december 2012 health and wellness

Health & Wellness • Sponsored Section www.northfulton.com December 2012 1

December Special Section&Health Wellness

Appen Newspapers:

2 December 2012 www.northfulton.com Health & Wellness • Sponsored Section

www.renewforhealth.com

678-212-5100

Struggling to lose WEIGHT?

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NorthFulton.com December 2012

For the next few ar-ticles I will be focusing on how to achieve your health and fitness goals in 2013. It seems every year people set new health goals in January only to be back to their old ways in 4-6 weeks. There is a reason that this happens to most people. The reason quite simply is because willpower and motivation are not enough for most people to make the lasting changes that are necessary to bring them long-term success. You have a better chance at achieving any goal if you have a specific action plan to follow. At Renew health we will give you that blueprint. A specific plan based on your own genet-ics, lifestyle and body chemistry. There is not one diet or exercise that works for

everyone. We use spe-cific testing to determine exactly which foods you need to avoid. Certain foods may cause you to binge and become weight-loss resistant. Also, we can tell you which foods will help to speed up your metabo-lism and cause cellular healing. Losing weight isn’t difficult when you

know which foods are your triggers to overeating and which foods cause cellu-lar congestion. Chronic poor eating hab-its result in cellular congestion and cause hormonal changes that cause one to be-come resistant to losing weight. When this happens you will be unsuccessful in achieving your health and weight loss goals despite eating what you believe is a healthy diet, even if you are exercising.

Lisa Tabick Cattarulla

How to achieve your health and fitness goals

Brian Ouellette

Cumming, GA (December 28, 2011) -- If you’re a denture wearer frustrated by the sunken-in look that often occurs from ill-fitting dentures, you might be a great candidate for ‘Facelift Dentures’ now available at The Dentist in Cum-ming.

According to Page Barden, D.D.S., a Forsyth County family dentist and

the only dental practice in the area that specializes in this groundbreaking technique, ‘facelift dentures’ support the face like natural teeth and may be able to take 20 years off a patients’ ap-pearance.

“When dentures are designed with optimum neuromuscular dimensions, the results are more stable and relaxed muscles thus eliminating the sunken-in look that occurs from unnatural looking dentures,” explains Dr. Barden. “Pa-tients who choose ‘facelift dentures’ not only look and feel better and have a more youthful appearance but, more important, they experience improved chewing, function and fit.”

Because facelift dentures are cus-tom designed and a custom fit, patients

Introducing Facelift Dentures…the ‘Fountain of Youth’ for Denture Wearers

See DENTIST,


By Dr. Averel Snyder

1. Drink a glass of waterSometimes when you

have a craving for something sweet, you are simply dehy-drated. Drink a glass of cool water to see if that quells your crav-ing.

2. Eat a piece of fruit

or nutsKeep fruit and nuts

or string cheese at the ready so you have a reasonably healthy treat when you have a hunger pang or craving. Fruit and nuts both offer a good mix of fiber and vitamins to help you feel sated – and the nuts offer additional value with protein and fat.

3. Don’t surround yourself

with temptation.If the cookies are in the

pantry or ice cream is in the freezer, it’s that much harder to say no. Don’t surround yourself with these tempta-tions. While we all face temp-tations at work and in public, at home, it’s fairly easy to control what you eat, so don’t add to the temptation.

4. Remind yourself it will still be there anytime.Remind yourself that you

don’t have to have the apple pie or the donut just because it’s there – it will still be there next time you pass by. Allow yourself the occasional indul-gence, so that you know you always have a treat to look

forward to – just not today.

5. Choose wiselyRemember if it didn’t

swim, run, fly, grow out of the ground or fall out of a tree,

you should not be eating it.

Dr. Snyder is a Board certified Car-diothoracic surgeon and Certified in Age Management Medi-cine. He Co-founded AgeWell Men’s In-stitute to help men better manage aging

with bio-identical hormone replacement and diet. See their ad for more information or visit their website at www.agewellmensinstitute.com.

often experience immediate improvement in areas such as a more natural looking jawline, plumped out lips, lessened wrinkles and a face that just fills out better. With no surgery re-quired, facelift dentures are the groundbreaking technique that many call the ‘fountain of youth for denture wearers.’

To learn more about ‘Face-lift Dentures’ or to schedule an appointment, please contact The Dentist in Cumming at 770-844-6771 or visit their website at www.faceliftdenturesofgeor-gia.com.

Dentist:Continued from

5 Tips for Avoiding Weight Gain over the Holidays

Dr. Snyder

By Leslie Gaskill, M.D.Exactly,….. BIG DEAL! Inflammation

is not something to take lightly. Let’s put it this way, if you came across a smol-dering fire in your house, you wouldn’t just walk away...would you? I suspect that you would consider this an im-portant matter to tend to, because you know that even a small smoldering fire could quickly become a big rip roaring fire that could burn your house down. Your though process might be some-thing like, “don’t panic, just put the fire out; and put the fire out fast.!” You might even say “Whew, I am glad I caught that fire while it was small, and thank God that I just hap-pened to walk in here and see this.” Yeh, it would be an emotional and financial disaster to lose your home. So what if we were talk-ing about your life? All it takes is ONE fire to cause an event i.e heart attack and stroke.

There are many causes of inflammation that can ultimately cause your arteries to be fragile. The arteries can suddenly rupture as plaque pushes through the wall like a vol-

cano. A clot is formed, blocking the flow and BOOM. You have a heart at-tack or stroke. What causes inflam-mation? Great question. Stress, bad diet, migraines, autoimmune diseas-es( like lupus and psoriasis), smok-ing, cholesterol, insulin resistance, prediabetes, diabetes, PCOS, liver disease, sleep disorders, and, peri-odontal disease to just name a few. Don’t get a false sense of security if you are a marathon runner, passed

your stress test, calcium score, and even have a phenomenal cholesterol profile. Stay tuned to hear more from us and Plaque Bust-ers in the national arena. If you are serious about your life, and your life is a priority, we can help you before it is too late. We are very experienced in a prevention strategy that works! It is tailored to YOU, your body and your genetics!

www.drlesliegaskill.com and www.plaque-busters.net Leslie S. Gaskill, M.D., LLC, 6290 Abbotts Bridge Road, Ste 201, Johns Creek, Georgia 30097. 770-495-9995.

Big Deal, a Little Inflammation

Gaskill


ADHD is a relatively common psychiatric disorder among adults. The prevalence is thought to be 3.5%-5.3%, which accounts for more than 11 million cases in the United States alone. With increased public awareness, adult ADHD became a topic of great interest so clinicians should be able to diagnose, treat, and manage patients with this disorder. Etiology is still uncertain. Genetics however is believed to play a prominent role, followed in importance by acquired injuries to the brain. ADHD was widely thought to be strictly a disorder of childhood. Now there are numerous scientifi c papers and clinical trials that acknowledge the existence of an adult version of this disorder, which can be traced back to the younger years. Before this time ADHD in adults was known as Minimal Brain Damage or Dysfunction (MBD).

Adult ADHD is associated with multiple co-morbidities such as anxiety, depression, bipolar disorder and other personality disorders. Adult ADHD is a valid psychiatric disorder of adulthood distinct from these other conditions. Adult attention defi cit disorder differs from the childhood variant because the hyperactivity in adults may be replaced by other symptoms such as anxiety, impulsivity and inattentiveness. In fact, prior to 2002 there were no diagnostic guidelines, but there have been great advances since. Some of the symptoms that characterize Adult ADHD are:

1. Often fails to give close attention to details or makes careless mistakes in school-work, work or other activities.

2. Often has diffi culty sustaining attention in tasks or play activities.

3. Often does not seem to listen when spoke to directly.

4. Often does not follow through on instructions and fails to fi nish schoolwork, chores or duties in the workplace (not due to oppositional behavior or failure to understand directions)

5. Often has diffi culty organizing tasks and activities.

6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)Often loses things necessary for tasks and activities (eg. School assignments, pencils, keys)

7. Is often easily distracted by extraneous stimuli.

8. Is often forgetful in daily activities.

Some children with ADHD continue to have it as adults. And many adults who have the disorder don’t know it. They may feel that it is impossible to get organized, keep a job, or remember and keep appointments. Daily tasks such as getting up in the morning, preparing to leave the house for work, arriving at work on time, and being productive on the job can be especially challenging for adults with ADHD. These adults may have a history of failure at school, problems at work, failed relationships and traffi c accidents. Like teens, adults with ADHD may seem restless and may try to complete several tasks as once, most of them unsuccessfully. They also tend to prefer “quick fi xes,” rather than taking the steps needed to achieve greater rewards. Treatment is very rewarding. The fi rst medications to be approved by the FDA belonged to a non-stimulant group of medications: Atomoxetine. The FDA later approved stimulants such as methylphenidate and mixed amphetamine salts. Group delivered cognitive behavioral therapy is recommended in some cases as a supportive treatment. If you or someone you know may have Adult ADHD, call Johns Creek Family Medicine at 770-771-6591 and schedule an appointment with Dr. Zack Charkawi.

ADHD – not just in children anymore

PAID ADVERTORIAL

Stress, it’s every-where! What can you do about it? Some-times nothing, some-times little things. Stress is now known to contribute to serious health conditions like high blood pressure, weight gain, insomnia, depression, anxiety, and others. Our current stress levels are appar-ently 1000% more than 100 years ago. And stress comes in various forms: physical, mental and physiological.

Regardless of the source of stress, the body’s response is exactly the same. This is known as the general adaptive rule. When the body is under too much stress, it releases a stress hormone called cortisol. Along with cortisol come certain brain chemicals called neu-rotransmitters. Between cortisol and the neurotransmitters, these can have an effect on the heart, lungs, blood vessels, brain, kidneys, stomach, and pancreas; causing all kinds of symp-toms.

But you can protect yourself from the effects of stress. Think of stress

as if it is the weather...it happens. If it is raining outside, you can’t stop the rain. But you can either decide to stay indoors or protect your-self by wearing a rain-coat and boots. There can be a choice. Much of stress has to do with the ability to control the events that happen around you. You can control some of those events, and some you can’t.

If under stress, con-sider removing yourself from it. Easier said than

done sometimes. Natural products that help the brain from the deluge of cortisol and neurotransmitters during stress can be L-theanine, magnesium (works as muscle relaxant too), cham-omile tea, valerian root, aromatherapy, holy basil and passion flower are just a few. Other ways to reduce cortisol is to use it up: go for a walk, get some physical activity, or talk with someone about the situation. Don’t bottle it up!

For more information or help with medical conditions associated with stress, contact SomaNu Health & Wellness at 678-242-0204.

Don’t let the Holiday Stress get the better of you

Call today for pricing & info! 770-442-3278 x100 319 North Main Street • Alpharetta

[email protected]

Put it in the paper! Your Engagement, Wedding, Anniversary, Birth, or Graduation!


Conventional Depression Treatment can often involve prescriptions with uncomfort-able side effects or years of expensive psychotherapy. There is now an innovative new therapy known as TMS which is completely painless and requires no medication. The Georgia TMS Clinic in Ro-swell is now open and offering this breakthrough treatment.

TMS Therapy uses highly focused, pulsed magnetic fields similar in type and strength to those produced by an MRI machine to stimu-late the parts of the brain that regulate mood. Dr. Richard Hunter, the Clinic’s Neuro Psychiatrist says, “These impulses are spread through the brain both chemically and electrically and this seems to reset some sort of emotional thermostat we have.”

A treatment coil is applied to the head just above that

emotional thermostat. The left pre frontal cortext. “The pre frontal cortex has con-nections down deep into the brain to the emotional system. Which is called the Limbic System. The Limbic System in turn feeds out to the tem-poral lobes which additionally have to do with emotion and depression.

Steve Sheldon is not just the owner of the Georgia TMS Clinic, he’s also a patient.

“I really didn’t think there was any hope for me. And when this came a long it provided that hope, and six weeks later it put me in a place where I’m so much bet-ter off than I was.”

TMS Therapy has helped thousands of men and women who have not benefited from traditional therapy or medica-tions.

“I was numb, I gained weight, I felt disconnected from myself and from my fam-ily; from my world. It was noth-ing short of a miracle when my sister called to tell me she found an ad for a non inva-sive, non drug therapy for de-pression called TMS Therapy.

Get your life back!New technology for freedom from depression

See TMS, Page 8


By: LISA GrAHAM, rN, BSN, CDE, Northside Hospital Diabetes Education Program

Between the cookies, egg-nog and pie, the holidays can be the most difficult time of the year to stick to a healthy diet.

The good news is that we tend to overestimate how much weight we’ll likely gain during the holidays. Accord-ing to the Academy of Nutri-tion and Dietetics, most peo-ple gain less than one pound during the holiday season.

The bad news is that even though this may not seem like a lot, these pesky pounds re-ally add up over the years, leading to obesity and other life-threatening diseases such as diabetes and heart dis-ease. Preventing weight gain is much easier than trying to diet afterward.

Here are a few tips to con-trol your sweet tooth and your waistline around the holidays.

Bring a healthy entrée or appetizer. It will ensure that you have a healthy and deli-cious option when you are a

party guest and you may even encourage others to practice healthy eating habits too.

Never skip meals during the day. Saving up for that special evening buffet by not eating usually results in over-eating. A small snack, such as a handful of nuts, before the festive dinner will help you not to overeat.

Focus on people rather than food. Remember, family and friends are the reason for the season!

Choose one small des-sert and enjoy it—that’s part

of enjoying food!Sit down to eat. Empha-

size conversation and social-izing instead of the food. We don’t realize how much we have eaten when we pick at food while standing.

Don’t drink your calories. Eggnog, punch and mixed drinks contribute a large amount of calories – often 500 calories per cup. Stick with water, diet sodas, light beer and wine spritzers instead. In addition, drink lots of water – at least eight cups a day to stay hydrated.

Stay active during the holidays. Get the kids outside playing ball, plan an ice-skat-ing trip or take a walk after the holiday meal.

Plan ahead. If you are choosing a dessert, cut back

on other sources of carbohy-drates such as breads, casse-roles, and sweet potatoes.

New Start, Weight Smart (Robyn this class is only of-fered at this time in Atlanta. It is not offered at any of our other locations)

Northside Hospital offers a weight loss program to help you reach your nutrition and weight loss goals. The com-prehensive program combines nutrition, behavior and fitness assessments with motivational education sessions designed to help you achieve maximum success. For more information call (404) 851-6023.

To access additional infor-mation and resources on dia-betes and nutrition, visit www.northside.com/healthcast/nu-trition.

Controlling Your Sweet Tooth During the Holiday Season

In an emergency, experience matters

Emergencies happen. And when they do, rest assured that

you’ll get the best care close to home. Northside’s board-certified

emergency medicine physicians and Pediatric Advanced Life Support (PALS)

certified nurses are just right up the road. We hope we don’t have to see

you, but if we do, you’ll be in the best possible hands.

Visit us online at www.northside.com.

Here’s why there are no excuses: Colon cancer is a preventable form of cancer, often curable when detected early, yet is the number two cause of death in the U.S. The American

College of Gastroenterolo-gy and The American Cancer Society recommend that co-lon cancer screenings begin at the age of 50. However, if there is a history or risk fac-tors in your family, it is rec-ommended that you get the screening at least 10 years prior to the age when the fam-ily member was diagnosed. A colonoscopy is a quick, outpatient procedure and will remove any potentially pre-cancerous polyps that are identified. Don’t make any ex-cuses, make an appointment. Call 678-475-1606 or contact www.advgastro.com.

Advanced Gastroenterol-ogy Associates, Brian Hudes, M.D., Medical Director.

If you are over 50, there are no excuses

Hudes


Recent studies validated that massage really does work to ease those sore muscles after a tough workout. Just 10 minutes can reduce inflamma-tion, which can help your body recover.

However, the health ben-efits of touch extend beyond simply soothing aches and pains. Of course, the stressed-out have been proponents of the anxiety-busting procedure for decades. But a growing body of research suggests that

a rubdown is even better for you than you think. Here are a few of the health benefits of massage.Manage Anxiety And Depression

For the same reasons that a massage is relaxing, it can also soothe anxiety and depression. Massage reduces levels of the stress hormone cortisol, result-ing in lifted spirits and often-lower blood pressure. It can also boost the neurotransmit-

ters serotonin and dopamine, which are involved in de-pression.Ease Pain

Eight out of 10 Americans will ex-perience debilitat-ing back pain, at some point, but a massage can help. According to a 2011 study, massage helped people in pain feel and function bet-ter compared to people who didn’t receive any mas-sage treatment. Massage has also been linked to de-

creased stiffness and pain, as well as better range of motion in people with osteoarthritis.Curb Headaches

Just like muscle and back pain, headaches can also be alleviated thanks to massage. A regular rubdown can reduce a person’s number of migraines or tension headaches accord-ing to WebMD, as well as limit how painful each migraine feels, according to the TRI. Improve Sleep

If you’ve ever dozed off on a massage table, you don’t need to be convinced that a massage can promote healthy sleep. A number of studies have exam-ined this link, and chalk it up to massage’s affect on delta waves, the kind of brain waves connected to deep sleep, ac-cording to Health magazine.Beat PMS

At least one small study

found that massage can kick pesky PMS symptoms, like bloating and mood swings, to the curb.raise Alertness

Want to boost your brain-power? Adults who were given a 15-minute chair massage in a Touch Research Institute (TRI) study were more alert.Save Face

A little prodding in the right places can even have beauty benefits. “Massage increases blood flow, which plumps up slack skin, encourages lym-phatic drainage (the shuttling of toxins out and away from

cells so that more nutrients can travel in).Ease Cancer Treatment

Because of many of the benefits listed above, massage is particularly helpful for people living with or undergoing treat-ment for serious illnesses, like cancer. Various studies have shown that massage can re-lieve fatigue, pain, anxiety, de-pression and nausea in cancer patients.

Visit any of our locally owned LaVida Massage loca-tions. Visit Atlanta.LaVidaM-assage.com to find a location near you.

Massage Benefits: Healthy Reasons from LaVida Massage


I have a 4 year old son who refuses to potty train. I have tried everything and nothing seems to work. What am I do-ing wrong?

Under the Gun in Duluth

Dear Under the Gun,I do not believe you are

doing anything wrong. Some

children, especially boys, take longer time to potty train. Many boys prefer to play rather than go potty! If he has never been potty trained, waiting until 6 is the optimal time to check for a urinary tract infection or diabe-tes. Things to help potty train children would be regular or frequent trips to the bathroom during the day. Also, you can limit his fluid intake before go-ing to bed at night. You might also consider waking him up 2 hours after going to bed to potty. These should help with his bedwetting. Encourage his

good behavior and discourage his mis-takes. However, you do not need to punish him. Though this may seem like a big deal now, it usually resolves itself as the brain ma-tures. There are a few children who still wet the bed late into their teen years. If you continue to have con-cerns, please do not hesitate to see your child’s pediatrician.

Sincerely,Dr. Joan

Dear Dr Joan,

I had no side affects, I didn’t

feel an upset stomach. I had no dizziness, no tiredness. I drove myself back and forth every day, it was rather sim-ple.” Says Marsha R., who is now free from depression.

This non invasive treat-

ment is FDA Approved and Blue Cross/Blue Shield is ap-proving some treatment. For more information you can go on line to GATMS.com to schedule a free analysis. Or call 404 665 4043.

TMS:Continued from Page 5

By Dr. JoHN A. WEBSTEr

Many families consider chiro-practic care for children a routine and common practice. Dr. Gerald W. Clum, of the Foundation for Chi-ropractic Progress, states that “Many chiropractors and parents appreci-ate it as an important element of a healthy lifestyle and an orientation to wellness in general. With adults or children, if the chiropractor finds re-stricted motion or other imbalances when examining the spine, or other joints, then a chiropractic adjustment is appropriate.”

Almost every nerve in the body travels through the spine. Misalign-ments in the spine can interfere with the nerve conduction to any part of the body. Misalignments of the spine are often found in children who suffer from chronic earaches. An impaired nerve supply can make their inner ear and eustachian tubes susceptible to fluid buildup or infection. Restoring proper nerve supply through chiropractic adjustment has been shown to improve these conditions.

The benefit of chiropractic adjustments continues through the growth cycles of child-hood and adolescence. Regardless of their age, a nervous system free from impairments

gives your child the opportunity to be their very best.

Dr. John A Webster has over 28 years of experience in Chiropractic Care and sees

patients at Roswell Health and Injury Center, 11490 Alpharetta Hwy, Ste. 100.

770-442-3343

Chiropractic Care for Children is a Healthy, Routine Practice


Perimeter North Family Medicine has been serving the Johns Creek area since 2004. Prior to that, our of-fice was located in Duluth. We are part of a large practice that has 4 offices in the Atlanta area, with another sched-uled to open in the spring/summer of 2012. Our hospital affiliations are with Northside Hospital and Emory Johns Creek Hospital.

We offer all of the services needed to keep you and your family in perfect health. We believe that it is important to have a family physician who knows you, your family, your history, and all of your current medications. Once you choose your personal primary care physician, you will be starting a relationship that will provide you with specialized care, whether it is a sore throat, or an emergency.

All of our physicians are board cer-tified in Family Medicine, and adhere to the highest standards of medical care. We treat both genders and all age groups, including children and ge-riatrics with or without Medicare. We have Doctors on call 24 hours a day to answer your after hours needs.

Our office is open on weekdays from 7:30 until 5:00 pm, and two Sat-urdays each month. We don’t believe anyone should call and be sent di-rectly a nurse’s voice mail, so we have friendly, knowledgeable patient care representatives on staff to direct your call and help you with your immediate

needs. We know that our patients lead busy lives, so we do our part by call-ing you with a reminder when you are due for a follow up visit or your annual physical.

Our central scheduling office is open from 8 am to 5 pm for appoint-ments. They will schedule or change appointments and call you a day or two in advance with a reminder. Cen-tral scheduling can be reached at 770-395-1130.

We offer: Complete Physicals, An-nual Wellness Visits for Medicare pa-tients, Immigration Physicals, Sports Physicals, Well Child Checks, Paps, Immunizations, Travel Immunizations, and Routine Sick Visits.

We are located at 4375 Johns Creek Parkway, Suite 320, Suwanee,

Georgia 30024, 770-623-7576, www.pnfm.com

Perimeter North Family Medicine

Losing weight and keeping it off:

Many Americans vow each Janu-ary that this will be the year they lose weight. And for those who do lose, the challenge becomes maintaining that new weight in a culture that has supersized food portions and has us moving less. On top of that, we’re all being told we should eat healthier diets. It can be so confusing that you just want to rip open a bag of chips and forget about it. But don’t. Studies show that better nutrition and control-ling your weight are keys to improving health.

As a bariatrics leader among metro Atlanta hospitals, GMC-Duluth’s Cen-ter for Surgical Weight Management offers these tips, which are appropri-ate for everyone who wants to control weight and amp up nutrition:

1. Watch portion size – Portions have ballooned in America. A cup of coffee used to be six ounces; a steak, three or four ounces.

2. Use a smaller plate – We’re programmed from childhood to fill our plates and eat all that’s on

it. Instead use a smaller plate. And don’t let yourself go back for seconds.

3. Eat breakfast – Eating a small meal with some protein and fiber can give you more control over your appetite the rest of the day.

4. Protein first – Plan your meals around lean protein, and eat your protein first.

5. Vegetables second – Fill half your plate with vegetables for a variety of vitamins, minerals and fiber.

6. Whole grains third – Swap white carbs for whole grains, like brown rice or whole wheat pasta. These give you more fiber and minerals, and help you feel satisfied longer.

7. Eat mIndfully – Stop eating in the car, at your desk or in front of television. Set the table and dine with others. Really taste your food. Talk about your day together. Mealtime is about both the nutrition and the company.

8. Move more- While planned exercise keeps our hearts healthy and bodies strong, being more active is key to weight management. Walk more, sit less.

You can make 2013 the year you transform your life for good. If you find that dieting and exercise alone aren’t the answer for you, bariatric surgery may give you the tool you need for success.

The comprehensive weight man-agement program at GMC-Duluth’s Center for Surgical Weight Manage-ment can assist patients in achiev-ing significant weight loss, long-term weight maintenance and improvement in obesity-related medical conditions.

ThE pRogRam inCluDEs

• Information seminars• Clothing exchange closet• Fun physical activity classes• Massage therapy services• Nutritional counseling and

classes• Long-term support and life

coaching classes

To learn more, visit gwinnettbariat-rics.org. Here you will find dates and times where you can attend a free in-formation session with the Center’s Medical Director Robert Richard, M.D., FACS, or participate in an online semi-nar. To speak with someone about bariatric surgery, please call 678-383-4881.

Eight Tips from GMC-Duluth’s Center for Surgical Weight Management

december 2012 health and wellness

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weight loss goals

new health goals

illfitting dentures

weight gain

weightloss resistant

medical weight loss

unnatural looking dentures

weight isnt difficult