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ksdentalus · 1 year
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Understanding the Process of Dental Bonding in Silver Spring MD with KSDental
Dental bonding in Silver Spring, MD, is a versatile cosmetic dentistry procedure that can enhance the appearance of your smile. This non-invasive treatment involves the application of a tooth-colored resin material to repair chipped, stained, or misaligned teeth. Dental bonding is a quick and cost-effective solution to achieve a more attractive smile. Our experienced dental professionals in Silver Spring, MD, use this technique to improve the aesthetics and functionality of your teeth, helping you regain confidence in your smile. Go to our website for additional information.
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Early dental care is essential for maintaining your child's overall health and well-being. Establishing good oral hygiene habits from a young age sets the foundation for a lifetime of healthy teeth and gums. Many parents might not realize the significant impact that early dental care can have on their children's development and long-term health.
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smileloftathillandale · 2 months
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How an Emergency Dentist in Silver Spring Can Save Your Tooth
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Dental emergencies can happen when you least expect them, causing pain, discomfort, and stress. In such situations, knowing that you have access to a reliable dentist in Silver Spring can be incredibly reassuring. Our experienced team is ready to provide prompt and effective care to save your tooth and alleviate your pain. Here's how an emergency dentist can make a difference in preserving your oral health.
Understanding Dental Emergencies
A dental emergency is any situation that requires immediate attention to relieve pain, stop bleeding, or save a tooth. Common dental emergencies include:
Severe Toothaches: Persistent and intense pain could indicate an infection or abscess.
Chipped or Broken Teeth: Accidents or injuries can lead to fractures or cracks.
Knocked-Out Teeth: A tooth that has been completely dislodged requires urgent care.
Lost Fillings or Crowns: The loss of dental restorations can expose sensitive areas and cause discomfort.
Gum Injuries: Cuts, tears, or severe bleeding in the gums need prompt attention.
Quick Response to Save Your Tooth
When faced with a dental emergency, time is of the essence. Here's how Smile Loft Dental at Hillandale can help save your tooth in various emergency scenarios:
Knocked-Out ToothIf a tooth has been knocked out, it's crucial to act quickly. Rinse the tooth gently with water, being careful not to touch the root. Try to place the tooth back into its socket if possible. If not, keep it moist by placing it in a container of milk or a saline solution. Contact Smile Loft Dental at Hillandale immediately. Our emergency dentist Silver Spring can often reinsert and save a knocked-out tooth if treated within an hour.
Chipped or Broken Tooth For a chipped or broken tooth, rinse your mouth with warm water and apply a cold compress to reduce swelling. Collect any broken pieces and bring them with you to your emergency appointment. Our dentist Silver Spring will assess the damage and recommend the best treatment, which may include bonding, a crown, or a veneer to restore the tooth's appearance and function.
Severe Toothache Persistent tooth pain can be a sign of an underlying issue such as an infection or decay. Rinse your mouth with warm water and floss gently to remove any trapped debris. Avoid placing aspirin directly on the affected area as it can cause tissue damage. Contact Smile Loft Dental at Hillandale for an emergency appointment. Our team will diagnose the cause of the pain and provide appropriate treatment, such as a root canal or extraction if necessary.
Lost Fillings or Crowns If a filling or crown has come loose, try to keep the restoration and bring it with you to your appointment. Avoid chewing on the affected side and use dental cement (available at pharmacies) to temporarily cover the exposed area if it causes discomfort. Our emergency dentist will reattach the restoration or provide a replacement to protect the tooth.
Preventive Measures and Ongoing Care
While dental emergencies can’t always be prevented, there are steps you can take to minimize the risk:
Maintain Good Oral Hygiene: Regular brushing, flossing, and dental check-ups can prevent decay and gum disease.
Wear a Mouthguard: If you play sports or grind your teeth at night, a custom mouthguard can protect your teeth from injury.
Avoid Hard Foods: Be cautious with hard or sticky foods that can cause teeth to chip or break.
Schedule Regular Dental Visits: Routine exams at Smile Loft Dental at Hillandale can catch potential issues before they become emergencies.
Why Choose Smile Loft Dental at Hillandale?
We understand the urgency of dental emergencies and are committed to providing immediate and compassionate care. Our experienced team uses advanced technology and techniques to address dental emergencies effectively. As your trusted emergency dentist in Silver Spring, we are dedicated to preserving your oral health and relieving your pain swiftly.
Conclusion
Knowing how an emergency dentist in Silver Spring can save your tooth provides peace of mind during unexpected dental crises. We are here to support you with expert care when you need it most. If you experience a dental emergency, don’t hesitate to contact us immediately. Your oral health and comfort are our top priorities, and we are committed to helping you maintain a healthy, beautiful smile.
For more information or to schedule an emergency appointment, visit our website or call Smile Loft Dental at Hillandale today. Your smile is in good hands with our dedicated team.
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contentone3 · 3 years
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Best Dentist in Laurel-Top Dentist in Rockville-Root Canal Rockville-Top Dentist in Silver Spring
Bliss is your dental specialist disclosing to you it will not do any harm and afterward having him get his hand in the drill. A diverting statement is yet exceptionally evident. Practically we all try not to have wounds and infections particularly "dental issues". Dental issues are normally extremely difficult to deal with and agonizing.
Top Dentist in Rockville Root Canal treatment includes fixing and saving the seriously contaminated tooth by eliminating the mash and nerves and afterward securing it by cleaning and fixing within the tooth. Our youngsters stow away in any conceivable corner of the house when the day of the dental specialist's arrangement arrives. Though we are very regarded inside our networks and do have the innovation to make almost effortless dental encounters, dentistry has been and still remaining parts the most dreaded and loathed of all wellbeing professions.
Root canal Rockville Maintaining great dental cleanliness is just about as significant as keeping up with your general wellbeing. You need to consider some significant elements with regard to oral wellbeing. Many individuals will in general disregard this angle which regularly brings about various issues that can be very excruciating. We as a whole realize that dental medicines are very expensive and if the issue turns out to be more regrettable the expense is naturally going to increment. Accordingly, the most ideal approach to keep away from the present circumstance is to take acceptable consideration of your teeth and visit the dental specialist consistently for checkups.
The field of dental schooling is tremendous and different. It covers many positions. Individuals can prepare as broad dental specialists, as trained professionals, as dental hygienists, dental collaborators, and furthermore as dental research facility technicians Top Dentist in Silver Spring.
While you can best accomplish and keep up with great tooth and gum wellbeing normally with drawn-out protection, an all-encompassing methodology that consolidates spices and other regular substances with a solid eating regimen, a powerful everyday oral cleanliness schedule, and ordinary dental check-ups, for those occasions when you actually experience tooth and gum inconveniences or diseases, a wide assortment of spices can calm the mouth, reduce the aggravation, and help in mending the condition. Notwithstanding your customary oral-cleanliness schedule, you can likewise apply explicit homegrown and normal therapies for all ways of tooth and gum afflictions, going from awful breath and blister to inconvenience from dental techniques to gum illness, toothaches and abscesses. This article examines solutions for a wide scope of tooth and gum infirmities.
Dental specialist to guarantee that he saves your tooth no matter what conceivable. This turns into their essential objective and playing out a root Canal treatment could help the dental specialist to protect the tooth and save you from tooth extraction. This strategy is generally intended to treat the rotted tooth. There are countless advantages that are related to this strategy and beneath are some of them and some significant advances that structure the procedure. Facing a root waterway is now unpleasant for certain patients, despite the fact that this minor dental medical procedure doesn't cause torment, it assuages it. Nonetheless, a great many people see an endodontic (a dental careful subject matter expert) when they're confronting confounded issues like numerous reclamations, indications concealed by analgesics, or calcified trenches. Root Canal is quite possibly the most well-known dental surgery performed, however, when injuries are additionally present, that can cause a major issue. In case they're radio pique , radiolucent, or a tad bit of both, that tissue can wind up glancing overcast in advanced pictures and make the remedial cycle more difficult.
A discussion can without much of a stretch go bad when somebody specifies the term root Canal. Many individuals recoil at the prospect of their loved ones requiring one and are altogether terrified on the off chance that they need it. With the new advances in innovation nonetheless, the Root Canal is really not disagreeable by any means. Truth be told, insofar as you're getting care from a certified dental specialist, the main twinge of Pain you'll feel is from those favored Novocain infusions. Peruse on for a fundamental manual for how the cycle functions and you will have a moderately clear thought with respect to what's befalling your tooth.
Root channel treatment or treatment is the endodontic part of dentistry. It is utilized to treat contaminations or illnesses of the tooth's mash which is situated at the focal point of the tooth. Root Canal in the focal point of the tooth, called root waterways, holds this mash which incorporates connective tissue, nerves, and veins. At the point when the tooth is first outgrowing the gums, this mash is needed for nourishment. The torment we feel when we've allowed our teeth to keep on rotting instead of going to get the filling at the dental specialist heightens with time deeply.  At the center of the tooth is a nerve running down from the center through the roots and out the base inside the gum tissue. This mash that lives in our teeth is the no-nonsense blood and sensory system that keeps our teeth alive and healthy. Root Canal medicines are one of the absolute most feared dental methods. Root Canal treatment is done to supplant the contaminated mash with a filling. The treatment is utilized to save the teeth which would somehow be taken out. Allow us to comprehend the method in detail.
When considering root Canal treatment, have all the vital data to settle on a good choice. Root channel treatment comprises the debridement of tainted or harmed nerve (mash) tissue and veins situated on the inside surface of the tooth. This is done with an end goal to save the tooth, diminish any aggravation related to the contamination, and forestall further bone misfortune in the space of the tainted tooth.
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insurancelifedream · 4 years
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Ten Various Ways To Do Cheap Dental Plans | cheap dental plans
According to research, acupuncture helps to lessen anxiety before, during and after a dental procedure or examination, a study by researchers from the University of Michigan Health System in Ann Arbor found. This natural procedure, coupled with inexpensive dental plans designed specifically to reduce the overall cost of dental treatment, could ease the stress involved in going to the dentist in order to have work done.
Dental work is vital in ensuring teeth and gums are healthy and free from disease. A visit to a dentist is essential for the health of your teeth and mouth. When an immediate need for dentistry arises, many people find themselves unable to afford the routine care they need.
Some people, who cannot afford dental insurance, turn to less expensive dental clinics in order to obtain basic care. Often, this care does not meet needs or is unsatisfactory because of lack of materials. Many people cannot afford to pay for dental care at these centers, or simply do not have the time to wait for the necessary appointment. By visiting a clinic that offers dental care at discounted prices, many people can receive care they otherwise would not be able to afford.
If you currently have a cheap dental plan but do not want to wait for a visit with your dentist, then you may consider visiting a clinic that provides affordable dental services. These clinics offer a variety of services at discount prices, including basic cleaning, routine cleanings, root canals, root canal treatments, orthodontic work, bridges and more. Most clinics also provide emergency care. They usually also offer an array of preventive care as well.
While you are at the clinic, you will meet a professional dental practitioner who will review your information and evaluate your circumstances in order to determine whether or not you are eligible for a cheap dental plan. Once you have been determined eligible, you will be given a short list of available clinics that offer dental care at discounted prices. You will be asked to complete a brief form that determines the type of service you require and how much the treatment will cost. After the information is entered, the clinic will contact you to let you know what services are available, and how much you will be charged.
Your cheap dental plan can help make affordable dental care affordable for you. Many of these clinics allow patients to see a dentist for a set amount of time, so that you are not required to pay for more than the fee that you would if you visited a traditional clinic. If you find yourself in need of a regular visit to the dentist, visiting a clinic offering discounted dental care could provide the comfort and relief that you need to make it easier for you to keep the dentist visits affordable.
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The post Ten Various Ways To Do Cheap Dental Plans | cheap dental plans appeared first on Insurance.
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bloojayoolie · 5 years
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Being Alone, Beautiful, and Benadryl: brave sweet Blazer ID 59280, @8 YRS 58 LBS. OF CUDDLES WAITING FOR CARE LOVE & COMFORT. AT BROOKLYN ACC TO BE KILLED - 5/16/2019 * Super Sweet Senior Blazer Needs Surgery Consult for Oral Mass * <3 A jaunty bowtie, a sweet and hopeful spirit, a senior gentleman in need of medical care waits for a family to love him… There is something sad and sweet about Blazer’s jaunty green bowtie, as if it were meant for another dog, another face, another place. And yet it exemplifies the sweet, hopeful spirit of this senior boy whose life has taken him down a path he never expected when he was a young, sparkling puppy. The world was his oyster then. Blazer didn’t expect that after so many autumns, and numerous springs, he would end up at a kill shelter and possibly facing an early death. To make matters worse, he has what appears to be a growth in his mouth that critically needs attention. His third eyelid is up in both of his eyes, too. No one knows better than Blazer how tough it can be to grow old. But Blazer has a gentle, affectionate, shyly sweet personality and he has not given up hope that someone will see him waiting patiently in his kennel, and realize what a gem he is. Please pick Blazer. We’d love to see this sweet senior resting comfortably in a soft bed in a loving home, surrounded by a family committed to his care and happiness. If you can make Blazer’s dream of a family come true, hurry and Message our page or email us at [email protected] for assistance saving his life. A volunteer writes: With his soft velvet ears and a full frosted snout, Blazer clearly deserves to be petted and adored. He's a family dog and it shows. He grew up with a ten year-old child, and his former humans describe him as friendly and gentle with kids and adults, strange or familiar. What's more, he's fully house-trained, and will gladly take a bath or let you brush his beautiful silver coat. He loves to just be in the same room as his favorite humans, and will behave perfectly when left at home. He comes when you call him and knows lots of important dog skills, like "sit," "down," and "stay"; he'll eat treats out of your hand and take you on nice walks. Blazer is looking for a forever family with humans over the age of five, who would love a loyal gentleman friend. A volunteer writes: Blazer may be a middle-aged boy, but he's got the energy and spirit of a happy-go-lucky puppy! He's super-friendly and affectionate and just LOVES attention. Call him over and in the blink of an eye he's wiggling into your arms with his tail going like a mini helicopter. He sometimes gets so excited that he jumps up to give kisses. And when he looks up at me with that slight tilt of his head...oh boy, I just want to pinch his little cheeks! Blazer is a high-energy boy and would be great for an active lifestyle. He LOVES treats, but just needs to learn to take them in a more gentlemanly manner; but he should be easy to teach....he already knows the commands sit, come, down, and stay; is housebroken; and is very treat and attention-motivated. Blazer grew up with a child and was respectful, affectionate, and gentle with the youngster. This happy little ball of energy is excitedly awaiting his fur-ever home at the Brooklyn ACC shelter, so come on down and meet him! MY MOVIES: Beautiful Boy Blazer https://youtu.be/Yvw7zibONQ4 Blazer https://youtu.be/18AI9Aspp8Q Frosted Face Wiggler https://youtu.be/vLukcgVYoDQ BLAZER, ID# 59280, 8 Yrs old, 58 lbs, Unaltered Male Brooklyn ACC, Large Mixed Breed, Gray / White Owner Surrender Reason: surrendered to BACC due to owner being homeless Shelter Assessment Rating: LEVEL 1 No young children (under 5) Medical Behavior Rating: Blue AT RISK MEMO: Blazer was placed at risk due to medical conditions; he was diagnosed with an oral mass and is also geriatric and at the moment he is not eating. Blazer would benefit from placement out of the care center as soon as possible. We are recommending an experienced dog adopter. Bazer got a level 1 on his behavior assessment. OWNER SURRENDER NOTES - BASIC INFORMATION: Blazer is an approx 11 year old grey and white large male dog that was surrendered to BACC due to owner being homeless. He previously lived with 2 adults and 1 child. Blazer is friendly and outgoing around strangers. He has grown up along with a 10 year old child and was described as respectful, friendly, and affectionate. Blazer would play gentle with the child. Blazer has not been around other dogs it is unknown how he would behave. He has also not been around cats, it is unknown how he would behave. Blazer has no reported resource guarding and no bite history. He is housetrained and his owner described his energy level as very high. Other Notes: Blazer is not bothered when being given a bath, when his coat is brushed but will struggle when having his nails trimmed. Blazer is not bothered when someone unfamiliar approaches the family or home. For a New Family to Know Blazer is described as friendly, affectionate, playful, and excitable. Blazer will follow someone around or be in the same room when someone is home. Blazer does not play with any toys or play games. Blazer has been kept mostly indoors and will sleep in his crate. Blazer will eat mostly wet food and be fed 2 times a day. Blazer is house trained and will use the potty on any surface outdoors. Blazer is well behaved when left alone in the home. Blazer is crate trained and does well for 6 hours. Blazer understands how to sit, come, down, and stay. Blazer will go on brisk walks on the leash and pulls very hard. SHELTER ASSESSMENT SUMMARIES: Leash Walking Strength and pulling: Mild pulling Reactivity to humans: None Reactivity to dogs: None Leash walking comments: Sociability Loose in room (15-20 seconds): Explores, but checks in with handlers, fixates on smells in the room, tail wagging, coughing, solicits attention, accepts contact, jumps up onto handler's lap, licks handler Call over: Approaches readily, jumps up onto handler Sociability comments: Handling Soft handling: Avoids handler when pressure applied to leash, wiggly body, panting, coughing, accepts some contact Exuberant handling: Did not conduct, moves away from handler Handling comments: Arousal Jog: Engages in play with handler, soft and loose, jumps up onto handler on third pass, but recovers within a few seconds on his own Arousal comments: Knock Knock Comments: No response to knock; Approaches assistant, soft and loose Toy Toy comments: Minimal interest PLAYGROUP NOTES - DOG TO DOG SUMMARIES: According to Blazer's previous owner, Blazer did not socialize with other dogs while in their care. 4/6: When off leash at the Care Centers, Balzer greets the novel female dog on his tiptoes. He is sexually motivated and but does not mount. When the greeter corrects him he explores the yard. 4/9: Blazer was introduced to a novel female today. He continues to be sexually motivated and fixates on the female's genitals. He ignored handler interruptions and was difficult to interrupt. Summary (1): Blazer understands the command for "sit". INTAKE BEHAVIOR - Date of intake: 5-Apr-2019 Summary: Readily approaches, loose and wiggly body, licks staff, allows all handling, readily accepts treats MEDICAL BEHAVIOR - Date of initial: 6-Apr-2019 Summary: Allows all handling, quick head whip with contact on abdomen ENERGY LEVEL: Blazer has been observed to exhibit a high level of energy during his interactions in the care center. We cannot be certain of his behavior in a home environment, but we recommend that he be provided daily mental and physical stimulation as an outlet for his energy. BEHAVIOR DETERMINATION: Level 1 Behavior Asilomar TM - Treatable-Manageable Recommendations: No young children (under 5) Recommendations comments: No young children (under 5): Although Blazer displays social behavior, readily seeks contact and solicits attention, he has also exhibited anxiety and handling sensitivity. During his assessment, Blazer was observed to move away when being handled, as well as became highly fixated on smells in the room, disallowing the handling portion to be completed. As a result, we recommend that Blazer be placed in a stable home environment with no young children to ensure his success. We advise safe and appropriate management when handling Blazer, as well as utilizing guidance from a qualified, professional trainer/behaviorist. Potential challenges: Handling/touch sensitivity Anxiety Potential challenges comments: Handling/touch sensitivity: Although Blazer displays social behavior, he was observed to exhibit some handling sensitivity during his interactions in the care center. When pressure was applied to his collar, Blazer would move away from the handler and avoid contact. Please refer to the handout on Handling/touch sensitivity. Anxiety: Although Blazer displays social behavior, solicits attention and seeks contact, she has also been observed to display anxiety by panting, coughing and whining during her interactions in the care center. Should this behavior arise in a home environment, please refer to the handout on Anxiety/anxious behavior. Fixates on smells, coughing, panting MEDICAL EXAM NOTES 26-Apr-2019 Progress Exam. History: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL CBC/Chemistry: WNL 4/14: CIRDC, started enrofloxacin. Today, 4/26: Recheck CIRDC. Subjective: BAR, no coughing/sneezing/vomiting/diarrhea. Good appetite. Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge, Nasal Cavity: No nasal discharge noted on exam. Lungs: Eupneic. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Integument: Unremarkable haircoat. Neuro: Appropriate mentation. Assessment: -Oral mass (r/o epulid vs SCC vs other neoplasia) -CIRDC (resolved). Prognosis: Fair. Plan: -Continue enrofloxacin 10 mg/kg PO q24h until 4/27 -Move out of isolation. -Recommend oral surgery/oncology consult with placement +/- excision of mass, dental cleaning. 24-Apr-2019 Progress Exam. Hx: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL CBC/Chemistry: WNL. 4/14 CIRDC started on enro 10mg/kg po sid until 4/22. S: BAR, mild coughing, no svd. Eyes: Unremarkable OU. Ears: Unremarkable AU. Nasal Cavity: Mild serous nasal discharge. Lungs:Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. A: CIRDC - improving oral mass. P: recheck day 14, continue enro 10mg/kg PO SID until 4/27, recommend oral surgery consult for mass 20-Apr-2019 Progress Exam. Hx: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL CBC/Chemistry: WNL. 4/14 CIRDC started on enro 10mg/kg po sid until 4/22. SO: BAR, good appetite, unremarkable elimination. multiple sneezes heard EENT: eyes clear OU. Mild serous nasal discharge Lungs: Eupneic. MSI: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. A: CIRDC - improving, oral mass. P: Will continue to monitor and reassess daily. CWCT while in ISO. continue enro 10mg/kg PO SID until 4/27. recommend oral surgery consult for mass 14-Apr-2019 Progress Exam. History: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL. CBC/Chemistry: WNL. Today, 4/14: ACS noted sneezing. Subjective: BAR, no coughing/vomiting/diarrhea. Sneezing during exam, mild serous nasal discharge bilaterally. Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: Mild serous nasal discharge, sneezing. Lungs: Eupneic. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. BCS = 5/9. Integument: nremarkable haircoat. Neuro: Appropriate mentation. Assessment: -Oral mass (r/o epulid vs SCC vs other neoplasia). -CIRDC. Prognosis: Fair. Plan: -Start enrofloxacin 10 mg/kg PO q24h x 14d, -Move to isolation -Recommend oral surgery/oncology consult with placement +/- excision of mass, dental cleaning. 10-Apr-2019 Other Lab Interpretation. PCV =40%. TS - 7.8. 10-Apr-2019. Blood Work Interpretation. Radiograph Review. CXR (3 view)-nsf, no signs of metastasis CBC-nsf. Chem-nsf. T4-wnl (1.5). Sedated with dexdomitor 10mcg/kg + butorphanol 0.2mg/kg IM, reversed with antisedan full dose. Once sedated a full oral exam was completed. There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. Recommend histopath of mass with excision if possible (may need hemilaminectomy depending on mass). Rec AUS. 9-Apr-2019 Progress Exam. History : owner surrender 4/6-epulid noted, conjunctivitis. Started on benadryl. Subjective: Swelling on right side of anus noted on rounds board. BARH. No csvd except when pulling hard against the leash. Objective P = wnl, R = wnl, BCS 5/9. EENT: Eyes have nuclear sclerosis ou with injected sclera, no ocular d/c, no nasal discharge noted. Oral Exam: adult dentition, with large irregular mass across maxillary incisors and canines. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic. ABD: Non painful, no masses palpated. U/G: MI, 2 testicles descended. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities. Rectal: normal, no abnormalities noted on external or digital exam. Assessment: Large oral mass r/o epulid vs malignancy. Prognosis: fair. Plan: Recommend oral surgery consult +/- excision of mass. Ok to d/c Benadryl. Scheduled for BW and CXR 6-Apr-2019 DVM Intake Exam. Estimated age: 8y. Microchip noted on Intake? no. Microchip Number (If Applicable): History : owner surrender. Subjective: QARH, normal appetite, no elimination concerns. Observed Behavior - allowed all handling, sat and quickly turned back when palpating abd. Evidence of Cruelty seen - no. Evidence of Trauma seen - no. Objective: P = wnl,R = wnl BCS 5/9. EENT: Eyes clear, OU conjunctivitis, ears clean, no nasal or ocular discharge noted. Oral Exam: adult dentition, moderate dental tartar. Max incisors has acanthomatous epulis. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic. ABD: Non painful, no masses palpated U/G: male intact 2 testicles palpated, no leakage or discharge. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. CNS: Mentation appropriate - no signs of neurologic abnormalities. Rectal: visually normal Assessment: acanthomatous epulis, Conjunctivitis - suspect allergic. Prognosis: fair. Plan: recommend oral surgery consult +/- excision. benadryl 25mg PO BID until 4/10 - recheck. SURGERY: perm waiver age *** TO FOSTER OR ADOPT *** HOW TO RESERVE A “TO BE KILLED” DOG ONLINE (only for those who can get to the shelter IN PERSON to complete the adoption process, and only for the dogs on the list NOT marked New Hope Rescue Only). Follow our Step by Step directions below! *PLEASE NOTE – YOU MUST USE A PC OR TABLET – PHONE RESERVES WILL NOT WORK! ** STEP 1: CLICK ON THIS RESERVE LINK: https://newhope.shelterbuddy.com/Animal/List Step 2: Go to the red menu button on the top right corner, click register and fill in your info. Step 3: Go to your email and verify account \ Step 4: Go back to the website, click the menu button and view available dogs Step 5: Scroll to the animal you are interested and click reserve STEP 6 ( MOST IMPORTANT STEP ): GO TO THE MENU AGAIN AND VIEW YOUR CART. THE ANIMAL SHOULD NOW BE IN YOUR CART! Step 7: Fill in your credit card info and complete transaction HOW TO FOSTER OR ADOPT IF YOU *CANNOT* GET TO THE SHELTER IN PERSON, OR IF THE DOG IS NEW HOPE RESCUE ONLY! You must live within 3 – 4 hours of NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Norther VA. Please PM our page for assistance. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a dog on the To Be Killed list, including those labelled Rescue Only. Hurry please, time is short, and the Rescues need time to process the applications.
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ecotone99 · 5 years
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[RF] The Second Best Dentist in Town
The Second Best Dentist in Town
Dr. Marvin Gill was the second best dentist in Mankato. He was 62 years young and had a perfectly groomed white mustache and piercing blue eyes. He spoke plainly and with a conviction you don't find in most folks. If you had to assign him a flavor of ice cream based on personality, most would say the man was mint-chip.
Dr. Marvin Gill was a proud man. He never hesitated to inform his patients about the various trophies and medals he had won, many of which weren't even related to his dental practice (although of course some were). He would tell people about how he had won ribbons for growing squash, raising pigs, and carving wooden sculptures. He took home first place in an Irish jig competition, even though he hated dancing the Irish jig.
He was an avid hunter, and had proudly stuffed and displayed various game he had bagged over the years throughout his office. There was an 8-foot tall polar bear standing on its hind legs, teeth and claws bared in a menacing pose. There was a 400-pound male African lion he had popped several years back, sitting upright, proudly surveying his waiting room. He had named it Vaughn. The heads of various deer and elk adorned the walls of his dental practice. "You see that one," he would say while injecting Novocain into a patients' gum, "shot him square in the heart from 60 yards out- dropped dead on the spot. That was a park record."
May was an important month for dentists in North Mankato- reason being that North Mankatons tended to overdo it in March and April eating Cadbury Eggs. The average North Mankaton consumed between 10 to 12 crème eggs a day. Obviously this over-indulgence lead to a spike in both cavities and diabetes, the former being most important to Dr. Marvin Gill's dental practice. Whenever Easter came around, Dr. Gill would say to his hygienists, "Ok ladies, go ahead and clear up those calendars for the next two months. We'll be drillin' and fillin' till the cows come home." And away they'd go.
Dr. Gill always showed up to work particularly early on the First of May. He wouldn't show it on the outside, but on the inside he would be giddy with excitement. On this particular May 1st he was even giddier than normal because this was the first year that the North Mankato Contests and Competitions Board (the NMCCB) had decided to hold a "Which Dentist Can Perform the Most Fillings Contest". The NMCCB was not known for its creativity in coming up with contest names. When Dr. Gill heard about the competition, he rushed to his stationary desk to fill out, sign, seal and deliver the application to the Board. It should be noted that, despite his best efforts, his was the second application received.
The first patient to arrive that day was Betty Pinge. Betty was a heavyset woman in her early 50s, and would certainly be placed on the 'above average' region of the spectrum where dental work was concerned. She had been coming to Dr. Gill for decades. Despite finding her quite bothersome and a bit grotesque, Dr. Gill didn't mind seeing Ms. Pinge one bit because he knew that she was a guaranteed 4 fillings, minimum.
After Katrina (one of the hygienists) finished up with her initial cleaning, Dr. Gill entered the exam room with his standard professional smile, asking, "And how are we today Betty? Been keeping up with your flossing?" To which Betty giggled and replied, "The best I can, Dr. Gill! You know I just lovethose Cadbury Eggs though... I tend to go a little wild this time of year! Hopefully my teeth don't show it!"
Dr. Gill smiled to himself, though not nearly wide enough for Ms. Pinge to notice. He pulled his stool up alongside her and said, "Well then let's take a look and see what we've got here." Betty Pinge opened up her mouth wide and Dr. Gill, utensils in hand, began his exam. "Hmmm..." said Dr. Gill as he prodded and poked around Ms. Pinge's gums. Right off the bat he was able to identify 6 cavities in need of filling. "Looks a little concerning in here." He said this to Ms. Pinge with an unfaltering sense of concern and professionalism, but on the inside all he could think was "Jackpot..."
The rest of the day went about as well as Dr. Gill could've hoped for. He kept an old-fashioned mechanical counter in his jacket pocket that he would 'click' every time he completed a filling. By noon he had already racked up 42- well above average even for May. Despite this, his competitive nature kept him on edge. He certainly wasn't going to rest on his laurels or think for even one second that he could take a break. No- he was going to drill, fill, drill, fill, drill and fill some more until every last patient that had been booked that day was done, and every last speck of a cavity had been treated- no matter how small. By 6 pm his counter read 222. He said good evening to his hygienists Katrina and Karol, and to Jackie (his receptionist), walked out the glass storefront doors of the dental practice, got into his silver 2008 BMW 3-series and headed home.
...
Now you may have noticed that I said Dr. Marvin Gill was the second best dentist in town. That is because the best dentist in town was Dr. Gill Marvin. Dr. Marvin, too, was a proud man. He had won slightly more trophies and medals than Dr. Gill. Where Dr. Gill had won silver medals, Dr. Marvin had taken home gold. When Dr. Gill won blue ribbons, Dr. Marvin had gotten red. Dr. Marvin had a 9-foot polar bear in his office, and a 500-pound lion. Dr. Marvin did not bother competing in the Irish jig competition, because he was busy winning both a salsa and a tap dancing competition at a better venue across town, back-to-back.
Dr. Gill hated Dr. Marvin with a passion that burned hotter than a thousand hot pockets that just came out of a thousand microwaves, all having been heated for a thousand minutes. It was a hate that burned deep, deep inside of Dr. Gill, but that he never once spoke of. In fact, the only shred of evidence that this hatred even existed was an almost invisible twitch of the left side of Dr. Gill's mustache at the mention of Dr. Marvin's name.
One time Dr. Gill was out having a fancy dinner with his wife, Mary. He had just handed his American Express card to the waitress when she looked at it and said, "Oh you have almost the same name as my dentist! His name is Dr. Gill Marvin!"
While she giggled for a moment, Dr. Gill held back an involuntary grunt and said, "Well that's not me. I'm Dr. Marvin Gill, and I am in fact a dentist. My patients all tell me I'm the best in town, you know. If you're ever in need of top quality dental work, please do stop by."
The waitress then replied, "Oh I'm sure that won't be necessary. Dr. Marvin is FANTASTIC! I'd never stop going there. He really is the best! Oh this is too funny, Dr. Marvin Gill and Dr. Gill Marvin- who would have thought!" She kept giggling and turned away to run the American Express card. Dr. Gill's mustache twitched ever-so-slightly, but just enough that Mary noticed. She was the only one who knew to look for it.
"Oh don't listen to her Marvin! She's just a foolish young girl who knows nothing of quality dental care!" said Mary. "Why don't we go dancing, hmm? Wouldn't that be lovely?? It's been ages since we've danced the foxtrot."
But Dr. Gill didn't feel like dancing. In fact, Dr. Gill felt like murdering... Murdering Dr. Gill Marvin. He stared vacantly into his half empty gin and tonic, lost in thought. "Murder," he mumbled.
"What was that dear?" asked Mary.
Flustered, he replied, "I... I said herder. I'm thinking about becoming... a sheep herder."
Mary giggled. "Oh Marvin you do say the most outlandish things sometimes! A sheep herder- what an absolute gas!"
...
It was now the 8th of May- one week into High Cavity season. Dr. Marvin Gill was in good spirits as he had already had to re-order dental cement twice. His mechanical counter currently read 1068. He was in particularly high spirits as he had entered and won a sack-race over the weekend. He had had the sack stuffed and mounted over his fireplace, with a small placard that read "2016 North Mankato Tri-Annual Sack-Race Winner, Spring Invitational- Dr. Marvin Gill, DDS". Dr. Gill had insisted they include "DDS" on the placard.
The morning had been a bit slower than Dr. Gill would have liked. He had seen 3 patients, though had only performed 4 fillings between them. There had also been an unusually high number of cancellations over the past few days, which irked Dr. Gill.
No matter though- looking at the schedule he saw that the Bigglebun twins were scheduled for that afternoon. Those Bigglebuns were well-known around town as fat little piggies, and as a conservative estimate they probably ate roughly 40 Cadbury Eggs a day, each. Townspeople would often encounter them riding their tricycles down this street or that, one hand on the handlebars and the other holding a chocolate egg dripping with crème, bellies protruding out of the midsections of their skin-tight t-shirts.
Dr. Gill had just finished sealing up a cavity when Jackie came in with a dreadful look on her face.
"Dr. Gill..." she said, her voice noticeably trembling.
"What is it Jackie?" asked Dr. Gill.
"C- can you come to the back office for a minute?" she asked.
Dr. Gill got up and followed Jackie to the back office. He shut the door and they both sat down. "So what is it dear?" asked Dr. Gill.
"Well..." Jackie started, but paused.
"Come on now Jackie, you know it's the month of May. We're burning precious daylight here- what is it?"
Jackie swallowed with a loud 'gulp'. "Well Mrs. Bigglebun just called... she said... she said she needs to cancel the twins' appointment this afternoon."
Always the consummate professional, Dr. Gill didn't show one iota of the disappointment that swept over him, but simply asked, "Well did she say why?"
Jackie grabbed a tissue from the box on the desk and dabbed at the sweat now dripping from her forehead. She took a big, deep breath. "So she said... she said she found another dentist."
Dr. Gill sat silently, but shifted his gaze straight ahead to a blank spot on the wall. "Who?" he asked in complete monotone.
"She said... she said... oh God she said Dr. Gill Marvin! I'm so sorry Dr. Gill!!!" exclaimed Jackie.
Dr. Gill sat silent, motionless for about 3 seconds. "It's fine, dear," he said, again in monotone, his gaze was burning a hole into the wall, "Nothing to worry about."
Robotically, he raised himself out of his chair and walked out of the office. "I'll be taking my lunch now," he said without turning his head. He continued walking, slowly and smoothly, staring straight forward. Without blinking, he walked right out the front door of the office without another word.
...
Exactly 1 hour later Dr. Gill returned to the office. He entered unceremoniously through the front doors and walked right through, again without saying a word. He continued on with the day's appointments. Neither Jackie nor the receptionists said another word about the Bigglebun twins.
...
Dr. Gill Marvin had impeccable fashion. He wore a platinum Rolex that kept perfect time. He had 20 different color variations of the same Ralph Lauren long-sleeve button-down shirt in his rotation, as well as 19 different styles / colors of Ralph Lauren khaki pants. This ensured he would never wear the same outfit twice in the same year. He had slick black hair and a flawless mustache that was so black that, when asked about it, most would say they would never go back .
He always kept the 1994 album "The Very Best of Kenny G" on repeat in his office. While some patients found this music selection bothersome, they were happy to put up with it because Dr. Marvin was such a damn good dentist and snappy dresser. Other than the dead animals mounted throughout the office, Dr. Marvin's office decor could be described as "abstract psychedelic jazz". Think those paper cups from the 1990's with the teal and purple design on them.
It was May 8th and Dr. Marvin had just finished up his last appointment of the day. Despite his marital status ("married"), he usually spent about 10 minutes flirting with his receptionist prior to leaving the office. Although Dr. Marvin was not her type, his receptionist, Val, didn't mind the impropriety. It was a good paying job, and he was a good boss otherwise, so if she only had to put up with 10 minutes a day of mildly inappropriate chit-chat, that was ok with her.
"You shoulda seen the mouth on this gal!" Dr. Marvin was saying to her, "Chompers yellow as corn! Nothin' like your pearly whites," he added with a wink. "Ok sweet cheeks," he continued, "You make sure and get your beauty rest tonight!" He quickly swiveled around and, with his usual swagger, sauntered out the front door. He walked out to his parking space and stopped dead in his tracks. He dropped his briefcase and yelled, "WHAT THE SHIT!?!"
His recently detailed 2009 BMW 5-series had, at some point during the day, been viciously assaulted by the business end of someone's car key. On the driver's side of the vehicle they had inscribed the phrase "MARVIN EATS DICK." in large, capital letters, and with impeccable handwriting most closely resembling Helvetica.
Huffing and puffing, Dr. Marvin glared around the parking lot searching for any clue the culprit may have left behind. Alas, nothing. "GOD DAMN IT!" he exclaimed, as he got into the car, slammed the door and peeled out of the parking lot like a bat out of hell.
...
It was May 24th, one week left in the fillings competition, and Dr. Gill was getting desperate. He had no idea how many fillings the competition had chalked up, but knew that he had been getting more cancellations than he was comfortable with. He decided it was time to change up his strategy... but how?
He was racking his brain on his way to work when he noticed all the billboards he was passing by. "That's it!" he though. "A billboard! Marvin you're a god damn genius!"
As soon as he arrived at the office he immediately told Jackie to pull out the Yellow Pages and find a billboard vendor. Jackie, being younger than 62, opened up the internet and found a phone number.
"Great work!" said Dr. Gill, as he excitedly snatched up the post-it note that Jackie had written the number on and power-walked back to his office. He picked up his desk phone and dialed the number.
A yolky, high-pitched man answered, "Hamp's Billboard's n' Such! Chester Hamp speaking!"
"Hello, I need to rent a billboard for a week," said Dr. Gill.
"Fantastic!" egged Chester Hamp, "Any particular location?"
"Wherever the most cars will see it! In North Mankato, of course," replied Dr. Gill.
"You got it. I know just the one!" said Hamp, "When do you need it ready?"
"Yesterday!" replied Dr. Gill. "We're in the middle of a dental competition, you see, and I need cavities to fill!"
"I get it- ASAP! I can have up by tomorrow! So what's your name, sir?" asked Hamp.
" Dr. Marvin Gill, DDS," said Dr. Gill, "And I want the billboard to say 'Dr. Marvin Gill- Best Dentist In Town!'"
"You got it!" squealed Hamp. "Now I suppose we should discuss our rate?"
"I don't care- just keep it under 5 grand," barked Dr. Gill. All of a sudden he had a thought. "And I want you to put a picture of my stuffed lion on there as well! His name is Vaughn. I'll have my receptionist fax over a photograph post-haste!" said Dr. Gill.
"Sure thing Marvin!" said Hamp, "And you can just have her email it, if you'd like."
"JACKIE!" yelled Dr. Gill, covering up the phone's mouthpiece, "I need you to email a picture of Vaughn to Chester Hamp!"
"Ok!" Jackie called back, "What's his email?"
"CHESTER HAMP!" Dr. Gill yelled back. "Send it to CHESTER HAMP!"
"That's not an email- I think that's just his name!" said Jackie.
Eventually they figured it out, but not before Dr. Gill got frustrated and transferred the call over to Jackie.
...
On his way to work the next day, Dr. Gill arrived at a heavily-trafficked stoplight about 2 miles from his office. While waiting for the light to change, he slowly lifted his gaze to a prominent 10' x 25' billboard at the opposite corner of the intersection. He felt his body temperature rise about 10 degrees, and his teeth nearly shattered from the involuntary clench in his jaw. On the billboard was a beautiful picture of Vaughn right next to the phrase:
Dr. Gill Marvin- Best Dentist In Town!
...
Dr. Marvin Gill blasted through the front doors of the dental practice, nearly knocking over a stuffed raccoon. "JACKIE!" he yelled, "GET THAT SON OF A BITCH CHESTER HAMP ON THE LINE!"
He stormed back to his office. His phone intercom rang and he picked it up. "Chester Hamp on line 1," said Jackie. Dr. Gill clicked over to line 1.
"HAMP! YOU IMBECILE!" screamed Dr. Gill.
"Mr. Gill- is something wrong with your billboard?" he asked, frightened.
"It's DR. Gill to you! And you're God Damn right something's wrong!" Dr. Gill replied, "You put that bastard Gill Marvin's name up there by mistake!"
"Oh my goodness... I am so sorry!" replied Chester. "Oh dear oh dear... it'll take a week to get that fixed!"
"I DON'T HAVE A WEEK, DAMNIT!" yelled Dr. Gill. "Your incompetence has buried me!"
"So... so sorry... let me see... uhhh... oh my... we'll have it taken down right-" Chester Hamp was cut off by Dr. Gill forcefully hanging up the phone on its receiver.
While this was clearly and solely the fault of Chester Hamp, Marvin Gill's rage was instinctively directed 100% at Dr. Gill Marvin. He began to experience what is commonly referred to in the psychological community as "tunnel-vision," and at the other end of that tunnel was Dr. Marvin's greasy head on a platter. He couldn't focus on work. He couldn't focus on Hamp. All he could do was clench his jaw, ball up his fists on his desk, glare at his mallard duck paperweight, and hyperventilate.
It took ten minutes for Dr. Gill to chill the F out, but the rage was still there- smoldering with consistent heat, just beneath the thin layer of ash that was his arrant professionalism. At this point he couldn't even determine if he was more concerned with winning the competition, or simply wiping Dr. Gill Marvin off the face of the planet.
"No," he thought. "That would be too easy... You're better than that." And with that he resolved he would win the competition, no questions asked. He didn't care if he had to grab homeless people off the street and drag them in for fillings, free of charge. If it meant beating that rat-bastard, he would do it...
And that's just what he did.
...
By May 26th word had gotten around through the homeless community that some crazy dentist was giving away free dental work. When Dr. Gill arrived at his shop that day there was a line out the door and around the corner of smelly bums, hobos, vagrants and vagabonds, smiling and greeting Dr. Gill as he walked by downing his gigantic cup of black coffee.
"Not taking any calls today Jackie!" he said with a wave, as he quickly passed through the waiting room and into the prep area. He popped on a couple rubber gloves, sat down in exam room one and gave Karol a quick hand gesture, letting her know to start sending them in.
Between the hours of 7 am and 7 pm (as he would now be staying open late AND on weekends), Dr. Gill spent every minute that day and the next 5 days doling out fillings to the homeless. He was racking up so many fillings now that his mechanical counter had broken and he had to use a whiteboard to write down the running total. In fact, he was so busy that he asked his wife Mary to come in just to keep the board updated!
Despite the fact that he was hemorrhaging money, and that his office smelled like urine and garbage, Dr. Gill couldn't have been happier. "There's no WAY I can lose this thing! These homeless peoples' teeth are like black gold!!!" He was treating close to 25 patients a day, sending each and every one of them on their way with a smile and a bag containing floss, a toothbrush, and a miniature tube of Crest toothpaste.
Eventually the local news caught wind of what was going on at Dr. Gill's dental practice, and they ate it up. The headline in the paper read "LOCAL DENTIST GIVES HOMELESS A MOUTHFUL OF HOPE". The 10 o'clock news did an interview with several of the people who had been treated, each of them calling Dr. Gill a saint, a hero, a great man. The PR couldn't have been any better!
And then came May 31st.
...
It was the home stretch. The final countdown. The whole shebang. All the marbles. Everything on the line. It all comes down to this. No holds barred.
Marvin Gill had been racking up so many fillings over the last week that his hands were now covered in calluses. It was 4:55 pm, and the "Which Dentist Can Perform the Most Fillings Contest" had a strict deadline of 5:00 pm on May 31st. Dr. Gill finished up 2 last minute fillings just as the clock struck 5. He walked over to the white board and asked, "Mary, may I do the honors?"
"Of course dear!" she replied, smiling and handing him the black dry-erase marker. He took it from her, erased the last digit of the running count, and inked the new grand total of 5,308. He stepped back and admired his handy work. It was one of the finest "8"s he had ever written. "You've outdone yourself this time," Thought Dr. Gill, "You magnificent son of a bitch."
"Well," said Dr. Gill, "Better get everything in to the NMCCB." Jackie gathered up the months' dental records- a stack of paper nearly a foot tall- and followed Dr. Gill out to the parking lot. They both got into Dr. Gill's 3-series and headed to the Official NMCCB Contest Headquarters.
The North Mankato Contests and Competitions Board Contest Headquarters was far-and-away the most impressive building in North Mankato. Designed using the principles of early 1960's brutalist architecture, the looming 7-story concrete structure looked like a giant upside-down trapezoid. There were maybe 100 dark rectangular windows glaring out over the much-larger-than-necessary parking lot. At the very bottom of the trapezoid, dead-center was a single automatic sliding glass door, in front of which now stood Dr. Marvin Gill and his receptionist, just out of range of the sensor.
"Well Jackie, here goes nothing!" said Dr. Gill excitedly, but just as he turned from Jackie toward the door he heard a voice yelling at him from across the parking lot.
"Marvin Gill! Hey Marvin how ya doin' bud?! Thought I'd see you here!" yelled Dr. Gill Marvin as he jogged over toward Dr. Marvin Gill. Two of his gals were running behind him trying to keep up, arms full of paperwork. A small bead of sweat dripped down the side of Dr. Gill's forehead, and the left corner of his mustache twitched ever-so-slightly.
"Dr. Marvin. How are you?" said Dr. Gill, showing every ounce of restraint.
"Stack's lookin' a little thin there, ey' Gilly Boy?" smirked Dr. Marvin.
Dr. Gill clenched his jaw and replied, "You and I both know it's not the size of the stack, Gill. Hell, I've got a patient record in there showing 12 fillings in one visit."
"Sure ya' do, bud," scoffed Dr. Marvin. "Say, you wouldn't happen to know a good auto detailer, would'ya'? Some A-hole did a real number my Beamer the other day. Scratched the hell outta the thing!"
Dr. Gill forced back a smirk. "Nope, sorry."
"Jeez... Oh well, I better get in there so they can start countin' all my records! Somethin' tells me it'll take'em a while. C'mon ladies- move those sweet petutes!" And with that Dr. Marvin walked through the automatic door and into the Contest HQ, gals-in-tow.
"Good God I hate that man," muttered Dr. Gill.
Jackie turned to Dr. Gill and stated, simply, "You're 10 times the dentist he is, Doc."
Dr. Gill smiled and looked at Jackie. "You're alright kid," he said. "You're alright." After a brief pause, he turned and looked at the doorway, "Ok then. Let's do this." And with that, they walked in.
...
It had been 3 days since the NMCCB had received it's submissions for the "Which Dentist Can Perform the Most Fillings Contest" (all 2 of them), and the results had still not been announced. Dr. Gill had been having Jackie call the NMCCB Hotline every hour on the hour since June 1 to see if they had determined a winner. The NMCCB utilized an automated answering system, which took approximately 30 minutes to get through, so poor Jackie had to spend half of her working day dealing with it.
Finally, at 1 pm on June the 4th, there was a breakthrough. "We have the results," said the NMCCB official on the other end, "The announcement and awards ceremony will be held tonight at 7 pm. So Sayeth The Board." Jackie didn't even have time to respond before the line disconnected from the other end.
Jackie rushed back to the exam room to let Dr. Gill know. "Excellent," remarked Dr. Gill. "Please call Mary and let her know I'll need my tuxedo dry cleaned and ironed ASAP." He continued on with his current appointment showing absolutely no sign of concern or apprehension. That being said, he was all butterflies on the inside.
...
Now if there was one thing the NMCCB was known for, it was throwing awards galas. The NMCCB Banquet Hall was lavishly adorned with elegant table settings, glittering chandeliers, intricate floral arrangements, and an all-you-can-eat buffet spread that would make Wolfgang Puck cum in his pants. There were about 350 guests in attendance, which would seem odd considering the particular nature of the competition and the fact that there were only 2 entrants, but was in fact not odd because all North Mankaton's were well aware of the caliber of an NMCCB awards gala, and the trouser-jizzing quality of the free buffet that was always offered.
Dr. Gill and Mary were seated at one of the tables nearest the stage, Mary in her finest evening gown and Dr. Gill in his clean-and-pressed tuxedo. They were both enjoying some lobster thermador with a heaping side of caviar and Fiji Water, when an older-looking gentleman (also dressed in a tuxedo) walked up on stage and approached the announcement podium.
"Ehem," he began. The room fell silent. He continued, "Good evening ladies and gentlemen, and welcome to the NMCCB 'Which Dentist Can Perform the Most Fillings Contest' Awards Ceremony!" There was a generous round of applause.
"I am Kurt Prune, chairman of the NMCCB, and will be your host for the evening. Now, before we announce the winner- HEY! YOU BIGGLEBUN TWINS PUT THAT DOWN!" Mr. Prune exclaimed as he pointed toward the buffet, where two fat little boys were attempting to carry away a giant tray of desserts. The entire room turned their heads to look. The Bigglebuns dropped the tray with a loud clang and scurried out the back door, farting and giggling all the way.
"GOD DAMN IT!" yelled Kurt Prune, "EVERY FUCKING TIME!"
The room stayed quiet while Mr. Prune collected himself. "I'm sorry about that," he said, "As I was saying... before we announce the winner, I would like to thank all of our contestants for their participation in yet another fantastic NMCCB Competition!" A generous round of applause followed.
"Thank you, thank you," he continued. "So, without further ado. The records have been counted- and I must say this was one of the closest competitions we've ever seen- Only 10 fillings separated the winner and the runner-up!"
Quite murmurs spread throughout the audience. "Oh my!" "Ten fillings!" "Such suspense!"
"Yes, yes it is very exciting," he continued. "So, as I was saying- the winner, by 10 fillings, of the NMCCB Which Dentist Can Perform the Most Fillings Contest is....... Dr. Gill Marvin!!!"
The room burst into applause. Gill Marvin stood up with a huge shit-eating grin on his face. Smiling and waving to the crowd, he headed up to the stage.
Dr. Marvin Gill felt his heart drop down through his guts and fall out of his ass.
Dr. Marvin had just stepped up on to the stage, when right at that moment a loud THUD was heard throughout the banquet hall. The entire room turned their heads to the back door, where someone had just burst in.
"Just wait one god damn minute!!" squealed a voice from the back of the banquet hall. Though Dr. Gill had never seen this man before, he immediately recognized the voice belonging to none other than Chester Hamp of Hamp's Billboards 'n' Such. He was a short, portly man who wore a black visor, white shorts, flip flops, and a flowing Tommy Bahama shirt that had a decorative pattern of fish hooks and wooden steering wheels.
Hamp sprinted as fast as his legs would carry him up to the announcement podium and he pushed Kurt Prune aside. There was a collective gasp throughout the banquet hall. Hamp was completely out of breath, and needed to lean on the podium for about 20 seconds, breathing heavily before he collected himself. He sniffed his armpits, and began-
"My name is Chester Hamp. As you may know, I run North Mankato's premier billboard rental service: Hamp's Billboards 'n' Such. However, what you may not know is that I am also a licensed private investigator! Actually, that is what the "Such" in "Billboards 'n' Such" stands for- private investigations."
Hamp continued, "Now, recently Dr. Marvin Gill contacted me about renting a billboard to advertise his dental practice. I gleefully accepted his request, but made a major error in printing the signage! Instead of placing Dr. Marvin Gill's name on the billboard, I printed the name 'Dr. Gill Marvin' by mistake! Now, Chester Hamp may be a lot of things, but he always does right by his customers! When I learned about my mistake, I couldn't just sit idly by and allow my blunder to devastate Dr. Gill's ambitions. Knowing that there was a dental competition underway, I visited the NMCCB's website to learn more about it. Low-and-behold, I found that Dr. Gill Marvin was in fact the only other entrant!
Well, at this point I felt like a REAL LOUSE! So, I decided I would do some digging into Dr. Marvin's practice. Well guess what! DR. Marvin isn't a DOCTOR at all!"
Yet another collective gasp from the crowd.
"That's right! As it turns out, he was expelled from dental school during his first year for SEXUAL HARASSMENT, and never received his MD! I did some more digging and found out that he fraudulently opened up his dental practice only 1 year later. Now, here's the best part!"
The entire banquet hall was now brimming with a mixture of excitement and confusion.
"I decided to see just how 'Dr. Marvin' was able to perform so many fillings, so I booked an appointment myself. After receiving what I thought were 3 fillings, I arrived home to find that he had simply smeared white paint over all my teeth- No fillings at all!!!"
Dr. Marvin shoved Chester Hamp off of the microphone. "This is ridiculous!" exclaimed Dr. Marvin. "I deny every claim this guy just made! It ain't true I tell ya!"
Just then a voice yelled from somewhere in the middle of the room, "Mr. Hamp is right!" it was Mrs. Bigglebun now standing up at her table. "I took my precious little angels to have their cavities filled by Dr. Marvin, but all he did was paint their teeth!"
Another gasp.
Dr. Marvin now looked incredibly uncomfortable. Loosening his bow tie he tried to explain, "Wuh- well- you know what- this guy- jeez-it's all a buncha-aaheehaaAAHHHH!!!" He totally lost it and pulled out a handgun, aiming it point blank at Chester Hamp's head.
Another BIG gasp.
"NOW look whach'ya made me do! You just HAAAD to go diggin' around didn'cha!?! DIDN'CHA?!?" yelled Dr. Marvin, "Well THIS IS WHAT HAPPENS WHEN YA MESS WITH OL' GILL MARVIN!!!"
Just then a loud BANG rang out. The room gasped so f-ing loud that it almost blew out the windows. Gill Marvin dropped to his knees, then flopped on his side, blood running out the side of his head.
Dr. Marvin Gill was standing up at his table, his normally concealed weapon now brandished in his outstretched arm, smoke flowing out from the muzzle.
The banquet hall erupted in applause. Kurt Prune walked up to the microphone and exclaimed, "Ladies and Gentlemen- I present the TRUE winner of the NMCCB's 'Which Dentist Can Perform the Most Fillings Contest'- Dr. Marvin Gill!!!"
...
It had been a month since Dr. Gill had won the contest, and things were now getting back to normal. His dental practice now benefited from a huge uptick in appointments and new patients, and best of all was the new trophy that Dr. Gill proudly put on display on the reception counter.
In addition to the "Most Fillings Contest" 1st place trophy, Dr. Gill had recently mounted a new prize in his office, right over the reception counter. It may not have given him as much pride as the NMCCB trophy, but it certainly brought him great personal pleasure. Directly above the reception desk on the wall was Gill Marvin's head, stuffed, with a placard that read "Gill Marvin- WORST Dentist in Town".
THE END
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metdentgroup · 6 years
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Dentist in Silver Spring MD, Dentist in Silver Spring - www.Metdentgroup.com
Periodontal Maintenance in Silver Spring, MD
Periodontal maintenance therapy is an ongoing program designed to prevent periodontal disease in in the gum tissue and bone.  Periodontal maintenance is usually necessary for patients who are susceptible to periodontal disease or who have been treated for gum disease.  Maintenance visits to the periodontist will help prevent additional dental problems in the future.  Treating the disease in its early stages saves you not only discomfort but also money!
Why is periodontal maintenance necessary?
Gum disease is caused by the bacteria found in plaque. The toxins produced by the bacteria attack your gums and teeth.  And, if the plaque is not removed, it will harden and form calculus.
Even someone dedicated to good oral hygiene will be unable to completely prevent the formation of calculus on the teeth.  Flossing and brushing will keep the calculus to a minimum but regular maintenance is needed to professionally remove what has been missed.  During your maintenance cleaning, the hygienist will also check for hidden periodontal problems.
Dentist in Silver Spring MD, Dentist in Silver Spring Dental Implants in Silver Spring MD, Cosmetic Dentist in Silver Spring MD, Teeth Whitening in Silver Spring MD, Root Canal Treatment in Silver Spring MD, Dentist Near Silver Spring MD, Kids Dentist in Silver Spring MD, Pediatric Dentist in Silver Spring MD, Emergency Dentist in Silver Spring MD, Dental Fillings in Silver Spring MD, Emergency Care Silver Spring MD,
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erie homeowners insurance quote
"erie homeowners insurance quote
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BEST ANSWER:  Try this site where you can compare quotes: : http://averageinsurancecost.xyz/index.html?src=tumblr 
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erie homeowners insurance quote
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erie homeowners insurance quote
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erie homeowners insurance quote
erie homeowners insurance quote
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I live in michigan and need to find an insurance company that will allow me to exclude people who live with me from being on my policy (otherwise my rates will double (possibly triple)) Esurance doesn't i know, but anyone know what ones do?""
How much is car insurance in the UK for a 21 year old? I'm being quoted 1000pnd/month!?
I'll be moving to the uk from the netherlands. I'll be getting a uk driver's license within 1 year as my current one is not exchangeable. I am very confused about the ridiculous high prices of car insurance in the uk. With 0 years no claim and full uk license for 1 year I'm getting a quote of over 1000 pounds a month!? How is this even possible? This is just liability insurance.
What's wrong with car insurance?
I am a safe driver. I've never had a car accident or ticket. As a consequence of my choices, I pay very low rates for car insurance. Other people I know have had accidents and many tickets, they pay a lot for car insurance. In this system, each person pays a different rate based on the consequences of their choices and actions. So what is wrong with this system? Why can't we use the exact same system for health insurance? If I eat right, exercise, and wash my hands then I will rarely get ill and should pay very low insurance rates. My neighbor eats junk food, smokes, and never exercises, has lots of medical issues and will for as long as he lives, shouldn't he pay a much higher rate for insurance? Why would anybody want a government system in which we will both pay the same rate? That is blatantly unfair to me since I make good choices and wont get sick as often. Furthermore, I have the choice of lots of different car insurance companies (Geico, Allstate, Nationwide, Progressive, etc.), this competition drives lower costs and better service. Why would I want to give up choice in favor of a monopoly? What is wrong with our car insurance system that somebody would not want the exact same system for our health care?""
Who hates Health Insurance?
On the infrequent occasions when I need to see a doctor, I pay cash. Which I'd have to do even if I had health insurance because of the ridiculously high deductibles. I dont even know why i have it. I pay too much money. A friend recommend me a pharmacy Online I will be trying that. They have very cheap prices. am sick of giving out my money. Do you guys think i will save money with Medicines mexico Online Pharmacy?""
""Got a cell phone ticket driving my friends car, will it raise her insurance rates?""
I was pulled over today by a cop. He gave me a yellow violation slip for using my cell phone. I was just checking traffic at a stop light! Ugh. Anyways, I was driving my friends car. And i'm trying to figure out if, my insurance rates will go up or will hers? Please help!!""
Insurance For a 1968 Ford Falcon?
Can anyone give me a serious quote of what the insurance would be for 16 year old driver on a 1968 Ford Falcon. Also what would be the quote for a 48 year old driver in Northeastern, Ohio.""
1965 Coupe mustang Inline 6?
I have a 65 mustang stick shift Inline 6. I am a 16 year old Girl & I wanna use it as a daily driver. How much would the insurance Be on this car? I really need to know. What would be the best insurance for it? Currently my daily driver in a 1956 Chevy Pick-up Truck which was in great condition but now it needs a paint job. Anyways, Does any one know how much the insurance will be?""
Are there any car insurance companies that wont force me to be on my parent's insurance policy?
I got my license 4 months ago and I have NEVER driven since getting it. Not even once. I don't drive. I ride the bus or my bicycle everywhere I go. I don't need car insurance. I don't want car insurance. I live with my parents and their insurance requires that they add me to their coverage simply because I have a license. Are there any insurance companies that don't require me to be on my parents' plan like this?
Im 18 year old male looking for cheap car insurance in UK?
just got the car and license. 1.2 ford fiesta 2004 price is the only factor for me as i will make no claims for the first year in any situation. the best so far is aviva. i have been reccomended several insurers who have given me ridicolous qoutes.. tesco..aa..elephant..all the pass plus ones and i am asking yot to tell me whos suit me! thanks
How much is your car insurance?
around how much would it be for a teen lets say?
Best car insurance company in 2013?
I am looking for a new car insurance company. My current one is charging me $2500/year for 2 cars.
Adding car to insurance policy?
I just bought a car from a local used car dealership, and they tried to have my insurance company (All-state) add the car to my policy. But All-state refused because i'm not the ...show more""
Auto insurance wont pay for damages?
I was involved in a bumper to bumper accident(at fault) in a borrowed car(my fathers) here in California. Now i get a call from the insurance that they wont pay for damages to the other vehicle because im not in the policy. Im not excluded from the policy either. My father only has liability insurance. Does the insurance has to pay for damages by law?
Where i can find the cheapest car insurance rates for my 18 year old daughter? What I've seen so far is 2 $$$$
Where i can find the cheapest car insurance rates for my 18 year old daughter? What I've seen so far is 2 $$$$
What is north carolinas cheapest car insurance company.?
What is north carolinas cheapest car insurance company.?
College student needing car insurance?
I live in MA i am in the process of leasing a hyundai elantra. but i need insurance. I cant use my parents policies because i bought the car myself. Does anyone know of any cheap car insurance companies?
Can somebody explain what term insurance means?
if you get term insurance for 10 years, can you get your money after 10 yearrs even if you didn't diie?""
What's the most you or anyone you know has ever paid for car insurance?
I'm asking cuz I now pay close to 400/month... It's like 396. - I have 3 accidents on my record (from like 2 1/2 years ago, only one was my fault). however I found out that all of them were listed on my insurance as my fault. Found out the insurance companies automatically assign fault unless you produce proof otherwise. Now one of them I got hit from behind, so that's easy to prove with police report. However, the other one guy ran red light and I hit his side. I think the police report has it as 50/50 fault since it really can't be proven either way, it's his word against mine who ran the light. Do you think I'll be able to fight that one??? I'm gonna go down to the police headquarters and get the police reports over the next few days, just wondering... Also how much would that actually save me? - My dad had a speeding ticket (90 in a 65) and he was listed as a second driver on my car, so that also brought it up. I'm going to remove him from my insurance since he rarely drives my car anymore, and has replaced his own car. - I have the defensive driving discount already. - I'm 26 years old female in NY. I drive less than 5 miles a day to work. And I drive a silver 2006 Saturn Ion in which I'm still making payments on, so I still have comprehensive. Based on all that, do you think I can find cheaper elsewhere. Where should I loook??? I feel like whenever I try to switch companies they give me a great rate on the phone, than all of a sudden after like a month or 2 being with them, my rates suddenly increase cuz they just found the accidents . I realize I don't have the greatest driver history in the world, but 400 just seems outrageous. I know people who pay less than that a year. I was thinking of selling my car, and getting a cheaper one w/ no payments on it, which would rid me not only of my car payment, but I wouldn't have to carry comprehensive anymore either. Problem is whatever I made from the car would have to go towards paying off the loan, and I would have no money to buy the new car... I feel so stuck, but I'm paying like 750/month between insurance/car payments, and I have a crappy job and can't afford it. Suggestions??? oh btw I use a local broker and autoone insurance""
""What is the average insurance rate for a 19 year old male in Austin, Tx?""
PLEASE give me an actual number, not just how I could find out and what important information I left out. I have had no accidents and an attending school and will be buying an average car. Thanks in advance""
What's a good short storyline for a car insurance commercial targeted for parents of teens?
OKAY! so i need a good storyline for a school project im doing! Im making a commercial with my friends with video. My topic is CAR INSURANCE and it is targeted at parents. Specifically Parents who have teens on there hands that are just about to drive! PLEASE HELP! thanksss!
Electric Car insurance and teen drivers.....?
How much does insurance go up if you add a 17 year old with a learner's permit to your plan. I live in Florida and have Electric Car Insurance.
Short-term insurance coverage and ACA?
Does anyone know if and/or how the Affordable Care Act (ACA) will affect short-term insurance coverage? My son currently does not have health insurance at work; therefore, he has been buying short-term coverage which can be purchased month by month, every 3 months, or 6 months. The downside is that after 12 months of consecutive coverage, he has to sit out for 2 months (no insurance coverage). Not ideal, I know but it's all he can afford at this point. It basically costs him less than $40 a month. Just wondering about this. I guess we don't know yet how much coverage will cost under the ACA?? Maybe he can afford something better once that takes effect.""
Cheapest car insurance in the tampa bay area?
It would be nice to get a human answer.
How much is car insurance for a 19 year old female in south carolina?
How much is car insurance for a 19 year old female in south carolina?
erie homeowners insurance quote
erie homeowners insurance quote
https://www.linkedin.com/pulse/homeowners-insurance-quote-online-yvonne-wesley/"
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Denture Care Forum On HubPages
A dental implant is an artificial replacement for a missing natural tooth or root. Mini implants advantages and disadvantages are described below. It is also extremely essential to note that everyone average tooth implant cost can receive an implant because the mini implants come in several sizes and lengths to accommodate a patients jaw bone structure and density.dental implant s"/> Initial, the patient's mouth is examined in order to assessment the overall performance of the jaw joint and masticatory muscle and to verify the bite, oral mucosa, teeth and gums. And due to the fact only a small pilot bit is utilized dental implant fails to create the opening for the implant to be threaded into the bone, even very elderly or infirm sufferers can usually advantage from this brief and simple procedure. Installation of dental implants in dentistry in silver springs is amongst the handful of dental solutions and tactics whose results are avidly guaranteed. All content inside Dentistry Today is offered for common data only, and should not be treated as a substitute for the health-related or dental tips of your personal medical professional, dental surgeon or any other healthcare expert. She mentioned that her old original dentist knew how to make dentures back in the day and now these young whippersnappers never know what they are performing. The quantity of teeth that are extracted will affect the overall tooth implant price. Patients with mandibular removable dentures were provided with MDI to increase denture retention. How dental implant surgery is performed depends on the kind of implant and the situation of your jawbone. At this time, the top quality and quantity of jawbone is assessed to figure out if far more bone growth is necessary at the web site. Sufferers paying in money sometimes successfully negotiate lower fees for healthcare costs. Naturally, correct oral hygiene is essential to keep healthier teeth regardless of regardless of whether or not implants are used. Dental implants look how much do dental implants cost and feel like your own teeth! Implants preserve the bone that usually accompanies tooth loss, and can truly facilitate bone growth. You can have just two implants supporting 3 teeth using a bridge, which is frequently a lot far more cost powerful. Dental implants mission viejo are inserted into the physique employing surgical procedures. Numerous Dental care Assistants will perform in further than 1 dentist office because of the interest in far more Dental Personnel.
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Gum disease is a common yet preventable condition that can wreak havoc on your oral health. As a cosmetics dentist in Silver Spring, Maryland, we understand the importance of proactive dental care to avoid gum disease and maintain a healthy smile for life.
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smileloftathillandale · 4 months
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What Problems Can Occur After Dental Implant Surgery
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Dental implants are a popular and effective solution for replacing missing teeth, offering a long-term option for restoring your smile and oral function. However, like any surgical procedure, dental implant surgery can come with potential complications. Understanding these possible issues can help you make an informed decision and ensure a smooth recovery process. If you're considering dental implants Silver Spring, this guide will provide you with comprehensive information on potential post-surgery problems and how to address them.
Common Problems After Dental Implant Surgery
1. Infection at the Implant Site
One of the most common complications is an infection at the site of the implant. This can occur when bacteria enter the surgical site during or after the procedure. Symptoms of an infection include swelling, redness, pain, and sometimes pus drainage from the implant site.
Prevention and Management:
Prevention: Maintain strict oral hygiene by brushing and flossing regularly. Your dentist in Silver Spring may also prescribe antibiotics to prevent infection.
Management: If you notice signs of infection, contact your dentist immediately. Early intervention with antibiotics or antiseptic mouthwash can prevent the infection from spreading.
2. Implant Failure or Rejection
In some cases, the implant may fail to integrate with the jawbone, a process known as osseointegration. Factors contributing to implant failure include poor bone quality, excessive stress on the implant, or systemic conditions like diabetes.
Prevention and Management:
Prevention: Ensure thorough pre-surgical evaluation and follow all post-operative care instructions. Your dentist might recommend a bone graft before implant placement if bone density is a concern.
Management: If the implant fails, it must be removed. After healing, another attempt can be made with a new implant, often with additional preparatory procedures to enhance bone support.
3. Nerve Damage
Nerve damage can occur if the implant is placed too close to a nerve. This is more common in the lower jaw where the inferior alveolar nerve runs. Symptoms include numbness, tingling, or persistent pain in the lips, gums, or chin.
Prevention and Management:
Prevention: Accurate imaging techniques, such as 3D cone beam CT scans, help your dentist precisely plan the implant placement, minimizing the risk of nerve damage.
Management: If you experience nerve damage, contact your dentist immediately. Sometimes, the implant needs to be repositioned or removed. In many cases, nerve damage may resolve over time, but persistent issues should be evaluated by a specialist.
4. Sinus Problems
For implants placed in the upper jaw, particularly the back region, there is a risk of sinus issues if the implant protrudes into the sinus cavity. This can lead to sinus infections or sinusitis.
Prevention and Management:
Prevention: Pre-surgical imaging and careful planning are crucial. In some cases, a sinus lift (a procedure to add bone below the sinus) may be necessary before placing the implant.
Management: If sinus issues occur, your dentist may prescribe antibiotics or decongestants. Severe cases might require the repositioning of the implant or additional surgical intervention.
5. Peri-Implantitis
Peri-implantitis is an inflammatory condition affecting the soft and hard tissues around the implant, similar to gum disease. It is usually caused by poor oral hygiene and can lead to bone loss around the implant.
Prevention and Management:
Prevention: Maintain excellent oral hygiene and schedule regular check-ups with your Silver Spring dentist. Professional cleanings can help prevent peri-implantitis.
Management: Treatment may involve deep cleaning around the implant, antibiotics, and, in severe cases, surgical intervention to remove infected tissue.
How to Minimize Risks and Ensure Successful Implant Outcomes
Choosing the Right Dentist in Silver Spring
Selecting an experienced and skilled dentist in Silver Spring is crucial for minimizing complications. Look for dentists with specialized training in implantology and a proven track record of successful implant procedures.
Pre-Surgical Assessment
A thorough pre-surgical assessment helps identify potential risks and plan for successful implant placement. This includes:
Detailed Medical History: Inform your dentist of any medical conditions, medications, or allergies.
Imaging and Diagnostic Tests: Advanced imaging techniques help assess bone density and structure, ensuring accurate implant placement.
Post-Surgical Care
Proper post-surgical care is essential for successful healing and implant integration. Follow these guidelines:
Oral Hygiene: Brush and floss regularly and use any prescribed mouth rinses.
Diet: Follow your dentist’s dietary recommendations, avoiding hard or sticky foods that could stress the implant site.
Follow-Up Visits: Attend all scheduled follow-up appointments to monitor healing and address any concerns promptly.
Conclusion
Dental implants are a highly effective solution for tooth replacement, offering a natural look and feel. However, understanding the potential complications and how to manage them is essential for a successful outcome. By choosing a qualified dentist in Silver Spring and adhering to recommended pre- and post-surgical care, you can minimize risks and enjoy the full benefits of dental implants. If you’re considering dental implants, schedule a consultation with a trusted dentist in Silver Spring to discuss your options and embark on the journey to a healthier, more confident smile.
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Exploring Types of Tea
First, it is important to know the categories of teas before you go around testing them out! Each type has a specific purpose and it’s own unique effect on the body in comparison to the others. (For example, black teas are a lot more potent and powerful than a white or green tea.) Herbal teas are have the most potential to have a powerful effect on the body and need to be discussed with your primary care practitioner before taking on a regular basis if you have any pre-existing health concerns. Remember, everything in moderation!
TYPES: GREEN TEA, OOLONG TEA, MATCHA TEA, WHITE TEA, PU-ERH TEA, BLACK TEA, HIBISCUS TEA, DECAF TEA, HERBAL TEA. DISCUSSED: GREEN, OOLONG, WHITE, BLACK, HERBAL.
According to The Detox Cookbook and Health Plan, written by Maggie Pannell, published in London, England that contains over 150 different recipes to help transform your body from experiencing a toxic overload to being a tonic temple, “herbal teas make a perfect detox drink choice”! This is because herbal teas are naturally caffeine-free as well as sugar-free! It is important to find a tea that you enjoy without adding white sugar or other products to, so you can fully benefit from the herbal blends and reap the benefits. Teas have a diverse, unique purpose in our culture and help our bodies function in a more efficient manner. The immense variety of tea blends allows an individual have a beverage suited for any time of day, and any time of mood! The power of tea can range from aiding headaches and nausea to relieving someone from severe aches and pains. Add ice to any of these teas, or chill them in the fridge to have an entirely different experience when the weather is warmer! Remember, ENJOY!
The FDA cautions against taking supplements that include: Comfrey Ephedra Willow bark Germander Lobelia Chaparral Other than these ingredients, it is safe to drink up!
1) Green Tea is one of the most popular teas in the world, Matcha is a popular green tea in powered form, originating from Japan.
2) Green Tea is made from unfermented leaves of Camellia Sinesis.
3) Green Tea contains Theanine, an amino acid, which is great for the central nervous system and which makes for a great stress reliever.
4) Green Tea commercially comes with many different flavours, often times is blended with lemon, mint, honey, blueberry or other fruity aids. This means MORE vitamins in your beverage! MORE antioxidants!
5) According to an article written with evidence provided by University of Basel, extract from green tea has proven to be even more beneficial for our health. The article begins by stating that these findings could be helpful in treatments for psychiatric disorders, like dementia. It explains that the extract “increases the brain’s effective connectivity”, and also led to better cognitive performance.
6) According to http://tea.wikia.com/, “ the antibacterial and natural fluoride found in green tea kills the bacteria that causes tooth decay, bad cavities and gum disease.” Remember, adding sugar or other unnatural substances will negate these effects.
8) Green tea has a powerful effect on our blood, in a sense it acts as a cleanser, reducing AND stabilizing cholesterol through preventing LDL cholesterol from transcending to being oxidized.
9) Mint helps with headaches, digestion and upset stomach.
10) Green Tea has effectively aided individuals with allergies, reducing side effects like watery eyes, sniffling and congestion, as well as a sore throat!
1) Oolong is a Traditional Chinese tea, “oolong” derived from the Chinese name, “black dragon”.
2) Oolong, like Green Tea, is from the leaves of Camellia Sinesis. The leaves goes through similar process of drying but have a more particular oxidation process.
3) Oolong tea can also be found in variety, from Vietnamese, Thai, Indonesian to African, and many more!
4) Oolong tea should be prepared with 200 to 205F water and steeped for 3-10 minutes.
5) A study conducted by the Archives of Dermatology found that Oolong has positive effects on the skin, helping fight acne, eczema and other eruptions of the skin.
6) Oolong Tea CONTAINS CAFFEINE, as well as other chemicals that act similar to caffeine, known as theophylline and theobromine. Therefore Oolong Tea is a great energizing tea and serves as an excellent substitute for coffee.
7) According to WebMD, Oolong tea is is known for assisting weight loss, lowering cholesterol and fighting diabetes.
8) Some popular Oolong teas to try are “Red Robe”, “Gold Turtle”, “Iron Monk”, “White Comb” and “Cassia.” There is an immense variety of Oolong blends with unique flavors!
9) Oolong has also been discovered to fight Heart Disease or lower the risk there of, as stated on organicfacts.net.
10) My favourite place to shop for Oolong Tea online is the “RepublicofTea”, don’t forget to check out their website and further your education of herbal remedies there! A great source!
1) White tea is a lightly oxidized tea, which has a smooth, subtle flavor and is easy to drink in comparison to other earthy, strong blends like the herbal blends.
2) White tea was originally referred to as a black tea, due to how it is brewed, unlike a green tea where it is brewed to remove certain components such as enzymes and external microbes.
3) Some well known White Teas are: Silver Needle, White Peony, Darjeeling!
4) White Tea is prepared differently than other teas, unlike Oolong, it does not require panning or rolling!
5) White tea is brewed at 175 and steeps for an average of 4-5 minutes.
6) According to Teavana, White Tea contains about “1-2% as much caffeine content as one cup of coffee”.
7) Aside from the delicate taste of White Tea, it is also beneficial to the skin. It can be added to a bath, mixed with honey and used for a facial or hair mask!
8) A great tip from Teatulia.com is to not “let the tea share the pantry with items like coffee and spices that can leach their flavor into the tea leaves.”
9) The best time of year to purchase White Tea is during the Spring and Summer, but it can be enjoyed through out any time of the year since it’s sweet, light flavor is so desirable.
10) White Tea contains Calcium, Magnesium, Zinc, Theobromine and Caffeine.
1) Black tea contains vitamins C, E, A, B. It is a common misconception that Black Teas always contain more caffeine than others like Green Tea, however, it entirely depends upon the producer of the product. Majority of teas contain caffeine, however, over all contain less caffeine than coffee.
2) Black Tea’s origin is mid 17th century China.
3) Black Tea is known to aid in weight loss, lowering bad cholesterol, reducing fatigue and stimulates the central nervous system. Therefore it is also a suitable candidate to replace coffee.
4) Black Tea also, like Green Tea, enhances blood vessel elasticity and strength. It also aids in dental health.
5) A popular favourite Chinese Black Tea is “Lapsang Souchong”, my personal favourite Black Tea over all from my childhood is the notorious English brand, “PG Tips”.
6) According to Vibha Dhawan of Teatulia, those who indulge in 1-2 cups of Black Tea daily had a “70% lower chance of having or developing type 2 diabetes.”
7) Black Tea contains a component known as “polyphenols” which help block DNA damage caused by toxins, such as tobacco and alcohol. 8) Studies have suggested that Black Tea can lower the chance of ovarian cancer in regular drinkers. The link with this information can be found here: http://www.ncbi.nlm.nih.gov/pubmed/15831086
9) A popular Himalayan Black Tea is known as “Dajeerling” tea. 10) Black Tea is also a known diuretic, meaning increase of urine flow. 1) Herbal Teas can be composed of a variety of plants, meaning there is toxicity risk when combining different herbs. Be certain to check each ingredient for health and safety purposes.
2) A popular type of herbal melody is known as “hibiscus teas” which originated from Egypt.
3) Herbal Teas can vary from herbs such as Catnip, Caraway, Cannbis, to flowers such as Dandelion, Chamomile, and Lavender!
4) A popular Herbal tea known as Ginseng acts as an excellent caffeine substitute!
5) Another tea that can be classified as an Herbal remedy is “Rooibos” otherwise known as “Red Tea” which are non-diuretic teas and can be drink frequently in comparison to other teas.
6) Other popular herbs are ginger, ginkgo biloba, ginseng, hibiscus, jasmine, rosehip, mint. A powerful herb used to treat insomnia amongst several other issues is known as “Valerian”.
7) According to healthcastle.com, “Dr Susan Percival, researcher of a 2007 study found that drinking 6 cups of tea may improve immune response as more virus-fighting interferon was secreted.”
8) Studies have shown that Herbal Teas can support clear breathing, look for melodies titled “throat coating” if you are experiencing a sore throat!
9) Although considered a green tea, Matcha tea, a Japanese blend, has been proven to have epigallocatechin gallate (EGCG) (an antioxidant found in green tea) 137 times greater than in Chinese green tea.
10) Another name for herbal teas is “tisane”.
This post appeared here first: http://holisticpower.tumblr.com
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Heal Dental Caries Naturally
Terrified of the dentist?
Treat dental caries naturally using butter oil and cod liver oil, oral hygiene, remineralization and correct nutrition, including a lifelong alkaline-forming diet be really vital for dental health. This report presents alternate dental research. Much of what we've been taught about tooth decay in schools and universities is either wrong or incomplete. Interesting research by Ramiel Nagel and Dr. Weston Price explains why improper nourishment is the real cause of tooth decay.
Back in 7th grade, I had a buddy who was really religious.
He had been brought up a Christian Scientist and that platelet rich fibrin I was just getting really interested in it as well.
So one day I asked him, "Could Christian Scientists heal cavities as well?"
Smiling with a mouth filled ear to ear with amalgam fillings and braces to help straighten things out, he laughingly Answered:
"Well that is my little trick"
When God cannot heal your dental caries and just the dentist with a drill and a possibly lethal mixture of mercury, silver, tin, copper and zinc can, there is something seriously wrong somewhere. Some people do not seem to be bothered that having to rely heavily on the conventional dentist "torture" treatment while having the possible chance of mercury poisoning for lifetime. Even worse is the fact that most dental work eventually must be replaced using even bigger fillings and frequently even root canals and finally dentures. And such dramatically unnatural treatments are seldom without side-effects or other health effects and complications. This pricey "torture" never finishes, because, even those who frequently visit a dentist, brush and brush after every meal and avoid sweets often continue to lose just as many teeth as somebody that never bothers with dentists in the first place.
I never forgot that the first couple of times I had to get cavities drilled and filled! Gagging over and over again on dental X-ray films filled deep within my mouth while being subjected to dangerous X-rays; that dreadful dreading and expectation of the next "drill and fill" appointment; that freaky "smoking" smell of the tooth decay since the drill gets hotter and hotter while attempting not to gag on it!
That unforgettable horrible sense of the nerves being ripped into by that hellish drill! Eeeeeeeech!!!! This form of torture is no solution, just another problem of constantly dreading the next time I need to have teeth filledwith If only they can just fill them, it had been the drilling sense that I found completely ghastly. It had been enough to give me the screaming willies! I think I'd much rather enable my teeth to rot out than ever go through that horror! I was 13 when I had my last filling and determined then and there I was never going to find another, no matter what!
Is there no solution to "drill, fill and bill"? Surely nature cannot be so stupid as to simply allow teeth to decay and finally fall out costing countless hapless individuals billions of dollars in dental bills! Obviously it can only be something which humans are doing wrong and not nature.
Yes, there is surely something wrong with what people are doing with nature! And it is, undoubtedly, the modern American diet (MAD) which is so appalling, so contrary to that which the body truly needs for a healthy existence. Along with vulnerabilities in all the other areas of the body, the teeth and gums also finally lose the struggle. Even though nature has provided many answers for this problem, regrettably, humankind has somehow managed to obliterate every one of these with modern day convenience food, overpopulation, and shortcuts from food production resulting in the elimination or reduction of some of the most important factors that used to avoid tooth decay during prehistory.
Primitive Diets in the Stone Age Were Rich in a "Factor X" and Several Alkaline Minerals
I believe there was a "Garden of Eden" where humankind actually lived in excellent harmony with nature. Human Beings seem to have evolved on a Mainly alkaline, high fiber diet of Primarily Vegetables, Fruits, tubers, Nuts such as almonds and seed such as sesame. Before agriculture wild herbs and plants of the forest supplied many of the nourishment and the soils were incredibly full of antioxidants, particularly alkaline minerals such as lime, magnesium, potassium, and trace minerals, volcanic ash, and salts. For protein, ancient humans must have lived from uncooked fish, bird's eggs, and goat's milk.
After agriculture was developed, the world population grew to unprecedented levels, and the exact same ground tended to be planted over and over again and also the surrounding ranges tended to be overgrazed by national animals causing a gradual loss of minerals along with a slow malnutrition or "aging process" in humans never before experienced where they started becoming increasingly fragile, fragile and wrinkled as they grew older. As essential minerals became scarcer and scarcer, and vaster quantities of acid forming foods such as cooked meat, wheat and rice introduced to the diet, tooth decay also started to show up.
Ancient domestic animals grazed freely in rich, green pastures filled with vital herbs and grasses and therefore created a perfect milk that has been new, complete, raw and obviously free of harmful bacteria. Regrettably as agriculture became commercialized and more aggressive, humans tried to cut corners, and in the name of efficacy cattle were wrapped up in tiny cubicles and fed various acid-forming grains, antibiotics and even worse: animal by products! Due to the new diet and also stresses applied to the animals, the milk was no more as alkaline forming, frequently has been contaminated with salmonella or alternative pathogens, and therefore had to be pasteurized which destroys a number of the very important enzymes naturally present in raw milk. Additionally, it now lacked a certain "Factor X" or "Activator X," gamma linolenic acid, and many other vital substances. At this point tooth decay became a normal, expected part of growing up and as one grew older gum problems, cancer, diabetes, osteoporosis and many other degenerative diseases also became quite common.
Luckily, back in the 1930's and 40's a researcher found out what had happened to our diet plan by analyzing the diets of ancient cultures still around at the time and helped to revive a number of the old methods of farming that would bring back what is lost in contemporary milk and butter production. I recently discovered a site where you can arrange "butter oil" that is a centrifuged oil derived out of raw butter from cows fed only on brand new, spring pasture grasses. It's extremely high in many vital nutritional resources like a "Activator X" actually recognized to halt the formation of dental caries and not in any way accessible modern diets but has been rather typical in primitive diets. This info is based on the research of Dr. Weston A. Price throughout the 1930's and 40's.
I recently ordered two jars and am now using the pasture-grazed butter with raw vegetables, raw range-free eggs, chlorella, rice, beans, etc.. It tastes really great. They state it's essential to have it with a particular brand of new Norwegian cod liver oil and not just any fish oil. But it might be possible for vegetarians to combine the butter oil using a synthetic vitamin D formulation, essential fatty acids, and vitamin A from spiralina, chlorella and/or a vitamin supplement, vitamins, phospholipids from lecithin, and essential fatty acids from fresh, raw sunflower oil which I tried with great success. One may also try 100\% pasture grazed raw butter occasionally available during summer and spring months from "Organic Pastures."
In case you have cavities, then the "activator X" (also called "Factor X" and works best with Norwegian cod liver oil) work synergistically with the vitamins A and D and essential fatty acids in the cod liver oil to build up a permanent barrier of enamel directly within any dental caries one might happen to have, but one must be very careful to look after the caries from any further decay with brushing after each meal using mainly the alkaline toothpastes described under the Please be advised I cannot guarantee that you Will no longer have tooth decay, but this is what I have discovered!
People who don't like the idea of using fish oil (If I could avoid it, I'd prefer never to use products that require the destruction of the beast to obtain them) you can always try utilizing olive oil only with vegetarian sources of A, D, phospholipids (found in lecithin), and essential fatty acids (found in new, cold-pressed flax seed oil) which might work just as effectively as cod liver oil for some people. An individual may try to consume more than the usual quantity of vitamin D, or around 4000 IU daily that's precisely the identical amount got from a few hours of sunshine. Needless to say, there is a well established relationship between deficiency of vitamin D along with dental caries, especially in growing children. I've heard many newly discovered facts about vitamin D and also just how essential vitamin D actually is to wellness and well-being.
Because butter oil is expensive, a not as concentrated yet less expensive supply of this remarkable substance are located in 100\% pasture grazed raw butter in "Organic Pastures." Organic Valley also produces a form of "pasture butter," but it's Pasteurized, but seems to work just in addition to long as plenty of vitamin D and/or cod liver oil is taken together with it.
Kevin: That's a great way to prepare it. Weston Price was a dentist so let's discuss teeth. And let us discuss what happens when people's teeth begin to decay. Can you rebuild those and what do you really think some of the reasons why their teeth were so great, the cultures who were eating a non-Western dietplan?
Sally: Well their teeth have been normal. I don't even like to use the word "great"; they are the way teeth are supposed to be. They were normal. A key nutrient here is vitamin K. Now Dr. Price didn't know what this vitamin was, he called it activator X, but we have now identified it pretty firmly as vitamin K and we realize that individuals who have a lot of vitamin K in their own spit do not get cavities. And vitamin K is absolutely necessary for putting calcium in the teeth and bones, calcium and phosphorus. You will need vitamin K to get that, more than merely for healthier blood. We now realize that you will need vitamin K for healthy bones and teeth.
Where can we locate vitamin K? Well we discover it in the animal fats of grass fed animals, we find it in liver, and we find it from egg yolks of grass fed chickens. Cheese is a superb source of vitamin K. And there are a few surprising sources of vitamin K. One is nato, which is a fermented soy product. Vitamin K is made by a special type of fermentation. So in Asia where they're not eating butter -- from how butter is a great source of vitamin K -- where they are not eating butter and cheese, they receive a lot of vitamin K in this distinctive fermented soy product they eat in small amounts.
And that is why we say...we really qualify our warnings concerning soy. We warn against the contemporary soy products but in Asia, from the context of their diet and the way that they prepare the soy, it's an very important component of the diet, very healthy element.
And only getting back to the tooth decay. Dr. Price had a method for treating tooth decay which functioned, that discontinued the decay and really reversed the decay, assisted tooth rebuild. And it had been a composite of high vitamin cod liver oil and high vitamin butter oil. The butter oil has been made by centrifuging butter that came from cows eating rapidly growing green grass and the oil concentrated the X variable, the vitamin K. And if he gave this to people and got them away all of the sugar and that which their teeth reconstructed themselves, the re-healed themselves. We have had a lot of people tell us they have done the exact same thing.
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The War Against Dentist in Manassas Va
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Being Alone, Beautiful, and Benadryl: brave sweet Blazer ID 59280, @8 YRS 58 LBS. OF CUDDLES WAITING FOR CARE LOVE & COMFORT. AT BROOKLYN ACC TO BE KILLED - 5/16/2019 * Super Sweet Senior Blazer Needs Surgery Consult for Oral Mass * <3 A jaunty bowtie, a sweet and hopeful spirit, a senior gentleman in need of medical care waits for a family to love him… There is something sad and sweet about Blazer’s jaunty green bowtie, as if it were meant for another dog, another face, another place. And yet it exemplifies the sweet, hopeful spirit of this senior boy whose life has taken him down a path he never expected when he was a young, sparkling puppy. The world was his oyster then. Blazer didn’t expect that after so many autumns, and numerous springs, he would end up at a kill shelter and possibly facing an early death. To make matters worse, he has what appears to be a growth in his mouth that critically needs attention. His third eyelid is up in both of his eyes, too. No one knows better than Blazer how tough it can be to grow old. But Blazer has a gentle, affectionate, shyly sweet personality and he has not given up hope that someone will see him waiting patiently in his kennel, and realize what a gem he is. Please pick Blazer. We’d love to see this sweet senior resting comfortably in a soft bed in a loving home, surrounded by a family committed to his care and happiness. If you can make Blazer’s dream of a family come true, hurry and Message our page or email us at [email protected] for assistance saving his life. A volunteer writes: With his soft velvet ears and a full frosted snout, Blazer clearly deserves to be petted and adored. He's a family dog and it shows. He grew up with a ten year-old child, and his former humans describe him as friendly and gentle with kids and adults, strange or familiar. What's more, he's fully house-trained, and will gladly take a bath or let you brush his beautiful silver coat. He loves to just be in the same room as his favorite humans, and will behave perfectly when left at home. He comes when you call him and knows lots of important dog skills, like "sit," "down," and "stay"; he'll eat treats out of your hand and take you on nice walks. Blazer is looking for a forever family with humans over the age of five, who would love a loyal gentleman friend. A volunteer writes: Blazer may be a middle-aged boy, but he's got the energy and spirit of a happy-go-lucky puppy! He's super-friendly and affectionate and just LOVES attention. Call him over and in the blink of an eye he's wiggling into your arms with his tail going like a mini helicopter. He sometimes gets so excited that he jumps up to give kisses. And when he looks up at me with that slight tilt of his head...oh boy, I just want to pinch his little cheeks! Blazer is a high-energy boy and would be great for an active lifestyle. He LOVES treats, but just needs to learn to take them in a more gentlemanly manner; but he should be easy to teach....he already knows the commands sit, come, down, and stay; is housebroken; and is very treat and attention-motivated. Blazer grew up with a child and was respectful, affectionate, and gentle with the youngster. This happy little ball of energy is excitedly awaiting his fur-ever home at the Brooklyn ACC shelter, so come on down and meet him! MY MOVIES: Beautiful Boy Blazer https://youtu.be/Yvw7zibONQ4 Blazer https://youtu.be/18AI9Aspp8Q Frosted Face Wiggler https://youtu.be/vLukcgVYoDQ BLAZER, ID# 59280, 8 Yrs old, 58 lbs, Unaltered Male Brooklyn ACC, Large Mixed Breed, Gray / White Owner Surrender Reason: surrendered to BACC due to owner being homeless Shelter Assessment Rating: LEVEL 1 No young children (under 5) Medical Behavior Rating: Blue OWNER SURRENDER NOTES - BASIC INFORMATION: Blazer is an approx 11 year old grey and white large male dog that was surrendered to BACC due to owner being homeless. He previously lived with 2 adults and 1 child. Blazer is friendly and outgoing around strangers. He has grown up along with a 10 year old child and was described as respectful, friendly, and affectionate. Blazer would play gentle with the child. Blazer has not been around other dogs it is unknown how he would behave. He has also not been around cats, it is unknown how he would behave. Blazer has no reported resource guarding and no bite history. He is housetrained and his owner described his energy level as very high. Other Notes: Blazer is not bothered when being given a bath, when his coat is brushed but will struggle when having his nails trimmed. Blazer is not bothered when someone unfamiliar approaches the family or home. For a New Family to Know Blazer is described as friendly, affectionate, playful, and excitable. Blazer will follow someone around or be in the same room when someone is home. Blazer does not play with any toys or play games. Blazer has been kept mostly indoors and will sleep in his crate. Blazer will eat mostly wet food and be fed 2 times a day. Blazer is house trained and will use the potty on any surface outdoors. Blazer is well behaved when left alone in the home. Blazer is crate trained and does well for 6 hours. Blazer understands how to sit, come, down, and stay. Blazer will go on brisk walks on the leash and pulls very hard. SHELTER ASSESSMENT SUMMARIES: Leash Walking Strength and pulling: Mild pulling Reactivity to humans: None Reactivity to dogs: None Leash walking comments: Sociability Loose in room (15-20 seconds): Explores, but checks in with handlers, fixates on smells in the room, tail wagging, coughing, solicits attention, accepts contact, jumps up onto handler's lap, licks handler Call over: Approaches readily, jumps up onto handler Sociability comments: Handling Soft handling: Avoids handler when pressure applied to leash, wiggly body, panting, coughing, accepts some contact Exuberant handling: Did not conduct, moves away from handler Handling comments: Arousal Jog: Engages in play with handler, soft and loose, jumps up onto handler on third pass, but recovers within a few seconds on his own Arousal comments: Knock Knock Comments: No response to knock; Approaches assistant, soft and loose Toy Toy comments: Minimal interest PLAYGROUP NOTES - DOG TO DOG SUMMARIES: According to Blazer's previous owner, Blazer did not socialize with other dogs while in their care. 4/6: When off leash at the Care Centers, Balzer greets the novel female dog on his tiptoes. He is sexually motivated and but does not mount. When the greeter corrects him he explores the yard. 4/9: Blazer was introduced to a novel female today. He continues to be sexually motivated and fixates on the female's genitals. He ignored handler interruptions and was difficult to interrupt. Summary (1): Blazer understands the command for "sit". INTAKE BEHAVIOR - Date of intake: 5-Apr-2019 Summary: Readily approaches, loose and wiggly body, licks staff, allows all handling, readily accepts treats MEDICAL BEHAVIOR - Date of initial: 6-Apr-2019 Summary: Allows all handling, quick head whip with contact on abdomen ENERGY LEVEL: Blazer has been observed to exhibit a high level of energy during his interactions in the care center. We cannot be certain of his behavior in a home environment, but we recommend that he be provided daily mental and physical stimulation as an outlet for his energy. BEHAVIOR DETERMINATION: Level 1 Behavior Asilomar TM - Treatable-Manageable Recommendations: No young children (under 5) Recommendations comments: No young children (under 5): Although Blazer displays social behavior, readily seeks contact and solicits attention, he has also exhibited anxiety and handling sensitivity. During his assessment, Blazer was observed to move away when being handled, as well as became highly fixated on smells in the room, disallowing the handling portion to be completed. As a result, we recommend that Blazer be placed in a stable home environment with no young children to ensure his success. We advise safe and appropriate management when handling Blazer, as well as utilizing guidance from a qualified, professional trainer/behaviorist. Potential challenges: Handling/touch sensitivity Anxiety Potential challenges comments: Handling/touch sensitivity: Although Blazer displays social behavior, he was observed to exhibit some handling sensitivity during his interactions in the care center. When pressure was applied to his collar, Blazer would move away from the handler and avoid contact. Please refer to the handout on Handling/touch sensitivity. Anxiety: Although Blazer displays social behavior, solicits attention and seeks contact, she has also been observed to display anxiety by panting, coughing and whining during her interactions in the care center. Should this behavior arise in a home environment, please refer to the handout on Anxiety/anxious behavior. Fixates on smells, coughing, panting MEDICAL EXAM NOTES 26-Apr-2019 Progress Exam. History: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL CBC/Chemistry: WNL 4/14: CIRDC, started enrofloxacin. Today, 4/26: Recheck CIRDC. Subjective: BAR, no coughing/sneezing/vomiting/diarrhea. Good appetite. Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge, Nasal Cavity: No nasal discharge noted on exam. Lungs: Eupneic. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Integument: Unremarkable haircoat. Neuro: Appropriate mentation. Assessment: -Oral mass (r/o epulid vs SCC vs other neoplasia) -CIRDC (resolved). Prognosis: Fair. Plan: -Continue enrofloxacin 10 mg/kg PO q24h until 4/27 -Move out of isolation. -Recommend oral surgery/oncology consult with placement +/- excision of mass, dental cleaning. 24-Apr-2019 Progress Exam. Hx: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL CBC/Chemistry: WNL. 4/14 CIRDC started on enro 10mg/kg po sid until 4/22. S: BAR, mild coughing, no svd. Eyes: Unremarkable OU. Ears: Unremarkable AU. Nasal Cavity: Mild serous nasal discharge. Lungs:Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. A: CIRDC - improving oral mass. P: recheck day 14, continue enro 10mg/kg PO SID until 4/27, recommend oral surgery consult for mass 20-Apr-2019 Progress Exam. Hx: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL CBC/Chemistry: WNL. 4/14 CIRDC started on enro 10mg/kg po sid until 4/22. SO: BAR, good appetite, unremarkable elimination. multiple sneezes heard EENT: eyes clear OU. Mild serous nasal discharge Lungs: Eupneic. MSI: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. A: CIRDC - improving, oral mass. P: Will continue to monitor and reassess daily. CWCT while in ISO. continue enro 10mg/kg PO SID until 4/27. recommend oral surgery consult for mass 14-Apr-2019 Progress Exam. History: 4/6/19: Owner surrender, noted oral mass, conjunctivitis. Started benadryl. 4/10: Performed CBC/Chemistry, thoracic radiographs, sedated oral exam. Sedated oral exam: There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. 3 view thoracic radiographs: WNL. CBC/Chemistry: WNL. Today, 4/14: ACS noted sneezing. Subjective: BAR, no coughing/vomiting/diarrhea. Sneezing during exam, mild serous nasal discharge bilaterally. Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: Mild serous nasal discharge, sneezing. Lungs: Eupneic. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. BCS = 5/9. Integument: nremarkable haircoat. Neuro: Appropriate mentation. Assessment: -Oral mass (r/o epulid vs SCC vs other neoplasia). -CIRDC. Prognosis: Fair. Plan: -Start enrofloxacin 10 mg/kg PO q24h x 14d, -Move to isolation -Recommend oral surgery/oncology consult with placement +/- excision of mass, dental cleaning. 10-Apr-2019 Other Lab Interpretation PCV =40% TS - 7.8 10-Apr-2019 Blood Work Interpretation Radiograph Review CXR (3 view)-nsf, no signs of metastasis CBC-nsf Chem-nsf T4-wnl (1.5) Sedated with dexdomitor 10mcg/kg + butorphanol 0.2mg/kg IM, reversed with antisedan full dose. Once sedated a full oral exam was completed. There is a ~3-4 cm pink irregular mass on the maxilla that is invasive to the incisors and canines. Teeth are either missing or in mass. There is another small 0.5cm irregular mass on the buccal aspect of the gums on the left maxilla at the premolars. There is moderate dental tartar. Recommend histopath of mass with excision if possible (may need hemilaminectomy depending on mass). Rec AUS. 9-Apr-2019 Progress Exam History : owner surrender 4/6-epulid noted, conjunctivitis. Started on benadryl. Subjective: Swelling on right side of anus noted on rounds board. BARH. No csvd except when pulling hard against the leash. Objective P = wnl R = wnl BCS 5/9 EENT: Eyes have nuclear sclerosis ou with injected sclera, no ocular d/c, no nasal discharge noted Oral Exam: adult dentition, with large irregular mass across maxillary incisors and canines PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI, 2 testicles descended MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal, no abnormalities noted on external or digital exam Assessment Large oral mass r/o epulid vs malignancy Prognosis: fair Plan: Recommend oral surgery consult +/- excision of mass Ok to d/c benadryl Scheduled for BW and CXR 6-Apr-2019 DVM Intake Exam Estimated age: 8y Microchip noted on Intake? no Microchip Number (If Applicable): History : owner surrender Subjective: QARH, normal appetite, no elimination concerns Observed Behavior - allowed all handling, sat and quickly turned back when palpating abd Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective P = wnl R = wnl BCS 5/9 EENT: Eyes clear, OU conjunctivitis, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition, moderate dental tartar. Max incisors has acanthomatous epulis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: male intact 2 testicles palpated, no leakage or discharge MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: visually normal Assessment acanthomatous epulis Conjunctivitis - suspect allergic Prognosis: fair Plan: recommend oral surgery consult +/- excision benadryl 25mg PO BID until 4/10 - recheck SURGERY: perm waiver age *** TO FOSTER OR ADOPT *** If you would like to adopt a NYC ACC dog, and can get to the shelter in person to complete the adoption process, you can contact the shelter directly. We have provided the Brooklyn, Staten Island and Manhattan information below. Adoption hours at these facilities is Noon – 8:00 p.m. (6:30 on weekends) If you CANNOT get to the shelter in person and you want to FOSTER OR ADOPT a NYC ACC Dog, you can PRIVATE MESSAGE our Must Love Dogs page for assistance. PLEASE NOTE: You MUST live in NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Northern VA. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a NYC ACC dog. Transport is available if you live within the prescribed range of states. Shelter contact information: Phone number (212) 788-4000 Email [email protected] Shelter Addresses: Brooklyn Shelter: 2336 Linden Boulevard Brooklyn, NY 11208 Manhattan Shelter: 326 East 110 St. New York, NY 10029 Staten Island Shelter: 3139 Veterans Road West Staten Island, NY 10309 *** NEW NYC ACC RATING SYSTEM *** Level 1 Dogs with Level 1 determinations are suitable for the majority of homes. These dogs are not displaying concerning behaviors in shelter, and the owner surrender profile (where available) is positive. Some dogs with Level 1 determinations may still have potential challenges, but these are challenges that the behavior team believe can be handled by the majority of adopters. The potential challenges could include no young children, prefers to be the only dog, no dog parks, no cats, kennel presence, basic manners, low level fear and mild anxiety. Level 2 Dogs with Level 2 determinations will be suitable for adopters with some previous dog experience. They will have displayed behavior in the shelter (or have owner reported behavior) that requires some training, or is simply not suitable for an adopter with minimal experience. Dogs with a Level 2 determination may have multiple potential challenges and these may be presenting at differing levels of intensity, so careful consideration of the behavior notes will be required for counselling. Potential challenges at Level 2 include no young children, single pet home, resource guarding, on-leash reactivity, mouthiness, fear with potential for escalation, impulse control/arousal, anxiety and separation anxiety. Level 3 Dogs with Level 3 determinations will need to go to homes with experienced adopters, and the ACC strongly suggest that the adopter have prior experience with the challenges described and/or an understanding of the challenge and how to manage it safely in a home environment. In many cases, a trainer will be needed to manage and work on the behaviors safely in a home environment. It is likely that every dog with a Level 3 determination will have a behavior modification or training plan available to them from the behavior department that will go home with the adopters and be made available to the New Hope Partners for their fosters and adopters. Some of the challenges seen at Level 3 are also seen at Level 1 and Level 2, but when seen alongside a Level 3 determination can be assumed to be more severe. The potential challenges for Level 3 determinations include adult only home (no children under the age of 13), single pet home, resource guarding, on-leash reactivity with potential for redirection, mouthiness with pressure, potential escalation to threatening behavior, impulse control, arousal, anxiety, separation anxiety, bite history (human), bite history (dog) and bite history (other).
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