If you have a cavity or an old filling due for a replacement, you may wonder whether to opt for a composite or amalgam filing. How do you decide which is material is right for you?The difference between composite and amalgamComposite fillings are made of a mixture of liquid acrylic resin. They are reinforced with finely ground ceramic. Composite has many benefits. It’s a non-toxic material that naturally bonds to your tooth structure. Composite makes teeth strong, durable, and less prone to breakage. Composite also provides a natural appearance, matched to the color of your teeth.Amalgam fillings are also known as silver fillings. But they aren’t made of pure silver. Amalgam is a mix of metals including mercury, silver, tin, and copper. They are very strong and can last years. Amalgam fillings create two risks to your health. First, mercury can leak if an amalgam filling is compromised., amalgam expands and contracts. Overtime it will fail. And as the name implies, these fillings are silver in color Amalgam does not match your natural teeth.Which type of filling material should you choose?Both composite and amalgam fillings are used to fill cavities. Choosing which material is right for you comes down to four considerations.Aesthetics. For a beautiful set of teeth composite fillings, are the right choice. They are matched to your tooth color and are indistinguishable from your existing teeth. Composite is always used for front teeth and other visible teeth. It is the best choice if you want all your teeth to be uniform in appearance.Durability. Both amalgam and composite are extremely strong materials. In recent years resins used in composite fillings have become stronger. Now a days composites and amalgam are equally durable.Biocompatibility. The body has natural reactions to materials that cause allergies and toxicities. Amalgam fillings contain mercury. According to the FDA, people with multiple amalgam fillings may have higher mercury levels. But the level is considered safe. Composite fillings, on the other hand are made of biocompatible materials. Biocompatible materials are non-reactive. These materials naturally adhere to the body’s DNA. The result is teeth that are five times stronger than natural teeth. For more information, read the report from the National Center for Biotechnology Information at the NIH.Cost. The cost of any dental treatment varies depending on insurance coverage. Both amalgam and composite fillings are usually covered by insurance plans. Always check with your insurance company when in doubt. And don’t forget, our practice offers financing and cash discounts.If you are looking to replace old amalgam fillings, or would like a more aesthetically-pleasing, natural-looking smile, we’re available to talk about your options. For more information, please check out Composite fillings.  

Social security benefits are mostly known for those of partial or full retirement age, though there are several different types of benefits, such as survivor benefits. The official name of the program is Old-Age Survivors and Disability Insurance (OASDI) which helps your spouse or dependents receive a passed-on spouse’s social security benefits on top of their own. Below you’ll find information that gives a more in-depth understanding of a widow’s social security benefit derived from their spouse and some advice on how to navigate the complex rules of the program. Who Qualifies for Social Security Survivors Benefits?To qualify for social security survivor benefits, you’ll have to meet the requirements for eligibility, which include:You must be a widow or widower of any age who is caring for the deceased’s child or children under the age of 16, or who are disabled.Step-children, grandchildren, step-grandchildren, and adopted children can be included under certain circumstancesA widow or widower who is 60 years older or more who has not remarriedAny unmarried children of the deceased who are younger than 18 years old or have a disability that surfaced before 22 years old.Parents that are 62 years or older that were dependent on the deceased for at least half of their income and whose social security income would not be larger than of the deceased’s children. A surviving divorced spouse may receive benefits if they meet other eligibility requirementsAnother point of qualification is shared with social security retirement requirements, meaning you would have to have worked a certain number of years and gained the proper amount of credits each year for your loved ones to be eligible for the benefits. How are Social Security Benefits Calculated for a Widow?How the benefits are calculated for a widow can quickly become complex as there are several provisions for different circumstances. One such provision is the one-time death benefit payment of $225, which can be issued if the deceased spouse either lived with the widow(er) or was receiving social security benefits on their record. If there is no surviving spouse, the one-time payment can be given to a child who is eligible for the benefits. Another provision is if the death leaves a spouse with dependent children, which allows the benefits to be paid to them if the deceased had earned at least 6 credits within the three calendar years prior to their passing. To gain the benefits, a specific amount of credits are needed to be eligible, depending on the age of the spouse who has passed. The younger they are, the fewer credits are needed, but the maximum required is 40. Also, just as with the Social Security Administration’s retirement SSI program, the amount of survivors benefits depends on the average lifetime earnings of the spouse who passed. The more that was earned, the higher the benefit till a maximum amount is reached. How Big Can the Benefits Be?The benefits survivors receive can depend on their age and the type of relationship they had with the deceased:Widow(er) BenefitsIf at the full retirement age, the surviving spouse can receive the total amount of the deceased’s benefits. If they are between the ages of 60 and full retirement age, they can receive between 71% to 99% of the amount. A disabled spouse between 50 and 59 years of age can receive up to 71%, and a spouse caring for a child under the age of 16 at any age can receive up to 75%. A divorced spouse, if they qualify as previously mentioned, can receive the same amounts listed above.Children and Parent BenefitsChildren under the age of 18, or 19 if still in school or disabled, can receive 75% of the deceased parent’s benefit. A parent that is dependent on the deceased is eligible to receive 82% of the benefits, but if both parents are alive and were dependents, then they each can collect 75%.As you can see, it can become quite complicated to ensure you receive your social security from your loved one. Here at Marken Law Group, we have a comprehensive understanding of social security benefits for surviving spouses. We understand how stressful benefits can be and don’t want to add to your plate during this sad and stressful time. Partner with an experienced ally that is by your side from start to finish with a qualified social security lawyer to help you through this process to secure your benefits.No Fee

For people with receding gums, gum grafts can treat the issue. Gum grafting to replace lost gum tissue is one of the most common procedures in the US.Gum recession is a common problem. Yet, gum recession is not something you should ignore. That’s because gum recession can be the result or lead to health issues. Treatments such as gum grafting can repair your gums and prevent further harm. What causes gums to recede?Gum recession occurs when the tissue that surrounds your teeth wears away. Gums pull away from the tooth’s surface exposing enamel and the root. Receding gums cause gaps to form between teeth and the gum line. This creates space for bacteria to collect. Once harmful bacteria collect in gum pockets, your risk of tooth decay, sensitivity, and bone loss increases.  There are a few factors that can cause gums to recede, including:Genetic predispositions make some of us more susceptible to gum disease and recession.Wear and tear associated with aging. Aggressive tooth brushing can cause tooth enamel to wear away and gums to recede. Advancing tooth decay and tooth loss increases your risk for gum recession. Periodontal disease is a bacterial infection of the gums. Over time, periodontal disease can destroy gum tissue and the supporting bones. Gum grafting effectively treats receding gumsGum grafts treat gum recession by replacing the lost tissue around your teeth. When you restore the health of your gum tissue you improve your oral health.If you think you have receding gums, make an appointment with Dr. Frahm. She will measure the pockets around your teeth to diagnose any gum problems. If your gum recession is in the early stages, she may recommend curettage periodontal treatment. Curettage is performed here, in our dental office, by Stacey who directs our clinical hygiene department. If surgical care is required to restore your dental health, Dr. Frahm will recommend a periodontal specialist.Other advantages of gum graftingGum grafting gives you the best chance of treating advanced gum recession, gum disease, and improving your overall oral health. It also reduces your risk of additional cavities and decreases tooth sensitivity. According to the Cleveland Clinic, gum grafting has a treatment success rate of over 90%. It’s a plus that gum grafting improves the appearance of your smile. By evening out an uneven gum line gum grafts frame your teeth with symmetry. Most importantly, gum grafts cover exposed tooth roots. This reduces your risk for tooth loss and protects your teeth from decay. When gum grafting is required to treat receding gums due to periodontal disease, chances are good that your dental insurance will cover the procedure. Be sure to talk to your dental insurance provider to find out what’s covered and if there are any out-of-pocket expenses. You can also discuss payment options with our dental care team. Let our team of dental care experts help you attain your most vibrant smile. Please call 831-372-8011 today or click the link below to schedule an appointment with Dr. Sarah Frahm. We serve patients throughout the communities of Monterey, Carmel, and Pebble Beach. Dr. Sarah Frahm | Gum Grafting

Marken Law Group, PS, understands that people view marijuana differently, some as an alternative medicine used for pain, to aid nausea and potentially other benefits and others who view it as a drug to stay away from like other illicit drugs. We will leave the benefits/risks up to a person’s doctor to explain. We also are not advocating or condemning marijuana use. We are, however, explaining what it could mean for your Social Security Disability claim.Marijuana is currently, at the time of this posting, legal in 9 states including Washington D.C. Despite this, marijuana is still ILLEGAL as far as the federal government is concerned.The Social Security Administration is a federal entity, therefore they view marijuana as an illicit drug the likes of meth, cocaine, and so on. Most judges we go in front of, do NOT view marijuana as a healthy alternative to opioid medication. While there is MUCH debate on this topic and we are not here to discuss the debate, the Judges who will hear your case will not like your use of marijuana, even if taken specifically for pain. If your issues are primarily PHYSICAL, marijuana will not necessarily hurt your case. You do need to be prepared and have a thorough understanding of what the Judge WILL ask you at your hearing.If you have a mental health diagnosis and take marijuana, it is a more difficult road. Our clients often take marijuana to help with social anxiety and depression. The problem is the medical community and the Judge’s, most likely, view marijuana as CONTRIBUTING to anxiety and depression. Indeed I have personally seen judges roll their eyes when a claimant is testifying to their marijuana use helping their anxiety. Whether it does or does not is not really important. The fact is, most Judges and medical experts testifying, will view marijuana use as a significant detriment to mental health and stability and it could prevent you from obtaining benefits.Each case is specific and this should in no way be construed to be blanket statements concerning all judges and medical experts.At Marken Law Group, PS, we can walk you through the hearing process and what to expect come examination from the Administrative Law Judge who is hearing your claim. Click the link below to learn more. Marken Law | Disability Claim

If sedation dental care is recommended, you might wonder what does sedation dentistry feel like? Sedation dentistry feels relaxing. With sedation, you’ll likely nap through your dental visit.  After care, you are alert enough to walk out of our office with your companion. Then, you go home and rest comfortably. You can plan to be back to your normal routine the next day. Sedation dentistry is usually recommended for two reasons. First, levels of dental fear or anxiety are high for some people. Sedation dentistry can help you rest through treatment and get the care you need. Second, some treatments can be lengthy. For longer treatment visits, Dr. Frahm may recommend sedation care. It’s important to understand being sedated in our office is not like going under anesthesia for hospital surgery. You might ask, what does dental sedation feel like?The short answer is that it depends on the type of sedation dentistry you’re having. Read below and learn how the different forms of sedation make you feel.Dental Sedation ExplainedSedation dentistry is an effective way to minimize any anxiety or discomfort you may feel during dental treatment. Sedation dentistry comes in several forms. Your primary options for sedation dental care are likely: Mild: Nitrous oxide helps you relax through treatment. Nitrous oxide is commonly known as laughing gas.  It is the mildest sedative we provide. Medium: Medication, in pill form, can be prescribed by Dr. Frahm before your treatment visit.  With sedation medication, you will need a companion to drive and accompany you to and from your dental visit.Strong: Intravenous sedatives are sometimes recommended to you if you struggle with significant anxiety, PTSD or have a medical condition that makes IV sedation a good choice. During sedation dental care, you will likely drift into a twilight state. You won’t remember much about your dental visit. In fact, many people say they have short term amnesia after sedation dental care. Usually, it’s considered a plus. When thinking about your sedation experience, it can be helpful to know the levels of sedation relaxation. Depending in your needs for care, and response to sedation medication, you can expect to enter one or more of these states of rest: Minimal sedation: Awake but relaxed. You can still respond to Dr. Frahm.Moderate sedation: Slurring of words, not much is remembered.Deep sedation: On the edge of consciousness to being unconscious. During your sedation care visit, our team of trained health care professionals monitors your blood pressure, heart rate, and oxygen levels. Throughout your visit, we make sure you are safe and resting comfortably.Types of Dental Sedation and How They FeelWhen you ask, what does dental sedation feel like? The answer is it depends. The type of sedation you receive, duration of your visit, and preferences for care drive your experience.Laughing GasNitrous oxide, commonly known as laughing gas is the least invasive, and most common, type. Most of us experience no side effects and can use it safely. Laughing gas is delivered via a mask that covers your nose. It is inhaled. The gas can be flavored. Many dentists give patients a choice of the type of scent they prefer. With laughing gas, you may become silly, giggly and have a sense of euphoria. The effects wear off almost immediately. After care, it helps to rest and recover for a few minutes before you leave our dental office. Unless otherwise directed, you should be able to drive yourself to and from your dental visit.Oral SedationAlso known as oral conscious sedation, is a sedative given in pill form. Usually, Dr. Frahm prescribes two doses. You take the first dose before your visit. Dr. Frahm may recommend a second dose once you arrive at our office for care. Oral conscious sedation is anti-anxiety medication that helps you deeply relax. You will probably feel drowsy when you take oral sedation medication but remain awake and conscious. Side effects of oral sedation include grogginess, and a dream state feeling. It can take a several hours for oral conscious sedation to wear off. Due to the time it takes to recover from sedation, you need someone to drive you to and from care. It is best if a companion can be present while you rest.  Dr. Frahm calls a few hours after your sedation dentistry visit to check on you.IV SedationFor people with severe dental anxiety, IV sedation is often recommended. It is also administered to patients who are undergoing dental surgeries. The medication is delivered through an intravenous needle in the arm and the dose is monitored throughout the procedure.Slurred speech and memory loss are very common for IV sedation and will likely result in forgetting the entire procedure. The sedation is at a much deeper level than the other methods and keeps most patients on the edge of consciousness.All IV sedation patients must have a companion to drive them to and from care, and stay with them after care for about 24 hours. Safe Dentistry for YouThe type of sedation you choose depends on what ensures a safe and comfortable dental visit, and your overall health. As you can see, there are different ways you can feel depending on your needs. A sedative will make you feel drowsy but relaxed, have you feel like you’re in a dream, or forget the whole procedure entirely. Dr. Frahm is a gentle dentist, who created an office space design for calm and comfort. To put you at ease, we offer both oral conscious sedation and nitrous oxide sedation dentistry. Dr. Frahm always discusses your options with you before treatment begins. For more information click the link below.Dr. Sarah Frahm | Dental Treatments

What are the 4 Types of Contaminated Water?Water contaminants encompass substances or matter present in water that aren’t part of its natural composition. The presence of contaminants doesn’t inherently imply a health risk, as some are benign, while others pose hazards beyond specific thresholds. Recognizing these types is crucial in mitigating the public health risks associated with water contamination. Below, explore the four primary classifications of water contaminants:PhysicalPhysical contaminants in water predominantly manifest as sediment and debris, visibly altering its properties. These impurities often lead to discoloration, changes in odor, and an altered taste, potentially compromising water quality. To address these concerns, drinking water undergoes specific treatment methods to mitigate physical contaminants.Treatment of physical impurities involves a sequential process:Screening: This initial step primarily focuses on removing larger debris, enhancing water quality by eliminating visible particles.Coagulation and Flocculation: Following screening, coagulation and flocculation processes remove larger particles that screening may have missed. These methods work by causing smaller particles to clump together, forming larger, more easily removable aggregates.Filtering: The final stage involves the removal of smaller particles and even odor through activated carbon filtration. This process not only eliminates finer impurities but also significantly improves taste and smell by passing the water through an activated carbon medium.ChemicalChemical contaminants encompass a spectrum of substances, including pesticides, bleach residues, and heavy metals that threaten water safety. Unlike physical impurities, these contaminants often evade detection by taste, smell, or sight, making their identification challenging. Their presence in water sources escalates the risk of severe health complications, including cancer and reproductive disorders, while also potentially harming vital organs like the liver and kidneys.However, there’s hope in detection and treatment:Detection Challenges: The elusive nature of chemical contaminants necessitates specialized water testing for accurate identification and quantification.Treatment Strategies: Once identified, various treatment methods effectively neutralize chemical impurities. Techniques like water softeners, distillation, and reverse osmosis stand out as reliable means to mitigate the risks associated with chemical pollutants.BiologicalBiological contaminants in water encompass various microorganisms, comprising parasites, viruses, bacteria, and protozoans. These microbiological organisms pose inherent risks, including the potential for infections and parasitic infestations upon human exposure.Addressing biological contaminants involves:Identification and Risk Mitigation: Vigilant monitoring and testing to assess the risk level microorganisms pose to public health.Disinfection Protocols: Employing chemical and physical treatments is vital to neutralize biological contaminants. These disinfection methods disrupt the cellular activity of these living organisms and organic matter, thereby rendering them harmless and reducing health risks associated with their presence in water sources.RadiologicalRadiological contaminants stem from chemical substances emitting radiation due to unstable atomic compositions. Commonly found in rock and soil, radioactive elements like radium and uranium contribute to small radiation levels. When dissolved into water sources, including the presence of the radioactive gas radon, these elements pose potential health risks to the public.Addressing radiological contamination involves meticulous monitoring and stringent protocols:Monitoring Soil Interaction: Identifying areas where soil interaction could contaminate drinking water aids in proactive risk assessment.Regulatory Testing: Water undergoes meticulous testing for radiation levels, adhering to established regulatory standards to ensure compliance and safety.Treatment Strategies: Water treatment facilities employ a combination of flocculation, water softening, and filtering methodologies to effectively remove radiological contaminants, bolstering the safety of water supplies.What are the Most Common Contaminants in the Water?As per National Primary Drinking Water Regulations, the Environmental Protection Agency (EPA) categorizes water contaminants based the Maximum Contaminant Level (MCL). MCL is the highest permissible concentration of contaminants in drinking water, while considering technical and financial constraints.While different cities adhere to their own recommended levels in line with EPA guidelines, specific contaminants persist in household water supplies, impacting family health. Here are the most common contaminants in the water, elaborated by Flowater.NitratesHealth Implications: Notably impact red blood cells’ oxygen-carrying capacity, potentially affecting overall health.Cause: These compounds primarily result from excessive use of chemical fertilizers and improper waste disposal practices.MCL Level: 10 mg/LFluorideHealth Implications: Excessive fluoride concentrations can lead to dental concerns and cardiovascular, neurological, and reproductive issues. Cause: Can stem from environmental factors, notably water exposure to certain soil types.MCL Level: 4 mg/LLeadHealth Implications: Prolonged exposure to elevated lead levels can result in grave health conditions, including coma, convulsions, and, in extreme cases, fatalities.Cause: Lead, often present in old water systems and pipes, poses a significant risk of leaching into drinking water. MCL Level: Action level of 0.015Arsenic Health Implications: Long-term consumption of arsenic-contaminated water is associated with severe health complications, including a higher risk of cancer, cardiovascular diseases, and diabetes.Cause: Areas adjacent to farming and industrial sectors face heightened risks of arsenic exposure due to herbicides, pesticides, and mining. MCL Level: 0.010 as of 2006Bacteria and VirusesHealth Implications: Water-borne and water-transmitted viruses such as hepatitis A and C result in symptoms including vomiting, abdominal pain, and diarrhea.Cause: Prevalent in regions with animal waste seepage into water sources.MCL Level: Virus at 99.999% reduction and Total Coliforms (bacteria commonly found in animal and human waste) at 5%Learn if There are Contaminants in Your WaterSafeguarding your family’s health begins with ensuring the purity of your water supply. While water treatment facilities strive to eliminate contaminants, the integrity of pipes en route to your tap is pivotal. Faulty or exposed pipes may introduce contaminants, compromising the safety of your water. By taking proactive measures and ensuring regular water testing, you play a vital role in securing a safe and healthy water supply for your family’s everyday use. Confirm your water is safe for drinking and use with a free water testing analysis today by clicking the link below. Real H2O Solutions

The quality of your oral health is connected to your physical wellness. The oral-systemic health connection impacts your body, medical costs, and quality of life.

According to the Harvard School of Public Health, oral health and physical health are interdependent. Existing health conditions can increase the risk of oral disease. Conversely, poor oral health can result in the development of health conditions.

Fortunately, with proper care and attention, you can prevent oral-systemic health issues.

How does poor oral health cause other health problems?

Nutrition enters your body through your mouth. And your mouth happens to be teeming with bacteria. Some of the bacteria are good. They are the first step in the digestive process. Other bacteria can be harmful to your health.

If you’re not diligent about keeping your mouth clean, bad bacteria can proliferate. This can lead to tooth decay and periodontitis or gum disease. If left untreated, gum disease can cause some serious health conditions. In fact, gum disease can be linked to three of the four pillars of chronic disease including heart disease, Alzheimer’s and autoimmune problems.

Health conditions that can be caused by poor oral health

The following serious health conditions can be the result of poor dental health:

Cardiovascular disease
Research suggests infections and inflammation caused by oral bacteria can result in heart disease, clogged arteries, and stroke.

Endocarditis
This bacterial infection that enters your body through the mouth or other areas affects the proper functioning of your heart.

Birth complications
Gum disease can cause premature births and low birth weight.

Pneumonia
Respiratory diseases and pneumonia are caused by bacteria in your mouth that has been pulled into your lungs.

Alzheimer’s disease and dementia
Some studies suggest that bacteria that develops into gum disease also caused neuroinflammation, neurodegeneration, and senile plaque formation. These in turn can lead to Alzheimer’s disease and related dementias.

Certain diseases themselves can lower the body’s resistance to infection and compromise oral health.

Diabetes
Studies show a reciprocal relationship between gum disease and diabetes. Diabetes makes it hard for the body to fight infections, which can cause gum disease. And people who have gum disease have a harder time controlling their blood sugar levels. So, treating periodontal disease reduces the need for insulin.

Osteoporosis
This bone-weakening disease also causes tooth loss.

Protect your oral health to improve your overall health

It’s not hard to maintain your oral health. By following a few simple oral care tips, you can support good oral-systemic health for the long haul.

1. Brush your teeth, gently, twice daily with a soft-bristled toothbrush and fluoride. toothpaste. Make sure to replace your toothbrush every three to four months.
2. Floss daily.
3. Rinse with therapeutic mouthwash to wash away any excess bacteria.
4. Visit Dr. Frahm for regular dental checkups, your oral cancer screening, and cleanings.

If any oral health problems arise, contact Dr. Frahm. By taking care of your oral health, you’re making a worthwhile investment in your overall health. Click below to learn more. 

Dr. Sarah Frahm

Now that clear aligners are available as an alternative, a mouth full of metal braces has become a last resort. If you or a family member have decided it’s time to straighten those pearly whites, there are many advantages to clear aligners. Are clear aligners better than braces?Everyone’s teeth are different. So are the solutions for teeth straightening. However, there is an easy rule of thumb for teeth straightening: For severely crooked teeth, metal braces are usually best for repairing difficult alignments and straightening. For everybody else, there are clear aligners. Here at Dr. Frahm’s office, we are partial to Invisalign® clear aligners. Invisalign does an incredible job of straightening your teeth, closing gaps, and aligning your bite, all while enhancing the function and health of your mouth.For people who require minor teeth straightening, clear aligners are usually the best option. Clear aligners are good for your mouthClear aligners are more comfortable than braces. That’s because clear aligners don’t have brackets and wires that can irritate your gums and mouth tissue like braces do. Clear aligners are aesthetically pleasingClear aligners like Invisalign are nearly invisible (hence the name). They are made of clear plastic and molded to fit your teeth. They may be mostly inconspicuous, but they are still effective. Clear aligners can straighten teeth as well as bracesClear aligners are highly effective at straightening mildly crooked teeth. Aligners work by repositioning your teeth into place by applying gentle pressure. And clear aligners provide long-lasting results.Clear aligners make it easier to maintain good oral hygieneAlthough good oral hygiene is a must for all patients, it’s easy to keep teeth clean if you wear clear aligners. Clear aligners can simply be removed before brushing and flossing. Braces, on the other hand, can trap food and plaque and flossing between the metal wires takes special care.Clear aligners work quicklyInvisalign treatment works to straighten mildly crooked teeth more quickly than braces. This is due to the all-around force of the aligners across the whole tooth. However, it’s important to wear your aligners for a minimum of 22 hours per day for the quickest results. And, depending upon the amount of correction you need, you can expect your treatment to last anywhere from three to 24 months. Want to learn more? Find out How Invisalign Works.Consult with Dr. Frahm to find out if Invisalign clear aligners are right for you. For more information about clear aligners and braces, visit the link below. Dr. Sarah Frahm | Alternative to Metal Braces

Social security is an important part of retirement planning and yet, few people don’t understand how the benefits are calculated or what factors determine the amount received monthly or over its lifetime. Even when using a Social Security benefits calculator, not understanding the different aspects that go into determining the number can give you the wrong result and likely unnecessary worry. To better understand how social security benefits are calculated, read below and learn the different areas that contribute to your retirement benefits. AIME and PIA: Essential Retirement Benefits FactorsUnderstanding the calculation of your social security benefits means diving deep into two primary concepts: Average Indexed Monthly Earnings (AIME) and the Primary Insurance Amount (PIA):Average Indexed Monthly Earnings (AIME)AIME plays a key role in calculating Social Security benefits, but what exactly is it? AIME represents an average of your monthly earnings over your highest-earning 35 years, adjusted for inflation. The Social Security Administration doesn’t only look at your raw earnings; instead, it indexes them. This means that earnings from earlier years in your career are adjusted to account for inflation and wage growth over time, providing a more accurate reflection of your earnings in today’s dollars.To arrive at the AIME, the SSA takes your annual earnings for each year (up to a particular maximum that might change annually), indexes those for inflation, and then identifies the 35 years in which you earned the most. By adding those highest-earning years together and then dividing by the total number of months in those 35 years (420 months), the AIME is figured out.Primary Insurance Amount (PIA)Once the AIME is calculated, it’s time to determine the PIA. The PIA is essentially the baseline amount you would receive at full retirement age.To calculate the amount, the SSA uses a progressive formula that breaks the AIME into portions and then multiplies each segment by a specified percentage. For instance, the first segment of your AIME could be multiplied by 90%, the next by 32%, and any remaining amount by 15%. The sum of these results is your PIA.What’s crucial to understand is that PIA is central to the benefits you’ll receive. While factors like choosing to take benefits before or after your full retirement age can influence the final amount, the PIA sets the groundwork.Solving the SSA’s Approach: From Earnings to BenefitsAt the heart of social security payments is a comprehensive process that is based on your earnings history and age. This formula recalculates your benefit annually, ensuring accuracy and fairness by tallying up the earned income you made in your top earning years and applying specific adjustments. The benefits also depend on other factors besides AIME and PIA: Factors That Can Influence Your Social Security BenefitsThe other factors that can influence the amount of social security benefits an individual might receive include. Understanding the other factors that influence the amount of social security benefits received is essential to making informed decisions about when and how to claim benefits:Claiming Age: As mentioned earlier, the age at which you start claiming benefits can impact the monthly amount. Claiming before your full retirement age will result in a reduced monthly benefit, while delaying can lead to increased monthly payouts, up to age 70.Work While Claiming: If you claim benefits before reaching full retirement age and continue to work, there’s a limit to how much you can earn before the amount is temporarily reduced.Lifetime Earnings: The more you’ve earned, and therefore paid into the Social Security system, the higher your benefit will be, up to a point. Social Security is designed to replace a percentage of your pre-retirement income rather than it being your only source.Cost-of-Living Adjustments (COLAs): The SSA may adjust benefits to account for inflation to ensure that the purchasing power of your benefits doesn’t decline over time due to inflation.Taxes: Depending on your overall income, a portion of your Social Security benefits might be taxable.Government Pensions: If you receive a pension from a job where you didn’t pay Social Security taxes (such as some government positions), it could affect the amount of your Social Security benefits.Family Benefits: If you have children or a spouse who are eligible for benefits based on your work record, it could mean a higher total family benefit, though individual benefits might be reduced.Understanding Retirement is Crucial Navigating social security benefits can be daunting, but with the right knowledge, understanding, and professional guidance it becomes much easier. Here at Marken Law Group, we are extensively experienced with social security, having represented hundreds of claimants in Washington, Idaho, Montana, Oregon, and California to obtain what is rightfully theirs. We focus on your individual needs rather than treat all clients as the same, bringing our comprehensive experience to help guide you through. Whether you’re years away from claiming Social Security or on the brink of retirement, understanding these terms and how they factor into your benefits can make a significant difference in your financial planning.Marken Law Group

If you have a cavity or an old filling due for a replacement, you may wonder whether to opt for a composite or amalgam filing. How do you decide which is material is right for you?The difference between composite and amalgamComposite fillings are made of a mixture of liquid acrylic resin. They are reinforced with finely ground ceramic. Composite has many benefits. It’s a non-toxic material that naturally bonds to your tooth structure. Composite makes teeth strong, durable, and less prone to breakage. Composite also provides a natural appearance, matched to the color of your teeth.Amalgam fillings are also known as silver fillings. But they aren’t made of pure silver. Amalgam is a mix of metals including mercury, silver, tin, and copper. They are very strong and can last years. Amalgam fillings create two risks to your health. First, mercury can leak if an amalgam filling is compromised., amalgam expands and contracts. Overtime it will fail. And as the name implies, these fillings are silver in color Amalgam does not match your natural teeth.Which type of filling material should you choose?Both composite and amalgam fillings are used to fill cavities. Choosing which material is right for you comes down to four considerations.Aesthetics. For a beautiful set of teeth composite fillings, are the right choice. They are matched to your tooth color and are indistinguishable from your existing teeth. Composite is always used for front teeth and other visible teeth. It is the best choice if you want all your teeth to be uniform in appearance.Durability. Both amalgam and composite are extremely strong materials. In recent years resins used in composite fillings have become stronger. Now a days composites and amalgam are equally durable.Biocompatibility. The body has natural reactions to materials that cause allergies and toxicities. Amalgam fillings contain mercury. According to the FDA, people with multiple amalgam fillings may have higher mercury levels. But the level is considered safe. Composite fillings, on the other hand are made of biocompatible materials. Biocompatible materials are non-reactive. These materials naturally adhere to the body’s DNA. The result is teeth that are five times stronger than natural teeth. For more information, read the report from the National Center for Biotechnology Information at the NIH.Cost. The cost of any dental treatment varies depending on insurance coverage. Both amalgam and composite fillings are usually covered by insurance plans. Always check with your insurance company when in doubt. And don’t forget, our practice offers financing and cash discounts.If you are looking to replace old amalgam fillings, or would like a more aesthetically-pleasing, natural-looking smile, we’re available to talk about your options. Dr. Sarah Frahm

Sinus Infection Tooth Pain: How They Are LinkedSinuses are spaces in your skull. They warm and moisten the air so that they are fit for you to breathe in. The largest sinuses, called the maxillary sinuses, are above your upper molar teeth. When the maxillary sinuses are infected, they can also affect the closest areas, such as your upper molars. Sinusitis causes tooth pain in two ways:Referred pain from sinuses, teeth, and gums share the same pain-transmitting nerves. Congestion puts pressure on the root of the upper molars, causing discomfort. Can Sinus Infection Cause Tooth Infection?No, a sinus infection cannot cause tooth infection. However, a tooth infection can spread to the sinuses and cause sinusitis. Dental infections can cause 40% of chronic sinus infections.Can Sinus Infection Cause Tooth Pain in Front Teeth?The maxillary sinuses are above the upper molars, making them less likely to cause tooth pain in the front teeth if the sinuses are infected. We advised that you schedule an appointment with your doctor to learn more. How do I Know if My Toothache is a Sinus Infection? Causes and SymptomsSinuses produce mucus to keep the air moist and prevent the inside of your nose from drying out. If the sinuses are irritated or infected, they can swell and get congested, causing pain in the upper molars.What are the Most Common Symptoms of Sinus Infection Tooth PainTogether with sinusitis signs and symptoms, the most common symptom of sinusitis tooth pain is toothache on more than one adjoining upper molars. The pain is not localized on one tooth. Another common symptom is pain aggravated by movement. Movement like jumping up and down can aggravate sinus tooth pain. Pain can also be aggravated by bending over or lying down. The motions can cause congested sinuses to press on the roots of the molars with more force. Meanwhile, lying down can lessen the pain.How Long Does Tooth Pain Last with Sinus Infection?It would depend on the severity of your sinusitis. Since sinus tooth pain appears more in acute sinus infection, said symptom can last up to ten days. Effective Remedies to Relieve Sinus Pressure in Your TeethSinusitis Home RemediesSince the congested mucus promotes germs that cause sinusitis, the goal is to decongest. Here are remedies you can try at home:HydrateDrinking fluids can help thin the mucus and promote drainage to the nasal cavity.Warm CompressA warm compress over the sides of the nose can warm the sinuses and loosen mucus.SteamingBreathing in the steam of a bowl of hot water or a hot shower can loosen mucus. The warm, moist steam can soothe irritated nasal passages and make breathing easier.Sinus FlushingFlushing your sinuses with warm or room-temperature saline solution can help moisturize the lining of your sinuses. It can also loosen mucus and clear nasal cavities. DecongestantsDecongestants can help relieve symptoms. Topical decongestants shouldn’t be used for more than seven days as they can cause symptoms to worsen. The same can happen when using decongestant nasal sprays for over three days.Toothache Home RemediesCold compressA cold compress on the painful area for 10-15 minutes several times daily can numb tooth pain. Over-the-counter Pain RelieversYou can take OTC pain medications such as acetaminophen or numbing gels to treat sinusitis dental pain. Do I Need Antibiotics for a Sinus Infection?Since most sinus infections get better without antibiotics, antibiotics are only prescribed by the doctor if other treatments don’t work, and they suspect bacterial infections. Antibiotics are only prescribed when other medications don’t work because they can cause mild to rash side effects, from rashes to severe allergic reactions.When to Seek Professional Dental and Sinus CareWhile you may need to consult your dentist to confirm if you have sinus or dental-related tooth pain, please schedule an appointment with your doctor if you experience any of the symptoms:Tooth pain that persists after the sinusitis has disappearedSevere painFever that lasts more than three daysSymptoms that persist for more than ten days without improvementSymptoms that got better then got worseInability to eat or drink due to dental or facial pain.If you’re looking for sinus relief or interested in learning more about sinus surgery, click the link below!Explore Sinus Surgeries