Looking Forward in The Dental Market

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An interesting article appears in the November 2014 issue of The Journal of the American Dental Society by Marco Vujicic titled “The invisible hand and the market for dental care.” In the article the author opens by discussing Adam Smith’s invisible hand and that it is better than central planning and regulated prices. The author then discusses the supply and demand of dental services from 1993 to 2012. In the article, 3 distinct periods of dental care from 1993 to 2012 are described. The first period was from 1993 to 2002 when dental care was growing steadily at about 4% per year in real terms while the supply of dentists remained constant. In this period dental incomes increased. From 2002 to 2008, dental spending grew at about 2% per year while the supply of dentists remained roughly the same. In this … Read more

Finding Relief From Headaches with Meditation

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According to research published in the journal Headache, meditation may help migraine headache sufferers. Researchers have known that stress can be a trigger for headaches but there hasn’t been a whole lot of research done to evaluate meditation and it’s benefits. The researchers set out to develop a study to assess the feasibility, safety,and effects of a yoga and meditation intervention known as mindfulness-based stress reduction (MBSR) in adults who suffer from migraines. In the study 19 adults were randomly assigned to 2 groups with 10 of the adults receiving MBSR and 9 receiving standard medical care. The participants attended 8 weekly classes in order to learn MBSR techniques and were told to practice 45 minutes on their own 5 days per week. The participants in the study were evaluated before and after the trial period using measures such as mindfulness, … Read more

Rheumatologic Diseases Can Initially Present Like Neurological Disorders

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Research appearing in the Current Neurology and Neuroscience Reports have shown that lupus and other rheumatologic disorders can initially present as neurological disorders such as headaches and seizures which can lead to a few months of a delay in proper diagnosis. Rheumatologic diseases include autoimmune and inflammatory disorders of the joints and soft tissues, such as systemic vasculitis, lupus, and ankylosing spondylosis. More than half of lupus patients have headaches and a third have migraines. Around 1.5% of lupus patients have a headache that is persistent, severe, and intractable and does not respond to narcotic medications. Up to 20% of lupus patients have seizures and 1/3 of lupus patients have cognitive dysfunction. Up to 20% of lupus patients experience mood disorders such as psychosis. Patients who have systemic vasculitis can have headaches, stroke like syndromes, seizures, and optic neuropathies. Around 1/3 of … Read more

Proper Dental Care Can Lead to Less Respiratory Infections in the ICU

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A study appearing in Infection Control and Hospital Epidemiology suggests that proper dental care can lead to less respiratory infections in the intensive care unit (ICU) of a hospital. The study was conducted by Brazilian researchers who used an observer-blind randomized clinical trial to analyze data from 254 patients who stayed in a ICU for at least 48 hours. The patients were randomized to receive enhanced dental care by a dentist or to receive standard oral hygiene by a nurse. Enhanced dental care included teeth brushing, tongue scraping, atraumatic restorative treatment, removal of calculus, extraction of teeth, and topical application of chlorhexidine 4 to 5 times a week. Regular dental care consisted of mechanical cleansing using gauze which was followed by chlorhexidine 3 times a week. The patients who received enchanced dental care were 56% less likely to develop a respiratory … Read more

Is Not Removing Wisdom Teeth Causing Harm?

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An interesting article titled “Is official advice about NOT pulling out wisdom teeth doing more harm than good?” appeared earlier this year in February 2015, on the DailyMail over at http://www.dailymail.co.uk/health/article-2946498/Is-NHS-causing-agony-telling-dentists-not-pull-wisdom-teeth.html and written by Cara Lee. The article questions whether or not the year 2000 guidelines from the National Institute for Health and Care Excellence (NICE) went too far with preventing wisdom teeth extractions in teenagers and young adults. In these guidelines NICE said that the practice of prophylactic removal of pathology-free impacted third molars should be discontinued in the National Health Service in the U.K. Hence only wisdom teeth with problems should be extracted. In the article on the DailyMail there is a discussion of a 31 year old male who never had wisdom teeth extracted in his teens. Now he needs his wisdom teeth extracted and the molars … Read more