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Carlos Abreu, D.M.D. and Mahvassh Abreu, D.M.D.
We are all about smile.
We are all about smile.


Eating Disorders
Eating disorders are real, complex, and often devastating condi-
tions that can have serious consequences on your overall health
and oral health. Telltale early signs of eating disorders often ap-
pear in and around the mouth. A dentist may be the irst person
to notice the symptoms of an eating disorder and to encourage
his or her patient to get help.
What are the different types of eating disorders?
• Anorexia nervosa is a serious, potentially life-threatening
eating disorder characterized by self-starvation and excessive
weight loss.
• Bulimia nervosa is a serious, potentially life-threatening eating
disorder characterized by a cycle of bingeing and compensatory
behaviors (i.e., self-induced vomiting, use of laxatives, diuretics,
or enemas) designed to undo or compensate for the effects of
binge eating.
• Binge eating is an eating disorder characterized by recurrent
episodes of uncontrollable eating without the regular use of
compensatory measures to counter the effects of excessive
eating. Binge eating may occur on its own or in the context of
other eating disorders.
• Pica is an eating disorder that is described as “the hunger or
craving for non-food substances.” It involves a person per-
sistently mouthing and/or ingesting non-nutritive substances
(i.e., coal, laundry starch, plaster, pencil erasers, and so forth)
for at least a period of one month at an age when this behav-
ior is considered developmentally inappropriate.
How do eating disorders affect health?
Eating disorders can rob the body of adequate minerals, vita-
mins, proteins, and other nutrients needed for good health.
Without the proper nutrition, gums and other soft tissue inside
your mouth may bleed easily.
Frequent vomiting may affect teeth as well. Repeated expo-
sure to strong stomach acid can cause much of a tooth’s outer
covering (enamel) to be lost, resulting in changes to the teeth’s might be suffering from an eating disorder. A dentist who
color, shape, and length. The edges of teeth may become thin determines that a patient has an eating disorder can refer the
and break off easily. Eating hot or cold foods or drinks may be- patient to the appropriate medical personnel, as well as teach
come uncomfortable. Repeated vomiting also can cause mouth the patient about how to minimize the oral effects of the eating
sores, dry mouth, cracked lips, and bad breath. disorder.
How do dentists detect eating disorders? Can a person recover from an eating disorder?
Changes in the mouth are often the irst physical signs of an Yes. Professional help, nutritional counseling, and having a good
eating disorder. Bad breath, sensitive teeth, and tooth erosion support network all play a crucial role in the recovery process.
are just a few of the signs that may indicate whether a patient For more information, talk to your dentist or physician.
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Men's Oral Health

Why is oral health
important for me?
Men are less likely than women
to take care of their physical
health and, according to
research, their oral health is
equally ignored. Good oral health
has been linked to longevity, yet
one of the most common factors
associated with infrequent dental
checkups is just being male.
Men are less likely than women to
seek preventive dental care and
often neglect their oral health for
years, visiting a dentist only when
a problem arises. In fact, when it
comes to oral health, the average man
brushes his teeth 1.9 times a day and will
lose 5.4 teeth by age 72. If he smokes,
he can plan on losing 12 teeth by age 72.
Men also are more likely than women to
develop oral and throat cancer and periodontal
(gum) disease.
Do you take medications?
Since men are more likely to suffer from
heart attacks, they also are more likely
to be on medications that can cause dry
mouth. If you take heart or blood pressure
medication or if you take antidepressants,
your salivary flow could be
inhibited, increasing the risk for cavities.
Saliva helps to reduce the cavity-causing
bacteria found in your mouth.
Do you use tobacco?
If you smoke or chew tobacco, you
have a greater risk for gum disease and
oral cancer. Men are affected twice as
often as women, and 95 percent of oral
cancers occur in those ages 40 and older.
More than 8,000 people die each year
from oral and pharyngeal diseases. If
you use tobacco, it is important to see
a dentist frequently for cleanings and to
ensure your mouth remains healthy. Your
general dentist can perform a thorough
screening for oral cancer and help with
tobacco cessation.
Do you play sports?
If you participate in sports, you have
a greater potential for trauma to your
mouth and teeth. If you play contact
sports or participate in any activity with
potentail for face injury, it is important
to use a mouthguard, which is a flexible
appliance made of plastic that protects
teeth from trauma. Your dentist can
discuss mouthguard options with you.
How often should I visit a dentist?
Regardless of gender, it is important
to visit a dentist twice a year. Inform
your dentist of any medications you are
taking, as well as tobacco use and sports
activities. In between visits, floss daily
and brush your teeth with fluoridated
toothpaste. For more information on
men’s oral health and other oral health
topics, visit
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Love classical music?  Then relax listening Vivaldii Four Seasons Classical Music.
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Teeth Sensitivity.
The dental complain that is most common in a dental office is tooth sensitivity. It can affect one or more teeth.
The sensitivity is triggered by cold, sweet, hot our sour food when you drink or eat.
It can be caused by several factors like decay, hard brushing, grinding, clinching, gum disease, teeth whitening and dental work. For example restorations, crowns, teeth cleaning and root planing.
To reduce the sensitivity is recommended that proper flossing and brushing techniques be employed; use a soft toothbrush and a toothpaste for sensitive teeth.
A visit to your dentist will help you to find out the cause of the problem and the necessary treatment.
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Category: Oral Health Tags: celebrity smiles athletic mouthguards
For major-league slugger Giancarlo Stanton, 2014 was a record-breaking year. After the baseball season ended, he signed a 13-year, $325 million contract with the Miami Marlins — the biggest deal in sports history. But earlier that same year, Stanton suffered one of the worst accidents in baseball: He was hit in the face by an 88-mph fastball, sustaining multiple fractures, lacerations, and extensive dental damage.

After the accident, Stanton didn’t play for the remainder of the season. But now he’s back in Spring Training… and he’s got a not-so-secret weapon to help protect him against another injury: A custom-made face guard designed to absorb impacts and keep him from suffering further trauma.

As sports fans, we’re glad that Stanton was able to overcome his injury and get back in the game. As dentists, we’d like to remind you that you don’t have to be a major-league player to feel the harmful effects of a sports injury — and you don’t have to look far to find a way to protect yourself. In fact, you can get a custom-made mouthguard right here at the dental office.

Mouthguards have a long tradition in sports like football, boxing, and hockey. But did you know that far more Americans are injured every year playing “non-collision” sports like basketball, baseball — and even bicycling? And it doesn’t take a major-league fastball to cause a dental injury: The highest incidence of sports-related dental injuries occurs in 15-to-18-year-old males. In fact, about one-third of all dental injuries among children stem from various types of sports activities. These injuries may result in countless hours being lost from school and work, and cost significant sums for treatment and restoration.

Mouthguards have a proven track record in reducing dental and facial injuries: They are capable of absorbing the energy of a blow to the mouth, and dissipating it in a way that prevents damage to facial structures and teeth. But not all mouthguards are created equal: Custom-fabricated mouthguards, which are produced from an exact model of your mouth made right here in the dental office, offer by far the best protection. They fit better and safeguard the teeth more fully than any off-the-shelf or “boil-and-bite” type can. Plus, they’re more comfortable to wear. And let’s face it: No mouth guard can protect your teeth if you don’t wear it.

What’s more, some recent studies indicate that custom-made mouthguards may offer significant protection against concussion. An increasing awareness of the dangers that concussion may pose to athletes is one more reason why we recommend custom-made mouthguards to active people and their families.

To get his face guard, Giancarlo Stanton reportedly went to a specialist sporting-goods manufacturer in Illinois, and paid around $1,000. But you can get a custom-made mouthguard for yourself or your loved ones right at our office for a fraction of that price. And the peace of mind it can give you is… priceless.

If you have questions about custom-made mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “An Introduction to Sports Injuries & Dentistry” and “Athletic Mouthguards.”
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A Sensitive Subject
Halitosis, or bad breath, affects more
than 80 million people in the United
States. In most cases, people with bad
breath aren’t even aware of the prob-
lem. Halitosis has a signiicant impact,
both personally and socially, on those
who suffer from it. If you think that you
suffer from bad breath, your dentist can
help determine the source of the odor.
If your dentist believes that the prob-
lem is caused from a systemic (internal)
source, such as an infection, he or she
may refer you to your family physician or
a specialist to help treat the cause of the
What causes bad breath?
Typically, bad breath originates in your
gums and tongue. It is caused by waste
from bacteria in the mouth (typically
called periodontal disease), decayed food
particles, other debris in your mouth, and
bad oral hygiene. The decay and debris teeth and eat a morning meal. Morning It is important to practice good oral
produce a chemical compound that breath also is associated with hunger or hygiene, including brushing and lossing
causes the unpleasant odor. Bad breath fasting. If you skip breakfast, the odor your teeth at least twice a day to remove
may occur in people who have a medi- may reoccur—even if you’ve brushed bacteria, plaque, and food particles. To
cal infection, diabetes, kidney failure, or your teeth. alleviate odors, clean your tongue with
a liver malfunction. Even stress, dieting, your toothbrush or a tongue scraper (a
snoring, age, and hormonal changes can Do certain foods or drinks cause plastic tool that scrapes away bacteria
have an effect on your breath. Xerosto- bad breath? that builds on the tongue).
mia (dry mouth) and tobacco also contrib- Very spicy foods, such as onions and gar- In addition, be sure to drink plenty of
ute to the problem. lic, and drinks like coffee may be detected water. Try chewing sugar-free gum that
on a person’s breath for up to 72 hours contains xylitol—it also may help control
What is morning breath? after digestion. In addition, certain diets, odor. If you have dentures or a removable
Saliva is the key ingredient in your mouth especially ones that eliminate carbohy- appliance, such as a retainer or mouth-
that helps keep odor under control drates, increase the chances of halitosis. guard, clean the appliance thoroughly
because it helps wash away odor-causing before placing it back in your mouth.
food particles and bacteria. When you How can I control bad breath? Before you use mouthrinses or deodor-
sleep, however, salivary glands slow the Visit your dentist regularly because izing sprays or tablets, talk with your
production of saliva, allowing bacteria checkups will help detect any systemic dentist, because some of these products
to grow inside the mouth, which causes causes. Checkups also help to get rid of do little to eliminate bad breath. Instead,
the bad odor, or “morning breath.” To the plaque and bacteria that build up on your dentist can recommend products
alleviate morning breath, brush your your teeth. that have proven successful.
Resources 877.2X.A.YEAR
At the AGD’s Web site, you can search more than AGD’s toll-free referral number. Call to locate an AGD
300 oral health topics, post a dental question, sign up member dentist in your area.
for e-newsletters, ind an AGD dentist, and more.
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Good Oral Health Starts
at Home
Maintaining a healthy smile for a lifetime
starts early. That’s why it’s important for
you and your family to visit your general
dentist regularly and practice good oral
hygiene at home.
Why is brushing so important?
Regular toothbrushing with toothpaste
plays a major role in reducing the growth
of plaque—a thin, sticky ilm of bacteria
that creates cavities, tooth decay, and
gum disease. When you brush your teeth,
you remove most of the plaque-causing
bacteria. Brushing also helps clean
and polish your teeth, removes stains,
freshens your breath, and leaves your
mouth feeling clean.
What is the best technique
for brushing?
There are a number of effective brushing
techniques. Patients are advised to check
with their dentist or hygienist to determine
which technique is best for them, since are brushing longer than they are—most encourage good oral health habits. Some
tooth position and gum condition spend less than one minute brushing. To suggestions for making toothbrushing
vary. One effective, easy-to-remember make sure you are brushing for the full less of a battle with young children
technique involves using a circular or two minutes, set an egg timer or invest in include allowing your child to pick out
elliptical motion to brush a couple of teeth a toothbrush with a built-in timer. And, his or her toothbrush (a variety of styles,
at a time, gradually covering the entire be sure to spend the time wisely: Brush including musical models, are designed to
mouth. Avoid using a back-and-forth the front and back of teeth, the tongue, appeal to kids); letting your child see you
motion, because this can cause the gum the chewing surfaces, and between teeth. and other family members brushing their
surface to recede, can expose the root teeth; and allowing your child to brush
surface, or make the root surface tender. How can I get my children his or her own teeth. Parents should
to brush? supervise toothbrushing by children
How long should I brush? The best way to guide your family to younger than age 8 to make sure they are
It is recommended that you spend at good oral health is to lead by example. doing a thorough job. Parents also should
least two minutes brushing your teeth Start by making dental care part of your assist young children with daily lossing.
at least twice a day. If you think you’re family’s daily routine. Depending on the Do you have questions about your
already doing a good job, you might be age of your child, there are a number family’s oral health care? Be sure to talk
surprised: Patients generally think they of methods that parents can try to to your dentist. Developed in collaboration with and co-sponsored
Brought to you by the AGD, this website answers by GlaxoSmithKline Consumer Healthcare.
important dental health questions, offers the latest
information on current treatments, provides tips Published with permission by the Academy of
for irst-rate oral hygiene, and can help visitors ind General Dentistry. © Copyright 2010 by the
highly qualiied general dentists near where they live. Academy of General Dentistry. All rights reserved.
December 2010 | | AGD Impact 3
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Maintaining a good oral hygiene and visiting your dentist regularly are the paramount to keep your teeth in good health. This short video demonstrates how to brush and floss properly.
Source; Youtube.
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Today's with the technological advancement root canal therapy has became a simplified dental procedure. Below is a video of the procedure follow by placement of crown.
Source; Youtube, Root Canal Treatment Procedure.
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