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ask Dr. Thoa
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Updated:
October 2011
IN THE NEWS:
Follow this link:
http://issuu.com/wsda/docs/2011_oct_issue to go to the Washington
State Dental Association magazine. Scroll forward to the article
on Dr. Thoa Nguyen.
BRACES:
Dr. Thoa just returned from her yearly 3 day orthodontic class, in
Atlanta, GA. She is part of the (g)nathos group of pediatric dentist who
are trained in braces. The instructor is Dr. Gerald Sampson, a
dual trained pediatric dentist and orthodontist. He's part of 3
university teaching staff, lectures all over the world, runs his (g)nathos
course, and a private orthodontic office in Atlanta. For 3
straight days, student endure a class from 8am-6pm with no breaks.
In those 3 days all the participants learn new and old things regarding
tooth movement. Dr. Thoa graduated from that course initially in
2006 and has been a member ever since. Where she returns every
year. She been doing appliance therapy to help patients grow for
the last 12 years!!! Come in and ask about our orthodontic
treatments.
OUTSIDE OF WORK:
When Dr. Thoa is not
working she is either teaching every other week at UW, volunteering at
Boys and Girls club once a month, and coaching Taekwondo every Mon and
wednesday. Dr. Thoa is a 3rd degree black belt
☼☼☼☼
STAFF UPDATE: Please come
in and meet our newest member Nicole. Additionally we have 2 staff
members who will be having a baby in December!
NEWS: the CDC is considering lowering the fluoride level in water to
0.7ppm. It is currently at 1.0ppm. For more information go
to King5.com. And as always, know that fluoride is present in the
food and drinks.
________________
KIDS AND BPA:
Safety for your children is important to us, so our office chooses
materials that are non-BPA admitting. Research has shown that there is a
trace amount of BPA that is being released after the placement of
composites and sealants. From a recent article from the Medical
Journal, it has been found that sealants that are made from bis-GMA do
not have this problem. Most composites have this and are not a
danger. At our office we use sealants that contain bis-GMA, and
therefore do not admit residual BPA after placement. Come in and
ask for the article regarding this.
________________
Athletic Guards
Since making
athletic guards for the Starz, we continue to this day to do them for
all sorts of sports. Come in and get yours today!
☼☼☼☼
BRACES
Ask
about teen and children braces. If you didn't know, we've been doing braces since
2006 and the kids are loving it. Check out this treatment that
took exactly 1 year. Only 12month to straight teeth!!
Article: A Review of Aphthous Ulcers: Their Origin
and Treatment. by: Dr. Turner, Pediatric Dentistry Select,
2004:15,3:pp.1
ARTICLE: Effect of Domestic Water
Filters on Water Fluoride Content and Level of the Public Water Supply in
Bauru, Brazil.
By: Buzalaf et.al. ASDC 2003;70, 3: 226-230
EATING GUIDELINE
Guideline
for Good Food: Eat high fat and protein content foods to prevent
bacterial acid production. Avoid eating simple carbohydrates (sugar
containing foods). Simple carbohydrates (found
in milk, fruits) and sugars are bad for the teeth whether they are
from a natural source (fresh fruit or juices) or sugar (table sugar, raw
sugar). Artificial sugars do not
cause cavities. Xylitol is the only synthetic sugar that fights against
cavities.
You
can eat complex
carbohydrates (starches). The food sources for this is: grain
products, potatoes, beans and other starchy vegetables. Please
brush twice a day, and come see us every 6 months for a check-up.
Guideline
for Bad Foods: If it sticks and is sweet, then it’s bad for your
teeth. If it’s sweet and it doesn’t stick, it’s bad for your teeth
(juice, fruit). Both will cause cavities, but the fruit and juice
will cause cavities where you can see, on the front teeth.
Please
restrict all foods on bad food list for after/during meals, not as a
daytime snack. Please refer to the “Good Food List” as options for
daytime snacking.
Article: A Review of Aphthous
Ulcers: Their Origin and Treatment. Dr. Turner, Pediatric
Dentistry Select, 2004:15,3:pp.1
Intro: If you or
your child has ever had a little sore in the mouth that sort or was small
and red, felt smooth, but burned when eating citrus foods or drinks, that
is what is commonly called a canker sore, or mouth ulcer. We refer
to it as RAS (recurrent aphthous stomatitis).
What is aphthous
ulcer: These ulcers are commonly found on the pink areas of your
mouth (not the coral-light pink area near your tooth, more like near the
roots of the teeth). These ulcers are not associated with any
swelling. They can last for a few days and go away on their own,
but they can come back in a few days or months.
Prevalence: Of
the 30-40% general population that get ulcers, 67-85% get recurrent
aphthous stomatitis (RAS). About 37% of children have reported
having them, with it initially appearing at about 5 years
old. Also children of a higher socioeconomic status tend to
get them more than a child in a lower socioeconomic status.
Cause:
Their cause is unknown because it is multifactor, and there is no
cure.
Treatment of RAS:
Treatment can involve a combination of a topical analgesics(eg.
Orabase, Anbesol gel, Gly-Oxide, Zilactin, or .5% Hydrocortisone
ointment), antimicrobial(eg. Chlorahexidine gluconate), and immunomodulatory
drugs. The topical analgesics are meant to provide comfort, not a
speedy recovery. On the other hand, use of topical
immunomodulatory drugs (corticosteriods) are a beneficial way to reduce
the healing process. They reduce symptoms without causing a
suppression of your own body's pituitary function.
Diagnosis: It is
important to distinguish an aphthous ulcer from a primary herpetic
gingival stomatitis or even an under lying systemic disease or
condition. If you do have a minor or herpetiform aphthae, it will
respond to Celestone syrup, Lidex Gel, or Diprolene. Major aphthae
are more resistant to treatment, in those cases Kenalog can be used.
ARTICLE: Effect of
Domestic Water Filters on Water Fluoride Content and Level of the Public
Water Supply in Bauru, Brazil. Buzalaf
et.al. ASDC 2003;70, 3: 226-230
INTRO: The
purpose of this study was to evaluate the extent to which domestic,
activated carbon water filters remove fluoride from water and to analyze
the fluoride level of the public water supply in Bauru, province of Sao
Paula, Brazil.
METHOD: Sampling
came from 9 different regions of water distribution. Each region
selected 20 houses with carbon filters. Brands were not looked at
in this research, but was evaluated at another study.
Questionnaires were given to the sample concerning type of filter used (mobile
or connected to water supply and how old the filters were.
Water before filtering was collected and water after filtering.
CONCLUSION:
Filters don't remove fluoride from the water, but if the filter is a
carbon filter, some of them will remove the fluoride. This study did not
provide the specific brands for each filter.
DISCUSSION: In
some of the regions that were evaluated the non-filtered drinking water
was over fluoridate, while in other regions it was under
fluoridated. In addition, it can be said that the newer the filter,
the more fluoride it will filter out. There are many variables and
a better study can be done to quantify these.
Good
Snacks :
Cheese ,
Beef Jerky , Vegetables , Fresh fruits (they are better than drinking
juice), Cereals without sugar coatings , Jell-O cubes , Nuts , Sugar-free
gum , Pop-corn , Whole Wheat biscuits, Toast, Saltine crackers , Cold-cut
meats , Baked potatoes , Sandwiches, Hamburgers, Hot dogs ,Pizza, Tacos.
Bad
Snacks:
Dried fruits
like raisins, dates, and apricots, Cakes, Doughnuts, cookies,
marshmallows, candy bars , Brownies , Chocolates , Gummy Bears , Sticky
Candy, Hard Candy , Pastries, pudding, muffins, sweet rolls, pies , Sugar
coated cereals , Sugar gum , Fruits coated with sugar , Ice cream, jams,
jellies , Soft drinks, Juices , Instant drink mixes , Chocolate milk, hot
chocolate , Milk shakes, malts , Popsicles.
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