All posts in Health Tips

Is bottled water RUINING your teeth?

shutterstock_568485790It is widely known that soda, beer and coffee are bad for your teeth. Bottled water, however, seems harmless.But dentists warn that is not always the case. Some of the most popular brands of bottled waters have dangerous pH levels and lack essential fluoride, which can cause cavities.

 

However, it is impossible to know from the label which ones are the safest – so we tested the pH levels of nine top brands to see which ones were the best and worst. The pH level can range from zero to 14. On that scale, seven is neutral, anything under that is acidic and anything higher is alkaline.

 

Drinking acidic water will harm your teeth, warns Dr Eunjung Jo of Astor Smile Dental.
‘Our enamel starts to erode at a pH level of 5.5 so it’s best to avoid any drinks with a pH that is lower than 5.5.’

 

Dr. Jo also said that the damage done to your teeth increases proportionately with the time you spend sipping on a drink so spending three hours drinking a coffee is more harmful than downing it in 30 minutes.

 

‘The longer you sip and they stay in your mouth, [the] damage is bigger,’ she said.
She added that bottled water is not worse for your teeth than sodas, beer or coffee and she thinks Fiji water is the best for your teeth while Dasani, Voss and Smartwater are the worst.
The lack of fluoride – a healthy ion that is good for tooth enamel – in bottled water can also be harmful.

 

Tap water is regulated by the government, which makes sure it has accurate fluoride levels, but bottled water often lacks proper amounts of it. Dr. Tema Starkman of High Line Dentistry said it is important to make sure you are always consuming fluoride. She said that this is especially important for children between the ages of zero and five whose teeth are still developing.

 

If these children do not receive proper fluoride levels they can develop hypo-fluorosis, a condition that can leave white spots on their teeth, she said.

 

‘If they are not drinking a significant amount of tap water and are only drinking filtered, bottled water without measured levels of fluoride, then they could developmentally have problems.’

 

She said there is evidence that drinking tap water is good for children’s teeth.
‘The studies say that during the developmental stage of growth for children, accurate fluoride levels in tap water could contribute to healthy enamel formation.’

 

The CDC said children who live in communities with non-fluoridated tap water have more decayed teeth than their counterparts who live areas with fluoridated tap water.

 

The problem also affects adults, Dr. Starkman said. ‘If an adult has a cavity, which is a bacteria that’s entered a part of the enamel that’s weakened, if there is not a source of fluoride in their drinking water, then, definitely, that can contribute to more cavities.’

 

But she said that people drinking only bottled water can get fluoride from fluoridated toothpaste or rinses. ‘Usually when you brush your teeth you’re getting some fluoride from the water in the sink,’ she said.

 

Dr. Starkman recommended a balance of bottled and tap water. She said even young children can have bottled water when they are on the go but tap water is good for them to have every day.
‘They shouldn’t avoid it. A lot of people try to avoid tap water. There’s no reason. It’s definitely healthy,’ she said.

 

Dr. Jo said she recommends that parents should give their children tap instead of bottled water.
The American Dental Association said that drinkers of bottled water may be missing out on the benefits of fluoride.

 

‘Drinking water with fluoride, often called “nature’s cavity fighter”, is one of the easiest and most beneficial things you can do to help prevent cavities,’ the association said.

More

Top 9 Foods That Damage Your Teeth

shutterstock_571790401

Do you know how important your oral health is for your overall well being? Are you aware of the importance of your diet for your dental health? The saying “You are what you eat” rings true and when it comes to dental health it’s even more important than usual.

 

Here are the 9 top foods that damage your teeth:

 

 

 

What you eat matters

While these hard candies seem harmless, eat too many and the constant exposure to sugar can be harmful to your teeth. Hard candies also put your teeth at risk because, in addition to being full of sugar, they can also trigger a dental emergency such as a broken or chipped tooth. Better alternative? Chew sugarless gum that carries the ADA Seal.

 

Ice is for chilling, not chewing
You’d be surprised at how many people think ice is good for their teeth. It’s made of water, after all, and doesn’t contain any sugar or other additives. But chewing on hard substances can leave your teeth vulnerable to a dental emergency and damage enamel. Advice: Break the habit and enjoy water in its liquid form.

 

Watch your citrus intake
The truth is that frequent exposures to acidic foods can erode enamel, making teeth more susceptible to decay over time. So even though a squeeze of lemon or lime can turn a simple glass of water into a fun beverage, it’s not always the best choice for your mouth. Citric fruits and juices can also irritate mouth sores. Make sure to drink plenty of plain water.

 

Not all coffee is good for you
In their natural form, coffee and tea can be healthy beverage choices. Unfortunately, too many people can’t resist adding sugar. Caffeinated coffee and tea can also dry out your mouth. Frequent drinks of coffee and tea may also stain your teeth. If you do consume, make sure to drink plenty of water and try to keep the add-ons to a minimum.

 

Sticky foods are your mouth’s worst nightmare
When it comes to picking healthy snacks, many people put dried fruit at the top of the list. But many dried fruits are sticky. Sticky foods can damage your teeth since they tend to stay on the teeth longer than other types of food. If you find yourself eating dried fruits or trail mix often, make sure to rinse with water after and to brush and floss carefully.

 

Beware of things that go “crunch”
Who doesn’t love the nice, satisfying crunch of a potato chip? Unfortunately, potato chips are filled with starch, which tends to get trapped in your teeth. If you choose to indulge in snacks like these, take extra care when you floss that day to remove all the food particles that can lead to plaque build-up.

 

Swap out soda with water
When you eat sugary foods or sip sugary drinks for long periods of time, plaque bacteria use that sugar to produce acids that attack your enamel, the hard surface of your tooth. Most carbonated soft drinks, including diet soda, are acidic and therefore, bad for your teeth. Caffeinated beverages, such as colas can also dry out your mouth. If you do consume soft drinks, try to drink alongside a cup of water.

 

Limit alcohol consumption
Alcohol causes dehydration and dry mouth. People who drink excessively may find their saliva flow is reduced over time, which can lead to tooth decay and other oral infections such as gum disease. Heavy alcohol use also increases your risk for mouth cancer.

 

Watch out for sports drinks
They sound healthy, but sugar is a top ingredient in many sports and energy drinks. The American Academy of Pediatrics says sports drinks can be helpful for young athletes engaged in prolonged, vigorous physical activities, but unnecessary in most cases. Before your next sip, check the label to make sure your drink of choice is low in sugar or drink water.

 

Article Source: MouthHealthy.com

More

The Top 7 Risk Factors for Oral Cancer

oral cancerOral cavity and oropharynx cancers account for 2.9 percent of all cancers diagnosed in the United States and 1.6 percent of cancer deaths. You know your dentist is looking for cavities during regular check-ups, but you may not realize your dentist can screen for cancer at the same time. It’s estimated that approximately 49,750 people will be diagnosed with oral cancer and cancers of the throat, tonsils, and back of the tongue in 2017. Regular visits to your dentist can help you detect such cancers early, and changing a few potentially harmful habits may help reduce your chances of developing them.

 

Gender:
Men are twice more likely to get oral cancer. The American Cancer Society attributes this to higher rates of alcohol and tobacco use by men but says more men of a younger age are being diagnosed with HPV-related forms of oral cancer.

 

Age:
Most people who are diagnosed with oral cancer are 55 or older, according to the American Cancer Society. HPV-related oral cancers, however, are often diagnosed in people who are younger.

 

Tobacco:
Whether you smoke it or chew it, tobacco use increases your risk dramatically. Smoking can cause oral cancer, as well as cancer in other parts of the body. Pipe smokers are also at a higher risk for developing cancer in their lips. Smokeless tobacco, like chew, can lead to many issues in your mouth, the most serious being cancer of the cheeks, gums, and lips.

 

Alcohol:
According to the American Cancer Society, 7 of 10 oral cancer patients are heavy drinkers. Heavy drinking, as defined by the Centers for Disease Control and Prevention (CDC), is an average of two drinks a day or more for men and an average of more than one drink a day for women. If you are a heavy drinker and a heavy smoker, your chances of developing oral cancer increase significantly.

 

Human Papilloma Virus (HPV):
The sexually transmitted disease is now associated with about 9,000 cases of head and neck cancer (specifically those occurring at the back of the tongue, in or around the tonsils) diagnosed each year in the United States, according to the CDC. People who are diagnosed with HPV-related head and neck cancer tend to be younger and nonsmokers. People with HPV-positive cancers have a lower risk of death or recurrence, even though these cancers are often diagnosed at a later stage because it develops in difficult-to-detect area.

 

Sunlight:
People who have jobs working outside are more prone to developing lip cancer and should use UV protection.

 

Diet:
Poor nutrition also may put you at risk for developing oral cancer. A diet low in fruits and vegetables may increase your chance of developing oral cancer, so add more color to your plate!

 

The American Dental Association recognizes that early oral cancer diagnoses have the potential to significantly impact treatment decisions and outcomes. The ADA also supports routine visual and tactile examinations, particularly for patients who are at risk, including those who use tobacco or who are heavy consumers of alcohol.
The dental professionals at Quince Orchard Dental Care are always willing to guide you along the way. Call us on 301-527-2727 to schedule an appointment today!

 

Article Source: Mouth Healthy by the ADA

More

Looking After Your Teeth: Five New Year’s Resolutions For A Healthier Mouth

by Amy Freeman

shutterstock_454970626
We all make new year’s resolutions, but many of us are not likely to follow through. Turning over a new leaf in the New Year can be tricky, but finding a way to stick with it is important when that new leaf benefits your health. If you want to take better care when looking after your teeth and gums this year, these five resolutions can keep you diligent:

Schedule a Dental Appointment

If it’s been awhile since you’ve seen a dentist, you’re not alone. About one-third of people in the U.S. don’t see a dentist yearly, according to the American Dental Association (ADA) Mouth Healthy site. But booking this appointment is one of the most important things you can do when looking after your teeth. According to the ADA, some conditions – such as sensitivity in the teeth or bleeding gums – are sure signs that it’s time to see a dentist. Even if your teeth look and feel fine, enter a reminder in your phone or calendar for February 1 so that you can call your dentist on February 2 for an appointment.

To make the process of scheduling visits easier, book your next one before you leave their office. Most dentists send out reminder cards a week prior or call a day before your appointment; check that yours does.

Commit to Flossing

Brushing your teeth twice a day isn’t enough to keep plaque from building up on your teeth, or to completely remove bits of food from your mouth. To take the best care of your teeth, you need to floss too. If you’re not in the habit of flossing, the new year is a great time to start.

One way to make it easier to remember is putting a container of floss on top of or directly next to your toothpaste. Position the container so that you have to touch it when taking your toothpaste out of the drawer or cabinet. Stash another container of floss in your purse or desk drawer at work, so that you can floss on the go if you forget to do it at home.

Cut Back on Sugar

A study published in BMC Public Health in September 2014 confirmed a direct link between the amount of sugar a person eats and the amount of tooth decay he has. Cutting back on sugar can cut your risk for tooth decay considerably. The most convenient way to cut back on sugar is to reduce the number of sugary treats you buy. Simple swaps will help you cut back as well: Drink sugar-free seltzer water instead of soda, or chew a piece of sugar-free gum when you have a craving for something sweet.

Kick the Habit

Smoking doubles your risk for gum disease, according to the Centers for Disease Control and Prevention (CDC), and is linked to a host of other health issues. Pick a date to give up the habit, get rid of all the tobacco products from your home and solicit the support of your friends and family to help you quit. There will be cravings along the way, so it’s important to find a healthy activity to engage in when a craving kicks in. Feel free to see your general practitioner if you struggle to curb the addiction by yourself.

Eat More Mouth-Healthy Foods

When you cut back on sugar, resolve to add more orally healthy foods to your diet to solidify your diet’s benefit to your teeth. Dairy products, which are high in calcium, are great for your teeth, as are fibrous foods that call up saliva and scrub away plaque and other food bits.

Making your new year’s resolutions as easy as possible to stick with will help you keep them. Take things one step at a time, and if you forget to floss one day or eat a big piece of caramel the next, don’t give up. Remember that there’s always tomorrow!

 

Original Article: Colgate

More

Teething and Your Baby: Symptoms and Remedies

shutterstock_227037391

It’s not hard to tell when your baby starts teething. He or she may be irritable during the day and sleepless at night. (And you might be too!) Here’s what to expect and how to keep your baby comfortable.

 

Your baby was born with all 20 primary teeth below their gum line. They typically start to come through between 6 and 12 months. Children usually have their full set of baby teeth in place by age 3.

 

 

Teething Symptoms

 

What’s normal?

  • Fussiness
  • Trouble sleeping
  • Irritability
  • Loss of appetite
  • Drooling more than usual

What’s not normal?

  • Fever
  • Diarrhea
  • Rash

If your baby has any of these symptoms while teething and continues to be cranky and uncomfortable, call your pediatrician.

 

How to Soothe a Teething Baby

 

Your child may have sore or tender gums when teeth begin to erupt. Gently rubbing their gums with a clean finger, a small cool spoon, or a moist gauze pad can be soothing. A clean teething ring for your child to chew on may also help.

 

Are Numbing Gels or Teething Tablets Safe For My Baby?

 

The Food and Drug Administration recommends that parents and caregivers not use benzocaine products for children younger than 2, except under the advice and supervision of a health care professional. Benzocaine is an over-the-counter anesthetic, which the FDA notes are usually under the product names Anbesol, Hurricaine, Orajel, Baby Orajel and Orabase. Benzocaine has been associated with a rare but serious—and sometimes fatal—condition called methemoglobinemia, a disorder in which the amount of oxygen carried through the blood stream is greatly reduced.

 

In September 2016, the FDA recommended that parents stop using homeopathic teething tablets and gels. “Homeopathic teething tablets and gels have not been evaluated or approved by the FDA for safety or efficacy,” the FDA says. “The agency is also not aware of any proven health benefit of the products, which are labeled to relieve teething symptoms in children.”

 

The FDA states these products are distributed by CVS, Hyland’s and possibly others, and are sold in retail stores and online.

 

“Consumers should seek medical care immediately if their child experiences seizures, difficulty breathing, lethargy, excessive sleepiness, muscle weakness, skin flushing, constipation, difficulty urinating, or agitation after using homeopathic teething tablets or gels,” the FDA states.

 

If you have any questions about how to relieve your child’s teething symptoms, talk to our dentists and your pediatrician.

More

Do you have trouble Sleeping?

 

Do you have trouble sleeping?Many patients have asked us what they can do about their snoring or their significant others snoring. They tell us they sleep the 7-8 hours recommended at night and still feel tired when they wake up. We all know someone who is always tired. Others who snore so loud they wake themselves up. We at Quince Orchard Dental Care wanted to make sure all of our patients know a little more about their options when it comes to snoring and obstructive sleep apnea and how our dentists can have a huge impact on their quality of life.
 

Your sleep impacts every aspect of your health and daily life. Sleeping well helps you look, feel and perform your best. But a sleep problem can be harmful to your health and well-being. One of the most common sleep problems is obstructive sleep apnea.
 

Approximately 25 million adults in the U.S. have obstructive sleep apnea (OSA), which can cause them to stop breathing hundreds of times a night for anywhere from a few seconds to more than a minute.
 

Sleep apnea is a chronic condition that occurs when your muscles relax during sleep, allowing soft tissue to collapse and block the airway. As a result, repeated breathing pauses occur, which often reduce your oxygen levels. These breathing pauses are followed by brief awakenings that disturb your sleep.
Common signs of sleep apnea include snoring and gasping or choking sounds during sleep. Like snoring, sleep apnea is more common in men, but it can occur in women too, especially during and after menopause. Having excess body weight, large tongue or tonsils, a narrow airway or misaligned jaw all increase the risk of sleep apnea.
 

Although our dentist cannot diagnose the disorder, they can recommend a patient to a sleep medicine specialist. Dentist see into the mouth more than physicians do and the signs are easy to identify. Starting this month we provide every patient with a questionnaire during their semi-annual Checkup visits to help screen for potential obstructive sleep apnea and snoring problems.
 

Treating obstructive sleep apnea is incredibly important to your health. When left untreated, sleep apnea often causes excessive daytime sleepiness or fatigue, as well as morning headaches and take a toll on brain function and cause memory loss. Sleep apnea also is a threat to your safety as it increases your risk of drowsy driving and workplace accidents. Untreated sleep apnea raises your risk for serious health problems. These include:

  • High blood pressure
  • Stroke
  • Heart disease
  • Diabetes
  • Chronic acid reflux
  • Erectile Dysfunction Depression
  • Severe, untreated sleep apnea even increases your risk of death
More

Quince Orchard Dental Care is now using the Identafi Oral Cancer Screening System

Quince Orchard Dental Care is now using the Identafi Oral Cancer Screening System

What is Identafi?

  • It is not a diagnostic tool
  • It is a screening tool for performing an enhanced oral assessment. It helps discover lesions not yet visible to the unaided eye. It directs the clinician’s attention to a specific area and it facilitates and provides additional information upon which a clinician’s judgment is based
  • Like panoramic radiography, CT, Cone beam, ultrasound.

The conventional examination has not significantly reduced mortality rates or morbidity rates. This has been due in part to the absence of new technology to enhance the practitioner’s ability to identify abnormalities that may lead to oral cancer.

 

High Risk areas

  •  Floor of the mouth
  •  Lateral border of tongue
  •  Tuberosity and retromolar area
  • Oropharnyx
  •  

    Medium Risk areas

    •  Buccal mucosa
    •  Lower lip
    •  Gingiva
    •  

      Low Risk areas

      • Dorsal of tongue
      • Hard palate

      Oral Cancer is sometimes called the forgotten disease.

       

      Close to 42,000 Americans will be diagnosed with oral or pharyngeal cancer this year.

      • It will cause over 8,000 deaths, killing roughly 1 person per hour, 24 hours per day.
      • Of those 42,000 newly diagnosed individuals, only slightly more than half will be alive in 5 years.
      • The mortality rate of oral cancer has not decreased in over 40 years.

       

      Oral Cancer: The Problem with Late Stage Discovery

      There is a high risk of producing second, primary tumors before the first tumor is ever detected. Oral Cancer often goes undetected until it has already metastasized to another location. The 5-year survival rate is only 52%, but when diagnosed early, can be as high as 80% to 90%. So in short late diagnosis leads to high death rate.

       

      The Screening Problem

      Only 14% of patients in the United States over age 40 claim to have ever been Screened for Oral Cancer. Now this number isn’t accurate mostly because most dentist and hygienist do the oral cancer screening on their patients and may just not tell the patient they are doing it. How would you know? If they ask you to stick your tongue out, check the sides of your tongue, check your gums and cheek and palpate your lymph nodes they are checking for any abnormalities.

       

      Who Gets Oral Cancer?

      In the last 10 years we’ve seen a 60% increase in Oral Cancer in adults under the age of 40. 25% of these cases have no traditional risk factors.

       

      Traditional Risk factors for Oral Cancer

      • Previous History of Oral Cancer
      • 20 times higher risk of developing a second cancer
      • Age
      • Majority of oral cancer found in 45 years old and older
      • Alcohol (excessive use)
      • Tobacco Use (including smokeless tobacco)

      In some patient populations, up to 40% of oropharyngeal cancer cases impact patients without any history of tobacco, alcohol use, or any other significant lifestyle risks due to emergent risk factors such as HPV.

      HPV – Human Papilloma virus- is sexually transmitted and may represent the fastest growing oropharyngeal cancer population with a 5 fold increase in incidence under the age of 45. The changes in sexual behaviors of young adults which continue today is increasing the spread of HPV, and the oncogenic versions of it.

       

      Most common virus group in the world today affecting the skin and mucosal tissue

      • Approximately 75% of the population is infected at some point
      • Over 100 different types
      • HPV 16 and 18 – Most prominently linked to oral cancer
      • Different types infect different parts of the body
      • Most HPV’s are common, harmless, and treatable.

       

       

      Johns Hopkins Oncology Center – 25% of patients diagnosed with head and neck cancer had HPV virus (HPV 16)

      • The fastest growing segment of the oral cancer population are non-smokers under the age of fifty
      • A paradigm shift has occurred in the cause and locations of the disease
      • Anterior of the mouth, tobacco and alcohol associated cancers have declined along with a corresponding decline in smoking
      • Posterior of the oral cavity sites associated with the HPV16 viral cause are increasing.

       

      Each year in the U.S., HPV is thought to cause an estimated: 1,700 oropharyngeal cancers in women and 6,700 oropharyngeal cancers in men. The nearly 5-fold increase in young oral cancer patients underscores the need for thorough examination in all patients over age 18 a minimum of once a year!

       

      HPV DNA-positive tonsil tumors increased from 28% in the 1970s to 68% in the 2000s

      • HPV-positive oropharyngeal cancers increased by 225% and incidence for HPV-negative cancers declined by 50% from 1988 – 2004
      • If recent incidence trends continue, the annual number of oropharyngeal cancers related to HPV-positive oropharyngeal cancers will surpass annual number of cervical cancers by the year 2020 !

       

      HPV Signs and Symptoms

      • Hoarseness
      • Continual sore throat/ persistent infection
      • Pain when swallowing or difficulty swallowing
      • Pain when chewing
      • Continual lymphadenopathy
      • Non-healing oral lesions
      • Bleeding in mouth or throat
      • Numbness – tongue
      • Unilateral ear pain
      • Lump in throat or feeling that something is stuck in the throat
      • Unexplained weight loss
      • Slurred speech (can be related to a tumor)
      • Tongue that tracks to 1 side when stuck out
      • Asymmetry in tonsillar area

      Most patients are finding it themselves! Oral cancer can frequently prosper without producing pain or symptoms the average patient might recognize. On average 62% of Oral Cancer is found by the patient in Stage 3 or 4. When found early, oral cancer patients have an 80% survival rate within 5 years. Only 27% of those diagnosed with stage 4 oral cancer will survive within 5 years.

       

      More

Quince Orchard Dental Care’s Fun Facts for Valentine’s Day and National Children’s Dental Month

Everyone associates Valentine’s Day with the month of February, but did you know that February is also National Children’s Dental Health Month?

kids dental health

 

In celebration of Valentine’s Day and National Children’s Dental Month, Quince Orchard Dental Care is providing some fun facts and several informative tips to help reduce the risk of tooth decay. Our team believes National Children’s Dental Health Month is a great opportunity for parents of toddlers, young children or teenagers to explore questions about keeping your child’s teeth clean and how to protect children’s smiles. Our doctors recommend that parents help their children develop good brushing and flossing habits, schedule regular dentist visits, limit snacks, and encourage water consumption in place of soft drinks and power drinks. Our doctors are recommending children brush their teeth twice a day, floss daily, and that they begin visiting the dentist at an early age for preventive care and to develop good oral health and eating habits.

 

The importance of Flossing

The importance of Flossing

The strongest skills and habits we have are usually formed early in life which includes good dental care. Dr. Lewis believes determining when children can brush their teeth unsupervised is a matter of motor skills and coordination, not to mention motivation to do a thorough job. For additional information on caring for children’s teeth please call our office or ask our dentists at your next dental visit. At Quince Orchard Dental Care our doctors love to educate our patients and love when our patients are cavity free. After every cleaning our patients receive a toothbrush, toothpaste and floss. Other important preventive measures available to the patients at our office are fluoride varnish, and dental sealants. It is important to remember that while tooth decay is the most common chronic disease found in children, it is still largely preventable and we are here to help!

 

Let’s focus on Valentine’s Day now. So what do most people get during V-Day? Kisses and Sweets 🙂

 

Dental Care on V-DayWhen you think of contagious diseases you usually think of the common cold, yet there is one contagious disease you may not think of but you definitely should: tooth decay which is the second most common disease in the U.S after the common cold. How can you prevent the spread of decay-causing bacteria? Essentially by limiting from your mouth to your baby’s mouth. So don’t clean a baby’s pacifier by putting it in your mouth, and don’t share utensils – for example, by tasting baby’s food with his or her spoon. And don’t even think of “pre-chewing” baby’s food – no matter what some self-appointed health gurus may say.

 

There is still another way to limit the spread of decay-causing microorganisms. Make sure your own practice of oral hygiene is exceptional! This oral bacteria can spread not only from parents to babies and children, but also between adults. Maintaining good oral health means brushing and flossing every day, and getting regular check-ups: it’s important for you, and for everyone you care about.

 

We all love sweets and we all know we should have less of them. Reducing daily intake of refined sugar is challenging not just because of lack of willpower, but because sugar stimulates the brain the same way that addictive drugs do. Food labels do not clearly indicate when products have added sugar, and humans are genetically predisposed to prefer sweet foods. Enjoy your chocolates and sweets, but keep fighting the good fight and resist those sweets as much as you can.

More

Latest Health Lessons

Latest Health Lessons

Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat.

More