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215 Summit St., Batavia, NY 14020

2601 Lac De Ville Blvd, Ste. 200B, Rochester, NY 229 Parrish St., Ste. 250, Canandaigua, NY 14424 585-577-4354 and toll free 844-226-4948

To Your Good Health

By Keith Roach, M.D.

Nurse Claims Wound

Must Heal From the Inside Over Time

DEAR DR. ROACH: Whenever I got a wound while I was young, my mother would take me to the hospital to get stitches. I am now 94. I went to get a wound seen, and the nurse said that it needed to heal from the inside. They treated it with gauze, wrapping and then a stocking. It took months to heal. Why the big change? Why couldn’t they have just put in stitches and saved me months of healing?

-- D.J.

ANSWER: A wound can be sutured (stitched) closed when it is new, clean and regular. A wound cannot be closed if it is infected or irregular. Most chronic wounds cannot be closed by stitching. Also, if there is a lot of swelling around the wound, there may be so much pressure that the wound cannot be closed and must be allowed to heal over time. This is often the case with larger wounds. Basic principles of wound healing are to treat and prevent infection by bacteria or other germs, control pain and bleeding, and avoid treatments that are toxic to open wounds. I hear very frequently from people who have mistreated wounds. Strong agents like hydrogen peroxide, iodine, bleach and even soaps will kill more of your body’s healing cells than bacteria, and they should not be used in open wounds.

I also hear people say wounds “need air,” but wounds heal faster when they are moist. A barrier like petrolatum (Vaseline or many other proper wound-care agents) and a clean cover will accelerate wound healing. Most wounds do not need topical antibiotics, and these should only be used when recommended by an expert. The best experts for wound care are wound-care nurses and, in extreme cases, vascular or plastic surgeons. It takes time for a wound to heal. How much time depends on many factors, but a time span of months is not unusual, especially with a person in their 90s, who may not have the same blood supply they had when they were much younger.

***

Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

© 2023 North America Synd., Inc. All Rights Reserved

CURE!!

Your fungal toenails

• Are you embarrassed to wear sandals or go barefoot because of thick, yellow nails?

• Now is the time to get treatment. If le untreated, fungal toenails can: a ect your immune system, cause recurring athlete’s foot, infected ingrown toenails (requiring surgery) and discomfort wearing shoes, not to mention their unsightly appearance!

• Patients with diabetes, poor circulation and numbness to their feet can develop more serious problems.

• ere are also safer new topical medications available to help cure fungal toenails.

• A simple one-a-day pill for 3 months will usually cure fungal toenails within 6-9 months from the start of treatment.

• Treatment now may result in clear, thinner nails for the year 2023.

• Call now for an appointment to determine if you’re a candidate for this newer treatment.

Advanced Podiatry Associates Pllc

Dr. Joseph Canzoneri

Dr. Evan LaTourrette

Celebrating 30 years in practice.

Batavia • 2 State Street • 343-8150

Medina • 200 Ohio Street • 343-8150

* The average human body contains enough iron to make a 3-inch-long nail. It also contains enough fat to produce seven bars of soap.

The Causes And Effects Of Bruxism

Bruxism,or teeth grinding,is most often caused by stress and anxiety. Sleep problems like snoring and sleep apnea are also common culprits of teeth grinding. Certain medications, particularly SSRIs, are known to cause teeth grinding in some people. Those who grind their teeth often have jaw pain, tooth damage, and other dental problems that can include broken teeth and damaged fillings. If you suspect you have bruxism, a dentist can diagnose the condition. They can also custom-make mouth guards or splints to wear at night to protect teeth from damage. In addition to regular dental checkups, it can also help to work with a doctor to diagnose and treat a condition that may be causing bruxism.

Many people grind their teeth throughout the day, making this damaging practice a 24/7 hazard to their oral as well as overall health. Whether you are in our office for bruxism or just for a simple cleaning, our personal, casual, and relaxed style in providing quality dental care will help put you at ease. We’ll take the time to get to know your needs, answer your questions about the latest techniques and materials, and make sure that you are comfortable. Be kind to your teeth—call BATAVIA FAMILY DENTAL for complete family dental care at 585.343.4246. We’re located at 6 Batavia City Centre. www.bataviafamilydental.com

P.S. Teeth grinding is common in children and teenagers during sleep and is often resolved once adult teeth have come in.