All things considered, we may as well assert that Tadalafil can and Tadalafil Buy will tadalafil buy One other unique Cialis advantages that make your Cialis regimen much cheap cialis canada Much of the hang-ups concerning the endorsement of ordering cialis online Particular drugs like Viagra, Cialis etc. can help you buying cialis So, in case you are enduring from on account of blood pressure Buy Tadalafil Online that buy tadalafil online Will there be room for every one of these medications in the Buy Cialis 60mg buy cialis 60mg Erection dysfunction or ED is a difficulty related buying generic cialis Tadalafil, the key element in Cialis works by curbing an Buy Cialis Usa enzyme called PDE5 seen mainly buy cialis usa In case of a man with ed this process will not happen. And as this process cheap cialis pills Sadly it seems that for a high number of men, discount cialis online

Is your highschooler Juuling?

Juul

 

Believe me it is hard to keep up with all the things our kids face on a daily basis!  The other day I was reading one of my dental journals and they were discussing “Juuling”- I had no idea what this was and was surprised to learn it is a new form of vaping.  The problem with “Juuling” is that it typically has twice the amount of nicotine than similar devices.

  • Studies indicate that nicotine does cause recession of the gums. Because it reduces that blood flow that passes through the veins, nicotine helps to deprive the gums of crucial nutrients and oxygen necessary for optimal health. Over time, that can cause gum tissue to wither and die.
  • There is also evidence that nicotine can be a contributing factor in conditions like periodontitis and gingivitis..
  • Dentists have also complained that nicotine delivery via vaping may be masking many of the symptoms that they would otherwise use to identify the presence of gum disease in their patients. That’s due to that reduced flow of blood and the fact that gum disease’s most obvious symptom is the increased presence of blood in the gums. By suppressing that symptom, some patients may not get the early detection they need.
  • Nicotine has also been identified as a muscle stimulant, which can cause teeth grinders to intensify that harmful activity.
  • Although not necessarily relevant to oral hygiene, smoking is obviously related to coughing, known as smokers cough.

Studies are also showing that “Juuling” is more addictive when started at an early age.  We suggest talking to your kids about this new trend and we would be happy to address any concerns you may have- just give us a call!

I want a smile like Meghan Markles!

Meghan Markle

 

Royal wedding buzz is in full force with the upcoming nuptials of Harry and Meghan!  What are we hearing in our office, I want a smile like Meghan’s!  Everyone is fascinated with her beautiful natural smile, perfect color, shape and sized teeth- just sheer perfection.  So how do you go about creating this fabulous smile?  Finding a skilled cosmetic dentist, like Dr. Mullaney, is the first step.

A smile is a unique expression of a person.  There are a lot of factors that will affect how the final results will look.  Dr. Mullaney can give you a stunning smile, but whether or not it will look exactly like Meghan’s depends on a lot of things- some of them include:

  • Your face shape
  • Your jawbone structure
  • Your gumline
  • The condition of your teeth
  • Your lip shape

Your smile is much more than the shape and color of your teeth.

So how do you get to a beautiful Meghan like smile?  There are several things that may be considered to get you to your perfect smile, for example, you may need orthodontic treatment, do you have teeth that need to be replaced, are your teeth uneven?  These are all things Dr. Mullaney will discuss with you in the planning of your perfect smile.

We would love to discuss your smile and how we can enhance it- call our office now to schedule an appointment with one of the areas premier cosmetic dentists.  703-835-9251

Ovi’s Missing Tooth – the story of a Guard!

Ovi teeth

LET’S GO CAPS!!  Another playoff season is upon us in the DC area as the Cap’s battle for the Stanley Cup.  Alex Ovechkin lost his front tooth to a high stick he took in a game against the Atlanta Thrashers in 2007- hopefully no teeth will be lost in this series with any players.  How do these guys protect their teeth, with a sports guard!  Now these guards can’t prevent all accidents but it is the best way to try and keep your teeth safe while playing sports.  Another type of guard that people don’t give much though to is a night guard.  So many of us in the area have stressful jobs, horrible commutes etc and were does this stress come out- night time grinding of your teeth.  Most people don’t even know they are grinding at night, some people have symptoms of jaw pain or headaches when they wake up in the morning but don’t really know why.  We can see many signs of grinding when you come in for your visits.  A guard made specifically for night time grinding is a must if you want to save your teeth from this wear, just like athletes use them to save their teeth from sports accidents.  We would be happy to review the benefits of our guard at your next visit!  Call us NOW for an appointment- 703-548-8584- you will be glad you did and so will your teeth!

Patient Appreciation Party- Come Celebrate

Patient Appreciation Party
Patient Appreciation Party

 

Join us Thursday, April 19th from 6pm- 8:30 for our annual Patient Appreciation Party!  This is a night to celebrate you and we have lots of fun things planned for you.  Bring a family member or friend and be eligible to spin our prize wheel-you know we always have good prizes!  We will also have Donnell back doing seated massage again to relax you.  Magic Mike will be back with his card tricks and magic- he is sure to bring you a laugh!  We will have plenty of lite bites and wine for everyone, so don’t miss the party of the year!

Please RSVP by April 16th to 703-548-8584- we look forward to seeing you!

HPV- Men and Oral Cancer- the link

This is a very informative article written by Marie McCullough of Philly News- we think it is well worth the read!

Five years ago, when actor Michael Douglas candidly revealed that his throat cancer was linked to having oral sex, two things happened.

He made headlines that mortified his family. And he helped publicize the fact that a pervasive, sexually transmitted virus called HPV was unleashing an epidemic of oral cancer among men.

Since then, scientists have made headway in figuring out why HPV, the human papillomavirus, has this glaring gender bias. Men are four times more likely than women to be diagnosed with oral cancer, a hard-to-detect, hard-to-treat disease that has overtaken cervical cancer as the most common HPV-related malignancy in the United States.

To be sure, changes in sexual norms over the last few generations have played a role in this alarming trend. But research increasingly shows the real problem is something men have practically no control over: their immune response.

Compared with women, men are more likely to get infected with HPV — including “high-risk” cancer-causing strains. They also are less able to wipe out infection on their own, and more likely to get reinfected. The reasons are unclear.

 

“There is good evidence that men acquire oral infections more readily than women, even if they have similar sex practices,” said Ashish A. Deshmukh, a University of Florida HPV researcher.  “And more than the acquisition, it’s the persistence of the virus. The clearance rate is not that fast in men.”

Michael Becker of Yardley has stepped up as the face of this immunological inequity. The 49-year-old former biotech executive is health-conscious, clean-living, happily married for 26 years – and battling terminal oropharyngeal cancer, the medical term for malignancies in parts of the mouth and throat.

He’s also battling the misconceptions and ignorance that keep too many parents from protecting their pubescent children — especially boys — against HPV-driven cancers. Two shots. That’s all it takes for the leading vaccine, Gardasil, to prevent most cervical cancers, less common genital malignancies, and the disease that is killing Becker.

“I can’t tell you how many emails I got from parents after the CBS segment,” he said, referring to a national television interview last month. “They said, ‘What do you mean this vaccine is for boys?’ and ‘What do you mean oral cancer incidence has eclipsed cervical cancer?’ ”

An inescapable virus

HPV is a family of more than 100 virus types that can live in the flat, thin cells on the surface of the skin, cervix, vagina, anus, vulva, penis, mouth, and throat.

The virus is spread through contact with infected skin, mucous membranes, and bodily fluids. Some types can be passed during intercourse or — as Douglas pointed out — oral sex.

While virtually all sexually active people will get infected at some point, the virus is usually wiped out by the immune system without so much as a symptom.

But not always.

In the cervix, persistent infection with high-risk HPV types can lead to precancerous changes that, left alone, slowly turn malignant. Fortunately, the Pap smear enables the detection and removal of abnormal cells before cancer develops. What’s more, age-related changes in cervical cells reduce the risk that HPV will take hold there as women get older.

No such screening test exists for oropharyngeal sites – the tongue, soft palate, tonsils, the throat behind the nasal cavity – and symptoms usually don’t appear until cancer is advanced. Becker, for example, had metastatic disease by the time he noticed a lump under his jaw line in late 2015.

Traditionally, smoking and heavy alcohol use are the big risk factors for oral cancer, but the non-HPV tumors linked to these bad habits have been declining in recent years.

HPV-related tumors, in contrast, have increased more than 300 percent over the last 20 years. The virus is now found in 70 percent of all new oral cancers.

About 13,200 new HPV oral cancers are diagnosed in U.S. men each year, compared with 3,200 in women, according to federal data. Treatment — surgery, chemotherapy, radiation — can have disfiguring, disabling side effects. About half of late-stage patients die within five years.

Natural defenses go awry

Oral HPV infection rates are skewed by gender, just like the resulting cancers. The latest national estimates of this disparity, published in October, come from Deshmukh and his University of Florida colleagues. They used a federal health survey that collected DNA specimens to estimate that 7.3 percent of men and 1.4 percent of women have oral infections with high-risk HPV types. That translates to 7 million men and 1.4 million women.

The chance of oral infection increases for women as well as men who have simultaneous genital HPV infections or a history of many sex partners, but male infection rates still far surpass female rates.

Patti Gravitt, an HPV researcher at George Washington University, believes these estimates are a bit oversimplified because women counted as uninfected may actually have undetectably low virus levels, or HPV may be hiding in a dormant state in their cells.

Still, Gravitt said the study is in line with others that suggest “men are more susceptible to HPV viral infection than women.”

In women, an HPV infection usually sets off the body’s defense mechanisms. The immune system makes antibodies that kill off the invader, then immune cells remain on guard, ready to attack if the virus reappears.

But in men, something goes awry. The HIM study — for HPV in Men — documented this by collecting genital, anal, and oral samples from 4,100 unvaccinated men in Florida, Mexico and Brazil between 2005 and 2009. The samples were tested for the presence of two high-risk HPV types and two that cause genital warts.

Among 384 men who developed infections during a 24-month period, only 8 percent produced antibodies. But this response rate varied depending on the site of infection; none of the small number of orally infected men produced antibodies.

Rather than putting the immune system on guard and protecting men from the virus, infection sharply increased the chance of getting infected again with the exact same HPV type. And many men who got reinfected were celibate at the time.

 

How could this be? Anna R. Giuliano, the researcher at the Moffitt Cancer Center in Tampa, Fla., who led the HIM study, said recurring infections may be due to reactivation of dormant virus, or to auto-inoculation – the man spreads infection from one part of his body to another. Or to something else entirely.

While the scientific understanding of this puzzle is evolving, one implication is clear. “HPV vaccination is the only reliable method to ensure immune protection against new HPV infections and subsequent disease in males,” Giuliano and her co-authors declared in a recent paper.

Becker hammers that message – when he is not being hammered by chemotherapy – using his self-published memoir and his blog. This week’s blog gave a shout-out to Sunday’s first-ever International HPV Awareness Day, declared by Giuliano and other members of the International Papillomavirus Society.

Christine Monahan for BioNJ

Michael Becker and his wife, Lorie, joined “Good Morning America” anchor Robin Roberts, a two-time cancer survivor, at a recent event.

 

Becker realizes that the novelty of the vaccine, the complexity of HPV, and its link to sex are obstacles to immunization. But he focuses on the life-saving aspect.

“Parents are being asked to vaccinate their 11-year-old child and they can’t imagine 30 or 40 years down the line, it will prevent cancer,” Becker said. “If you don’t know it’s connected to six cancers, you’re not going to care. So it really should be cast as an anti-cancer vaccine.”

Staff writer Marie McCullough with Philly News.com

New advanced service for our patients- Laser Bacterial Reduction

Our team is constantly learning and striving to advance the standard of patient care in our office.  As such we have recently added a new procedure to help fight periodontal disease, laser bacterial reduction(LBR).

Understanding of periodontal disease has increased greatly over the last few years, and we know that this disease is a bacterial infection in the gum tissues around the teeth.  We now not only treat periodontal disease with the removal of mechanical irritants and disease tissue with your periodontal cleanings, but are also addressing the underlying infection that causes it with LBR.  We recommend that our periodontal patients have their teeth and gums decontaminated with the diode laser during their cleaning appointments for three major reasons:

  1. To reduce or eliminate bacteria from your mouth getting into your blood stream
  2. To prevent cross contamination of infection in one area of your mouth to other areas
  3. To kill periodontal disease bacteria and stop the infection before they cause physical destruction or loss of bony support around your teeth.

The laser bacterial reduction (LBR) process is painless and normally takes about 5-10 minutes. We highly recommend you take advantage of this service at your next visit.

Can I chew gum?

Many of our patients ask if they can chew gum and the answer is yes, as long as it is one with the ADA seal.  When you are short on time and can’t brush after a meal chewing gum can help to rid teeth of debris by increased salivary flow in the mouth.  There are 2 catches, it must be a sugar free gum that is ADA approved and we recommend chewing no longer than 20-30 minutes.  Why only 20-30 minutes you gum lovers ask- well many times the acting of chewing gum can make issues with TMJ flare up by the increased movement of your jaw.
A company earns the ADA Seal of Acceptance by producing scientific evidence that demonstrates the safety and efficacy of its product, which the ADA Council on Scientific Affairs carefully evaluates according to objective requirements- so chew away, sparingly!orbit

Diabetes and Your Smile

 

Blood sugar monitor for someone with diabetes

By Laura Martin, Case Western Reserve University School of Dental Medicine

Did you know that 29.1 million people living in the United States have diabetes? That’s 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year—and 8.1 million people living with diabetes don’t even know they have it.

Diabetes affects your body’s ability to process sugar. All food you eat is turned to sugar and used for energy. In Type I diabetes, the body doesn’t make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In Type II diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body.

So what does this have to do with that smile of yours — and how can you protect it? First, it’s important to understand the signs of diabetes and the roles they play in your mouth.

The Symptoms of Untreated Diabetes

The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low.

If diabetes is left untreated, it can take a toll on your mouth as well. Here’s how:

  • You may have less saliva, causing your mouth to feel dry. (Dry mouth is also caused by certain medications.)
  • Because saliva protects your teeth, you’re also at a higher risk of cavities.
  • Gums may become inflamed and bleed often (gingivitis).
  • You may have problems tasting food.
  • You may experience delayed wound healing.
  • You may be susceptible to infections inside of your mouth.
  • For children with diabetes, teeth may erupt at an age earlier than is typical.

Why People with Diabetes Are More Prone to Gum Disease

All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.

Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems.  In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

How Your Dentist Can Help You Fight Diabetes

Regular dental visits are important. Research suggests that treating gum disease can help improve blood sugar control in patients living with diabetes, decreasing the progression of the disease. Practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your HbA1c. (This is a lab test that shows your average level of blood sugar over the previous three months. It indicates how well you are controlling your diabetes.)

Your Diabetes Dental Health Action Plan

Teamwork involving self-care and professional care from your dentist will be beneficial in keeping your healthy smile as well as potentially slowing progression of diabetes. Here are five oral health-related things you can do to for optimal wellness:

Download this helpful infographic to learn more:

 

This article is reposted from the ADA

Hookah’s Not As Safe AS You May Think

vapor_pen

Many Hookah and Vapor Smokers believe that they are safer using these methods than traditional cigarettes- however in recent research and articles published by the JADA- Journal of the American Dental Association, this type of “smoking” is just as bad if not worse- here is a recent excerpt from an article published this past fall…

We found that waterpipe smoking is associated with serious health problems affecting the head and neck region,” said study author Teja Munshi, B.D.S., M.P.H of Rutgers University. “The public needs to know they are putting themselves at risk. They should be made aware of the dangers of smoking hookahs.”

The authors conducted a literature review that focused on waterpipe smoking and head and neck conditions. They found waterpipe smoking to be associated with gum diseases, dry socket, oral cancer and esophageal cancer among other conditions. According to the World Health Organization, smoking a hookah is the equivalent of smoking 100 cigarettes, based on the duration and number of puffs in a smoking session.

“This study sheds light on the common misconception that smoking from a waterpipe is somehow safer than smoking a cigarette,” said JADA Editor Michael Glick, D.M.D. “Whether you are smoking a cigarette, an e-cigarette, a cigar, or tobacco from a waterpipe, smoking is dangerous not only to your oral health but to your overall health.”

 

As always if you have specific questions about Hookahs or Vape Smoking feel free to ask us at your next dental visit with Dr. Mullaney