dentist

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

Seventeen Year Old Minnesota Teen Dies After Wisdom Teeth Extraction

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A few weeks ago in June, 2015, a 17 year old Minnesota woman died about a week after having wisdom teeth surgery. Near the end of the wisdom teeth surgery her blood pressure increased, her pulse dropped, and she went into cardiac arrest. She then was transferred to a hospital and suffered from seizures and swelling in her brain until passing about a week later. It is not clear what caused the death to occur. She could have possibly had an undisclosed heart condition that has occurred in other cases. It is possible for a patient to only become aware of an asymptomatic and abnormal heart rhythm once they come in for a surgery. I have discussed other deaths from wisdom teeth removal on this website (see http://www.teethremoval.com/death.html). Based on numerous studies and publications I have said that around 1 … Read more

Dental Emergency: What You Need to Know to Handle the Situation

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It’s interesting how when it comes to an emergency, some people don’t find their oral health as important as the rest of their body. When anything in your mouth becomes broken or damaged, the implications can be quite serious, even if it seems like the situation can be easily managed at home. A tooth that breaks might not even hurt if no nerve endings have been exposed, so it feels like it’s something that can be dealt with at a later stage. But should you wait? Advances in dental technology means that even fairly major issues can be remedied if you act quickly. The simple fact of the matter is that any changes to your teeth, gums, or soft tissue inside your mouth should be examined by a dentist as soon as possible, and it’s not wise to delay. So … Read more

Nutrition is Important for Oral Health

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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. … Read more

Improving Value: Prespectives from Oral Surgeons

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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 … Read more