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Reprinted from New Jersey Top Dentists Magazine

Local Periodontist To Display Drawings and Paintings at Morristown Medical Center

MORRISTOWN, N.J. — Dr. David Goteiner, a Chester-based periodontist and artist, will display selected drawings and paintings at a solo art exhibit from Aug. 4 through Sept. 14 at Morristown Medical Center. The exhibit is the latest in a series sponsored by the Women’s Association of Morristown Medical Center.

Goteiner has selected 34 pieces that will be displayed in the main corridor of the Medical Center (Madison 1). Part of the proceeds of the art show will go to the Woman’s Association of Morristown Medical Center.

Two of the pieces are Rendevous and Venezia. Rendevous is a painting of a Norwegian three-masted training schooner plying the North Sea on its way to a meeting with mythical creatures. Venezia is a study in light and shadows on Ria de la Vesta, Canal of the Tailors. It portrays a typical scene from Venice that disappears just as it captures your heart.

Born in Mannheim, Germany, Goteiner came to this country as a baby and developed a love for the arts at an early age. In 1982, he met highly regarded painter Anatoly Ivanov, then a recent immigrant from Russia. From then on, he has pursued his passion to paint and has continued to study with Ivanov.

Not all of Goteiner’s art is on a canvas. He is a practicing periodontist who sees patients in Chester. He received his dental and specialty training at Columbia and Harvard universities. His work restoring teeth and gums is, itself, a form of artistry. He also teaches at the University of Medicine and Dentistry in Newark. He lives in Sunset Lake with his wife, Carrie.

More information about Goteiner’s periodontal practice and samples of his artwork can be found at www.artofperio.com or by calling (908) 879-7709.

How Medications Can Affect Your Oral Health


Many medications-including vitamins, minerals and herbal preparations-can have a negative effect on your oral health. Make sure that the medical history, including a list of all the medications (both over-the-counter and prescribed) that you use, as well as any chewable vitamins, herbs and similar products. Her are listed some common medication side effects.

Abnormal Bleeding

Reduced blood clotting is a side effect of aspirins and anticoagulants, such as heparin or warfarin. These medications can be helpful in preventing stroke or heart disease, but can cause bleeding problems during oral surgery or treatment for periodontal diseases. Your dentist and periodontist should be aware of any drugs you are taking, especially when scheduling treatment that could involve bleeding.

Taste-altering Medications

Some medications can cause a bitter or metallic taste or affect the ability to taste. Among them are cardiovascular agents, central nervous system stimulants, nonsteroidal anti-inflammatory drugs (such as Advil and Motrin), respiratory inhalants and smoking-cessation products such as nicotine skin patches.

Soft-tissue Reactions

Some medications have been linked to the development of oral sores, inflammation or discoloration of soft tissues in the mouth. These medications include those prescribed for blood pressure control, immunosuppressive agents, oral contraceptives and some chemotherapeutic agents. If you take any of these and develop a soft-tissue reaction, your dentist may prescribe a special oral hygiene regimen to limit the discomfort caused by oral ulcers or inflammation.

Enlarged Gum Tissue

Overgrown or enlarged gum tissue is known as "gingival overgrowth." It is sometimes associated with anti-seizure medications such as phenytoin (Dilantin), immunosuppressant drugs such as those taken after organ transplantations and calcium channel blockers (including nifedipine, verapamil, diltiazem and amlodipine also known as Norvasc, Cardizam, Calan and Proccardia) that are taken by some heart patients. Meticulous attention to cleaning teeth and gums is important for patients with this condition.

Other Medications and Conditions

Dry mouth is a potential side effect of numerous medications (prescribed and over-the-counter). Among them are antihistamines, decongestants, painkillers, high blood pressure medications, muscle relaxants, drugs for urinary incontinence, Parkinsonís disease medications, antidepressants and many others. Drying irritates the soft tissues in the mouth, which can make them inflamed and more susceptible to infection. Without the cleaning effects of saliva, tooth decay and other oral health problems become more common. Patients using oral inhalers for asthma often develop oral candidiasis (thrush), and other oral fungal infection, and are encouraged to rinse their mouths with water after using the inhaler.

Sugar is frequently part of liquid medications, cough drops, vitamins, antacid tablets and anti-fungal agents. People who receive long-term medication maybe at greater risk of developing tooth decay when they are using sweetened medications. Consider selecting sugar-free alternatives (if possible) and taking medication with a meal (if the medication may be taken with food). Children taking syrup-based medications, such as cough medicines, are left with a sticky, sweet residue in their mouths. Children, too, should be encouraged to rinse their mouths with water after taking the medication.

If you have undergone or are about to undergo cancer treatment, let your dentist know as soon as possible so that necessary dental work can be done before you begin taking medications that could affect your teeth, gums or jaw bone.

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