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Connecticut Drug Rehab Mountainside Announces That It Has Treated More Than 5,000 People Suffering From Drug Addiction And Alcoholism

Mountainside Drug Rehab in Canaan CT has announced that more than 5,000 people have been treated for addiction and alcoholism at its inpatient drug rehabilitation center in a little over the 10 years of operations. The people entering treatment at this serene inpatient center have ranged in age between 18 years and 82 years of age, with the average age being approximately 31 years of age.

The residents of Mountainside Drug Rehab have come from all over the world, with some traveling as far as Thailand and India. However, the majority of residents entering the treatment center for drug rehabilitation and alcoholism come from the United States and from Canada. Mountainside Drug Rehab forecasts that its drug treatment program will help more than 500 people this year, with the majority coming from the United States.

A growing number of residents entering treatment have come from Florida and California. Due to the continuing number of residents from Florida and California, Mountainside has announced plans to open alumni aftercare centers in Mariana Del Ray, Los Angeles in 2009.

Mountainside’s individual drug rehab program has resonated with people and their families across the globe because of its quality program and affordable price. Built on compassion and driven by the thesis that no two people are identically alike, Mountainside tailors individual drug addiction treatment plans for every person that enters Mountainside Drug Rehab. Taking variables into account such as substance abuse history, various psych-social criteria and addiction treatment goals and timeframes – addiction treatment plans are carefully designed, monitored and also changed when the goals change.

Drug Rehabs across America are faced with the challenge of providing effective and quality treatment. Mountainside Drug Rehab has met this challenge for the past eleven years and has renewed its commitment to provide compassionate and quality drug rehabilitation.

For more information on Mountainside Drug Rehab please visit our website or call us at 1-800-762-5433.

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Full-Mouth Rehabilitation and Bite Management of Severely Worn Dentition

Introduction
Creating a beautiful smile for a patient is extremely rewarding for the dentist as well as for the team, and this should never be taken for granted. We are blessed with the ability to change someone’s self esteem, confidence and, possibly, the course of their life.

The case presented here was featured on the cover of the Spring 2008 issue of The Journal of Cosmetic Dentistry. While it was quite challenging, I will never forget this case,, as it changed the life of a recovering bulimia patient. Eating disorders affect approximately seven million people in the United States. Although I have seen the effects of bulimia on the dentition previously, never have I witnessed it to this extent.

The patient was diagnosed with loss of vertical dimension as a direct result of bulimia and bruxism.

Patient History
The patient, a 30-year-old female, wanted to improve her smile and to address the constant fracturing of her teeth. Although it was difficult for her to discuss, she told me about her history of bulimia and that after a long struggle, she is now recovered. She was ready not only to change her smile, but also to see what could be done about her “collapsing” face, as she put it. She confessed that her unwillingness to smile was affecting her socially and that she always covered her mouth when she laughed (Fig 1).

Clinical Evaluation and Diagnosis
After performing a thorough clinical examination, I noted a severely worn dentition, widespread abfraction lesions, and multiple fractured teeth and restorations. The palatal surfaces of the maxillary anterior teeth were completely eroded and devoid of enamel, as is typically seen with bulimic patients (Figs 2 & 3). As expected, the patient’s teeth were very sensitive to temperature changes. Tooth #5 had been extracted due to a fractured root, and in its place was a successfully osseointegrated implant (Straumann USA; Andover, MA) that had been placed one year earlier. She had lost approximately 30% of the length of her central incisors due to attrition. Upon radiographic examination, no severe decay or pulpal pathology was evident. Periodontal probing depths were within normal limits.

The patient suffered f r o m many typical symptoms of temporomandibular disease (TMD), such as joint pain, severe headaches, tinnitus, and orofacial muscle pain with spasms.1These symptoms were not surprising, as craniomandibular dysfunction is often seen with loss of vertical dimension. She was also a severe bruxer and said this provided her with relief. Due to this vertical loss, the lower third of her face was collapsed and disproportionate. The patient was diagnosed with loss of vertical dimension as a direct result of bulimia and bruxism; this was accompanied by multiple fractured, eroded teeth, and worn restorations. Additionally, the patient had facial asymmetry and multiple TMD symptoms due to craniomandibular dysfunction.2

She tolerated the orthotic well and felt much better with it in place.

Treatment Plan
Initially this case was overwhelming, as there were so many factors necessary to achieve a successful treatment outcome. After mounting and studying the casts, it was obvious that the patient’s vertical dimension had to be increased to a proper, comfortable position, which has been called the physiologic neuromuscular position.3 Once this position was determined, an orthotic appliance would be worn to verify that this proposed position was in fact well tolerated and that the TMD symptoms had decreased significantly. During the orthotic therapy phase, this appliance would be worn for a minimum of three months (for a minimum of 22 hours a day), to determine whether it would help before any permanent alteration of the patient’s teeth.

During this time, her condition would be evaluated for elimination of symptoms, proper occlusion, improvement in facial symmetry, esthetics, and acceptable phonetics. If we had not seen improvements during the orthotic phase, the first thing we would have looked at was compliance. If it had been determined that the patient was not wearing the appliance as instructed, or if the therapy had had to be extended beyond three months (due to inconsistent symptoms or an unstable bite position), we would have used a fixed orthotic appliance, which would have been fabricated to the same vertical dimension as the removable orthotic.4

The goal, for any clinician, is to find a position in which the patient’s symptoms are eliminated, or at least decreased significantly. The facial and dental esthetics also must be greatly enhanced. Although there is more than one way to find this physiologic position, in this case I objectively measured muscle activity by using electromyography (EMG) instrumentation (Myotronics-Noromed; Kent WA). This enabled me to locate the correct resting position for the mandible where the muscles are at rest, as well as the correct opening and closing trajectory.5 During the course of orthotic phase therapy, which can last several months to a year, the patient returns to verify the bite and evaluate symptoms several times. Once it is determined that the patient is comfortable, facial esthetics are improved, and the EMG muscle activity is verified to be physiologic, then the restoration phase can begin.6,7

Treatment Discussion
The first step in this case was to determine how much to increase the patient’s vertical dimension. Once this position was determined, it was imperative to test and verify it; and, most importantly, to maintain it throughout the different phases of treatment. The treatment phases were as follows: Orthotic, preparation, temporization, and cementation.

Finding the Bite
To evaluate the state of the patient’s habitual bite position, we had to record and evaluate EMG readings of several muscle groups bilaterally (K7 instrumentation, Myotronics-Noromed). The muscle groups measured were the anterior and posterior temporalis muscles, the masseters, and the anterior digastrics. Electrodes were placed over these muscle groups and electromyographic recordings were made. High EMG readings represented a state of muscle hypertonicity and unrest. The goal was to find the occlusion where the muscles that control jaw position are in a relaxed state, and therefore are at their ideal resting length for optimal function and comfort.8,9

To find a more optimal bite position, a series of diagnostic tests were performed. These included electrosonography to record and analyze joint sounds, electromyography to record and analyze muscle activity, and computerized mandibular scanning (CMS) to track and analyze jaw movements. It was determined that the patient’s habitual occlusion was in a muscular state of hyperactivity when at rest and in light centric occlusion (Fig 4). In order to relax her muscles, which were in a chronic spasmodic state, ultra-low frequency transcutaneous electrical neural stimulation (TENS) was applied using a myomonitor (Myotronics). The myomonitor stimulates cranial nerves V, VII, and XI to relieve hypertonicity, restore normal blood flow, and wash away toxic wastes such as lactic acid. This restores the muscles temporarily to a relaxed and normal resting length (Fig 5). These muscles become “deprogrammed,” and, by measuring their pre- and post-relaxation status, we are provided with precise and objective comparative data.10,11 The details of all the tests performed during the three-hour diagnostic appointment are beyond the scope of this article.

The position at which this patient’s muscles were in their most relaxed state was captured by using a polyvinyl siloxane bite registration material (Regisil, Dentsply Caulk; Milford, DE). Impressions were then taken (Aquasil Ultra, Ivoclar Vivadent; Amherst, NY) and sent to the laboratory with the bite to fabricate a lower removable orthotic. Upon delivery of this appliance, I explained to the patient that it must be worn a minimum of 22 hours a day. Each follow-up visit always consisted of 45 minutes of TENS, followed by any necessary occlusal adjustments to the orthotic. The patient was seen at one-, two-, three-, four-, and sixweek intervals. She tolerated the orthotic well and felt much better with it in place; therefore, compliance was not an issue.12,13

Once it was determined that the bite was stable and that symptoms were significantly reduced, EMG recordings were taken again to verify that the muscles were not hypertonic in this new position. In this case the EMG readings were more than satisfactory, and the patient’s headaches and other symptoms were reduced significantly. Therefore, I had great confidence as to where to restore her occlusion.14 Her bite was opened 4 mm. The next phase of treatment was the restorative phase.

Bite Management
(Laboratory Phase) Much effort was spent determining the proper physiologic position for this patient, and much care had to be taken in managing and maintaining this position throughout the course of treatment. Prior to the preparation appointment, new impressions were taken and sent to the laboratory, along with the actual adjusted orthotic to mount the case. In addition, three measurements were provided so that the laboratory could verify that the case was properly mounted. These measurements were taken with a digital Boley gauge. The areas measured were where the most apical areas of tooth surface intersect with the gingiva between teeth #8 and #25, #14 and #19, and #3 and #30 (Figs 6 & 7). In this situation, the dentist and the laboratory must measure in the exact same three locations throughout the course of treatment, so as to ensure accuracy and precision in maintaining the new vertical (Figs 8 & 9).

Once the laboratory mounted the casts with the adjusted orthotic in place and the three measurements were verified, a bite stent (Sil-Tech, Ivoclar Vivadent) was made, to be utilized during the preparation appointment to ensure accuracy in maintaining the new vertical dimension. The appliance was then immediately returned to the patient so that she could continue to wear it. The laboratory also was provided with detailed instructions concerning the smile design, including widths and lengths of anterior teeth, shapes, and proportions.15

Because the patient’s maxillary anterior teeth were short, it was determined that crown lengthening was necessary to support the restorations. Therefore, the proposed amount of hard and soft tissue removal was relayed to the laboratory so that they could compensate for the change in measurement in this area. With this information in hand, they waxed up the 28 teeth in the new position, taking into consideration the hard and soft tissue reduc-tion in the anterior; and once again verified the three measurements (Fig 10). From this wax-up, they prepared a temporization stent made f r o m Sil-Tech putty and relined with a light-body wash material (Aquasil XLV, Dentsply Caulk). This would be used to fabricate the 28 temporaries after tooth preparation, with the same vertical dimension and occlusion as the orthotic.

Bite Management
(Preparation Phase) Prior to the preparation appointment, I ensured that I received everything necessary f r o m the laboratory. First, I verified that the waxed-up models were consistent with the three measurements I had provided to the laboratory, by measuring the teeth in the exact same three locations. Second, I verified that I was satisfied with the smile design and occlusion. As this was to be a lengthy appointment, the clinical team met and reviewed procedures.

After the patient was seated, I verified the bite stent that had been made on her unprepared, mounted models by placing it in her mouth and having her close down on it. I again measured the same three locations and verified that those measurements were the same as they were with the orthotic in place (Fig 11). I was confident that all of my numbers were accurate, so it was time to begin preparing the teeth.

It was imperative not to lose control of the bite at any time during the preparation.

After anesthetizing the patient, the first step was to perform the soft and hard tissue crown lengthening in the maxillary anterior region to improve the length of her short clinical crowns. To accomplish this, I used an Er,Cr:YSGG hard/soft tissue laser (Waterlase, Biolase Technologies; Irvine, CA) and at the same time performed a frenectomy between the maxillary central incisors. Using this laser provided a predictable result and gave me a clean field within which to work. I removed 1.2 mm of tissue and therefore changed the location of my uppermost point for measurement after the crown lengthening. I had to adjust my number for verification f r o m this point on, in this area only16 (Fig 12).

It was imperative not to lose control of the bite at any time during the preparation. To help in maintaining this vertical dimension, I used the bite stent provided by the laboratory to sequentially reline it while I prepared one quadrant at a time. Beginning with the upper right quadrant, I prepared ##3-8, while leaving #2 unprepared to provide extra stability while I relined the bite stent. To register the bite, I sat the patient upright and placed a small amount of fast-setting bite registration material (Regisil Rigid) in the bite stent, being careful not to overfill it and to reline only the prepared teeth. This was then placed in the mouth with the patient biting into it. While the stent was in her mouth, the same three locations were measured again, remembering that the anterior area had a new measurement. If the measurements had not matched those taken previously it would have been necessary to repeat the reline, as the patient might have been biting incorrectly or the bite stent might not have been seated over the teeth properly.

Once it was determined that the measurements were correct, the stent was removed, trimmed, and set aside for the next quadrant. The same procedure was repeated for the upper left quadrant, preparing ##9-14 and leaving tooth #15 unprepared. This quadrant was then relined the same way. After the measurements were verified, I prepared #2 and #15 (Fig 13). This procedure was repeated for the bottom right quadrant and then the bottom left. A final check of the measurements was made and the bite stent was set aside to send to the laboratory along with final impressions. For these, I used a PVS heavy-body material and an extra-low viscosity wash material (Aquasil Ultra-heavy and XLV). A symmetry bite was also taken, indicating to the laboratory the proper occlusal plane and midline. Photographs of the preparations, which showed the measurements with the final bite stent seated and with the symmetry bite in place, were provided for the laboratory.

Temporization
The provisional restorations were fabricated using the temporary stents made f r o m the wax-up. The stents were filled with temporary material (Luxatemp shade B1, Zenith/DMG; Englewood, NJ) and placed over the maxillary prepared teeth. After three minutes the stent was removed, as was a small amount of flash. This procedure was repeated for the bottom teeth. Once the provisionals were in place, all three measurements were once again verified; at this time we evaluated esthetics and occlusion. To properly maintain the health of the gingival tissue during the four-week provisional phase, the patient was given a sonic toothbrush (Sonicare, Philips Healthcare; Andover, MA), as well as instructions on how to use rubber tips to massage her tissue. A follow-up visit was scheduled for the next day to confirm that the occlusion was comfortable and that we were both satisfied with the smile design.

Laboratory Communication
Proper communication with the laboratory is crucial for a successful outcome in each and every case sent to our ceramist. In this case, it was important to send as much information as possible with regard to maintenance of the patient’s vertical dimension, as well as esthetics. Photographs showing all three measurements in the final bite stent, as well as in the provisionals, were sent to the laboratory. In addition, retracted frontal and lateral views of the preparations were provided, as well as a picture showing the prepared shade (Vita A3, Vident; Brea, CA).17 When the laboratory received the case, the first step was to verify the measurements after mounting the prepared models. This was accomplished by using the relined bite stent and verifying the accuracy of the vertical dimension in the same three locations.

For the smile design, we decided on a “soft” look with square oval central incisors and slightly rounded laterals and canines, with the lateral incisors 0.5 mm shorter than the centrals. The requested width of the central incisors was 8.25 mm and the length was 10.75 mm. The lateral incisors were approximately 10.25 mm long. Golden proportion rules and smile design principles were adhered to, which provided the patient with a very soft and esthetically pleasing smile. Our final shade choice was OM2 body with a cervical blend to OM3 (Vita 3D Master shade guide), with the canines blending f r o m OM2 to 1M1 cervically. We selected Authentic pressable ceramic (Jensen Indus-tries; North Haven, CT) for all anterior teeth and bicuspids, using an OP1+ ingot with cutback technique and adding intense opaque modifiers to increase vitality and a natural appearance (Fig 14).18All of the molars were restored with Noritake CZR pressable ceramic (Zahn Dental, Henry Schein; Melville, NY) over zirconia copings.19 The #5 implant was restored with a custom abutment with Creation porcelain (Jensen Industries). Prior to the fabrication of the restorations, the models were mounted using the preparation bite stent, and all the measurements were verified by the laboratory (Figs 15-18).

Cementation
After we received the case f r o m the laboratory, I checked the restorations on the models for proper margins and contacts, and to ensure that the smile design had been followed. Once all the restorations were mounted on the models, the three areas were measured to verify that the laboratory maintained the vertical dimension. Once the patient was anesthetized, the provisional restorations were removed. The prepared teeth were cleaned with pumice, followed by hydrogen peroxide and chlorhexidine (Consepsis, Ultradent; South Jordan, UT). Each restoration was tried on with water and inspected individually. Contacts and margins were examined, as was the overall smile design.

Once we were satisfied with restorations, they were cleaned with 37% phosphoric acid, rinsed, dried, and set aside. The molars were cemented first using Multilink (Ivoclar Vivadent), a self-etching universal resin cement, with the inside of the restorations coated with the metal/zirconia primer (Ivoclar Vivadent). Then all of the remaining upper teeth except #5 were etched with 37% phosphoric acid and rinsed, after which a wetting agent was applied (Super Seal, Phoenix Dental; Fenton, MI).20 Then the bonding agent (Excite, Ivoclar Vivadent) was placed on the teeth according to manufacturer’s directions and light-cured. The restorations, which had previously been etched with hydrofluoric acid, were coated with Silane primer (Kerr; Orange, CA). The luting resin used for cementation was Variolink Veneer +2 (Ivoclar Vivadent). All of the restorations were placed simultaneously and spot-cured. The excess was then removed, followed by the final light-cure. Tooth #5 was cemented with implant cement (Premier Dental; Plymouth Meeting, PA).21 The same technique used on the maxillary teeth was applied to the lowers. Once all teeth were cemented, the three measurements were once again verified to confirm maintenance of the vertical dimension (Fig 19). The patient returned for follow-up appointments to make sure her bite was stable and that she remained symptom-free.

Conclusion and Discussion
This patient’s case involved many of the challenges we face daily in our practices. Just a few years ago, however, I would not have known in which direction to take her treatment. Perhaps I simply would have provided her with a bruxism appliance, while “patching up” some of her fractured restorations and attempting to improve her smile by restoring some of her anterior teeth with direct resins. These would have failed repeatedly, causing us both much frustration.

I conducted a series of diagnostic tests using computerized instrumentation, which provided me with objective data that I was able to use in my treatment planning.

The key point is that this patient initially exhibited severe occlusal disharmony and craniomandibular dysfunction. This can be the case in many of our patients, and much effort should be spent in proper diagnosis and treatment planning.22 I did not prepare 28 teeth in one visit and deliver them a few weeks later. Instead, I conducted a series of diagnostic tests using computerized instrumentation, which provided me with objective data that I was able to use in my treatment planning. Not until the patient’s new vertical dimension position was tested for several months did I dare touch a single tooth with a handpiece. Once I did, however, it was with great confidence, because I knew in which direction I was headed (Figs 20 & 21).

It is well accepted that there is more than one philosophy or method that can be utilized to arrive at a physiologic bite position. A discussion of these different philosophies— whether centric relation, centric occlusion, or neuromuscular—is beyond the scope of this article.23 However, as responsible clinicians, we should study the different treatment modalities available to our profession before making a decision as to which one suits us. Whichever method you apply in your practice, the most important factor is that it must be in your patients’ best interests.24 Before proceeding to final restorations, it is imperative to establish a comfortable, stable bite derived f r o m verifiable, objective clinical data (Figs 22-29).

Acknowledgments
The author thanks Duckee Lee, CDT (Protech Dental Studio, Sterling, VA), for his passion, talent, and technical excellence in creating the beautiful restorations in this case. A debt of gratitude also goes to the American Academy of Cosmetic Dentistry for 13 years of excellent continuing education, camaraderie, and a remarkable credentialing program, in which he learned during his Accreditation journey that, “your hand can only perform what your eyes have been trained to see and comprehend”; and to the Las Vegas Institute for Advanced Dental Studies for its dedication to postgraduate education. Finally, thanks, appreciation, and best wishes goto Erica, the patient in this case, for her patience, kind spirit, and courage.

References

1. Okeson JP. Management of Temporomandibular Disorders and Occlusion (3rd ed.). St. Louis, MO: Mosby; 1985.

2. Coy RE, Flocken JE, Adib F. Musculoskeletal etiology and therapy of craniomandibular pain and dysfunction. Cranio Clin Int 1(2):163-173, 1991.

3. Jankelson RR. Neuromuscular Dental Diagnosis and Treatment. Volume 1 (2nd ed.). Tokyo: Ishiyaku EuroAmerica; 2005.

4. Naeije M, Hansson TL. Short-term effect of the stabilization appliance on masticatory muscle activity in myogenous craniomandibular disorder patients. J Craniomand Disord Facial Oral Pain 5:245-250, 1991.

5. Ormianer Z, Gross M. A 2-year follow-up of mandibular posture following an increase in occlusal vertical dimension beyond the clinical rest position with fixed restorations. J Oral Rehab 11:877-883, 1998.

6. Liu ZJ, Yamagata K, Ito G. Electromyographic examination of jaw muscles in relation to symptoms and occlusion of patients with TMJ disorders. J Oral Rehab 26(1):33-47, 1999.

7. Neill DJ, Howell P. Computerized kinesiography in the study of mastication in dentate subjects. J Prosthet Dent 55(5):629-638, 1986.

8. Mongini F, Tepia-Valenta G, Conserva E. Habitual mastication in dysfunction: A computer-based analysis. J Prosthet Dent 1:484-494, 1989.

9. Jankelson B. Three dimensional orthodontic diagnosis and treatment: a neuromuscular approach. J Clin Orthod 18(9):627-636, 1984.

10. Ow RK, Carlsson GE, Jemt T. Craniomandibular disorders and masticatory mandibular movements. J Craniomand Disord Facial Oral Pain 2(2):96-100, 1988.

11. George J, Boone M. A clinical study of rest position using the kinesiograph and myomonitor. J Prosthet Dent 41(4):456-462, 1999.

12. Konchak P, Thomas N, Lanigan D, Devon R. Freeway space using mandibular kinesiography and EMG before and after TENS. Angle Orthod 58(4):343-350, 1988.

13. Balciunas BA, Stahling LM, Parente FJ. Quantitative electromyographic response to therapy for myo-oral facial pain: A pilot study. J Prosthet Dent 58:366-369, 1987.

14. Isberg A, Widmalm S, Ivarsson R. Clinical, radiographic, and electromyographic study of patients with internal derangement of the temporomandibular joint. Am J Ortho 88(6)453-460, 1985.

15. Griffin JD. How to build a great relationship with the laboratory technician: Simplified and effective laboratory communications. Contemp Esthet 10(7):26-34, 2006.

16. Colonna M. Crown and veneer preparations using the Er,Cr:YSGG Waterlase hard and soft tissue laser. Contemp Esthet Rest Pract 10:80-86, 2002. 17. Bengel W. Mastering Dental Photography Hanover Park, IL: Quintessence Pub.;2002.

18. Magne P, Belser U. Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach. Hanover Park, IL: Quintessence Pub.; 2002.

19. Ludwig K. Studies on the ultimate strength of all-ceramic crowns. Dent Laboratory 39:647-651, 1991.

20. Kanca J. Improving bond strength through acid etching of dentin and bonding to wet dentin surfaces. JADA 123:35-44, 1992.

21. Garg AK. Practical Implant Dentistry (1st ed.). Dallas, TX: Taylor Publishing; 2007.

22. Tingey EM, Buschang PH, Throckmorton GS. Mandibular rest position: A reliable position influenced by head support and body posture. Am J Orthod Dentofac Orthop 120(6):614-622, 2001.

23. Pully ML, Carr S. Solving the pain puzzle: Myofascial pain dysfunction (3rd ed.). Albuquerque, NM: TMData Resources; 1997. 24. Shankland WE . Temporomandibular disorders: Standard treatment options. Gen Dent 52(4):349-355, 2004.

 

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I Have Never Seen A Smile Gallery As Extensive As Smile South Florida’s And Where The Final Result Of Every Case Is Of Such A High Standard

Want to see the results produced by the professionals at Smile South Florida Cosmetic Dentistry? The proof is on the walls.

Congenially Missing TeethNothing seems to show what a dental procedure can do for an individual like before-and-after photos.

With that in mind, Smile South Florida Cosmetic Dentistry in Fort Lauderdale created a Smile Gallery to show patients the great results that can be achieved through cosmetic dentistry.

“It’s one thing to tell patients what we can do for them,” said Dr. Charles Nottingham, a cosmetic dentist who is the senior partner at Smile South Florida Cosmetic Dentistry. “It’s another thing to show them.”

Nestled within each elegant bronze frame that lines the newly renovated hallways, are two (8-inch x 10-inch) photos of patients’ smiles- one before photograph displaying their dental procedure and one after.

Missing and Misaligned Teeth“The patients love it,” said Office Manager Marianne Taylor. “This was the best thing to ever happen because patients see these photos and seem to feel encouraged that they are going to leave here with their desired results.”

When Taylor discusses procedures such as laminates orporcelain veneers with patients, she can walk them through the hallway and point to a visual of how the completed procedures look.

Several types of procedures are featured in the Smile Gallery.

Congenital Malformation

It is not uncommon for people to be born without certain teeth. More than five percent of people lack upper second incisors or second premolars. One example of this in the Smile Gallery shows how a patient’s missing anterior teeth were restored using two fixed porcelain Lava Bridges. The premolars were restored with porcelain veneers.

Overlapped, Crowded and Crooked Teeth

Teeth that are overlapped, crowded or crooked can cause oral health problems, such as periodontal disease, cavities and uneven wear. One example pictured in the Smile Gallery shows how a patient’s smile was restored by placing porcelain crowns on the upper teeth to give the patient a straighter, wider smile than her original upper arch, which was too narrow and tilted inward.

Poorly Shaped Teeth

Photos in the Smile Gallery show how natural teeth that are oddly shaped and pointed in different directions can be improved with porcelain restorations.

Reverse Smile and Small Teeth

An imaginary line around the incisal edges of the upper front teeth should follow the superior border of the lower lip. This is called the “smile line.” When the centrals appear shorter than the canines, this is referred to as the “reverse smile line.” Smile Gallery photos show how this problem can be corrected by using porcelain veneers and crowns to create longer central teeth, a wider arch and improve the shape of the teeth.

Spaces, Stains and Failed Fillings

One dramatic Smile Gallery photo shows how proper fitting and anatomically correct porcelain crowns were used to close the spaces between teeth, decrease the flair of upper anterior teeth and re-contour the teeth.

“The Smile Gallery not only shows patients various types of dental improvements achieved through cosmetic dentistry, it gives patients confidence to follow through with suggested procedures”, Taylor said.

Taylor recalled a recent patient who was so self-conscious about her teeth; she feared showing them to the dentist. Once Taylor walked the patient through the smile gallery and showed her the ‘before’ pictures of several other patients, the woman felt less self-conscious.

“This woman thought she was going to be the absolute worst case the doctors had ever seen,” Taylor noted. “One trip through the Smile Gallery showed her this was not true.”

About Smile South Florida Cosmetic Dentistry

The dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and serve patients from Boca Raton to Fort Lauderdale and Miami. The dentists specialize in dental aesthetics including porcelain veneers, dental implants, extreme makeovers, Invisalign, and sedation dentistry.

About Dr. Charles Nottingham

South Florida Dentist & Dentist in Florida, Charles Nottingham, D.D.S., Fellow in the Academy of General Dentistry, is an internationally and nationally renowned cosmetic dentist. He has been creating dazzling, healthy smiles for his patients since 1974.

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Jenken Biosciences Granted Key Patent for Compounds To Treat Chronic Liver and Kidney Diseases

Jenken Biosciences, Inc., an emerging specialty pharmaceutical company, announced today that the United States Patent and Trademark Office (USPTO) has granted a patent on Jenken’s compounds for the treatment of diseases associated with kidney diseases and chronic liver diseases, such as hepatitis and fatty liver disease.

Jenken’s patented compounds are developed by “repurposing” FDA-approved off-patent drugs for new, first-in-class therapeutic uses.

The patent, US 7501433, “Opioid and opioid-like compounds and uses thereof,” with an anticipated term through 2022, will provide broad protection for the Company’s repurposed drugs’ new indications targeted at treating organ damage associated with chronic liver or kidney diseases.

The Company’s leading drug candidate has been approved by the FDA for a Phase II clinical study targeted at treating liver damage in Hepatitis patients. The endpoint of the study will be to restore normal liver function by reducing inflammation in Hepatitis C patients who do not respond to current interferon/anti-viral therapies.

Jenken’s second clinical candidate has exhibited efficacy in preclinical trials as an anti-fibrotic for treating fatty liver disease.

“The validation by the USPTO of the potential utility of our compounds is a significant step in making totally new therapeutic options available to the millions of patients around the world who suffer from chronic liver diseases, such as hepatic fibrosis, steatohepatitis (NASH) or fatty liver disease,” said Barry Buzogany, Jenken’s President and CEO.

“In the U.S. alone, approximately 25 million people are afflicted with some form of chronic liver disorder,” Buzogany explained. “Of these, there are about four million people infected with the Hepatitis C virus and another 12 million with fatty liver disease. Currently there are no therapies available to treat liver damage associated with either hepatitis or with fatty liver disease.”

According to Dr. Edwin Wu, Jenken’s Founder and Chief Scientific Officer, “Jenken’s proprietary technology for cytokine modulation, a specific therapy for diseases associated with chronic inflammation, offers the potential to restore normal liver or kidney function regardless of the cause of the damage or disease.”

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Lloydspharmacy Has Become The First Major Healthcare Brand To Offer Women The ‘Morning After Pill’ In Advance Of Need

The online service is aimed at women who are concerned that they may not be able to access the treatment, also known as Emergency Hormonal Contraception (EHC), when they need it, such as whilst travelling or during weekends and bank holidays. The new service is also ideal for women who may be anxious about visiting a pharmacy or their local GP for this type of medication.

The service is available through Lloydspharmacy as part of an online partnership between the pharmacy and the Healthcare Commission regulated online health expert DrThom.

“With the emergency pill, time is of the essence,” said Clare Kerr, Head of Clinical Services at Lloydspharmacy, “The treatment is up to 95 per cent effective when taken 24 hours after sex but that reduces to 85 per cent in the following 24 hours and dips to 58 per cent in the next 24 hours.”

“Most women know that the morning after pill can be taken up to three days after sex,” she said, “but our pharmacists tell us that many women are unaware of the fact that effectiveness reduces during that period.”

The Lloydspharmacy online service is explicitly not aimed at women who have just had unprotected sex. They are advised to visit their pharmacist or GP straight away. There is a 72 hour delay in despatching treatments to discourage women from using the service in this way.

The online pharmacy service will not knowingly be made available to patients under the age of 18 and treatments will only be despatched to the person whose name is on the credit or debit card used to make the payment online.

Women must fill in a comprehensive online medical questionnaire which is reviewed by DrThom before treatment can be prescribed and dispensed by post. Women are able to access advice from a DrThom GP using their confidential online patient record.

“Unplanned pregnancy is an issue that can affect all sexually active women, including those in long term relationships,” said Clare Kerr. According to the British Pregnancy Advisory Service, one in three women in the UK will have an abortion by the time they are 45 and about 30 per cent of all pregnancies are unplanned.

“We hope that our new service will go some way to reducing the number of unplanned pregnancies and will help alleviate some of the anxiety women feel after they’ve had unprotected sex or a condom has split,” Claire concluded.

 

About Lloydspharmacy
Lloydspharmacy has around 1700 pharmacies across the UK. These are based predominantly in community and health centre locations. The company employs over 16,000 staff and dispenses over 145 million prescription items annually.

Lloydspharmacy is the trading name of Lloydspharmacy Ltd, a wholly owned subsidiary of Celesio AG based in Stuttgart. Celesio is the leading pharmaceutical distribution company in Europe and is represented in 16 countries. With its three divisions, Celesio Wholesale, Celesio Pharmacies and Celesio Solutions, the group covers the entire scope of pharmaceutical trade and pharmaceutical-related services.

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Drug Abuse Continues To Climb Among Teenagers

A crowd of concerned parents and community members from this New York City area town convened recently to discuss the alarming rate at which their teenagers were becoming addicted to drugs. Forty-four 

percent of tenth graders and 55 percent of twelfth graders participate in binge drinking, reported Seth Weitzman, a principal in the Mamaroneck School District. Quoting from a recent teen survey conducted by Larchmont-Mamaroneck RADAR, a community coalition group formed to reduce substance abuse in their Communities; Weitzman spoke with alarm to community leaders as well as parents and citizens about the statistics, which he said were more than twice the national average among high school students.

In Oak Park, CA, a suburb just north of Los Angeles, John George of the Bureau of Narcotic Enforcement for the California Department of Justice, reported that approximately 14,000 students from 115 public schools, both junior highs and high school, polled for a 2007-2008 study had tried drugs. Speaking recently to concerned parents and faculty at Oak Park High School, George warned that, beyond the direct impact that substance abuse poses to the health of students themselves, it was also found at the root of serious car accidents involving students. Nineteen percent of California youths involved in auto crashes had been using marijuana, George reported , noting that today’s “joint” is far stronger than its predecessors in the 1960s and 1970s.

Complicating the problem, he noted, is the increasingly large number of homes where both parents much work and, as a result, are not as available to their teens when they need emotional support, encouragement, counsel or just a listening ear. Plagued with depression, anxiety and a plethora of other social stresses, teens were increasingly turning to drugs and alcohol to numb the pain that coming of age in today’s economically and socially ravaged society involves.

Parents care. That’s not the problem. They want to be there for their kids. But sometimes being there and caring aren’t enough. Involvement of concerned and compassionate drug rehab professionals in a safe environment is the key.

One drug treatment center in Malibu, CA, providing just such Drug Rehab counseling in a private, family-style setting is Sunset Malibu. Featuring both conventional and holistic treatments, the drug rehab center focuses on providing lasting freedom from substance abuse, tailored to the needs of the individual and coupled with life skill training.

Drug rehabilitation for teenagers, of necessity, requires a different approach than it does for adults, Sunset Malibu staff maintains. Because youth are in their formative stages, they explain, the damage they can do may often be long-term, affecting not only their health but every other aspect of their lives from relationships to employment to their overall ability to experience a productive, satisfying life.

For this reason, the professionals at Sunset Malibu say, residential drug rehab centers are to be preferred over outpatient programs. At residential facilities, teens have 24/7 access to caring, trained professionals who can respond to their special needs as maturing individuals. Due to their stage of development, teens need input from others even more critically than adults, drug rehab center staff said, because their lack of life experience makes them less able than adults to handle the various challenges they meet on a day-to-day basis.

At Sunset Malibu, teens receive the specialized kind of support they need to become free from substance abuse. The drug detox program is safe, gentle, and involves both traditional and holistic methods. Teens are given constant supervision and support during the entire detoxification process, allowing the drug detox experience to be weathered with greater strength.

After Drug Detox, residents learn important life skills that will help them make positive choices that will lead them on the path to productive, satisfying lives. For more information, visit www.drugrehabsunsetmalibu.com.

About Sunset Malibu: Sunset Malibu is one of California’s top residential care facilities for adolescents and adults seeking freedom from addictive behaviors, including substance abuse, pain killer addictions and eating disorders.

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Alcohol Rehab is An Alcoholic’s Last Chance

March, 2009: Malibu California; Sunset Malibu is ready to help an alcoholic beat this addiction as one of the best alcohol rehab centers available on the west coast. Sunset Malibu’s Alcohol Rehabilitation center is located in California near the mountains and the beach for a relaxed setting while fighting the demons of alcoholism. 

At Sunset Malibu, patients who are in need of alcohol rehab are treated one on one and not as a group. Upon realizing a need for help in fighting an addiction to alcohol, patients entering the doors of Sunset Malibu have already taken the first step in the fight against alcoholism. Admitting an addiction is the hardest step for most patients.

Sunset Malibu boasts professionals who will walk by the side of a patient all the way to the justified end of that addiction. Alcoholism can’t be fought in just a few short weeks or even in a couple of months. Sunset Malibu realizes this fact and has proven time and time again that the fight against alcoholism has to be for life, not for a little while. Contact the professionals for beating alcohol rehabilitation at www.cliffsidemalibu.comand let the road to recovery begin.

No matter what happened to an individual to bring on the addiction to alcohol, Sunset Malibu has the right people and the right environment to bring about alcohol rehabilitation. Alcohol rehabilitation will only work if an alcoholic can be lead back to how things were before the addiction became predominant over everything else. At Sunset Malibu, the fact that an alcoholic may need step by step guidance during Alcohol Rehab to get back to this point is a major factor in how an alcoholic is brought around to beating this addiction. Long term success in winning over alcoholism is what Sunset Malibu has in mind for those who enter the doors asking for help.

Alcoholism can only be cured with the help of professionals who have studied case after case and have learned what it takes to beat this addiction through alcohol rehabilitation. An individual cannot beat alcohol alone. At Sunset Malibu rehabilitation center, a struggling alcoholic can relax and forget alcohol through yoga, acupuncture, herbology, and massage under a holistic environment as well as luxurious surroundings while at the same time having the shoulder of a professional to lean on when needed. For the start to a natural way to alcohol rehabilitation, visit www.cliffsidemalibu.com.

For an alcoholic, learning to live sober usually means a fight with constant depression, eating disorders, and most likely the lead into other addictive drugs that may seem at the time the best way to replace alcohol. At Sunset Malibu alcohol rehab, all these kinds of alcoholic problems are issues that have been seen time and time again. No problem that an alcoholic comes in with is too great for the Sunset Malibu professionals.

The practitioners at Sunset Malibu’s alcohol rehab center are dedicated to ending the horrible pain of alcoholic addiction. All the practitioners at Sunset Malibu are chosen due to outstanding reputations in the field of addiction treatment success. No one at Sunset Malibu will ever leave an alcoholic feeling as though there isn’t another way to win over that day’s particular issue that has arisen from being addicted to alcohol.

Age doesn’t matter at Sunset Malibu when it comes to alcohol rehabilitation. Addiction has no preferences of age, either. Sunset Malibu offers treatment for adolescents as well as adults for the addiction to not only alcohol but to drugs as well. The young people who enter at Sunset Malibu will receive the best alcohol rehabilitation services available in California.

Whether the addiction is to alcohol, pain killers, or opiates, the designed road to recovery at Sunset Malibu is lead by practitioners who are the best. A holistic recovery will lead an addict to a natural way of living that will benefit health mentally and physically.

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The Harley Medical Group Reports Boytox Boom

The Harley Medical Group, the UK’s largest cosmetic surgery provider, has reported an increase in professional men aged 25-30 years, having Botox across its 26 clinics, with men accounting for 20% of all Botox patients. ‘Boytox’ is increasingly being used as a preventative treatment by men who want to stay fresh-faced, despite living hectic lifestyles. Botox is now the second most popular non-surgical treatment with men At The Harley Medical Group.

Dr Nick Milojevic, Botox doctor at The Harley Medical Group, said:”Young men in the City have been spending a lot of time frowning over the last year and we’re seeing the fallout. Men coming into the clinics are telling us that they want to stay looking wrinkle-free despite their demanding lifestyles. Many of my younger patients opt for ‘Baby Botox’, a lighter variation of the treatment that uses extremely low doses of the toxin, giving a subtle and natural effect.”

Botox injections are also increasingly used to treat hyperhidrosis (excessive sweating) to prevent the embarrassment of slippery handshakes, underarm sweat patches and dripping brows. Botox injections freeze sweat glands to stop perspiration in the palms of the hands, soles of the feet, underarm and chest areas.

In 2008 The Harley Medical Group also saw an overall increase of 6% year on year in Botox treatments.

The group’s Chairman, Mel Braham, advised that all patients ensure that their non-surgical treatment is carried out by a qualified professional. All patients at The Harley Medical Group, which has been established for over 25 years, undergo an initial consultation with a fully qualified Cosmetic Surgery Nurse Counsellor.

About The Harley Medical Group

The Harley Medical Group is the UK’s largest cosmetic surgery provider, performing more procedures and with more clinics than any other cosmetic surgery provider. It has been established for over 25 years and is one of the most highly-regarded Cosmetic Surgery Groups operating in the UK. It has treated over 435,000 patients to date. The Harley Medical Group is renowned for introducing and pioneering most new surgical and non surgical techniques to the UK and Irish markets, such as Aesthera PPx, Laser Hair Removal, Cool Touch Laser, Silk Touch Laser, Collagen for lines and wrinkles, Laser for snoring, Tumescent Liposuction, LPG cellulite treatment etc. All new treatments and techniques are first thoroughly researched and tested before they are submitted for approval by the Group’s Medical Advisory Committee, as being suitable for application by the Group’s fully trained and specialized Plastic Surgeons, Doctors and Treatment Nurses.

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Dentist Dr. Charles Nottingham and the Extreme Makeover Dental Lab Film Dental Documentary

Smile South Florida® Cosmetic Dentistry is announcing that it will be joining forces with da Vinci Dental Studios (ABC’s Extreme Makeover Dental Lab) to begin filming a dental documentary piece, which will be produced by the Emmy Award Winning Plum Television. This documentary will air on Plum Television (Miami Beach Channel 5) in April 2009. The story behind the piece is to provide viewers with insight into the shared values and history of da Vinci Dental Studios and Smile South Florida Cosmetic Dentistry.

Dr. Nottingham

Da Vinci’s founder, Daniel Materdomini, will be featured in the film, along with Smile South Florida Cosmetic Dentist, Dr. Charles Nottingham. Mr. Materdomini and Dr. Nottingham have been working together for over 20 years, taking cosmetic dentistry to a new level of excellence. Mr. Materdomini and da Vinci Dental Studios have showcased Dr. Nottingham’s smile gallery cases in several predominant dental magazines. Dr. Nottingham even performed restorative work on Mr. Materdomini’s mother.

In offering feedback on the work that South Florida Dentist Dr. Nottingham completed for his mother, Mr. Materdomini said that, “if the Extreme Makeover show was filmed in Florida, I am sure [Dr. Nottingham] would be the providing dentist.”

During filming, Dr. Nottingham explained to Plum TV that many years before ABC’s Extreme Makeover Show made da Vinci Dental Studios a household name for porcelain veneers, Dr. Nottingham had selected them as his dental lab of choice. With hundreds of dental labs in the local area to choose f r o m, Dr. Nottingham decided to have his dental materials shipped across the country, in order to perfect his results. Dr. Nottingham went on to mention that da Vinci continues to share his commitment to quality and service.

About Smile South Florida Cosmetic Dentistry The dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and serve patients f r o m Boca Raton to Fort Lauderdale and Miami. The dentists specialize in dental aesthetics including porcelain veneers, dental implants, extreme makeovers, Invisalign, and sedation dentistry.

About Dr. Charles Nottingham Palm Beach Dentist & Fort Lauderdale Dentist, Charles Nottingham, D.D.S., Fellow in the Academy of General Dentistry, is an internationally and nationally renowned cosmetic dentist. He has been creating dazzling, healthy smiles for his patients since 1974.

About da Vinci Dental Studios da Vinci Dental Studios, founded in 1976 by master ceramist Daniel Materdomini, who introduced the first porcelain veneer on the West Coast. Well-known for the da Vinci VeneerTM, which has been featured on numerous national and international television makeover shows, da Vinci Dental Studios is a full-service laboratory, manufacturing a wide-range of cosmetic and restorative products for dentists. Located in West Hills, California, da Vinci provides services for dentists throughout the United States, Canada, South America and Europe.

About Plum Television Plum operates television channels and websites in Nantucket, Martha’s Vineyard, the Hamptons, Miami Beach, Sun Valley, Vail, Aspen and Telluride; destinations of choice for over 14 million of the nation’s most interesting and influential people each year. They are Plum’s audience as well as its content. Plum is available to a broader audience beyond its communities through video on demand and the Internet at plumtv.com.

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Tummy Tuck And Liposuction, Before And After Photos

Tummy tuck and liposuction, before and after photos demonstrate why this combined surgery is becoming ever more popular. At £2846, it has become more affordable for many men and women to have the combined procedure to their tummy region.

Tummy tuck surgery at an affordable price, provided by Beautiful Beings.

Abdominal cosmetic surgery, commonly known as a tummy tuck offers a solution by flattening the slack skin and tightening the muscles of the relaxed abdominal wall, which frequently occurs after pregnancy or a distinct weight loss.

If needed, excess subcutaneous fatty tissue can be removed as well. The appearance and functional results of the tummy tuck are substantial, although scars are inevitable in order to remove excessive skin from the tummy during a tummy tuck. It leaves a permanent scar after. However, it will fade after time and its quality differs per individual. A tummy tuck is not only an aesthetic cosmetic surgery procedure but it provides a solution to functional deficiencies of the abdominal wall, i.e. inferior rectus muscle diastases. A tummy tuck not only brings about a better appearance and function, but it also stops the slackening process of the abdominal wall.

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Gastric Band – £3980, inlcuding 3 x-ray assited refills

The Gastric Band surgery will be carried out in a specialist state hospital in Prague. www.beautifulbeings.co.uk

Gastric Band surgery is not an instant solution to weight loss. Having a gastric band fitted will assist in decreasing overall daily food intake and can help you achieve a sustainable weight.

The Gastric band works by causing a feeling of fullness when eating and will enable you to reduce your daily intake of food and calories. The gastric band will make you eat less, it will reduce the sensation of hunger and will progressively aide weight loss.

This is achieved by placing the band around the uppermost part of the stomach, dividing it into two sections, with a small opening between sections which allows food to pass through. The section above the band forms a small pouch that fills with food quickly.

Having the gastric band fitted will lead to a healthier lifestyle and lower the risks of obesity related illnesses However changing your eating habits is an important part of the gastric band surgery process. The gastric band will help you to achieve substantial weight loss and reduce the risk of obesity related illnesses. To achieve the maximum benefits from having the gastric banding, post-operative discipline is an important part of the process.

You will need to go on a diet immediately after the gastric band surgery. You will obtain a detailed dietary plan with essential and important advice from your specialists. After the gastric band surgery you can consult the plan with a dietologist recommended by your doctor.

Generally it means that following the gastric banding you will only be able to consume liquid food within the first four weeks such as soup, tea, coffee, unsweetened drinks, fruit and vegetable fruits, yoghurts etc. You will need to reduce the amount of fluids consumed and not eat or drink large amounts at once.

The following two weeks you will be able to eat small portions of mushy, mixed food.

Next the diet will be replaced with common food. Please consult your doctor for more detailed information.

These slow changes of eating habits are important for your recovery. During this process the gastric band will be, thanks to body tissue, firmly placed on the appropriate part of your stomach. Consuming large portions or frequent consumption of solid food increases the risk of dislocating (moving) the gastric band out of its position or the possibility of gradual upper stomach pocket stretching. The consequence might be reduced weight loss and in some cases necessity for re-operation.

Following the gastric banding you might find some food hard to eat. You will need to chew your food more carefully than before the gastric band surgery. Keep in mind that even after the gastric banding there is no quick solution to reduce your weight. The results depend upon your ability to respect recommendations concerning your diet and exercise routine.

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Smile South Florida Cosmetic Dentistry Films Patient Gratitude Party in Fort Lauderdale, Miami, & Boca Raton

Top patients of Miami Cosmetic Dentist & Palm Beach Cosmetic Dentist, Dr. Charles Nottingham will be attending. They will be providing video testimonials, which will be placed on Smile South Florida’s website. Some videos may be featured on Plum Television.

One of Dr. Nottingham’s patients, who is expected to participate, is Salvatrice Materdomini. Mrs. Materdomini is the mother of the owners of ABC’s Extreme Makeover Dental Lab. After Dr. Nottingham treated Mrs. Materdomini for restorative work, the owners of da Vinci said, “If the Extreme Makeover show was filmed in Florida, I’m sure you would be the providing dentist.”

Patients will be served champagne, cake, and assorted crudités. When patients leave, they will be given goody bags. Professional make-up artist Ana Baidet will be doing camera ready touch-ups and airbrushing. The Emmy Award Winning TV station Plum Television will be filming the event.

About Smile South Florida Cosmetic Dentistry

The dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and serve patients from Boca Raton to Fort Lauderdale and Miami. The dentists specialize in dental aesthetics including porcelain veneers, dental implants, extreme makeovers, Invisalign, and sedation dentistry.

About Dr. Charles Nottingham

Cosmetic Dentist in Florida, Charles Nottingham, D.D.S., Fellow in the Academy of General Dentistry, is an internationally and nationally renowned cosmetic dentist. He has been creating dazzling, healthy smiles for his patients since 1974.

About Plum Television

Plum operates television channels and websites in Nantucket, Martha’s Vineyard, the Hamptons, Miami Beach, Sun Valley, Vail, Aspen and Telluride; destinations of choice for over 14 million of the nation’s most interesting and influential people each year. They are Plum’s audience as well as its content. Plum is available to a broader audience beyond its communities through video on demand and the Internet at plumtv.com.

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Catalent Analytical Team Member to be Published in Journal of Pharmaceutical Research

Catalent Pharma Solutions, a worldwide leading provider of advanced technologies for pharmaceutical, biotechnology and consumer health companies, will be featured in the upcoming April edition of Journal of Pharmaceutical Research. Stephen P. Mayock, a member of Catalent’s analytical team, was a major contributor to the article that conveys the present challenges and future relevance of the science of USP 1 and 2 dissolution.

The article begins with the scientific origins of the dissolution test and discusses the roles of dissolution in product development, consistent batch manufacture and stability testing. It also reviews the ultimate role of dissolution testing where the end results correlate to in vivo results. Other topics that are covered in the article include the mechanical calibration versus performance testing, variability and hydrodynamics of USP Apparatus 1 and 2 and new initiatives in the industry such as quality by design, process analytical technology and design of experiment.

Mayock is the senior manager in Catalent’s Stability and Analytical Services Group. Catalent’s analytical team is part of its Respiratory, Analytical and Biotechnology group, with sites in the Research Triangle Park, N.C., San Diego C.A., and Middleton, W.I. Mayock joins fellow authors Vivian Gray, Gregg Kelly, Min Xia, Chris Butler and Saji Thomas. The article has been available online to subscribers since Jan. 25, 2009, and the print version will be available in the April edition.

About the Journal of Pharmaceutical Research
Pharmaceutical Research, an official journal of the American Association of Pharmaceutical Scientists, presents papers that describe innovative research spanning the entire spectrum of drug discovery, development, evaluation, and regulatory approval. Small drug molecules, biotechnology products including genes, peptides, proteins and vaccines, and genetically engineered cells are an integral part of papers published.

About Catalent
Headquartered in Somerset, New Jersey, Catalent is one of the leading providers of advanced dose form and packaging technologies, and development, manufacturing and packaging services for pharmaceutical, biotechnology and consumer health companies in nearly 100 countries. Catalent applies its local market expertise and technical creativity to advance treatments, change markets and enhance patient outcomes. Catalent employs approximately 9,500 at more than 30 facilities worldwide and generates more than $1.8 billion of annual revenue. For more information, visit www.catalent.com.

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More Parents Travelling For Child Surgery

Traveling out of state or country for medical treatment, commonly referred to as medical tourism, is now catching on with parents seeking specialized surgeries for their children. 

In the last few years, parents f r o m around the world have flocked to the United States for specialized pediatric surgeries. And American parents have sought help in countries with nationalized healthcare or more affordable surgeries, such as India. But as with all surgical procedures and practices, experts are advising caution. 

Dr. Armen Ketchedjian, author of the book Will It Hurt? A Parent’s Practical Guide to Children’s Surgery, says that any parent looking for the best care for their child should place quality first, and that any decision made about surgery should be done with the advice and counsel of the child’s pediatrician. 

“Selecting a surgeon for a child can be a difficult process for parents,” says Dr. Ketch, as the author is known to his patients. “It’s a frightening thing to be told that your child needs surgery, and parents are sometimes slow to trust doctors to operate. So caution is a natural and advisable strategy.”

Hospitals like Beaumont Hospital in Royal Oak, Michigan, have adapted to the trend and deal with families f r o m around the world—200 f r o m Italy alone—who travel there to take advantage of the hospital’s specialized surgeries to restore vision in premature babies. 

For American parents, the journey often leads them to areas with American-trained doctors working for lower wages. “Unfortunately, the healthcare companies sometimes insist on very strict criteria for approving a surgery,” says Dr. Ketch. “It has changed the way pediatric surgeons practice medicine.”

Dr. Ketch hopes that his book will contribute to better parent education about pediatric surgery in general and recommends that parents who are considering traveling to see specialists keep the following guidelines in mind:

* Look for a surgeon who has training in the kind of surgery your child needs

* Find out in advance what type of facility your child will have to be in for the procedure

* If you have a choice between a medical center that specializes in pediatrics and one that does not, choose the one that specializes in pediatrics

* Look for a surgeon who has extensive experience

These tips and more are part of Dr. Ketch’s efforts to give parents some insight into the world of pediatric surgery. He says hopes that more parents will take advantage of resources like his to learn about their options before making a final decision about where to take their child for surgery. 

Will It Hurt? helps educate parents about pediatric surgery. It is an easy-to-read resource that will give parents, children and families the help and reassurance they need to make surgical experiences as stress-free as possible.

Listed in The Guide to America’s Top Anesthesiologists by the Consumer Research Council of America, Dr. Ketch trained at Cornell Medical Center, with a fellowship at Memorial Sloan-Kettering Cancer Center and a pain management elective at Boston Children’s Hospital. He has also worked to help develop new techniques in ambulatory anesthesia, taught medical students and residents, and cared for more than 10,000 patients.

Dr. Ketch is also the author of the children’s book Golden Apples (winner of the 2008 Reviewer’s Choice Award), a beautifully illustrated book that aims to help educate children about the dangers of drug abuse. 

For more information, contact the author directly at support@dr.ketch.com.

WARREN ENTERPRISES, LLC and author Dr. Armen G. Ketchedjian chose Arbor Books, Inc. (www.ArborBooks.com) to design and promote Will It Hurt? A Parent’s Practical Guide to Children’s Surgery. Arbor Books is an internationally renowned, full-service book design, ghostwriting and marketing firm. 

(Will It Hurt? A Parent’s Practical Guide to Children’s Surgery by Dr. Ketch; ISBN: 0-9815373-0-8; $14.95; 172 pages; 5½” x 8 ½”; softcover with illustrations; WARREN ENTERPRISES, LLC).

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Mountainside Drug Rehab Provides Secluded and Quality Drug Addiction Treatment At An Affordable Price – Canaan, Connecticut

Mountainside Drug Rehab Provides Secluded and Quality Drug Addiction Treatment At An Affordable Price – Canaan, Connecticut (CT).

Nestled on 33 Acres at the base of a mountain in the foothills of the Berkshires, Mountainside Drug Rehab provides progressive therapies in an ideal setting for those seeking to recover from their drug addiction or alcoholism. What began 11 years ago as the thesis of accomplished professionals in the drug treatment field has developed into one of the most successful treatment centers – providing quality and effective treatment in an ideal environment for thousands of people.

Understanding the importance that an environment plays in a person’s addiction, the founders of Mountainside set off to find a natural, peaceful and rural setting for their center. Located at the base of their own mountain in Canaan Connecticut, complete with mountain streams, hiking trails to the summit and multiple waterfalls – Mountainside Drug Rehab offers its clients an opportunity to connect with nature and be immersed in the serenity that the beautiful surroundings provide.

Offering individualized treatment plans for every person that enters treatment, the Licensed and highly trained staff at Mountainside Drug Rehab provide compassionate and guiding care with a level of unparalleled dedication. Licensed to provide intermediate and long term inpatient treatment, Mountainside has a vast network of interventionists and aftercare centers across the globe that work diligently with Mountainside staff and clients to ensure a successful continuum of care. It is the progressive treatment methods and continuity of care that has attracted people from around the world to enter Mountainside Drug Rehab for their treatment needs.

This recent economic downturn has shown a renewed light on the services of Mountainside Drug Rehab. For more information on the acclaimed treatment program at Mountainside www.mountainside.org in CT or to schedule an admission, please call 800.762.5433.

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CliffsideMalibu.com Takes Privacy and Confidentiality Seriously

It has come to our attention that a 3rd party has written a Press Release about CliffsideMalibu.com without it’s authorization and in fact, wrongly stating that CliffsideMalibu.com had in fact written this Press Release. Nothing could be further from the truth. Without referring to the specific article but instead, posting our response on all of the websites that the previous article had been posted on we want to assure all past and future clients that no one at CliffsideMalibu.com would ever, in any way, shape or form enter into the practice of disclosing the identities of any of our cliental, no matter what the practice of other facilities claiming to be high end. Our statement is, always has been, and always will be, that we can neither confirm, nor deny, the admittance, past or present of anyone seeking private, confidential treatment at our facility.

It is clear CliffsideMalibu.com takes their client privacy and confidentiality very seriously. The facility is hidden away in a private, very exclusive part of Malibu. Not only is confidentiality of utmost importance due to the sensitivity of the treatment being provided there, but a great deal in fact because the patients that are treated at the center are often times very high profile. The owner, understanding this special need, wants to ensure that all of his patients can comfortably recover knowing that confidentiality is not a concern.

A quick visit to their site shows a client testimonials page, filled with an outpouring of gracious “thank you`s “, all signed with initialed last names or simply “Name Withheld”. Further demonstrating that their client names are always treated with seriousness in confidentiality.

With so many highly recognizable public figures finding themselves in need of addiction or disorder treatment programs, it`s no wonder the media and paparazzi have attempted to publicize and exploit the celebrity in need of such treatment. It`s easy to see such media frenzy has surrounded many of Hollywood`s elite, along with their attending treatment centers. Cliffside has recognized the risk in extending its services to the type of public figures that would bring the media and paparazzi swarming the facility. Not wanting to jeopardize the privacy of the other guests, they have even opted out of treating some high profile celebrities at their center. The guests at Cliffside can rest assured, knowing that the staff cares so much about their recovery they would deny service to high paying, Hollywood elite, before they would endanger the other guests safety and privacy.

I think it takes a special breed to own and operate a drug and alcohol treatment facility. You have to truly care for the people you are treating in order to cultivate a positive and effective environment. The patient’s successful recovery is paramount for the on-going success and reputation of the treatment facility itself. Cliffside`s staff has obviously come from that special breed. With a personalized treatment program guided by philosophy that boasts one-to-one patient/therapist interaction, coupled with the most peaceful and luxurious surroundings one can buy, it`s no wonder high profile public figures and local clients alike choose CliffsideMalibu.com as their treatment center. A great deal of the recovery process involves trust in the providers of that treatment. I am confident that trust has been earned and will continue to be given by all who have visited the Cliffside facilities.

This Press Release was written by Jenny Amato, a volunteer for CliffsideMalibu.com. For more information on the facilities drug rehab and other treatment programs, feel free to contact admissions@cliffsidemalibu.com or call 1-800-501-1988.

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No Shots! No Medication! Long Beach, California Allergy Sufferers Relieved With New Laser Technology

AllergiCare™ Relief Centers of Long Beach www.AllergiCare.com/clinics/longbeach opened last week and patients have already seen tremendous success with the clinic’s new state-of-the-art laser technology.

The new technique, called “immune conditioning”, that is offered by the clinics is unique in that there are no scratch tests, allergy shots or medication involved. Instead, computer technology and laser therapy are used to eliminate negative reactions to what would ordinarily be a harmless substance.

“What makes our method of diagnosis and treatment different from other available treatments for allergy symptoms, such as allergy shots and medication,” says Long Beach clinic director Chris Turner, DC, “is that this technique enables us to better identify the specific allergen or sensitivity from our database of over 10,000 different substances. Through this identification, which is enabled by our unique computer system, we can relieve the patient’s sensitivities much more precisely, which in turn provides us with greater results”.

AllergiCare™ Relief Centers’ system assists the practitioner in the diagnosis and relief of allergy symptoms in a non-invasive, drug-free environment. This system has been shown effective with all types of allergies, including seasonal symptoms related to hay fever, pollen, grasses and trees; environmental substances such as pollutants, chemicals, dust and dust mites; food allergens such as fruit, dairy, and nuts; and pet allergens among others. AllergiCare™ Relief Centers addresses the problem at its source rather than just treating the symptoms.

“An allergy is simply an inappropriate response developed by your body as a result of some negative interaction with a certain substance” Dr. Turner explains. “This programmed response triggers a reaction within your body. These reactions may include sneezing, runny nose, itching, watery eyes, headaches and difficulty breathing. Other symptomatic diagnoses such as Irritable Bowel Syndrome, asthma, autoimmune conditions, chronic fatigue syndrome, psoriasis, acid reflux, fibromyalgia, and autism have also been very closely linked to underlying allergic reactions to various substances. Once a sensitivity to a particular substance is identified, our system works to neutralize that negative response so that future exposure to that substance no longer triggers these irritating reactions.”

Many patients notice significant results after receiving just a single treatment. As each treatment addresses only one substance category, allergies to multiple substances may require multiple treatments. The cost per treatment is very affordable when compared to other methods.


AllergiCareâ„¢ Relief Centers of Long Beach
www.AllergiCare.com/clinics/longbeach is located in Long Beach, California at 3530 Atlantic Ave., Suite 101. For more information, to make an appointment, or for a list of other AllergiCareâ„¢ Relief Centers locations, call 562-595-5949 or visit www.allergicare.com/clinics/longbeach

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Disclaimer
Due to the unpredictable nature of allergies, sensitivities and the immune system, AllergiCareâ„¢ Relief Centers cannot guarantee any results, as is the case with all forms of healthcare. AllergiCareâ„¢ Relief Centers also cannot guarantee that new allergies or sensitivities will not develop in the future. While AllergiCareâ„¢ Relief Centers can treat most forms of allergies and sensitivities, some case do not respond to the treatment. AllergiCareâ„¢ Relief Centers does not treat cases of anaphylaxis.

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Drug Rehab – What Are Your Options

Options for drug rehab unveiled for the U.S. There are many different types of addictions out there.

Depending on what type of addiction you or your loved one is dealing with will depend on what type of treatment you are going to want to get. For example if you are addicted to alcohol you are going to want to go to an alcoholism treatment center. If you are dealing with a drug problem you are going to want to get help from a Drug Rehab facility.

There are a variety of different drugs that one can be addicted to. Not only can people get addicted to illegal drugs but also prescription drugs. More and more often it is occurring that people are getting addicted to prescription drugs because they can get them more often from their doctors.

Some people don’t even realize that they are addicted until it is too late. Some people get addicted by accident. For example they have a variety of surgeries one after another for one thing or another that causes them to be on prescription drugs for a long period of time.

Things that family members might start noticing are that your loved one keeps more to them self. They stop doing the things they use to love doing. They don’t hang out with friends anymore. They might start hanging out with people you would rather not have them hang out with. They start lying about things or making excuses for their behavior. They may also start acting sick a lot or saying they are in pain all of the time. The reason for this is so they can get prescription drugs from the doctor.

If you are seeing these signs or realize that you are doing these things yourself it might be time that you start looking into what is going on in yours or your loved ones life. This will help you to determine if there is a drug problem or not. In some circumstances the person that is being accused of having an addiction problem will not come out and admit that they have a problem. If this happens then you will probably need to get some more people involved and try to get down to what exactly is going on.

Once you have decided to get your loved one some help you will want to make sure that you look into all of your options. You will want to think about the pros and cons of every option available to you. You will want to make sure that you take into account how your loved one might react if they have to be put in a drug rehab facility. When you are looking at different drug rehab facilities you will want to make sure that you look at every aspect of what is involved. You will want to look at the different facilities and what type of staffing and activities they involve. You will want to look at where they are located at. Even if they are located in another state than which you live. Getting some one that has an addiction out of their own comfort zone may be a good thing depending on the circumstances. The reason for this is they might take it as they are starting over fresh. They may feel more like they are starting over new if they are not in their normal surroundings.

These are just some of the different things that you will want to take into consideration. When you are looking into taking the first step make sure that you really do some research about what type of help is out there beyond what you can do at home. Make sure that you get all of your questions answered.

About the Author: Chauntel Greenwald has been writing articles for years now. She loves what she does. She has done a lot of articles in the past about drug rehab. Over the years she has been able to learn a lot about drug rehab facilities which helps her to better understand the information that people who are searching for help are looking for.

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Prices Of Liposuction Abroad Comparison

Liposuction is one of the most popular plastic surgery operations. Cosmetic-plastic-surgery.info; an online information portal for cosmetic plastic surgery abroad offers comprehensive information on doctors, locations and the all-important cost of having liposuction.

Price is usually the most important factor for plastic surgery clients and clinics and doctors abroad can offer quality plastic surgery services at low prices. Online comparison of liposuction prices abroad provides a tool to find out where to have liposuction abroad at the most suitable conditions.

“Liposuction costs can vary dramatically,” says Pavel Hilbert, managing partner of Cosmetic-plastic-surgery.info. “One important consideration is if you want total or local anesthesia; doctors vary on which they prefer and the client’s wishes must be taken into consideration as well.”

Cosmetic-plastic-surgery.info lists prices from nearly 50 surgeons operating in more than 20 clinics in a couple of countries. The average price for liposuction in the Czech Republic is around 600 EUR while the average prices in Poland or Croatia are more than twice as higher than that and prices in Germany even higher.

And while price is an important consideration in making your decision to have liposuction, it of course won’t be the only one. Cosmetic-plastic-surgery.info puts you in connection with other patients as well as surgeons via their forums to get your questions answered; plus informative articles; patient stories and before/after photos to help make your choice the best one for you.

“Liposuction’s costs are directly affected by the number of areas the patient would like to be operated on,” explains Dr. Karel Urban from Esthé plastická chirurgie, a.s. “There are a limited number of areas that can be liposuctioned at one time; and these are issues that need to be openly discussed with a potential surgeon.”

Cosmetic-plastic-surgery.info offers up to date liposuction price and procedure information at http://www.cosmetic-plastic-surgery.info/prices/liposuction.

www.Cosmetic-plastic-surgery.info provides information about cosmetic plastic surgery abroad and presents it to the general public in Czech, English, German, Russian and more languages.

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Medical Record Portable Storage Supports International Health Level Seven (HL7) Standards

Med Records to Go(tm) stores health information vital to medical professionals and emergency responders. A computer application called Med Records to Go(tm), that stores electronic medical records, can help reduce errors in emergency conditions, as well as in hospital or medical clinic admissions. Introduced by the Vital Record Corporation in November, 2006, Med Records to Go(tm) uses flash drive technology to record and store health information for emergency viewing by medical personnel and for electronic transmission to medical facilities using HL7 standards.

A new feature of the application allows electronic transmission of the stored medical records on the flash drive to medical facilities or offices in Clinical Document Architecture (CDA) format of the international HL7 standards. (See www.hl7.org). For electronic transmission of the CDA document, the application includes simple entry of the Internet address of the destination hospital or medical facility. If the stored medical records of the portable unit contain a digital photograph of the owner, it is included in the CDA document and in the transmission to a medical facility.

This new feature also includes the application option of creating and previewing the CDA document on the flash drive. A simple button click of the application automatically starts the installed Internet Browser (Internet Explorer, Mozilla Firefox, etc.) of the computer system for previewing the CDA document. In similar manner, the CDA XML source code can be previewed automatically with the installed system browser.

All software, controls, transmission features, and electronic medical records of Med Records to Go(tm) are contained in the portable storage unit. A temporary Internet connection is required to transmit a CDA medical record document to a medical facility or office. Otherwise, the health information is kept private and secure and not vulnerable to access on the public Internet. For additional security, the medical information stored on the portable unit is encrypted and cannot be read using any other application.

The additional cell phone feature of Med Records to Go(tm) incorporates the transmission of electronic medical records from the storage unit to a standard cell phone. A temporary Internet connection is also required to send the medical data in encrypted form to the Vital Record Corporation server before placement on the cell phone. In addition to data encryption, user identification and password controls are used for retrieving the medical data from the Vital Record server for storage on a cell phone.

Emergency medical personnel have immediate access to the health information because the information is automatically displayed (auto run) when the storage unit is plugged into the computer. Medical personnel can view the medical information by browsing the various pages contained within the storage unit. No special application knowledge is required for viewing the data since the standard Internet browser installed in the computer is used. Optionally, the health information of the storage unit can be transmitted by emergency personnel to any medical facility that supports the international HL7 standards.

About Vital Record Corporation
Vital Record Corporation, headquarted in San Diego, California, is comprised of a small team of computer science experts. They provide application development, web site design and implementation services, including internet access services, to individuals and small businesses. The Vital Records team members are developers of the recent Med Records to Go(tm) application, a device that stores electronic medical records and other vital health information.

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