teeth

The History of Dental Pain Management: The Progress That Has Been Made

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This is a guest article by Dr. Justin Clemens. Within the past 30 – 40 years, it has become increasingly popular to sedate patients to have dental work completed. Although this seems like a long time, in the sense of medicine and dentistry, it really isn’t. This is where the true melding point of medicine and dentistry occurred. Let’s take a little trip in time to see where we began in dentistry to help us better understand where we are now in terms of pain management. The most recent of what we would call “modern dentists” were more like “tooth mechanics”. They were simply drill and fill or just yank it out with no numbing at all. This was until the advent of cocaine in the late 1800s. It is from cocaine that we derive all of our synthetic local anesthetics with … Read more

Preserving Research Funding in Dentistry

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An interesting article titled “The vital role of research funding in preserving the oral health of the public and the dental profession,” appears as a guest editorial in the June 2015, issue of JADA and written by Maxine Feinber and et. al. The article discusses how it is critical that investments in dental, oral, and craniofacial research continue in the United States to help improve the nations oral health. The article states “…oral diseases persist on a scale that is poorly understood and wholly unacceptable… 3.9 billion people had oral conditions, with untreated dental caries in permanent teeth the most prevalent disease, affecting 35% of the world’s population….1 in 5 Americans is afflicted with dental caries…” The article says that around 4% of health care spending in the U.S. is for dental services. Even so we know little about oral disease and … Read more

Are Dentists Not Busy Enough?

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An interesting article titled “Solving dentistry’s ‘busyness’ problem” appears in the August 2015 edition of JADA and written by Marko Vujicic. The author states that nationally (U.S.) around 1 in 3 dentists say they are not busy enough. This differs by state and whether or not the dentist accepts Medicaid. The author states that the number of working age adults who have seen a dentist within 12 months has been declining over the past 10 years. In addition, inflation adjusted dental spending has been flat for several years. So the demand for dentistry is declining. The author also states that the number of dentists has increased over the last 10 years. So decreasing demand and increasing supply creates a problem for dentistry. Even so the author feels that dentist utilization by seniors will increase over the coming years and dentist utilization … Read more

Treating Gum Disease Reduces Prostate Symptoms

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Researchers have shown that treating gum disease can lead to a reduction in prostate inflammation or prostatitis. Previous research has shown there is a link between gum disease and prostatitis. The research was conducted at  Case Western Reserve University School of Dental Medicine and the Departments of Urology and Pathology at University Hospitals Case Medical Center. The research appear in a journal article of Dentistry titled “Periodontal Treatment Improves Prostate Symptoms and Lowers Serum PSA in Men with High PSA and Chronic Periodontitis.” The study included 27 men who were ages 21 and older. Each man had had a needle biopsy within the past year that showed inflammation of the prostate gland and elevated prostate specific antigen (PSA) levels. The men all were asked questions on the International Prostate Symptom Score regarding their quality of life and if they had any urination … Read more

Modern Britons Have More Gum Disease than Roman Britons

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A study of skulls at the Natural History Museum by King’s College London has shown that the Roman British population from 200 to 400 AD appears to have had less gum disease than we have today. Gum disease is also known as periodontitis and has been covered before numerous times on this blog. The researchers examined 303 skulls from a Roman-British burial ground in Dorset for evidence of dental disease. Around 5% of the skulls showed signs of moderate to severe gum disease compared to today’s population which shows around 15 to 30% of adults have gum disease. Many of the Roman-British skulls showed signs of infections and abscesses and around half had caries (cavities). In addition the skulls showed extensive tooth wear from a young age likely due to their diet. The researchers say that Roman-British population did not … Read more