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% … Read more

Bacteria and Fungus Can Team Up to Cause Cavities

An interesting article titled “Symbiotic relationship between Streptococcus mutans and Candida albicans synergizes the virulence of plaque-biofilms in vivo,” appears in the February 2014, edition of Infection and Immunity, written by Megan L. Falsetta and et al. The article describes how although Streptococcus mutans is often cited as the main bacteria in dental caries (cavities), particularly in early-childhood caries (ECCs), it may not act alone and may team up with Candida albicans. The infection with both can double the number of caries and increase their severity as it did for rats in the study. Candida albicans adheres mainly to the cheek and tongue, while Streptococcus mutans sticks to the surfaces of teeth by converting sugars to a sticky glue-like material called extracellular polysaccharide (EPS). The researchers found that the exoenzyme that S. mutans uses to react with sugar to produce EPS also … Read more

Few Children Under 1 See a Dentist

Unfortunately, new research has shown that few children under the age of 1 are seeing a dentist. This was touched on in an earlier blog post over at https://blog.teethremoval.com/will-health-care-reform-result-in-more-dental-visits/ where it was mentioned that for children between ages 1 and 4 around 60% of them have seen a medical doctor (physician) during the year, but not a dentist. The new research appears in an article titled “Factors Associated With Dental Care Utilization in Early Childhood,” by Denise Darmawikarta and et al. which was published online in Pediatrics in May 2014. The study looked at 2505 children in Toronto, Canada, who were seen for primary health care between September 2011 and January 2013. The study was past of TARGet Kids (The Applied Research Group for Kids), a collaboration between doctors and researchers from St. Michael’s Hospital and the Hospital for Sick Children in … Read more

Fluoride in Water Does Not Lower Intelligence

An interesting article titled “Community Water Fluoridation and Intelligence: Prospective Study in New Zealand,” appears in the 2014 edition of the American Journal of Public Health by Jonathan M. Broadbent and et. al. The researchers set out to explore whether or not having fluoride in water that one drinks when they are young and age effects the developing brain negatively. The researchers followed nearly all aspects of the health and development of around 1,000 people born in Dunedin in southeast New Zealand in 1972-1973, up to age 38. The researchers compared IQs of those who grew up in Dunedin suburbs with and without fluoridated water. Furthermore, if one used fluoride toothpaste and tablets the researchers used this in their analysis. The researchers focused on fluoride expose during the first five years of life as this is a critical period of time … Read more

Periodontal Disease and Cardiovascular Risk

In a post many years ago I discussed Patients With Moderate To Severe Periodontitis Need to Be Evaluated For Cardiovascular Problems. In a new study, periodontal disease has again been looked at as a risk factor for cardiovascular disease. In the study conducted, more than 15,000 patients with chronic coronary heart disease gave information on their dental health with results showing periodontal disease indicators were common. The study included self reported dental health information from the STABILITY trial, a clinical trial with 15,828 participants from 39 countries all with chronic coronary heart disease and a risk of cardiovascular disease.  All study participants had a physical exam and blood work up, and completed a lifestyle questionnaire. They reported their remaining number of teeth and frequency of gum bleeding. The results indicated a high prevalence of tooth loss with 16% reporting having no … Read more