★Treating sleep problems can eliminate attention and hyperactivity issues for some children.★

ADHD and Sleep Apnea are often misdiagnosed. The symptoms are so similar. Have your child evaluated for possible Sleep Apnea to ensure the proper diagnosis and treatment.

ADHD (Attention Deficit Hyperactivity Disorder) is linked with a variety of sleep problems. For example, one recent study found that children with ADHD had higher rates of daytime sleepiness than children without ADHD. Another study found that 50% of children with ADHD had signs of sleep disordered breathing, compared to only 22% of children without ADHD. Research also suggests that restless legs syndrome and periodic leg movement syndrome are also common in children with ADHD.

5-7-14 adhd

Sleep Apnea can affect school performance. One recent study suggests that some kids diagnosed with ADHD actually have attention problems in school because of disrupted sleep patterns caused by obstructive sleep apnea.

A common type of apnea in children, obstructive apnea (OSA), is caused by an obstruction of the airway (such as enlarged tonsils and adenoids). This is most likely to happen during sleep because that’s when the soft tissue at back of the throat is most relaxed. As many as 1% to 3% of otherwise healthy preschool-age kids have obstructive apnea. Enlarged tonsils and adenoids are the most common causes of sleep apnea in children.

Attention deficit/hyperactivity disorder (ADHD) is a term used to describe hyperactivity, inattentiveness, and/or impulsivity. It is a common condition that begins in childhood and may persist into adulthood. Children with ADHD typically have trouble sitting still, staying focused, and/or controlling their behavior and emotions, which can lead to lower social skills, isolation, dependence, and poor performance in school. For this reason, children with ADHD often require special attention from parents, teachers, school systems and healthcare and mental health professionals in order to succeed.

In general, sleep deprivation is a problem among children in America. According to NSF’s Sleep in America poll, more than two-thirds of children experience one or more sleep problems at least a few nights a week. For children with ADHD, poor sleep (too little sleep or symptoms of sleep disorders) may profoundly impact ADHD symptoms. In fact, one study found that treating sleep problems may be enough to eliminate attention and hyperactivity issues for some children.

12-10-13 EC FRENCH Q

 

Keep your child healthy and beautiful

If you suspect that your child has sleep apnea, call your doctor. Search for a dentist or physician who is trained and certified in the screening and treatment of Sleep Apnea. Although prolonged pauses in breathing can be serious, after a doctor does a complete evaluation and a diagnosis is made, most cases of apnea can be treated or managed.

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Excerpted from these Sources:

National Sleep Foundation

Mayo Clinic

WebMD

Kids Health

Lana B. Patitucci, D.O.  Board Certified Otolaryngologist at The Pennsylvania Snoring and Sleep Institute

Are you sleeping soundly or sleeping with sound?

3-6-12 SPRING FORWARD

National Sleep Awareness Week, March 3 through March 10, ends with Daylight Saving Time on Sunday midnight, March 10. We “Spring forward” and lose an hour of sleep. Are you going to get to bed one hour earlier?

Are you sleeping soundly or sleeping with sound?

1-29-13  SNORING

 

GEORGE WASHINGTON’S DENTURES WERE MADE OF…?

HAPPY BIRTHDAY,  President Washington! 

280 years old   February 22, 1732-2012

Dentistry has come a long way.

There must be dozens of portraits of George Washington. I have never seen any with him smiling. Those darn Hippo dentures with the spring openers must have been painful.

Light from a red laser scans a resin reproduction of the 1789 lower denture originally carved from Hippopatamus ivory for George Washington.
 
Here’s a fascinating article by Michelle Keib about George’s oral condition:

Was the throat infection that took George Washington’s life caused by colonies of bacteria that grew in his world famous dentures?

By all reports Washington was a very athletic, strapping man who was taller, (at 6’ 2 ½”,) larger, and stronger than the average countryman of his time. So how is it that, at the age of 67, he became ill and died in only 3 days? Let’s take a look at that question.

George Washington’s suffered from both dental problems and various illnesses in his younger life. He lost his first adult tooth at the young age of 22. By the time he became President, in 1789, at age 57, he had only one tooth remaining, despite daily brushing, use of dentifrice, and mouthwash. At his inauguration, Washington was wearing a full set of dentures which were attached to his final tooth.
Modern historians suggest that mercury oxide, which he was given to treat illnesses such as smallpox and malaria, probably contributed to his tooth loss. He suffered from headache, fever, and severe muscle and joint pain. Over the ensuing years there were attacks of malaria, flu, and rheumatic complaints. Combined with what were most likely genetically poor teeth, and the stress of being Commander of the Continental Army caused constant unrelieved toothaches. In some instances, one cannot help but wonder if his teeth might have been the source of the chronic infections he suffered. His dental and health problems were intertwined. Were there abscessed partial roots still present? His diaries contain multiple references to dental pain.
Washington had frequent dental problems during his tenure as commanding general of the Continental Army. A famous painting of Washington in 1779 shows a scar on his left cheek, believed to be the result of a badly abscessed tooth. One correspondence from Washington to a dentist in 1783 was a request for material to take an impression of his mouth. He would then send the impression back to the dentist for a denture to be made. Washington was treated by no fewer than eight prominent dentists who practiced in colonial America, but his favorite was Dr. John Greenwood.
Dr. Greenwood’s dentures had a base of hippopotamus ivory carved to fit the gums. The upper denture had ivory teeth and the lower plate consisted of eight human teeth fastened by gold pivots that screwed into the base. The set was secured in his mouth by spiral springs. The upper and lower gold plates were connected by springs which pushed the upper and lower plates against the upper and lower ridges of his mouth to hold them in place. Washington actually had to actively close his jaws tightly to make his teeth bite together.
Washington complained to Greenwood about discoloring of his dentures. Dr. Greenwood suggested that Washington refrain from soak his dentures in Port wine and minimize his drinking of wine entirely while wearing his dentures. Had there been a product like SonicBrite in the late 1700’s, the President certainly wouldn’t have had to remove his dentures to enjoy his favorite wine.
His final dentures were made in 1798, the year before he died. This set had a swaged gold plate with individual backing for each tooth and was fastened together by rivets. Today, the lower denture is on display in the National Museum of Dentistry in Baltimore, and another the set was donated to the University of Maryland Dental School in Baltimore, the oldest dental college in the world.

KNOCK KNOCK! It’s a New Patient….

Do you hear that sound? That’s more than your phone ringing- that’s OPPORTUNITY knocking at your door.
 
The way your telephone is answered often determines whether the caller will take the next step and schedule an appointment……. or not.
 
How important is that first contact that a patient has with your office? In four (4) seconds a caller will determine if she/he likes YOU, if YOU are friendly, if YOUR office is professional, if she/he will have fun… or fear, if she/he is making the correct choice. All the greatness in skill and service you offer will be judged by the caller in the first contact with the person who answers the telephone for you. Your entire image, and all you worked to achieve, will be projected there and then. YOU are reflected in her/his image.
It should be pre-determined whose job it is to be the first person to answer the telephone, and when that’s not possible, who’s next and so on. Any team member that can answer the phone must be trained in the telephone protocol of the dental practice. Give them the training! And make that “phantom call” every once in a while to hear what your patient hears.
 An office has to have a “script” for answering the telephone. Whomever does answer the phone must follow the practice’s telephone protocol.
 

Here is a complete, professional, and friendly protocol:

1. The Welcome (Make it fun, unique, and memorable.)
2. Identify the Office (Office name and doctor(s))
3. Identify the Speaker (Sound like you are happy and excited to take the call.)
4. Call to Action
 
And here is a simple example you can adapt (customize):
“It’s a great day here at Dr. Smiths’ ‘Healthy Smiles’.
This is Susan; how may I help you today?”
 
This seems so obvious that you may wonder why I bother to post this. I post this because nine out of ten dental offices I call still answer with something as mundane as, “Doctor’s Office”.
 
THE NEXT STEP
1. “Would you spell your name for me please?”
2. "In case we get disconnected may I have your phone number?"
 After giving you this information, a rapport will be established and the caller will feel engaged.
 3. "Which one of our patients referred you?" (Useful information and a subliminal promotion.)
“That’s great! They’re one of our favorites. We’ll have to thank them.'"
We ask that question because so many of our patients are referred by others." "We hope you will be doing that, too."
 
 4. Ask the REASON FOR THE CALL
  "Are you seeing us to establish a new relationship or do you have a specific concern or problem?" 

5. Get the INSURANCE INFORMATION

 6. Get any Needed MEDICAL INFORMATION

"Is there anything in your medical history that would influence your dental treatment?"
 
7. End the call on a high note, telling the patient how excited you are to meet them.
 
No matter how "busy" you may be, there will always be enough time to create a great memorable FIRST IMPRESSION.
 

ALL HEALTH CARE PERSONNEL RECOMMENDED TO HAVE FLU VACCINE.

 

The Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee recommend that all U.S. health care personnel (HCP) be vaccinated annually against influenza. (*)

 

Three reasons for Healthcare Personnel (HCP) to get vaccinated against Flu:

1. It reduces transmission of flu among HCP, their families and their patients.
2. It reduces HCP absenteeism by 22-52%.
3. It decreases long-term care facility patient flu mortality by 42-44%.

 Three ways for Healthcare Facilities can increase HCP Flu vaccination rates:

1. Offer free vaccination onsite.
2. Personally remind employees to get vaccinated.
3. Require employees to get vaccinated.

 

The flu season usually runs from November through March. Some years, cases continue into April and May. For the last 25 years, the heaviest flu activity has occurred in February.

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Influenza viruses can cause disease among people of any age, but rates of infection are highest among children. Serious illness and death are highest among persons ages 65 or older, and children ages 2 and younger. People of any age with certain medical conditions (e.g., congestive heart failure, asthma, diabetes), or who live in some type of long-term care facility are at risk for serious complications.

Experts agree that hand-washing can help prevent viral infections, including ordinary influenza and the swine flu virus. Also not touching your eyes, nose or mouth with your hands helps to prevent the flu.  Influenza can spread in coughs or sneezes, but an increasing body of evidence shows small droplets containing the virus can linger on tabletops, telephones and other surfaces and be transferred via the fingers to the eyes, nose or mouth.

In all cases, please consult with your physician to determine which vaccine will be best suited for you.

 

(*) Reference

CDC. Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR 2006;55(No. RR-2).

SAVE YOUR WISDOM TEETH- You may need them later!

Scientists in Japan have been successfully harvesting stem cells from wisdom teeth. This is of great clinical importance, as wisdom tooth extractions are a relatively common type of oral surgery. Patients who have their wisdom teeth removed are currently able to opt to have stem cells from those teeth isolated and saved, in case they should ever need the cells.

It will be welcomed by many who argue against the ethics of using embryonic stem cells. The breakthrough is significant because it avoids the ethical problem of using embryonic stem cells – wisdom teeth are usually thrown away – and it is easy to stock wisdom teeth.

Having such a plentiful source of donors means scientists could produce stem cells with a range of genetic codes, increasing the chance that a patient’s immune system will not reject the transplanted tissue or organ.

Scientists at Japan’s National Institute of Advanced Industrial Science and Technology said they used wisdom teeth that had been frozen for three years after being removed from a 10-year-old girl.

In addition to this, Dentistry.co.uk recently reported on the use of baby teeth as a source of stem cells by a UK company.

Wisdom teeth can be transplanted to replace lost molars. Rejection applies to teeth just like it does to other body tissue and donor trials so far have been unsuccessful.

A wisdom tooth, in humans, is any of the usually 4 third molars. Wisdom teeth usually appear between the ages of 17 and 25. About 35% of the population do not develop wisdom teeth at all.

 

In the radiograph above the lower left wisdom tooth is horizontally impacted. The lower right wisdom tooth is vertically impacted.
 
Wisdom teeth are extracted for two general reasons: either the wisdom teeth have already become impacted, or the wisdom teeth could potentially become problematic if not extracted. Potential problems caused by the presence of properly grown-in wisdom teeth include infections caused by food particles easily trapped in the jaw area behind the wisdom teeth where regular brushing and flossing is difficult and ineffective. Such infections may be frequent, and cause considerable pain and medical danger. Other reasons wisdom teeth are removed include misalignment which rubs up against the tongue or cheek causing pain, potential crowding or malocclusion of the remaining teeth (a result of there being not enough room on the jaw or in the mouth), as well as orthodontics.

Interesting fact. Agenesis (The failure of an organ to develop during embryonic growth and development) of wisdom teeth in human populations ranges from practically zero in Tasmanian Aborigines to nearly 100% in indigenous Mexicans.   (Lucky Mexicans!)  The difference is related to the PAX9 gene.

The FLU season is here. INNOCULATE NOW!

The flu season usually runs from November through March. Some years, cases continue into April and May. For the last 25 years, the heaviest flu activity has occurred in February.

Each year in the United States, on average, 5 to 20 percent of the population gets the flu. More than 250,000 people require hospitalization while about 36,000 die.

Influenza viruses can cause disease among people of any age, but rates of infection are highest among children. Serious illness and death are highest among persons ages 65 or older, and children ages 2 and younger. People of any age with certain medical conditions (e.g., congestive heart failure, asthma, diabetes), or who live in some type of long-term care facility are at risk for serious complications.

There are two types of influenza vaccine. The trivalent inactivated (killed) influenza vaccine, or TIV, may be used on any person age 6 months or older. This flu shot, an injection into muscle, usually is in the upper arm. The other is a live, attenuated (weakened) influenza vaccine, or LAIV, which is sprayed into the nostrils.

For most people, vaccination will prevent serious influenza-related illnesses. Vaccination will not prevent “flu-like” illnesses caused by other viruses. It takes two weeks for protection to develop after vaccination. So, vaccine that is given early in the flu season will provide a longer period of protection. Influenza vaccines can reduce infection in 70 to 90 percent of healthy adults under the age of 65.
  
Experts agree that hand-washing can help prevent viral infections, including ordinary influenza and the swine flu virus. Also not touching your eyes, nose or mouth with your hands helps to prevent the flu.Influenza can spread in coughs or sneezes, but an increasing body of evidence shows small droplets containing the virus can linger on tabletops, telephones and other surfaces and be transferred via the fingers to the eyes, nose or mouth.
 
In all cases, please consult with your physician to determine which vaccine will be best suited for you.
 

BLACKEN YOUR TEETH WITH SUGAR

About the time of Henry VIII–when they first got easy access to it–the British were really enjoying their sugar. They put it on everything, from eggs to meat to wine. Even though sugar was expensive, they consumed it until their teeth turned black, and if their teeth didn’t turn black naturally, they blackened them artificially to show how wealthy and marvelously self-indulgent they were.

DO WE HAVE TOO MANY DENTAL HYGIENISTS?

 

A Hygienist/Staffing Specialist in Cleveland/Akron, Ohio posed this question on LinkedIn to the American Dental Education Association: “…why are schools graduating so many Dental Hygienists in a field that is very saturated, with little chance of job opportunities for these new Dental Hygiene grads? “

We also interested in hearing the answer. Here in south Florida there is a plethora of well trained, dedicated Hygienists who are working part-time for Staffing Agencies, as clinical assistants, and in other industries because there are not enough opportunities in dental offices. My colleagues in Philadelphia and southern California tell me the situation is similar there.

Do you find this to be the case in YOUR area?

From The Bureau of Labor Statistics:
Job prospects are expected to be favorable in most areas, but will vary by geographical location. Because graduates are permitted to practice only in the State in which they are licensed, hygienists wishing to practice in areas that have an abundance of dental hygiene programs may experience strong competition for jobs.

Projection data from the National Employment Matrix Occupation:
Dental hygienists

174,100 2008
237,000 2018
36% increase

ARE SILVER AMALGAM FILLINGS SAFE?

ARE SILVER AMALGAM FILLINGS SAFE?
Many dentists still use them, while others would not even consider them. WHAT IS YOUR OPINION ON THIS CONTROVERSIAL ISSUE?
 
Here’s a study by Catherine Hughes and published by Jim Du Moran. Read the comment by the American Dental Association.