and the health benefits of straight teeth, we are letting a huge opportunity inside our practices pass us by. If the only way you know how to bring up a malocclusion is to ask if your patient has ever thought about straightening their teeth, you are going to hear a lot of “no”s. Why?  Because patients THINK Invisalign clear aligners are about cosmetics (and they aren’t that VAIN! And plus, isn’t that expensive???). It’s your job to help them understand it’s about so much more than that.

Straight teeth are about much more than cosmetics.

Understanding the importance that straight teeth play in improving a patient’s overall oral health was a game changer for me and my team and what allowed us to take our Invisalign practice to the next level.

That patient with crowding and cavities? There is an opportunity to talk about the health benefits of straight teeth.

That patient with crowding and gum disease?  There is an opportunity.

That patient with recession on a rotated canine? That Class 2 patient with wear who needs a nightguard? That patient with crowding who needs an implant?  That patient who has a deep bite, no overjet and daily headaches? The patient who broke the buccal cusp of a tooth in crossbite?

All of these patients are opportunities to talk about the health benefits of straight teeth! And these are the patients we see all day long in our practices.

Teeth that fit together better are easier to clean and last longer. It’s really as simple as that.

Seventy-five percent of the adult population is walking around with a malocclusion just waiting for us to diagnose! If you see eight hygiene patients in one day, six of them have a malocclusion. You only need one to say yes to Invisalign clear aligners today…

One out of six is a 16% case acceptance rate! (I hope this is looking more doable now!)

There is more than enough crooked teeth to go around.  Think abundantly!  Scarcity thinking is believing there are only so many people in your practice who will say yes to straightening their teeth, or that you will somehow run out of patients to talk to about the health benefits of straight teeth. It simply isn’t true.

If DTC orthodontics has taught us anything, it’s that the demand is there, and we just need to be more intentional at understanding the demand and understanding what our patients’ goals are. We have to be more intentional about talking to our patients about it and educating them on the health benefits of straight teeth.

So growing your Invisalign practice does not need to mean expensive marketing plans to attract new patients, or rock bottom prices to compete with DTC aligner brands.

Growing your Invisalign practice from the inside out simply means talking to your existing patients about the health benefits of straight teeth.

And the really good news is if you get intentional about finding the opportunities in your own patient population, those patients already know you, already have a relationship with you and probably most important, already trust you.  These patients are much more likely to say YES and feel good about their decision.

“To get things you’ve never had you must do things you’ve never done.”

This is my all-time favourite quote and through this article, I hope I have given you the nudge you need to go after those things.

About Dr. Terri Pukanich

Dr. Pukanich graduated from the University of Alberta dental School in 2002. She bought her first and only practice in 2003 when she was just 25 years old. Over the last 16 years she successfully grew her practice from a 4 treatment room, 1 doctor office to a 17 treatment room, super GP group practice – all in a small rural town of 7000 people. She is passionate about creating dental work environments that have tremendous impact on patients and team members and where everyone has fun! Along her journey she has worked with the biggest names in dental coaching and has spent over a million dollars on developing her practice. She learned the secrets to implementation and execution of the most effective strategies. She is now CEO and Founder of Dental BossLady where she helps women in dentistry create a profitable and fulfilling practice while having more fun and making more money. She is a Platinum Plus Invisalign provider and a Key Opinion Leader for the American Academy of Clear Aligners.

Invisalign®, the Invisalign logo, and iTero®, among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries.
The opinions expressed in this article are those of the author and may not reflect those of Align Technology, Inc. The author was paid an honorarium by Align Technology, Inc. in connection with writing this article.

This content was originally published here.

Outcomes Data Registry for Dentistry – TeethRemoval.com

Using large amounts of data from many different dentists or surgeons is a way to improve the quality of healthcare. From such clinical data registries in healthcare
many things can be gleaned regarding information about individual surgeries or medical devices. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has recently launched OMS Quality Outcomes Registry or OMSQOR for short which is discussed on pages 7-12 of the March/April 2019 issue of AAOMS Today. The groundwork for OMSQOR actually began in 2014 and OMSQOR officially launched in January 2019. The way OMSQOR works is that treatment data from all members who participate will be collected in a national registry that will be used to help improve the quality of care and patient outcomes. Such quality data will allow for tracking surgical outcomes, complications, and possible gaps in treatment. OMSQOR will even allow an individual surgeon to compare their patients to all patients in the database to identify areas in their practice they may be lacking and improvement is needed. AAOMS is encouraging all of their members to sign up and participate.

The data registry will be used to help AAOMS be able to better advocate on behalf of oral and maxillofacial surgeons along with conduct additional research to improve outcomes. Practice patterns across the entire specialty can be tracked. This can allow for better reimbursement for services that is fair where insurance companies may be challenging them. This can also allow for better data showing how often an anesthesia death occurs by oral and maxillofacial surgeons. This is important to them because many have challenged their delivery model of having the surgeon both perform surgery and deliver anesthesia which is not how surgeries are conducted in other specialties. The data registry can allow for the frequency of particular complications after particular surgeries to be identified. Of particular interest is identifying the frequency of nerve injuries after wisdom teeth surgery. The data registry can also be used to explore medical prescription prescribing habits which is of particular interest with recent studies demonstrating possible over prescribing of opioids which are then diverted to non medical use. According to the AAOMS Today article:

“Often, anesthesia advocacy stalls because AAOMS does not know how many anesthetics OMSs safely and routinely use. With OMSQOR, relevant aggregate data can be collected and safety statistics shared with federal and state agencies as well as insurance companies.”

Currently the safety of oral and maxillofacial surgeons delivery anesthesia is measured by several morbidity and mortality studies that have been conducted over time see for exaxmple http://www.teethremoval.com/mortality_rates_in_dentistry.html along with anecdotal reports and hearing about patient death or serious injury from media reports. Included with OMSQOR, is a Dental Anesthesia Incident Reporting System (DAIRS) which is an anonymous self-reporting system used to gather and analyze
information about dental anesthesia incidents. For example if an equipment fails or a cardiac event occurs in a patient a surgeon could report this anonymously using DAIRS. All dental dental anesthesia providers are being encouraged to report to DAIRS in order to help improve patient outcomes.

Even with the advantages of OMSQOR it is true that some members may be hesitant to want to use the system. This is because it can potentially be a significant time burden involved with the initial set-up to import all the data and surgeons may frankly just not like everyone else knowing intimate details about their practice. In addition their may be concerns with patient privacy. Both patient information and surgeon information will however be de-identified in the data registry so these concerns should not be subdued. Even so it may be possible to re-identify de-identified data. For example if there is a rare complication or death that occurs and is then picked up by the news media it may be possible to piece together who the patient and doctor is. Even with the limitations it seems that if many oral and maxillofacial surgeons and dental anesthesia providers use both OMSQOR and DAIRS then patient outcomes for dental procedures including wisdom teeth surgery may improve in the future.

This content was originally published here.

Joe Biden picks transgender woman for assistant health secretary / LGBTQ Nation

“Dr. Rachel Levine will bring the steady leadership and essential expertise we need to get people through this pandemic — no matter their zip code, race, religion, sexual orientation, gender identity, or disability — and meet the public health needs of our country in this critical moment and beyond,” Biden said in a statement. “She is a historic and deeply qualified choice to help lead our administration’s health efforts.”

If both are confirmed, Levine will serve under California’s attorney general Xavier Becerra, who has been nominated to the position of secretary of HHS.

Nominating Levine signals the importance of fighting the COVID-19 pandemic for the Biden administration. As surgeon general of the state of Pennsylvania, she has led the state’s response to the pandemic, at times facing heavy criticism – and straight-up transphobia – from conservatives in her state.

“Dr. Rachel Levine is a remarkable public servant with the knowledge and experience to help us contain this pandemic, and protect and improve the health and well-being of the American people,” said Vice President-elect Kamala Harris in a statement. “President-elect Biden and I look forward to working with her to meet the unprecedented challenges facing Americans and rebuild our country in a way that lifts everyone up.”

Her appointment also signals the incoming Biden administration’s commitment to end attacks on LGBTQ health. HHS was at the center of numerous attacks on LGBTQ people during the Trump administration.

HHS spent the last four years attempting to roll back LGBTQ protections based on Section 1557 of the Affordable Care Act so that health care providers could more easily discriminate; rolling back anti-LGBTQ discrimination protections for the recipients of HHS grant money, funds that often go to adoption and fostering agencies as well as health care and homelessness programs; redefining “gender” to mean “sex assigned at birth” in order to legally erase transgender identity; scrubbed LGBTQ health care information from its website; and stopped funding HIV/AIDS research that involves fetal tissue, which is necessary for many aspects of HIV/AIDS research.

While she has been confirmed three times by the GOP-controlled state senate during her tenure at Pennsylvania’s Department of Health, she faced an unprecedented deluge of transphobic attacks this past year as she tried to get Pennsylvanians to wear masks and practice social distancing.

Last year, an evangelical minister exhorted his followers to “rise up” and “chase” the doctor out of the state. He repeatedly referred to her as “it,” “a man,” and a “freak transvestite.”

“You are absolutely insane if you let that transvestite freak rule your life,” pastor Rick Wiles screamed. “You’re going to that transvestite freak? Seriously?”

In July, a Pennsylvania tavern apologized for a transphobic menu item designed to taunt Dr. Levine. And around the same time, a popular Pennsylvania fair, the Bloomsburg Fair, used a Dr. Levine “impersonator” (which was a man in a wig and a dress) in their dunk tank and published a mocking Facebook post about it.

Leaders of both the fair and tavern apologized, but Dr. Levine still felt it was important to address the transphobia directly at one of her daily briefings.

“I want to emphasize that while these individuals may think that they are only expressing their displeasure with me, they are in fact hurting the thousands of LGBTQ Pennsylvanians who suffered directly from these current demonstrations of harassment,” she said during her July 28 briefing. “Your actions perpetuate the spirit of intolerance and discrimination against LGBTQ individuals and specifically transgender individuals.”

This content was originally published here.

The Oral-Systemic Connection & Our Broken Healthcare System – International Academy of Biological Dentistry and Medicine

Say Ahh, the world’s first documentary on oral health, takes a sobering look at the state of our national healthcare system. Despite being one of the wealthiest nations in the world, home to some of the most advanced medicine and technology, America is suffering from a drastic decline in the overall health of its citizens. …

This content was originally published here.

New York State Democrat Lawmaker Proposes Bill to Detain “Disease Carriers” the Governor Deems “Dangerous to the Public Health”

The New York State Assembly proposed a bill to detain “disease carriers” the Governor deems “dangerous to the public health.”

The bill was authored by N. Nick Perry, a Democrat member of the New York State Assembly.

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Bill A416 relates to “the removal of cases, contacts and carriers of communicable diseases that are potentially dangerous to the public health.”

The Governor would have sweeping powers to indefinitely detain American citizens and put them in internment camps.

According to the proposed bill, the Governor will also be able to detain people who have come in contact with the “carrier.”

The only way an individual would be released from detainment is if the “department” determines the person is no longer contagious.

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Read the text from the proposed bill:

Section 1. The public health law is amended by adding a new section 2120-a to read as follows:

§ 2120-A. REMOVAL AND DETENTION OF CASES, CONTACTS AND CARRIERS WHO ARE OR MAY BE A DANGER TO PUBLIC HEALTH; OTHER ORDERS.

1. THE PROVISIONS OF THIS SECTION SHALL BE UTILIZED IN THE EVENT THAT THE GOVERNOR DECLARES A STATE OF HEALTH EMERGENCY DUE TO AN EPIDEMIC OF ANY COMMUNICABLE DISEASE.

2. UPON DETERMINING BY CLEAR AND CONVINCING EVIDENCE THAT THE HEALTH OF OTHERS IS OR MAY BE ENDANGERED BY A CASE, CONTACT OR CARRIER, OR SUSPECTED CASE, CONTACT OR CARRIER OF CONTAGIOUS DISEASE THAT, IN THE OPINION OF THE GOVERNOR, AFTER CONSULTATION WITH THE COMMISSIONER, MAY POSE AN IMMINENT AND SIGNIFICANT THREAT TO THE PUBLIC HEALTH RESULTING IN SEVERE MORBIDITY OR HIGH MORTALITY, THE GOVERNOR OR HIS OR HER DELEGEE, INCLUDING, BUT NOT LIMITED TO THE COMMISSIONER OR THE HEADS OF LOCAL HEALTH DEPARTMENTS, MAY ORDER THE REMOVAL AND/OR
DETENTION OF SUCH A PERSON OR OF A GROUP OF SUCH PERSONS BY ISSUING A SINGLE ORDER, IDENTIFYING SUCH PERSONS EITHER BY NAME OR BY A REASONABLY SPECIFIC DESCRIPTION OF THE INDIVIDUALS OR GROUP BEING DETAINED. SUCH PERSON OR GROUP OF PERSONS SHALL BE DETAINED IN A MEDICAL FACILITY OR OTHER APPROPRIATE FACILITY OR PREMISES DESIGNATED BY THE GOVERNOR OR HIS OR HER DELEGEE AND COMPLYING WITH SUBDIVISION FIVE OF THIS SECTION.

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3. A PERSON OR GROUP REMOVED OR DETAINED BY ORDER OF THE GOVERNOR OR HIS OR HER DELEGEE PURSUANT TO SUBDIVISION TWO OF THIS SECTION SHALL BE DETAINED FOR SUCH PERIOD AND IN SUCH MANNER AS THE DEPARTMENT MAY DIRECT IN ACCORDANCE WITH THIS SECTION.

Click here to read to entire bill proposed by Democrats in New York.

This content was originally published here.

Using AI to improve dentistry, VideaHealth gets a $5.4 million polish

Florian Hillen, the chief executive officer of a new startup called VideaHealth, first started researching the problems with dentistry about three years ago.

The Massachusetts Institute of Technology and Harvard educated researcher had been doing research in machine learning and image recognition for years and wanted to apply that research in a field that desperately needed the technology.

Dentistry, while an unlikely initial target, proved to be a market that the young entrepreneur could really sink his teeth into.

“Everyone goes to the dentist [and] in the dentist’s office, x-rays are the major diagnostic tool,” Hillen says. “But there is a lack of standard quality in dentistry. If you go to three different dentists you might get three different opinions.”

With VideaHealth (and competitors like Pearl) the machine learning technologies the company has developed can introduce a standard of care across dental practices, say Hillen. That’s especially attractive as dental businesses become rolled up into large service provider plays in much of the U.S.

Screen Shot 2019 09 16 at 16.33.16 1

Image courtesy of VideaHealth

Dental practitioners also present a more receptive audience to the benefits of automation than some other medical health professionals (ahem… radiologists). Because dentists have more than one role in the clinic they can see enabling technologies like image recognition as something that will help their practices operate more efficiently rather than potentially put people out of a job.

“AI in radiology competes with the radiologist,” says Hillen. “In dentistry we support the dentist to detect diseases more reliably, more accurately, and earlier.”

The ability to see more patients and catch problems earlier without the need for more time consuming and invasive procedures for a dentist actually presents a better outcome for both practitioners and patients, Hillen says.

It’s been a year since Hillen launched the company and he’s already attracted investors including Zetta Venture Partners, Pillar and MIT’s Delta V, who invested in the company’s most recent $5.4 million seed financing.

Already the company has collaborations with dental clinics across the U.S. through partnerships with organizations like Heartland Dental, which operates over 950 clinics in the Midwest. The company has seven employees currently and will use its cash to hire broadly and for further research and development.

Screen Shot 2019 09 25 at 2.53.42 PM

Photo courtesy of VideaHealth

This content was originally published here.

PA Health Department Offers COVID Advice… For Orgies

That old expression, “Ya can’t make this stuff up,” comes to mind.

Under the command of transgender Health Secretary Rachel Levine (aka Richard Levine), The Pennsylvania Department of Health just burned tax cash issuing new COVID19 guidelines forrrr…

…People attending orgies.

Thanks to talk radio host and writer Rose Unplugged Tweeting the pertinent section, we who, like her, still cling to vestiges of sanity, get to see the Kafkaesque display of a state government forbidding people from attending church or choir, but offering tips to those who insist on participating in orgiastic hedonism.

WTH: From PA’s oh so smart Sec of Health:
Where to Start??

– IF you attend a Large Gathering where you might end up having sex
* ORGY??

– If you USUALLY meet sex partners online – consider;
*PORN?? pic.twitter.com/S6TK3p8OYm

— Rose Unplugged (@rose_unplugged)

The actual government document has been around for weeks, but it took Rose to dig in and find the pertinent section, which reads:

Large gatherings are not safe during COVID19, but if you attend a large gathering where you might end up having sex, below are tips to reduce your risk of spreading or getting COVID-19 through sex:

Limit the number of partners.

Try to identify a consistent sex partner.

Wear a face covering, avoid kissing, and do not touch your eyes, nose, or mouth with unwashed hands.

Wash your hands with soap and water often, and especially before and after sex.  If soap and water are not available use an alcohol-based hand sanitizer.

If you usually meet your sex partners online, consider taking a break from in-person dates. Video dates, sexting, subscription-based fan platforms, or chat rooms may be options for you.

Isn’t that awesome…?

It’s all so sanitary and sane.

Heck, why not spend other people’s money writing some “health advice”? Then, to pile on more insults, don’t tell people that sexual intercourse naturally can lead to the creation of new human life, that it creates physical, emotional, and spiritual complications for participants with or without conception, that sexual relations outside marriage make these factors even more complex and difficult, and that they raise health risks… Instead, offer a perfunctory “warning” about the virus, then give folks tips, assuming they’ll engage in unbridled “relations”, anyway.

This is a state where Democrat Governor Tom Wolf has childishly refused to acknowledge the US Bill of Rights and the Contract Clause of the US Constitution, even as he turned a blind eye to a September court ruling smacking down his lockdowns of businesses and churches, and he continued to target and fine restaurateurs for trying to welcome customers.

This is a state where said Governor, Tom Wolf, was caught laughing with leftist State Rep Wendy Ullman (D) as she joked that she would keep on her mask… for the cameras, for, as she put it, “political theatre.”

And this is a state where said Governor issued a November statement ORDERING people to wear masks in their homes (the policing of which would require warrants, according to the Fourth Amendment, which also appears to be something Wolf doesn’t bother to respect).

At what point do these people ever feel shame?

The entire exercise of lockdowns is not only toweringly immoral and unconstitutional, it is based on fraudulent “statistics” for “cases” and “COVID19 deaths”, and, even more generally, on a revised use of the term “pandemic” that has lowered the threshold for its application such that it can be bandied about virtually any time, for anything. As Dr. Joseph Mercola wrote on December 10:

The WHO’s original definition of a pandemic specified simultaneous epidemics worldwide “with enormous numbers of deaths and illnesses”

This definition was changed in the month leading up to the 2009 swine flu pandemic. The WHO removed the severity and high mortality criteria, leaving the definition of a pandemic as “a worldwide epidemic of a disease”

This is how COVID-19 is still promoted as a pandemic even though it has caused no excess mortality in nine months

Does their continued consumption of other people’s money numb these PA tyrants to their own perfidy, or do they enjoy mass suffering as much as their public “health guidelines” seem to assume that people enjoy mass hook-ups?

It might be difficult to get any answers from said government agents. Rather than engage in debate and discussion, they seem to prefer issuing edicts and “advice” — neither of which are helpful.

This content was originally published here.

CDC issues new guidance about vaccinations for people with underlying health conditions

The Centers for Disease Control and Prevention (CDC) on Saturday issued a new guidance stating that people with underlying health conditions can receive a coronavirus vaccine. 

The guidance explains that “adults of any age with certain underlying medical conditions are at increased risk for severe illness from the virus that causes COVID-19.”  

Thus, the CDC added that those vaccines that have been approved by the Food and Drug Administration (FDA) “may be administered to people with underlying medical conditions provided they have not had a severe allergic reaction to any of the ingredients in the vaccine.” 

The CDC explained that people with weakened immune systems due to other illnesses or medication may also receive a COVID-19 vaccine, but they should be aware that limited safety data is available on the effects of the vaccines on these individuals. 

Additionally, while people living with HIV were included in clinical trials, safety data for this group is also not yet available. 

The CDC also stated in its Saturday guidance that individuals with autoimmune conditions may take the vaccine, although there is no data currently available for the safety of the vaccine in this demographic.  

Those who have experienced Guillain-Barre syndrome — a condition in which the body begins to attack parts of its own nervous system — may also receive the vaccine doses. The guidance adds that following vaccination during clinical trials, there have been no instances of the syndrome. 

People who have previously experienced Bell’s palsy — a condition that causes muscle weakness in one side of the face — may also receive a vaccine. Some participants during clinical trials did develop Bell’s palsy following vaccination, but it did not occur at a rate above that expected in the general population. 

Despite the start of distributions of the Pfizer/BioNTech and Moderna vaccines, the CDC recommends that people who get vaccinated should continue to follow current coronavirus health and safety protocols, such as wearing a mask, social distancing and avoiding crowds. 

According to the CDC, nearly 2 million people have received their first dose of a coronavirus vaccine as of Saturday. Both the vaccine developed by Pfizer and BioNTech and the one from Moderna require two doses to be administered several weeks apart. 

Final trial data on both vaccines showed them to have a roughly 95 percent efficacy rate at preventing COVID-19, although Moderna’s vaccine has an 86 percent efficacy rate for those over the age of 65.

Health care workers have been prioritized in the initial distribution of the vaccine, and the CDC’s Advisory Committee on Immunization Practices (ACIP) voted last week to advise the CDC to include those 75 and older and specific front-line essential workers, including emergency responders and teachers, in the next phase of coronavirus vaccinations.

This content was originally published here.

Maxillary First Premolar Extractions for Orthodontics – a Red Flag for Joint Issues – Spear Education

I had an unusual experience recently when I saw two new patients – incidentally, scheduled back-to-back – who both had three circumstances in common that resulted in a loss of airway volume and joint issues.

First, I saw a 45-year-old woman who presented with clicking and popping in her left jaw joint and reported the problem was getting worse. She had an average pain of 6/10 with a worst pain of 7/10 in her right jaw joint and an average pain of 8/10 and a worst pain of 10/10 in her left joint.

She had modified her diet to avoid eating hard or chewy foods and said her joint started clicking when she was in her early 20s.

Her initial point of contact was 15/18 (27/37) in a fully seated condylar position and had a 2-mm anterior shift from a fully seated condylar position to maximum intercuspation. Her mandibular midline was 2 mm to the right of her maxillary midline in a fully seated condylar position. She opened 30 mm and said she used to click in both her right and left jaw joints.

She also reported mild muscle tenderness to palpation and had facial asymmetry to the right. She’s worn two different occlusal appliances and was currently using an anterior repositioning appliance, which was not helping her pain.

Her trauma history included two motor vehicle accidents at age 43 and surgical intubations at ages 40 and 44. Her anterior teeth were uncoupled by 2 mm in a horizontal and vertical dimension.

Next, I saw a 53-year-old woman – another new patient who presented with a chief concern of clicking and pain in the left jaw joint. She told me the problem got worse about two years ago. She saw her ENT physician who examined her ears and concluded they were not the source of the problem.

The patient explained it was difficult for her to chew food and she felt her bite did not fit together evenly. She also reported no pain in the right jaw joint but an average pain of 5/10 and a worse pain of 8/10 in her left joint. Like the first patient, this patient also modified her diet to avoid hard or chewy foods.

In this second case, the patient’s initial point of contact was 2/31 (17/47) in a fully seated condylar position and she had a 3-mm anterior shift from a fully seated condylar position to maximum intercuspation. Her mandibular midline was 2 mm to the right of her maxillary midline in a fully seated condylar position. She opened 37 mm and said she used to click in both her right and left jaw joints.

She reported minimal muscle tenderness to palpation and had a canted occlusal plane to the right. She’s worn one occlusal appliance, which didn’t help her pain. Her trauma history included falling out of a station wagon at age 11, a snowmobiling accident at age 21, and a dog hitting her chin at age 27. Her anterior teeth were uncoupled by 3 mm in a horizontal dimension.

3 common threads

Interestingly, both patients shared three important facts. First, they both had orthodontics from ages 12-14 to treat an overjet problem. Second, they both had audible crepitus in their right and left jaw joints.

Having audible crepitus in a jaw joint usually means the disk is not covering the bone and the noise (crepitus) is typically the result of bone-to-bone contact between the condyle and the joint socket.

The third common factor was both patients had their maxillary first molars extracted when they had orthodontics.

To understand why the maxillary first molars were extracted for the orthodontic treatment for overjet, we must reverse-engineer the treatment plans for both patients. At the time, the thinking was they had genetically small mandibles, so if the upper first premolars were extracted it would be possible to retract the upper anterior teeth, thus reducing the overjet and creating a more normal anterior tooth relationship. However, we now know this is a flawed assumption to think the overjet was the result of a genetically small mandible.

While genetics can be a reason for a small mandible, the overwhelming majority of small mandibles are due to a structural alteration in the TMJ. When the joints are injured in a growing patient, growth can be interrupted (Figs. 1-4) and result in a Class II occlusion with an overjet problem.

If thinking about occlusion is limited to the tooth level without considering the condition of the TMJ, it’s easy to see why extracting the maxillary first premolars would make sense.

The problem now is once the TMJ is imaged with MRI and CBCT, it’s easy to understand the small mandible was not due to genetics, but rather due to incomplete growth of the mandible and the maxilla. The extractions were subtractive dentistry, which led to both esthetic and airway issues in both patients.

My advice is to always take a closer look at the jaw joints when patients present with maxillary first premolars extracted for orthodontic treatment. In most of these cases, there will be an undiagnosed joint issue that causes the overjet issue.

We can align with maxillary premolar and retractive orthodontics in the growing patient, but in most cases, the result will be a loss of airway volume along with joint problems in the adult patient.

Jim McKee, D.D.S., is a member of Spear Resident Faculty.

Piper, DMD MD, Mark. “Temporomandibular Joint Imaging.” Handbook of Research on Clinical Applications of Computerized Occlusal Analysis in Dental Medicine. IGI Global, 2020.582-697.

Pirttiniemi, P. Abnormal mandibular growth and the condylar cartilage. European Journal of Orthodontics, 2009;31(1),1-11.

Manfredini D, Segu M, Arveda N, Lombardo L, Siciliani G, Rossi A, et al. Temporomandibular joint disorders in patients with different facial morphology. a systematic review of the literature. Journal of Oral and Maxillofacial Surgery.2016;74(1),29-46.

This content was originally published here.

How USC students deal with physical stress caused by dentistry

Minalie Jain had experienced pain before, but when she started to work in the simulation lab at USC, the shooting pain in her arm caught her attention.

The sim lab involves a lot of fine handwork, with students bent over molds of teeth. The intensity of the muscle contractions left Jain in stabbing and throbbing pain.

Fortunately for her, the Herman Ostrow School of Dentistry of USC and the university’s physical therapy program have teamed up to use physical therapy skills that can help dental students deal with the physical stress caused by dentistry. Jain now does physical therapy to help her in day-to-day work.

Physical stress: Ergonomics and body mechanics offer relief

Dental students had always had one lecture on ergonomics from a physical therapy professor, but when Kenneth Kim, instructor of clinical physical therapy, took over that lecture, he thought the schools could do more together.

“I felt like a lecture once a year wasn’t enough — especially because we were seeing so many dental students at the clinic,” he said. “Sometimes the students were getting pretty emotional because of all the pain.”

Kim worked with Jin-Ho Phark, associate professor of clinical dentistry, to set up the ergonomics and body mechanics collaboration after the lecture. This is the first year that physical therapy students go to the dental students’ sim lab once a week, for two hours in the morning and two hours in the afternoon. “We can follow up on body position and patient position, and they have been really receptive,” Kim said.

The biggest issues that dental students face are forces on their hands, necks and arms as they work on models of patients.

They sometimes forget to adjust the patient to make their own bodies work more easily.

Kenneth Kim

“They sometimes forget to adjust the patient to make their own bodies work more easily,” Kim said. “That means that students can stay hunched over, in that position for hours, which causes neck and back pain. We come in and make a small adjustment, which results in a huge outcome.”

Musculoskeletal disorders: a widespread problem

Dentists are particularly prone to musculoskeletal disorders: 70 percent of dentists suffer from them, compared to 12 percent of surgeons. That’s mainly because dentistry requires lots of repetitive motions, especially by the hand and wrist, as well as sustained postures, said Phark says, who explained that students in the sim lab work on mannequins, learning to use drills inside tooth models. The way they position their necks forward or slouch their backs can often result in lower back and shoulder pain.

“We see that throughout the years students in dental school don’t always take care of their posture while they perform procedures,” he said. That’s hard on a body, especially considering students are working in the same position for eight hours a day.

In addition to the lectures and hands-on help, students can often position themselves better by using their loupes, which allows them to maintain a certain distance from a patient.

“With lenses on the loupes, you can’t really adjust them so there is a working length in which they have to position themselves,” Phark said.

Sit for some patients and stand for others

Kenneth Gozali uses his loupes to remind himself to keep a good posture and position with patients. He focuses on sitting straight, having the right chair height and patient height — all of which make it easier to do his work.

“It was a little strange because I was not all that used to sitting all day, but now I like to switch it up: I’ll sit down for two or three patients and then stand up for the next ones,” he says, adding that in dentistry it’s all about keeping your hands and arms in good working order. “You can’t do much with a bad back or bad arm.”

Phark has used the collaboration as a refresher in his own work: He noticed there were days when he came home in pain.

“My back is hurting, my neck is hurting, I have to maintain a proper posture myself,” he said. “It’s not just preaching — we have to practice ourselves.”

Phark works on Wednesdays in the USC Dental Faculty Practice for 12 hours. “I basically cannot survive the day if I’m not sitting properly,” he said.

Two-way education

The dental students have been very receptive to the instruction and advice, since many of them experience a variety of issues that we can help them navigate and problem solve, whether it is pain, fatigue or difficulty visualizing target areas within the mouth, said Ashley Wallace, who has also learned things from the dental students

“I’ve learned the dentistry-specific language in regards to quadrants and tooth surfaces, and how the position of both the patient and dentist change depending on the target surface, procedure and tools required or whether direct or indirect vision is used.”

Wallace said it’s been valuable to adapt her training to a specific audience such as the dental students.

“My hope is that if they implement proper body mechanics now, they will have less need for physical therapy down the road.”

It takes three weeks to break a habit

Kim hopes to continue and expand the collaboration in the coming years. This year, physical therapy students are only working in the dental school for five weeks — and they are trying to figure out how to do more in the future.

“For the first year, five weeks is pretty good,” Kim said. “It takes three weeks to break a bad habit, like slouching or stooping. With our presence, we can get them to be more mindful about their posture going forward.”

Jain will continue to do physical therapy exercises, which she said are helping her pain. An X-ray showed calcified tendonitis in her rotator cuff, a genetic condition that was exacerbated by her dental school work. She’s grateful for the extra perspective and help she gained from the collaboration.

“Ergonomics is very crucial in dental school because forming a bad habit is really easy since it is very difficult seeing in the mouth,” she said. “It is important to keep the back straight and the arms in appropriate positioning so it doesn’t cause strain on it, even for people who do not have arm issues.”

This content was originally published here.

Large numbers of health care and frontline workers are refusing to get the coronavirus vaccine

Despite having been prioritized as the first recipients of the coronavirus vaccine, a large number of health care and frontline workers are passing on the vaccine. Early reports from across the country show that health care and frontline workers are refusing to get the COVID-19 vaccine.

In Ohio, 60% of nursing home employees decided not to take the coronavirus vaccine. Last week, Gov. Mike DeWine (R) reacted to the low participation numbers by
saying, “We aren’t going to make them but we wish they had a higher compliance.” He added that he was “troubled” by how many nursing home workers rejected the vaccine.

DeWine warned frontline workers that they soon would no longer be in front of the line, “Our message today is: The train may not be coming back for awhile. We’re going to make it available to everyone eventually, but this is the opportunity for you, and you should really think about getting it.”

Dr. Joseph Varon, chief of staff at United Memorial Medical Center in Houston, is frustrated that over half of the nurses in his unit will refuse to get the vaccine.

“Yesterday I had a — not a fight, but I had a friendly argument with more than 50% of my nurses in my unit telling me that they would not get the vaccine,” he told
NPR’s “Morning Edition.”

“Some of those nurses have had family members admitted to the hospital, gravely ill with COVID-19,” NPR reported. “But he said some nurses and hospital staff members — many of whom are Latinx or Black — are skeptical it will work and are worried about unfounded side effects.”

In California, an estimated 50% of frontline workers in Riverside County turned down the COVID-19 vaccine, Public Health Director Kim Saruwatari told
the Los Angeles Times.

“At St. Elizabeth Community Hospital in Tehama County, fewer than half of the 700 hospital workers eligible for the vaccine were willing to take the shot when it was first offered. At Providence Holy Cross Medical Center in Mission Hills, one in five frontline nurses and doctors have declined the shot,” the LA Times reported. “Roughly 20% to 40% of L.A. County’s frontline workers who were offered the vaccine did the same, according to county public health officials.”

Dr. Nikhila Juvvadi, the chief clinical officer at Chicago’s Loretto Hospital, surveyed the hospital staff right before the coronavirus vaccine came out, and 40% of the employees said they would not get vaccinated, according to
NPR.

In an early December survey of New York Fire Department members, approximately 55% of uniformed firefighters said they would opt to not get the shot, according to
WNBC-TV.

A survey by the
Kaiser Family Foundation published on Dec. 15 found that 29% of those who work in a health care delivery setting probably would not or definitely would not get the shot. The poll also found that 33% of essential workers would pass. Overall, 27% of Americans are “vaccine-hesitant.”

There is a stark divide among Americans who are willing to get vaccinated depending on their political affiliation. According to the survey, 86% of Democrats say that they will definitely or probably get the coronavirus vaccine, compared to 56% of Republicans who said the same.

According to the
KFF, the top concerns about being reluctant to get the coronavirus vaccine are:

Sheena Bumpas, a certified nursing assistant at a home in Oklahoma, told
the New York Times that she was reluctant to get the COVID-19 vaccine because “I don’t want to be a guinea pig.”

April Lu, a 31-year-old nurse at Providence Holy Cross Medical Center in California, refused to take the vaccine because she is concerned that it is might not be safe for pregnant women, and she is six months pregnant.

“I’m choosing the risk — the risk of having COVID, or the risk of the unknown of the vaccine,” Lu told
the Los Angeles Times. “I think I’m choosing the risk of COVID. I can control that and prevent it a little by wearing masks, although not 100% for sure.”

Last week, Dr. Anthony Fauci noted that coronavirus vaccines could become mandatory in order to attend school or travel internationally.

This content was originally published here.

Reducing Aerosols and Splatter for Safer Dentistry with Solea®

Up to 99.9% Reduction in Aerosols & Splatter

Due to the recent COVID-19 pandemic, dentists are understandably concerned with the risk of disease transmission from patient to practitioner and staff. There is evidence that aerosol generated during dental procedures may harbor active pathogens that can infect the dentist or hygienist. Small, invisible particles may contain these pathogens to a small extent, but larger droplets and splatter are likely to contain significant concentrations of these active pathogens and are less easily removed by nearby suction.

To investigate how Solea® can help dental practices reduce the risk of transmission, the Convergent Dental R&D team designed two structured and controlled studies: a macroscopic and a microscopic. Study results demonstrate that Solea supports safer dentistry by reducing aerosols and splatter by up to 99.9% compared to the traditional drill.

Solea vs. the Drill: General Device Settings

The studies described below were performed by a dentist in a dental clinic using a conventional high-speed drill and the Solea all-tissue laser. Each study also used an HVE suction device during each procedure.

The Drill

High-speed drills rotate at speeds up to 400,000 rpm, use air pressures in the range of 30-40 psi, and utilize water flows in the range of 30-60 ml/min. The high-speed drill used in this study rotated at 350,000 rpm, used 30 psi air pressure, and used a 50 ml/min water flow rate. These settings followed manufacturer approved guidelines and were deemed acceptable by the dentist.

Solea

Solea has a range of settings that can be adjusted by the practitioner. For this study, the following manufacturer approved guidelines were used: 10 PSI, 8 ml/min water flow, 50% cutting speed and 1.25mm spot size. These settings were deemed acceptable by the dentist.

Macroscopic Testing: Splatter Spread and Visualization

The objective of the macroscopic approach was to obtain a visualization of the splatter and droplet spread generated during a hard-tissue dental procedure. To mimic this, extracted human molars were placed in a model of a human head, and mounted in normal positions inside the mouth. To clearly view the splatter created, food dye was added to the water reservoirs in both Solea’s and the chair’s system. The high-speed drill and laser were each operated for ~10 seconds.

The drill generated splatter as far as 45cm while Solea only produced minimal detectable splatter a few millimeters from the mouth (Figure 1). The study confirmed that Solea produces, at a minimum, 97% less splatter than the drill.

Figure 1. Images showing the splatter (darker color) generated by High Speed Handpiece and Solea on a cover sheet located above the operatory chair.

Microscopic Testing: Quantification of Splatter Concentration

The aim of this study was to quantify splatter and aerosol residue created directly outside of the oral cavity. Extracted human molars were again placed in a model of a human head and food dye was added to the water reservoirs in both Solea’s and the chair’s system. Glass slides were placed at various distances from the tooth, and both the drill and laser were used to cut following the clinical settings previously described. The slides were then examined under a microscope to compare splatter coverage (Figure 2).

A computer program (ImageJ) was used to quantify and compare the total coverage area of the residue.

The study results show that Solea produces ~98% less splatter at 2mm from the tooth, and ~99.9% less splatter at 8mm (Figure 3). Compared to the drill, Solea produces exponentially less splatter as you measure farther from the tooth.

Figure 2: Example splatter coverage on glass slides at 2cm from the tooth.

Figure 3: Quantification of splatter coverage at various distances from the tooth.

Conclusion

These structured and controlled studies corroborate that Solea supports safer dentistry by reducing dental splatter and aerosols by up to 99.9% compared to traditional handpieces. Solea achieves this by utilizing ~67-83% less water flow, ~74% less air pressure, and by cutting without contact, as opposed to drills, which cut using burs that spin at up to 400,000 RPM.

These findings support recent guidance provided by the ADA, recommending dentists use clinical techniques that “reduce aerosol production as much as possible, as the transmission of COVID-19 seems to occur via droplets and aerosols.”

REFERENCES: 1. Ando Y, Aoki A, Watanabe H, Ishikawa I. Bactericidal effect of erbium YAG laser on periodonto-pathic bacteria. Laser Surg Med 1996;19(2):190-200. 2. Cavalcanti BN, Seraidarian PI, Rode SM Water flow in high-speed handpieces: Quintessence International vol 36 (5) 2005 3. Miyazaki A, Yamaguchi t, Nishikata J,Okuda K, Suda S,mOrim K, Koboyashi T, Yamazaki K, Yoshikawa E, Yoshie H. Effects of Nd:YAG and CO2 laser treatment and ultrasonic scaling on periodontal pockets of chronic periodotitis patients. J Periodontol 2003;74(2):175-180. 4. Niemz MH, Laser Tissue Interaction: Fundamentals and Applications, Springer 2003. 5. Olivi G, Genovese MD, Caprioglio C. Evidence-based dentistry on laser paediatric dentistry: Review and outlook. Eur J Paediatr Dent 2009;10(1):29-40. 6. Russell AD, Lethal effects of heat on bacterial physiology and structure. Sci Prog 2003;86(1-2):115-137.

The post Reducing Aerosols and Splatter for Safer Dentistry with Solea<sup>®</sup> appeared first on Convergent Dental.

This content was originally published here.

Health care worker without history of allergies hospitalized in ICU following severe allergic reaction after receiving COVID-19 vaccine

A health care worker in Alaska developed a severe allergic reaction after receiving the Pfizer-BioNTech COVID-19 vaccine, according to
NBC News.

At least one other health care worker at the same facility also experienced a less serious reaction following the injection.

What are the details?

The unnamed health care worker, an employee at the Bartlett Regional Hospital in Juneau, Alaska, had to be hospitalized overnight for the severe reaction.

The worker, a middle-aged woman, reportedly had no history of allergies and never experienced anaphylaxis, according to the New York Times.

According to the outlet, all 96 workers at Bartlett Regional Hospital received the vaccine on Tuesday. Medical experts observed the workers for 30 minutes following the injection. The woman, however, began feeling flushed about 10 minutes after receiving the shot, and shortly began experiencing other symptoms such as shortness of breath and an elevated heart rate.

Dr. Lindy Jones, an emergency physician who treated the woman, said, “She had a red, flushed rash all over her face and torso. I was concerned about an anaphylactic reaction.”

The woman was initially treated with antihistamines, but later received an emergency injection of epinephrine.

The outlet reported that the worker’s symptoms abated, but returned, forcing physicians to place her on intravenous epinephrine and took her to the ICU for overnight observation.

The woman was taken off all medications as of Wednesday morning and was expected to be discharged. There is no further information available about the woman or her condition at the time of this reporting.

CNN reported on Thursday that a second health care worker also experienced a reaction. The second worker was reportedly treated for less severe symptoms and was ultimately released within an hour.

In a statement, Pfizer said that the biotechnology company is “working with local health authorities to assess” the reactions, and will “closely monitor all reports suggestive of serious allergic reactions following vaccination and update labeling language if needed.”

What else?

Last week, two health care workers in the United Kingdom
experienced allergic reactions following the COVID-19 vaccine, prompting the government to issue an allergy alert in connection with the vaccination.

U.K. regulators say that people with history of allergic reactions to medicine or food should avoid the COVID-19 vaccine following the reaction.

Both workers were expected to recover following the reaction.

This content was originally published here.

Braces on the Road: How to Travel With Invisalign

There are a lot of things to consider when hitting the road full time. You have to think about how you will make money, how you will get mail, and what kinds of memberships you’ll invest in to save some money. Adding kids into the mix only adds to the long list of things to consider, and dealing with braces on the road is one of the things that perplexes parents the most.

One of the best ways to go about straightening your teeth while traveling full time? Invisalign is a fantastic option that more and more travelers are choosing. Are you going to travel full time and worried about your invisible braces?

Read on to know how to clean Invisalign and how to take care of Invisalign while on the go!

The foremost important thing is your packing checklist. Here’s an essential checklist for the travel kit on tour with Invisalign.

  1. Travel toothbrush
  2. Floss or floss picks
  3. Pocket-size mouthwash
  4. Retainer remover
  5. Pain reliever (as first aid)
  6. Aligner case
  7. Extra aligners

Keep Up Your Good Habits!

You need to wear aligners for at least 22 hours a day. Thus it might seem tedious to remove your aligners while eating out and putting them back again after cleaning. But, it’s important to avoid slips that can hinder your progress.

Thus it is advised to take out a few minutes for your Invisalign each time you eat or drink anything and enjoy your travels without any worry.

Now let us check out some useful tips on how to take care of Invisalign during traveling.

  • Everyone on the Invisalign treatment knows that you need to change the set of aligners in a week or fortnight according to the dentist’s instruction. Sometimes you switch to a new set, or you might need to go back to your previous set of aligners. Take them all with you during traveling so that you can change according to your requirement. Consult your orthodontics before leaving for the trip.
  • In case you are taking a flight to your destination, keep your Invisalign with you in your handbag or cabin bag. As you need to wear them for the maximum time of the day, you must keep them within your reach all the time.
  • Heat is not suitable for Invisalign as it can deform its shape. If you are traveling to a tropical or hot region, keep your aligners in a cool place. Keep them in the refrigerator if required. But don’t make the mistake of taking them in your handbag under the sun.
  • The list of avoidable food items, while you are on your retainers, is mentioned as below:
  • Hard bread
  • Popcorn
  • Nuts
  • Pretzels
  • Chewy food
  • Tough Meat
  • Hard Cady
  • Gum
  • Do not forget to remove retainers before eating or drinking anything. You can only have water with your aligners on. And brush your teeth and retainer before putting them on again. If you can’t brush, at least rinse them well.

Final Word!

So you see! Braces on the road aren’t even necessary. Instead,  travel with Invisalign. Once you know how to take care of Invisalign it’s a cinch. That said, it is advisable to consult your orthodontics before hitting the road full time.

Author Bio

Emily Taylor found the perfect fit for herself as the Online Marketing Manager at Thurman Orthodontics in Fresno CA as she believes that a great smile does more than just make a person look great – it makes them feel great as well. The power of a smile has always been a mystery to Emily, and she loves researching and writing about it. She loves to write about everything to do with a healthy bite and a beautiful smile – weather is it ways to achieve it or the importance of it in the various aspects of life. What brings a big smile on Emily’s face is her family and surfing. She also likes to bake, and her children and co-workers call her the cookie fairy!

The post Braces on the Road: How to Travel With Invisalign appeared first on Fulltime Families.

This content was originally published here.

Humanitarian Dentistry Amid the Pandemic – the Open Wide Foundation in Guatemala – Spear Education

The last week of February marked my fifth trip to Guatemala as a volunteer with the Open Wide Foundation. I traveled with my colleagues, Spear dentists Dr. Everett Heringer and Dr. Rick Timm, along with our families and staff from our practices. It was inconceivable at the time that the trip would mark the last week of volunteers in the Open Wide clinic for the reminder of 2020 due to the global emergence of COVID-19. When I returned home to Atlanta, I presented a photo slideshow of our trip to my staff and listened to the office buzz … “Dr. Merriman just returned from Guatemala …” It became clear to me that my patient community wanted to know what I do beyond this practice. Sharing my contribution to the story of Open Wide makes my staff and patients proud to incorporate “How we give back” into our office culture.

During one of my initial trips, I brought my daughter to experience a week in the Open Wide clinic in Peronia. It was shortly after the clinic was built by the local community in collaboration with the Open Wide Foundation and it was open year-round and staffed by the local municipal dental team. At this early point, it was only practical to focus on basic dentistry. One morning, I had a 14-year-old girl sit in my chair who had an abscess and caries exposure on an upper molar. I will never forget it. As I do in my practice in Atlanta, I told her and her mom, through the translator, that she needed a root canal. “We must get her sent over to get this done,” I said. Her mom without hesitation replied, “That’s not going to work. We can’t afford a root canal. Please, just extract it.” That was not something that I wanted to do; she had beautiful teeth except for this one. But I also could not leave her in immense pain. Reluctantly, I extracted the tooth. It just left me in an emotional moment, thinking, “That’s not what I feel good about.” I knew extractions were necessary on most outreach trips where the resources are unavailable to save a tooth. Still that time, I’ll never forget, I was at lunch and I could feel my daughter watching me talk about it with such emotion. That interaction really led me to see how we might be able to do more here. I realized it could be possible to provide quality restorative work in the Open Wide dental clinics.

Supporting the development of permanent clinics in underserved areas that would eventually be adopted by the local communities was exactly what the founders had in mind when envisioning the foundation. At Spear Summit 2011, I remember myself and many other Faculty Club members deciding to say “yes” to the initial call by Glen Wysel and Imtiaz Manji to invest in the development of the Open Wide Foundation – before the actual clinic in Peronia was even built. The mantra was “Open Minds, Open Hearts.” It was a heart tug that made me say “yes.” I could just hear my daughter’s voice and I knew she would go if I asked her. To step out into an experience like this, in a developing country, I needed to be able to trust it was going to be safe to bring my family and it was going to be set up where I could use my skills to truly serve the people. I trusted that Spear leaders would put things together in a quality way because Spear had such a network for success.

From the beginning we recognized in Guatemala similar needs that many of us had witnessed while doing mission dentistry in other remote areas across the globe. Dentistry is not often a priority in communities where good health care is unaffordable and families struggle to feed their families. In most impoverished areas there are no trained dentists or established clinics. Guatemala has the highest rate of caries in the Western Hemisphere. Those were reasons enough to start there.

Empowering Guatemalan communities with restorative dentistry

This groundwork of permanent clinics with ongoing care really made it possible for the advanced restorative program to get a foothold. Our volunteer group was collectively moving in that direction, to the point that it evolved to program committee planning where we now can review patient cases as a team, months in advance of a trip. To support us, the local staff selects patients and sends photographs, X-rays and the patient charts so that we can prepare our materials. (Our corporate representatives from Brassler, Cosmedent, Ultradent and Patterson are so generous in their support of donated materials that we often have leftover supplies to leave at the clinic.) This allows us to be prepared when we arrive, so we can focus on complex cases. Many who have missing front teeth or badly decayed front teeth are made whole again. With a restored smile, the patients we serve will have access to more opportunities in life … it is clear they value their smiles just as much as we do

What I will say about Open Wide – is that the foundation has such a network for success; it is always being improved. The organization’s vision stays focused on the concept of sustainability. The teaching we do with local Guatemalan dental students and dentists during our advanced restorative weeks, gives them the tools and training to be able to do it themselves after we’ve returned to the U.S. It is such a unique experience to share your skillset, time and money in a sustainable model and watch it resonate in the community for years to come. What we are accomplishing in our advanced restorative week is lasting. We are teaching the dental students and staff, who come up and watch us work at the chair, how to do the best clinical work possible. Over the years, I have seen the local team become more engaged and inspired to apply what they are learning. The staff and students are now following standard operating procedures and protocols developed and written by Open Wide’s team of dentists. Most recently, newly written COVID-19 protocols developed with guidance from Open Wide dentists and health experts in the field of infection control have guided the process of reopening when the time comes.

The staff we have worked with over the last 10 years will keep striving to improve and they will continue to have our support when they need it. Support not just from Spear dentists, but from the partnership with manufacturers such as A-dec and Dentsply Sirona who have provided critical equipment that has led to the Peronia clinic being known as the most technically advanced public dental clinic in Central America.

Advanced Restorative Week in Guatemala

There are so many patients that have impacted me over the years. These patients are incredible. Patients travel many hours overnight across the country in buses in preparation for an appointment during advanced restorative week. Access to these services are very rare in the public health setting around the world and the patients selected know that. They are so appreciative, grateful and you know that it is a pure situation that is rewarding to see. When we hand a mirror to the patients – and that could be any of the eight that we saw that week – as you see them looking at themselves, you just see the look on their face and it’s an amazing expression to see. You just can’t believe how they react, and nothing is taken for granted.

One of my colleagues, Open Wide Foundation Clinical Director Dr. Mike Johnson, shared one of his unforgettable memories about when one of his team members had completed eight upper anterior composite veneers on the teeth of a young lady in her 20s whose mouth was riddled with tooth decay. After three hours of tedious work, they gave her a mirror. She was speechless at first and then burst into tears. She told them, “I am one of nine children from a very poor family and this is the nicest thing anyone has ever done for me.” Being able to use our skills to give patients such a life-changing experience is a feeling difficult to put into words.

There is no amount of money that could substitute for those experiences. The local staff call us the “crying dentists,” and we hope that patients know that we’re crying because we are touched to see patients look in the mirror with their new smiles, not because we are tired after working at the dental chair for four hours. Those experiences are just too numerous to name them all. It is just every time you work on these people, they are so grateful.

COVID-19 in Guatemala – not just numbers on a chart

Since the pandemic has forced the closures of Open Wide clinics and borders, volunteers have had to postpone their trips and find new ways to support the work in Guatemala.

The COVID-19 numbers we see on the charts or hear in the news about Guatemala aren’t just data to us. They are real people, many of them friends. In response to the immediate needs since the onset of the pandemic in March 2020, Open Wide was able to donate its clinic inventory of 1,300 masks and 4,200 gloves to be used in “The Market,” which is the public health service complex for the Municipality of Villa Nueva that includes Peronia. The local team in Guatemala continued to support their municipality, working as public health responders during the shelter in place order issued by the government. Open Wide worked with the team throughout the summer to develop COVID-19 protocols to prepare them to present them to the Municipal Directors of Health, as required.

We are not there and can’t be there right now, but we still want to make sure that all the effort that has been put forth to make Open Wide’s mission a success continues. We want to sustain this work. That’s the whole point of sustainability – meaning we support start-up clinics in underserved communities with equipment and supplies, and then we mentor, train and teach local dentists so that they can continue when we go home. But we still need to get over the hurdle that COVID-19 has created for us. Open Wide’s program funding comes from donations given by each volunteer team that works in the clinics, so when volunteers can’t go, the funding stops. So, I think we must recognize that we must step up to ensure that we, keep it viable.

Personally, I can’t wait to get back to Guatemala again. Hopefully restrictions will be lifted by February 2022, when my next trip is scheduled. But if I had to say to anybody who’s thinking about doing this trip to the clinic or volunteering – I wish I hadn’t waited so long to have done something like this. But I’m glad when I did, that I did. If you are thinking about volunteering, you could go by yourself or with someone. If I had a preference, it would be to share this experience with someone as I do with my family, staff and colleagues.

Jim Merriman, D.M.D., F.A.G.D., is a Spear Faculty Club and Visiting Faculty member in private practice in Atlanta.

How to support Open Wide’s efforts in Guatemala

As 2021 dawns, there’s a line of teams waiting to go. Open Wide still doesn’t know for sure when that will be as it cannot know when COVID-19 advisories will be lifted. But until then, the foundation continues to move forward with gratitude for all the volunteers and donors who have been steadfast in their commitment to the work they set out to do 10 years ago. During this COVID-19 pause, Open Wide leaders spent some time looking back at thousands of photos shared by volunteers and hundreds of stories told, like Dr. Merriman’s. They are inspired by friendships across borders, camaraderie among volunteer teams, adventure and fun, and of helping others and, in doing so, returning home with life-changing memories to share, as Jim does, with staff and patients.

Open Wide is about more than words a dentist speaks to a patient. It is an opening of the mind, the heart, the spirit. It is about opening a door to a better way of life. It means to give generously and in doing so receive far more than you could have hoped for.

OPEN MOUTHS. OPEN HEARTS. OPEN MINDS.

This content was originally published here.

COVID-19 ‘super-spreader’ event feared in L.A. as Christian singer defies health order

A conservative evangelical Christian singer with a history of defying COVID-19 health mandates plans three days of New Year’s gatherings in the Los Angeles area, including stops on skid row and at a tent city in Echo Park, raising fears that the events will be viral “super-spreaders.”

Skid row activists plan a car blockade to stop Sean Feucht — a Redding, Calif., volunteer pastor and failed Republican congressional candidate — and his followers from staging what is billed as a “massive outreach” Wednesday evening on skid row, at the height of Los Angeles County’s pandemic crisis. Feucht’s plans come as California, facing record case counts and a severe shortage of intensive care hospital beds, has extended its stay-at-home order.

Feucht began hosting “Let Us Worship” open-air concerts nationwide to push back against government restrictions on religious gatherings, then broadened his focus to cities that erupted in protest after the police killing of George Floyd in Minneapolis.

The Bethel School of Supernatural Ministry caused a super-spreader event in Redding.

Feucht’s events have featured hundreds of maskless worshipers tightly packed together and singing and dancing. He has another homeless outreach planned Thursday at Echo Park Lake, site of nearly 100 homeless tents, followed by a New Year’s Eve party and concert at a church parking lot in Valencia.

In a YouTube video —part of an extensive social media campaign to promote the L.A. dates — Feucht said a couple of thousand glow sticks had been ordered for a bash he predicted could rival his worship service this year on the National Mall, which drew hundreds of people.

Charles Karuku, a Feucht associate who travels with the singer, said they tell followers to heed government health guidelines, “but we are not law enforcement. It’s up to the people how they choose to come.”

But Stephen “Cue” Jn-Marie, pastor of Church Without Walls, a skid row congregation, said, “We know based on his track record whatever he’s going to do is going to be maskless.” Jn-Marie is organizing the car blockade with Los Angeles Community Action Network, a skid row anti-poverty activist group.

“The problem we’re facing is even prior to the stay-at-home order, people come into the community and say they’re bringing resources but what they’re bringing is the disease,” said Jn-Marie, adding that the outreach event could undo the self-help measures the skid row community took, including distributing masks and street wash stations and sponsoring testing events. “It doesn’t take thousands to start an outbreak.”

The homeless population in Los Angeles has generally avoided serious COVID outbreaks throughout most of the pandemic, although it has seen a significant uptick in recent weeks, in keeping with the wider surge in infections nationwide.

One reason L.A.’s homeless people have avoided a COVID disaster could be that they live outside

The California Poor People’s Campaign wrote a letter calling for city and county officials to quash Feucht’s events. The campaign offered a legal justification for enforcement of county health orders, but Los Angeles has not generally used police powers on individuals to back up pandemic restrictions, and homeless outreach events do not require permits.

“Police know how to show up and issue orders to disperse an illegal gathering,” said Nell Myhand, co-chair of the California Poor People’s Campaign.

Asked for a response to the enforcement question, mayoral spokesman Alex Comisar said Mayor Eric Garcetti implored everyone to wear masks and practice social distancing.

L.A. Councilman Kevin de León, who represents skid row, said his office and the mayor’s staff will be on skid row Wednesday morning distributing personal protective equipment and sanitation kits to homeless people, but did not comment on possible enforcement of county COVID-19 health orders.

Our expectation is that those attending the scheduled outreach event take steps to care for our community and protect vulnerable Angelenos on skid row by wearing masks and honoring social distancing guidelines,” de Leon said in a statement.

Feucht has upcoming events scheduled in Orange County and San Diego, according to his website. Tom Grode, a skid row resident and activist who began petitioning the city a month ago to stop the skid row event , called Feucht’s plan to come to Los Angeles “incredibly foolish … divisive and dangerous.”

“The problem is any of these events could get weird in different ways,” Grode said.

Cathy Callahan, who has been following Feucht’s career online with dismay, spent two hours Tuesday calling the Los Angeles Police Department, the mayor’s office, county health officials and the state attorney general, asking if they were going to shut the New Year’s events down. She said she was bounced from office to office without receiving an answer.

”If not, why is California issuing lockdowns or stay-at-home orders?” Callahan asked.

This content was originally published here.

Dentists say mandating COVID-19 tests for patients before procedures will ‘shut down’ dentistry

(Creative Commons photo by Allan Foster)

When Gov. Mike Dunleavy and state health officials said elective health care procedures could restart in a phased approach, many of Alaska’s dentists were hoping to take non-emergency patients again.

But they said a state mandate largely prevents that from happening. 

State officials said they want to work with the dentists, but point to federal guidelines that dentists are at very high risk of being exposed to the virus.

Find more stories about coronavirus and the economy in Alaska.

The mandate said patients must have a negative result of a test for the coronavirus within 48 hours of a procedure that generates aerosols — tiny, floating airborne particles that can carry the virus. Aerosols are produced by many dental tools, from drills to the ultrasonic scalers used to remove plaque.

Dr. David Nielson is the president of the Alaska Board of Dental Examiners, which licenses dentists. In a meeting with the state, he told state Chief Medical Officer Dr. Anne Zink that it’s a challenge for patients to get test results within 48 hours of an appointment.

“Basically, what that means is, in your view, dentistry is just shut down indefinitely,” Nielson told Zink.

“That’s not true. That’s not what I feel at all,” Zink said.

“Well, that’s what it says to most of us,” Nielson said.

Nielson said dentists can ensure that patients are safe without testing for the virus.

“We do believe that waiting for the availability of testing to ramp up to the levels that would be necessary will jeopardize the oral health of the public,” he said.  

Nielson also said dentists are already taking steps to practice safely and could start taking more patients if they didn’t have to follow the testing mandate. 

“Based on everything that we’re doing with all our, you know, really, really intense screening protocols and all the different PPE requirements and stuff like that, that we’re basically good to go, as long as we do all of the things that we’ve already recommended,” he said.

Zink said Alaska is among the first states to reopen non-urgent health care. She says the state’s testing capacity is increasing, and that other groups affected by the mandate are working to have patients tested. 

“We are seeing numerous groups, including surgeons, stand up ways to be able to get testing available,” she said. 

The state mandate is less restrictive than what’s currently recommended by the federal Centers for Disease Control and Prevention. The CDC said all non-urgent dental appointments should be postponed. The CDC is revising the recommendation, but it’s not clear when there will be new recommendations. 

The dental board would like to replace the mandate with guidelines that require that every patient be screened, including answering questions about their travel, symptoms and contacts before an appointment, as well as to be checked for whether they have a fever before an appointment. 

Zink noted a problem with relying on screening. 

“It’s increasingly challenging to identify COVID patients,” she said. “This is an incredibly sneaky disease that appears to be most contagious in the presymptomatic or early symptomatic people with symptoms that can look almost like anything else.”

The draft framework proposed by the dental board also differs from CDC recommendations on personal protective equipment. The CDC recommends both an N95 respirator and either goggles or a full face shield. The framework said that if goggles or face shields aren’t available, dentists should understand there is a higher risk for infection and should use their professional judgment. 

Dentists working to start seeing more patients say they already take precautions against infectious diseases. 

Dr. Paul Anderson of Timbercrest Dental in Delta Junction said it would be challenging to have timely tests done for patients who live far from an urban center. 

Anderson said dentists have been working to prevent the spread of infectious diseases since at least HIV/AIDS in the 1980s. 

“We’ve been following these protocols, and it just seems odd to me that all of a sudden the government feels that it’s necessary to add all of these additional regulations,” he said. 

Anderson said screening patients — including checking their temperatures — is a significant safety measure dentists can take.

Zink said the state is open to working with the dental board to revise the mandate, or to issue a new mandate specific to dentistry. It’s not clear if the issue can be resolved before Monday, when the state will begin allowing elective procedures under the mandate. 

This content was originally published here.

‘Healing is coming’: US health workers start getting vaccine

Health care workers around the country rolled up their sleeves for the first COVID-19 shots Monday as hope that an all-out vaccination effort can defeat the coronavirus smacked up against the heartbreaking reality of 300,000 U.S. deaths.

“Relieved,” proclaimed critical care nurse Sandra Lindsay after becoming one of the first to be inoculated at Long Island Jewish Medical Center in New York. “I feel like healing is coming.”

With a countdown of “3-2-1,” workers at Ohio State University’s Wexner Medical Center gave initial injections to applause.

And in Colorado, Gov. Jared Polis personally opened a delivery door to the FedEx driver and signed for a package holding 975 precious frozen doses of vaccine made by Pfizer Inc. and its German partner BioNTech.

The shots kicked off what will become the largest vaccination effort in U.S. history, one that could finally conquer the outbreak.

Dr. Valerie Briones-Pryor, who has worked in a COVID-19 unit at University of Louisville Hospital since March and recently lost her 27th patient to the virus, was among the first recipients.

“I want to get back to seeing my family,” she said. “I want families to be able to get back to seeing their loved ones.”

Some 145 sites around the country, from Rhode Island to Alaska, received shipments, with more deliveries set for the coming days. High-risk health care workers were first in line.

“This is 20,000 doses of hope,” John Couris, president and chief executive of Tampa General Hospital said of the first delivery.

Nursing home residents also get priority, and a Veterans Affairs Medical Center in Bedford, Massachusetts, announced via Twitter that its first dose went to a 96-year-old World War II veteran, Margaret Klessens. Other nursing homes around the U.S. expect inoculations in the coming days.

The campaign began the same day the U.S death toll from the surging outbreak crossed the 300,000 threshold, according to the count kept by Johns Hopkins University. The number of dead rivals the population of St. Louis or Pittsburgh. It is more than five times the number of Americans killed in the Vietnam War. It is equal to a 9/11 attack every day for more than 100 days.

“To think, now we can just absorb in our country 3,000 deaths a day as though it were just business as usual. It just represents a moral failing,” said Jennifer Nuzzo, a public health researcher at Johns Hopkins.

Health experts know a wary public is watching the vaccination campaign, especially communities of color that have been hit hard by the pandemic but, because of the nation’s legacy of racial health disparities and research abuses against Black people, have doubts about the vaccine.

Getting vaccinated is “a privilege,” said Dr. Leonardo Seoane, chief academic officer at Ochsner Health in suburban New Orleans, after getting his dose. Seoane, who is Cuban American, urged “all of my Hispanic brothers and sisters to do it. It’s OK.”

The nearly 3 million doses now being shipped are just a down payment on the amount needed. More of the Pfizer-BioNTech vaccine will arrive each week. And later this week, the FDA will decide whether to greenlight the world’s second rigorously studied COVID-19 vaccine, made by Moderna Inc.

While the U.S. hopes for enough of both vaccines together to vaccinate 20 million people by the end of the month, and 30 million more in January, there won’t be enough for the average person to get a shot until spring.

For now the hurdle is to rapidly get vaccine into the arms of millions, not just doctors and nurses but other at-risk health workers such as janitors and food handlers — and then deliver a second dose three weeks later.

“We’re also in the middle of a surge, and it’s the holidays, and our health care workers have been working at an extraordinary pace,” said Sue Mashni, chief pharmacy officer at Mount Sinai Health System in New York City.

Plus, the shots can cause temporary fever, fatigue and aches as they rev up people’s immune systems, forcing hospitals to stagger employee vaccinations.

Just half of Americans say they want to get vaccinated, while about a quarter don’t and the rest are unsure, according to a recent poll by The Associated Press-NORC Center for Public Health Research.

“I know it’s going to be a big hurdle to convince people because it’s new, it’s uncertain,” said intensive care nurse Helen Cordova, who received a vaccination card after getting a shot at Kaiser Permanente Los Angeles Medical Center. “This can be encouraging for others.”

The FDA, considered the world’s strictest medical regulator, said the Pfizer-BioNTech vaccine, which was developed at breakneck speed less than a year after the virus was identified, appears safe and strongly protective, and the agency laid out the data in a daylong public meeting last week for scientists and consumers alike to see.

“We know it works well,” said Ochsner infectious-disease expert Dr. Katherine Baumgarten, who got her shot on Day 1. “As soon as you can get it, please do so.”

Still, the vaccine was cleared for emergency use before a final study in nearly 44,000 people was complete. That research is continuing to try to answer additional questions.

For example, while the vaccine is effective at preventing COVID-19 illness, it is not clear if it will stop the symptomless spread that accounts for half of all cases.

The shots still must be studied in children and during pregnancy. But the American College of Obstetricians and Gynecologists said Sunday that vaccination should not be withheld from pregnant women who otherwise would qualify.

Also, regulators in Britain are investigating a few severe allergic reactions. The FDA instructed providers not to give the vaccine to those with a known history of severe allergic reactions to any of its ingredients.

Associated Press writers Marion Renault, Andrew Welsh-Huggins, Rebecca Santana, Dylan Lovan, Tamara Lush, Jeff Turner and Kathy Young contributed to this report.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

This content was originally published here.

Visiting an Orthodontist – Women Fitness Magazine

The Benefits of Visiting an Orthodontist
The Benefits of Visiting an Orthodontist

The Benefits of Visiting an Orthodontist : When we know that something is going wrong with our teeth, a toothache or sensitivity perhaps, we generally think about making an appointment to see a dentist. However, what about when you have a dissatisfaction with your smile?

If you have always been unhappy about the state of your teeth or you just want to see an improvement in your smile, then what you need to do is visit an orthodontist. You may be interested to know that your orthodontist in Stockport can offer various non-surgical treatments that your dentist can’t. Read on to find out what services your orthodontist can provide:

What does an Orthodontist do?

An orthodontist is a qualified dentist who has undertaken years of study to become a specialist. He or she can help adults and children alike with common dental problems using a variety of non-surgical procedures and corrective appliances. These include aligners such as Invisalign or metal braces to correct crooked teeth, but this is just one of the issues an orthodontist can help with.

An orthodontist can diagnose a problem which may not have occurred to the patient, but which has been causing significant difficulties in eating and smiling and could even have been causing pain. These can include:

An incorrect jaw position or jaw joint disorder such as temporomandibular disorder, or night-time teeth grinding can also be diagnosed and treated.

Other services which an orthodontist can provide include:

Why visit an Orthodontist?

Too many people are inclined to simply put up with dental problems, particularly where there are cosmetic anomalies rather than having things fixed. The problem is that if things are not treated, they can go on to become much worse over time.

For example, where the teeth are overcrowded or overlapping, they can be difficult to clean properly. Eventually, this could lead to tooth decay and even gum disease. A gap in the teeth, which is called a diastema, can become larger over time and this can have the effect of pushing adjoining teeth out of position. An orthodontist can correct this by pulling the teeth back together essentially filling in the gap.

Problems with the teeth generally start in childhood and having misaligned teeth, or too many teeth, in childhood can be especially problematic for the child as they grow. Early visits to an orthodontist are advisable where braces will usually be recommended and fitted to precisely correct the child’s problem teeth.

Gum Disease

Dentists will always advise on how to prevent gum disease and will tell you that the best way is to practice correct oral hygiene through regular brushing and flossing of the teeth, and using the correct type of toothbrush and toothpaste. Unfortunately, gum disease is still a problem which if left untreated can have far-reaching effects.

Gum disease begins with plaque, which if not properly removed turns into tartar. This build-up can cause the gums to become sore and inflamed. Tartar is very difficult to remove and can only be removed professionally by your dentist or orthodontist.

When teeth are misaligned or overcrowded, there is a greater likelihood of developing gum disease through an inability to clean them properly, but if your teeth are correctly aligned and spaced this likelihood reduces. Corrective orthodontic treatment, along with advice on correct brushing and flossing techniques, will ensure good oral health as well as a healthy smile you can be proud of.

Related Videos about the Benefits of Visiting an Orthodontist :

Why should you care about orthodontics?

The benefits of Orthodontics and Straight Teeth In Children and Adults – Winnipeg Dentist

HOW BRACES WORK

Why orthodontics matters

Why Visit an Orthodontist?

Reasons For Orthodontic Treatment

The Benefits of Visiting an Orthodontist

orthodontist appointment stages, how long after your first orthodontist appointment do you get braces, orthodontist consultation fee, orthodontist vs dentist, what happens at your second orthodontist appointment, orthodontist consultation questions, orthodontist meaning,


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Leaving Cert student withdraws court challenge after getting place on dentistry course

A young woman who got 613 points in the 2019 Leaving Certificate has withdrawn her High Court challenge over the manner in which Leaving Cert grades were standardised this year after getting a place on her course of choice.

Martha Woods, who claimed standardisation had unfairly impacted on her ambition to pursue a dentistry career, has withdrawn her case because she has since secured a place on her chosen course, dentistry in UCC.

In her case, Ms Woods, Millbrook House, Murragh, Enniskeane, Co Cork, had said the points for dentistry in UCC rose this year from 590 points to 613, the final applicants for that course all had 613 points, places were allocated by random selection and she failed to get a place.

When her action came before Mr Justice Charles Meenan last week, he accepted it was a “very important” matter but adjourned it for a week after expressing concern about the courts’ ability to accommodate early hearings of a multiplicity of cases concerning the 2020 Leaving Cert grading process.

When the case returned before the judge today, he was told Ms Woods has obtained a place on the UCC Dentistry course and was as a result withdrawing her case.

Ms Woods, represented by Pearse Sreenan SC, instructed by Amy Connolly, of Cantillons Solicitors, had brought the judicial review proceedings against the Minister for Education, State Examinations Commission, the State, CAO and UCC.

Mr Justice Meenan said he was pleased with the outcome and wished Ms Woods every success at university and in her career.

Separately, the judge has said he will treat another case initiated earlier this month as the lead case addressing issues with the 2020 Leaving Cert process and hoped to give that an early hearing date.

That case is by Áine Finnegan, from Fairview, Dublin, who missed out on a place in Medicine at Trinity College Dublin by two points after three of her calculated grades were reduced.

The judge expected the outcome of the Finnegan case would decide some or all of the issues raised in other cases, adding parties in other cases may seek to be joined to the lead case.

This content was originally published here.

Mental Health Improved for Only One Group During COVID: Those Who Attended Church Weekly | The Stream

Poll results show that mental health improved for only one group of people during the coronavirus pandemic, and it’s a group that Democratic lawmakers repeatedly restricted.

Gallup polled a little over a thousand Americans over the age of 18 from Nov. 5–19 and found that only those who attended religious services weekly saw a positive change between 2019 and 2020 in how they rated their mental health.

In 2019, 42% of Americans who attended religious services weekly rated their mental health as excellent, the poll showed. In 2020, 46% of Americans who attended religious services weekly rated their mental health as excellent — a percentage increase of four points.

No other Demographic group in the Gallup poll, which had a margin of error of ±4 percentage points and a confidence level of 95%, saw a percentage increase in rating their mental health as excellent.

34% of Americans say their mental health is excellent, down from 43% in 2019. https://t.co/kjobkuEEVD pic.twitter.com/U6mPW54ZSt

— GallupNews (@GallupNews) December 8, 2020

“Houses of worship and religious services provide so much more than just a weekly meeting place — they are where so many Americans find strength, community, and meaning,” the Becket Fund for Religious Liberty’s Director of Research Caleb Lyman told the Daily Caller News Foundation. “Findings from this year’s Religious Freedom Index — that 62 percent of respondents said that faith had been important during the pandemic — align with Gallup’s findings on the importance of religious services to Americans’ mental health.”

The Gallup poll results are particularly striking in contrast to Democratic lawmakers’ restrictions on houses of worship. Governors and mayors across the United States have issued orders throughout the pandemic that restrict or prohibit religious services, and the Department of Justice has pushed back against such restrictions on multiple occasions.

Governors like Democratic Virginia Gov. Ralph Northam banned gatherings of 10 or more people through initial stay-at-home orders, restrictions which effectively banned church services. Authorities have arrested multiple religious leaders for defying coronavirus orders, such as Pastor Tony Spell of the Louisiana Life Tabernacle church and Florida megachurch pastor Rodney Howard-Browne.

Religious organizations in New York most recently took Democratic New York Gov. Andrew Cuomo to the Supreme Court over his restrictions on houses of worship, accusing Cuomo of “targeting Orthodox practices.”

Conservative justices, including Justice Amy Coney Barrett, sided with religious organizations in the 5-4 ruling the night before Thanksgiving, while Chief Justice John Roberts sided with the liberal justices.

Please Support The Stream: Equipping Christians to Think Clearly About the Political, Economic and Moral Issues of Our Day.

The majority said that Cuomo’s coronavirus restrictions on religious communities are “far more restrictive than any Covid-related regulations that have previously come before the Court, much tighter than those adopted by many other jurisdictions hard hit by the pandemic, and far more severe than has been shown to be required to prevent the spread of the virus.”

“New York’s restrictions on houses of worship not only are severe, but also are discriminatory,” Justice Brett Kavanaugh wrote in his concurring opinion.

“In light of the devastating pandemic, I do not doubt the State’s authority to impose tailored restrictions — even very strict restrictions — on attendance at religious services and secular gatherings alike,” Kavanaugh continued. “But the New York restrictions on houses of worship are not tailored to the circumstances given the First Amendment interests at stake.”

Cuomo’s office did not immediately respond to a request for comment for this story.

Earlier this year, the court sided 5-4 in favor of the liberal justices on COVID-19 religious restrictions in California and Nevada, according to CNN.

The DOJ has fought back against many of these restrictions. Attorney General William Barr set the tone for the DOJ’s attitude towards religious freedom during the pandemic by warning in an early April statement that “even in times of emergency,” federal law prohibits religious discrimination.

“Religion and religious worship continue to be central to the lives of millions of Americans,” Barr said. “This is true more so than ever during this difficult time.”

“Government may not impose special restrictions on religious activity that do not also apply to similar nonreligious activity,” the attorney general added. “For example, if a government allows movie theaters, restaurants, concert halls, and other comparable places of assembly to remain open and unrestricted, it may not order houses of worship to close, limit their congregation size, or otherwise impede religious gatherings.”

Barr also promised that the DOJ would be watching for any state or local government that “singles out, targets, or discriminates against any house of worship for special restrictions.”

Since this statement was issued, the DOJ has intervened in multiple cases of government crackdowns on churches and pastors, specifically in Nevada, California, Oklahoma, Illinois, Virginia and Mississippi.

The DOJ did not immediately respond to a request for comment from the Daily Caller News Foundation for this story.

Copyright 2020 The Daily Caller News Foundation

 Content created by The Daily Caller News Foundation is available without charge to any eligible news publisher that can provide a large audience. For licensing opportunities of our original content, please contact licensing@dailycallernewsfoundation.org.

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California nurses score huge win: State requires hospitals to begin weekly Covid testing of all health care staff Dec. 14 and testing of all patients now

Nurses scored a tremendous victory for the type of infection control measures they have been demanding since the start of the pandemic when the California Department of Public Health (CDPH) on Wednesday directed all general acute-care hospitals in the state to begin Covid-19 weekly testing of all health care workers on Dec. 14 and of all patient admissions starting now, announced the California Nurses Association (CNA).

Importantly, CDPH is requiring that health care personnel with symptoms of Covid-19 be tested immediately.

“This is an amazing and welcome move,” said Zenei Triunfo-Cortez, a Bay Area RN and a president of CNA as well as National Nurses United (NNU), the larger national nursing organization with which CNA is affiliated. “We applaud California for being a leader in requiring this type of testing program because it is desperately needed to fight this virus. There are simply too many asymptomatic people with Covid, and without robust testing, our hospitals will remain centers for spreading the disease instead of centers of healing as they should be.”

The California Department of Public Health (CDPH) informed hospitals through an all-facilities letter on Nov. 25 of this new requirement. Hospitals may also start testing of “high-risk personnel” earlier, on Dec. 7, but testing of all health care personnel begins Dec. 14.

Health care personnel are defined as “all paid and unpaid persons serving in healthcare settings who have the potential for direct or indirect exposure to patients or infectious materials, including body substances (e.g., blood, tissue, and specific body fluids); contaminated medical supplies, devices, and equipment; contaminated environmental surfaces; or contaminated air. HCP include, but are not limited to, emergency medical service personnel, nurses, nursing assistants, physicians, technicians, therapists, phlebotomists, pharmacists, students and trainees, contractual staff not employed by the healthcare facility, and persons not directly involved in patient care, but who could be exposed to infectious agents that can be transmitted in the healthcare setting (e.g., clerical, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing, and volunteer personnel).”

In addition to the testing of staff and patients, hospitals must have a program that includes policies and procedures addressing the use of test results, including:

“This testing requirement has been a long time coming,” said Cathy Kennedy, a Sacramento-area RN and a president of CNA and executive vice president of NNU. “We nurses knew this was needed and fought together to make it happen. Now hospitals in the rest of the country just need to do the same to get this virus under control.”

This content was originally published here.

Behind the Scenes at Our Invisalign® Treatment Consultation – Happy Mothering

Last Updated on

This post was sponsored by the Invisalign® brand and all opinions expressed in my post are my own.

A couple of months ago, we were presented with the opportunity to partner with the Invisalign® brand for complimentary treatment for our daughters. Our girls are 9 and 11, so they’re right at the age where we are exploring different options for orthodontic treatment. We knew Zoë definitely needed to have her overbite corrected and Kaylee has expressed interest in having her teeth straightened, so they were both pretty excited to go see the orthodontist.

We were worried about braces since snowboarding is such a huge part of the girls’ lives. I can’t imagine how painful it would be to smack your face with braces. So the idea of Invisalign treatment over traditional braces was definitely appealing to all of us.

To find out if they qualified for treatment, we scheduled an initial consultation for both girls! Brian even created a really great video of our entire visit so you can actually experience the initial consultation first hand. After watching the video, you can read more details about our experience under the video.

What is Invisalign Treatment?

If you’re not familiar with Invisalign treatment, it’s an alternative to traditional braces. It’s actually considered the most advanced aligner system in the world! Unlike braces, Invisalign treatment is a convenient system for straightening teeth that allows you to remove the nearly clear aligners to enjoy the foods you love and maintain good oral hygiene.

How it works is that you get a series of clear aligners made that will slowly straighten your teeth by shifting them just a little bit at a time. The material the aligners are made from has been shown to straighten teeth more predictably than any other clear aligners*, so that’s something to keep in mind when you’re considering your options. I was surprised to learn that Invisalign clear aligners are able to move teeth horizontally, vertically, and can even rotate them if necessary. I always assumed, incorrectly, that they were only for minor corrections.

* Compared to off-the-shelf, single layer .030in material

Since they’ve been on the market for over 20 years now, they’ve had a lot of experience helping people with everything from simple to complex orthodontic cases. So far, more than 6 million people have gone through Invisalign treatment**.

** Data on file at Align Technology as of October 29, 2018

Since our daughters snowboard and are very active, we were much more interested in Invisalign clear aligners than traditional braces.

In case you’re curious, the cost of Invisalign treatment is often comparable to braces and many dental insurance plans cover Invisalign aligners just as they would any other orthodontic treatment, so check with your provider.

Our Initial Consultation

Our initial consultation was with Hoff Orthodontics, which is a local Invisalign-trained orthodontic practice.

When we first walked in, we were greeted and checked in. Then we were given a tour of the office.

After the tour, it was straight over to imaging for both girls. They took pictures of their face, all of their teeth and their bite.

Then did a 3D scan of their heads so we could see everything that is going on.

We then headed back over to the Dr. Hoff’s office where he could examine the girls’ mouths and talk about the imaging with us. We discussed Kaylee first since she’s younger.

Kaylee Still Has a Lot of Baby Teeth

Right now, Kaylee isn’t quite ready for Invisalign clear aligners because she still has too many baby teeth, as you can see in the 3D image of her head. We did learn, however, that she needed to have a special retainer made to hold space in her mouth for her adult teeth to come in properly.

We’ll reevaluate whether she’s a good candidate for Invisalign treatment again when she has lost her baby teeth.

Zoë is Ready for Invisalign Treatment

After we finished up talking about Kaylee, it was time to talk about Zoë. She just turned 11, but she only has one baby tooth left. We knew she had an overbite, but we didn’t realize she had other things in her mouth that needed to be corrected like a cross-bite.

Dr. Hoff explained, in detail, the issues with Zoë’s teeth, then concluded that she would be a good candidate for Invisalign treatment. He expects her treatment to take up to two years to complete.

He explained the advantages of Invisalign treatment over traditional braces to us (you can watch his full talk in the video above). Some of the points he made were that eating food is easier since braces aren’t in the way and maintaining good oral hygiene is easier since you’re not trying to brush around brackets. You simply remove your aligners in order to eat, brush, and floss as you normally would.

We live in the mountains and have to drive over an hour each way to the orthodontist. That’s no big deal, we’re used to it, but with traditional braces, there are emergencies that need to be addressed. A bracket comes loose, a wire breaks or the wire is poking into your child’s gums and it’s straight to the orthodontist to get it fixed.

You don’t have those same issues with Invisalign clear aligners. There are no wires to worry about and no emergency appointments to fix them if they break. That is a huge reassurance for us since we do live so far from the orthodontist.

No More Pink Goo: On to Digital Impressions

After we decided that Zoë was ready for treatment, it was straight to get the scans to have her Invisalign clear aligners made. It was such a fascinating process! You have to watch the video further up in this post to see how it works.

When I had braces, I had to bite into that messy pink goo to get my impressions done. It tasted awful and it made me gag. If you had braces, then you probably have vivid memories of that experience too. While you can still use the goo for impressions if your practice doesn’t have a digital scanner, you can now also receive impressions digitally with Invisalign treatment, on their iTero® digital scanner. My sweet daughter didn’t have to experience my childhood memory of the pink goo.

The iTero® scanner takes thousands (6,000 to be exact***) of images every second to recreate a 3D digital image of the inside of your child’s mouth on the computer. This allows the orthodontist to create a treatment plan and the Invisalign brand to create your child’s clear aligners.

*** Data on file at Align Technology as of November 7, 2018

When they’re done scanning, you even get to see a rendering of what your child’s new smile could look like. It’s really neat!

Follow Zoë’s Invisalign Treatment Journey

We’ll be talking about Zoë’s Invisalign treatment journey on the blog and social media over the next year. In the next post, you’ll get to see Zoë in her Invisalign clear aligners, so stay tuned!

Find an Invisalign Treatment Provider

If you’re curious whether Invisalign treatment is right for your child, you can use the Doctor Locator feature on the Invisalign® brand website to find an Invisalign-trained orthodontist in your area.

Have you or your child had Invisalign treatment? I’d love to hear your experience in the comments.

Pin this post to your Parenting or Health board!

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Hudson La Petite Dentistry surrenders license after investigation

HUDSON, Wis. — A former Hudson pediatric dentist was being investigated on accusations of unnecessarily pulling children’s teeth, billing fraud and overuse of laughing gas when he surrendered his license to practice last month.

Documents obtained through a public records request show Dr. Andy Mancini was being investigated in seven different cases by Wisconsin’s Department of Safety and Professional Services.

Andy Mancini
Andy Mancini

The alleged violations included engaging in practices that constitute a substantial danger to patients, according to records.

Cases investigated by the state agency resulted in criminal charges and a civil suit brought by the state for falsified Medicaid claims.

An attorney for Mancini, who lives in Woodbury, Minn., previously said he would not comment on legal matters involving his client. Mancini denied all allegations in a Wisconsin Dentistry Examining Board document outlining the permanent surrender of his license in Wisconsin.

Dozens of allegations

A 2016 memo from the state alleged 37 separate complaints, including multiple reports of unnecessary tooth extractions, billing problems, children being held down, “aggressive procedures” and a threat to a child.

Among the allegations outlined:

  • Patients were billed for treatments that weren’t performed.
  • A child was held down while “kicking, pinching and clawing to get out of the seat during an extraction procedure,” during an unnecessary extraction procedure that a parent was not allowed to sit in on.

A dentist from the Department of Human Services Office of the Inspector General conducted an audit — generated by patient complaints — that revealed:

  • Mancini used the sedative nitrous oxide, or laughing gas, at levels sometimes reaching a 70 percent concentration of nitrous oxide-to-oxygen, about double the recommended concentrations of 30-40 percent nitrous oxide for children.
  • Patient files included “grossly mislabeled” X-ray files. The audit noted that Mancini would take the same six X-rays each time he’d see a patient. Medicaid, the report notes, reimburses for up to six X-rays on any date of service.

In a November 2016 interview with investigators, Mancini denied performing unnecessary work, but admitted to the possibility of billing errors “due to the incompetence of previous staff.”

Mancini told investigators he allowed parents in the room while he’s performing exams, but discourages family from being present during procedures “because it can be distracting” and can lead to anxiety for patients.

Kirsten Reader, assistant deputy secretary of the Department of Safety and Professional Services, said Mancini voluntarily surrendered his license April 10. She said that happened during the investigations — the outcomes of which could have led to revocation of his license.

Parent complaints

The latest allegations didn’t surprise former La Petite client Rebecca Viebrock of Hudson

She said that after being initially impressed with La Petite’s kid-friendly atmosphere, she found herself having to return over and over.

“I practically lived at that place,” she said.

She grew skeptical, but she said her questions about X-rays and cavities were met with defensiveness from Mancini.

Viebrock said La Petite was one of the only dentists in the area that took state insurance. Without La Petite — where she also received dental care — Viebrock said she and her children are left without options in the area.

Stillwater resident Ashley Foley said she’s also in search of answers after learning about allegations of questionable care at La Petite. She said she took her children there for two years beginning in 2012 and never questioned the multiple tooth-pullings Mancini recommended.

Two of those involved her daughter’s front baby teeth, which have sat empty since the child was about 2. Foley said the girl is now 5 years old and must wait at least two more years before her adult teeth come in. Meanwhile, Foley said her daughter is in speech therapy and covers her mouth in shame when she smiles.

“What if this didn’t need to happen?” she said.

This content was originally published here.

Gov. DeSantis: ‘Closing Schools Due to Coronavirus is the Biggest Public Health Blunder in Modern American History’

Florida Gov. Ron DeSantis (R-Fla.) (Getty Images)

(CNS News) — Although many liberal governors and teachers’ unions are keeping public schools closed in many states, Florida’s Republican Gov. Ron DeSantis reasserted last week his policy of keeping the schools open (with option to stay home), and said that closing the schools because of COVID is “probably the biggest public health blunder in Modern American history.”

DeSantis also compared the school-closers who think it mitigates COVID to flat-Earthers

At a Nov. 30 press conference with Education Commissioner Richard Corcoran at Boggy Creek Elementary School, Gov. DeSantis said, “As we see schools, unfortunately, remain closed in key pockets in our country, today’s announcement doubles down on Florida’s commitment to our students and to our parents.”

“And the announcement is this,” he said, “schools will remain open for in-person instruction, and we will continue to offer parents choices for this spring semester, and every parent in Florida can take that to the bank.”

“The reason why we’re doing that is because the data and evidence are overwhelmingly clear, virtual learning is just not the same as being in person,” said the governor.  “I think teachers in Florida have done a great job of trying to improvise — and really particularly in those early days — but the fact of the matter is the medium is just not the same as being in the classroom.”

(Getty Images)

He continued, “I would say that closing schools due to coronavirus is probably the biggest public health blunder in modern American history. … The harm from this is going to reverberate in those communities for years and years to come.”

“The tragedy of all this is that the evidence has been remarkably clear since the spring, that closing schools offers virtually nothing in terms of virus mitigation,” he said, “but imposes a huge cost on our kids, our parents, and on our society.” 

“People who advocate closing schools for virus mitigation are effectively today’s flat-Earthers, they have no scientific or evidence support for their position,” said the governor. 

This content was originally published here.

iTero Element® Scanner Digital Applications for Comprehensive Dentistry. – Oral Health Group

The unexpected evolution of oral health.

Throughout a dental career, it is inevitable to experience moments we wish we could take back, re-do or have another chance. Expressed in words of wisdom offered by Bill Gates, “It is fine to celebrate success, but it is more important to heed the lessons of failure.”1 The dental hygienist is a primary educator and advocate of patient oral health; a periodontal therapist focused on keeping the integrity of soft tissue, bone, and teeth. If given the time, tools and opportunity, we can likely recall a few, (if not several) patients we wish we could retreat, spend more time educating or complete a more thorough evaluation.

The following case demonstrates how traditional data collection for healthy patients can overlook valuable information over time. Kathy is an existing patient of 10 years. She is happy with her smile, and as a young, accomplished adult she does not have any dental concerns. Historically Kathy has minimal restorative dentistry and previous orthodontic treatment with fixed brackets and wires. Although her original orthodontic treatment was nearly 15 years ago, she still maintains a fixed lower lingual wire. Kathy schedules routine preventive dental hygiene appointments that include radiographs as prescribed, periodontal charting and digital imaging in the form of photography and intraoral camera use. Her dental chart sings praises of healthy tissue color and tone with minimal scanty deposits at every visit.

In 2016, at Kathy’s bi-annual dental hygiene appointment, the dental hygienist of record notes that Kathy has not had any digital photographs taken in 9-years. Annual full-mouth comprehensive periodontal charting and routine bitewing radiographs throughout the 9-years showed little changes to the overall dental hygiene assessment, treatment plan, implementation, and evaluation.

“Shocked” is an understatement when the dental hygienist viewed the pictures of Kathy’s teeth from 2007 and 2016 side by side (Figures 1,2). Many questions surfaced “Why?”, “How?” and “When?” did this happen?

Fig. 1

Fig. 2

The photographs provided evidence that Kathy’s oral environment had changed. The dental hygienist expressed her concern that Kathy’s teeth were shifting and gums were receding regardless of her fixed orthodontic retainer and good oral self-care habits. Fifty percent of adults between 18-64 years of age present with recession; studies show causes of gingival recession include: trauma, male gender, malpositioned teeth, inflammation, and tobacco consumption.2 Previous notes indicated that orthodontics was suggested at the initial onset of recession however Kathy did not understand the value of treatment as her smile looked fine and she already had braces in the past. The dental hygienist suggests taking an intraoral digital scan with the iTero Element® scanner to do a bite analysis.

The dental hygienist explains to Kathy that the color map of the Occlusogram allows for easy identification of the size of tooth contact, location, symmetry, and intensity of her bite. It provides an instant, relatable visual to the patient to be able to see areas at risk, create awareness and determine interest for prevention strategies. Today’s patients seek a customized experience. Leveraging technology helps make the complicated and sometimes overwhelming diagnosis more manageable and easier to understand. An iTero Element® scan can be captured and processed within minutes for use as an immediate chairside education tool. Existing patient scans can also be accessed using myiTero.com on an operatory computer with internet access; both formats allow access to the Viewer tool and Occlusogram.

Let’s look at Kathy’s Occlusogram (Figure 3). With its intuitive visuals, it was easy to explain how the misplaced pressure on the buccal inclines of the maxillary posterior teeth and buccal surfaces of the mandibular posterior teeth (non-working cusps) could contribute to the collapsing of Kathy’s arch forms, increasing horizontal force vectors and placing additional strain along the gum line due to improper axial stimulation. Vertical forces are less harmful because they provide axial stimulation to the teeth and bone while horizontal forces are extremely damaging via torqueing and off-loading.3 We explain to Kathy, that although her bite is fairly evenly distributed across her back teeth, the pressures are too heavy and not ideally positioned. By looking at the occlusal views, Kathy can also appreciate that the overall arch form has changed since completing her initial orthodontic treatment years ago, setting the stage to show Kathy what can be done to minimize the risk for additional recession.

Fig. 3

The iTero Element intraoral scanner offers proprietary software to engage and educate patients about their current dental condition and possible outcomes with clear aligner therapy. To help Kathy comprehend and visualize the goals of treatment, we utilize the Invisalign® Outcome Simulator (Figures 4 and 5). By placing a picture of Kathy’s current dentition next to the simulated outcome, she can see the projected changes to correct the lingual inclinations of her posterior teeth significantly reducing the risk for future gum recession and the overall change in the arch form. The dental hygienist invites the doctor to review and re-enforce her findings.

Fig. 4

Fig. 5

With practice and teamwork, the dental hygienist and dentist collaborate to assess and diagnose the malocclusion. These conversations are most impactful when supportive and co-operative relationships exist between the dental hygienist and dentist. The dentist continues the conversation by explaining how utilizing clear aligner therapy to position the teeth and the bite correctly would make a difference in Kathy’s overall health, stability, and longevity of her teeth and gums. Providing orthodontic treatment on the ground of deleterious effect of malocclusion and mal-positioned teeth on periodontal condition is justified.4 Cultivating a collaborative effort between the dental hygienist and dentist builds patient confidence and increases treatment acceptance.

Kathy underwent 82-weeks* of clear aligner therapy. By up-righting, the posterior sextants the arch form changed from an omega-shape to a broad, wide arch. The first molar width increased from 27mm to 34mm increasing the overall oral volume. The bite forces were redistributed to support good future teeth, bone and gum health by eliminating deleterious horizontal force vectors. These TimeLapse images (Figures 6 and 7) show how despite re-positioning of the teeth, no additional recession resulted. The dental hygienist will be able to utilize future scans to monitor the existing recession and ensure no “surprises” happen again! Best of all, Kathy feels that her smile is more beautiful and confident than ever (Figures 8 and 9).

Fig. 6

Fig. 8

Fig. 9

In summary, periodontal disease will become more evident once complete records are part of the dental hygiene process of care. Patients must understand their periodontal status to make good health care decisions. When we can perform to the highest standards of our profession, everyone benefits including the patient, the practice, and dental professionals. The periodontal exam is not optional; it is the foundation of how we treat patients today to protect their oral and overall health for the future. However, what is the most valuable records we can accumulate in order to monitor the progression of periodontal disease? With the iTero Element® scanner, dental hygienists can have confidence with data collection and analysis in the form of the Occlusogram, Invisalign® Outcome Simulator and TimeLapse technology to provide exceptional periodontal therapy and recommendations as the oral environment evolves.

Dr. Dana Colson practices wellness-based dentistry in midtown Toronto. She graduated from the University of Toronto in 1977. Dr. Colson holds accreditation in several professional organizations, including the ODA, CDA, IAOMT and HAPA. She is a graduate of both the Pankey Institute and a current Mentor at the Kois Center in Seattle. In 2016, she graduated from Rotman Business School, University of Toronto with a global MBA and an eMBA from St. Gallen, Switzerland. Dr. Colson has authored the book, “Your Mouth: The Gateway to a Healthier You” and has lectured extensively in Canada and internationally on Invisalign, lasers, the mouth body connection, cosmetic dentistry and integration of her unique wellness-based approach to dentistry.

Ljiljana Hinton RRDH, a clinician of 20+ years, received her Honours Restorative Dental Hygiene degree from George Brown College where she is a part-time Clinical Instructor. Ljiljana has continued studies in periodontics, esthetics and occlusion with the Kois Center, Spear Education, the Dawson Academy and the American Academy of Cosmetic Dentistry. She enjoys her role educating internationally as a Lead Clinical Trainer and Faculty Member with Align®. Ljiljana works full-time in a general practice advocating comprehensive dentistry to optimize patient health.

Footnotes:
Moore JI. Bill Gates Quotes About Life, Business and Love [Internet]. Everyday Power Blog. Everyday Power Blog; 2019 [cited 2019Feb6].
Available from: https://everydaypowerblog.com/bill-gates-quotes/
Kassab MM1, Cohen RE.J Am Dent Assoc. 2003 Feb;134(2):200-5
McCoy G. “The Etiology of Gingival Erosion”. J Oral Impanto. 1982
Ngom PI, Diagne F, Benoist HM, Thiam F. “Intraarch and interarch relationships in the anterior teeth and periodontal conditions.” Angle Orthod. 2006 March;76(2)236-42
* Treatment times may vary depending on case complexity and must be determined by the doctor
The opinions expressed in this white paper are those of the author(s) and may not reflect those of Align Technology.
The author was paid an honorarium by Align Technology in connection with this white paper.
©2019 Align Technology, Inc. All rights reserved. Invisalign, iTero, iTero Element, the iTero logo, among others, are trademarks and/or service marks of Align Technology, Inc.
or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries. www.iTero.com | MKT-0003086 Rev A

This content was originally published here.

21 spices for healthy holiday foods – Harvard Health Blog – Harvard Health Publishing

The holiday season is one of the hardest times of the year to resist salty, fatty, sugary foods. Who doesn’t want to enjoy the special dishes and treats that evoke memories and meaning — especially during the pandemic? Physical distancing and canceled gatherings may make you feel that indulging is a way to pull some joy out of the season.

But stay strong. While it’s okay to have an occasional bite or two of marbled roast beef, buttery mashed potatoes, or chocolate pie, gorging on them frequently can lead to weight gain, and increased blood pressure, blood sugar, and “bad” LDL cholesterol.

Instead, skip the butter, cream, sugar, and salt, and flavor your foods with herbs and spices.

The bounty of nature’s flavor-makers go beyond enticing tastes, scents, and colors. Many herbs and spices contain antioxidants, flavonoids, and other beneficial compounds that may help control blood sugar, mood, and inflammation.

Amp up holiday foods with herbs and spices

Try flavoring your foods with some of the herbs and spices in the list below. Play food chemist and experiment with combinations you haven’t tried before. The more herbs and spices you use, the greater the flavor and health rewards. And that’s a gift you can enjoy all year through.

Allspice: Use in breads, desserts, and cereals; pairs well with savory dishes, such as soups, sauces, grains, and vegetables.

Basil: Slice into salads, appetizers, and side dishes; enjoy in pesto over pasta and in sandwiches.

Cardamom: Good in breads and baked goods, and in Indian dishes, such as curry.

Cilantro: Use to season Mexican, Southwestern, Thai, and Indian foods.

Cinnamon: Stir into fruit compotes, baked desserts, and breads, as well as Middle Eastern savory dishes.

Clove: Good in baked goods and breads, but also pairs with vegetable and bean dishes.

Cumin: Accents Mexican, Indian, and Middle Eastern dishes, as well as stews and chili.

Dill weed: Include in potato dishes, salads, eggs, appetizers, and dips.

Garlic: Add to soups, pastas, marinades, dressings, grains, and vegetables.

Ginger: Great in Asian and Indian sauces, stews, and stir-fries, as well as beverages and baked goods.

Marjoram: Add to stews, soups, potatoes, beans, grains, salads, and sauces.

Mint: Flavors savory dishes, beverages, salads, marinades, and fruits.

Nutmeg: Stir into fruits, baked goods, and vegetable dishes.

Oregano: Delicious in Italian and Mediterranean dishes; it suits tomato, pasta, grain dishes, and salads.

Parsley: Enjoy in soups, pasta dishes, salads, and sauces.

Pepper (black, white, red): Seasons soups, stews, vegetable dishes, grains, pastas, beans, sauces, and salads.

Rosemary: Try it in vegetables, salads, vinaigrettes, and pasta dishes.

Sage: Enhances grains, breads, dressings, soups, and pastas.

Tarragon: Add to sauces, marinades, salads, and bean dishes.

Thyme: Excellent in soups, tomato dishes, salads, and vegetables.

Turmeric: Essential in Indian foods; pairs well with soups, beans, and vegetables.

This content was originally published here.