Health & Wellness - Jan 17

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JANUARY 2017: DENTAL HEALTH

CONTENTS

COLUMNS

INTEGRATIVE MEDICINE

Stress and Oral Health

HEARING

Two Hearing Aids or One?

FAMILY DOC

Dealing with Cold Sores

FAMILY VISION

Autism and Eyesight

FUNERAL PLANNING

Memorializing Loved Ones through

Life Celebrations

FOOD BITES

06

07

08

09

10

16

17

22

25

M A G A Z I N

FEATURES

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

Plenty of Products Promise Whiter Teeth

January 2017 & 5

STAFF

Angela S. Hoover

Jean Jeffers

Jamie Lober

Dr. Tom Miller

WRITERS

Charles Sebastian

Harleena Singh

Tanya J. Tyler (editor)

TaNiqua Ward, M.S.

COLUMNISTS/GUESTS

John A. Patterson MD, MSPH, FAAFP

MIND BODY STUDIO

Dr. Brewer

AUDIOLOGY ASSOCIATES

Dr. Wesley W. Johnson

FAMILY PRACTICE ASSOCIATES OF LEXINGTON, P.S.C.

Dr. Rick Graebe

FAMILY EYECARE ASSOCIATES AND VISION THERAPY

Kim Wade, Community Relations Director

MILWARD FUNERAL DIRECTORS

Howard D. Markowitz, MD

BLUEGRASS INJURY CARE CENTER

35

37

41

26

NATURE'S BEAUTY

Macadamia Nuts

NEWS MAKERS

Clips from Current Health News

INJURY CARE

Cervical Spine Injury during Auto Collision

DEPARTMENTS

Events Calendar

FROM THE

EDITOR

Dear Friends,

28

31

33

38

39

40

43

44

45

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

When Children Have Bad Breath

Take Care of Your Toothbrush

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

Tanya J. Tyler, Editor | Share your story:

editor@healthandwellnessmagazine.net

&

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,

Tanya

ROCK POINT PUBLISHING

Brian Lord / Publisher

Kim Blackburn / Sales Representative

Jennifer Lord / Customer Relations Specialist

Barry Lord / Sales Representative

Anastassia Zikkos / Sales Representative

Janet Roy / Graphic Designer

Health&Wellness is a proud product of

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distributed to over 90% of medical facilities,

including chiroprator’s, eye doctor’s and

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many restaurants throughout Central KY.

For advertising rates and to find out

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© 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

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be considered as a substitute for medical examination,

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6 & January 2017 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky

DENTAL HEALTH 101

An overview of trends and topics in dentistry

By Jamie Lober, Staff Writer

The 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

the eruption of the first tooth or 12

months of age, whichever comes first.

Good oral hygiene should be a priority

from birth. The AAP says before

teeth erupt, a baby’s gums and tongue

should be washed with a wet cloth

after feedings. Brushing should start

with a soft-bristled, small-head brush

with fluoride toothpaste in an amount

no larger than a grain of rice. After the

child is 3 years old,

you can increase

the amount to peasized.

While your

child may want to

take brushing into

his own hands,

the parent should

do the brushing

or assist the child

until he is 7 or 8

years old. As soon

as the surfaces of

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

If you do not

stay true to

your teeth,

they will

become false

to you.

between your teeth at least once a day

using interdental brushes or floss; and

changing your toothbrush every two

to three months. A toothpaste with

fluoride will strengthen tooth enamel,

which in turn helps fight decay.

The American Dental Association

says regular dental visits are important

because they can help spot dental

health problems early, when treatment

is likely to be simpler and more

affordable and

larger problems

can be prevented.

Some medical conditions

or diseases

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.

Pediatric Dentistry Has

Become a Specialty

Start caring for your children’s teeth from infancy

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

By Charles Sebastian, Staff Writer

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.

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

January 2017 & 7

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 (www.aha-now.com) and Web site,

www.harleenasingh.com. Connect with

her on Twitter, Facebook and Google+.

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The

Challenges

of Gum

Disease

PREVENTION IS IMPORTANT IF YOU

WANT TO SAVE YOUR SMILE

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 & 11

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 https://www.kyda.org. It has

a link to find a qualified dentist in

your area.

Sources and Resources

Kentucky Dental Association (2017)

Dental Information and Find a Dentist.

https://www.kyda.org/

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.

Even Superheroes

Need to Get Their

Vision Checked

Call

Today!

Schedule an appointment for:

Complete Eye Exam

Dry Eye Clinic

Low Vision

Visual Rehabilitation/ Therapy:

• eye alignment,

• reading difficulties,

• school performance,

• athletic performance,

• balance, and

• headaches

Dr. Graebe Dr. Callihan Dr. Swartzentruber

Family Eyecare Associates

105 Crossfield Drive, Versailles KY 40383

(859) 879-3665

www.myfamilyvision.com


INTEGRATIVE MEDICINE

–COLUMN PROVIDED BY–

Mind Body

Studio

859.373.0033 | www.mindbodystudio.org

517 Southland Drive, Lexington

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 professional

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 & 13

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.


• Stressed out? Your Dentist Can Tell

http://www.deltadentalins.com/oral_health/stressed_

out.html

• How stress affects your oral health

http://www.webmd.com/oral-health/healthy-teeth-2/

stress-teeth

• Dr. James Gordon, founder of the Center for Mind Body

Medicine guides a ‘soft belly meditation’

http://vimeo.com/37976492

• Zen master Thich Nhat Hanh’s ‘single pointed meditation’

led by Peg Baim of the Benson-Henry Institute for

Mind Body Medicine

http://www.youtube.com/watch?v=gAIYm6wpzw4

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

www.mindbodystudio.org.

Relax the body, quiet the

mind and open the heart

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

Mind Body Studio • 517 Southland Drive, Lexington, KY

www.mindbodystudio.org • Call to register: 859-373-0033

GET FIRST DIBS ON LIVING

LIFE TO ITS FULLEST.

People do better when they’re active, engaged, and in comfortable surroundings. It also

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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.”

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

Dry mouth is

likely due to

a decrease in

saliva.

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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Saturday mornings by appointment

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plimentary hearing consultation!

63.2958

y

st

t

HEARING


Lexington • 259 Southland Dr

859.963.2958 | kyhearing.com

259 Southland Drive, Lexington, KY

Other convenient locations:

Prestonsburg • 1428 N Lake Dr

Pikeville • 5425 N Mayo Trail, Ste 201

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

Two Hearing Aids or One?

By Dr. Brewer, Audiology Associates

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

OF PEOPLE WITH TINNITUS

90% 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.

January 2017 & 19

EYE HEALTH

VISION HELPS YOU IDENTIFY WHERE

A SOUND IS COMING FROM.

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.

SAFETY/BALANCE

PEOPLE WITH MILD

HEARING LOSS (25 dB) ARE

3

TIMES

more likely to have a

history of falling. Every

additional 10 decibels of

hearing loss increases the

chances of falling by 1.4.

HYPERTENSION

THERE IS A SIGNIFICANT

ASSOCIATION BETWEEN

HIGH BLOOD PRESSURE

AND UNTREATED

HEARING LOSS.

Hypertension can be an

accelerating factor of

hearing loss in older adults.

OBESITY

HIGHER BODY MASS INDEX

(BMI) AND LARGER WAIST

CIRCUMFERENCE ARE

ASSOCIATED WITH

INCREASED RISK OF

HEARING LOSS IN WOMEN.

OSTEOPOROSIS

HEALTHBEGINS WITH

A study linked osteoporosis and hearing

loss, theorizing that demineralization of

the three middle-ear bones may contribute

to a conductive hearing impairment.

TOTAL-BODY

BETTER HEARING

HEALTH

259 Soutland Dr • Lexington

859.277.0491

HEART HEALTH

THE INNER EAR IS EXTREMELY

SENSITIVE TO BLOOD FLOW.

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.

SMOKING

CURRENT SMOKERS HAVE

A 70% HIGHER RISK OF

HAVING HEARING LOSS

THAN NONSMOKERS.

DIABETES

HEARING LOSS IS TWICE AS COMMON

IN PEOPLE WITH DIABETES

COMPARED TO THOSE WITHOUT.

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.

OTOTOXICITY

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: www.betterhearing.org/hearingpedia. 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, ATA.org | www.mayoclinic.com/health/tinnitus/DS00365

© 2016 Audigy Group LLC. All rights reserved. 81705-820 2/15 POST3101-01-EE-AY

www.AGXhearing.com

APPOINTMENTS AVAILABLE WITH FPA PROVIDERS AT BOTH LOCATIONS

CHECK US OUT ON THE WEB

fpalex.com 859.278.5007



FAMILY DOC

1175 Alysheba Way, Lexington KY

859.278.5007 | fpalex.com

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.


DENTAL OFFICE PUTS EMPHASIS ON

Family

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

January 2017 & 23

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


FAMILY

DENTISTRY

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,

Dr. Takacs says.

“As dentists, we are the first to look

at the teeth, the tongue, the back of

the throat – we look at everything,”

she said. “With sleep apnea,

there are certain clinical

signs that may indicate

a patient has

some issues while

they sleep, so

we’re the first to

look at that and

make recommendations.”

After studying

a patient’s medical

history and having

him or her fill out

a sleep questionnaire,

Dr. Takacs

often recommends

a home screening.

A device measures

how well the

patient oxygenates

the blood while

asleep. Based on the

results, the patient

may be referred to a

Sleep dentistry is an

exciting field for me. It’s

like being a detective

while also doing the

dentistry I love.

— Dr. Takacs

sleep physician and may return to Dr.

Takacs to be fitted for an oral appliance

that treats sleep apnea.

“Sleep dentistry is an exciting field

for me,” Dr. Takacs said. “It’s like

being a detective while also

doing the dentistry I

love.”

RAPIDLY

EVOLVING

TECHNOLOGY

“Dental technology

is rapidly

evolving,” Dr.

Takacs says. New

developments give

patients better,

faster results and

greater comfort.

They allow the

office to be more

efficient and

accurate with individual

treatment

planning. Some of

these technologies

include CT scanners,

ultrasonic

scalers that break

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

3141 Beaumont Centre Circle, Suite 300

(859) 223-2120

Beaumont Family Dentistry

www.beaumontfamilydentistry.com

100 Trade Street, Suite 175

(859) 368-8260

2408 Sir Barton Way, Suite 225

(859) 687-0975

TMJ and Sleep Dentistry Center of

Central Kentucky, LLC

2408 Sir Barton Way, Suite 275

(859) 721-2072


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.

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.


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

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Behind Sportsman’s Warehouse

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NICHOLASVILLE RD

116 Marketplace Drive

In front of Walmart

(859) 899-2300

CHEVY CHASE

630 Euclid Ave. Suite 105

Next to Euclid Kroger

(859) 281-1218

events

JANUARY 2017


Ongoing

Al-Anon

Free support group for anyone

affected by someone else’s drinking.

Local meetings and information at

www.LexingtonAl-Anon.org 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 859-

373-0033. Full details at www.mindbodystudio.org/?page_id=1262

UK Wellness Program offers deep discount

for UK employees, retirees and

spouses.

Mondays

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 info@agelessyogastudio.com 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!

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 www.centeredlex.com or

call 859-721-1841

Tuesdays

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. www.centeredlex.com

Tuesdays

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 859-

233-9947; OR Peter and Robin Young

859-224-3388.

Tuesdays

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.

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.

Tuesdays & Thursdays

Free "How to Stay Young" Class

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@

gmail.com. 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.

www.lupusmidsouth.org

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 www.pflagcentralky.org For questions,

call 859-338-4393 or info@pflagcentralky.org.

*lesbian, gay, bisexual,

transgender, queer and questioning.

Wednesdays

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

RENT THIS CABIN

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CAMPING CABINS AND

PRIMITIVE CAMPSITES

ALSO AVAILABLE

Call or visit website for

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www.kentuckywildflowersllc.com

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 859-

373-0033. Full details at http://www.

mindbodystudio.org/?page_id=1055

Fridays

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 https://www.baptisthealth.com/

event/breastfeeding-101 or call

(859)260-6357.

EVENTS Continued on p.29


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.

Perinatal Loss Grief Group

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

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.

Center For Women’s Health

Center Classes

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 859-

260-8285. For cancer information 24 hours

a day, please call 1-800-ACS-2345 or go to

www.cancer.org.

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) 277-

2700 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 community

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.

Stop Smoking Class Series

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 www.grassrootsyoga.org.

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. 859-

225-4325. Free. Sponsored by the Lexington-

Fayette 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 circulation

and balance. To contact us, phone

502.614.6424 or e-mail kentucky@taoist.org.

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 www.yogahealthcenter.org.

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.

robertfueston.com. 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,info@jennifershawcoaching.com

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


When Children Have

Bad Breath

Halitosis can be embarrassing for youngsters


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 common

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

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.

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.

babymoonlex.com 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 859-

288-2347.

January 19

Breastfeeding Basics Class

7-8:30 pm, Babies R Us, Hamburg

Pavilion, Lexington. Free class for

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.

January 24

Health Chats about Diabetes

4-5 pm, Nathaniel Mission, 1109

Versailles Rd, Suite 400. Free.

Sponsored by the Lexington-

Fayette Co. Health Dept.. For more

information, call (859) 288-2446.

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:

brian@rockpointpublishing.com

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FAMILY VISION


Family Eyecare Associates

105 Crossfield Drive, Versailles, KY 40383

859.879.3665 | www.myfamilyvision.com

www.kentuckyvisiontherapy.com

Autism and Eyesight:

PRISMS HELP GET SYSTEMS IN SYNC

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 – selfstimulatory

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.


Take Care of Your

Toothbrush

STORE PROPERLY, SANITIZE SAFELY


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

Never share

or lend your

toothbrush.

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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FUNERAL

Downtown: 159 North Broadway | 859.252.3411

Southland: 391 Southland Drive | 859.276.1415

Man O'War: 1509 Trent Boulevard | 859.272.3414

www.milwardfuneral.com

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, videos

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 marketing@milwardfuneral.com or

859-252-3411.


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.”


F OD BITES

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 minutes,

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

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.

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.


NATURE’S

BEAUTY

Macadamia Nuts

Say g’day or aloha to a tasty treat

By Tanya Tyler,

Editor/Writer

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.


“With Today’s Breakthroughs,

You No Longer Have To Live With

Type 2 Diabetes, Obesity or Hypertension!"

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?

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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?

MIKE MULLINS, BEFORE

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

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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.


Cavities Are Contagious

Mothers with cavities can transmit caries-producing

oral bacteria to their babies when they clean pacifiers

by sticking them in their own mouths or by sharing

spoons, according to Liliana Rozo, D.D.S., professor at

University of Louisville School of Dentistry.

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.”


Diabetes and Dental Health

Majority of people with diabetes also

have periodontal disease

Diabetes

is linked to

increased periodontal

disease,

tooth decay

and tooth loss. Periodontal disease

is a chronic bacterial infection that

affects the gum and bone supporting

the teeth. It begins when the bacteria

in plaque causes the gums to become

inflamed. It is a serious infection

that, if left untreated, leads to tooth

loss. For diabetic patients, it can be

life threatening. People with diabetes

are more likely to have periodontal

disease than others; more than 70

percent of diabetic patients also have

periodontal disease. This is probably

because diabetics are more susceptible

to infections.

Research suggests the link goes

both ways: Periodontal disease may

make it more difficult to control


blood sugar and uncontrolled blood

sugar can make it more difficult to

eliminate periodontal disease. Severe

periodontal

disease can

increase blood

sugar. Research

has shown that

after treating

periodontal

disease, it is

easier to manage

a patient’s diabetes.

Diabetes

increases the

likelihood of

tooth decay.

“In diabetic

patients, due to

the slow glucose

metabolism rate and low immunity,

a high glucose level in saliva leads to

People with

diabetes are

more likely to

have periodontal

disease than

others.

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

fight infections. Therefore, the sugar

level goes up further, posing a risk

to diabetic patients. Once the sugar

level comes down, the swollen gums

become normal.”

A recent study from the University

of Buffalo School of Dental

Medicine showed people with diabetes

were more than twice as likely to

lose all their teeth than people without

diabetes.

A cohort study

from 1971 to

2012 found this

risk is highest

in non-Hispanic

blacks.

Oral Care

for People with

Diabetes

Regular oral

hygiene and visits

to the dentist

are imperative

for people

with diabetes.

Teeth should be

brushed at least

twice daily with a soft brush. When

possible, brush them about 30 minutes

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.


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.

Oral Cancer Needs YOUR

Immediate Attention

Be aware of common symptoms

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). oralcancerfoundation.org

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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The Benefits of Brushing Your Teeth

A GREAT SMILE STARTS WITH TAKING CARE OF YOUR TEETH

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.


Select a toothpaste that

contains fluoride, which

helps prevent cavities.

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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INJURY CARE

1019 Majestic Dr. Ste. 160, Lexington, KY 40513

859.523.6797 | www.bluegrasspersonalinjury.com

Cervical Spine Injury

DURING AUTO COLLISION

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 extremeby

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

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.


Fear of the Dentist

Dentophobia could be inherited


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.”


(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

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 & 45

Dental Breakthroughs

From glass fillings to nanocomposites,

innovations loom in dentistry


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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month. Be on the lookout for these upcoming

2017 featured topics:

FEB MENTAL HEALTH

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Q: How many Central Kentuckians read

Health&Wellness Magazine every month?

A: 75,000

Health&Wellness Magazine can be found in 20 central Kentucky

counties and is distributed to over 90% of medical facilities,

including chiroprator, eye doctor and dentist offices. Readers can

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