Nutrition is Important for Oral Health

The Academy of Nutrition and Dietetics has published a position paper on oral health and nutrition which looks at the current research literature to support that nutrition is an important component of oral health. The paper promotes the view that dietitian nutritionists should collaborate with oral health care professionals to help in disease prevention. The paper states “Oral health and nutrition have a synergistic multidirectional relationship. Oral infectious diseases, as well as acute, chronic, and terminal systemic diseases with oral manifestations impact functional ability to eat as well as diet and nutrition status. Likewise, nutrition and diet can affect the development and integrity of the oral cavity as well as the progression of oral diseases.” The paper was published in the the Journal of the Academy of Nutrition and Dietetics in May 2013, and is available for download at http://www.eatright.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=8426. The paper suggests that health care professionals should discuss the importance of food choices to help ensure the best oral health possible. The paper encourages nutritionists to educate their patients and clients about the important aspect of nutritional health and how it can to lead to better oral health. The paper suggests that eating fresh fruits, vegetables, and dairy foods […]

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Improving Value: Prespectives from Oral Surgeons

An interesting editorial appears in the 2014, issue of the Journal of Oral and Maxillofacial Surgery titled “The Value of Improving Value,” by James Hupp (pp. 843-845, issue 72). In this Dr. Hupp presents a formula for patient value Value = A(Q + PS)/C A = appropriateness, Q = quality, PS = patient satisfaction, and C = costs The author states “First, one can improve outcomes while keeping costs the same. Second, one can decrease costs while keeping outcomes the same. Or third, both outcomes and costs increase, but outcomes per unit of cost improve.” In the article the author discusses how in the past, value in health care was really just about cost cutting. Clinical outcomes were not really taken into account. Now that health care outcomes are being considered, physicians need to find ways to measure value using the new equation. Dr. Hupp describes an antidotal example of a group of Swedish orthopedic surgeons who discuss hip replacement strategies at a meeting and share their outcomes data. From this they saw some surgeons had better outcomes and attempted to learn why those surgeons had better outcomes. Dr. Hupp points out that sharing outcome data and then using this to […]

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High Acid Drinks Can Damage Teeth

So I have previously written about how sports and energy drinks can cause permanent tooth damage. See the post http://blog.teethremoval.com/sports-and-energy-drinks-can-cause-permanent-tooth-damage/ where it is mentioned that the high acidity levels in the drinks erode tooth enamel. Similar sentiments are echoed in a more recent article titled “Three-dimensional profilometric assessment of early enamel erosion simulating gastric regurgitation,” appearing in the Journal of Dentistry in 2014 written by Chelsea Mann and et al. The researchers in this more recent article present results to show that lifelong damage is caused by acidity to teeth within the first 30 seconds of an acid attack. The researchers state that dental erosion is often detected clinically after extensive tooth wear has already occurred. Furthermore, the researchers state that drinks high in acidity like sports drinks, soft drinks, and fruit juice when combined with night time tooth grinding can cause major and permanent damage to teeth. The researchers also discuss a triple threat: where those under age 20 consume drinks high in acid, grind their teeth at night, and also have an undiagnosed regurgitation. The researchers encourage parents to keep an eye on how much fruit juice, sports drinks, and soft drinks their children consume. The researchers say that even […]

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When Should Children Start Using Fluoride Toothpaste?

There is some conflicting information about when children should start using fluoride toothpaste. Studies have suggested that young children who consume large amounts of fluoride through fluoridated water, beverages, and toothpaste have an increased chance of developing mild enamel fluorosis see http://blog.teethremoval.com/large-amounts-of-fluoride-consumed-by-young-children-leads-to-fluorosis/. Hence some felt that not using any fluoridated toothpaste when a child was young was the better choice, whereas some felt that that using a small amount of fluoride toothpaste was okay In 2014, the ADA’s Council on Scientific Affairs updated its guidance on the use of fluoride toothpaste for children. The new guidance is that children’s teeth should be brushed with fluoride toothpaste as soon as the first tooth comes in. The idea is to provide children with the full benefit of cavity protection while also minimizing the risk of the development of fluorosis. The ADA’s Council on Scientific Affairs based their guidance on a systematic review of the evidence. They feel a smear of toothpaste with fluoride for children under 3 and a pea size amount of toothpaste with fluoride for children 3 to 6 will help prevent cavities and is less likely to cause fluorosis. Furthermore, children should spit out any toothpaste as soon as they […]

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Should You Have a Dental Extraction Before a Cardiac Surgery?

An interesting article titled “Morbidity and Mortality Associated With Dental Extraction Before Cardiac Operation,” appears in the March 2014, journal The Annals of Thoracic Surgery (vol. 97, issue 3, pp. 838-844). The article is conducted by researchers from Mayo Clinic. They found that people who had planned dental extraction before cardiac operation are at risk for major adverse outcomes, which included a 3% risk of death before cardiac operation and included an 8% risk of a major adverse outcome including stroke or kidney failure. In many cases problem teeth are extracted before surgery with the thought being that they will reduce the risk of an infection occurring such as endocarditis which is an infection of the inner lining of the heart. Prosthetic heart valve-related endocarditis results in about 25% of infective endocarditis cases and is fatal in up to 38% of patients who develop it. Medical guidelines demonstrate a lack of conclusive evidence for removing disease teeth before surgery as a preventative measure. Researchers set out to determine if removing infected teeth before surgery really is the safer intervention then leaving them in. Patients in this category represent a complex patient group as many of the patients who have dental […]

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