Larry H. West, D.D.S.

Practice Limited To Prosthodontics

Advanced Adult Dentistry

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1104 North El Dorado Place
Tucson, AZ 85715

info@drlarryhwest.com

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8/22/2017
"Dry Mouth (Xerostomia) and Destructive Decay!!!!
One of the most discouraging occurrences in a persons dental health, especially in older adults, is the development of decay that is caused by a dry mouth; this occurs as an unintended consequence of Physician prescribed medications. (The other cause is radiation treatment for cancer to the head and neck or oral structures...the effects are the same!!!)
Most of these medications are for cardiac problems, the effects of diabetes and to combat depression.
The effect of these medications decreases the amount of saliva that is generated from the salivary glands and mucous and serous cells of the oral tissues.  Medications also affect the immune qualities of saliva and alter enzymes that start the digestive process.
The mouth is a portal of entry (POE) of many diseases and noxious particles and this is why our saliva has immune properties, saliva is our first line of defense.  The other reason saliva has immunological qualities is that there are hundreds of different bacteria, virus and other micro-organisms that naturally occur or become populated in our mouth and maintains a balance of bodily biochemistry and cellular function.
So when the mouth becomes a little bid drier and less protective, the normal microbiology get seriously out of whack, dental plaque becomes more toxic, noxious and virulent in its effects and within only a month or two, can literally chop a tooth off at the gum line or underneath existing crowns or bridges with decay.  Gum disease is also accelerated, so the destructive effects turns into a double whammy!!! for the dental patient.
Needless to say, the dentist and the patient are shocked with the breakdown and upset with the accelerated loss of teeth, dentistry and periodontal health.
I have observed this problem over the years with cancer patients that have received radiation therapy to the jaws, but in the past 3 years, this dry mouth decay has almost reached a epidemic proportion...if not more that I would like to see.
So don't hesitate to call me today if you have any questions or concerns about experiencing dry mouth symptoms.
05/01/2017

"What the Heck are Mini-Dental Implants"

Simply stated, mini-dental implants are used where there is very little jaw bone left to place regular sized dental implants.

The diameter of regular sized dental implant ranges in size from 4.0 mm, just thinner than a pencil (5/32 inches) to 8.00 mm ( 5/16 inches). Mini-dental implant are 1.8 mm about the thickness of a matchstick (5/64 inches) to 2.8 mm ( 7/64 inches or 2 match sticks together) in diameter. So mini-dental implant are about half the diameter of regular implants. All dental implants are manufactured in various lengths from 10 mm to 18 mm.

Why is all of this important? When a tooth is removed or all the teeth are removed, the body immediately starts the process of healing that wound in that alveolar bone. If there is an infection present associated with the tooth or teeth, then the body has to work harder to heal the wound and the volume or quantity of the bone is decreased or atrophies. If a person wears dentures for 20 years, that long term injury or trauma also causes the alveolar bone to atrophy or shrink in the 3-dimensions of the bone. Sometimes the only bone left is the skeletal bone!!

All dental implants depend on an adequate amount of healthy, dense bone, 360 degrees (in the 3 dimensions) around the dental implant. Without dense, healthy bone in the right amount around the dental implant dentists cannot replace missing teeth or anchor dentures with dental implants.

Since most dentists are not Superman or Superwoman...we don't have x-ray vision!!! it is essential to know the 3-D x-ray picture around each area where dental implants are planned or desired by the patient.

Another factor that needs to be considered is the ultimate use or function planned by the dentists or desired by the patient. Only study models of the patients mouth can provide the information that the dental implant treatment will restore the cosmetic, speech and functional factors that the patients desires.

So the first step in planning any dental implant treatment is a CAT scan x-ray of the jaws and study models of the patient's mouth.

The ultimate use for Mini-Dental Implants is to replace a single tooth in a very small space or to help anchor a very loose upper or lower complete denture that cannot be supported or stabilized by the patients anatomy (gums and jaw bone) during chewing function... stabilizing a loose, uncomfortable, non-functional denture can be a life changing event!!!!!
Call today for our Summer Special on Mini Implants!

04/25/17

Headaches, Migraines, Tinnitus, and Vertigo Treatment

Suffering from headaches or other head and neck pain?

Tired of living on pain medications?

Frustrated by missing work days and important family events?

Ready for a real, long-lasting pain-relief solution?

The leading cause of headaches is not what you think, and it's not all in your head. TruDenta can help. TruDenta treats the cause of many headaches and headache-pain symptoms, and provides long-lasting, needle-free, and drug-free pain relief.

What is TruDenta headache pain treatment?

The TruDenta System is an approach to chronic headache relief available from your dentist that addresses and treats the cause of the problem instead of temporarily masking the pain. Using a combination of techniques derived from sports medicine therapies, the TruDenta System targets the improper muscle forces in the head, neck, and jaw area that cause painful conditions.

Why would I want TruDenta treatment?

Research has shown that the cause of chronic migraines, tension headaches, vertigo, tinnitus, TMJ/TMD, and face, jaw, and neck pain may all be inter-connected. The cause could be unbalanced forces in your mouth that affect the muscles of these areas. This leads to changes in the chemical and nerve reactions that result in chronic pain. Additionally, painful symptoms could result from an accident, head trauma, bad posture, or other underlying conditions.

By treating the cause of the pain and not just the symptoms, TruDenta provides long-lasting pain relief.

With 45 million Americans annually having at least occasional recurring head pain, the TruDenta System offers a dental headache treatment that is a proven strategy for relieving chronic headache pain. This system offers a drug-free, needle-free, and pain-free program for long-lasting pain relief.

How does TruDenta work?

The TruDenta headache pain evaluation is easy and simple. After discussing your head health history with your dentist, the objective and computer-assisted TruDenta evaluation helps to pinpoint your headache cause. Based on the findings during the evaluation, a personalized in-office treatment will be prescribed. Your treatment works by re-training the muscles and nerves connected by the trigeminal nucleus to function properly. TruDenta treatments last about 50 minutes and include the use of several proven, FDA-cleared technologies. Depending upon the severity of your diagnosis, your treatment may consist of one to 12 treatments completed weekly.

“After 40 years of headaches, I haven't had another one in the 15 months since I completed treatment.” — One of TruDenta's many happy, pain-free patients.

Do you experience one or more of the following?

•  One or more chronic headaches a week
•  Two or more missed days of work a month due to headaches
•  Pain in your jaw, face, neck, shoulders, and arms for longer than a year
•  Ringing or fullness in your ears

Would you like your headache pain relief to be:

•  Drug-free?
•  Pain-free?
•  Long-lasting?
•  From state-of-the-art-technology?
•  Derived from proven sports medicine therapy?

If you answered yes to one or more of these questions, come see Dr. West to find out if TruDenta can help you!


TOO TIRED TO GO TO SLEEP MOST OF US ARE NOT GETTING ENOUGH SLEEP AND IT'S KILLING US

By Eric Lucas

To sleep, perchance to Dream. Hamlet's famous epigram comes to mind when you observe a patient at the Center undergo an overnight test to assess his sleep a myriad of measurements from his body to nearby monitors, he appears in repose but not exactly peaceful/ After all, how can one truly sleep amid an ever humming electronic web?

The question may best exemplify our 21st-century sleep habits. Simply put: We are not sleeping well, It's estimated that half of adults experience insomnia symptoms of some sort. Many millions have an ongoing sleep disorder. While sleeplessness might sound like a secondary annoyance compared with other health problems, it is, in fact, a massive epidemic with consequences that range from the mild (moodiness, moments of poor judgment) to dire (cardiac disease, automobile accidents).

The biomedical extreme is dire: Although no one has subjected humans to such tests, we know that laboratory rats die if denied sleep long enough (in their case two to three weeks).

"When I say to people that up to 70 million Americans have sleep disturbances, the reply, 'Wow, I had no idea.' No one has been talking much about this before now", says Dr. Safwan Badr, president of the American Academy of Sleep Medicine and chief of the Wayne State University School of Medicine's Division of Pulmonary, Critical Care and Sleep Medicine- a mouthful that by simply lumping critical care with sleep lends weight to Badr's warning about the importance of the topic.

"We talk about diet and exercise, but not about sleep."  Badr says, "In fact, sleep is just as important as the first two.  Sleep curtailment getting less than six hours a night is associated with higher overall mortality and a higher risk of many chronic conditions, including heart disease, obesity and diabetes. Sleep deficiency is a public health epidemic. That's why sleep medicine is now its own discipline and medical organizations are declaring it a priority. The consequences of inadequate sleep are profound."

Problem With Many Cures

Sleep disorders are common, troublesome, and widespread among all types of people in all walks of life, There are simple, effective treatments for virtually all sleep difficulties, yet doctors continue to be frustrated by the fact that so few people seek help. "We have very effective treatments that are available for most people," says Dr. Timothy Morgenthaler of the Mayo Clinic Center for Sleep Medicine in Rochester, Minnesota, "It's gratifying to me as a physician when I can easily diagnose a patient's problem and know what to do about it."

The Problem then isn't really how to treat sleep disorders, it's how to get individuals to pay attention. "The cause of sleepiness is sleep deprivation. What's the treatment for that? Sleep! It's beautifully simple," says Dr. Nate Watson, co-director of the University of Washington Medicine Sleep Center that's located at Seattle's Harborview Medical Center, a level I adult and pediatric trauma and burn center that serves four states. "I spend a lot of time counseling people on behavioral choices. We live in a toxic environment for sleep, We are surrounded by devices and are drawn to activities that demand our time, day or night, and people seem willing to compromise their sleep for these activities.

"The prevailing attitude is, "So what?" Take sleep seriously and you're lazy or not sucking the marrow out of life. 'Oh, sleep is optional,' people say. But it's not. Most adults need at least seven to eight hours a night and children need nine or more,"

While treatments for the most common sleep problems are well established, not very complex and generally quite effective, that doesn't mean they're welcomed or, in some cases, well tolerated. Chronic insomnia, for example, is often treated with cognitive behavioral therapy, which basically entails changing one's lifestyle and psychological framework regarding sleep. Tactics might include removing all electronic devices from the bedroom and avoiding alcohol or caffeine.

"Restrict caffeine intake to as close to none as possible," advises Michael T. Murray, a prominent Arizona naturopath and longtime former faculty member at Bastyr University in Seattle, a leading natural health education institution.
No chocolate? Tea? Coffee?

"If you're experiencing sleep problems, try avoiding all these for seven to 10 days and see what happens. Abstinence must be strict," urges Murray, the author of Stress, Anxiety and Insomnia who militates against simple carbohydrates (sugar), favors breathing exercises and meditation and frowns of pharmaceuticals (alarmed by the 100 million prescriptions a year written for sedatives and other sleep aids).

Another common sleep disorder is apnea, a collapse of the airway that afflicts approximately 18 million people in the United States, Many can be helped with a plastic face mask attached to a continuous positive air pressure machine that gently maintains positive pressure in the patient's airway during sleep, thus preventing the soft tissue collapse that causes the syndrome, But more than a third of patients can't tolerate using the device. Alternatives include surgery, dental devices, oral pressure therapy (a device that essentially provided a vacuum inside the mouth) and changes in sleep position.

Or losing weight. "One third of apnea patients can be cured simply by achieving their ideal weight," say Morgethaler of the Mayo Clinic.
"Every 1 percent drop in weight causes a 3 percent decrease in sleep apnea," adds Watson of the University of Washington Medicine Sleep Center, where more than 80 percent of the patients are being treated for apnea.

With more than 2,500 sleep clinics accredited by the American Academy of Sleep Medicine, which has close to 10,000 members encompassing medical professionals of all types, finding help for a sleep problem is easy, But be prepared to answer some personal questions: Do you keep your iPhone on the nightstand and "forget" to turn it off? Are you playing video games at 11p.m. and expecting to sleep 10 minutes after shutting down the Xbox? Do you check your e-mail one "last" time at midnight? Many people find these discussions uncomfortable.

"We greatly rely on motivational interviewing techniques," Morgenthaler says, "if you get the patient to participate in the decision making process, the outcome is better."

Patients who are battling an up-all-night circadian rhythm problem called delayed sleep phase disorder, for example, are offered a bilateral choice, Morgenthaler explains: "Do you want to obey your biological clock to fit in with everyone else?"

The best treatment is not what many expect: medication. " 'Can't I just take a pill? It would be easier,' " Watson says he often hears. Most sleep doctors agree that sleep meds are OK in limited use for short-term insomnia or to begin therapy for chronic insomnia, however, that aren't desirable for long-term use by most patients.

"Overuse of these drugs is bey dangerous, especially as they are often mixed with painkillers and alcohol. The latter two actually damage sleep quality," warns Badr. "It is incredibly important to emphasize these points. These substances do all have a proper use, but it's quite limited."

Why We Need Sleep

The hoped-for sea change in public attitudes about the importance of sleep may depend on a broader understanding of and education about sleep's biological foundations, which Badr describes as "deeply woven into the fabric of the phenomenon we call life,"

The need for a deeper understanding is illustrated by the fact that virtually all sleep centers affiliated with universities or major health care providers are also researched centers. Their researchers are addressing questions ranging from what causes sleep dysfunction to why sleep matters, the latter touching on so many life basics that the field approaches philosophy as much as physiology.

What is the purse of sleep? Is it simply a convenient evolutionary adaption created in response to the fact that we inhabit a planet with regular periods of dark? Perhaps, Scientists there's no known animal species the lacks a sleep cycle.

Is sleep a way to ease the mental rigors of daily life? After all, dreams are the mind at play, goes the old axiom, And it has been demonstrated that a sleep declines so do motor, intellectual and language skills,

If you practice bad sleep, you just cannot make good decisions, " argues Steven Mundahl, president of Goodwill Industries and the author of the book The Alchemy of Authentic Leadership, in which he singles out a lack of sleep as a major failing among modern leaders. Humanity would be better off, Mundahl says, if people worked five hours a day and slept eight.

"If we all did that, the results would be exceptional decision making," he says. "Sleep is a basic necessity for human beings. If you're not getting it, the part of your brain called the amygdala will malfunction and sabotage you. You'll panic, your  mode will kick in, you'll overreact, That's not leadership. We can all think of overtired leaders who have made really bad judgment calls, can't we?"

But the importance of deep rest extend far beyond the brain. Sleep literally grants the body time for repair. "Sleep deprivation leads to unhealthy changes in the heart and lung, as well as the brain," says Dr. Allan Pack, an apnea expert at the University of Pennsylvania and director of its Center for Sleep and Circadian Neurobiology.

Pack is the former secretary-general of the World Federation of Sleep Research and Sleep Medicine and has participated in research that has shown that while the brain is at rest it's not calling on the body for the disproportionate share of metabolic resources it uses will awake. It's during the time that animal cells use the resulting spare energy to manufacture essential proteins, lipids and other biochemicals required for the next period of wakefulness.

"Animals suffering sleep deprivation have higher proportions of misfolded proteins," Pack says, "That's a fancy term for bad stuff."

Despite mounting evidence of the damage caused by sleep deprivation in humans, ongoing studies find that the average American's sleep duration continues to decline, and is now less than seven hours a night. The cultural disdain for sleep seems deep and insidious, routed in a work-ethic myth that frustrates sleep doctors immensely, "There will be plenty of sleep in the grave," declared Benjamin Franklin, who was wise in many ways, but not this, "A waste of time," Thomas Edison sneered about sleep.

"Not much of a waste if it saves your life," counters AASM's Dr. Badr. "People who sleep seven to nine hours a night exhibit the greatest long-term survival rates. Sleep has a structure that must be respected. We need to change the prevailing cultural norms, just as we have with smoking. You need to stop smoking and you need to get a good night's sleep." So what about sleep doctors? Do they practice what they preach? Badr says that he has evicted electronics from all of the bedrooms in his house. And Watson not only helps others sleep better, but he practices the discipline himself. "Yes, I do sleep eight hours night," he says, "Sometimes nine hours. You know how they say do what you love? I love to sleep."

This article was copied from the December 2012 issue of Sky magazine.


Are You A Candidate For Cosmetic Dentistry?

Why change your smile? If you're happy with it don't! But ask yourself the following questions:


8/26/13

WHY DENTURES ARE OBSOLETE

Dentistry has many “old wives tales” or myths that surround its history; probably one tale for each of the 200 years dentistry has been one of the healing professions. Half of those myths are attributed to dentures and are passed on from our Grandparents generation.

But... one must consider the circumstances of their times, before there was fluoride in our water supply, before the advancements in modern dental practices and the simple fact that there are more dentists and access to dental care today.

A complete denture replaces all of the upper and/or lower teeth and has since the beginnings, never been anything other than a prosthetic device. Not unlike a prosthetic leg or hand, there have always been physical and psychological limitations for the user…a prosthetic device can only be expected to do so much.

So it is with your Granny’s dentures. Her dentures were just slightly better than not wearing prosthetic teeth at all. Only her strong determination, adaptation, vanity and persistent learning skills allowed her to brag “that she could eat anything…even corn off the cob”…Her dentures were “better than her real teeth”.

As a prosthodontic specialist that has been experiencing patient problems and complaints for over 30 years, the facts listed below, are the facts that dispel the myths about complete dentures and why I say dentures are obsolete. Conventional dentures are obsolete because of the near 100 % success of dental implant treatment.

1. Just like an artificial leg that has hinges and plates and screws, dentures are designed to be very mechanical. All functional forces (chewing) have to be designed and work like a machine.

Dental implant dentures or prostheses are partially or totally anchored and stabilized...chewing is like natural teeth!

2. Denture teeth are designed only to resemble natural teeth, not work like natural teeth; therefore all denture teeth are designed to be smaller and shaped differently than natural teeth.

Dental implant dentures or prostheses can be designed to be like your natural teeth with normal chewing anatomy and very cosmetic to maintain your personality!

3. The oral anatomy of the gums or denture supporting tissues is critical with conventional dentures. If you have had a lot of shrinkage of your gums or your gums were naturally short, the shorter the upper or lower gums, the worse your dentures will fit and be uncomfortable and you will suffer embarrassing moments with loose dentures and poor speech.

Dental implant treatment will absolutely stabilize any denture or partial denture or provide your "3rd set of teeth" completely naturally!

4.  A conventional denture is an “add on. It rests on the gums and depends on the saliva to create suction between the plastic of the denture base and the gums (the denture supporting tissues). Therefore, dentures are bulky, un-natural. For some folk dentures are so bulky it makes them feel claustrophobic makes them gag!

Dental implant treatment allows dentists to make dentures very lightweight, eliminate covering the palate and in the case of full mouth dental implant treatment, the teeth come out of the gums just like the natural teeth!

5. The longer a person wears dentures and wears poor fitting denture (uses denture adhesive), the more the gums or jaw bones shrink away…eventually there is total shrinkage and nothing is left to stabilize a denture during function or the person cannot wear dentures any longer!!

Following dental implant treatment, the body recognizes the dental implants as normal and NO MORE shrinkage of the gums and jaw bones occurs!

Dental implant treatment has made the conventional denture obsolete, just like the combustion engine eliminated the horse carriage or plow and the personal computer eliminated the typewriter.

Dental implants can be placed in almost every situation to anchor a denture or to replace missing teeth. Don't become obsolete...find out how dental implants can change your life!!!!!!!!

Dr. West is a prosthodontic specialist, an expert in dental implant treatment. Dr. West offers a complimentary consultation to provide you with all of the information you need to fulfill your treatment desires.


5/15/15

Dental Xrays May Detect Potential

For Heart Attack, Stroke and Death
independent survey. Cedars-Sinai is internationally renowned for its Science Daily - Date Posted. 5/16/02 

Source: Cedars-Sinai Medical Center - www.csmc.edu

Dental X-rays May Detect Potential For Heart Attack, Stroke And Death
 
Dental x-rays may provide a new tool to screen for potentially life-threatening heart conditions and stroke, according to research presented by Stanley N. Cohen, M.D., Director of the Stroke Program in the Division of Neurology at Cedars-Sinai Medical Center. The findings, presented at the 54th annual meeting of the American Academy of Neurology, show that panoramic dental x-rays can be used to spot carotid artery calcification (CAC) - a condition which may contribute to stroke.

"Our study shows that patients with calcification of the carotid arteries had a higher risk for both serious cardiac events and strokes," said Dr. Cohen. "Now, we recommend that when dentists see CAC on an x-ray, they refer their patients to the appropriate specialists for further evaluation and treatment."

In the past, the presence of CAC - or calcium deposits that line the walls of the arteries supplying blood to the brain - indicated that patients might need evaluation to determine whether there was blockage, which could lead to a stroke. If blockage was identified, the patients received treatment. On the other hand, if no blockage was found in the carotid arteries, no further testing was done. But earlier studies conducted by one of the researchers found that CAC was not associated with** blockage of the carotid arteries, while additional studies by the group found that patients with CAC had a high rate of cardiac and stroke symptoms.

"What remained unclear, was whether CAC was a separate risk factor for heart problems and stroke or whether it was simply a characteristic of patients with numerous risk factors for either condition," commented
Dr. Cohen.

To determine whether the presence of CAC was directly linked to a higher risk for heart attack and stroke, the investigators examined the dental x-rays of male veterans seen by Arthur H. Friedlander, D.M.D., over a 15 year period at the Veterans Affairs Greater Los Angeles Healthcare System. Forty-six patients with CAC were identified and compared to a second, "control" group of 46 patients without CAC who had only age, gender, risk factors for heart disease and stroke, and the first letter of their last names in common.

Next, the investigators examined the medical records of both patient groups for any heart problems and/or strokes that may have occurred after their dental x-rays were taken. Pre-existing risk factors such as any prior heart attack or bypass surgery, stroke, diabetes or obesity were also reviewed for both groups. They found that 34 patients in Group 1 (with CAC) had greater than one risk factor, while seven had no risk factors at all. In Group 2 (without CAC), the investigators found that 29 patients had more than one risk factor, while eight had no risk factors present.

"This means that both groups of patients were very similar in all aspects accept for the presence of calcification in the carotid arteries," said Dr. Cohen. In addition, the investigators' analysis of the patients' medical records revealed that 20 heart related conditions occurred in 12 patients with CAC present on a dental x-ray, while only six heart or stroke related conditions occurred among five of the patients without CAC. In the group of patients with CAC, the investigators found that six patients had heart attacks, three had strokes, six had obstruction of the blood vessels, two had transient ischemic attacks (TIA), or a temporary blockage of blood supply to the brain, and three had angina (pain and constriction around the heart). Patients without CAC experienced considerably less cardiac or stroke events with one heart attack, one stroke, one blood vessel blockage, one TIA and two cases of angina. Further, patients with CAC experienced some type of cardiac event or stroke 2.9 years after their x-ray was taken, while patients without CAC experienced an occurrence 3.9 years later - a difference of one year.

"Although CAC does not indicate that the arteries are blocked, it does indicate a patient at higher risk to develop potentially life threatening vascular complications. Therefore, finding CAC on a dental x-ray can help us to identify and begin early intervention in these high risk patients," said Dr. Cohen.

Cedars-Sinai Medical Center is one of the largest non-profit academic medical centers in the Western United States. For the fifth straight two-year period, Cedars- Sinai has been named Southern California's gold standard in health care in an independent survey. Cedars-Sinai is internationally renowned for its diagnostic and treatment capabilities and its broad spectrum of programs and services, as well as breakthroughs in biomedical research and superlative medical education. Named one of the 100 "Most Wired" hospitals in health care in 2001, the Medical Center ranks among the top 10 non-university hospitals in the nation for its research activities.

Dental X-ray Uncovers Clogged Artery!

Another example of the expanded diagnostic capabilities that panoramic imaging can provide, was reported by the ADA in the November 2000 issue of JADA' and in a subsequent press release by the ADA2.

Findings on a panoramic radiograph uncovered a patient's critically clogged neck arteries, prompting potentially life saving treatment, according to the case report. "The patient described in our case report had no signs or symptoms of carotid artery (arteries on each side of the neck that carry blood from the heart to the brain) disease," said lead author Dov M. Almog, DMD, professor, Eastman Department of Dentistry, University of Rochester, Rochester, N.Y. "She would not have been evaluated or screened for atherosclerotic disease (hardening of the arteries) without our finding calcified carotid plaques on the panoramic radiograph."

It was noted that approximately 730,000 strokes occur each year in the United States costing an estimated $40 billion annually. One half of all strokes are the result of atherosclerotic plaques found in the carotid artery. Such plaques frequently are heavily calcified and can be identified on a panoramic radiograph by the incidental finding of calcifications overlying the carotid bifurcation. The authors recommend formal evaluations of the carotid bifurcation if calcifications are observed. For detailed information, see JADA article listed below.


 1. Case Report: ~` Unrecognized Carotid Artery Stenosis Discovered by Calcifications on Panoramic Radiograph", .JADA, Vol. 131, November 2000, Pg 1593-1597.

2. News Release, www.ada.org, November 2000.


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