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July 2019

Toenails seem like a simple part of our body to care for, and in many instances this is true. Unfortunately, as we age, several factors conspire to make this seemingly simple task more difficult. The advance of time and years of shoe pressure and minor injury often lead to toenails that are thickened, and differently shaped. Nail fungus infections become more common, further thickening the nails. The body’s ability to bend over to reach the toes decreases, especially when hip or back disease is present, or if the belly is a bit too large. Vision issues can also hamper one’s ability to see the nails safely. When one combines these factors, what is left is nails that standard nail cutters cannot work through, and toes that are too far out of reach to be easily worked on or even seen.

When these problems arise, many people turn to their foot specialists for care, as many people harbor suspicion of the sanitation of nail salons (sometimes rightfully so). Given the age group that most people begin to experience trouble with nail care, Medicare becomes the primary health insurance provider that the physicians must bill to receive payment for their services. The benefits Medicare provides for it’s enrollees is quite extensive, and includes many medical services, tests, and surgical procedures. Many people also assume that this coverage extends into more minor procedures, such as nail and callus care. While universal coverage of things like nail care for difficult-to-treat nails would be ideal, the reality is that Medicare only has a limited amount of monetary resources to pay for health care. The government has to place priorities on certain types of care, and nail care is not high on that list when compared to stroke or fracture care. Medicare’s philosophy on nail services can be essentially described as an unwillingness to cover nail care by a physician (podiatrist generally), even if someone cannot reach their own toenails or has poor vision, as someone outside of the medical community can generally provide this service (family, friend, nail tech). This policy effects many cases of nail and callus care in which medical treatment is sought, and defines such care as non-covered ‘routine foot care’. Medicare will not pay for such a service, and it is unethical and illegal for a physician to knowingly bill Medicare for this service. A cash price is usually set for payment by the physician’s office for this type of service. Medicare enrollees have the right to demand the physician submit a claim to Medicare, but this claim has to be a special code that shows Medicare this service is non-covered, and Medicare will eventually return with a confirmation of this, and the instruction to bill the enrollee a cash cost for this service. This special claim is not required by Medicare, who lets physicians recognize on their own when a service is non-covered, unless the enrollee demands it. The problem with this demand is that this only delays one’s physician from getting paid for their care, sometimes for weeks to months, even though the patient will still have to pay cash in the end. It is an unnecessary delay that is usually only serve as an antagonizing act by a patient on their physician.

Given all this, it is fortunate that there are some very common scenarios that change Medicare’s policy regarding toe nail care. Medicare is very willing to cover nail care when such care, if provided by someone outside of a physician’s office, would possibly lead to harm of that patient. For example, a person who is diabetic or has circulation disease has a greater chance of developing significant wounds and infections from minor skin nicks than someone who is generally healthy. For this reason, if an untrained individual cut their toenails and caused a small skin wound, the patient in question could be significantly harmed. Medicare wants to prevent this, and has set up a list of conditions in which they feel warrant toenail attention by a physician. This list includes the following conditions:

diabetes, arteriosclerosis (confirmed), rheumatoid arthritis, peripheral neuropathy, multiple sclerosis, arteritis, chronic kidney disease, ALS, leprosy, syphilis related nerve disease, beriberi, pellagra, lipidoses, amyloidosis, pernicious anemia, Freidreich’s ataxia, quadriplegia or paraplegia, Refsum’s disease, polyneuritis, toxic myoneural disease, Raynaud’s disease(not phenomenon), erythromelalgia, phlebitis (active), celiac disease, tropical sprue, blind loop syndrome, pancreatic steatorrhea

Unfortunately, the situation is not as simple as strictly having one of these conditions. Certain combinations of symptoms or findings on a medical exam need to be also present in order to justify this greater risk. These include things like thin skin, swelling, poor pulses, poor sensation, a history of amputation, and other various findings that need to be noted by the doctor and categorized into one of three classes. Together, these are known as ‘class findings’. Without their presence, Medicare will not cover some types of nail care, and also will not cover callus care. Adding even more confusion to the mix is the fact that certain qualifying diseases require one to have been to the doctor treating that condition within the last six months prior to the nail care date. Medicare requires the physician treating the nails to submit the exact date the doctor treating the qualifying disease was seen with every claim, or it won’t pay. Finally, the agencies that administer Medicare claims are numerous, each covering several states. There can be slight variation from state to state regarding these coverage policies, creating even more confusion when one moves to a new state and expects the same exact foot care coverage policy.

For those who completely qualify for toenail care, Medicare will pay 80% of the cost of this service, and some Medicare supplemental insurance will pick up the rest. The new HMO-style Medicare advantage plans usually cover 100%, minus any co-pay the plan has in place. Keep in mind that this payment to the physician is often quite low, sometimes under what a nail salon tech may get paid, depending on the regional Medicare carrier administering the program. Callus care reimburses a little bit more, but also carries more risk of complications if improperly performed. Medicare will allow this service to be performed no less than sixty one days apart. For those uncommon individuals whose nails and calluses grow bothersome faster, Medicare offers no other option.

As one can see, there are options for Medicare enrollees to have their toenails cared for by a podiatrist. Unfortunately, the restrictions that follow this care are extensive, and limit the option for medical trimming of toenails to only those with the greatest of risk for complications.

Source by Scott Kilberg DPM

Neptune, I would say, is the most misunderstood planet. Some would refer to it as the planet of spiritually, and mysticism. I, on the other hand, refer to Neptune as the big deceiver that turns us into con artists and illusionists — that have to pay the piper when Saturn comes around to get into the game, like now.

I have found that as Neptune goes retrograde its veil of deception begins to crack, and when it goes direct again the emperor’s new clothes are revealed and this scammer stands as naked as a jay bird. Neptune had gone retrograde June 3rd two days after a solar eclipse. It’s clear to see Neptune at work as a new can of worms has been opened with the Wiener photo scandal.

Previously an individual had a certain amount of anonymity on the internet. Now, with face book and twitter what you put out there comes back to haunt you big time.

Before I go forward with this, I want to take you back to April 23rd when mercury went direct opposite Saturn. Until Mercury goes retrograde again in August, we are living under the influence of Mercury/Saturn. Look at all the scandals that came to light since Mercury went direct: Dominigue Strauss-Kahn, Arnold Schwarzenegger, and now as Neptune was going retrograde, Anthony Wiener.

On Sunday June 12, Saturn will go direct and the cosmic bill collector will be out, demanding payment for unwise deeds done and wise deeds left undone.

On June 1, we had a solar eclipse at 11 Gemini 02, Venus/Kronos was midpoint Pluto and Uranus, and Hades was only minutes away for 0 cardinal. The world heard about a very narcissistic political leader who had aspirations of becoming the next Mayor of New York City. He sent pictures of himself on twitter that had sexual overtones. What makes it so funny is that he is funny! I guess that is the Neptune station retrograde. Then Saturn stations and he gets slapped down because this solar eclipse squared the midpoint of his Sun Uranus and semi-squared his natal Venus, and Neptune stationed retrograde conjunct his Saturn. This person is Anthony Weiner and his birth date is September 4, 1964, Queens, New York, time unknown.

As Saturn will go direct at the midpoint of Mars and Admetos, there will be a decrease of work. Many projects come to a standstill and the unemployment numbers should go up again. It also means your actions are etched in stone especially since Saturn is going direct with Hades on the cardinal axis. Hades on the cards means your dirty laundry is flapping in the wind and will be talked about for a very long time. On the day Saturn goes direct Mercury will be conjunct the Sun and the midpoint between Saturn and Sun Mercury equals the Moon. This combo says face it, the gig is up and take your lumps. The public will not be able to close their eyes to what is going on any longer. And, if the public wants things to change they will have to speak up.

Then, on June 15, three days after Saturn goes retrograde we have a lunar eclipse of 24 degrees 23 minutes of Gemini/Sag. and semi-square Poseidon. After what had come to light this past month or so many couples will be looking for insight into their relationships to see if there is any hidden signs of trouble. At the same time Hades will be on the cardinal axis 22-1/ÂŽ2 to Venus, as Hades cardinal axis is midpoint lunar eclipse and Kronos. There will be more sexual secrets coming to light that will be used against them at the appropriate time. This planetary picture also indicates sex crimes are on the rise due to police cut backs.

On July 1, we will experience another solar eclipse at 9 Cancer 30 squaring Saturn with a tiny degree orb, and this Saturn will be 135 to Anthony Weiner’s Jupiter. He most likely lost his bid to be Mayor long before the candidate process starts.

On a more mundane note this solar eclipse will be 22 1-2 to the midpoint of Mercury and Venus. It is summer vacation. At this time, many will be making party plans for the 4th of July weekend. My suggestions to you is keep the costs down as the Pluto/Uranus midpoint will be the midpoint of Saturn and the cardinal axis, as Pluto will be midpoint Saturn and Hades. The financial picture will be unstable, and if not careful and you give into your urges, things can turn out ugly – as the Venus/Uranus midpoint will be Hades. Then, ten days after the solar eclipse, Uranus will go retrograde, and the Uranus Pluto midpoint will be at the midpoint of Saturn and the cardinal axis. On July 13th Venus will be squaring Saturn, with a bad financial picture as Mars will be 135 to Neptune. This planetary picture indicates financial losses due to some destructive deceptions. On the morning of July 15th, there will be a full moon at 22 degree 28 minutes of Cancer/Capricorn, which is on the cardinal axis. In the evening of the same date, Mercury will be semi-square Uranus. Something weird will hit the airwaves. I think hurricane winds will blow. It looks like we will have a very intense hurricane season – and that it will start early.

One thing for sure is, we will be experiencing the Chinese curse, which is; “May you live in interesting times”.

Source by Arlene Nimark

Everyone have an inbuilt fear of visiting a dentist for any problem they have or are suffering from. This fear may have developed due to an old visit that might not have gone well or a fear from anything happened past in childhood and sometimes the fear comes from the vibrations of the tools and scrapes being used for dental procedures. Sometimes scraping of the tooth can creep out some individuals but after all, you should give a visit to your dentist because, after all of the procedures, you are going to have a positive effect on your teeth and your smile.

There are several procedures that are being involved in curing a dental problem or maintaining and fixing your smiles. If you are planning to visit your dentist, then you might brace yourself clear with some of the major doubts that are being involved in dental treatment and are given below:

1. Painful treatment: Though all the dental treatments are not painful there are some that do cause pain during the procedure as scraping and picking are involved in it but there are certain medications and procedures available using which the pain can be managed and you may get a pleasurable dental experience.

2. Dental Treatment will Affect Health: During dental procedures involving the dental cleaning or other things, the treatment is extensively performed over teeth and thus not affecting any other part of the body. All the medications and treatments are superbly arranged and are highly tested for your tooth and nothing else gets affected.

3. Only Specialists do implant: Sometime people go to an extent thinking about visiting a regular dentist with a belief that only a dentist being specialist and expert in dental implants can do the work but the truth is every dentist is suitable of performing the dental procedures and all you need to do is find a suitable and professional dentist who has deep knowledge of the work he will be doing.

4. My Dentist will Judge Me: Sometimes people feel afraid to visit the dentist because they think that their dentist will judge him or her based on their teeth when it comes to dental whitening or other cleaning tasks. However, it is important to get know that dentists are not there to judge you but they are there to help you’re and get you through it.

5. No Pain No Visit to Dentist: It is not necessary that you should only go to the dentist when you feel pain and thus you should visit the dentist regularly to get things checked.

Source by Sharon Grogan

For many patients suffering from early prostate cancer the recommended treatment will be surgery in the form or a prostatectomy, either performed using traditional open surgery or minimally invasive laparoscopic surgery. Both forms of surgery can be extremely effective, as long as cancer is restricted to the prostate gland, but can leave patients with a loss of sexual function as a result of damage caused to nerves, muscles and other tissues around the area of ​​the prostate.

A new surgical system designed to solve this problem is the da Vinci system manufactured by Intuitive Surgical Inc. of Sunnyvale California. In essence the da Vinci system is laparoscopic surgery using robotic technology.

The da Vinci system consists of a patient-side cart which stands next to the operating table and which has three or four robotic arms (the number depends upon the form of surgery being performed) which hold a high resolution 3D endoscope (connected to state- of-the-art image processing equipment providing high quality images of the operating area) and the necessary operating instruments. The patient-side cart is supervised by a skilled surgeon who will make the necessary access incisions for the operation and also supervise the laparoscopic arms, for example, changing instruments as required.

A second, again highly skilled, surgeon will then sit at the surgeon's console which is located to one side of the operating theater. Sitting comfortably the surgeon is able to view a 3D image of the operating area and uses his own hands to manipulate the robotic operating arms of the patient-side cart.

Unlike laparoscopic surgery in which the surgical instruments are both difficult to manipulate and have a limited range of movement, robotic prostate surgery allows the surgeon to rotate the surgical instruments through a full 360 degrees of movement in a natural manner, very much as he would in traditional open surgery. Unlike open surgery however the surgeon also has the ability to greatly magnify the area that he is working on and to "scale" the movement on instruments so that he can make extremely small and very precise movements with the operating instruments. This also permits the surgeon to eliminate the "tremor" which is sometimes a problem. One great advantage of this is that it allows older surgeons who have exists lost some of their dexterity to return to the operating theater bringing with them many years of surgical experience.

Robotic prostate surgery using the da Vinci system combines the best of both worlds, allowing surgeons to operate naturally as they do with open surgery and combining this with all of the benefits of minimally invasive surgery seen in laparoscopic surgery.

Source by Donald Saunders

When was the last time you went to the dentist? Chances are, you had an oral health issue that was either causing unbearable pain or constant discomfort or you experienced an unpleasant, severe injury to the face or mouth that only a dentist could diagnose and treat. Something happened and you finally get to the point where you’re either tired of the pain or you’re freaking out about something that doesn’t look or function normally.

When a dentist has to diagnose and treat or repair a dental injury or disease, it is called restorative dentistry. The dentist, in essence is restoring the look and proper functioning of your mouth, particularly the teeth and gums. Most adult patients go to see their dentist for this type of dentistry as opposed to preventative dentistry. This is often because of patients’ fears of going to the dentist and the potentially higher costs of dental exams, cleaning and work.

Restorative dentistry covers a wide range of dental procedures. Below are some of the more common ones:

  • Crowns
  • Fillings
  • Implants
  • Root planing and scaling
  • Root canals
  • Tooth extraction
  • Implants
  • Dentures

Sometimes dentists will blend in cosmetic dental services under the umbrella of restorative dentistry, while others have cosmetic and restorative dentistry separate. It is important to note that additional training and certification is required for dentists who perform cosmetic dental procedures. Nevertheless, it can be difficult to draw the line between restorative and cosmetic dental work as both restore one’s beautiful smile and proper teeth functionality. For instance, veneers can reshape crooked or chipped teeth, enhancing their appearance and improve the tooth’s chewing functionality.

Restorative dental procedures can be expensive, depending on what materials are needed and the extent and length of the procedures. Restorative work that involves anesthesia is typically more expensive. Most dental insurance plans cover some of the costs associated with this kind of dental work.

Besides the expenses, restoration dental work can include inconvenient, time- consuming procedures and follow-up visits that can be hard to fit into one’s busy schedule.

Preventative Dentistry

While restorative dentistry treats or is aimed at stopping the progress of current oral health damage, preventative dentistry seeks to stem the development of teeth and gum issues before they appear.

A visit to the dentist every six months is a preventative dental measure that protects the patient from a possibly painful dental issue that calls for expensive and time-consuming restorative dental treatment.

Preventative procedures are routine, quick, inexpensive and don’t require a follow-up appointment, saving the patient time and money. It also spares the patient from the pain and discomfort of teeth and gum problems.

As important and valuable preventative dentistry is, not all patients take advantage of it and only see it as optional. For patients, it can be easy to forgo the six month dental checkup when their teeth and gums look and feel great. Some serious oral health conditions such as oral cancer, have no noticeable symptoms until it progresses past the point of being treatable. Only the trained eye of a dentist can spot such unnoticed warning signs in a routine preventative dental exam.

Restorative dentistry encompasses a wide variety of dental procedures aimed at slowing and reversing damage of teeth, gums and soft tissue of the mouth due to injury, infection, decay or disease. While restorative dental work restores the look and functionality of a patient’s smile, preventative dentistry utilizes proactive procedures to stem the development of oral health conditions. Most patients, however, only see the dentist for restorative dental work to treat a tooth or gum issue. While restorative dentistry repairs one’s smile, it is more expensive and time-consuming than preventative dentistry.

Source by Anna Bird

Email marketing is just one of the most cost-efficient ways to stay connected with your patients. A lot more wellness specialists like dental experts are using these as a method to reach patients and inform them about their health.

Email is likewise a significant means for health experts to create person relationship.

Dental practitioners are an active group and ever have the moment to invest with individuals that they need to have. Exactly what are some online strategies that dentists can utilize?

Email Marketing Offers an Opportunity to Educate as well as Notify

Dentists can use email to provide people health as well as a way of life tips that they can apply in their lives.

A weekly e-newsletter is a reliable way to share ideas for slimming down, staying clear of colds and influenza, maintaining a smile white, stopping cavities to eating a healthy and balanced diet plan. Not just do individuals value health pointers, they help to motivate person self-confidence as well as create a stronger connection.

They can also use email to let people find out about brand-new therapies and advances in the medical and also Dental area.

A liberal dental post could entice brand-new people too when wellness dentists make use of email marketing database as a viral tool. Just offer individuals the possibility to onward the posts to friends and family. If they e-newsletter includes useful information, some will certainly do it. Dentists could utilize it to allow clients understand it is time for their six-month examination or to offer price cuts on aesthetic dental treatments. Wellness professionals could also use email to remind people about their future consultations.

Dentists can use email marketing to ensure a good reputation and a secure e-mail after a consultation to let clients know you are readily available if they have concerns and also reduces the number of office phone calls. Dental experts could additionally use emails to customize their email list in order to enhance the dental directory service.

Email Marketing for Branding Purposes

Sending an e-mail newsletter with a header depicting the compact logo design is useful for branding objectives. Each time when the patient reviews an email, then the brand name is significantly enhanced. Including a creative tagline in the header further strengnts the method's message. Dentists can likewise utilize email to reinvent various other online marketing initiatives. If you have a blog site, you could connect to the blog at the end of each email. An additional technique is to produce a video defining your method towards person care as well as consist of a link to the video clip in the email footer.

Email marketing is an easy means for dental experts to get in touch with patients and create a more powerful practice.

Source by Paul Ryan

Porcelain veneers also known as dental veneers are thin shells of porcelain that are carefully bonded to the front teeth to create an effect of perfectly aligned teeth. They are a cosmetic improvement process designed to enhance the overall look of your face and project a healthy, confident look.

If you have dark teeth, the veneers can make them look lighter. They can make yellow teeth look permanently white and completely natural. They are also used to make crooked teeth look straight and neatly aligned in just a few days time. That naturally looking bewitching smile that you yearned for can be yours if you contact a professional dental office who has the expertise in providing porcelain veneers of all types.

The procedure is in fact easy and completely non-invasive. Unlike other dental processes where you have to take injections to make your teeth and surrounding areas numb to mitigate the pain, this method is simple and painless. Excellent aesthetic results can be achieved if the job is handled by experienced dentists who are technically equipped with the right tools and expertise to deliver the desired results.

This method of dental correction can be applied to correct uneven and crooked teeth, teeth that are not of one shape and look completely out of proportion and stained and dark teeth. It can also be used when your smile shows off too much of gum or if you have teeth that look yellow and unhealthy and can not be bleached or whitened by normal processes.

Porcelain veneers are sometimes recommended to make the teeth less sensitive to hot and cold food. If your teeth are worn down and look old and grungy, then also veneer treatment can restore the looks of the teeth considerably. They are highly resistant to coffee and tea stains and do not get affected even by strong nicotine extracts. They have a natural appeal to them and are extremely long repeating when administrated by professional hands.

The best thing about these veneers is that you can brush, floss and use them like your natural teeth without feeling conscious about them. They are integrated naturally along with your other teeth and hence do not look or feel out of place. Depending on the complexity of the procedure, veneers can be fixed within two days to about three weeks.

Porcelain veneers are in much demand by those who work in the glamor industry and for people for what looking good is an integral part of their profession.

Source by Tiffany Brisette

Dora the Explorer is an animated children's television show featuring a young Latina girl and her animated friends including Boots, the monkey. This series is made to actively engage primarily preschoolers in a play along, problem solving adventure. In the show, Dora invites the young audience to join her on an adventure and exploration with goals to achieve in the end. This is done by Using a Map to point out the directions and stops on the way. Dora and the viewers must solve problems and overcome obstacles along the way to reach their goal. At the end of each episode, Dora, her friends, and the viewers, celebrate with Dora's motto "We Did It" dance and theme. Dora the Explorer is a unique interactive kids show, because it uses play along viewing and problem solving skill in each show. Dora the Explorer also introduces children to Spanish words, encourages exploration, and gives its audience the skills and the ability to solve challenges or problems.

Dora The Explorer bedding set in the "Playful Garden" bedding set depicts a playful character with her closest friend and helper, Boots. This Dora bedding features vibrant pinks and beautiful floral patterns, along with images of adorable Dora and Boots. Dora bedding Set includes Comforter, fitted sheet, flat sheet and pillowcase (s) which are constructed of a cotton rich blend (60% cotton 40% polyester). This combination gives the comfort of cotton and easy care of polyester. The accessories include a pillow sham, matching valances and drapes. The sets are Machine Washable and Dryable. The twin size comforter measures 62 x 86 inches. The Full size comforter measures 72 X 86 in.

Dora-the-Explorer-Bedding-Sets-and-Kids-Print-Bedding&id=3590629″>Source by Zafer Aktas

It has been several decades since smoking was put on the "Not good for you" list. At one time ads promoting smoking were common in magazines and on television and radio. In retrospect some now appear a bit comical. One, I saw, shows a man blowing smoke into a lovely gal's face with the caption, "She will do anything for a man who smokes". Most movies had a leading man who smoked with a macho enthusiasm. Come on down Humphrey Bogart. Today smoking ads are banned and it looks only the bad guys smoke on TV and in movies. Smoking came into prominence as a possible cause of lung cancer in the mid 1960's. This condition and connection was since verified. As well other cancers were correlated to smoking including kidney and liver cancers. Oral cancer has also been correlated to heavy smoking. On routine dental exams your hygienist and dentist will check for signs of intraoral cancer. A thorough visual examination and palpation of tissues both inside the mouth and under the jaw along the neck are palpated for possible enlarged tissues in the lymph system. New light systems are being developed that may help show signs of oral cancer and other pathologies such as fungal infections. But, it is emphasized that these lights are not diagnostic; but, may warn of a possible problem. They are still in a phase of perfection and development.

A non life threatening complication of smoking is the way it can affect the supporting tissues of the teeth, both the gums and underlying bone. It has been shown through studies that smoking causes a reduction in oxygen in gum tissue and produces an excess of immune factors. These are called cytokines which are harmful to the oral cells. The nicotine from smoking can combine with oral bacteria producing a higher level of cytokines. This leads to an increase in periodontal tissue breakdown. One study has stated that a smokers may be 10 times more likely to develop severe gum disease. Oral bacteria, which are present in the mouth, almost since birth, have a strong tendency to adhere to film from the saliva. This film attaches to teeth. In fact this film begins to form within 10 minutes of a thorough brushing or cleaning. The bacteria adhere to the film and the result is called dental plaque. It can cause tooth decay by breaking down sugars into a tooth destroying acid. It also adheres to the soft gum tissue that surrounds the teeth. These bacteria produce toxins which can break down the thin lining of the gums. The addition of increased cytokines will accelerate the effects of the bacterial toxins. Tissue is broken down at an increased rate and the attachment of the tooth to the gum is destroyed slowly but progressively. The ligament that attaches the teeth to the undering bone is also broken down as the gum pocket deepens. As the ligament is destroyed the bone which is attached will decrease in size. That is because the undering bone is no longer stimulated and it recedes. Much like an unused muscle, if one can suggest such an analogy. In cases of severe bone reduction the teeth loosen and can be lost. It has been stated that a smoker will lose at least one tooth by age forty. This is not in itself a major health threat and would not be considered as such except for the fact that it is a visible sign of the effects of smoking. One can extrapolate on the nature of the severe damage that is being done deep in the anatomy of a smoking person.

A less severe problem is one of tooth staining. This can be a major distraction when aesthetics are of concern. There are now many available tooth whitening systems which can over this unsightly side effect; but, it is an indicator ofhaps more severe consequences.

Smoking cessation is an area that merits investigation by patients. It is offered by some dentists, MD's and psychologists. Results vary but it is a worthy option. Several years ago a Toronto MD told of his smoking habits. He said the compulsion to smoke was greater than a cocaine addiction. He emphasized that the effects were not as seperate; but, he said studies had shown that quitting smoking was more difficult than some severe drug habits as cocaine.

Good luck to those who want to break this habit.

Source by Dr Michael A Pilon

Dentine hypersensitivity is a prevalent oral condition that stems from dentin exposure, which dentists around the world treat on a daily basis. According to statistics, about 8 to 30 percent of the adult population, ages 25 to 45, is affected by this ailment. It is characterized by sharp pain or an irritating sensation on the base of the teeth, when exposed to hot, cold, sour or sweet foods. It is usually caused by a number of factors, including tooth decay, over brushing, frequent intake of acidic foods, and prolonged mouthwash use. However, certain underlining illnesses also force it to develop.

Dentin is that part of the teeth that contains microscopic tubes that are directly connected to the nerve branches on the pulp. Once the flow of the fluid within the teeth is disturbed, the tube releases a message to the mechanoreceptors to inflict pain. Tooth desensitization involves a number of treatments to reduce this hypersensitivity and allow you to enjoy whatever fares your heart desires.

The first line of therapy involves the use of desensitizing agents to make the dentin less reactive to stimuli. These can be anything from potassium salts, fluoride, sodium citrate, corticosteroids and calcium hydroxides. Physical agents such as sealants, soft tissue grafts and composite resins can also be used as an alternative. What they will do is inactivate the nerve or occlude the tubules, so that they do not get excited by food or beverage consumption. S Sensodyne is a good example of a chemical desensitizing agent, and it primarily achieves the goal by introducing a concentration of 5% sodium nitrate to the teeth with fluoride, so the sensory nerve endings in the pulp are blocked, and the dental enamel is strengthened. Sealants, on the other hand, cover the exposed dentin, so that shifts in oral temperature does not easily affect it.

Another procedure that is used for tooth desensitization is ionto-phoresis. Also known as Electromotive Drug Administration, this refers to the technique of delivering medicine or a chemical through the skin, using electric charges. For dental hypersensitivity, the medicine involved would be fluoride solutions. Laser therapy is also considered to correct the condition, and with the right irradiation parameters, it has been proven to quickly reduce pain by 91.27% among patients.

Dentists also advise to accompany hypersensitivity treatments with good oral hygiene, so that the dentin's structure is protected from degradation and tartar build up. They also encourage the use of soft bristled brushes to minimize tooth and gum abrasion. Of course, they also endorse regular dental check-ups, cleaning and fluoride treatments, usually every six months, to monitor your dental condition. If you are in the habit of chewing tobacco, grinding ice and sucking candy, they would also discourage them, because they may precipitate tooth dilapidation, enamel thinning, gum reduction and worse, mouth sores.

If you are lucky enough to still have your teeth in its optimum state, it would do you good to administrator preventive measures, like proper diet and oral cleanliness, so you do not have to suffer from dental hypersensitivity in the future. Brushing three times a day is recommended, as well as cutting back on acidic foods like fruit juices, sodas and wine, as well as those rich in carbohydrates.

Source by Cedric P Loiselle

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