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Dental Health - Science topic

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Despite the improvement in oral dental health in several countries which can be achieved through the use of fluoride measures, caries incidence is still widespread and is a cause of concern in many countries. Although fluoride has had an effect on caries prevalence but it is not eliminate caries totally. dental caries and periodontal disease are affected by several and different factors that it will need to work against the effect of them to achieve their prevention.
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As mentioned above, caries is a multifactorial disease and several risk factors not just genetics (as the quality of saliva) but also enviromental, cultural and behaviour riskfactors must be considered. Caries is not caused by the absence of fluoride or fluoride toothpaste, as in many developing countries. Both at population level but mostly at individual level the causative risk factors of the desease must be indentified. In many cases is our life-style changes, behaviour risk factors are the cause. We are not seeing, unfortunately, a decrease in sugar intake for example (as it increases in every country). We see in increases incidence in caries amongst children here in Sweden.
Periodontal disease, the incidence is rather stabile among the population.
In both cases, these diseases are preventable, and for me as a health practitioner the most important is to teach people, individuals how to achieve a healthy lifestyle, helping them to adapt and practice healthy behaviours, change poor habits but also monitor and support those at high risk of the disease.
Working daily with health promotion my goal is for the individual to develope healthy habits early in life (but as we know is never to late to make a change), and maintain them to old age.
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For busy researchers who also have versatile medical knowledge, how much do you pay attention for your own dental health, as compared to your overall health care?
Please choose :
1 More attention to dental hygiene?
2 Same?
3 Or do you focus more on your overall health care?
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Thanks dear colleagues for your comments.
I am focusing more on the dental health lately, and I do advice to pay attention for it since early years.
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The article is a review article. The main topics covered are the safety of usage of non-nutritive sweeteners in diabetes management, obesity and cardiometabolic risks, dental health etc.
The article aims at creating awareness regarding the non-nutritive sweetener use in the middle east region and provides recommendations.
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Guta Bulbula Any suggestions for the journal ?
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role of sugar has been well documented in causing dental caries. what are the new paradigms on this domain...
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To the best of my knowledge in 2013, according to WHO consumption of sugar by adult should not exceed 20 kg /person/year.... that can be translated as near 10 tea spoon a day, however consumption of single soft drink was enough to achieve that.... Later WHO recommended it to be 10 kg per person per year, Now ideally it is said that energy from free sugar should be avoided and it should be 0 kg .
In dental practice, It is necessary to give dietary advice to patients? How many dentist know that? or doing that significantly, needs to be monitored through research.
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The partial impacted or fully impacted third molar significantly increase the incidence of mandibular angle fractures and decrease the incidence of condylar fractures. Due to the potentially challenges to the surgeons also more serious complications associated with condylar fracture, should the clinicians carefully consider the decision of mandibular third molar extraction?
How about the opinion that said, "the early removal of 3M is suggested to prevent the risks inherent in maintaining these impacted teeth as well as to limit future surgical risk and difficulties"?
How can we calculate the benefits and risks?
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I enthusiastically support the prior two comments. Data strongly suggest that the odds of creating problems that did not exist initially go up when asymptomatic third molars are routinely extracted. Dental insurance data for patients treated in the State of Washington support this finding.
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it is a questionary about Early Childhood  Oral Health Impact Scale.
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I need to know about the recommended washout period for chlorhexidine mouthwash used for cross over trials.
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Dear Mahesh Ravindra Khairnar
please check the link
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This is for a middle school science project.
When taking oral bacteria cultures before and after brushing/rinsing, for several subjects we observed more bacteria after brushing/rinsing than before.
A straightforward google search does not immediately turn up any explanations.
Any idea why?
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Ian, thanks.  That seems to us to be the most likely explanation. 
We actually tried four treatments: rinse with water, brush, and two different mouthwashes, across four subjects, with rotations/repetitions. In most of these, we saw very minimal bacteria before, and a small to notable increase after. 
We also hypothesized that the first swab didn't pick up what was present because it was dry, so we repeated the complete experiment but preceding the first swab with a light rinse with water... but the results were the same. 
I'm very interested in any other explanations, as well as any further experiment we can do to actually demonstrate the beneficial effects of the treatments.
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Ozonated products are used around the world. For example, now in Turkey ozonated toothpaste is unknown by all, but it will be accessible in the market soon. I wonder if the use of these products which will increase gradually in our country, only disrupts the balance of microorganisms in our body?
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woww incredible  :)
Universidad de La Habana
Centro de Investigaciones y Aplicaciones del Ozono
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I'm trying to make a compendium of many concepts of "dental caries" with different projections.
Thank you in advance and best regards.
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Thank you both of you.... was very helpful all... best regards
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I´m trying to analyse some LA-ICP-MS samples from teeth. Does anyone know how slice it for ablation?
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Hello, Prof K.Galil
Sorry to I bothered you. =)
I'm not a Dr., yet, although I'm finishing in a couple days. Yei! \0/ :)
I've been trying to get this book since I had started thinking of laser ablation (lol). But unfortunately, I was not able to get it from here, at my university.
I started work with ICP-MS 2 months ago, only, and everything is still quite new to me. :)
Anyway, thanks so much for your help.
My best wishes :)
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There seems to be no evidence how to successfully align a transmigrated mandibular canine.
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I think an important determinant of the treatment success is the position of the apex of the impacted canine. If the tooth is migrated from its origin position in the arch to a large distance then the treatment duration of morbidity will superced the expected outcome. A suitable alternative can be surgical autotransplantiion in the socket of decidious canine.
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Usually, the etiology for referred otalgia, teeth wise, are the lower molars.
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Mostly coming from lower wisdom teeth
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Parodontax is a new line to the oral health-care products from GSK. I would like to know your experience with this product. Please endeavor to send me personal messages for details you might feel unconformable about for revealing here for legal reasons.
Thanks!
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No study  related to hypertension and use of Parodontax has been carried out and It is assumed by GSK that the amount of sodium ingestion is not relevant.
However, the correlation between sodium ingestion and hypertension is  well established, and since you have other reliable alternatives on the market, in my opinion, there´s no need to add any amount of sodium ingestion to this particular type of patients.
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Basically, I am looking for resources that may help determine the likelihood that an individual would have, say, an abscess, given the fact they have severe carious lesions. Something that might give a "correlation coefficient" or something.  Thanks
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Hi Kevin,
This is an interesting question. I tend to agree with the previous comment.
I think that if you rephrase the question you will be able to find much more information. Looking for a correlation coefficient may be completely misleading as it would imply that only these two factors that are considered in this simple correlation analysis are the ones that have an effect on disease vs. health. Since you are referring to a multifactorial disease, such as dental caries, you would definitely want to control for known risk/protective factors such as age, diet, fluoride use etc.
It will be more accurate to look into odds ratios for disease as they derive from multivariate logistic regression models that can give you an estimate of association (OR), while controlling for various confounders. You can look on pubmed for multiple studies that have utilized this approach for analyses of NHANES data, or other large datasets.
Hope that helped.
Best,
George
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I would like to know if there exists some questionnaire for assessing the oral health needs in children.
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Aubrey or Paulina, is there a similar questionnaire specific for children with neurodevelopmental disroders? I am lookinf for one that may be used as a guide to reduce the number of General anaesthetics needed to be given to children with moderate to severe intellectual disability in order to monitor their dental health.
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In the clinical training courses, dental students are supposed to treat their first patients under supervision of the clinical assistants (teachers). How do you give feedback on the students' performance? Do you observe every step the student undertakes during treatment, including communication and hygiene?
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In some cases, I ask the student to write down 3 things that went well (and why they went well) and 3 things that need improvement (and why they need improving). This practice helps them reflect upon their practice and figure out ways to improve further practice.
Furthermore, every surgical procedure receives a written evaluation from the supervisor, which helps in assessing student level for end term evaluations.