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Clinician’s Corner: More on Lyme disease

As we discussed last week, Lyme disease, caused by a bacteria Borrelia burgdorferi, remains the most common vector-borne disease in the United States.  Lyme disease was first described in 1977 as “Lyme arthritis” in studies of a cluster in Connecticut of children who were thought to have juvenile rheumatoid...

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Clinician’s Corner: Prevention of Lyme disease

Let’s assume you didn’t adequately follow last week’s prevention tips.  We can cover two scenarios.  The first we will discuss when you find a tick on your skin, and remove it. Then we can discuss treatment when the characteristic rash appears. Pharmacological Prevention of Lyme disease: The Infectious Disease...

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Clinician’s Corner: Lyme Disease

Pennsylvania, for the third straight year, is leading the nation in number cases of Lyme disease.  Now that winter has released its clutches on our state, everyone is headed to the great outdoors either for picnics, hiking, camping and even less enjoyable, gardening and mowing the lawn!  Many of...

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Clinician’s Corner: Dry Mouth

A healthy patient produces saliva at the rate of 1 ounce per hour.  In a person with xerostomia or dry mouth, the rate is reduced to approximately 1 teaspoonful per hour. Besides adding in chewing and digestion, saliva maintains the pH balance in the mouth by secreting bicarbonate ions,...

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Clinician’s Corner: Teeth Grinding

Bruxism refers to repetitive jaw-muscle activity characterized by clenching or grinding of the teeth. Stress and anxiety seem to be often listed as the cause. The symptoms of teeth grinding include: Clicking or popping jaw joints Eating disorders Insomnia Enlarged jaw muscles Earache dull headaches jaw pain and stiffness...

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Clinician’s Corner: Flouride

The risk of dental cavities is reduced due to the uptake of fluoride by enamel. This uptake of fluoride hardens the enamel and makes it more acid resistant.  Fluoride also has demonstrated antibacterial activity. Fluoride is most beneficial from birth to age 12 because unerupted permanent teeth are mineralizing...

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