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gardnersmiles · 1 month ago

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Difference Between Restorative Dentistry and Preventive Care

Oral health is one of the most crucial components of overall well-being. Avoiding oral diseases leads to mout pain, which can be difficult to endure. There are two types of dental treatment, Restorative dentistry and Preventive care. Learn about the difference between restorative dentistry and preventive care in our latest blog.

#dentist in gardner #dentist in gardner ma #bestdentist #dentistingardner #gardner family dental

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unwanted-animal · 10 months ago

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Hey y’all, my wife needs help!

This is Ren (she/they), also known as @pocketsizesatan - we’ve been together for nine years, and we’ve known each other for 11. She’s my whole world. And she needs help.

They’re trying to raise money for their teeth - they’ve had several break in the past month, and as a waitress they NEED to have good teeth to make good tips. Here is her gofundme, please share and donate if you can 💜💜

Her work doesn’t offer dental insurance and they don’t make enough to repair their teeth AND keep the roof over their family’s head.

Please share, it costs nothing, and if you have even like a buck to spare please do. Their situation is getting dire.

Thank you for your time! Here’s another cute picture of us for tax.

#mutual aid #help #signal boost #ren gfm

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cbrucegilliam · 5 months ago

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What Is Hyperdontia?

The presence of an unusually high number of teeth may warrant investigation for a condition known as hyperdontia. Children have 20 primary teeth, and adults have 32 permanent ones. The dental anomaly known as hyperdontia, meaning "excess teeth," involves the development of supernumerary teeth beyond the typical number. Although uncommon, hyperdontia is generally not a health concern. However, a clearer understanding of this condition can equip individuals with the knowledge to make informed choices regarding their oral health.

In hyperdontia, extra teeth can appear anywhere in the mouth, on either the upper or lower jaw, and affect both primary and permanent teeth. Dentists categorize these extra teeth based on their location within the mouth. Supernumerary teeth erupting directly behind the upper front teeth are called mesiodens. They are the most frequent type. Paramolars erupt beside the existing molars and protrude towards the cheek or tongue, whereas distomolars emerge behind the last set of molars in the jaw.

Supernumerary teeth can also vary in shape. They could be conical, tuberculate, or supplemental. Conical teeth are shaped like a cone. Tuberculate teeth have a round, barrel-like shape. Supplemental teeth have a similar appearance to normal teeth.

Hyperdontia is not a common condition. It affects less than four percent of the population. Interestingly, it's more common in permanent teeth compared to baby teeth. Additionally, studies suggest a slight bias towards males being diagnosed with hyperdontia. Studies also show that African Americans have a significantly higher chance of developing extra teeth compared to Caucasians. This difference might be linked to variations in jaw size and dental development patterns between these populations.

Interestingly, the type of extra teeth also differs. African Americans are more likely to have extra molars, while conical or peg-shaped extras are more common in Caucasians. These findings highlight the complex interplay between genetics and racial background in hyperdontia.

The exact reasons behind hyperdontia remain elusive. However, researchers have identified several contributing factors, such as genetics and certain medical conditions. People with a family history of hyperdontia are more likely to develop hyperdontia. This condition is also associated with disorders such as Gardner syndrome, Down syndrome, and cleft palate. Some people who develop hyperdontia have overactive dental lamina. The dental lamina is a band of tissue responsible for tooth development. When overly active, it can lead to the formation of extra teeth.

The most prominent symptom of hyperdontia is simply the presence of extra teeth. Fortunately, in many cases, these extras cause no discomfort. However, if an extra tooth puts pressure on the gums or other teeth, it can result in pain, swelling, difficulty chewing, and an increased risk of infection.

Hyperdontia is often diagnosed during routine dental checkups. Dentists can readily see erupted teeth and utilize X-rays or CT scans to identify hidden (impacted) ones. Treatment for hyperdontia isn't always necessary. However, the dentist might recommend removal if the extra teeth cause discomfort, interfere with proper chewing, or lead to overcrowding. This extraction can help alleviate pain, improve oral hygiene, and prevent future complications like tooth decay or gum disease. Over-the-counter pain relievers like ibuprofen or naproxen sodium might temporarily relieve mild discomfort.

Unfortunately, there's no way to prevent hyperdontia. However, early detection and treatment are crucial in minimizing any potential complications. While having extra teeth isn't life-threatening, it's essential to maintain regular dental checkups to monitor their impact on your oral health.

#Dr. Connie Bruce-Gilliam D.D.S

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lavanafamilydental · 2 years ago

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#cosmetic dentist

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hikeofthemonth · 2 years ago

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March 2023 Mangum Dental Hike of the Month Centennial Trail Loop Prescott, Arizona

Distance: 3.3 miles

Difficulty: Easy, limited elevation, easy to follow, close to town

Elevation Gain: 515 feet

Parking: Parking Lot off Westridge Drive near the trailhead. The parking area is dirt with no restrooms, water, or kiosk.

Directions: From the corner of Iron Springs and Gail Gardner Way drive south on Gail Gardner for 0.5 miles. Turn right onto Westridge Drive and the parking area is 300 yards on the right.

Summary

The Centennial Trail is an in-town hike and is convenient for its proximity to town while still maintaining the feeling of being in the forest. There is ongoing construction in this area, but we are blessed to have a gem like this in town. This hike is typically an out-and-back trek, but we turned it into a loop using developed roads. I hiked it recently on a rainy day in the winter with my wife, 3 boys, and a friend. One of the reasons we turned it into a loop was the 7-year-old was cold from jumping in all the creeks and puddles. Due to the recent rain and snow, there were lots of flowing streams along the way. There are a couple of other ways to access this trail from Kile Street and Wagon Trail. The prize at the end of the trail includes beautiful petroglyphs that are easy to see in the pile of boulders just off Enchanted Canyon Way. There is a little bit of bouldering and bushwacking required to see the petroglyphs.

Start at the parking area adjacent to the old Lamb Chevrolet which is now an RV storage off Gail Gardner Road. From here, hike east on the sidewalk of Westridge Road for 200 yards and see the trailhead with a sign. The trail leaves the sidewalk, crosses a bridge, and begins a thrilling and memorable hike in the heart of Prescott. Hike around boulders, by bushes, in and out of canyons, and through forested areas. There are many views of Prescott, some beautiful views, and others of shopping and housing areas. Cross Kile Street at the 1.2-mile mark and then hike uphill. Just before the petroglyphs the trail runs along the backyards of some new and beautiful homes. The best petroglyphs are on the south side of the boulders up high just off of Enchanted Canyon Way.

To make it a loop, exit the trail onto Enchanted Canyon Way and take a left heading south a short distance to the intersection with Ridgewood Drive. Take a left on Ridgewood Drive, a right onto Rockwood Drive, a right onto Downer Trail, and a left onto Westridge Drive, which will lead back to the trailhead and parking area. There are many beautiful homes along the way and there is the advantage of wide sidewalks and a smooth hiking surface. It was a welcome change, especially for wet and tired children. This hike is suitable for year-rounding hiking. It may be a little busier than some of the local trails and dogs are welcome on a leash.

Mangum Dental is a family dental practice located in Prescott, Arizona. Dr. Jim Ransdell and Dr. Brett Mangum are experienced, gentle, and have a conservative approach to dental treatment. Their team will welcome you as they earn your trust with a smile. Find us online at www.MangumDental.com.

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stephenmccull · 4 years ago

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To Free Doctors From Computers, Far-Flung Scribes Are Now Taking Notes For Them

Podiatrist Dr. Mark Lewis greets his first patient of the morning in his suburban Seattle exam room and points to a tiny video camera mounted on the right rim of his glasses. “This is my scribe, Jacqueline,” he says. “She can see us and hear us.”

Jacqueline is watching the appointment on her computer screen after the sun has set, 8,000 miles away in Mysore, a southern Indian city known for its palaces and jasmine flowers. She copiously documents the details of each visit and enters them into the patient’s electronic health record, or EHR.

Jacqueline (her real first name, according to her employer), works for San Francisco-based Augmedix, a startup with 1,000 medical scribes in South Asia and the U.S. The company is part of a growing industry that profits from a confluence of health care trends — including, now, the pandemic — that are dispersing patient care around the globe.

Medical scribes first appeared in the 1970s as note takers for emergency room physicians. But the practice took off after 2009, when the federal HITECH Act incentivized health care providers to adopt EHRs. These were supposed to simplify patient record-keeping, but instead they generated a need for scribes. Doctors find entering notes and data into poorly designed EHR software cumbersome and time-consuming. So scribing is a fast-growing field in the U.S., with the workforce expanding from 15,000 in 2015 to an estimated 100,000 this year.

A 2016 study found that doctors spent 37% of a patient visit on a computer and an average of two extra hours after work on EHR tasks. EHR use contributes to physician burnout, increasingly considered a public health crisis in itself.

Before COVID-19, most scribes — typically young, aspiring health professionals — worked in the exam room a few paces away from the doctor and patient. This year, as the pandemic led patients to shun clinics and hospitals, many scribes were laid off or furloughed. Many have returned, but scribes are increasingly working online — even from the other side of the world.

Remote scribes are patched into the exam room’s sound via a tablet or speaker, or through a video connection. Some create doctors’ notes in real time; others annotate after visits. And some have help from speech-recognition software programs that grow more accurate with use.

While many remote scribes are based in the United States, others are abroad, primarily in India. Chanchal Toor was a dental school graduate facing limited job opportunities in India when a subcontractor to Augmedix hired her in 2015. Some of her scribe colleagues also trained or aspired to become dentists or other health professionals, she said. Now a manager for Augmedix in San Francisco, Toor said scribing, even remotely, made her feel like part of a health care team.

Augmedix recruits people who have a bachelor’s degree or the equivalent, and screens for proficiency in English reading, listening comprehension and writing, the company said. Once on board, scribes undergo about three months of training. The curriculum includes medical terminology, anatomy, physiology and mock visits.

Revenue has grown this year, and his sales team has grown from four to 14 members, Augmedix CEO Manny Krakaris said. Sachin Gupta, CEO of IKS Health, which employs Indian doctors as remote scribes for their U.S. counterparts, projects 50% revenue growth this year for its scribing business. He said the company employs 4,000 people but declined to share how many are scribes.

Remote scribe “Edwin” gives internist Dr. Susan Fesmire more time, freeing her from having to finish 20 charts at the end of every day. “It was like constantly having homework that you don’t finish,” she said. With the help of “Edwin” — Fesmire said he declines to use his real name — she had the time and energy to become chief operating officer of her small Dallas practice. Edwin works for Physicians Angels, which employs 500 remote scribes in India. Fesmire pays $14 an hour for his services.

Doctors with foreign scribes say notes may need minor editing for dialectal differences and scribes may be unfamiliar with local vocabulary. “I had a patient from Louisiana,” said Fesmire, “and Edwin said afterward, ‘What is chicory, doctor?’” But she also praised his notes as more accurate and complete than her own.

Kevin Brady, president of Physicians Angels, said their scribes start at $500 to $600 per month, plus health care and retirement benefits, while senior scribes make $1,000 to $1,500 — middle-class family incomes in India. Employers are required to provide employees with health insurance, although many scribes are contractors, and the job site Indeed.com says the average salary for a scribe in India is $500 a month. Scribes in the U.S. get about $2,500.

Remote scribing is still a small part of the market. Craig Newman, chief strategy officer of HealthChannels, parent to ScribeAmerica, the largest scribing company in the U.S., said that the firm’s remote scribing business has increased threefold since the pandemic’s outset but that “a large majority” of the company’s 26,000 U.S. scribes still work in person.

It’s a highly unregulated industry for which training and certification aren’t required. The service typically costs physicians $12 to $25 an hour, and studies show scribe use is linked to less time on patient documentation, higher job satisfaction and seeing more patients — which can mean more revenue.

For patients, studies suggest scribes have a positive or neutral effect on satisfaction. Some have privacy concerns, though, and state laws vary on whether a patient must be notified that someone is watching and listening many miles away.

Only 1% of patients refuse a remote scribe when asked by physicians at Massachusetts General Physicians Organization, said Dr. David Ting, the practice’s chief medical information officer. His group, an IKS Health client, always seeks patient consent, Ting said.

Scribes aren’t for everyone, though. Janis Ulevich, a retiree in Palo Alto, California, declines her primary care doctor’s remote scribe. “Conversations with your doctor can be intimate,” said Ulevich. “I don’t like other people listening in.”

Some patients may not have the opportunity to decline. With limited exceptions, federal laws like HIPAA, the Health Insurance Portability and Accountability Act of 1996, don’t require doctors to seek a patient’s consent before sharing their health information with a company that supports the practice’s work (like a scribe firm), as long as that company signed a contract agreeing to protect the patient’s data, said Chris Apgar, a former HIPAA compliance officer.

About one-quarter of U.S. states require all parties in a conversation to agree to be recorded, meaning they require a patient’s permission. Some states also have special privacy protections for certain groups, like people with HIV/AIDS, or very strict informed-consent or privacy laws, said Matt Fisher, a partner at Massachusetts law firm Mirick O’Connell.

Remote scribing also raises cybersecurity concerns. Reported data breaches are rare, but some scribe companies have lax security, said Cliff Baker, CEO of the health care cybersecurity firm Corl Technologies.

The next step in the trend could be no human scribes at all. Tech giants like Google, EHR companies and venture-backed startups are developing or already marketing artificial intelligence tools aimed at reducing or eliminating the need for humans to document visits.

AI and scribes won’t eliminate physician burnout that stems from the nature of the health care system, said Dr. Rebekah Gardner, an associate professor of medicine at Brown University who researches the issue. Neither can take on burnout-driving EHR tasks like submitting requests for insurance company approval of procedures, drugs and tests, she said.

This KHN story first published on California Healthline, a service of the California Health Care Foundation.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

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This story can be republished for free (details).

To Free Doctors From Computers, Far-Flung Scribes Are Now Taking Notes For Them published first on https://smartdrinkingweb.weebly.com/

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leowyattv · 5 years ago

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#poems #poets #poetry #poemsandpaintings #poemsandimages #poeticstories #writerscreed #artontumblr #whateveritis

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pedoskillthemselves-blog · 6 years ago

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Hyperdontia is the condition of having supernumerary teeth, or teeth that appear in addition to the regular number of teeth. They can appear in any area of the dental arch and can affect any dental organ. The opposite of hyperdontia is hypodontia, where there is a congenital lack of teeth, a condition which is seen more commonly than hyperdontia.[1] The scientific definition of hyperdontia is "any tooth or odontogenic structure that is formed from tooth germ in excess of usual number for any given region of the dental arch."[2] The additional teeth, which may be small in number, or many, can occur on any place in the dental arch. Their arrangement may be symmetrical or non-symmetrical. — Supernumerary teeth can be classified by shape and by position. The shapes include the following: Supplemental (where the tooth has a normal shape for the teeth in that series); Tuberculate (also called barrel shaped); Conical (also called peg shaped); Compound odontoma (multiple small tooth-like forms); Complex odontoma (a disorganized mass of dental tissue)[3] When classified by position, a supernumerary tooth may be referred to as a mesiodens, a paramolar, or a distomolar.[3] Occasionally, these teeth do not erupt into the oral cavity but manifest as a malocclusion.[4] The most common supernumerary tooth is a mesiodens, which is a malformed, peg-like tooth that occurs between the maxillary central incisors. Fourth and fifth molars that form behind the third molars are another kind of supernumerary teeth.[5] — It is evident that hyperdontia Is more common in the permanent dentition than in the primary. The difference between the prevalence of these teeth in permanent dentition in males and females is considerate. Males show hyperdontia twice as often as females. This approximation does vary in terms of location, any other associating syndromes and ethnicity of the individual. In terms of ethnicity it can be seen that hyperdontia is in fact less common in Caucasian than in Asian populations.[6] There is evidence to show that an individual is more likely to have hyperdontia if people in their family also have hypodontia.[2] — Supernumerary teeth may be detected by taking two different x-rays at different angles. Examples of this may be an intra-oral X-ray (one that is taken inside the mouth) and a panoramic radiograph. However, these x-rays are 2D and therefore do not accurately portray the 3D view of the teeth.[2] — There is evidence of hereditary factors along with some evidence of environmental factors leading to this condition. While a single excess tooth is relatively common, multiple hyperdontia is rare in people with no other associated diseases or syndromes.[7] Many supernumerary teeth never erupt, but they may delay eruption of nearby teeth or cause other dental or orthodontic problems.[8][9] Molar-type extra teeth are the rarest form. Dental X-rays are often used to diagnose hyperdontia. It is suggested that supernumerary teeth develop from a third tooth bud arising from the dental lamina near the regular tooth bud or possibly from splitting the regular tooth bud itself. Supernumerary teeth in deciduous (baby) teeth are less common than in permanent teeth.[citation needed] — Hyperdontia may be seen in a multitude of syndromic conditions such as: Cleft lip/palate, Craniofacial Dysplasia, Gardner Syndrome and Sturge-Weber Syndrome.[10] — The presence of a supernumerary tooth, particularly when seen in young children, is associated with a disturbance of the maxillary incisor region. This commonly results in the impaction of the incisors during the mixed dentition stage. The study debating this also considered many other factors such as: the patient’s age, number, morphology, growth orientation and position of the supernumerary tooth. Alongside this issue the presence of an extra tooth can impede the eruption of other extra or adjacent normal teeth. Therefore, the presence of a supernumerary tooth when found must be appropriately approached with the correct treatment plan incorporating the likelihood of incisal crowding.[11] In some individuals the eruption of extra teeth can occur far from the dental arch i.e. within the maxillary sinus. Extra teeth may also migrate to a different location after development.[12] In some cases, extra teeth may cause cysts forming. Crowding is also something frequently seen in people with extra teeth.[2] — Although these teeth are usually asymptomatic and pose no threat to the individual, they are often extracted for aesthetic reasons, to allow the eruption of other teeth, orthodontic reasons and/or suspected pathology. This is done particularly if the mesiodens is positioned in the maxillary central incisor region. The traditional method of removal is done by using bone chisels, although a more advanced technique has been found to be more beneficial, especially if surgery is required. Through the use of Piezoelectricity, Piezoelectric ultrasonic bone surgery may be more time consuming than the traditional method but it seems to reduce the post-operative bleeding and associated complications quite significantly.[13] — Another abnormal condition is hypodontia, in which there are fewer than the usual number of teeth.[citation needed] Hypodontia is seen in a number of disorders, including Gardner's syndrome and cleidocranial dysostosis, where multiple supernumerary teeth are seen that are usually impacted.[citation needed] Other associated conditions are: Cleidocranial dysplasia, Ehlers-Danlos syndrome Type III, Ellis-Van Creveld syndrome, Gardner’s syndrome , Goldenhar syndrome, Hallermann-Streiff syndrome, Orofaciodigital syndrome type I, Incontinentia pigmenti, Marfan syndrome, Nance Horan syndrome, and Trichorhinophalangeal syndrome 1

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gardnersmiles · 1 year ago

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Why visit an endodontist?

Dealing with tooth pain can be severe, and identifying the root cause can be challenging. Fortunately, endodontists specialize in relieving tooth pain and are highly skilled in diagnosing and treating oral issues. Here, you can read more reasons to see an endodontist.

#endodontist in Gardner #MA #gardner family dental #dentist in gardner #dentist in gardner ma

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dinafbrownil · 4 years ago