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Vol. 14 • Issue 4 • January 2017

Dental Office Puts Emphasis on


Providing state-of-the-art, high-quality dental care for the entire family.

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Should You Floss?

Electric vs. Manual Debate

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Dental Health 101: An overview of trends and topics


Pediatric Dentistry Has Become a Specialty


Keeping Your Mouth and Teeth Healthy


Should You Floss?


The Challenges of Gum Disease


Both Kids and Adults Sport Braces These Days



Dry Mouth a Common Oral Health Problem



Dental Office Puts Emphasis on Family


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When Children Have Bad Breath


Take Care of Your Toothbrush



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NEWS MAKERS Clips from Current Health News


Dr. Rick Graebe



INJURY CARE Cervical Spine Injury during Auto Collision

DEPARTMENTS Events Calendar


Dental Implants Take Time


Diabetes and Dental Health


Oral Cancer Needs YOUR Immediate Attention


The Benefits of Brushing Your Teeth


Fear of the Dentist


Brush Up on the Electric-Vs.-Manual Debate


Dental Breakthroughs



Charles Sebastian Harleena Singh Tanya J. Tyler (editor) TaNiqua Ward, M.S.




WRITERS Angela S. Hoover Jean Jeffers Jamie Lober Dr. Tom Miller












January 2017

Tanya J. Tyler, Editor | Share your story:

Dear Friends, Well, here we are again, standing at the doorway of another new year. If you’re like me and many of your fellow Health & Wellness readers, you’re getting ready to put together a set of resolutions for 2017 – the things you will do to improve your life in the coming year. And perhaps some of those resolutions involve promises to do better – exercise more, eat more healthfully, watch your weight, stop smoking – you know, all those things we advocate in the pages of this magazine. Because our goal is to help you reach your goals, we’ll keep throwing them out at you and encouraging you to give them your best shot. This issue

is all about dental health, with articles about dental breakthroughs, proper brushing and saving your smile. Learn more about Beaumont Family Dentistry and braces, toothbrushes and dentophobia. This year, don’t neglect your teeth as you try to make a healthier, happier version of yourself. As one of the article writers admonished: “Be true to your teeth or they’ll be false on you.” Here’s to your health,


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859-368-0778 e-mail © Copyright HEALTH&WELLNESS Magazine 2017. All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Health&Wellness Magazine. Health&Wellness Magazine reserves the right to publish and edit, or not publish any material that is sent. Health&Wellness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Health&Wellness should not be considered as a substitute for medical examination, diagnosis or treatment.




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An overview of trends and topics in dentistry By Jamie Lober, Staff Writer


he Louisville Courier-Journal reported some statistics that were far from praiseworthy regarding Kentucky’s status when it comes to dental health. The newspaper said dental and oral health problems, such as cancer or other diseases of the mouth and gums, remain a significant challenge in Kentucky. It also found Kentuckians have a high rate of adults over 65 who have had all their natural teeth extracted, with about 25 percent of adults having no teeth, making Kentucky the fifth worst in the nation. The Courier-Journal also reported 22 percent of women in the state smoke during pregnancy, heightening their risk for oral health problems. And because of elevated tobacco use, Kentucky has some of the nation’s highest rates of oral cancer. While there is a lengthy list of benefits of quitting smoking, do not forget smoking can lead to gum disease, tooth loss or staining and even mouth cancer. The Colgate Oral Care Center says it’s important to visit a dentist every six months for a regular checkup and professional cleaning. The American Academy of Pediatrics (AAP) and the American Academy of Pediatric Dentistry recommend children be

seen by a dentist within six months of between your teeth at least once a day the eruption of the first tooth or 12 using interdental brushes or floss; and months of age, whichever comes first. changing your toothbrush every two Good oral hygiene should be a priorto three months. A toothpaste with ity from birth. The AAP says before fluoride will strengthen tooth enamel, teeth erupt, a baby’s gums and tongue which in turn helps fight decay. should be washed with a wet cloth The American Dental Association after feedings. Brushing should start says regular dental visits are important with a soft-bristled, small-head brush because they can help spot dental with fluoride toothpaste in an amount health problems early, when treatno larger than a grain of rice. After the ment is likely to be simpler and more child is 3 years old, affordable and you can increase larger problems the amount to peacan be prevented. If you do not sized. While your Some medical conchild may want to ditions or diseases stay true to take brushing into his own hands, your teeth, the parent should do the brushing they will or assist the child until he is 7 or 8 become false years old. As soon as the surfaces of to you. the teeth touch one another, the American Academy of Pediatrics suggests beginning flossing, assisting until the child is 10 years old. Caring for your teeth should be part of your daily routine. The Oral Health Foundation recommends brushing twice a day; cleaning in

have symptoms that can appear in the mouth, so a dental visit can impact your overall health. The Oral Health Foundation says dental anxiety is one of the most common phobias in the world, with nearly a third of all adults dreading the dentist and one in 10 having a phobia so strong they actually avoid making visits to the dentist. If you are afraid of the dentist, let him or her know about your anxieties and fears so he or she can tailor your treatment accordingly. You may able to listen to music to help you relax or try sedation dentistry.

January 2017 Pedodontics, the original term for pediatric dentistry, begins an ongoing dental history from the appearance of the first tooth and has proven to be invaluable in treating patients as they moved past adolescence and into adulthood. Dr. Laura Justice, who has been at the helm of Justice Dental in Lexington for many years, seeks to help her patients by teaching good dental hygiene and habits from the start. “Educating people while they’re in the growth and development phase is key,” she said. “Children need to develop good oral habits as well as have comfort with coming to the dentist.” With more education and improved techniques in dentistry, the old cliché of children running away in mortal terror from their regular dental checkups might be changing. “People are more educated today on proper care for teeth and the body in general,” Justice said. More and more is being discovered about teeth and how they affect the overall health of the child or teen during these formative years. Dr. Jeffrey Rouse, a dentist in San Antonio, Texas, has some new and innovative ideas about pediatric dentistry that could change previously held

Pediatric Dentistry Has Become a Specialty Start caring for your children’s teeth from infancy By Charles Sebastian, Staff Writer It’s a real blessing to live in an age where competent dentistry is available to everyone. Poor dental hygiene accounts for many of our ancestors

dying by age 40 years and, in many cases, in a lot of pain. Pediatric dentistry has become its own specialty over the years. Infant through adolescent teeth have their own special needs and focus compared to their adult equivalents.


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thoughts about the specialty. Justice explained one of Rouse’s theories: “Some of the belief system now for kids is that if they’re grinding [their teeth] in their sleep, they may have an airway issue with adenoids and tonsils. The grinding is a way to keep the airway open. The maxilla and the mandible are affected in their growth.” Prevention is the key to maintaining healthy teeth, along with diligent and sensible hygiene. Children and teens who visit the dentist these days are much more likely to have a diet full of refined sugar, carbonated sodas and processed foods. All of this adds up to a faster deterioration of teeth, gums and the body in general. “The re-care system keeps people on top of things regarding their teeth,” Justice said. “Re-care means the oral health of each person is being emphasized with regular visits, starting from the first tooth.” Regular visits and checkups are especially needed for children, whose teeth are growing and forming, causing constant change in the body. “The gum lines being our only constant opening through the skin, they are of course the place where bacteria can most readily invade the body, making hygiene and care all the more important,” Justice said.


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Keeping Your Mouth and Teeth Healthy Choose your weapons in the fight against dental disease By Harleena Singh, Staff Writer The first set of teeth is mostly formed at birth. These teeth hide under the gums. They hold the space where eventually the permanent teeth will be, allowing them to grow in straight. When your child’s new teeth first appear, clean them by rubbing them gently with a wet washcloth; later you can use a child’s toothbrush. Don’t allow your child to sleep with a bottle; this can leave juice or milk on the teeth, causing cavities known as babybottle tooth decay. Use water without toothpaste to brush your child’s teeth if he or she is under two years of age. Teach your children how to brush their teeth and tell them the importance of keeping their teeth clean. Avoid giving your children sticky or chewy food. Instead, encourage them to eat lowsugar snacks such as cheese, fruits and vegetables. The American Dental

Association (ADA) recommends children see their dentist starting at 1 year of age. For teens, let them know taking good care of their teeth and mouth will give them a nice smile, pleasant breath and fewer cavities. Teens should not smoke or chew tobacco, which stains the teeth, promotes bad breath and can even cause cancer. Young people need to brush their teeth at least twice daily with fluoride toothpaste and floss once a day. They should also visit the dentist every six months for regular check-ups and cleanings. Taking care of your mouth and teeth regularly when you’re an adult can help you avoid painful gums, tooth loss and other problems. Again, you need to brush your teeth twice a day with fluoride toothpaste and floss them once daily. Check your mouth for sores that don’t heal, irritated gums and other changes, and ask your doctor if your medicines have side effects that can damage your teeth. Don’t smoke or chew tobacco and visit the dentist every six months for regular

To maintain daily dental care, the main weapons are the toothbrush, toothpaste and interdental (between your teeth) cleaning.

check-ups and cleanings. Your dentist can catch problems such as trauma, tooth decay, gum disease or cancer at an early stage. Be careful of soda because of the phosphoric and citric acid it contains. These ingredients give soda its “bite” but they can also eat away the surface of your teeth. You need to quit smoking because the nicotine and tar in cigarettes turn your teeth yellow and eat away at your gums. Smoking also leads to the formation of bacteria and plaque on your teeth and along the gumline, which harms tissue, degrades the bone that supports teeth and eventually increases your risk of tooth loss. Tobacco chemicals can even lead to oral cancer. Use a toothbrush with soft to medium, multi-tufted, round-ended nylon bristles. Replace it when you notice bent bristles or after three months of use. A worn toothbrush can injure the teeth and gums. While brushing, use short, gentle, circular motions and hold the toothbrush at a 45-degree angle, pointed towards the gum line. Also, lightly brush your tongue to help keep your mouth clean. When flossing, wrap about a foot of floss around your index fingers, keeping around 2 inches between your fingers to work with. For each tooth, unroll a fresh section of floss and keep it tight against the tooth to break up plaque. Be sure to rinse after you floss. You can protect your teeth from sports injuries by wearing a mouth guard or full-face helmet when playing.

Don’t use your teeth to crack nuts, rip open packages or remove bottle tops. Doing so risks chipping or even breaking your teeth. Dry mouth occurs when you don’t have enough spit or saliva to keep your mouth wet. This makes it hard to eat, taste, swallow and even speak. It can lead to tooth decay and other mouth infections. To prevent dry mouth, sip water or sugarless drinks, don’t smoke and avoid alcohol and caffeine. Take care when learning to eat with dentures. Start with soft, non-sticky food and cut it into small pieces and chew slowly, using both sides of your mouth. Take the dentures out of your mouth at night and soak them in water or a denture-cleansing liquid. A few minor changes in your daily routine can make a huge difference in the long term. Your dentist can remove any build-up on your teeth and treat any gum disease that has already appeared. However, you need to maintain daily dental care, and the main weapons are the toothbrush, toothpaste and interdental (between your teeth) cleaning. About the Author Harleena Singh is a professional freelance writer and blogger who has a keen interest in health and wellness. She can be approached through her blog ( and Web site, Connect with her on Twitter, Facebook and Google+.


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sample sizes. Recent reviews consmall benefit is good, considering cluded flossing is not very effective the fact that half of the American in plaque removal and reduction of population suffers from periodongum inflammation. tal disease. Moreover, the guideBut many dental experts still lines do not in any way rule out emphasize cleaning between the the recommendations of the U.S. teeth at least once a day. To them, Department of Health and Human weak evidence of the benefits of Services, which accepts the imporflossing does not mean that flossing tance of flossing. is useless. If performed properly, flossing So just what is flossing and why only does you good. A tooth has do dentists recommend it? five surfaces; your toothbrush can When food particles get stuck in only reach three of them. Only 2017 a This unrivaled senior living community will open Spring the gap between the teeth and along by flossing can you get access in 2700 Manbetween O’Waryour Blvd. the gum line, they rot and form teeth. The only time plaque full of bacteria. This region you should notliving floss iscommunity when you will o This unrivaled senior is difficult to reach with your tooth- start feeling pain while flossing, but APARTMENT HOMES: Man O’War brush, and that dental plaque causes this generally2700 happens only when Blvd. • Studio (limited availability) gum disease. If the plaque is not you do it aggressively. There is a removed with•the helpBedroom of a tooth- (Prime correct technique foravailable) flossing. Many One locations still APARTMENT HOM brush or• an interdental cleaner such people move the floss inlist aatsawing This unrivaled senior living community will open Spring 2017 One Bedroom Deluxe (All pre-leased, wait options) • Studio (limited availabilit as floss, it will harden into calculus motion. The right way is to move 2700 Two Man O’War Blvd. Two Bedroom with (very availability) • One Bedroom (Prime locations s or tartar.• Flossing removes bacteria itBaths up and down limited around the sides This unrivaled senior living community will open Spring 2017 at This unrivaled senior living community will open Spring 2017 at or plaque and food particles. This of the teeth, forming a “C” shape • One Bedroom Deluxe (All pre-leased, APARTMENT HOMES: What about the latest changes in guidelines? helps you2700 avoidMan plaqueO’War build-up, around the tooth, and going below 2700 Man O’War Blvd. Blvd. UNIQUE FEATURES: • Studio (limited availability) • Two Bedroom with Two Baths (very lim tooth decay and gum disease. the gum line. • One Bedroom (Prime locations still available) • Soaring High Ceilings • Five Dining Options By Harleena Singh, Staff Writer Gingivitis or gum inflammation Some experts small inter-den• One Bedroom Deluxe (All pre-leased, wait listsay options) APARTMENT HOMES: HOMES: UNIQUE FEATUR •APARTMENT Modern Full Size Kitchens •areIndoor leads to periodontitis or bone loss,Two Baths tal brushes best forSaltwater people whoPool • Two Bedroom with (very limited availability) Studio (limited availability) •progresses Studio (limited which at a•slow pace. have spaces•between • availability) Soaring High Ceilings • Classic Subway Tile Back Splashes Sportstheir Barteeth. • Five you prevent or reduce However, ifstill the available) spaces between that was released in August 2016. • OneLogically, To floss or not to floss – that is •ifOne Bedroom (Prime locations FEATURES: (Prime locations still available) •UNIQUE Modern Full Size Kitchens • Indo • Bedroom Spacious Living Area • Cultural Arts Center the gum inflammation, you reduce your teeth are too tight, flossing The change is based on certain the question. This is the dilemma • Soaring High Ceilings • Five Dining Options • One Bedroom Deluxe (All pre-leased, wait list options) • One Bedroom Deluxe (All pre-leased, wait list options) • Classic Subway Tileoption • Walk Showers • Back Theater and More! bone loss In or prevent periodontal is a better forSplashes cleaning the • Spo reports that say the evidence of any people are facing, especially after • Bedroom Modern Full Size Kitchens • Indoor Saltwater Pool • Two with Two limited Baths limited availability) • Two with TwoSubway Baths (very availability) disease. area.(very Talk to your benefits of flossing is very low qual-Bedroom reading about the latest change in • Tile Spacious Living Area • Crown Molding • Classic Back Splashes • Sports Bar dentist for more• Cul According to the American information. ity or weak and unreliable because dental guidelines for Americans • Spacious Living• Area • Cultural Arts Center Walk In Showers • The Dental Association (ADA), even a of fewer research studies and small UNIQUE FEATURES: UNIQUE FEATURES: • Walk In Showers • Theater and More!

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The longer plaque and tartar are on teeth, the more harmful they become.

Do you smoke? Did you know smoking is one of the most significant risk factors associated with the development of gum disease? Smoking can lower the chances for successful treatment. Has your physician told you that you have an autoimmune disease such as diabetes? Then you are at higher risk for developing infections, including gum disease. Other diseases such as AIDS and its treatments can also negatively affect gum health, and so can some cancer treatments. Hormonal changes may also be a risk factor; they cause gums to be more sensitive, resulting in gingivitis. There are also genetic factors that may lead to gum disease. Dental researchers have observed that people with gum disease are

more likely to develop heart disease or have difficulty controlling blood sugar when compared to people without gum disease. The basic cause of periodontal or gum disease is the bacteria in the mouth. These bacteria, along with mucus and other particles, constantly form a sticky, colorless plaque on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form tartar that brushing doesn’t clean. Only a professional cleaning by a dental hygienist a couple of times a year can remove tartar. The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums, a condition called gingivitis, in which the gums become red and swollen and bleed easily.

January 2017

Gingivitis can usually be reversed with daily brushing and flossing and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of the bone and tissue that hold teeth in place. When gingivitis is not treated, it can advance to periodontitis, or inflammation around the tooth. In periodontitis, gums pull away from the teeth and form spaces called pockets that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums and tissue that support the teeth can deteriorate. The teeth may eventually become loose and have to be removed. The signs and symptoms of gum disease include bad breath that won’t go away; red, swollen, tender or bleeding gums; pain when chewing; sensitive teeth; and receding gums. Any of these symptoms may be a sign of a serious dental problem and should be checked by a dentist. At your visit, the dentist or dental hygienist will likely ask you about your medical history to identify underlying conditions or risk factors, such as diabetes or smoking, that may contribute to gum disease. Treatment and prevention are critical to maintaining good oral health. The number and types of treatment will vary, depending on the extent of the gum disease. The main goal of treatment is to control infection. The doctor may also suggest changing

certain behaviors, such as quitting smoking, as a way to improve treatment outcome. Preventing gum disease begins with brushing your teeth twice daily with a fluoride toothpaste. Flossing daily to remove plaque from between teeth is also important. Visit your dentist for a check-up and professional cleaning at least twice a year. More research is needed to clarify whether gum disease actually causes health problems beyond the mouth and whether treating gum disease can keep other health conditions from developing. It’s clear that controlling gum disease can save your teeth and gums and your smile – a very good reason to take care of it. For more information, contact the Kentucky Dental Association at (502) 489-9121 or visit its Web site at It has a link to find a qualified dentist in your area.


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Sources and Resources Kentucky Dental Association (2017) Dental Information and Find a Dentist.

About the Author Thomas W. Miller, Ph.D., ABPP, is a professor emeritus and senior research scientist, Center for Health, Intervention and Prevention, University of Connecticut; retired service chief from the VA Medical Center; and tenured professor in the Department of Psychiatry, College of Medicine, University of Kentucky.

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Stress and Oral Health By John A. Patterson MD, MSPH, FAAFP For many people, there is a relationship between stress and oral health. The presence of oral disease and dental disorders can cause stress from low self-image, which can have a negative effect on well-being and personal happiness. Stress, chronic anxiety and depression can lead to self-neglect, including neglect of dental hygiene. For many people, dental self-care is not a high priority. It is especially common for stressful economic times to be associated with lapses in the proper oral hygiene habits of regular brushing and flossing of teeth and profes-

sional dental exams. Turning to sugar-laden comfort foods for stress relief can also lead to dental caries (tooth decay). Emotional disorders and stress at home or work can lead to the excess production of dental plaque, which in turn can lead to periodontal (gum) disease, leading to gingivitis and bleeding gums. A highly emotional response to financial hardship, in particular, has been shown to increase gum disease. Periodontal disease is the leading cause of tooth loss, and Kentucky ranks first or second nationally in tooth loss. A healthy diet, regular brushing, flossing, anti-bacterial mouth rinses and regular dental

Stress, worry, anxiety and anger can lead to bruxism, the clenching and grinding of the teeth.

evaluations can save your teeth. Stress can increase the frequency of canker sores. Also known as aphthous ulcers, these painful lesions occur inside the mouth and are not contagious. Students often have more canker sores during the school year than during holidays and summer vacation. Cold sores, also called fever blisters, are contagious, painful blisters around the lips, nose or chin caused by the herpes virus. Stress is a common trigger for these blisters. Though canker sores and cold sores resolve with or without medication, their resolution and their prevention can be helped by healthy approaches to stress management. Stress, worry, anxiety and anger can also lead to bruxism, the clenching and grinding of the teeth during sleep or while awake. This grinding of the teeth can eventually lead to problems with the temporomandibular joint (TMJ). TMJ problems can cause popping or clicking of the jaw when opening the mouth or chewing. It can also cause facial pain or tenderness in the face, jaw joint, neck, shoulders and around the ear when chewing, speaking or opening the mouth. A custom-made dental bite guard may be required to prevent damage to the teeth and the TMJ from frequent grinding. Individuals may be unaware of their teeth grinding and jaw clenching. Signs include flattening of the tips of the teeth and increased dental sensitivity from loss of dental enamel. There are many ways to help prevent stress from having an adverse

impact on your dental health. You can probably find something on this list that fits your lifestyle and personal preferences. To help you manage stress: • Try to reduce your exposure to the circumstances, patterns of thinking, habits, people or other sources of your stress. • Seek financial, emotional or pastoral counseling to help you deal rationally, thoughtfully and methodically with your stress rather than self-medicating with drugs, alcohol and overconsumption of unhealthy foods. • To reduce mental and emotional stress, connect more with your body through your preferred physical activity – walking, jogging, swimming, yoga, dancing or sports. • Practice daily skilled relaxation, meditation or prayer. • Spend some time each evening reading inspirational material that uplifts your spirits. • Keep a daily gratitude journal (count your blessings). • Get a massage. • Hug a loved one. • Play with children and animals. • Spend unhurried time in nature. • Do something for others who are less fortunate. Generosity is good for both the giver and the receiver. • Participate in social and community activities that reduce feelings of isolation and loneliness. There are several resources that offer self-directed approaches to stress management. They do not take the place of professional help

January 2017

should your burden of stress feel overwhelming or get worse over time. Speak with your dental or medical provider for a professional stress management referral if your self-care strategies are not helping. Your dental health as well as your overall health may depend on how effectively you manage your stress.



Relax the body, quiet the mind and open the heart

Sources and Resources • Stressed out? Your Dentist Can Tell out.html • How stress affects your oral health stress-teeth • Dr. James Gordon, founder of the Center for Mind Body Medicine guides a ‘soft belly meditation’ • Zen master Thich Nhat Hanh’s ‘single pointed meditation’ led by Peg Baim of the Benson-Henry Institute for Mind Body Medicine

About the Author Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is board certified in family medicine and integrative holistic medicine. He is on the family practice faculty at the University of Kentucky College of Medicine and the University of Louisville School of Medicine, Saybrook University’s School of Mind Body Medicine (San Francisco) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers integrative medicine consultations. He can be reached through his Website at

Individual consultations, group classes, coaching, half day and all-day retreats Practice mindfulness, meditation, relaxation and gentle yoga for stress-related conditions and burnout prevention

John A. Patterson MD, MSPH, FAAFP Integrative Mind Body Medicine Certified in family medicine, integrative medicine, mind body medicine, Integral Yoga, iRest Yoga Nidra and Physician Coaching MINDFULNESS-BASED STRESS REDUCTION (MBSR) The 8 week “gold standard” mindfulness program begins Monday, January 23 Mindfulness and Relaxation for Health drop-in class every Wed. 6:30–8:00pm A Day of Mindfulness for Body, Mind and Heart Sat., Feb. 18; 9:00-4:00

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Both Kids and Adults Sport Braces These Days New technology makes orthodontics easier for patients By Jamie Lober, Staff Writer More and more people are becoming aware not only of the aesthetics but the health benefits associated with a beautiful smile. This has motivated many individuals to seek orthodontic treatment, otherwise known as braces. Braces are about functionality and the way the teeth fit together. “The way the teeth meet affects their wear over a period of a lifetime,” said orthodontist Dr. DeWayne McCamish, who is also president of the American Association of Orthodontists. “Since people are living longer now, it also affects the health of the bone and gums that hold the teeth in place. We have found that 50 to 60 percent of all individuals would benefit from some type of orthodontic treatment.” Kids are not the only ones getting braces these days. “I have been in

practice for 44 years and 27 percent of our practice is adults, so you are never too old to be treated,” said McCamish. As long as you have healthy bone to move the teeth, you can have braces. “We put them on by bonding,” said McCamish. “We take a brace and put adhesive on it and bond it to the surface of the tooth.” Technology has made getting braces easier and less uncomfortable for patients. “Braces are different than they have ever been because they are smaller and sleeker,” McCamish said. “We have more options, such as ceramic braces, which are toothcolored and nearly invisible.” Designing braces involves new innovations as well. Digital X-rays show more detail. “We scan the teeth with a digital scanner that gives us an

image of the tooth,” McCamish said. “The image is used to make a diagnostic replication or reproduction of that patient’s mouth.” Today’s braces are more attractive than in the past. “The kids ask if they can have colors because it makes it easier for them to wear braces,” McCamish said. “My theory is, as long as they keep them clean, they can have any color of the rainbow.” The average treatment range with braces is 18 to 27 months. When they come off, patients will wear some form of retainer, which holds the teeth in place until bone reforms completely around the roots of the tooth. Maintenance is the secret to success with orthodontics. To do well with braces, you must keep a healthy, clean oral environment so you don’t end up with stains and marks on your teeth. “Attitude and proper oral hygiene habits are the only requirements for braces,” McCamish said. “That’s what we try to promote before a patient goes into treatment.”


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McCamish says the orthodontic profession is rewarding because orthodontists can change lives by changing a smile. “Patients come in that hide their smiles, avoid looking at you and will not make eye contact,” he said. “It is like a butterfly where they blossom, and a healthy, beautiful smile creates self-confidence.”

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Dry Mouth a Common Oral Health Problem Xerostomia can be harmful to overall wellness By Jean Jeffers, Staff Writer Everyone has a dry mouth occasionally, but when dry mouth persists over time, it can become a problem. Dry mouth, also called xerostomia, is fairly common and can range from being annoying to being a serious source of tooth decay. It can cause infection in the mouth and poor nutrition because of problems with chewing. It may also be an impediment to good overall health, not just oral health. Symptoms of dry mouth may include a feeling of dryness and/ or burning in your mouth or throat; thick saliva; bad breath; gum irritation; gum disease; and having a hard time chewing, swallowing and/or speaking. Another common symptom is hoarseness. Your sense of taste may change as well. Often in xerostomia, the lips become cracked, the tongue is dry and rough and occasionally there are mouth sores.

Dry mouth is likely due to a decrease in saliva. It happens when the glands in the mouth that make saliva are not working properly. The salivary glands could be impaired due to: 1. Medications. There are over 400 drugs whose side effects include dry mouth. High blood pressure and depression medications, along with antihistamines, decongestants, muscle relaxants and some pain medications are most likely to cause dry mouth. 2. Aging. This period in life does not implicitly cause dry mouth, but seniors are more likely to take drugs that cause it or to have other health conditions that lead to dry mouth. 3. Cancer therapy. Both chemotherapy and radiation used in cancer treatment may cause dry mouth. They interfere with production of saliva by causing damage to the

salivary glands. 4. Other health conditions. HIV/ AIDS and diabetes are two conditions that cause dry mouth. 5. Smoking. Using tobacco products may cause dry mouth. If you notice you have a dry mouth and it persists, make an appointment with your doctor to discuss the situation. Your doctor will ask you a number of questions and also perform an oral exam. Sometimes blood tests are required or imaging scans of the salivary glands are taken. Your doctor will prescribe treatment based on the cause of your dry mouth. He or she commonly changes medications or dosages of drugs. The doctor may prescribe something to moisturize the mouth, such as Biotene, a mouthwash, or drugs that increase saliva production, such as Pilocarpine and Cevimeline. Your dentist can

provide treatment to prevent or treat oral caries commonly caused by dry mouth. He might also prescribe a fluoride toothpaste that helps cut down on dental caries. Here are some more tips for dealing with dry mouth: 1. Keep water nearby and sip frequently. 2. Chew sugar-free gum or suck on sugar-free candy. 3. Breathe through your nose rather than through your mouth. 4. Use a room humidifier at night to add moisture to the air. 5. Use moisturizer to treat cracks in the lips. 6. Avoid caffeine and alcohol as well as tobacco products, all of which may worsen dry mouth. 7. Avoid spicy foods. 8. Have frequent check-ups with your dentist.

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Two Hearing Aids or One? By Dr. Brewer, Audiology Associates Just like our eyes, our brains are wired to receive input from both ears. There are a few unique situations that allow for only one hearing aid to be utilized, however those are rare. When a hearing care professional suggests two hearing aids for first time wearers, many seem to think that starting with one hearing aid will be easier to adjust to, and additionally, it will save money. Research has shown that for individuals who need amplification on both sides but only wear a hearing aid on one side, the ear not being amplified is deprived of sound. This causes the aided ear to be doing all of the work while the unaided ear risks decreasing more rapidly as it is not being stimulated. We have all heard the “use it or lose it” principle and this is very much true with hearing and our ears as well. I would like to discuss reasons for one hearing aid and benefits from two hearing aids, as deemed necessary. Reasons why someone might have one hearing aid: As I previously mentioned, there are rare exceptions as to why someone may only have one hearing aid. One circumstance is if an individual has one ear with a hearing loss and the other ear has normal hearing sensitivity. With proper testing an audiologist should be able to determine if the ear with a hearing loss is usable and would benefit from technology, thus allowing both ears becoming equal participants. Another scenario for only having one hearing aid is if there is an

ear that is not usable. Again, an audiologist will be able to determine this through proper testing. If testing reveals the hearing aid will not benefit the individual’s hearing capabilities a hearing aid should not be recommended. Because of the above reasons, it is crucial that an individual who suspects hearing loss schedules an appointment with a reputable audiologist. Various tests needs to be completed during a comprehensive evaluation to not only determine the degree of hearing loss but also the benefit of hearing aids, whether it is one unit or two. Benefits of wearing two hearing aids if deemed necessary: • Better hearing for soft sounds such as children’s voices and nature sounds • Better hearing in background noise • Better localization and discrimination of where sounds are coming from • Better sound quality • Listening balance – this means you won’t have to turn your “good” ear to an individual when speaking • Higher success and satisfaction when compared to one ear – per many studies • Less strain when listening because more input is making its way into the brain. Improved Localization Localization is an individual’s ability to determine where sound is coming from. We utilize timing and our brain’s incredible ability to pinpoint the exact location of the source. This process begins as

sound waves disturb the air. The sound travels into the ear, it hits one ear slightly ahead of the other. The sound is then sent down the ear pathway and hits hair cells within our inner ear. These hair cells transform the sound waves into electrical impulses. Those timing differences, as well as electrical impulses, are then sent to the brain allowing us to detect the location of the sound. We use this ability every day without being fully aware of it. Why? Because it happens automatically when both ears are performing at equal levels. Many of the new technology options enable wireless communication between the two hearing aids. This is beneficial because it allows the units to work as a team to ensure localization cues between the ears are properly determined. How does this help someone who is hearing impaired? Localizing sound is very important, more important than many realize. It is especially important when any kind of background noise is present. More success with localization means the less stressed those with hearing loss become. Improved Sound Quality When thinking about the type of sound quality you prefer, do you like mono or stereo sound better? Most would say stereo. When two hearing aids are properly adjusted, meaning the individual needs of each ear are being met, you enjoy a better sound quality. This is because everything sounds better in stereo. Additionally, the benefit of sounds being appropriately adjusted means the volume of those soft sounds including grandchildren or soft conversation with someone you love can now be audible.

Safety Due to the ability to distinguish the location of sound, individuals can potentially stay out of harm’s way, for example oncoming traffic or someone yelling calling your name. Improved Speech Understanding The ability to understand speech starts with getting as much volume to the brain as possible. When two ears are working as a team the brain is able to get more input when compared to only one ear doing all of the work. This can also help with clarity of the signal. Conclusion Hearing is a very complex process. Having a professional who can look at the each component of the hearing pathway in a diagnostic evaluation will provide further information on what is truly best for each individual. About the Author Dr. Brewer completed her Doctor of Audiology degree at the University of Louisville’s School of Medicine and her undergraduate degree in Speech Pathology and Audiology at Miami University in Oxford, OH. She is licensed by the state of Kentucky as an audiologist and hearing instrument specialist. She is also a member of the American Academy of Audiology, Academy of Doctors of Audiology, Kentucky Academy of Audiology and American Speech-Language-Hearing Association.   Dr. Brewer specializes in diagnostic audiologic evaluation as well as hearing aid services, including selection, fitting, and follow-up care. Her passion is to provide her patients with the most appropriate form of treatment for their hearing health care.

COGNITIVE DECLINE Those with untreated hearing loss experience A 30%–40% GREATER DECLINE in thinking abilities compared to those without hearing loss.

TINNITUS PEOPLE WITH TINNITUS 90% OF ALSO HAVE HEARING LOSS. Tinnitus affects 1 in 5 people. Tinnitus can be caused by hearing loss, an ear injury, or a circulatory system disorder.


Hypertension can be an accelerating factor of hearing loss in older adults.









If you have vision and hearing loss, your ability to target sound location is compromised. The amplification from hearing aids helps compensate for the vision loss.



Studies show that a healthy cardiovascular system — a person’s heart, arteries, and veins — has a positive effect on hearing. Inadequate blood flow and trauma to the blood vessels of the inner ear can contribute to hearing loss.








Adults whose blood glucose is higher than normal but not high enough for a diabetes diagnosis have a 30% higher rate of hearing loss compared to those with normal blood sugar.



OSTEOPOROSIS A study linked osteoporosis and hearing loss, theorizing that demineralization of the three middle-ear bones may contribute to a conductive hearing impairment. 259 Soutland Dr • Lexington 859.277.0491

THERE ARE MORE THAN 200 MEDICATIONS ON THE MARKET TODAY THAT ARE KNOWN TO CAUSE HEARING LOSS (TOXIC TO THE EARS). The list of known ototoxic drugs includes: • Aspirin • Some anticancer drugs • Quinine • Some anesthetics • Water pills • Environmental chemicals • Certain antibiotics like carbon monoxide, hexane, and mercury

Sources: The National Institutes of Health (NIH) | National Institute on Deafness and Other Communication Disorders (NIDC) | National Council on Aging (NCOA) | Sergei Kochkin, Ph.D. The Impact of Treated Hearing Loss on Quality of Life - Better Hearing Institute, Washington, D.C. Retrieved from: Frank Lin, M.D. (2014 January 22) Hearing Loss Linked to Accelerated Brain Tissue Loss. Johns Hopkins Medicine News Release. | Ha-Sheng Li-Korotky, Au.D., Ph.D., M.D. (2012) Age-Related Hearing Loss: Quality of Care for Quality of Life. The Gerontologist, Volume 52, Issue 2: 265-271 | Karen J. Cruickshanks, Ph.D.; Ronald Klein, M.D.; Barbara E. K. Klein, M.D.; Terry L. Wiley, Ph.D.; David M. Nondahl, M.S.; Ted S. Tweed, M.S. (1998) Cigarette Smoking and Hearing Loss: The Epidemiology of Hearing Loss Study. JAMA. 998;279(21):1715-1719. doi:10.1001/jama.279.21.1715 | Hull RH, Kerschen SR. (2010) The influence of cardiovascular health on peripheral and central auditory function in adults: a research review. Am J Audiol. 2010 Jun;19(1):9-16. doi: 10.1044/1059-0889(2010/08-0040). | De Moraes Marchiori LL, de Almeida Rego Filho E, Matsuo T (2006) | Hypertension As a Factor Associated with Hearing Loss. Braz J Otorhinolaryngol. Jul-Aug;72(4):533-40. Babich M., Hoffmeister D. & Doughty, A. (2009). Osteoporosis and Conductive Hearing Loss: A Novel Model of Clinical Correlation. Retrieved from: PHILICA.COM Article number 148. | American Tinnitus Association, | © 2016 Audigy Group LLC. All rights reserved. 81705-820 2/15 POST3101-01-EE-AY




PEOPLE WITH MILD HEARING LOSS (25 dB) ARE more likely to have a history of falling. Every additional 10 decibels of hearing loss increases the chances of falling by 1.4.

January 2017




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1175 Alysheba Way, Lexington KY 859.278.5007 |

Dealing with Cold Sores By Dr. Wesley W. Johnson, Family Practice Associates of Lexington, P.S.C. Cold sores, also known as fever blisters, are often a winter inevitability. They are caused by the oral form of the herpes simplex virus 1 (HSV-1). The virus is highly contagious. According to one source, about 67 percent of the world’s population younger than 50 years old has HSV-1. Most people contract it in early childhood; it is transmitted through skin-to-skin contact. Once you are infected with it, the virus never leaves your body. Fortunately for most people, the virus remains inactive throughout their lives. However, when the virus does wake up, cold sores may appear as red bumps or blisters on the gums and the outside of the mouth, lips and nose. You may also develop a fever or a sore throat or have swollen lymph nodes. The factors that trigger cold sores include stress, cold weather and fatigue. They usually last seven to 10 days. They are very contagious during this time period. The virus can spread from the mouth to the genitals, eyes and other parts of the body. Your doctor may examine the cold sore or take a culture from it or take a blood sample to test for antibodies. There is no cure for cold sores. Most of the time they disappear on their own. You can ease the pain by

taking ibuprofen, acetaminophen or vitamin C, applying ice and using over-the-counter numbing medicines. These medicines may reduce the duration of cold sores. Your doctor may prescribe an anti-viral oral medication to facilitate healing. It is also a good idea to avoid spicy and acidic foods such as citrus fruits while the cold sores are active. To prevent cold sores, be sure to: • wash your hands after you touch a cold sore; • replace your toothbrush; • avoid kissing someone who has a cold sore and don’t kiss anyone else when you have one; • use sunscreen; and • replace your lipstick or lip balm. Don’t share toothbrushes, razors, water bottles, drinking glasses and silverware with someone who has a cold sore. Your best bet for avoiding cold sores is to stay healthy. A fever can trigger a cold sore outbreak, so you need to make sure you combat illness and strengthen your immunity by getting enough sleep and exercise, eating healthily and staying hydrated. Hydration protects your lips from the dry air that comes with being inside during the winter. It may be a good idea to get a humidifier for your home. In addition, use products that will guard your lips against chapping caused by the wind and sunlight (even in the wintertime, the sun’s rays

can cause damage). Soothe a sore mouth with a rinse that contains baking soda. Dress in layers to protect your body when it’s cold, including wearing hats and scarves. If you do develop a cold sore, keep it clean by washing it gently with soap and water. It can become more serious if it leads to a bacterial infection, especially in people who have weakened or impaired immune systems.

About the Author Dr. Wesley W. Johnson completed his family practice residency at the University of Kentucky in November 2004, joining Family Practice Associates of Lexington in December 2004. Dr. Johnson’s particular interests include chronic disease management, pediatrics and aviation medicine.



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Family Beaumont Family Dentistry has an array of services for patients of all ages.

January 2017


Dr. Patricia Takacs started Beaumont Family Dentistry more than 30 years ago. The office’s Mission is to provide state-of-the-art, highquality, comprehensive dental care for the entire family in a comfortable environment. With treatment options that include implants and orthodontics, cosmetic dentistry, Fastbraces® and sleep dentistry, Beaumont Family Dentistry has an array of services for patients of all ages. “Everybody deserves to have access to high-quality comprehensive dental care that’s also affordable,” said Dr. Takacs. Dr. Takacs’ dental destiny began when she was a child visiting her grandfather’s dental office. “I remember going to his office when I was little,” she said. “Dentistry just was a natural thing for me. I didn’t know I wanted to do it until I was in high school and I mentioned to somebody I was dating that he ought to consider going to dental school. I thought, ‘Wait a minute, I want to go to dental school!’” After graduating with honors from the University of Kentucky College of Dentistry in 1983, Dr. Takacs worked as an associate dentist for a year before opening her own office, Patricia E. Takacs DMD, PSC, in 1984. “We outgrew our first location and moved to a second location, outgrew that and in 1999 moved to Beaumont,” she said. “That’s when we changed the name to Beaumont Family Dentistry.” Dr. Takacs’ practice lives up to its name in more ways than one. “When I started in 1983, I took care of some young families, and I am now seeing their kids and their children's children,” Dr. Takacs said. “I have patients I’ve taken care of for 30-plus years.” Emphasizing the family feel even further, members of Dr. Takacs’ own family are in practice with her. Her son, Dr. Ryan J. Golibersuch, also a graduate of the University of Kentucky College of Dentistry, keeps up with the newest dental techniques and technology. He is particularly interested in CEREC CAD/ CAM and 3D cone beam technology and is also trained in IV sedation, which helps patients feel comfortable during long or in-depth procedures. He is pursuing a fellowship in the Academy of General Dentistry. Dr. Takacs’ daughter, Dr. Kyle Golibersuch, graduated from the University of Kentucky College of Dentistry in May 2015. She has received affiliation with Fastbraces® and is also certified in the Chao Pinhole Surgical Technique, which comfortably and effectively treats gum recession. She enjoys taking care of pediatric patients and has a special interest in endodontics. And Dr. Takacs’ 86-year-old mother, Pat Takacs, is the office cookie baker and coffee maker. She calls patients, sends birthday cards and writes welcome notes to new patients by hand. Also on staff are Dr. Jill Miller, who began her career working as a dental assistant with Dr. Takacs before graduating from the University of Kentucky College of Dentistry and now has advanced training in laser and implant dentistry, endodontics, cosmetics, Fastbraces® and Invisalign; Dr. Katie Bowen, who graduated with distinction from the University of Kentucky College of Dentistry in 2014 and has trained in CEREC, Invisalign and implant dentistry; and Dr. Erica Higginbotham, also a graduate of the University of Kentucky College of Dentistry, a Fastbraces® affiliate and a Preferred Provider of Invisalign who has also volunteered locally and abroad in underprivileged areas.

Dr. Takacs, the co-author of Principles for Success Vol. 2 and A Cup of Coffee With My Dentist, believes that everybody deserves to have access to high-quality comprehensive dental care that’s also affordable. Story by Tanya J. Tyler, Editor, Health&Wellness Magazine

A NEW INTEREST Dr. Takacs is a member of the Academy of GP Orthodontics, the Academy of Laser Dentistry, the Academy of Computerized Dentistry, the Bluegrass Dental Society, the Kentucky Dental Association, the American Dental Association and the Dental Organization of Conscious Sedation. She has advanced training in implant dentistry, neuromuscular analysis, orthodontics, cosmetic dentistry and full-mouth reconstruction. She is trained and




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Services General Dentistry Sleep Apnea Implant Dentistry Neuromuscular Analysis Orthodontics Cosmetic Dentistry Full-mouth Reconstruction Oral Conscious Sedation Fastbraces® (Senior Master Affiliate) Invisalign (Elite Preferred Provider)

WE TREAT EVERY PATIENT AS WE WOULD EXPECT TO BE TREATED. There’s a sense that we’re here to take care of patients and have a fun time. We do have fun, but we’re good at what we do.

certified in oral conscious sedation. She is an Elite Preferred Invisalign Provider; a Lumineers-certified doctor; a master affiliate, speaker and trainer of Fastbraces®; and is certified in the Chao Pinhole Surgical Technique. She is the co-author of Principles for Success Vol. 2 and A Cup of Coffee With My Dentist. Dr. Takacs is deeply involved in sleep dentistry, for which she has completed a mini residency at Tufts University. She is a member of the American Academy of Dental Sleep Medicine and has completed over 1000 continuing education hours in dental sleep medicine and facial pain. She has successfully passed the written examination for receiving Diplomate status with the AADSM. “I started getting involved in sleep dentistry about eight years ago, taking courses that are accredited for dental sleep medicine,” she said. “It just opened up my eyes to how sleep apnea affects the total overall health of a person.” Sleep apnea can lead to an increased risk of stroke, heart attack, high blood pressure, Alzheimer’s, fibromyalgia, diabetes and GERD. There is a key link

between sleep apnea and dental health, sleep physician and may return to Dr. Dr. Takacs says. Takacs to be fitted for an oral appli“As dentists, we are the first to look ance that treats sleep apnea. at the teeth, the tongue, the back of “Sleep dentistry is an exciting field the throat – we look at everything,” for me,” Dr. Takacs said. “It’s like she said. “With sleep apnea, being a detective while also there are certain clinical doing the dentistry I signs that may indilove.” cate a patient has some issues while RAPIDLY they sleep, so EVOLVING we’re the first to TECHNOLOGY look at that and “Dental techmake recommennology is rapidly dations.” evolving,” Dr. After studying Takacs says. New a patient’s medical developments give history and having patients better, him or her fill out faster results and a sleep questiongreater comfort. naire, Dr. Takacs They allow the Sleep dentistry is an often recommends office to be more exciting field for me. It’s efficient and a home screening. A device measures accurate with indilike being a detective how well the vidual treatment while also doing the patient oxygenates planning. Some of the blood while these technologies dentistry I love. asleep. Based on the include CT scanresults, the patient ners, ultrasonic — Dr. Takacs may be referred to a scalers that break

Beaumont Family Dentistry 3141 Beaumont Centre Circle, Suite 300 (859) 223-2120

100 Trade Street, Suite 175 (859) 368-8260

down plaque and calculus, CEREC same-day crowns, rotary endodontic technology, digital X-rays, intraoral cameras, soft lasers and T-scan bite analysis. Preventive dentistry includes the latest in cavity detection technology, and restorative dentistry can help return your mouth to its fully functioning natural ability. “The biggest change in dentistry is the technology that has advanced us,” Dr. Takacs said. Beaumont Family Dentistry gives its patients unique touches that make their visits enjoyable. Nervous patients can receive nitrous oxide sedation. A massage therapist or paraffin wax treatment can help relax and soothe tense muscles. Children as young as 2 years old can enjoy a no-pressure “Happy Visit” to get acquainted with the staff and see the office and the equipment. “I treat every patient like I want to be treated,” Dr. Takacs said. “There’s a sense that we’re here to take care of patients and have a fun time. We do have fun, but we’re good at what we do.” v

TMJ and Sleep Dentistry Center of Central Kentucky, LLC 2408 Sir Barton Way, Suite 225 (859) 687-0975

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Plenty of Products Promise Whiter Teeth Gels, rinses, toothpaste, strips all seek to brighten your smile

have sensitive teeth. The effects of whitening may last up to three years, though this will vary from person to person. The effect is less likely to last as long if you eat or drink products that can stain your teeth. Stopping smoking can also help prevent discoloration and staining. There may be a few side effects of teeth whitening. Some people find their

teeth become sensitive to cold during or after the treatment, while others may have discomfort in the gums, white patches on the gum line or a sore throat. These symptoms are usually temporary and may disappear within a few days of finishing the treatment. If they don’t, contact your dentist.

By Harleena Singh, Staff Writer Do you want to have a brighter smile? Tooth whitening can be an effective way of lightening the natural color of your teeth without removing any of its surfaces. There are various tooth-whitening products and systems available, such as whitening toothpaste and strips, over-the-counter gels, rinses, trays and products obtained from a dentist. Whitening can be achieved in two ways. There are products that can bleach the teeth, changing their natural color. Bleaching products contain peroxide(s) that help remove deep (intrinsic) and surface (extrinsic) stains. On the other hand, non-bleaching whitening products contain agents that work by physical or chemical action to help remove surface stains only. The British Dental Association says whitening is absolutely safe if carried out by a registered dental professional. There are various reasons to get your teeth whitened. Teeth can get stained on the surface by food and drinks such as tea, coffee and red wine and by smoking. Tartar can also affect the color of your teeth. Some people may have staining under the surface caused by certain antibiotics or by tiny cracks in the teeth. Professional bleaching is the usual method of tooth whitening. Your dentist will be able to tell you if you are

suitable for the treatment. First, the dentist will put a rubber shield or gel on your gums to protect them and then apply the whitening product to your teeth. This is done by using a specially made tray that fits into your mouth like a mouth guard. The active ingredient in the product is usually hydrogen peroxide or carbamide peroxide. As it is broken down, oxygen gets into the enamel and the tooth’s color lightens. The total treatment can be done within three to four weeks. Whitening toothpastes may also help the effect last. Some dentists offer laser or power whitening, in which a bleaching product is painted onto your teeth. Then a light or laser is shone on the teeth to activate the chemical, which speeds up the reaction of the whitening product. The color change can be achieved more quickly. Laser whitening is said to make teeth up to five or six shades lighter. This kind of treatment will be more expensive than professional bleaching. The American Dental Association recommends having a checkup with your dentist before using whitening strips on your own. This is especially important for patients with many fillings, crowns and extremely dark stains. No matter which treatment you use, there is a chance your gums can be sensitive to the chemicals used in teeth whitening, especially if you already

BECAUSE... IT IS A NEW YEAR. Because Everything M-F 8a–10p | S 8a–6p | Su10a–6p


2200 War Admiral Way Behind Sportsman’s Warehouse (859) 258-2200


NICHOLASVILLE RD CHEVY CHASE 116 Marketplace Drive In front of Walmart (859) 899-2300

630 Euclid Ave. Suite 105 Next to Euclid Kroger (859) 281-1218


events 26

January 2017 | Read this issue and more at |


Ongoing Al-Anon

Free support group for anyone affected by someone else’s drinking. Local meetings and information at or call 859.277.1877.

Mondays (thru March 13) Mindfulness-Based Stress Reduction (MBSR)

8 week series beginning with Monday Jan 9th orientation. The “gold standard” mindfulness program . Learn to promote resilience, prevent burnout, cultivate compassion and manage stress-related chronic conditions. Instructor: John A. Patterson MD, MSPH, FAAFP. Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at UK Wellness Program offers deep discount for UK employees, retirees and spouses.


Free Yoga Classes for Vets, Servicemembers and their Family Members Every Monday from 9:30am–10:30am at Ageless Yoga Studio, 611 Winchester Rd., Suite 200. 859-303-6225. Preregister online at agelessyogastudio. com. Click “class” tab to sign up now! Email for more info.

Mondays & Wednesdays MELT Method Hand, Foot and Body Healing Class by Shayne Wigglesworth

Mondays and Wednesdays at 12pm - Discover pain-free living at any age!

suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. Classes may include chair yoga, restorative, yin yoga, tai chi, and more. Perfect for beginners as well as experienced yogis! Donations-based class.

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Tuesdays & Thursdays

Free "How to Stay Young" Class Enjoy a gentle foam roller class to reduce pain, inflammation, stress, anxiety and more! MELT Method certified instructor Shayne Wigglesworth will teach you healing techniques you can use for self care at home. All materials and rollers are provided. Perfect for all ages, body types and experience levels. Learn more at or call 859-721-1841


Community Flow This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. 10:30am–11:30am. Donation only (great portion of all donations go to the Backpack Food Program at Ashland Elementary.) Inspiring, Educating & Supporting our World through the Moving,  Visual & Healing Arts! Daily classes, therapies, workshops & a great spot to host your next event! 309 N Ashland Ave Ste.180, Lexington, KY 40502. 859-721-1841.


Swing Lessons Every Tuesday, starting September 30: 8pm–10pm at Tates Creek Recreation Center, 1400 Gainesway Dr. $5.00 per person per lesson. Call for more information: Glenn and Rosalee Kelley 859233-9947; OR Peter and Robin Young 859-224-3388.


Community Yoga Class with Lauren Higdon Every Tuesday 10:30am–11:30am at Centered Studio, 309 n Ashland ave

Saturdays thru March 25 Lexington Farmer’s Market Every Saturday at Cheapside Park visit the Lexington Farmers’ Market! You can purchase herbs and spices, honey, beeswax, candles, body care products, organic products, eggs, meats and fresh, seasonal produce. 8am-1pm.

Triple Crown Chiropractic and Wellness offers a free class twice a week explaining how to keep your body young through chiropractic care. Free spinal screening available for anyone who attends the class. To register for the class, please call 859-335-0419. Questions to pr.triplecrownchiro@ Triple Crown Chiropractic and Wellness: 1795 Alysheba Way #4103 Lexington, KY. Free gift from the office to those who attend the class!

1st Tuesdays

Lupus Support Group: Living & Coping with Lupus The Lupus Foundation of America support groups are intended to provide a warm and caring environment where people with lupus, their family members, caregivers and loved ones can share experiences, methods of coping and insights into living with chronic illness. Imani Baptist Church, 1555 Georgetown Road, Lexington from 7:00pm–8:00pm first Tuesday of every month. 877-865-8787.

2nd Tuesdays

PFLAG Support for LGBTs and Families We are a support group of family members and allies united with LGBTQ* individuals. Our meetings provide a safe, confidential space where you can feel respected and accepted wherever you are in your journey or family struggle. Monthly speakers help us to broaden our understanding of these issues in our families and in society. Lexington meetings are held the 2nd Tuesday of each month, 6:30 at St. Michael’s Episcopal Church, 2025 Bellefonte Drive. Frankfort chapter meets the 3rd Monday of the month, 5:30 at the Unitarian Community, 316 Wilkinson Blvd. More information and resources at For questions, call 859-338-4393 or *lesbian, gay, bisexual, transgender, queer and questioning.


Mindfulness and Relaxation for Health 6:30-8:00pm (arrive at 6 to relax before class). No prior experience of yoga or meditation required. Mobilize your inner resources for promoting health, self care and managing the stress of

Call or visit website for reservations.

(606) 668-2599

caregiving, burnout and chronic disease, cultivate your innate happiness, peacefulness and compassion, study and practice in a supportive group. Gentle yoga, mindful movement, deep relaxation, sitting meditation and discussion. Instructor: John Patterson MD, MSPH, FAAFP. Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at http://www.


Argentine Tango “Dance of the Heart” Passionate and Romantic, mindful and Meditative, a uniquely transformative social skill, art form and movement therapy, no partner or dance experience required, Friday evening 7:30-9:00 PM. You may drop-in to any class- this is not a series. Instructors: Dr. John Patterson and Nataliya Timoshevskaya. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at http://www.mindbodystudio. org/?page_id=214

January 3

Eat, Move, Lose Weight Support Group 12 – 1pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road. Free weightloss support group appropriate for anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information or to pre-register, call 288-2446.

January 4

Breastfeeding 101 6-8 p.m. Baptist Health-Lexington Education Center, 1740 Nicholasville Rd. (Building E, lower level), FREE, only for those delivering at Baptist Health-Lexington. Register online at event/breastfeeding-101 or call (859)260-6357.

EVENTS Continued on p.29

For advertising information call 859.368.0778 or email | January 2017



ONGOING EVENTS Bluegrass Ovarian Cancer Support Exists to assist Central Kentucky women and their loved ones during diagnosis, treatment and survival of ovarian and other gynecological cancers. Come meet with us the third Wednesday of every month at 6:30pm at Joseph Beth Booksellers, Bronte Bistro Cafe meeting room.

of each month at Word of Hope Lutheran Church, located at the corner of Man O’War and Armstrong Mill Road.  Meetings begin at 4:30. For questions, please contact Charlotte Wong, Education Coordinator, Kentucky Organ Donor Affiliates Lexington office at (859) 278-3492 or toll free (800) 525-3456.

munity referral to victims of sexual assault as well as family members and friends. Volunteers at BRCC have the unique opportunity to provide valuable direct services to those impacted by sexual assault. Volunteer opportunities: Crisis Line Volunteer, Medical/Legal Advocate. For more information, please call: (859) 253-2615.

Perinatal Loss Grief Group

Center For Women’s Health Center Classes

Stop Smoking Class Series

First Tuesday of the month, 7pm, Center for Grief and Education. A group for parents who have experienced loss due to miscarriage, stillbirth or infant death. Contact Debbie Mueller at (859) 260-6904 for more information.

Compassionate Friends Support Group A support group for parents, siblings, or grandparents who have lost a child regardless of the child’s age or length of time that has passed since that day. The meeting is the 1st Tuesday of every month 6:30pm–8:30pm at Hospice of the Bluegrass, 2312 Alexandria Drive, Lexington. Also meets the 1st Tuesday of every month 7pm-9pm at Hospice East, 417 Shoppers Drive, Winchester. Doors open one-half hour before meeting times to provide the opportunity to visit with old friends and acknowledge new ones.

Spouse Loss Support Group Tuesdays 6-7:30pm. Hospice of the Bluegrass. A five-week support group for individuals who have experienced the loss of a spouse or significant other. Contact Lexington office at (859) 277-2700 for more information or to register.

Coping After Loss First Wednesday of the month, 5:30-7pm, Center for Grief and Education. A brief educational program offering an introduction to grief information and hospice bereavement services. Contact the Lexington office at (859) 277-2700 for more information or to register.

Free Transportation to Cancer Screening Fayette County residents can receive free transportation through HealthLink Transit, a partnership between Kentucky Pink Connection & the Lexington--Fayette Urban County Government. Transportation provided by taxi or gas cards to cancer screening. Call (859) 309-1700 to arrange a ride.

2nd Chance Ambassadors Lexington: a support/volunteer group comprised of organ transplantation recipients, donor family members, those on the waiting list and community members interested in transplantation meets the 3rd Sunday

Held at Frankfort Regional Medical Call Mediline at 502-226-1655 or toll-free 800-242-5662 to register or for more information. Classes include: • Prepared Childbirth • Baby Care For The Early Weeks • Breast Feeding Basics • “That’s My Baby” • Sibling Classes

Cancer Classes The American Cancer Society offers women undergoing cancer treatments the opportunity to attend the Look Good...Feel Better workshop. This free workshop helps women deal with the appearance-related side-effects of cancer treatment in a private setting. Each participant receives a complimentary custom cosmetic kit. The American Cancer Society offers Prostate Cancer Educational and Support Classes called Man to Man for men with prostate cancer. This is an educational and networking program that provides information about prostate cancer and treatments options. For more information about these classes, please call Kristy Young at 859260-8285. For cancer information 24 hours a day, please call 1-800-ACS-2345 or go to

Survivors of Suicide First & third Tuesday of the month, 6-7:30pm, Center for Grief and Education. For adults affected by the loss of someone by suicide. Contact the Lexington office at (859) 2772700 for more information or to register.

Bosom Buddies A support group designed to meet the ongoing needs of women with breast cancer. The purpose of Bosom Buddies is to create a safe and comfortable environment in which women diagnosed with breast cancer can receive information and emotional support during and after treatment. Meets are the third Thursday of every month 6:00pm at the Frankfort Regional Hospital: Frankfort Medical Pavilion, Conference Room C. 279 King’s Daughters Drive, Frankfort, KY.

BRCC Volunteer Opportunities The Bluegrass Rape Crisis Center provides a 24-hour crisis line, hospital and court advocacy, crisis intervention counseling, longterm therapy, and information and com-

5:30-6:30, weekly until April 17. Tates Creek Library, 3628 Walden Dr. Based on the Cooper-Clayton method. $10/week for 10 weeks covers the cost of nicotine replacement. Call 288-2457.

GrassRoots Yoga Classes Chair yoga: 10:30–11:30am Tuesday and Thursday. Hatha Vinyasa Flow: 5:30–6:30pm Thursday. Yoga Basics for Stress Relief: 5:30–6:30pm Friday. Partial proceeds from all yoga classes benefit the Latitude Artist Community for adults considered to have disabilities. All instructors certified through Yoga Alliance. For more information, visit

ANAD Overcoming Eating Disorders Support Group Free support group for people who want to improve their relationship with food and body image. Safe, comfortable place. Facilitated by Megan Roop, RYT, supervised by Tina Thompson, MS, RD, LD, Bluegrass Nutrition Counseling, sponsored by ANAD. Introduction meeting on October 3 from 7:15-8:30pm at Bliss Wellness Center, 2416 Sir Barton Way, Ste 125. 8 week session Oct 17-Dec 5 from 7:15-8:30pm. Contact Megan Roop 561-779-0290 for details.

Diabetes CHATS Nathaniel Mission Health Clinic CHAT: 1109 Versailles Road, Suite 400 from 4pm to 5:15pm the 4th Tuesday of each month. The Refuge Clinic: New Location, 2349 Richmond Road-Suite 220, Lexington, KY, 40502. 859225-4325. Free. Sponsored by the LexingtonFayette Co. Health Dept and UK Healthcare.

Free Cardio Classes 9-10am. Every Saturday morning in the month of February at Body Structure Medical Fitness Facility, 2600 Gribbin Drive, Lexington. This class will increase your heart rate and respiration while using large muscle groups repetitively and rhythmically to create a great workout. (859) 268-8190.

Taoist Tai Chi Society We offer classes in Louisville and Lexington. All classes are led by nationally accredited volunteer instructors in a friendly and helpful environment. The meditative movements of taijiquan can reduce tension, increase flexibility and strength, and improve circu-

lation and balance. To contact us, phone 502.614.6424 or e-mail

Consumer Support Groups (Individuals with a Mental Illness) Every Sunday, 869 Sparta Court, Lexington. 2:30-4:00pm. 859-309-2856 for more info. NAMI Lexington is a local affiliate of NAMI, the “National Alliance on Mental Illness”  we provide numerous support groups and recovery programs for families and Individuals living with mental illness.

Yoga • Meditation • Stress Reduction The Yoga Health & Therapy Center offers daytime and evening Yoga classes with slow stretch, breathing awareness and relaxation training. Small classes provide personalized instruction. New yoga students receive a series discount. Meditation classes and ongoing group practice sessions available for all levels. Stress-Reduction classes based on Yoga principles and practical skills also offered. Free parking provided for most classes. For information, please call 859-254-9529 or visit

Monthly Reiki Classes Turn your hands into healing hands! Reiki is Universal Life Force Energy Learn to improve your mind, body, and spirit! Classes taught by Robert N.Fueston, Reiki Master/Teacher and Acupuncturist, 17 years of experience and Member of The Reiki Alliance. Approved for Continuing Education hours (CE hours) for Massage Therapist. CE’s for nurses pending. Register online at www. 859-595-2164.

Ongoing Journey Circle This circle meets the 4th Sunday of every month and is for those who are experienced in the practice of journeying OR are interested in learning more about this ancient spiritual practice. Join us every month as we will be journeying on different topics that will be discussed at time of circle. Please feel free to bring drums, rattles etc. Questions or need directions or have questions? Please feel free to email/call me: 859-492-2109,

Overeaters Anonymous Overeaters Anonymous (OA) is not a diet club. We do not count calories or have scales at meetings. OA is based on the 12 steps of Alcoholics Anonymous. There are no dues or fees. OA is self-supporting through member contributions. The only requirement for membership is the desire to stop eating compulsively. Please go to oalexingtonky. org for meeting dates and times. OR are interested in learning more about this ancie



January 2017 | Read this issue and more at |

When Children Have Bad Breath Halitosis can be embarrassing for youngsters By Harleena Singh, Staff Writer Children may not realize it, but parents know bad breath is a matter for concern. The medical term for bad breath is halitosis. Although this condition may be temporary, it can be a source of embarrassment for your child. Bad breath can have many causes. Here are some of those causes and suggestions for overcoming bad breath problems in your children. • Oral Hygiene: It’s the most com-

mon cause of bad breath, generally because children may not brush or floss their teeth properly and frequently. As a result, food particles left in the child’s mouth will rot and start to smell. Plaque, which is a haven for bacteria, can also develop on the teeth, adding to the foul smell. Even your child’s tongue can become a place where bacteria is created. • Mouth Breathing: Some children

Teach your children to develop a habit of rinsing their mouths after every meal.

breathe through their mouths either because they have a stuffy nose or just because they are used to breathing that way when they sleep. This sometimes leads to dry mouth. A dry mouth produces less saliva, and saliva helps wash away bacteria and cleanse the mouth. • Infection or Illnesses: Bad breath in children can be due to mouth sores or cavities. Conditions such as a sinus infection, tonsillitis or allergies can also cause bad breath. Digestive problems are other known culprits. Some medications cause bad breath as a side effect until the medicines are discontinued. • Food with Strong Odors: Food such as garlic or onions have strong odors and can cause bad breath. If your child has bad breath, teach her to brush her teeth twice a day and floss at least once a day to take proper care of her mouth. Your child should also brush her tongue. Teach your

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children to develop a habit of rinsing their mouths after every meal. This will help remove the unwanted food particles that facilitate plaque formation and the build-up of germs in the mouth. Another good habit your children can adopt is staying hydrated. Drinking fluids, especially water and reduced-sugar beverages, produces more saliva and keeps the mouth wet. As a rule of thumb in most cases, increasing saliva and decreasing bacteria in the mouth can help reduce the problem of bad breath. In addition, make sure to take your child to a dentist for regular checkups and cleaning at least twice a year. The dentist can examine your child’s teeth and check for gum diseases or other problems that can damage the teeth and cause bad breath.


For advertising information call 859.368.0778 or email | January 2017 EVENTS continued from page 26

January 7-13

Keeneland's Behind the Sales Scene 8am–9:30pm at Keeneland. $25. Keeneland is offering guests an opportunity to experience a behind-the-scenes look at the world's leading Thoroughbred auction house. Tour Guides will lead guests throughout the grounds to get an in-depth look at sales operations. Experience includes watching the morning workouts and touring the world-renowned Keeneland Sales Pavilion, auction ring and outside show ring where some of Thoroughbred racing's greatest horses have been sold.

January 9

Diabetes Support Group 9-10 am, Senior Citizens Center, 195 Life Lane (behind Southland Christian Church on Richmond Road). Free. Sponsored by the Lexington-Fayette Co. Health Dept. For more information, call (859) 288-2446.

January 10 MaterniTEA

6:30 - 7:45 PM, Baby Moon, 2891 Richmond Rd., Lexington. FREE information session to learn how

to navigate the 9 months of pregnancy and beyond. Visit www. to register.

January 17

Eat, Move, Lose Weight Support Group 12 – 1 pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road. Free weight-loss support group appropriate for anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information or to pre-register, call 288-2446.

January 19

Fayette County Diabetes Coalition Monthly Meeting 1 pm, Public Health Clinic South, 2433 Regency Rd, Lexington. Open to anyone interested in enhancing diabetes awareness and education in the community. For more information, or to attend, call 859288-2347.

expecting parents, covers how to breastfeed, knowing baby gets enough, and pumps and supplies. Sponsored by the Lexington-Fayette Co. Health Dept. Registration required: call Babies ‘R Us Baby Registry at 859-263-8598.

January 24

Health Chats about Diabetes 10 – 11 am, The Refuge Clinic, 2349 Richmond Road Suite 220, Lexington. Free. Join us to discuss tips to manage and control diabetes in practical ways. For more information, call 288-2446. Sponsored by the Lexington-Fayette Co. Health Dept.

Send us your event listings If you are hosting a health-related event that is free to the public, list it here for FREE! (Events that are not free to the public can be posted in our calendar for $35). E-mail your event date, location, description and contact information:

January 24

Health Chats about Diabetes 4-5 pm, Nathaniel Mission, 1109 Versailles Rd, Suite 400. Free. Sponsored by the LexingtonFayette Co. Health Dept.. For more information, call (859) 288-2446.

January 19

Breastfeeding Basics Class 7-8:30 pm, Babies R Us, Hamburg Pavilion, Lexington. Free class for

MEDICAL CODING certification Proven Leader More than 14 years and 800+ students The ONLY PMCC taught in Kentucky by Patricia Cordy Henricksen, MS, CHCA, CPC-I, CPC, CCP-P, ACS-PM

Next PMC Class star C ts

Feb. 15 2017


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Family Eyecare Associates 105 Crossfield Drive, Versailles, KY 40383 859.879.3665 |


by Dr. Rick Graebe, Family Eyecare Associates and Vision Therapy It may surprise you to learn eyesight and autism spectrum disorders have a connection. One of the major symptoms of autism is a lack of eye contact. Few people with autism have trouble with their eyesight. The problem is with the person’s ambient visual system. The ambient system is concerned with things going on around us in the background. It generally filters everything out for us because noticing every little thing in the visual field would be overwhelming. However, people on the autism spectrum have trouble using the central and peripheral visual systems simultaneously, so subsequently they have trouble filtering things. Having autism can be compared to walking around with the tubes from paper towels in front of your face. You would move your head around constantly, trying to check out your environment and keep up with what’s going on. People on the autism spectrum tend to get hyperstimulated when there is too much peripheral movement happening all around them. Their ambient visual system is not telling them that people are, perhaps, moving in many different directions, both forward and backwards. Confused, needing to feel where they are in relationship to the things around them, people on the autism spectrum might start exhibiting stimming – self-

stimulatory behavior that incorporates the repetition of physical movements, including flapping the arms. When the ambient visual system works as it is supposed to, people on the autism spectrum don’t experience overstimulation. Vision therapy using yoked prisms has been shown to help people on the autism spectrum tremendously, sometimes even removing autism tendencies. This therapy has a major impact on the ambient vision system. It is not a cure for autism; it is a calming of the sensory system. In one documented case, a 14-year-old boy who had never said more than one-word sentences started speaking full sentences within 15 minutes of putting on a pair of yoked prisms. The prism changes the distribution of light on the retina; one theory espouses the prism resets the timing between the ambient and focal vision systems. When they are out of sync, a prism can help the two systems blend better. Yoked prisms do what any therapy – physical, occupational, speech – is meant to do: create a new, more meaningful and useful environment for the patient. It changes input and thus changes output. Vision therapy is an attempt to understand the world in which a person on the autism spectrum lives and moves, to understand what makes their sensory input different and to take steps to improve it. It is effective for

In one documented case, a 14-year-old boy who had never said more than oneword sentences started speaking full sentences within 15 minutes of putting on a pair of yoked prisms. both children and adults. Once there is a better understanding of what is affecting the person with autism, vision therapy can expand his or her peripheral awareness and help him or her achieve the ability to judge space and distance so they don’t get as overwhelmed as quickly. For more information about yoked prisms and the autism spectrum, a recommended book is Mel Kaplan’s “Seeing Through New Eyes,” which

details his work with patients on the autism spectrum. About the Author Dr. Graebe received both his B.S degree in Visual Science and Doctorate of Optometry from Indiana University. He is a Behavioral Optometrist and learning expert. He has been in private practice here in the Bluegrass area for the past 32 years.


For advertising information call 859.368.0778 or email | January 2017

Never share or lend your toothbrush.

Take Care of Your Toothbrush STORE PROPERLY, SANITIZE SAFELY By Harleena Singh, Staff Writer

Is it time to get rid of your toothbrush? Toothbrushes become contaminated with bacteria, blood, saliva, oral debris and toothpaste while removing soft debris and plaque from the teeth. So dentists recommend rinsing the toothbrush thoroughly with tap water following brushing, though you still need to disinfect and sterilize toothbrushes further.

“Toothbrushes can become contaminated with oral microbial organisms whenever they are placed in the mouth,” said Sharon Cooper, PhD., a clinical associate professor at the University of Florida College of Dentistry. Viruses and bacteria from an infected person’s mouth can live for weeks on a toothbrush surface and continue to cause illness, Cooper added. It’s important to know how to safely store and handle your toothbrush so it does not harvest germs and bacteria

that may make you and your family sick. In its official statement on toothbrush care, the American Dental Association (ADA) says toothbrushes don’t have to be sold in sterile packaging, so they may have bacteria on them right out of the box. The ADA and the Council on Scientific Affairs provide the following toothbrush care recommendations: • Keep your toothbrush clean by washing it and giving it a thorough rinse to remove debris. Rinsing with an antibacterial mouth rinse before brushing may prevent or decrease how rapidly bacteria build up on the toothbrush. • Toothbrush sanitizers can deep clean your toothbrush. Some even use ultraviolet light to kill microorganisms. You don’t need to use dishwashers, microwaves or ultraviolet devices to disinfect toothbrushes; these may damage the toothbrush. Sanitize toothbrushes at least once a week in warm, soapy water and then air dry.

• After using your toothbrush, store it upright in a cup or a rack, where it can dry out completely. Also, consider storing your toothbrush in a place other than the bathroom, which contains many airborne bacteria. If multiple brushes are stored in the same holder, do not allow them to come into contact. Use a cover that lets air circulate around the toothbrush and prevents mold but doesn’t completely seal it (the lack of air can foster bacteria). • There is no need to soak toothbrushes in disinfecting solutions or mouthwash; this may lead to crosscontamination of toothbrushes if the same disinfectant solution is used over a period of time or by multiple users. However, soaking toothbrushes in an antibacterial mouth rinse after use may decrease the level of bacteria that grow on them. • Replace your toothbrush every three to four months or when it shows signs of wear (for example, when it has worn or frayed bristles; they won’t clean the teeth and gums well enough). • It is also important to change toothbrushes after you’ve had a cold, the flu, a mouth infection or a sore throat because germs can hide in toothbrush bristles and lead to re-infection. • Never share or lend your toothbrush. This can transfer saliva and bacteria that can cause tooth decay. There is an increased risk for infection, especially for those with compromised immune systems or infectious diseases. • While brushing, use short, gentle strokes instead of hard strokes so the bristles do not fray. • Do not chew or bite your toothbrush while it is in your mouth; this can cause fraying. Some bristles could get stuck in between the teeth. • Move the brush quickly around your teeth to cover all areas, including the interior of your teeth and your tongue as well as the front of your teeth.


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Memorializing Loved Ones through Life Celebrations by Kim Wade, Community Relations Director, Milward Funeral Directors If you have attended a funeral service recently, you may have noticed that it was a little more upbeat and celebratory than the services you attended when you were a young adult or child. With the baby boom population being 75 million strong, it’s no surprise that today’s funeral services have become “Life Celebrations” instead of a room full of friends and family wearing black attire and sad faces. This is certainly not to downplay the fact that when a loved one dies, we aren’t sad or that it is difficult to celebrate a traumatic and unexpected loss. It is simply to state that today the emphasis on funerals for many families, especially baby boomers, has been to plan the service around the things that the deceased enjoyed and the experiences he or she had during their lifetime. The funeral industry has coined many terms to refer to these personalized and celebratory services. Central Kentuckians likely have heard “Celebration of Life” or “Life Celebration”. Although “Life Celebrations” have been offered for many decades, families are requesting these types of services more today than in the past. At the most basic level, Life Celebrations may include photos, vid-

eos or personal memorabilia on display at the service. Additionally, some families choose to play selections from their loved one’s play list instead of traditional funeral music and readings. In more recent years, families are going beyond basic life celebrations. For example, at a Life Celebration for a wine connoisseur, family and friends may choose to share a toast to their loved one with a glass of the deceased’s favorite wine. The family of an artist may turn the funeral chapel into an art gallery so friends and family can admire the works of art. A Life Celebration for a baker might incorporate baking grandma’s best cookie recipe at the reception so everyone can smell and taste the cookies. Some of the examples of Life Celebrations mentioned are easy enough for a funeral director to carry out in a short notice. Other personal touches at a Life Celebration take more time to plan and implement. Just like it can take 6 months to a year to plan an elaborate wedding, the possibilities for Life Celebrations are endless and should be planned well in advance of an eminent death. Individuals and families who want to memorialize their loved one through a Life Celebration will benefit from a conversation with a local funeral director who specializes in advance planning. An advance plan will help

your family and funeral director know how you want your life celebrated. I recently lost my grandmother and uncle and miss them dreadfully. However, I’ve always been appreciative that our family celebrated the many good years we spent with them through Life Celebrations. Because my relatives chose a Life Celebration before they died, my family felt that they had given permission to laugh as much as we cried. I cannot tell you how wonderful it was to be in a room full of people sharing the joyful memories and laughing together instead of dwelling on death. I know in my heart that they would have wanted us to celebrate. While the popularity of Life Celebrations has increased, a funeral is

Because my relatives chose a Life Celebration before they died, my family felt that they had given us permission to laugh as much as we cried.

still about memorializing a loved one and helping families and friends cope with their loss. Your funeral director will help guide you through the entire process. About the Author Kim Wade has been a marketing consultant for more than 20 years specializing in the funeral industry. Currently, she is the Community Relations Director for Milward Funeral Directors, the 37tholdest continuously operated family business in the United States which operates three locations in Lexington including its Celebration of Life center at 1509 Trent Boulevard. Kim can be reached at or 859-252-3411.

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There is such a high success rate for implants today.

Dental Implants Take Time Each step depends on how quickly the patient heals By Charles Sebastian, Staff Writer The decision about whether to invest in dental implants can be a big one. Given the low grade of dental care still rampant in many underdeveloped nations, it seems miraculous that in today’s world there is even such an option. Dr. Laura Justice of Justice Dental is no stranger to implants. “Whether or not the patient needs implants depends on if you’re talking about the loss of a single tooth, which would be standard care, or many teeth,” she said. “It’s possible now to have people get implants with no teeth, which was unheard of years ago. We can give them what we call a locator denture, which uses a couple of implants to give the denture stability. We can do a fixed bridge, where they no longer have a piece they take out.”

How does a dentist determine if a person is eligible for implants? “We’ve come a long way in our abilities with radiographic 3-D scans,” Justice said. “This tells us if there is good bone and if the bone can be grafted. Even with deficient bone, an implant can work today. If someone has a massive deficiency of bone, pieces can be taken from the hip, for instance, to create grafts.” Implants are usually done as outpatient surgery. The surgery starts with the removal of the bad or damaged tooth. Bone grafting may or may not be required. Often there

is not enough bone in the jaw to take an implant or the bone may be too soft and porous to graft. When periodontal disease, the result of the bacteria, gets to a certain point and there is too much deterioration, there is simply no saving the original material. “When the tooth decays away, there is nothing to strengthen or regrow,” Justice said. After the grafting, the jawbone must have time to heal, after which a metal post is positioned in the mouth. Next an abutment is added to the post and finally the tooth is inserted. Months may pass between these steps, depending on how quickly the patient

heals. Bone grafting will lengthen the process. Even in an excellent procedure, patients can still have bruising, swelling, pain and bleeding. Osseointegration is the term used when the bone in the jaw grows and strengthens around the positioned post that becomes the foundation of the implant. Your dentist will likely provide you with an artificial tooth or cap to wear while osseointegration takes its course. Justice offers some recommendations to stave off having to make a decision about implants. “Things like Vitamin D, calcium and magnesium can help,” she said. A major infection or some kind of immune issue could present complications to implant surgery. If you smoke or have diabetes, you need to be discuss these matters with your dentist before undergoing the procedure. Patients who have implants are generally very pleased with the results. “There’s such a high success rate for implants today,” Justice said. “The risk is much lower than even a few years ago.”



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By Angela S. Hoover, Staff Writer Bomb-Detecting Spinach Experimenting with a new field called plant nanobionics, MIT scientists have embedded the leaves of spinach plants with carbon nanotubes that are capable of detecting nitroaromatics – compounds often found in landmines and other explosives. As the spinach plant draws in groundwater, it can detect if nitroaromatics are present. Within 10 min-

utes, carbon nanotubes in the plant’s leaves will emit a fluorescent signal. Infrared cameras pick up the signal and broadcast it to a smartphonelike device that sends an email. Nanobionics aims to utilize the environmental responsiveness of plants because they can detect small changes and are even “aware” of impending droughts before people are. Other scientists working with nanobionics are exploring nitric oxide sensors,

detecting dopamine and performing drought detection and even terrorism-related activities. The MIT team published their results in the journal Nature Materials. Green Tea Molecule May Block Zika Green tea has antioxidant properties, one of which is a polyphenol called EGCG. Scientists aren’t entirely sure how, but this molecule has been shown to fight antibiotic-resistant infections and other viruses such as hepatitis C and HIV. Recently, scientists exposed the Zika virus to high concentrations of EGCG, and the polyphenol prevented 90 percent of the virus from entering and infecting host cells. Even better, EGCG is safe for pregnant women. The

MIT scientists have embedded the leaves of spinach plants with carbon nanotubes that are capable of detecting compounds often found in landmines and other explosives.

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results were published in the journal Virology. Nestlé Patenting Lower-Sugar Chocolate that Tastes the Same Nestlé researchers claim they have found a way to structure sugar differently using only natural ingredients – and the decreased sugar content doesn’t make the chocolate taste different than chocolate made with standard amounts. “This process has the potential to reduce total sugar by up to 40 percent in our confectionery,” said Nestlé chief technology officer Stefan Catsicas. The Swiss company is patenting its discovery, which will be available to consumers beginning in 2018.



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Macadamia Nuts Say g’day or aloha to a tasty treat

By Tanya Tyler,


Most likely when you think of macadamia nuts, you think of Hawaii. In reality, macadamia is a genus of trees that are native to Australia. There are at least seven species of macadamia trees, but only two of them produce fruit that is non-toxic to humans. Australia is still a major producer of macadamias, but in recent years, South Africa has surpassed it to become the largest macadamia producer in the world. Brazil, Indonesia, Kenya and New Zealand also grow macadamia trees. Plant collector William H. Purvis introduced macadamia trees to Hawaii in 1881, proposing them as a windbreak for sugar cane plants. Later, the Hawaiian Agricultural Experiment Station encouraged growers to plant macadamia trees in the Kona District to supplement coffee production in the area. Ferdinand von Mueller, a German-Australian botanist, named the tree in honor of John Macadam, a Scottish-Australian chemist. One type of macadamia tree produces smooth-shelled nuts and the other produces nuts that have a rough shell. Once you get the nuts out, you hold in your hand a crunchy treasure trove of nutrition. Macadamia nuts are a great source of a number of essential antioxidants, vitamins and nutrients, including thiamin, vitamin B6, manganese, iron, calcium, magnesium, potassium and phosphorus. All these elements help the body function at its optimum levels. The nuts are gluten and cholesterol free.

Macadamia nuts have monounsaturated fatty acids that help lower LDL (bad) cholesterol and increase HDL (good) cholesterol levels, so that means they are good for your heart. Compared to other common edible nuts, such as almonds and cashews, macadamias are high in total fat and relatively low in protein, and they also have one of the highest calorific values among nuts. And while dieters generally avoid eating macadamia nuts because of this high caloric count, that monounsaturated fat may actually help you lose weight. The nuts’ omega-7 fatty oils control

Macadamia is a genus of trees that are native to Australia.

the burning of fat and curb the appetite, and the palmitoleic acid in the nuts increases fat metabolism and reduces fat storage. Macadamia nuts are one of the only foods that contain palmitoleic acid. Macadamia nut oil replenishes palmitoleic acid in the body, which in turn helps keep your skin and hair hydrated and delays the process of skin and cell aging as well. That’s why many different anti-aging products use macadamia nut oil. This oil can also help prevent and/ or repair hair breakage by improving your hair’s elasticity and strength. Massage it into your hair and scalp

and then use it on your body after you take a shower. In addition, macadamia nut oil is good to cook with. It is healthier than olive oil and has a higher smoke point, so you can cook with it at higher temperatures without having the oil break down and lose its flavor. Wherever they come from, macadamia nuts would be a good addition to your diet. In Australian Aboriginal languages, the nut is also called bauple, jindilli and boombera. We can use the universal language of a smile to say they’re really good.



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“With Today’s Breakthroughs, You No Longer Have To Live With Type 2 Diabetes, Obesity or Hypertension!" MIKE MULLINS, BEFORE

Mike Mullins, age 57, started with Dr. Miller in August 2016. When Mike first came to see Dr. Miller he was on 5 medications daily for Type 2 Diabetes, Hypertension A-Fib, High Cholesterol and was Overweight, weighing over 276 lbs. After just 3.5 MONTHS his A1c went from to 7.9 to 5.5, and he is off all medications. Mike has eliminated all meds for Type 2 Diabetes, Hypertension and Cholesterol and he lost 43 pounds! Q: Mike, why did you go to Dr. Miller? A: “I came to Dr. Miller because of this magazine, Health & Wellness. It is obvious Dr. Miller get results. My Type 2 Diabetes was bad, my health was getting worse and I was gaining weight. I hated taking all those drugs every day. My A1c was 7.9 and going up. I really needed to lose weight, but couldn’t.” Q: You’ve been seeing other medical doctors for your Type 2 Diabetes and Hypertension, what was it about Dr. Miller that was different? A: “Dr. Miller just makes it very clear, something is not working correctly in my body. He made it very clear that his approach is to uncover and reveal exactly what that is. Dr. Miller shared how something in my body was just not working like it had done for my first 50 years. Dr. Miller really takes the time to listen and he looked at my whole health history. He makes it’s clear that Type 2 Diabetes, Hypertension and Obesity are being caused by something. My other doctors just didn’t take the time to do this, they never even talked about what was causing any of these. From the other doctors, all I got was more and more medications. I knew these were just masking symptoms and not fixing anything. Dr. Miller’s approach made complete sense to me.” Q: What did Dr. Miller do to find out what was not working correctly inside you?


A: “Dr. Miller gets right to the point. He does an amazing blood panel lab he orders through Lab Corp. Then he does a ‘Functional Medicine’ computer assessment that uncovered exactly what was causing my Type 2 Diabetes and High Blood Pressure. Really, it is very impressive.” Q: After Dr. Miller finds what is not working correctly, then what does he do? A: “Dr. Miller just goes over everything. He really makes sure I understood. He really takes the time to explain everything and how it needed to be corrected. He just takes the time to show what exactly needs to be done, his approach and what type of natural treatment he recommends in order to fix what is causing my Type 2 Diabetes, my Hypertension and my Obesity. It all makes perfect sense once you see everything in very clear terms.” Q: Mike, what did Dr. Miller recommend for you to eliminate your Type 2 Diabetes and Neuropathy? A: “He laid out a very clear plan of care. Dr. Miller just lays it all out so clear. He started off by seeing me every week and showed me exactly what I could do to eliminate the Diabetes, and he has clear instructions on life-style improvements, so I knew what to do to eliminate poor health and then stay healthy. He just makes it all clear and provides great printed instructions.”

Q: What are the results of your treatment from Dr. Miller? A: “My results are amazing! After just 3.5 MONTHS my A1c went from 7.9 to 5.5, Non-Diabetic! And I’m off all the medications! In 3.5

MONTHs I’ve eliminated all my meds for Type 2 Diabetes, Hypertension and Cholesterol and I’ve now lost 43 pounds! I highly recommend Dr. Miller. Best thing I ever did was see Dr. Miller. Just do it!”

Integrated Care | Nutrition | Chiropractic Dr. Mark A. Miller, DC and Associates, PLLC

(859) 223-2233 You have the right to rescind within 72 hours any agreement to invest in services that are performed the same day in addition to advertised free services.

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s ontagiou C e r A Cavities ducing caries-pro rs it sm n a ies can tr n pacifie with cavit ies when they clea aring Mothers b a b b ir s or y sh ria to the wn mouth .S., professor at o ir e oral bacte th g them in ozo, D.D by stickin rding to Liliana R ry. o c of Dentist c a o le Scho l spoons, il v is u o L y of Universit

Costly Price of Ending Medicaid Dental Benefits A 2015 study by the University of Iowa found states gain little when they drop adult dental coverage. California ended adult dental coverage under Medicaid in mid-2009, causing about 3.5 million low-income adults to lose dental benefits. After the drop, California adults made 1,800 more hospital visits annually for dental care after losing the benefit at a cost of $2.9 million each year – 68 percent more before eliminating the benefit. Any savings derived from dropping dental coverage from Medicaid were quickly absorbed by the costs of adults seeking dental care in hospital emergency departments. Other states have shown similar increases, according to other analyses. Oregon saw a doubling of emergency department visits for adult dental needs after eliminating the Medicaid benefit in 2003 but it has since restored the benefit. Since 2010, five states – Arizona, Massachusetts, Pennsylvania, South Carolina and South Dakota – have diminished or eliminated adult dental benefits under Medicaid. Illinois and Missouri are among the states considering limiting dental coverage. These decisions in each state occurred because the Affordable Care Act stopped paying 90 percent or more of Medicaid bills for adult dental benefits after 2020. Now that President-Elect Donald Trump plans to replace the ACA, there is even more uncertainty. “We know states are facing difficult budget decisions,” said Peter Damiano, director of the University of Iowa’s Public Policy Center and contributing author of the 2015 paper. “Most ERs can’t extract teeth or start root canals. They can only prescribe pain medication and/or antibiotics. This may delay treatment but is unlikely to prevent the need for the dental care at some point in the future.”

MAKERS Dental Crowding Arose 12,000 Years Ago In Earliest Farmers According to the University College Dublin, hunter-gatherers had nearly no dental crowding. The condition first became common among the world’s earliest farmers about 12,000 years ago in Southwest Asia. The Dublin team analyzed 292 archeological skeletons from the Levant, Anatolia and Europe from between 6,000 to 28,000 years ago. The scientists found a clear separation between European huntergatherers, Near Eastern/Anatolian semi-sedentary hunter-gatherers, transitional farmers and European farmers based on the form and structure of their jawbones. “Our analysis shows that the lower jaws of the world’s earliest farmers in the Levant are not simply smaller versions of those of the predecessor hunter-gatherers, but that the lower jaw underwent a complex series of shape changes commensurate with the transition to agriculture,” said Professor Ron Pinhasi with the School of Archaeology and Earth Institute, University College Dublin, the lead author on the study. The Irish scientists, along with the Israel Antiquity Authority and the State University of New York, Buffalo, found a correlation between inter-individual jawbones and dental distances, suggesting an almost “perfect” state of equilibrium between the two; but there was no such correlation among semi-sedentary hunter-gatherers and farming groups, suggesting the harmony between the teeth and the jawbone was disrupted with the shift towards agricultural practices and sedentariness in the region. The researchers chalk this up to dietary changes. Hunter-gatherers ate hard foods such as wild, uncooked vegetables and meat, whereas sedentary farmers ate soft cooked or processed foods such as cereals and legumes. Softer diets required less chewing and decreased the need for a larger jaw, but without a corresponding reduction in the dimensions of the teeth, there is no adequate space in the jaw, and that results in dental crowding. Today, dental crowding still affects one in five people and the condition has been described as the “malady of civilization.”





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bacterial infection, resulting in diabetic oral manifestations like swollen gums,” said Dr. Vikas Goud. “The insulin, which would have helped in glucose metabolism, is now used to Majority of people with diabetes also fight infections. Therefore, the sugar level goes up further, posing a risk have periodontal disease to diabetic patients. Once the sugar level comes down, the swollen gums become normal.” By Angela S. Hoover, Staff Writer A recent study from the University of Buffalo School of Dental Medicine showed people with diabeDiabetes blood sugar and uncontrolled blood tes were more than twice as likely to is linked to sugar can make it more difficult to increased perieliminate periodontal disease. Severe lose all their teeth than people without diabetes. odontal disease, periodontal A cohort study tooth decay disease can from 1971 to and tooth loss. Periodontal disease increase blood 2012 found this is a chronic bacterial infection that sugar. Research People with risk is highest affects the gum and bone supporting has shown that in non-Hispanic the teeth. It begins when the bacteria after treating diabetes are blacks. in plaque causes the gums to become periodontal Oral Care inflamed. It is a serious infection disease, it is more likely to for People with that, if left untreated, leads to tooth easier to manage Diabetes loss. For diabetic patients, it can be a patient’s diahave periodontal Regular oral life threatening. People with diabetes betes. hygiene and visare more likely to have periodontal Diabetes disease than its to the dentist disease than others; more than 70 increases the are imperative percent of diabetic patients also have likelihood of others. for people periodontal disease. This is probably tooth decay. with diabetes. because diabetics are more suscep“In diabetic Teeth should be tible to infections. patients, due to brushed at least Research suggests the link goes the slow glucose twice daily with a soft brush. When both ways: Periodontal disease may metabolism rate and low immunity, possible, brush them about 30 minmake it more difficult to control a high glucose level in saliva leads to

Diabetes and Dental Health

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utes after meals. Brushing with soft bristles is important because stiff bristles or brushing too vigorously can damage the gums and increase the potential for dental problems. Teeth should also be flossed at least once a day. Tongue brushing is a good practice for oral health. You can use a tooth brush, a tongue brush, a tongue scraper or special cleaners. Mouth rinsing is another important oral hygiene practice. Choose your mouth rinse carefully. Some rinses have fluoride intended to decrease cavities, but this does nothing for gum disease or bad breath. Other rinses are meant to be used prior to brushing. The best types of mouth rinse for gum disease and bad breath – which are of great concern for people with diabetes – address bacteria and their byproducts that contribute to these problems. Mouth rinses containing oxidizing agents are recommended, and they should also be sugar-free. Another concern for people with diabetes is the amount of alcohol in a rinse because it has a drying effect. Saliva plays an important role in oral health. Anything that dries out oral tissues is likely to increase oral health problems, including the potential for bacterial growth.


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Be aware of any indications of soreness; a feeling that something is caught in the back of the throat; ear pain; or difficulty chewing, swallowing, speaking or moving the jaw or tongue. caught in the back of the throat; ear pain; or difficulty chewing, swallowing, speaking or moving the jaw or tongue. Finally, if you notice unexplained hoarseness, have a chronic sore throat, a change in your voice or unexplained bleeding in the mouth, see your dentist immediately. Sources and Resources

Oral Cancer Needs YOUR Immediate Attention

the mouth. Other symptoms are unexplained numbness, loss of feeling or pain and tenderness in any area of the face, mouth, or neck. Also be aware of any indications of soreness; a feeling that something is

• American Cancer Society (2016). Learn About Oral Cavity and Oropharyngeal Cancer. www.cancer. org/cancer/oralcavityandoropharyngealcancer • Oral Cancer Foundation (2017).

Be aware of common symptoms By Dr. Tom Miller, Staff Writer Oral cancer is often thought of as a disease that strikes older people or heavy smokers. But it is shocking for many people to learn nonsmoking young adults are the fastest growing segment of oral cancer patients. This is largely due to the rise in human Papillomavirus HPV-16 diagnoses among this group. According to the American Cancer Society, men face twice the risk of developing oral cancer as women, and men who are over age 50 face the greatest risk. It is estimated that over 40,000 people in the United States have received a diagnosis of oral cancer. Cigarette, cigar or pipe smokers are six times more likely than nonsmokers to develop oral cancers. Smokeless tobacco users, along with those who use dip, snuff or chewing tobacco products, are 50 times more likely to develop cancers of the cheek, gums and lining of the lips. All these are addictive disorders and as a result often draw the attention of mental health and addictive disorder specialists. Still, it is important to note that over 25 percent of all oral cancers occur in people who do not

smoke and who only drink alcohol occasionally. More than 600,000 cases of oral and oropharyngeal cancer are diagnosed each year worldwide, according to the World Health Organization. In the United States, more than 48,000 individuals will be diagnosed with this debilitating, disfiguring disease this year with 9,570 deaths, roughly one person an hour each day. Cancer is defined as the uncontrollable growth of cells that invade and cause damage to surrounding tissue. Oral cancer appears as a growth or sore in the mouth that does not go away. It can be life threatening if not diagnosed and treated early. Oral cancer includes cancers of the lips, tongue, cheeks, floor of the mouth, hard and soft palate, sinuses and pharynx. It is important to be aware of the most common symptoms of oral cancer. These include any swellings, lumps or rough spots on the lips, gums or other areas inside the mouth. There may be velvety white, red or speckled patches in

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Dentists recommend brushing your teeth for two minutes twice a day

By TaNiqua Ward, M.S., Staff Writer In order to have a healthy, bright smile, it is important to have regular dental exams and practice good dental hygiene. These are necessary for preventing gum disease and reducing the risk of tooth loss or dental problems. Proper dental hygiene not only is good for your teeth, but also has numerous other health benefits. Regular dental care isn’t expensive, but having a dental difficulty can become very expensive. That is why it is imperative to perform one of the main preventative actions: Brushing your teeth.

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Select a toothpaste that contains fluoride, which helps prevent cavities.

Trying to fit into that Some of the benefits of brushing your teeth include: • Reduced cost of dental care. Prevention is much less expensive than a cure. Brushing your teeth helps prevent cavities and other dental complications. • Prevention of gum disease. Regular brushing stimulates the gums, which keeps them healthy and thus prevents gum disease. • Reduced risk of heart disease and stroke. The American Journal of Medicine has connected dental health to risks of heart attack and stroke. Gum disease is one indicator of heart disease. Also, bad bacteria in the mouth can get into the bloodstream, which also increases your chances of having a heart attack or stroke. Dentists recommend brushing your teeth for two minutes twice a day, once in the morning and once in the evening. Select a toothpaste that contains fluoride, which helps prevent cavities. Other ingredients in toothpaste, such as abrasives and detergents, are used to remove stains and bacteria. Flossing helps get rid of plaque, particles and food between your teeth. Both of these habits are essential for dental health. Select a toothbrush with soft bristles to avoid doing any damage to the teeth and gums. Hold the toothbrush at a 45-degree angle against the gum line and begin brushing from the gum line to the chew surface. Brush your teeth softly with short strokes. Use the same method on the inside of your teeth as well. Dentists usually recommend using unwaxed floss because it is thinner and easy to slide between the teeth. Carefully insert the floss between the teeth by using a back and forth motion to get it near the gums. Make a letter “C” shape around the edge of the tooth and glide it up and down. Do this same process on all your teeth and be sure to floss the back sides of your teeth as well.

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Cervical Spine Injury

DURING AUTO COLLISION by Howard D. Markowitz, MD, Bluegrass Injury Care Center

The first two articles in this series were about head trauma and in particular concussions. Any car accident has the potential to cause physical damage to your body. Understanding the most common injuries and why they occur can provide you with information that will help you understand what treatment you will need. While the advent off airbags and protective changes in construction of automobiles have helped to prevent many more severe injuries but indirectly force is transferred to the major movable object which is us. The extent off injuries is determined by the speed, direction of impact and our body position at the time of accident. In particular these deacceleration injuries cause torque to our bodies and in particular to our spine. In this article, we will discuss the mechanism of injury to our neck occurring when we are reared. Though the same mechanism can be applied when hit from other directions and effect the rest of our musculature including our mid and lower back. The cervical spine has two main functions. It is the main I-beam and structural support to keep the head upright and centered on your body. It allows the head to swivel, bend forward and backward, and bend side to side. The second function of the bony spine is to be the bony protective conduit for the spinal cord to exit the brain and enter the more protective thoracic area. Most motor vehicle collisions with seat-belt restrained passengers avoid

direct impact of the head against the steering wheel or windshield. Instead, the major injury concern is the neck region, including the cervical spine and the surrounding muscular and ligamentous supports. Normally these surrounding soft tissue structures are designed to move the neck and head as well as protected the neck and head from rapid acceleration and deceleration injuries. They try and dissipate the rapid forces that occur when your automobile is abruptly stopped from a forty mile-per-hour pace to a dead stop in less than a second. Without the slowing-down of these forces by a movable spine, all automobile collisions would result in catastrophic events. Normal, non-injurious forces to the spine allow the body to initiate muscle contraction at a rate that will slowly decrease the rate at which the head and neck are forced forward or backward during an automobile collision. At the extremes of motion, the fibrous ligaments that connect each spinal vertebra to the adjacent vertebrae act as check reins and do not allow any more motion to occur. When the acceleration and deceleration forces are beyond what the body can adjust for or when the body is unprepared for the rapid forces to the spine, the spinal safeguards that normally protect the cervical spine are exceeded. This frequently occurs when a driver is not expecting a collision to occur. During a rear-end automobile collision, your body goes through extreme-

ly rapid and intense acceleration and deceleration. At each phase, there is a different force acting on the body that contributes to the overall injury. This sudden and forceful movement can cause substantial damage to the vertebrae, nerves, discs, muscles, and ligaments of your neck and spine.

During the first phase, your car begins to be pushed out from under you, causing your mid-back to be flattened against the back of your seat. This results in an upward force in your cervical spine, compressing your discs and joints.  As your seat back begins to accelerate your torso forward, your head moves backward, creating a shearing force in your neck.  If your head restraint is properly adjusted, the distance your head travels backward is limited.  However, most of the damage to the spine will occur before your head reaches your head restraint.  During phase two, your torso has reached peak acceleration – 1.5 to 2 times that of your vehicle itself – but your head has not yet begun to accelerate forward and continues to move rearward.  An abnormal S-curve develops in your cervical spine as your seat back recoils forward, much like a springboard, adding to the forward acceleration of the torso. Unfortunately, this seat back recoiling forward occurs while your head is still moving backward, resulting in a shearing force in the neck that is one of the more damaging aspects of a cervical injury.  Many of the nerve, disc, ligament and muscle injuries occur during this phase.

During the third phase your head and neck are at their peak forward acceleration. At the same time, your car is slowing down from applying the brake or from confronting another vehicle or immovable abject. As you move forward in your seat, any slack in your seat belt and shoulder harness is taken up. Your torso is stopped by your seat belt and shoulder restraint and your head is free to move forward unimpeded. This results in a violent forward-bending motion of your neck, straining the muscles and ligaments and tearing fibers in the spinal discs. Your spinal cord and nerve roots get stretched and irritated, and your brain can strike the inside of your skull causing a mild to moderate brain injury (concussion). Most motor vehicle related cervical injuries are muscular and ligamentous. These injuries cause symptoms, including neck pain and stiffness, headache, upper back pain, shoulder pain, and inability to engage in normal home and work activity. Many of these symptoms do not occur immediately at the time of the collision but rather become increasingly symptomatic over a few hours to a few days. After proper examination to rule out more serious causes of pain, a course of management directed at alleviation of the symptoms is warranted. Treatment decreases the overall length of time that symptoms last. Treatment also decreases the severity of the symptoms, therefore allowing a more normal lifestyle during the healing process. Every accident victim should be treated as an individual and not be compared to a group with similar injuries. Each individual has a different pain threshold and a different expectation as to what is needed to function in their daily environment. A course of treatment should be tailored specifically for everyone.

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Fear of the Dentist Dentophobia could be inherited By Angela S. Hoover, Staff Writer Dentophobia – fear of the dentist – is fairly common. According the UK Adult Dental Health Survey, about one in 10 people suffers from dental phobia. Significant fear affects 10 percent to 20 percent of U.S. adults. For some, this fear prevents them from seeking proper dental care. Psychology researchers at West Virginia University report dental fear and anxiety is in part due to inherited influences. Their study is the first to suggest genetics along with environmental factors for dentist-chair fears. The study also showed fear of pain, a problem related to but separate from dental fear, is also inheritable. The researchers theorize this can clarify how fear of pain may contribute to the development of dental fear. University of Wisconsin-Madison psychiatric researchers demonstrated neurological proof that fear is genetically inherited from parents. The university’s Department of Psychiatry and the Health Emotions Research

Institute found an overactive brain circuit in three brain areas involved in anxiety and depression and demonstrated this is passed from parents to offspring in an extended family of Rhesus monkeys. The researchers wanted to understand the specific regions in the brain responsible for the inheritable traits of anxiety and depression. “We think that to a certain extent anxiety can provide an evolutionary advantage because it helps an individual recognize and avoid danger,” said senior author Dr. Ned Kalin. “But when the circuits are overactive, it becomes a problem and can result in anxiety and depressive disorders.” Understanding that parents pass on anxiety to children and knowing the exact areas of impact in the brain gives researchers an advantage in designing therapeutics for specific targets, said Kalin. PET brain scans of “scary” encounters showed overactivity of the prefrontal-limbic-midbrain

circuit is inheritable and directly associated with extreme anxiety in early childhood and depressionanxiety later in life. The three regions involved in anxiety and depression are survival-related brain regions: the brain stem (the most primitive part of the brain), the amygdala (the limbic fear center) and the prefrontal cortex (the seat of intelligence and higher level reasoning, which is fully developed only in humans and primates). The function of brain structure – not its size – was passed down from parents to offspring. “Now that we know where to look, we can develop a better understanding of the molecular alterations that give rise to anxiety-related brain function,” said Kalin. The behavioral or environmental factor for a family connection to fear has already been established. A 2012 study at the Rey Juan Carlos University in Madrid, Spain, confirmed the emotional transmission of fear of the dentist among family members and analyzed the different roles mothers and fathers might play. They concluded the father plays a key role in the emotional transmission of dental fear. The researchers suggest parents should be relaxed when they go to the dentist to assure their children. However, this won’t help the many adults who still experience


anxiety and fear at the dentist. Cognitive behavior therapy (CBT) can help with dental fears. CBT is a short-term therapy that typically lasts six to 10 sessions. It has been successfully shown to reduce dental anxiety and thus increase dental attendance. King’s College London Dental Institute, Health Psychology Service at Guy’s and St. Thomas’ NHS Foundation Trust collaborated on a study last year using CBT for dental fear. Of all the patients in the study, four-fifths (79 percent) were able to have dental treatments without the need for sedation. On average, it only took five CBT sessions to get the patients to that point. “There is a need for people with dental phobia to be carefully assessed by trained CBT practitioners working with dental health professionals,” said the lead author of the study, Prof. Tim Newton of the King’s College Dental Institute London. “Some of the patients referred to us were found to be experiencing additional psychological difficulties and needed further referral and management.” There will still be those with dental fears who need sedation when they require urgent dental treatment or because they are having particularly invasive treatments. CBT can complement sedation.

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Brush Up on the Electric-Vs.-Manual Debate Which is better for you? By Tanya J. Tyler, Editor In the quest for good dental hygiene, you may find yourself trying to decide between using a manual or an electric toothbrush. “A hygienist would say everybody should have an electric toothbrush,” said Dr. Patricia Takacs with Beaumont Family Dentistry. “You can’t push it too hard; it does what we can do with our drills; it polishes like we can polish; it can get below the gum line. But I still use manual toothbrushes.” The American Dental Association (ADA) says manual toothbrushes can be just as effective as powered ones. According to Consumer Reports, a recent study showed electric toothbrushes reduced dental plaque 21 percent more and gingivitis or inflammation of the gums 11 percent more

than a manual toothbrush after three months of use. What makes the difference is the brusher. Proper brushing technique is important whether you plug your toothbrush in or use your own power. Toothbrushes have come a long way from the days when people used twigs stripped of their bark to clean their teeth. The earliest bristle toothbrushes were created in China in the 7th century. The first U.S. patent for a toothbrush was granted to H.N. Wadsworth in 1857. The U.S. Food and Drug Administration classifies toothbrushes as medical devices, but they are generally considered to pose little harm to anyone and are subject to the least amount of regulatory control. An electric toothbrush can do almost 30,000 strokes per minute, compared to the manual average of 300 to 600 strokes per minute. There are several different types of electric toothbrushes. One type has a rotary brush that moves in a circular motion at 3,000 to 7,500 strokes per minute. Some toothbrush heads move in alternate directions; this is called rotation oscillation. Sonic toothbrushes use a side-to-side motion at about 31,000 brush strokes

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per minute. An ultrasonic electronic toothbrush has side-to-side motions that create vibrations that dislodge plaque. None of these are more highly touted over the other, so the choice about whether to go manual or electric is strictly up to you. One disadvantage is the cost. A top-quality electric toothbrush can cost up to $100 or more. As with regular toothbrushes, electric toothbrush heads have to be replaced every few months. If you have trouble physically moving your toothbrush around your mouth – perhaps because you have a touch of arthritis – an electric toothbrush can be a great asset. Children may enjoy using an electric toothbrush that features their favorite cartoon character. Also, an electric device with a timer can help them brush for the recommended two-plus minutes, which isn’t a bad idea for adults, either, since many people underestimate how much time they actually spend brushing. Whether you choose an electric or manual toothbrush, dental experts recommend you try not to brush too excessively or too hard. This can abrade enamel. Anything that boosts the beauty of your smile is worth looking into.


January 2017

Dental Breakthroughs


From glass fillings to nanocomposites, innovations loom in dentistry By Angela S. Hoover, Staff Writer Some groundbreaking innovations in dentistry will soon be available at a dentist’s office near you. These include: Liquid Diagnostic Technique Tooth decay, or dental caries, has two stages: an initial non-cavitated state where decay can stop and no filling is needed and a later cavitated state where a filling is often needed to stop decay from progressing. Dentists haven’t had a test to determine the difference between the two states, which led to the standard treatment of drilling and filling. However, decay doesn’t automatically mean a cavity, and the filling cure can be more trouble than it’s worth. “Once a tooth is filled, it leads to a repair-destruction cycle for the rest of the patient’s life,” said Dr. Douglas Benn, D.D.S., Ph.D. Benn has created a simple diagnostic liquid solution that can be applied to the surface of a patient’s teeth prior to a dental X-ray to reveal whether a tooth has cavitated decay. The liquid helps dentists more readily see cavitated decay on a standard X-ray and allows them to use recently developed topical products to arrest tooth decay at an early stage. This preserves healthy tooth structure and is a pain-free method of detection and treatment that uses no anesthesia or drilling. Benn says American Dental Association data indicate about two-thirds of fillings are replacements and can cost an average of $2,000 per filled tooth over a lifetime. His diagnostic liquid solution could delay or avoid about 50 percent of cases of dental fillings, according to Benn’s estimate. The diagnostic liquid can help also detect more infection that would otherwise go unnoticed. Glass Fillings That Can Repair Tooth Decay With this innovation, bioactive glass composite fillings release fluoride and significant quantities of calcium and phosphate that are needed to form tooth mineral. Last year, Oregon State University scientists created bioactive glass made with compounds such as silicon oxide, calcium oxide and phosphorous oxide. It is called bioactive because the body notices it is there and can react to it, as opposed to traditional inert composites. “Almost all fillings will eventually fail,” said Jamie Kruzic of the OSU College of Engineering. “New tooth

decay often begins at the interface of a filling and the tooth. The tooth is literally being eroded and demineralized at that interface.” Dentists in the United Kingdom, Wales and New Zealand are now using glass fillings. “Not only did this bioactive glass composite re-mineralize the partially decayed teeth, but it also creates an alkaline environment that discourages the bacteria that caused the initial decay,” said Professor Robert Hill, chair of Physical Sciences at the Institute of Dentistry at Queen Mary University of London and co-founder and director of research at BioMin Technologies. American research suggests glass fillings will potentially prolong the life of fillings and slow secondary tooth decay because the depth of bacterial penetration with bioactive glass fillings was significantly smaller than for inert fillings, Hill added. These fillings can help eliminate mercury-based amalgam fillings. There is a great deal of pressure to do so by 2020 from a host of international agreements. Nanotechnology Scientists at the University of Maryland School of Dentistry have made a cavity-filling composite that kills harmful bacteria and regenerates tooth structure lost from bacterial decay. “Tooth decay means the mineral content in the tooth has been dissolved by the organic acids secreted by bacteria residing in biofilms or plaques on the tooth surface,” said Professor Huakun Xu, Ph.D., M.S., director of the Division of Biomaterials and Tissue Engineering in the school’s Department of Endodontics, Prosthodontics and Operative Dentistry. “These organisms convert carbohydrates to acids that decrease the minerals in the tooth structure.” After a dentist drills out a decayed tooth, the cavity still contains residual bacteria, Xu said. Since it’s not possible to remove all the damaged tissue, it’s important to neutralize the harmful effects of the bacteria. Nanocomposites are able to do this. The researchers built antibacterial agents into primer and adhesives to kill residual bacteria at restoration margins. The nanocomposite is expected to last longer than the typical five to 10 years of traditional composites.











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Health&Wellness January 2017  
Health&Wellness January 2017