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1st Female Case Of Excessive Hair Growth In Gums

https://paulwilliamsdds.com/1st-female-case-of-excessive-hair-growth-in-gums/

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  Hairy gums, I am guessing that isn't something that you would have thought possible. The term is called "oral hirsutism" and although this can actually happen, it usually just affects males. This was until a 25-year-old woman reported with numerous eyelash-like hairs growing out of her maxillary and mandibular gums.   How it began When the woman was 19, she initially visited doctors at the University of Campania Luigi Vanvitelli in Italy, complaining that she had tiny hairs growing out of her gums directly behind her front upper teeth. An extra-oral examination revealed a large amount of hair on the chin and neck. An intra-oral examination showed some brown hair, similar to eyelashes, growing in between some of her teeth. These were removed and sent to a lab to study. One year later, the patient came back with even more hair present and more widespread on the gums of both arches. Doctors diagnosed the patient with polycystic ovary syndrome, a condition that results in abnormally high levels of male hormones. Women with this condition often experience unwanted hair growth, usually on the chin and chest. The patient was prescribed birth control pills to regulate her hormone levels and after four months of continuing with the oral contraceptives, the oral growth was gone, according to the authors. The woman returned to doctors almost 6 years later, when the hair had returned after she had stopped the birth control pills. These hairs were removed during that visit:

A, B, Hairs by facial surfaces of teeth #4 and #5. C, Removed hairs. D, Hairs in the zone of the palatal surface of teeth #12 and #13. E, Palatal surface of #14. F, Hairs in the zone of the facial surface of teeth #26.   Previous cases of Oral Hirsutism The occurrence of oral hirsutism is an exceedingly rare event, with an unknown origin. An article published in the February 2020 edition of Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, said there have been only five known cases in the past and most of them had a single hair localized in various sites of the oral cavity. The first documented case of oral hirsutism dated back to the 1960s to a 57-year-old man from the UK. Then there was a 13-year-old Polish boy who had been suffering from alopecia, reported to the Pedodontic Department of the Institute of Stomatology, Medical Academy in Lublin in 1986, with the growth of hair in his mouth. Another case mentioned is a 45-year-old white man who was examined at the Gainesville Veteran's Administration Hospital Dental Clinic during a regular dental check-up in 2005. A single brown hair was found growing out of his gum, which the patient claimed existed since he was a teenager. Then there was an 11-year-old boy from Iran examined by doctors from the Department of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences in 2007 with a case very similar to the Polish boy. The most recent case, before the woman mentioned earlier, was a 30-year-old French man who was discovered to have and eyelash hair growing in the middle of his tongue in 2016.

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The 9 Best Keto Meal Delivery Services of 2020

https://paulwilliamsdds.com/the-9-best-keto-meal-delivery-services-of-2020/

Clean eating made easy

Written by Danielle Centoni

  As seen on https://www.thespruceeats.com/best-keto-meal-delivery-services-4766831

  Our editors independently research, test, and recommend the best products; you can learn more about our review process here. We may receive commissions on purchases made from our chosen links.Our Top Picks

  Best Overall: Factor

"There are about seven keto meals delivered each week (in addition to paleo, low-carb and dairy-free options)."

  Best Organic: Fresh n' Lean

"Built with organic ingredients and free-range, humane animal proteins, the meals typically stick to Mediterranean flavors."

  Best Gluten-Free: Snap Kitchen

"The ingredients are completely gluten-free, no matter what diet plan you choose, and ingredients are responsibly sourced."

  Best for One-Time Orders: Paleo On The Go

"The options don’t rotate weekly, but there are 24 to choose from, most of which are keto twists on familiar favorites."

  Best Frozen: Pete’s Paleo

"Instead of delivering them fresh, these prepared keto meals are delivered frozen—perfect for stockpiling in your freezer."

  Best for Cooks: Green Chef

"Green Chef’s meals don’t take longer than 30 minutes to make and are built on organic ingredients."

  Best for Weight Loss: Diet-to-Go

"You can customize your plan with a 1,200-calorie menu for women or with a 1,600-calorie menu for men."

  Most Eco-Friendly: Ketoned Bodies

"The San Antonio-based company uses only grass-fed beef and pasture-raised pork and poultry."

  Best for Foodies: Territory

"The offerings tend to be more high quality and interesting than the usual hunk of protein on a bed of greens."

  Continue reading at https://www.thespruceeats.com/best-keto-meal-delivery-services-4766831

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Many of my patients are retiring this year as a result of COVIDs effect on the economy. So they are trying to use their dental benefits before they lose them. My suggestion is that you don't wait or put off the dental work you need. Utilize your benefits regularly to maintain optimal dental health. If there is one thing this year has taught us, is that you never know what the future holds. Its better to prepare/prevent than to react. • • • • • • • • • • #love #dentist #fomo #dental #dentistry #art #tooth #odontologia #teeth #covid #fomofeed #coronavirus #odonto #nyc #prettymuch #covid_19 #corona #nycart #covid19 #dentalstudent #newyorkcity #dentista #newyork #covıd19 #photooftheday #prosthodontics #doctor #happiness https://www.instagram.com/p/CEjQDGDhdN9/?igshid=16rprbg2b7a8a

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In the latest video, I talk about common misconceptions in oral hygiene and dentistry. Because knowing is half the battle 🌠

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I just discovered a new favorite product! The Waterpik Power Flosser. Although I'm not being sponsored by Waterpik, I've been promoting them for years to my patients because I truly care about prevention. For someone that is always on the move, I love how portable this is. For more info, head to http://shop.paulwilliamsdds.com • • • • • #oralhygiene #waterpik #dentist #waterflosser #smile #irygator #dentistry #waterpikbrasil #teeth #irrigadororal #dental #irrigadororalwaterpik #oralhealth #odontologia #dentalhygiene #saudebucal #teethwhitening #sorriso #dentalcare #sorrisobonito #dentalhygienist #waterpikpolska #dentalhealth #waterpiksorriso #healthyteeth #higienebucal #cosmeticdentistry #irrigadorwaterpik #braces #odontoporamor

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A Tooth Drifted To A Man’s Chin

https://paulwilliamsdds.com/a-tooth-drifted-to-a-mans-chin/   As per the case report published on April 18 in Trauma Case Reports, a man’s incisor was migrated into a deep tissue below his chin area, which had to be removed by surgery. It was a rare yet important occurrence throwing a spotlight on the need for secondary reviews and scans of maxillofacial trauma.    Further corroborating this report, a group of doctors and experts led by Shahi Jahan Shah, DMD, of the department of oral and maxillofacial surgery at King Khalid University in Abha, Saudi Arabia, said that the displacement of the tooth could happen due to the fracture line. Thus in such events when a tooth is not accounted for, it is sensible to go for a second exam and panoramic radiograph especially in cases involving dental & maxillofacial trauma.    What are the problems with Tooth Displacement?   In most of the cases, managing a displaced tooth is quite straightforward. But the diagnosis and handling could become difficult and unpredictable if teeth move to abnormal locations like maxillary sinus, nasal cavity, gastrointestinal tract, etc. Furthermore, such teeth and their fragments embedded in soft tissues can also lead to serious complications including wound separation, fibrosis, and death.   Polytraumatic cases where primary exams are performed but secondary surveys are delayed or ignored could severely enhance the risk associated with unusual tooth migration.    What happened with a man whose tooth migrated into his chin?    In an unfortunate traffic accident, this man suffered multiple injuries in the maxillofacial region and lower limb. A team of surgeons operated him, putting in mini plates to repair his pan facial trauma. Two months after the surgery, the man had swelled with a round, firm, localized mass on his lower right chin area and wasn’t responding to antibiotics and analgesics. The plastic surgery department referred him to the oral department.    The dental clinicians noticed the swelling to his submental space and conducted a panoramic radiograph to evaluate the fracture site. The radiograph clearly showed a displaced central incisor lying at the base of the parasymphysis near the fracture site. The dental surgeon operated the region, removing the unusually displaced tooth from the man's chin via surgery.    What do we conclude?    This case strongly exhibits the need for a thorough secondary survey along with a primary survey for a patient with dental and facial trauma. It is highly possible that in the above case, primary surgeons missed the tooth during their early examination probably because they were not aware that the second survey was needed or maybe they were not proficient in the dentition.   Also, it foregrounds the need to include oral and maxillofacial surgeons as a part of multidisciplinary teams when such injuries arise. Having a panoramic radiograph in addition to a basic CT scan, in emergency rooms dealing with maxillofacial trauma can also be greatly beneficial.   

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These last few weeks have been tough. The stress of systemic oppression has been a mental and emotional drain. So I decided to reminisce on times that brought me joy. This photo was taken during our outreach trip to Jamaica. These kids were amazing. Full of life and love.

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What And How We Eat Impacts Our Overall Health Including Oral Health

https://paulwilliamsdds.com/what-and-how-we-eat-impacts-our-overall-health-including-oral-health/ Isn’t it true that the human body is the most complex machine on the planet? The food we take not only functions as a fuel but also serves as an essential lubricant for the smooth functioning of this machine. What we consume and in what quantity determines our general health and the health of our teeth, gums, and mouth. Consuming too many sugar-loaded drinks, non-nutritional heavy carbohydrate foods like a sandwich packed with an egg and processed cheese, followed by a glass of juice and a sugary donut might sound tempting but it is far from being healthy. Food that is filled with sugar and carbohydrates could risk tooth decay, damage essential bacteria, weaken your immune system, cause chronic inflammatory issues and possibly could permanently affect levels of bacteria and acids in your mouth, putting your body at a greater risk of gum and oral diseases. So what should you eat? Which is the best diet for your dental and general health? Do you need to stop eating sugar and carbohydrates completely? Well! Hold on for a moment. Relax and take a deep breath! You don’t have to be overwhelmed with so much information. After all, eating nutritional and maintaining a healthy lifestyle is not rocket science. So let’s break this to step by step: General Recommended Nutritional Guidelines; Your nutritional needs depend on your age, gender, level of physical activities and some other factors. Based on the above, calorie requirements differ from person to person. Regardless, one should include the following for a balanced and healthy diet. -Fresh Fruits & Vegetables -Whole grains like oatmeals, brown rice, etc. -Low Fat Dairy -Lean protein Which Food Is Bad For Your Oral Health? -Acidic foods like citrus fruits, tomatoes, etc. could affect tooth enamel. Thus these should be consumed as a part of a meal and not just by themselves. - Sugary drinks like soda, lemonade, coffee, juices, etc. are harmful as they cause sugar bath over teeth, and promotes tooth decay. - Empty calorie food like sweet candies, cookies, cakes, muffins, chips should be avoided. There care called empty calories not because they have zero calories but have no nutritional value. Moreover, these food are high on bad sugar. Which Food Is Good For Your Oral Health? -Healthy dairy products like cheese, milk, cottage cheese, yogurt, etc., which are high in calcium and other nutrients. -Fresh fruits & vegetables are rich in fiber, minerals, and water. -Water, especially fluoridated water. -Protein-rich food like meat, fish, eggs, lentils, etc. as they are also a good source of phosphorus, important for protecting and rebuilding tooth enamel. Does everyone need the same diet? The answer is simply NO. Diet needs to be customized according to the person’s background, lifestyle, work, gender, taste, and goals. Here are a few basic diets for you to consider. I encourage everyone to read and research more about each, and than conclude which suits them the best, depending on their various requirements.

Mediterranean Diet: As the word suggests, this diet is based on the food which people used to consume in 1960 from the Mediterranean region like Italy, and Greece. It includes eating a high level of fruits, vegetables, cereals, eggs, nuts, legumes. Moderate level of fish, poultry, cheese, yogurt and low level of red meat. One should avoid processed food, bad fat and sugar-sweetened drinks.

Paleo diet: This diet basically consists of lean meats, fish, fruits, vegetables, nuts, and seeds. Anything which our ancestors obtained by hunting or gathering. Which obviously means to avoid processed foods, sugar, soft drinks, grains, dairy, etc.

Ketogenic diet: To put it simply, it is a low carb and high-fat diet. The idea is to put the body into a high metabolic state by reducing carbs intake. This transforms the body into an efficient fat-burning machine for a certain dietary period.

Low-carbohydrate diet: In low carbohydrate, you must restrict the carbohydrate and sugar intake to avoid high insulin and high sugar levels in the body. This helps in improving beneficial gut bacteria.

Carnivore diet: This could be understood as an intense version of the Keto diet. It includes only animal foods like meat, fish, eggs, dairy and excludes everything else. Some studies suggest that this could aid the weight loss fuelled by the high protein intake.

Should You Stop Taking Sugar Completely? No. Sugar has the reputation of being a bad wolf when it comes to health. Intaking it in an access amount can lead to several health issues and ailments but consuming natural sugar up to 10% of your daily calorie intake is of no harm. You must avoid process food and drinks with added sugars, which are the main reasons for tooth decay and oral disease.

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While trying to find new ways to serve the community by keeping them safe and healthy, I decided to distribute masks and hygiene kits with masks to any and everyone thats in need of them. "In every community, there is work to be done. In every nation, there are wounds to heal. In every heart, there is power to do it." - Marianne Williamson

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I caught myself accidentally singing "So long, Farewell," from A Sound of Music while extracting a tooth yesterday. Thankfully, the patient understood the reference and had a sense of humor. ⠀ Side note: This image is exactly how it feels for the patient AND dentist when that stubborn tooth is FINALLY out!

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Many patients fear going to the dentist. Wait until they see the hazmat cafeteria worker that sounds like Darth Vader.

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I'm really looking forward to going back to expanded dental duties next month. It's been mainly root canals and extractions during the pandemic. I've missed the crown and bridge work and rebuilding smiles.

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Investing in yourself means investing in your health.

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Bright smiles. Full of confidence. Can't lose.

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Reflecting back on the time spent in Jamaica on our dental mission.

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Plaque, meet your match!

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So whats the deal with wisdom teeth?