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Posts for: April, 2019

BobbyBonesDancesHisWaytoDentalDamage

The long-running hit show Dancing with the Stars has had its share of memorable moments, including a wedding proposal, a wardrobe malfunction, and lots of sharp dance moves. But just recently, one DWTS contestant had the bad luck of taking an elbow to the mouth on two separate occasions—one of which resulted in some serious dental damage.

Nationally syndicated radio personality Bobby Bones received the accidental blows while practicing with his partner, professional dancer Sharna Burgess. “I got hit really hard,” he said. “There was blood and a tooth. [My partner] was doing what she was supposed to do, and my face was not doing what it was supposed to do.”

Accidents like this can happen at any time—especially when people take part in activities where there’s a risk of dental trauma. Fortunately, dentists have many ways to treat oral injuries and restore damaged teeth. How do we do it?

It all depends on how much of the tooth is missing, whether the damage extends to the soft tissue in the tooth’s pulp, and whether the tooth’s roots are intact. If the roots are broken or seriously damaged, the tooth may need to be extracted (removed). It can then generally be replaced with a dental bridge or a state-of-the-art dental implant.

If the roots are healthy but the pulp is exposed, the tooth may become infected—a painful and potentially serious condition. A root canal is needed. In this procedure, the infected pulp tissue is removed and the “canals” (hollow spaces deep inside the tooth) are disinfected and sealed up. The tooth is then restored: A crown (cap) is generally used to replace the visible part above the gum line. A timely root canal procedure can often save a tooth that would otherwise be lost.

For moderate cracks and chips, dental veneers may be an option. Veneers are wafer-thin shells made of translucent material that go over the front surfaces of teeth. Custom-made from a model of your smile, veneers are securely cemented on to give you a restoration that looks natural and lasts for a long time.

It’s often possible to fix minor chips with dental bonding—and this type of restoration can frequently be done in just one office visit. In this procedure, layers of tooth-colored resin are applied to fill in the parts of the tooth that are missing, and then hardened by a special light. While it may not be as long-lasting as some other restoration methods, bonding is a relatively simple and inexpensive technique that can produce good results.

If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “The Field-Side Guide to Dental Injuries” and “Knocked Out Tooth.”


By Pediatric Healthcare of Long Island
April 19, 2019
Category: Child Health
Tags: Flu   Sick Child  

Your child just woke up with a runny nose, an elevated temperature and body aches. Could this just be a passing cold or could it be the flu? It’s important to be able to tell the difference between the two. A common cold is usually mild and will go away on its own without treatment but the flu often requires medical attention to prevent serious complications. While an annual flu shot can protect your child from developing the flu it’s also important to know what to look for and when to visit their pediatrician for care.

Warning Signs of the Flu

Unfortunately the common cold and the influenza viruses have a lot of the same symptoms, which can make it difficult to determine what your child might have. We know that you don’t want to worry unnecessarily and rush them into the office if you don’t need to but it’s also good to know when their condition warrants medical attention.

One difference is that a cold will come on gradually over the course of a couple of days while the flu will often attack suddenly, with symptoms showing up practically overnight. While a fever isn’t a common symptom of a cold a fever is almost always present with the flu, as well as full body achiness or weakness.

Children are also more likely to deal with diarrhea or vomiting with the flu. While symptoms of a cold are usually localized to the head, flu symptoms are more widespread.

You Suspect Your Child has the Flu. Now What?

The first step is to call your pediatrician. While it can take up to a week for your child to feel better after the flu sometimes medical attention is required. It’s especially important that you talk to your doctor if your child has flu-like symptoms and they are under the age of 5, as young children are more likely to deal with health-related complications from the flu.

You’ve talked to your doctor and you now know whether you are supposed to bring them in right away for care or whether you should continue to monitor their condition before bringing them in. At this point the most important thing you can do is help reduce their discomfort and control their symptoms. Make sure they are staying hydrated and getting as much rest as possible.

Avoid giving your child over-the-counter medications, as many of these medications aren’t safe for young children and won’t be effective for treating flu symptoms. If your child has a mild fever ask your pediatrician what over-the-counter medications could help alleviate their fever. Keep in mind: Children should never take aspirin!

The sooner you seek medical attention for the flu the better, as many antiviral medications can prevent the virus from getting worse if it’s administered within the first 48 hours. This medication is often taken for 5 to 7 days and it can help ease symptoms and speed up recovery.

The key is making sure to get your child proper medical care as soon as flu-like symptoms appear. Call your children’s doctor right away.


PersistentJawPainAfteranInjuryNeedsImmediateAttention

Accidents happen. And if an accident causes an injury to your jaws or surrounding facial area, it could result in serious damage. Without prompt treatment, that damage could be permanent.

You’ll usually know, of course, if something is wrong from the extreme pain near or around a jaw joint that won’t subside. If you have such symptoms, we need to see you as soon as possible to specifically diagnose the injury, which will in turn determine how we’ll treat it.

This is important because there are a number of injury possibilities behind the pain. It could mean you’ve loosened or displaced one or more teeth. The joint and its connective muscle may also have been bruised resulting in swelling within the joint space or a dislocation of the condyle (the bone ball at the end of the jaw), either of which can be extremely painful.

These injuries also cause muscle spasms, the body’s response for keeping the jaw from moving and incurring more damage (a natural splint, if you will). After examining to see that everything is functioning normally, we can usually treat it with mild to moderate anti-inflammatory drugs to reduce swelling and pain and muscle relaxers to ease the spasms. We may also need to gently manipulate and ease a dislocated jaw into its proper position.

In the worst case, though, you may actually have fractured the jaw bone. The most common break is known as a sub-condylar fracture that occurs just below the head of the joint with pain and discomfort usually more severe than what’s experienced from tissue bruising or dislocation. As with other fractures, we’ll need to reposition the broken bone and immobilize it until it’s healed. This can be done by temporarily joining the upper and lower teeth together for several weeks to keep the jaw from moving, or with a surgical procedure for more severe breaks that stabilizes the jawbone independently.

It’s important with any persistent jaw or mouth pain after an accident that you see us as soon as possible — you may have an injury that needs immediate attention for proper healing. At the very least, we can help alleviate the pain and discomfort until you’re back to normal.

If you would like more information on treating jaw injuries, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Jaw Pain — What’s the Cause?


By Pediatric Healthcare of Long Island
April 12, 2019
Category: Nutrition
Tags: nutrition  

Why Proper Nutrition is Important

As a parent, it goes without saying that you want what is best for your child. Making sure that your little ones grow up healthy, happy, and prepared for the future is often one of the most difficult, yet regarding, tasks in all of parenthood. This all-important mission to provide a great life for your child encompasses a number of different factors, including one which is the subject of this article: nutrition.

According to recent reports from the CDC, one in five school children within the United States qualify as obese. This epidemic of unhealthy living inevitably creates a number of ill effects in the children who suffer from the condition. Read on to learn how proper nutrition can keep your child at a healthy weight and avoid the consequences of obesity.

Why Obesity Must Be Avoided

Before we examine the intricacies of proper nutrition, it is important that we look at why being overweight/obese is to be avoided:

  • Onset of chronic diseases: Although they are more often diagnosed in adults, conditions such as hypertension and type 2 diabetes have been increasingly seen in younger children, largely because of poor eating habits.
  • Childhood habits traverse into adulthood: Humans tend to be creatures of habit, and accordingly, we largely carry childhood tendencies into our adult lives. For this reason, it shouldn’t come as a surprise that the National Institute for Health Research has found that “55% of obese children go on to be obese in adolescence, around 80% of obese adolescents will still be obese in adulthood and around 70% will be obese over age 30.”
  • Obesity shortens life: The National Institute of Health has found that obesity has the possibility of shortening life spans by up to fourteen years, and with the established link between childhood and adulthood obesity, it’s essential to promote healthy

Other Benefits of Proper Nutrition

The most obvious benefit of providing proper nutrition for your child is that they are then much more likely to maintain a healthy weight, and thus avoid all of the dangers associated with obesity. In addition to escaping the clutches of type 2 diabetes and a shortened life expectancy, your little one will also feel the immediate advantage of higher physical energy levels and increased brain activity. These boosts to your child’s wellbeing can be attributed to an increased bloodflow throughout the body, allowing them to not only stay healthier, but feel happier as well!

Call today!

If you need help with getting your child on the path of proper nutrition, contact your local pediatrician today—we’re here to help!


GettheFactsAboutPopularArtificialSweeteners

Barley malt, corn syrup, maltodextrin — these and over fifty other label ingredients are all names for refined sugar. Under its various aliases, this sweet carbohydrate is tucked away in three-quarters of packaged foods in the U.S.

Although in recent years the general health effects from too much sugar have gained the spotlight, its effect on dental health has been known for decades. Accumulated sugar in the mouth is a prime food source for bacteria that cause tooth decay and gum disease.

For both general and oral health, people have been looking to artificial alternatives to satisfy their sweet tooth. But do they have their own issues that can impact overall health? Here is an overview of some of the more popular brands of artificial sweeteners and their effect on health.

Saccharin — One of the most widely used artificial sweeteners, saccharin is often used under the names Sweet’N Low or Sugar Twin in low-calorie foods because it contains no calories. According to the Food and Drug Administration (FDA) there are no associated health risks with consuming saccharin in recommended servings.

Aspartame — used commonly in beverages as Equal or NutraSweet, aspartame is unsuitable for cooking because its chemical structure breaks down under high heat. Although generally safe for consumption, it can affect people with a rare condition known as phenylketonuria that can’t adequately break down its chemicals.

Sucralose — marketed as Splenda, this sweetener is made by chemically altering refined table sugar so the body can’t process it. This may be one reason it has the most recognized natural flavor profile among consumers and is a market leader. It’s stable at high temperatures, so it’s often used in cooked or baked goods.

Stevia/Erythritol — this combination of an extract from the extremely sweet herb stevia and the sugar alcohol erythritol is marketed as Truvia. Unlike other calorie-free artificial sweeteners, this and other alcohol-based sweeteners have a low calorie level due to sugar alcohol’s characteristic of slow and incomplete absorption during digestion.

Xylitol — although all the previously mentioned sweeteners won’t promote bacterial growth like refined sugar, the sugar alcohol xylitol — often added to chewing gum and mints — has an added benefit: it may actually reduce levels of bacteria most likely to cause decay.

If you would like more information on the effect of sweeteners on dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Artificial Sweeteners.”