Health

Looking at Evidence Supporting Dental Procedures from Cochrane Systematic Reviews

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An interesting article titled “Is the Evidence Supporting Dental Procedures Strong? A Survey of Cochrane Systematic Reviews in Oral Health” by Clovis Mariano Faggion Jr. appears in J Evid Base Dent Pract, vol. 12, pp. 131-134, 2012. The article sets out to explore Cochrane systematic reviews and whether or not they provide useful information for use in dentistry. The author set out to look at the quality of evidence for Cochrane systematic reviews published in dentistry. The evidence was considered inadequate when authors described weak or insufficient evidence or when no studies were selected for the review. A total of 120 systematic reviews were looked at for 20 topics. The author did have some creative interpretation to assess the reviews. He states: “The full text of articles was, however, scrutinized to assess the risk of bias of included primary studies; methodological … Read more

Improving Patient Safety: Updates on Oral and Maxillofacial Surgery

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In a recent blog post I discussed how a few new videos have appeared in recent months related to oral and maxillofacial surgery Videos Related to Oral and Maxillofacial Surgery. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has also updated several sections of their website in the last year or so. They now have a section titled Orthodontics and Oral Surgery where they have videos related to showcasing various techniques that oral and maxillofacial surgeons and orthodontists perform. In addition they have updated and written a new page titled “Culture of Safety“. The page is a welcome addition and discusses how safety is the number one priority in the oral and maxillofacial surgery office. Now I wanted to take a moment to respond to this page and some other developments I have seen lately across the blogosphere. 1) … Read more

Herbs in Dentistry

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In a previous blog post I talked about Using Adaptogens to Help Reduce Stress and discussed 8 different herbs that were reviewed in a 2010 journal article to help reduce stress. The use of herbs is also beneficial for migraine, for example, see this post Daily Preventative Therapies Can Reduce Migraine. Recently I came across the article “Herbs in Dentistry: Evidence-based herbal medicine” appearing in Dental Abstracts, vol. 57, issue 6, pp. 305-307, 2012. The article mentions the use of echinacea mouthwash which when combined with peppermint oil, sage, menthol, and chamomile is effective in gingivitis and periodontal disease. Further, this combination has shown to be effective against colds and flu. The article mentions the possible use of aloe vera  “Aloe vera gel is as effective as prednisolone and indomethacin, without these agents’ long-term toxicity… Uses of aloe vera include … Read more

Market Interaction Erodes Moral Values

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An interesting article appears in Science in May 2013, titled Morals and Markets (A. Falk, and N. Szech.vol., 340, pp. 707-711). The article sets out to explore how market participants change their attitudes towards harm and damage done to third parties. The act of producing and trading goods in a market produces negative externalities that can lead to exploiting the workforce through poor working conditions, child labor, and environmental damage. It has been observed that people who participate in markets buy goods without much regard to their own moral standards. The researchers devised an experiment to show that if people participate in markets than their moral standards are lowered. The researchers state “Our paradigm for studying moral values and detrimental effects on third parties is the trade-off between a mouse life and money. In our main treatments, human subjects faced … Read more

Justice and Fairness in the U.S. Healthcare System

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An interesting article appears in the Fall 2012 issue of the “The Journal of Law, Medicine & Ethics” titled “Justice and Fairness: A Critical Element in U.S. Health System Reform,” written by Paul T. Menzel. In the article Paul discusses how unfettered competitive markets in health insurance generate market failure. The market failure of course is the fact that in an unfettered competitive market, health insurance will inevitably be out of reach for many (even most) of those who desire and need it most. In the article Paul discusses a term he coins the Just Sharing principle “The financial burdens of medical misfortunes ought to be shared equally by well and ill alike, unless individuals can be reasonably expected to control those misfortunes by their own choices.” Paul goes on to say “Just Sharing is incompatible with pre-existing condition exclusions, … Read more