What You Should Know About Hospice Care

care for the elderly

If you have a loved one who needs more attention than you can give, it may be time for hospice. Hospice is all about the care and comfort patients receive as they face a life-limiting disease or illness. Physicians, directors, nurses, social workers, aides, spiritual coordinators, and volunteers all work together to ensure that the best care is provided for patients. 

Patients

Though hospice is typically thought to only help the elderly, it provides care for anyone facing a life-altering condition with a life expectancy of fewer than six months. Hospice care is provided for any qualifying patients with cancer, heart, lung, kidney or liver disease, Alzheimer’s, or Dementia. However, to qualify for hospice, two physicians must certify the patient’s life expectancy.

Expected Care

With large hospice care teams, patients can expect to be treated like royalty. Hospice arranges for 24-hour nursing care, seven days a week, where the patient is equipped with a hospital bed, a bedside commode, and medications, all from the comfort of their home. 

The attending physician, either yours or one provided by the system, helps direct the plan of care with the medical director. A registered nurse helps manage the pain of the patient while looking for symptoms. The hospice aide directly cares for the patient and reports any needs to the nurse. A social worker and spiritual coordinator assist with emotions, finances, and funeral arrangements. The care also includes grief and counseling services to family members and the patient.

A team of people helps patients feel loved, cared for, and comfortablewhich is what people can expect from hospice care. 

Finances

Hospice helps patients by providing constant care and attention, but it comes at a cost. Fortunately, Medicare, Medicaid, and most private insurances cover hospice care and the expenses associated with it. However, it is important to check with your insurance provider and confirm the patient’s eligibility before continuingyou don’t want to rack up extra costs on your dime. 

Choosing a Hospice Service

While hospice is an incredible tool for providing top care for patients, unfortunately, some hospice services have mistreated their responsibility. So, it is important to identify a quality service before signing up. Some factors to consider when shopping for a hospice service are accreditation, state or federal surveys, certifications, and size. Also, be sure to check out the reviews and getting a referral from someone you trust. Luckily, hospice care is eased with the knowledge that the patient will be at home and will already have a foundational level of comfort. 

Care and Comfort

Coping with the care of a loved one can be difficult, especially when they are struggling with pain and illness. Providing care at the level you know they deserve can be seemingly impossible; which is why hospice care is designed to help patients feel comfortable with a plan tailored to them. 

 

Shining a Spotlight on Laser Dentistry

dental procedure

When I was a kid I hated going to the dentist, so in at least one aspect I was a normal kid. Even as adults many of us dread and put off the trip to the dentist. It’s just not a fun experience. 

If you had told me as a kid that I could have the dentist use a laser instead of a drill, that might have made it worse. That is simply because I couldn’t have possibly understood the beneficial use of lasers in dentistry. 

Fast forward to my teenage years when an operation required a laser to be used. I did not feel a thing, and I am a big advocate of laser dentistry.

What is it?

Laser dentistry uses lasers in lieu of classic dental equipment, such as drills and scalpels. The lasers are highly focused beams used to perform most dental procedures. They can be used on softer tissue, like your gums and cheeks, and hard tissue, which would be your teeth.

Laser dentistry is a cleaner, more efficient way to perform these operations. Its effectiveness is second to none, and the benefits listed a little later will show just how enticing it is. 

What can be done with laser dentistry?

Many standard procedures can be performed with the use of lasers. The lasers are precise and when used correctly, bring incredibly efficient results. Here are a few examples of the many applications of laser dentistry. 

Frenectomy

Alligatordentist.com defines this as “a procedure releasing muscle attachment to the tongue or lip. This procedure helps babies who cannot breastfeed and children who are tongue-tied, and in many cases can help to reduce speech impediments.”

Bacteria Removal

Lasers can be used to kill bacteria leading to a cleaner mouth and reduced risk of infection. 

Removal of Sores or Tumors

Lasers can be used to cut out and remove canker sores or tumors in the mouth. 

Gums

Lasers can be used to treat gum disease, ease inflammation, and even trim down gums if they encroach too high on your teeth.

What are the benefits?

The biggest benefit to most people is minimal pain. Some people aren’t even given anesthesia because the lasers aren’t painful. We all love the sound of that.

Laser dentistry is incredibly efficient, with the laser doing the work. It is so precise, and in the hands of an experienced dentist, it is a wonderful tool.

The laser helps blood clots to form so there is less bleeding, and there is less damage done to the tissue being worked on and the surrounding tissue. You also heal a lot faster. 

It is cost-effective for your dentist, and when they save money they can pass that savings on to you. 

Conclusion

Laser dentistry is an amazing use of technology to advance the medical field. What used to be a hard and scary trip to the dentist, may still be a hard and scary trip to the dentist…but it will be less painful and less traumatic. This will lead to better views on dentists for children (yay!) and more efficient procedures are a benefit to us all. Ask your dentist about laser dentistry if you have an operation coming up, you will love the results.

4 Operations Performed by a Dentist

dental procedure

Going to the dentist is no one’s favorite thing. I remember one time having some pain in a tooth that was really bothersome, and even when the day of the appointment rolled around I still displayed the typical exasperated “Well I guess I’d better go to the dentist” attitude.

Understanding the basics of some common operations a dentist can perform might help relieve some anxiety over the matter. At the very least, you will hopefully understand why the procedure is going on.

Filling

A filling is used to help reshape and fill in your tooth. It happens when there is an infection or cavity in your teeth. The dentist goes and drills out the infected part and then puts in a filling to prevent further infection and to make sure your tooth is shaped and sized properly.

Fillings can be made from resin, ceramic, or even metals like gold. The resin filling matches your tooth color, so many people choose it for its incognito presence.

Root Canal

Root canals are spoken of only in fearful whispers. Okay, that’s a little dramatic, but they are no fun. Root canals are used when the interior nerves and blood vessels of the tooth, also known as pulp, are infected. A root canal involves going in and removing the infected parts and cleaning the inside of the tooth.

A filling and most likely a crown, a cover for your tooth, are placed on the teeth to seal it up and prevent further infection or complication. Better to just brush those teeth really well and avoid this one. Sometimes a cracked tooth can also require a root canal, so try to avoid using your teeth as tools.

Tooth Extraction

Ever heard someone say something that was minorly inconvenient was
“like pulling teeth?” I bet it wasn’t. Getting a tooth pulled usually only happens if the issue present is extreme, but sometimes it is done for lesser purposes.

There are a lot of problems that getting a tooth extraction can solve. Some of them included crowding, when teeth are preventing permanent teeth from coming in, issues after fixing a cavity or infection, and periodontal disease.

Other Surgical Procedures

There are many minor and some major operations a dentist can perform. Most dentists can perform any of these basic operations. Some are simple like using a laser to cut back gums that have grown too high. Others are more serious like removing a tumor or cyst from the mouth or gums.

While this can be scary, know that your dentist has been thoroughly trained in performing these operations and will do a fine job.

Conclusion

Dental appointments and operations can be scary. Hopefully understanding the “why” behind these operations can help you see that the operation will help you in the long run.

In order to avoid things like this in the future, make sure you are brushing, flossing, and gargling with mouthwash twice a day. Visit your dentist every six months so they can help prevent problems, but also catch the issues early in the process if they do occur.

What to Do When You Get Shin Splints

Shin splints are a common injury in runners and dancers. The medical term for this is medial tibial stress syndrome (MTSS). It simply means that a person is experiencing pain in their shin.

Causes

Shin splints are caused by repetitive and excessive force on the shin. People with more athletic lifestyles are more likely to suffer from shin splints. Dancers, tennis players, soccer players, and basketball players are likely to get shin splints. The stop-start, rough playing style of these sports puts extra stress on the shins.

The repetitive force and working out of the muscles along the shin causes those muscles to become swollen. These swollen muscles push on the tibia, or shin bone, and this causes pain.

Highly athletic people can also develop micro fractures in their bones. Shin splints can be a stress reaction from a small bone fracture. Over time, if a person experiences pain like shin splints but does not rest, these small bone fractures can become complete fractures. 

Symptoms

The main symptom of shin splints is pain on the inner side of the shin. Your shin might be tender and sore while you perform athletic activities. Your lower leg might become swollen. The pain will likely first appear as temporary pain that occurs while you exercise, but eventually, the pain could become continuous.

Treatment

According to bhdorthopedics.com, the best treatment for shin splints is to rest. If you start to experience shin splint pains every time you do a certain activity, try to refrain from that activity for two weeks to allow your shins and muscles time to heal.

Use ice packs to reduce pain and swelling. Place an ice pack on your shin and leave it there for around 15 minutes. You can do this several times a day until the pain goes away. Ibuprofen can also be used to help reduce swelling and pain.

Most shin splint issues can be treated at home using ice, rest, and anti-inflammatories. If these methods aren’t working for you, your doctor can help you find different remedies that can ease your pain. An X-ray may need to be taken of your shin to see if the lasting pain is the result of a stress fracture.

Prevention

Shin splints are a painful and frustrating experience, so it is good to take precautions against them. New runners are at a higher risk for shin splints because they are working out new muscles. New runners should slowly begin running and allow their muscles to have time to develop and strengthen, this will help new runners avoid shin splints. It is important to keep these muscles conditioned, but work up to more difficult exercises slowly.

Participating in lower impact sports is a good way to avoid shin splints. Walking and biking are good exercises that are low impact. Try to do exercises on softer ground. The softer ground will cushion your feet and help lessen the impact when the foot makes contact with the ground.

Wearing supportive footwear can help give your feet and legs extra support and prevent shin splints. Wear arch supports and replace shoes every 300-500 miles you walk in them.

When You Should Visit a Spine Specialist

There is never any reason that you should simply endure back pain. In fact, pain is one of the only indicators that there could be something seriously wrong with your back. Scheduling an appointment with a trusted spine specialist is easy, safe, and will help you get on track to be pain-free once again.

When to See a Spine Specialist

It can be pretty normal to experience mild back pain from time-to-time. Perhaps you slept in a weird position  or tweaked your back while dancing. This kind of pain usually resolves itself within a few days, and there’s usually no need to see a doctor for it. However, here are some signs that you may need to schedule a visit:

  • If back pain is moderate to severe.
  • If back pain has lasted several days and hasn’t resolved.
  • If there are any other symptoms with the pain, such as muscle weakness, tingling, or numbness of the arms or legs.

An Overview of a Consultation

Whenever you go to the doctor’s office for an initial visit, you will be asked for a family medical history, and a list of medications you are currently taking. The doctor will then attempt to diagnose the pain, and help find the right treatment plan for you.

To diagnose the back problem, the doctor will perform a physical examination, usually at and around the source of the pain. After a physical examination, they will likely need some images of your back, in the form of an x-ray, magnetic resonance imaging (MRI), or a CT scan.

After the doctor has been able to diagnose the issue, they will recommend a treatment plan that is as little invasive, yet most effective, as possible. Non-invasive treatment plans usually include medication or physical therapy. If the non-invasive treatment plans do not fix the back problem, your doctor may discuss surgical options with you.

List of Possible Spine/Back Issues

  • Spinal arthritis. A condition that leaves weakness and pain in the arms and legs. Osteoarthritis of the spine is when the cartilage of the joints and spinal discs begin to breakdown. This will often put pressure on the nerves.
  • Sciatica refers to pain in the sciatic nerve, which is located in the lower back and moves down each leg. When the sciatic nerve is injured or under pressure, it can cause intense lower back and leg pain.
  • Herniated discs. A herniated disc is a disc of the spinal cord, in which a fragment of the disc’s nucleus has pushed out of the disc through a rupture or tear. The fragmented piece often puts pressure on a nerve, which can cause pain.
  • Fractured vertebrae. A fractured vertebra is often caused by a car accident, fall, gunshot, or sports injury. These fractures are very serious, as they can injure spinal nerves, which can sometimes do irreparable damage to the body.

Again, there are a lot of cases of back pain that will resolve on their own. However, it’s important to know the signs and symptoms that would require treatment from a spine specialist. When a back or spine gets injured, it can become very serious, very fast.

 

 

When You Should Visit a Spine Specialist

persons spine

There is never any reason that you should simply endure back pain. In fact, pain is one of the only indicators that there could be something seriously wrong with your back. Scheduling an appointment with a trusted spine specialist is easy, safe, and will help you get on track to be pain-free once again.

When to See a Spine Specialist

It can be pretty normal to experience mild back pain from time-to-time. Perhaps you slept in a weird position or tweaked your back while dancing. This kind of pain usually resolves itself within a few days, and there’s usually no need to see a doctor for it. However, here are some signs that you may need to schedule a visit:

  • When pain is moderate to severe.
  • If back pain has lasted several days and hasn’t resolved.
  • If there are any other symptoms with the pain, such as muscle weakness, tingling, or numbness of the arms or legs. 

An Overview of a Consultation

Whenever you go to the doctor’s office for an initial visit, you will be asked for a family medical history, and a list of medications you are currently taking. The doctor will then attempt to diagnose the pain, and help find the right treatment plan for you. 

To diagnose the back problem, the doctor will perform a physical examination, usually at and around the source of the pain. After a physical examination, they will likely need some images of your back, in the form of an x-ray, magnetic resonance imaging (MRI), or a CT scan. 

After the doctor has been able to diagnose the issue, they will recommend a treatment plan that is as little invasive, yet most effective, as possible. Non-invasive treatment plans usually include medication or physical therapy. If the non-invasive treatment plans do not fix the back problem, your doctor may discuss surgical options with you. 

List of Possible Spine/Back Issues

  • Spinal Arthritis. A condition that leaves weakness and pain in the arms and legs, osteoarthritis of the spine is when the cartilage of the joints and spinal discs begin to breakdown, often putting pressure on the nerves. 
  • Sciatica. Sciatica refers to pain in the sciatic nerve, which is located in the lower back and moves down each leg. When the sciatic nerve is injured or is under a lot of pressure, it can cause intense lower back and leg pain.
  • Herniated discs. A herniated disc is a disc of the spinal cord, in which a fragment of the disc’s nucleus has pushed out of the disc through a rupture or tear. The fragmented piece often puts pressure on a nerve, which can cause pain. 
  • Fractured vertebrae. A fractured vertebra is often caused by a car accident, fall, gunshot, or sports injury. These fractures are very serious, as they can injure spinal nerves, which can sometimes do irreparable damage to the body. 

Again, there are a lot of cases of back pain that will resolve on their own. However, it’s important to know the signs and symptoms that would require treatment from a spine specialist. When a back or spine gets injured, it can become very serious, very fast.

Stem Cell Treatments: The Alternative to Surgery

person with needle

Are you experiencing pain from a previous orthopedic injury, arthritis, or spine pain? Most modern treatments would recommend you undergo surgery to treat this pain. Surgery can be a painful and invasive form of treatment for something that would otherwise just have to be endured. Not only is surgery painful in most cases, but it can also lead to long stints of rehabilitation that can add additional pain to the situation.

What are Stem Cell Treatments?

In recent years, different approaches have come to the forefront of modern medicine. Among them, the best alternative is through the use of stem cells. According to MedlinePlus, stem cells are cells with the potential to develop into many different types of cells in the body. They serve as a repair system for the body. There are two main types of stem cells: embryonic stem cells and adult stem cells.

Stem cell treatment is actually quite simple. Stem cells are injected directly into the area of pain, eliminating invasive surgery techniques. As we get older, the body has a hard time circulating these versatile cells to the areas where they are most needed. This is where stem cell treatments come into play. Regenexx treatments, a specific type of stem cell treatment, take a highly concentrated dose of stem cells and inject them into the problem area, allowing the body to take over the natural course and heal, strengthen and relieve that join or bone of the pain that it is causing.

In contrast to surgery, stem cell treatments, like Regenexx, have far less downtime, and avoid a long and painful rehabilitation period in which the joints and muscles need time to recover. 

When Should I Consider Stem Cell Treatments?

Regenexx, a pioneer in stem cell treatments, uses stem cells for the following conditions. If you are suffering from any of these, contact your local spine specialist to go over all possible treatment plans: 

  • Orthopedic Injuries
  • Arthritis
  • Spine Pain
  • Torn or Strained Ligaments
  • Other Degenerative Orthopedic Conditions

Stem cell treatments are an option that anyone who has these conditions, should consider. It is especially enticing to those who have very busy lives and cannot afford the time that is required to recover from invasive surgery. 

Other Reasons for Stem Cell Treatments

With stem cell therapy’s recent break onto the scene, there are many areas of interest for medical professionals to apply it in. Stem cells are able to be manipulated into specialized areas for an individual’s treatment. Some of the other uses for stem cells include:

  • Nerve damage. Specialized stem cells that have been manipulated for this purpose could be injected into the area of nerves that are damaged. These injected stem cells would then contribute to the rehabilitation of those nerves, as dictated by the body.
  • Treat diabetes. According to the California Institute for Regenerative Medicine, stem cells could be used to produce insulin that could treat people with diabetes and heart muscle cells that could repair damage after a heart attack.
  • Replacing essentially any tissue or organ that is damaged or diseased.

Summer Sport Safety: Things to Be Aware Of This Season

summer sports

There are many benefits to team sports, and they play such a huge role in the lives of growing kids and teens. They help teach the importance of discipline, cultivate a sense of dedication, and they highlight the necessity of teamwork in the most practical way.

There are, however, things to be aware of when your kids play sports—particularly in the heat of the summer. Safety is always the most important factor for parents, so what can be done to help ensure that your kids are safe on the field? What are some of the most dangerous summer sports, and what commonly seen injuries can they lead to? What equipment should you invest in to help keep your children safe?

Sports and Related Injuries to Be Aware Of

Football is one of the most dangerous sports out there, often ending with ankle or knee injuries. The scariest football injury, however, is the commonly seen head injury. It does seem that, in the wake of concerns regarding traumatic brain injuries in the sport, fewer children are playing football on a team than there once were. Unfortunately, sports and recreation are one of the most common causes of head injury.

Because basketball is so popular among both boys and girls in school, it leads in numbers against any other sport for how many students play each year. Some of the major injuries seen during basketball include ankle sprains and tears as well as ACL injuries.

Baseball is the most popular organized sport among kids between the ages of 6 and 8. Repetitive arm use in the sport means arm and shoulder stress is the most commonly seen injury among baseball players. 

Equipment for Keeping Your Kids Safe

Schools will require the necessary safety equipment to be worn at all times, but it’s imperative that your kids stay protected even if they’re just playing sports in the backyard.

Helmets are essential when playing football, baseball, and softball in order to help prevent head injuries. Concerns surrounding concussions and what they might mean for children later in life are at the forefront of parents’ minds. Be sure to find a high-quality helmet made specifically for the sport your child is playing. It’s also important to ensure that it fits properly and will remain secure at all times.

Mouth guards are important to wear as well—particularly during contact sports where head injury could be a risk. Wearing wrist and ankle guards can help protect your child from sprains or strains if they trip or fall. 

Other Safety Precautions to Keep in Mind

In addition to proper equipment, it’s important to keep in mind that the heat of the summer can take a huge toll on the body. Make sure your child is drinking plenty of water throughout the day. This is the best way to help protect them from heat stroke or dehydration.

Your child should also be warming up as much as possible before getting on the court or field. Injuries are far more likely to occur when the body hasn’t been properly prepared for strenuous activity. Dehydration can also lead to a muscular injury, so drinking water is another way of preparing the body for playing a sport.

If your child does become injured, be sure to keep them out of practice and games. Give them time for their body to fully heal. Allowing their body the proper amount of time to heal before putting it through more stress is imperative for recovery.

What You Need to Know About Kidney Stones

artery

There are two physical pains that are often compared to one another, two pains that are considered some of the worst pains that the human body can experience: childbirth and kidney stones. Unlike childbirth, both men and women experience kidney stones. In fact, it is a very common condition that urologists treat regularly. What, exactly, are kidney stones? Are the signs and symptoms to watch for? How can we prevent them?

What Are Kidney Stones?

Kidney stones are solid, pebble-like masses that form in the urinary tract. They are composed from salt and other minerals from urine, in a process called urolithiasis. When kidney stones form, they can either be a small stone that passes easily through the urethra, or they can build up into larger stones that may block a ureter.

Causes and Risk Factors

There are often a combination of causes for kidney stones, it’s hard to pinpoint a single cause in any case. However, studies show that kidney stones are more common in men than in women, and most often between the ages of 30-60. Here is a list of common factors that put an individual at risk for kidney stones:

  • High urine calcium levels
  • Dehydration
  • Family history of kidney stones
  • Obesity
  • Diets high in animal proteins
  • High sodium intake
  • Excess vitamin/mineral intake

Also, according to Very Well Health, kidney stones are more common in the southern United States, where dry heat and dietary patterns contribute to their development.

Symptoms

There are a number of symptoms that can point to kidney stones. If you have one or more of the following symptoms, make sure to visit a urologist near you so that you can receive a prompt diagnosis and treatment:

  • Intense pain in the back, sides, pelvic or groin areas
  • Frequent need to urinate
  • Burning when attempting to urinate
  • Fever and chills
  • Blood in urine
  • Cloudy or smelly urine
  • Nausea and vomiting

Treatment

Kidney stones are typically diagnosed by an x-ray, ultrasound, or computed tomography (CT scan.) After a diagnosis has been made, there are several ways to treat kidney stones, each way being dependent on the size and location of the stones.

Smaller kidney stones are usually given a more conservative treatment. Doctors may advise the patient to drink plenty of fluids, rest, and wait for the stone to pass through the urethra. Other forms of treatment include the following:

 

  • Extracorporeal shock wave lithotripsy (ESWL) is a technique in which a machine attempts to break apart the stones from outside of the body, allowing smaller, broken down stones to pass naturally.

 

    • Percutaneous nephrolithotomy (PCNL) is a technique in which a doctor inserts a small tube, through a small incision, into the body to help drain the kidney.

 

  • A ureteroscope is a small instrument that is inserted up through the urethra to help either extract the kidney stone, or break it apart into smaller pieces.

 

Prevention

There’s no guarantee that kidney stones are completely preventable. However, there are many dietary tips that can be followed to greatly reduce the risks for kidney stones.

  • Drink plenty of water to continually flush out urinary tract.
  • Limit caffeinated beverages to one or two cups per day.
  • Eat less animal proteins and refined sugars.
  • Avoid excess vitamin supplementation.
  • Reduce sodium intake.

Doing what you can to prevent kidney stones could save you from the most excruciating pain that the human body is able to experience! However, it’s important to seek medical attention right away if you believe you may have kidney stones. A trusted urologist will be able to provide you with an effective treatment plan, as well as help you find ways to manage the pain.

The Anatomy of Tooth Extractions

tooth

“It’s like pulling teeth!” We’ve all heard that phrase used to describe an unpleasant situation. Though many of these situations are hyperbolic, the origin of the phrase holds true.

Getting a tooth pulled, or extracted, is not fun. I say that as if there is a type of medical operation that is enjoyable. Getting a tooth removed is going to be very unpleasant and you should do everything you can to avoid it. Let’s break the process down.

What is a Tooth Extraction?

As noted, and hopefully easily guessed from the name, a tooth extraction is an operation done to remove an infected or rotten tooth, though there can be other reasons too. Tooth extractions are generally done to solve a problem and prevent further complication as a result of said problem.

Reasons for Tooth Extraction

There are many reasons to pull a tooth. Infection is a very common reason that teeth are pulled. Sometimes it could be that a certain tooth is infected, and your dentist wants to prevent the infection from spreading. Other times the risk of infection is enough to pull a tooth, though this would happen mostly with those with weak or damaged immune systems.

The way your teeth have or have not come in is another reason that certain teeth make good nominees for extraction. If your teeth are too close together, also known as crowding, then you may need one removed to give proper space for your teeth to be correctly aligned.

When I was 16 I had my two baby canine teeth pulled. The reason I even still had those teeth is that the permanent teeth were sideways, therefore not coming down properly. I had a brief operation that involved pulling the two teeth, cutting my gums, and attaching a chain between my adult teeth and braces to pull them into the correct spots. It sucked, but the amount of ice cream my mom let me eat during that time was unheard of.

Ways to Prevent Tooth Extraction

This section will not be mind-blowing. These are mostly very basic things that will keep your mouth healthy.

Brush your teeth twice every day. *gasp* I know, not groundbreaking. The number of people who struggle to brush their teeth, floss, and gargle mouthwash is astounding though. It should be a daily, vigilant habit.

What you are putting into your mouth is very important. For example, toothpaste with fluoride is ideal as that will help strengthen your teeth and prevent infection. Foods and drinks that are high in sugar soda, candy, the ice cream I ate after surgery, should be limited in consumption as they are very bad for your teeth.

Good foods like fruits, vegetables, water, and cheese are great things that will help strengthen your teeth and clean bacteria out of your mouth. These are all easy things to snack on and add to a variety of meals.

Conclusion

Having a tooth pulled is very unpleasant, and in many cases very preventable. Make sure you do your part by eating good things, avoiding bad things, and practicing good oral health. By doing so you can maintain good oral health, hopefully not get chastized next time you go to the dentist, and keep all your pearly whites nice, healthy, and as part of your smile where they belong.