Safety

Risky Behavior: Vaping, Cigarette Use, and COVID-19

September 14th, 2020

We have all been impacted in some way by the COVID-19 pandemic, which makes us all in this fight together. Even though the virus still persists, great strides and global participation in social distancing, wearing face coverings, and following safety protocols are helping to stop the spread of the coronavirus. Scientists and researchers across the world are continuously uncovering important research and highlighting factors that increase the risk of battling coronavirus. From the beginning of the pandemic, the Centers for Disease Control and Prevention (CDC) has emphasized, based on research and clinical expertise, that individuals with weakened immune systems, including older adults, and those with underlying medical conditions (examples: lung disease, heart disease, diabetes, kidney disease, and hypertension, just to name a few) are at an increased risk of severe COVID-19 illness. More recently a new study, published in the Journal of Adolescent Health and conducted by researchers at Stanford University School of Medicine, suggests teens and young adults who vape or smoke cigarettes are at an increased risk of COVID-19 infection.

Along with the COVID-19 pandemic (currently 29,182,627 worldwide cases and a disheartening 928,281 deaths reported), the devastating health crisis in many young adults: tobacco and electronic cigarettes (e-cigarettes)/vaping product use, has still been an extensive public health issue across the nation. Back on September 24, 2019, the Governor of Massachusetts, Charles D. Baker, declared e-cigarette use a public health emergency following the significant link between e-cigarette products and severe lung disease leading to many deaths across the United States. Unfortunately, e-cigarettes have routinely been marketed as “safer” alternatives to cigarette smoking, although in reality they carry many of the same risks as well as new risks. The inhaled liquids are often composed of nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, along with other substances. Each product, however, can have a variation of other ingredients and concentrations, which may be toxic to the body.

The study, entitled, Association Between Youth Smoking, Electronic Cigarette Use, and Coronavirus Disease 2019, consisted of an online survey conducted in May completed by 4,351 individuals across the United States ranging in age from 13 to 24 years old. The study participants were asked if they had ever used vaping products or cigarettes, and if they had vaped or smoked in the past 30 days. The participants were then divided between those who used nicotine products in comparison to those who reported never using nicotine products. The groups were asked if they had experienced COVID-19 symptoms, received a test for COVID-19, or tested positive for the virus. Taking into consideration reported medical conditions and sociodemographic factors, the researchers found that individuals who used both cigarettes and e-cigarettes in the last 30 days were approximately 5 times more likely to experience COVID-19 symptoms than those who never used nicotine products. Of the individuals who received a COVID test, those who had used e-cigarettes were 5 times more likely to be diagnosed with COVID-19 than those who never vaped. Plus, individuals who used both e-cigarettes and regular cigarettes within the last 30 days were approximately 7 times more likely to test positive for COVID-19. The study authors believe that the link between nicotine products and lung damage is thought to be the reason behind the resulting increased risk of coronavirus infection. "This study tells us pretty clearly that youth who are using vapes or are dual-using are at elevated risk, and it's not just a small increase in risk, it's a big one," Dr. Shivani Mathur Gaiha, one of the study's authors, warned.

Knowing the dangers about vaping and cigarette smoking is key. The Massachusetts Tobacco Cessation and Prevention Program offers information and resources that can help individuals quit. Also, check out a list of resources and other helpful information on our WDG blog here.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://decisionsindentistry.com/2020/08/vaping-raise-risk-covid-among-teenagers-young-adults/

http://med.stanford.edu/news/all-news/2020/08/vaping-linked-to-covid-19-risk-in-teens-and-young-adults.html

https://www.news-medical.net/news/20200811/Smoking-and-vaping-significantly-increase-risk-of-COVID-19-in-teens-and-young-adults.aspx

https://www.tecc.org/tobacco-and-covid-19/

https://discoveries.childrenshospital.org/vaping-and-covid-19/

Celebrating Labor Day Safely

September 6th, 2020

Can you believe we're approaching Labor Day already? Labor Day honors the work and achievements of U.S. workers and typically marks the closing of summer for many as we get ready to approach the fall. Normally, Labor Day weekend is full of social parties and celebrations across America, but experts warn that this Labor Day should look differently during the COVID-19 pandemic. Unfortunately, although the holiday may be a vacation for us, COVID-19 is still rising and not taking any days off!

Sadly, after gatherings during Memorial Day, the cases of COVID-19 drastically increased, with 4 million more cumulative cases since the holiday. As of today, in the United States there are currently 6,432,209 cases of COVID-19 and 192,864 deaths reported. According to CNN, a model cited by leading health experts predicts over 400,000 Americans could die by January 1st 2021. Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases, explains, “If we’re careless about it, then we could wind up with a surge following Labor Day...It really depends on how we behave as a country.”

It is important to remember that the pandemic is not over, and not to let up on safety precautions, especially during this holiday weekend! Beth Blauer, an executive director at Johns Hopkins University Centers for Civic Impact, who has been tracking U.S. COVID-19 transmission data at the Coronavirus Resource Center, warns, "We're seeing a lot of evidence that transmission is happening in smaller, family-driven parties." Even small gatherings can consequently lead to greater spread, which can be deadly for some. CNN reports that a wedding and reception in Maine on August 7th was found to have infected 144 people within the past month. Of the 144 infected individuals, 56 of the cases were from individuals who were at the wedding and reception, however, after interactions with people who attended the gathering the virus also spread 100 miles to a nursing home and 220 miles to a county jail. Sadly, two individuals have passed away following the spread from the event.

So, what does this mean for your day off? Health experts say that the pandemic does not have to stop all of your Labor Day fun. However, to avoid a surge in cases, there are actions to take to lower the risk of COVID-19 infection and spread to help make the holiday weekend safer for everyone, according to epidemiologist and professor of health metrics sciences at the Institute for Health Metrics and Evaluation at the University of Washington, Ali Mokdad:

  • Getting outside, hiking, bike rides, and other outdoor activities in non-crowded areas is preferred over indoor activities
  • Wear masks at all times when not eating, continue to practice social distancing, and keep your hands and frequently touched surfaces disinfected
  • Keep the family units separated by at least 6 feet or more
  • Make sure tables, food, condiments, eating utensils and trash containers are also separated
  • Have each family bring their own food, avoid food sharing. If food is shared, separate into small containers in advance to be distributed
  • Communicate safety protocols to all guests if hosting an event

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

References:

https://www.cnn.com/2020/09/02/health/labor-day-covid-19-precautions-wellness/index.html

https://www.cnn.com/2020/09/06/health/us-coronavirus-sunday/index.html

https://www.cnn.com/2020/09/04/health/labor-day-coronavirus-safety-wellness/index.html

https://nypost.com/2020/09/04/fauci-warns-7-states-need-to-be-covid-19-cautious-over-labor-day-weekend/

https://www.history.com/topics/holidays/labor-day-1

https://www.worldometers.info/coronavirus/country/us/

https://www.gannett-cdn.com/presto/2020/09/03/USAT/b47f8c50-52ae-43ec-9483-84992a0fc2c0-Labor-Day.png?width=580&height=326&fit=bounds&auto=webp

https://www.mytwintiers.com/news-cat/local/chemung-county-health-department-advising-a-covid-free-labor-day-weekend/

Does Oral Bacteria Impact COVID-19 Complications?

August 25th, 2020

Scientists and researchers across the globe are in full-force battle mode when it comes to finding out more information about COVID-19 to help beat the virus. Although COVID-19 has brought about many challenges, losses, and uncertainties, it has brought so many individuals and an abundance of knowledge from across the world together, even if simply virtually! This constantly evolving pandemic has helped fuel important research, all sharing a common goal of finding connections and solutions to bringing this outbreak to a close. In the United Kingdom, researchers have explored the potential connection between oral health and COVID-19. The study, “Could There Be a Link Between Oral Hygiene and the Severity of SARS-Cov-2 Infections?,” published in the British Dental Journal, aimed to determine whether health complications and deaths as a result of COVID-19 were linked to oral bacteria and periodontal disease (gum disease). Also, they hoped to learn more about whether or not the amount of bacteria present in the mouth plays a role in the severity of COVID-19, as well as how improving oral health could possibly lower the risk of individuals experiencing detrimental COVID-19 complications. As many researchers have found, COVID-19 seems to impact individuals in differing ways in terms of symptoms and severity of the disease. Some of the common severe complications of coronavirus include pneumonia, heart problems, blood clots, organ failure, acute respiratory distress syndrome (ARDS), and acute kidney injury.

In a healthy mouth, the presence of oral bacteria is natural and exists in harmony with the rest of your body. However, when the bacterial balance becomes out of control, harmful bacteria can not only create problems for your teeth and gums, but also for other parts of your body such as your lungs. The study highlighted several research studies that suggest that bacterial infections were common in individuals with severe COVID-19 symptoms. For instance, a study by Zheng and colleagues found that 50% of patients within their conducted study with severe COVID-19 who passed away also had the presence of a secondary bacterial infection. In addition, a study by Liu and colleagues found similar results, revealing that over 80% of the severe cases of COVID-19 in their study had significantly high bacterial loads as a result of a bacterial superinfection.

The study authors note that tiny droplets of saliva containing oral bacteria that are linked to gum disease, such as Porphyromonas gingivalis (P. gingivalis)Fusobacterium nucleatum (F. nucleatum) and Prevotella intermedia (P. intermedia), can contaminate other areas of your body, for instance the lungs. This can create an inflammatory response throughout the body and increase the risk of many developing other infections and complications. Thus, good oral hygiene practices and management of gum disease has been widely studied and associated with a reduction in the risk of respiratory infections. Not to mention, properly managing gum disease also plays a role in lowering the risks and complications associated with other systemic diseases such as cardiovascular disease and diabetes.

The authors of the study suggest that taking care of your oral health could particularly go a long way in lowering your risk of developing severe complications from COVID-19. The authors concluded, “We recommend that oral hygiene be maintained, if not improved, during a SARS-CoV-2 infection in order to reduce the bacterial load in the mouth and the potential risk of a bacterial superinfection. We recommend that poor oral hygiene be considered a risk to post-viral complications, particularly in patients already predisposed to altered biofilms due to diabetes, hypertension or cardiovascular disease. Bacteria present in patients with severe COVID-19 are associated with the oral cavity and improved oral hygiene may play a part in reducing the risk of complications.” More research is needed to determine if there is a concrete connection between oral bacteria and COVID-19 complications, as well as the link between gum disease and the virus.

So, don’t forget that your mouth is connected to your entire body, which means keeping up with your overall health goes hand in hand with also maintaining your oral health! Continue to stay safe and healthy.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://decisionsindentistry.com/2020/08/paper-explores-connection-between-oral-hygiene-severity-covid/?inf_contact_key=de1345513d0cf654b8e4b4892fabc16109c74070ac2bf3cfa7869e3cfd4ff832

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319209/#!po=12.5000

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7258848/

https://www.mayoclinic.org/diseases-conditions/coronavirus/symptoms-causes/syc-20479963#:~:text=%2D%20Pneumonia%20and%20trouble%20breathing,%2D%20Acute%20kidney%20injury.

https://www.vaildentistry.com/blog/whats-living-in-your-mouthand-whats-it-doing-to-your-heart/

https://hickorydentist.com/caring-for-your-oral-health-while-preventing-covid-19/

https://decisionsindentistry.com/covid-19/

Possible Signs of COVID-19 In the Mouth

August 16th, 2020

There’s a lot to look out for when it comes to COVID-19 and trying to stay safe and healthy. From frequent hand washing, to social distancing, to getting used to wearing a face covering, to recognizing common coronavirus symptoms -the list of things is numerous! Researchers are finding that there may be another COVID-19 symptom to monitor for that can appear in your mouth.

Several recent studies have looked at the presence of oral lesions in individuals with COVID-19. Much of the research remains unclear regarding whether or not the oral symptoms were a result of the coronavirus infection or due to the individual’s other current systemic medical conditions, or because of adverse medication reactions.

In a published study authored by Carreras‐Presas and colleagues, three case reports were presented involving individuals who all developed oral ulcers/blisters and were believed to be infected with COVID-19. Out of the three investigated individuals, one tested positive for COVID-19, while the other two individuals were not tested for COVID-19 due to milder symptoms. Here’s a breakdown of the cases:

  1. The first case was a 56‐year‐old male with no existing medical conditions. He reported experiencing a fever, change in taste, pain at the roof of his mouth (palate), and a sore throat. These lesions resolved after approximately 10 days with treatment. The palate is pictured below:
  2. The second case was a 58‐year‐old male with diabetes and high blood pressure (hypertension). He presented with ulcers on his palate and reported no previous history of a herpetic infection. The lesions were healed after approximately 1 week with treatment.
  3. The third case involved a 65‐year‐old female who tested positive for COVID-19 and experienced a high fever, diarrhea, and tongue pain. Her existing medical conditions included obesity and high blood pressure, which she controlled with high blood pressure medications. Shortly after being released from the hospital she developed blisters on the inside of her lip, as pictured below. With a prescribed mouthwash her oral lesions improved after 3 days.

More research needs to be conducted to determine if oral lesions can be considered a sign of COVID-19 infection. Due to the susceptibility of COVID-19 through air droplets, researchers believe that the mouth could possibly be the first place in the body to show signs of infection. The study authors also believe that this data matches other studies that have shown ulcers and blisters to be common lesions associated with other viruses, including hand, foot, and mouth disease, and herpetic gingivostomatitis for instance.

Another research study looked at 21 hospitalized individuals who tested positive for COVID-19 who presented with a skin rash on the outer surface of their bodies. The study was published in JAMA Dermatology and conducted in Spain. Of the 21 individuals, six individuals (29%) also presented with an oral rash, resembling small red spots on the mucosa inside the mouth. These oral lesions appeared approximately two weeks after other COVID-19 symptoms were present, with a reported average of 12.3 days. Of the six individuals, four were women and two were men, and their ages ranged from 40 to 69 years old. On all individuals the oral mucosal spots (also known as an enanthem) were present on the palate. The authors of the study believe that these oral manifestations were most likely linked to the presence of a virus rather than due to a drug reaction because the oral lesions in 5 out of the 6 individuals presented with a petechial pattern. Petechiae, small red-purple spots created by bleeding under the skin, have been found in several other research studies to be associated with viral infections.

If you notice any unusual signs or symptoms occurring within your mouth, or are experiencing any typical COVID-19 symptoms, seek a medical professional immediately.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://www.medpagetoday.com/infectiousdisease/covid19/87584

https://onlinelibrary.wiley.com/doi/full/10.1111/odi.13382

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323044/

https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/teeth-and-mouth/oral-herpes-teaser.ashx

FDA's Update on Potentially Harmful Hand Sanitizers

August 9th, 2020

During these uncertain times we are all trying to be cautious about germs, which seem to be all around us! Staying safe and doing the best we can to avoid spreading and contracting COVID-19 is of extreme importance as cases and deaths continue to rise across the United States. Because our daily lives involve the constant sense of touch, it's necessary to keep our hands clean to help lower the number of germs present that could make us sick. The Centers for Disease Control and Prevention (CDC) has created several guidelines to follow regarding the use of soap and water, as well as alcohol-based hand sanitizer. According to the CDC, soap and water are more effective at fighting certain microbes and viruses, including norovirusCryptosporidium, and Clostridioides difficile. Whereas, an alcohol-based hand sanitizer can help lower the presence of some microorganisms in particular situations. Take a look:

Yet, you may have seen through the media that recently there have been a number of recalls for certain hand sanitizer brands. The U.S. Food and Drug Administration (FDA) has drastically increased its list of hand sanitizers to avoid due to potentially dangerous ingredients. Back in June, the FDA reported the toxicity of some hand sanitizers due to the presence of methanol. Methanol is toxic to humans and can lead to dangerous complications, including permanent blindness, seizures, coma, and even death.

More recently, the FDA is concerned about the inadequate amounts of ethyl or isopropyl alcohol in hand sanitizers. Now, their list, which has hit over 100 products, contains both those with potentially toxic ingredients and those with insufficient levels of active ingredients like alcohol. The FDA reports that many of the hand sanitizers that are a part of their list of products to avoid were created in Mexico and imported to the United States. Recalls and importation warnings have been issued to prevent these potentially dangerous hand sanitizers from making it to the store shelves. The FDA advises against using any products from the manufacturers listed, even if only specific products are being recalled, and to avoid any product with the ingredient methanol. Also, be sure to monitor hand sanitizer use around young children to ensure that ingestion of product does not occur.

FDA Commissioner Dr. Stephen Hahn noted, "Consumers must also be vigilant about which hand sanitizers they use, and for their health and safety we urge consumers to immediately stop using all hand sanitizers on the FDA's list of dangerous hand sanitizer products." Here is the most current list of hand sanitizers to avoid per the FDA:

  • Blumen Clear Advanced Hand Sanitizer with 70% Alcohol
  • Blumen Advanced Instant Hand Sanitizer Clear Ethyl Alcohol 70%
  • BLUMEN Advanced Instant Hand Sanitizer Clear
  • BLUMEN Advanced Instant Hand Sanitizer Clear
  • KLAR AND DANVER Instant Hand Sanitizer
  • MODESA Instant Hand Sanitizer Moisturizers and Vitamin E
  • BLUMEN Advanced Hand Sanitizer
  • BLUMEN Advanced Hand Sanitizer
  • BLUMEN Advanced Hand Sanitizer Aloe
  • BLUMEN Advanced Instant Hand Sanitizer Lavender
  • BLUMEN Clear Advanced Hand Sanitizer
  • BLUMEN Clear Advanced Hand Sanitizer
  • BLUMEN Clear LEAR Advanced Hand Sanitizer
  • BLUMEN Clear LEAR Advanced Hand Sanitizer
  • The Honeykeeper Hand Sanitizer
  • BLUMEN Advanced Hand Sanitizer Clear
  • BLUMEN Clear Advanced Instant Hand Sanitizer
  • BLUMEN Clear Advanced Instant Hand Sanitizer Aloe
  • BLUMEN Clear Advanced Instant Hand Sanitizer Lavender
  • BLUMEN Aloe Advanced Hand Sanitizer, with 70 Alcohol
  • BLUMEN Aloe Advanced Hand Sanitizer, with 70 Alcohol
  • Blumen Advanced Hand Sanitizer Lavender, with 70% alcohol
  • Blumen Advanced Hand Sanitizer Aloe, with 70% alcohol
  • Blumen Antibacterial Fresh Citrus Hand Sanitizer
  • Blumen Hand Sanitizer Fresh Citrus
  • KLAR and DANVER Instant Hand Sanitizer
  • Hello Kitty Hand Sanitizer
  • Assured Instant Hand Sanitizer (Vitamin E and Aloe)
  • Assured Instant Hand Sanitizer (Aloe and Moisturizers)
  • Assured Instant Hand Sanitizer Vitamin E and Aloe
  • Assured Instant Hand Sanitizer Aloe and Moisturizers
  • BLUMEN Instant Hand Sanitizer Fragrance Free
  • BLUMEN Instant Hand Sanitizer Aloe Vera
  • Assured Aloe
  • bio aaa Advance Hand Sanitizer
  • LumiSkin Advance Hand Sanitizer 4 oz
  • LumiSkin Advance Hand Sanitizer 16 oz
  • QualitaMed Hand Sanitizer
  • NEXT Hand Sanitizer
  • Clear Advanced Hand Sanitizer with 70% Alcohol extra soft with glycerin and aloe
  • NuuxSan Instant Antibacterial Hand Sanitizer
  • NuuxSan Instant Hand Sanitizer
  • Assured Instant Antiseptic Hand Sanitizer with Aloe and Moisturizers
  • Assured Instant Antiseptic Hand Sanitizer with Vitamin E and Aloe
  • Modesa Instant Antiseptic Hand Sanitizer with Moisturizers and Aloe Vera
  • Modesa Instant Antiseptic Hand Sanitizer with Moisturizers and Vitamin E
  • Herbacil Antiseptic Hand Sanitizer 70% Alcohol
  • Herbacil Antiseptic Hand Sanitizer 70% Alcohol
  • Herbacil Antiseptic Hand Sanitizer 70% Alcohol
  • Earths Amenities Instant Unscented Hand Sanitizer with Aloe Vera Advanced
  • Hand Sanitizer Agavespa Skincare
  • Vidanos Easy Cleaning Rentals Hand Sanitizer Agavespa Skincare
  • All-Clean Hand Sanitizer
  • Esk Biochem Hand Sanitizer
  • Lavar 70 Gel Hand Sanitizer
  • The Good Gel Antibacterial Gel Hand Sanitizer
  • CleanCare NoGerm Advanced Hand Sanitizer 80% Alcohol
  • CleanCare NoGerm Advanced Hand Sanitizer 75% Alcohol
  • CleanCare NoGerm Advanced Hand Sanitizer 80% Alcohol
  • Saniderm Advanced Hand Sanitizer
  • Hand sanitizer Gel Unscented 70% Alcohol
  • Medicare Alcohol Antiseptic Topical Solution
  • GelBact Hand Sanitizer
  • Hand Sanitizer
  • TriCleanz
  • Sayab Antisepctic Hand Sanitizer 100
  • Jaloma Antiseptic Hand Sanitizer Ethyl Alcohol 62% with Vitamin E
  • Leiper's Fork Distillery Bulk Disinfectant per 5 gallon and Leiper's Fork Distillery 16 oz bottle
  • Andy's Best
  • Andy's
  • NeoNatural
  • Plus Advanced
  • Optimus Instant Hand Sanitizer
  • Optimus Lubricants Instant Hand Sanitizer
  • Optimus Instant Hand Sanitizer
  • Selecto Hand Sanitizer
  • Shine and Clean Hand Sanitizer
  • Hand Sanitizer Disinfectant Gel 70% Ethyl Alcohol
  • Hand Sanitizer Disinfectant Gel 70% Ethyl Alcohol Rinse Free Hand Rub
  • Mystic Shield Protection hand sanitizer
  • Born Basic. Anti-Bac Hand Sanitizer 70% alcohol
  • Born Basic. Anti-Bac Hand Sanitizer 65% Alcohol
  • Scent Theory -- Keep It Clean -- Pure Clean Anti-bacterial Hand Sanitizer
  • Cavalry
  • ENLIVEN Hand Sanitizing Gel
  • Lux Eoi Hand Sanitizing Gel
  • Scent Theory -- Keep It Clean -- Pure Clean Anti-bacterial Hand Sanitizer
  • Bersih Hand Sanitizer Gel Fragrance Free
  • Bersih Antiseptic Alcohol 70% Topical Solution hand sanitizer
  • Purity Advanced Hand Sanitizer
  • Hand Sanitizer Gel Alcohol 70%
  • TriCleanz Tritanium Labs Hand Sanitizer
  • Britz Hand Sanitizer Ethyl Alcohol 70%
  • Parabola Hand Sanitizer
  • Urbane Bath and Body Hand Sanitizer
  • Cleaner Hand Sanitizer Rinse Free 70%
  • Handzer Hand Sanitizer Rinse Free
  • Kleanz Antibacterial Hand Sanitizer Advanced
  • Be Safe Hand Sanitizer
  • Wave Hand Sanitizer Gel
  • DAESI Hand Sanitizer

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://www.cnn.com/interactive/2020/07/us/cnn-fda-hand-sanitizer-quiz-july-15-2020-trnd/

https://www.cnn.com/2020/08/03/health/fda-hand-sanitizers-list-expands-trnd/index.html

https://www.cnn.com/2020/07/27/health/fda-list-hand-sanitizers-trnd/index.html

https://i0.wp.com/post.healthline.com/wp-content/uploads/2020/06/Hand_Sanitizer_1296x728-header.jpg?w=1155&h=1528

https://www.cdc.gov/handwashing/hand-sanitizer-use.html

https://www.cdc.gov/handhygiene/campaign/provider-infographic-4.html

Battling Germs with UVC Lights

July 27th, 2020

At all times our caring team at WDG is putting your safety first. Although the world’s “new normal” might not be clear, we are fully prepared and equipped to keep you and your family safe when visiting with us. Since reopening, we have invested in several additional safety equipment, in addition to updating our protocols and training our staff to help prevent the transmission of all infections, including COVID-19. Our office has introduced one of the more recent ground-breaking methods to remove airborne microbes: UVC sterilization technology.

What is UVC sterilization technology?

You might have heard about Ultraviolet (UV) light technology trending recently through the media. It's a hot topic, particularly because of its microbial disinfection benefits. UV light is a part of electromagnetic light, which is not visible to our eyes, that consists of wavelengths ranging from 100-400 nm. The UV spectrum is split into 3 parts including, UVA (long-wave: 315 to 400 nm), UVB (medium-wave: 280 to 315 nm), and UVC (short-wave: 100 to 280 nm)

Hospitals and large health corporations commonly use UV light devices for sterilization purposes with much success, both in terms of safety and efficiency. These devices may also prove to be a huge benefit for dental practices during this global pandemic.

As reported by the U.S. Food and Drug Administration (FDA), UVC sterilization technology devices use UVC light to compete against microorganisms (also referred to as being germicidal). This high energy short UV wavelength works to interfere with microbial DNA and consequently block their reproduction and prevent them from infecting the environment.

According to Dr. Richard Martinello, an associate professor at Yale School of Medicine and medical director of the Department of Infection Prevention at Yale New Haven Hospital, UV light has been found to be beneficial against coronaviruses, including Severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). Yet, more research needs to be done regarding UV light and its effect on battling COVID-19.

At WDG we've introduced these UV devices to protect our patients and staff:

UV-Sanitizing HEPA Air Purifiers

H13 HEPA air purifiers have been installed in the reception area and hallways. These purifiers have been tested to eliminate over 99.97% of airborne pollutants. Additionally, these purifiers have the built-in germicidal UV system that sanitizes the air of microorganisms including viruses and mold.

Sterilizing UV Lamps

In complement to our heightened airflow management and filtration systems, we have also installed UV lamps that sterilize the environment by breaking down microbe DNA.

As the sun continues to shine during these warm summer days, remember to keep these summer safety tips in mind as we all try to limit the spread of COVID-19. Plus, keeping your immune system healthy and strong during these unprecedented times is particularly important. Don't forget, your oral health is an essential part of your overall heath, and we are always here for you. If you experience any COVID-19 symptoms, postpone dental treatment and seek immediate medical care.

Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://www.cnbc.com/2020/05/26/dental-practices-consider-using-uv-light-tech-to-safely-reopen.html

https://www.dentistryiq.com/dentistry/products/infection-control-and-instrument-management/article/14180067/uvc-sterilization-works-in-large-healthcare-settings-what-about-dental-offices?utm_source=DEC_DIQ+Morning+Briefing&utm_medium=email&utm_campaign=CPS200721105&o_eid=3760I9143045C2X&rdx.ident%5Bpull%5D=omeda%7C3760I9143045C2X&oly_enc_id=3760I9143045C2X

https://medicalxpress.com/news/2020-04-uv-wont-covid-19but-disinfect-medical.html

https://www.todaysrdh.com/ultraviolet-germicidal-irradiation-dental-medical-settings-method-sterilization/

https://www.fda.gov/media/136533/download

https://in.dental-tribune.com/news/how-to-use-ultraviolet-light-uvc-to-fight-covid-19-effectively-in-dental-clinics-dr-ajay-bajaj/

https://cdn.shopify.com/s/files/1/0024/5386/4500/files/Spectrum_of_Light.jpg?v=1528825019

https://facilityexecutive.com/wp-content/uploads/2020/07/UV.Covid-19.jpg

Will Nasal Breathing Help Fight Coronavirus?

July 8th, 2020

As the number of COVID-19 cases across the United States continues to rise, scientists and researchers are continuously trying to find ways to help control and beat the virus. Research is currently being conducted to determine if nasal breathing can help lower the risk of contracting coronavirus. You may be wondering, why would breathing through your nose be beneficial?

Interestingly, breathing through your nose and mouth are two completely different methods of breathing. Nasal breathing is connected to your diaphragm and signals a response from your parasympathetic nervous system (PNS), also known as your rest and digest system. The PNS acts on your heart, lungs, and digestive tract. On the other hand, breathing through your oral cavity signals your sympathetic nervous system (SNS), also known as the fight or flight system. The SNS acts in opposition to the PNS, and instead elevates your pulse and breathing rates, while slowing digestion. Breathing through your nose, rather than your mouth, is the best way to receive the optimal amount of oxygen. Here’s why:

Your nose produces nitric oxide, which helps increase the transport of oxygen throughout your body by allowing your blood vessels to dilate. It also helps relax and open your airways in the lungs, acting as a bronchodilator. Nitric oxide is a huge plus to the immune system too, as it has antifungal, antiviral, antiparasitic, and antibacterial effects. In addition, your nasal turbinates function to warm and humidify air as it moves into the lungs, helping to filter and block harmful particles from entering your body.

According to scientists, humming has been found to increase the production of nitrous oxide in the sinus cavities surrounding the nose. Researchers revealed that the sound waves from humming increase the speed of gas exchange, and can help provide some relief for individuals with a sinus infection (Sinusitis). Foods high in nitrates, including leafy green vegetables, beets, and garlic for example, may also increase the concentration of nitrous oxide in the body and provide the same health benefits. In hopes to find treatment and prevention methods against COVID-19, clinical trials have currently begun to investigate the direct application of nitrous oxide to the respiratory system.

It can be hard to breathe through your nose at times, especially when you have sleep apnea, allergies, or are sick and congested, or even when you have your mask on to help fight coronavirus. Having a stuffy nose is a pain, and we often don’t notice how important the nose is until it isn’t functioning properly.  When your airway is obstructed, your mouth naturally opens to allow air flow to your lungs. However, breathing through your mouth doesn’t offer the same benefits as nasal breathing, and can even lead to health problems. Breathing through your mouth increases dehydration and inflammation in the body. Mouth breathing can cause enlarged tonsils/adenoids, dry mouth, bad breath (halitosis), chronic fatigue, irritability, dry lips, periodontal disease, and throat/ear infections, and other conditions. Many studies have also shown that breathing through the mouth can make individuals with asthma experience worse symptoms.

In children, mouth breathing can lead to several physical and cognitive challenges. Children who aren’t treated for mouth breathing can develop misaligned teeth, gummy smiles, facial deformities including long narrow faces/mouths, sleep disorders, lack of concentration, poor posture, or poor growth.

Talk with your dentist if you notice or believe that you or your child is mouth breathing. Practicing nasal breathing makes perfect! Also, be sure to try to reduce your stress levels, as stress can also lead to abnormal breathing patterns.

Breathing through your nose is important for your health! It can be our first line of defense against airborne particles, and is especially important to make a habit during these unprecedented times. While wearing your mask, initiate slow breaths through your nose to help lower the amount of carbon dioxide inhaled. This will help reduce your risk of experiencing trouble breathing, headaches, and dizziness.

This pandemic has impacted us all, but our community is indeed all stronger together. Our team at WDG always has your safety and health as our top priority, and we have implemented additional safety measures and equipment to help prevent the transmission of all infections, including COVID-19. Wellesley Dental Group has completely reopened since June 8th, 2020 for all dental procedures and cleanings! Thank you for entrusting your health and dental care to us at Wellesley Dental Group.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://decisionsindentistry.com/2020/06/nasal-breathing-help-reduce-risk-covid/?inf_contact_key=7a5419cd2ce100bb3ce3a594e8fa09441b0a3f0fd3ee5d9b43fb34c6613498d7

bigstock-Side-View-Profile-Portrait-Of-296792812-1014x487.jpg

https://www.healthline.com/health/mouth-breathing#symptoms

nose-vs-mouth_orig.png

WDG Re-Opening Safety Plan

June 3rd, 2020

With uplifting news from Governor Baker, we remain optimistic for the future and have safety for both our patients and dental team as our top priority, as always! With the Governor's recent announcement that it is now safe to begin the first phase of reopening within the four-phase plan, we have initiated a "soft re-opening" from May 26th until June 7th, which consists of seeing patients for emergency procedures and pressing dental needs. Barring any changes, we plan to fully re-open on June 8th. 

Our lives have all been impacted by the COVID-19 pandemic in some form, but together we will overcome this crisis. Although your dental visits will not be exactly the same as before, we want to ensure you that your safety will always be our foremost concern. To prepare for our re-opening, we have made significant changes, including adding new in-office equipment, staff training, and additional safety precautions following science-based recommendations from the Centers for Disease Control and Prevention (CDC) and the American Dental Association (ADA).

Here’s what you can expect at your next dental appointment at WDG:

  • To follow social distancing guidelines and ensure safety, we have made adjustments to our appointment schedule:

  • We have established a new check-in protocol to keep you and your family safe when visiting us:

Don't forget, your oral health is an essential part of your overall heath, and we are always here for you. If you experience any COVID-19 symptoms, postpone dental treatment and seek immediate medical care.

Make sure you are following our Facebook, Twitter, LinkedIn, and Instagram accounts for updates and more information!

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or text  781-462-6401.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.

References:

https://success.ada.org/en/practice-management/patients/infectious-diseases-2019-novel-coronavirus

https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html

Spring into Sports with Facial Protection

April 15th, 2016

nation-facial-protection-month-1

To those who have long awaited spring, the days are starting to get brighter, and warmer! With spring comes many joys, including the beginning of the spring sports season. Not to mention, April is National Facial Protection Month, which is sponsored by the Academy for Sports Dentistry, the American Academy of Pediatric Dentistry, the American Dental Association, the American Association of Oral and Maxillofacial Surgeons, and the American Association of Orthodontists. Whether you'll be out on the field playing or watching from afar, it's important to spread the word to both children and adults participating in outdoor activities about the necessity of keeping their face, head, and mouths protected. It is important to take the necessary precautions, such as easily putting on mouth guards and helmets, to prevent sports-related injuries and the unwanted trip to the emergency room.

The Academy for Sports Dentistry highlights these five simple safety tips to keep your body healthy and safe:

  1. Mouth Guards are a Must. We're all aware that unfortunately, accidents happen. Mouth guards are can be customized by your dentist to ensure comfort. Mouth guards keep the teeth held together and allow for regular speech and breathing.
  2. Don't Forget about Helmets .  Helmets absorb the energy of an impact and help prevent damage to the head.
  3. Wear Protective Eyewear.  Eyes can easily be damaged during sports activities and it is necessary to protect them with eyewear!
  4. Shield Your Face and Skin.  In sports such as hockey and football, it is important to wear protective facial shields to prevent facial damage.
  5. Promote Mandatory Protective Gear.  Unfortunately, it is only mandatory for athletes who play football, hockey and boxing to wear mouth guards. Promote and spread the word of the importance of wearing mouth guards and sports gear for ALL sports!

A recent study conducted by study by the University of Alabama at Birmingham found that the five most common causes of childhood injuries were basketball, football, bicycling, playgrounds and soccer. Approximately 12 million individuals ranging in ages from 5 and 22 years suffer a sport-related injury each year, which results in 20 million lost days of schooland around $33 billion in medical and dental costs! But, these injuries CAN be prevented by following the necessary steps stated above.

Help your kids get excited about using mouth guards for protection, especially with all of the eye-catching designs that are available.

sport mouth guard stacks

 

 

 

 

 

 

 

facial_protection_month_2012

Feel free to contact Drs. Ali & Ali and their newest addition to the team, Dr. Zarah Ali, if you have any thoughts or concerns. The caring team at Wellesley Dental Group will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist Dr. Van. For wisdom teeth extractions or any other periodontal or oral surgery needs, Dr. Ghazi would be more than willing to help.

References:

http://ginsbergortho.com/wp-content/uploads/sites/22/2015/03/nation-facial-protection-month-1.jpg

http://www.aaoms.org/media/april-is-national-facial-protection-month

http://buffalogroveortho.com/newblog/wp-content/uploads/2015/07/sport-mouth-guard-stacks.jpg

http://www.academyforsportsdentistry.org/facial-protection-month

March 6-13: National Sleep Awareness Week

March 8th, 2016

Have you been getting 7-9 hours of sleep every night? If not, make sure to add "better sleep" to your goals this month, because March 6-13 is the National Sleep Foundation's National Sleep Awareness Week! Check out this list of tips and the 2016 SAW Infographic.

In order to get a good night's sleep, here are some recommendations from the National Sleep Foundation:

  • Turn off electronics such as mobile devices and laptops (which give off blue light that can prevent you from falling asleep) before going to sleep.
  • Schedule enough hours of sleep. Plan ahead and stick with the same schedule.
  • Even a little exercise can mean better sleep.
  • Create a sleep-friendly environment (a comfortable bed, closed curtains, no loud noises, etc.).
  • Have a bedtime routine (relaxing exercises, deep breathing, light reading, calming music, etc.).

You may think that missing a few hours of sleep is no big deal, but the quality and quantity of sleep you get can have a huge impact (both short-term and long-term) your overall health. Still not convinced? Here are some reasons why sleep is important from the NIH's National Heart, Lung, and Blood Institute:

Mental Health

A lack of sleep can lead to depression, suicide, risky behavior, and other emotional problems. It changes the brain's activity, which can cause children and adolescents in particular to lose focus, feel unmotivated, or have mood swings.

Brain Health

Adequate sleep is crucial for proper brain function, because it allows your brain to solidify what you've learned and get ready to learn more the next day. Don't think that pulling an all-nighter will help you score better on your exam: sleeping well improves learning and helps you solve problems more efficiently.

Physical Health

Sleep is connected to the healing of heart and blood vessels, maintenance of hormone levels, growth, and the immune system. If you don't get enough sleep, you could have a higher risk of heart disease, kidney disease, diabetes, obesity, high blood pressure, or stroke.

Safety

Your safety could be at risk when you don't get enough sleep. Sleep deficiency means a slower reaction time, more opportunities for mistakes, and decreased productivity. You definitely don't want to be driving when you feel sleepy!

Take this Sleep IQ Quiz to find out how much of an expert you are on sleep now!

Feel free to contact Drs. Ali & Ali and their newest addition to the team, Dr. Zarah Ali, if you have any thoughts or concerns. The caring team at Wellesley Dental Group will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. VanDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other periodontal or oral surgery needs, Dr. Ghazi would be more than willing to help.

Resources:

https://sleepfoundation.org/SAW

https://sleepfoundation.org/sleep-tools-tips/healthy-sleep-tips

http://www.nhlbi.nih.gov/health/health-topics/topics/sdd/why

High Chair Recall

March 20th, 2010

GRACO HIGH CHAIR RECALL!

FOR IMMEDIATE RELEASE
March 18, 2010
Release #10-171

Firm's Recall Hotline: (877) 842-3206
CPSC Recall Hotline: (800) 638-2772
CPSC Media Contact: (301) 504-7908

Graco Recalls Harmony™ High Chairs Due to Fall Hazard

WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission, in cooperation with the firm named below, today announced a voluntary recall of the following product. Consumers should stop using product immediately unless otherwise instructed.

Name of Product: Graco Harmony™ High Chairs

Units: About 1.2 million

Manufacturer: Graco Children's Products Inc., of Atlanta, Ga.

Hazard: The screws holding the front legs of the high chair can loosen and fall out and/or the plastic bracket on the rear legs can crack causing the high chair to become unstable and tip over unexpectedly. This poses a fall hazard to children.

Incidents/Injuries: Graco has received 464 reports of screws loosening/falling out and/or plastic brackets cracking causing the high chair to tip over unexpectedly. These tip-over's resulted in 24 reports of injuries including bumps and bruises to the head, a hairline fracture to the arm, and cuts, bumps, bruises and scratches to the body.

Description: This recall involves all Harmony™ High Chairs. The Harmony™ high chair was manufactured from November 2003 through December 2009 and is no longer in production. The model number can be found on the label that is located on the underside of the foot rest.

Harmony™ High Chair Model Numbers
3920BAN 3920BAN2 3920BEB 3920BEBB 3920COV 3920DOH 3920GEI
3920GEIDSP 3920GRN 3920HMP 3920IVY 3920LAU 3920PKR 3930DDH
3930DHO 3935CAL 3935OXB 3935PKR 3935PKRDSP 3935SPM 3935SPMDSP
3935THR 3935THR2 3935THR3 3940BIA 3940BIADSP 3940CAP 3940CLE 3940COT
3940DRM 3940HML 3940MCH 3940NGS 3940SAV 3940SLT 3940SPT 3940STA
3940UNN 3951CLO 3951CLT 3951COT 3951ORC 3951WLO 3955WSR 3960BGN
3960CJG 3960CNP 3960GGG 3980CNR 3E00ABB 3E00BAT 3E00DCF
3E00DCFDSP 3E00DGP 3E00DGPDSP 3E00GPK 3E01BDS 3E01BDSCA 3E01DNY
3E01DNY1 3E01ELP 3E01ELPDSP
Note: These model numbers may begin with the letter A, B, C, or D
Additional Models: 1752404 1755859 1755860 1757259 1757412 1760429

Sold at: AAFES, Burlington Coat Factory, Babies "R" Us, Toys "R" Us, Sears, Target, Target.com, Walmart, WalMart.com, Shopko, USA Baby, and other retailers nationwide from December 2003 through March 2010 for between $70 and $120.

Manufactured in: United States

Remedy: Consumers should immediately stop using the Harmony™ high chair and contact Graco to receive a free repair kit.

Consumer Contact: To order a free repair kit, contact Graco toll-free at (877) 842-3206 or visit the firm's Web site at www.gracobaby.com. For additional information, contact Graco at (800) 345-4109 between 8 a.m. and 5 p.m. ET Monday through Friday.

Recalled plug-in wall unit


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CPSC is still interested in receiving incident or injury reports that are either directly related to this product recall or involve a different hazard with the same product. Please tell us about it by visiting https://www.cpsc.gov/cgibin/incident.aspx

The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of serious injury or death from thousands of types of consumer products under the agency's jurisdiction. The CPSC is committed to protecting consumers and families from products that pose a fire, electrical, chemical, or mechanical hazard. The CPSC's work to ensure the safety of consumer products - such as toys, cribs, power tools, cigarette lighters, and household chemicals - contributed significantly to the decline in the rate of deaths and injuries associated with consumer products over the past 30 years.

To report a dangerous product or a product-related injury, call CPSC's Hotline at (800) 638-2772 or CPSC's teletypewriter at (301) 595-7054. To join a CPSC e-mail subscription list, please go to https://www.cpsc.gov/cpsclist.aspx. Consumers can obtain recall and general safety information by logging on to CPSC's Web site at www.cpsc.gov.

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