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ADA releases dental report to Congress

preventive_dentistry



While the U.S. healthcare debate has focused on the Patient Protection and Affordable Care Act, other issues such as access to dental care were pushed aside. In response, the ADA created the Action for Dental Health movement to address barriers to dental healthcare. Now, after a year, the efforts and solutions offered by the action were gathered in a report to the U.S. Congress.



“Millions of Americans continue to face barriers to dental care, which is why the ADA launched Action for Dental Health.”

— Charles H. Norman III, DDS, president, ADA




To document the efforts being made through the program, the ADA released the first "Action for Dental Health: Report to Congress" during the ADA's annual Washington Leadership Conference, held this week in Washington, DC.



"Millions of Americans continue to face barriers to dental care, which is why the ADA launched Action for Dental Health," said ADA President Charles H. Norman III, DDS. "While we have accomplished much in the first year, there is still much to do. This 'Report to Congress' serves as a continued call to action for elected officials, health policy organizations, community leaders, and the dental community to come together to bridge the dental divide."



The ADA has set goals for Action for Dental Health, including the following:



Creating ER interception programs to reduce the burden on our nation's emergency rooms and improving dental health in 25 states by 2015, as well as 50 states and the District of Columbia by 2020.

Training at least 1,000 dentists to provide care in nursing homes, one of the most underserved populations, by 2020 and increasing the number of dentists serving on advisory boards or as dental directors of long-term care facilities.

Expanding programs that provide screening and treatment to help people in need connect with dentists for continuity of care and work to eliminate cavities in children younger than age 5 in the U.S. by 2020.

Improving the existing safety net and helping people connect with community resources and dentists who can provide care by increasing the number of states with active community dental heath coordinators (CDHCs) to 15 states by 2015. CDHCs provide dental health education and help people in underserved areas connect to community health resources and dentists for needed treatment. Currently, eight states have CDHCs.

Reducing the proportion of both adults and children younger than age 18 with untreated dental decay by 15% by 2020, exceeding the 10% Healthy People 2020 goal by 50%.

Increasing the proportion of low-income children who received any preventive dental services during the past year by 15% by 2020, exceeding the 10 % Healthy People 2020 goal by 50%.

The report also outlines four strategies and corresponding programs that are contributing to the success of the movement:



Providing care now. This includes hospital emergency room referral programs to connect people with severe dental pain to dentists who can provide needed treatment and expanding programs such as Give Kids A Smile, which currently provides dental services to approximately 400,000 underserved children at more than 1,500 events.

Strengthening and expanding the public/private safety net by fighting for increased dental health protections under Medicaid and helping more dentists work with community health centers and clinics.

Bringing disease prevention and education into communities through CDHCs.

Working to pass legislation at the federal and state levels that support Action for Dental Health initiatives. The Action for Dental Health Act (HR 4395) would provide grants to support programs such as expanding care for the elderly in nursing homes, encouraging dentists to contract with federally qualified health centers, increasing health protections and simplifying administration under Medicaid, expanding community water fluoridation, increasing the number of CDHCs, and strengthening collaborations with other health professionals and organizations.

To review detailed goals for Action for Dental Health, or to download the "Action for Dental Health: Report to Congress," visit the ADA website.



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Wednesday, May 21, 2014

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Energy drinks and frequent meals mean bad oral health for athletes

woman-drinking-energy-drink

Faster, higher, stronger they may be, but Olympians wouldn’t win many medals in a contest of dental health. Behind their buffed physiques lurks a dentist’s nightmare.



“They have bodies of Adonis and a garbage mouth,” says Paul Piccininni. As dental director for the International Olympic Committee, the Toronto-based Piccininni is intimately familiar with the broken teeth, abscesses, decay and other dental issues that force hundreds of Olympians into dentists’ chairs at every Games.



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Among them Michael Jordan. At the 1984 Los Angeles Olympics, where basketball’s superstar in the making was top scorer on the gold-medal-winning U.S. team, Jordan “had a significant dental problem that could have kept him out of a game,” Piccininni told the Associated Press in an interview at a conference on sports injuries.


The AP sent Jordan a text message to ask about the tooth issue, but he didn’t respond. Piccininni, bound by medical secrecy requirements, also wouldn’t give details.


“I know, but I shouldn’t say,” Piccininni said. “We’ve seen the best of the best.”


Honing their bodies through intense physical effort, athletes refuel with energy drinks, gels and bars and frequent meals, which teeth don’t like. Dehydration from sweating can also cut the production of saliva needed to regenerate tooth enamel.


Some rowers, for example, have “huge amounts of decay” because they’re training in boats for hours at a time, refuelling with teeth-eroding acidic, sugary drinks, said Tony Clough, who set up the dental clinic for Olympians at the 2012 London Games. Located in the athletes village, it had 30 dentists and 1,900 visits.


“We had patients coming in at 10:30 at night to have root canals and things like that,” said Clough.


A study that looked at 278 of the clinic’s visitors found 55 per cent had cavities and three-quarters diseased gums, mostly gingivitis but also 15 per cent with more serious periodontitis. One-quarter said dental problems affected their quality of life. The British Journal of Sports Medicine published the study last September.


“The oral health of athletes is worse than the oral health of the general population,” Piccininni said. “Considerably worse.”


An abscessed lower-left wisdom tooth threatened to keep British rower Alan Campbell from the 2008 Beijing Olympics. The infection spread to his shoulder, back and eventually settled in his right knee, requiring surgery two months before the games and ruining his training. He placed fifth in the Olympic single-sculls final and feels that he “certainly would have gone quicker” had the infected tooth not laid him so low, keeping him out of his boat for six weeks.


At the London Games four years later, Campbell won bronze. He’s certain that taking better care of his teeth has helped him row faster. He says he now flosses more, tends to drink water rather than sugary drinks, is “more aware of how important dental hygiene is to me and my body” and “if I thought I had any problems I would just have a tooth removed.


“I’m not saying someone with perfect teeth is going to beat Usain Bolt,” Campbell said in a phone interview with the AP. “But myself with good dental hygiene versus myself with bad dental hygiene: The version of me with good dental hygiene will be the one that comes out on top, I’m certain of it.”


Generally, teeth are most at risk among people ages 16 to 25, when they fly the family nest, perhaps party more and brush less, Clough said. That’s also the age group of many Olympians, which helps explain why so many have problem teeth.


But other suspected causes appear more athlete-specific. Frequent travel for competition or training can get in the way of regular dental check-ups. The wear of long flights might also be a factor, because Olympic dentists see “a huge big leap” in dental infections in the first week of the Games, said Clough.


Clenching teeth during strenuous effort, like lifting weights, can also grind them down.


“You could land the Space Shuttle” on some athletes’ teeth, said Piccininni. “Flat as a pancake. They have worn it down so much.”


Rowers breathe up to 80 times a minute in competition, and burn through 6,000 calories and eat five times a day, Campbell noted.


“A lot of pressure is going through the mouth,” he said. At the Athens Olympics in 2004, “I was grinding my teeth in my sleep and I was waking up with a very sore jaw and sore teeth as well and I had a special gum-shield to wear at night to sleep with.


“That was the stress. It was my first Olympics. I was quite young. I was 21. I think I was feeling the pressure,” he said.


The 2016 Rio de Janeiro Olympic clinic will have eight dental chairs, X-ray machines, root-canal specialists and surgical facilities. There will be full-time dentists at hockey, rugby and basketball for any injuries. The clinic will also distribute mouth guards. They handed out 350 in London and 150 at the Sochi Winter Olympics this February, including to four Austrian ice-hockey players after a teammate lost a tooth in their first game.


Treatment is free.


Some Olympians “know they’ve had a dental problem for three weeks or a month or three months, but they know if they can hold off until they get to the Games they get it treated for free,” Piccininni said. “That’s fine. That’s one of the reasons that we’re there, is because athletes don’t have the financial resources.”



Source: http://www.theglobeandmail.com/life/health-and-fitness/health/energy-drinks-frequent-meals-mean-bad-oral-health-for-althletes/article18745714/



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Monday, May 19, 2014

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COMMUNICATION IS KEY DURING DENTIST VISIT

Most dentists who have dissatisfied patients are not aware of it, according to a new study. To experience a pleasant visit, it's helpful to speak up.



Expressing your level of comfort to the dentist could be the trick to feeling satisfied with your dental treatment. That's because, according to a new study, dentists are often unaware of dissatisfied patients. So, whether going in for a simple cavity treatment or a root canal, it's best to speak up.



The research, published in the April edition of the Journal of the American Dental Association, evaluated how well patient satisfaction aligned with dentists' views. Though most patients gave a nod of approval with their dental care, dentists did not know when others were not so pleased.



In the study, 5,315 patients completed a satisfaction survey consisting of 20 items, including friendliness of the dentist, satisfaction level with the overall treatment and visit, whether the dental procedure was explained before it started, whether patients were given a choice of material to fix their tooth, and how the dentist limited pain, fear and anxiety during the procedure. Then, 197 network practitioners filled in a form about patients' visits.



Voice of the dissatisfied

A total of 86 percent of patients rated their visit satisfactory. Among the 726 patients who were dissatisfied, dentists were only aware of these feelings in 1 percent of cases.



So, if you feel anxiety about seeing the dentist, you're not alone. Thousands of people grapple with their fears of sitting in the dental chair, but not enough share their needs.



Fearful patients need to be more assertive about their needs, Peter Milgrom, director of the Dental Fears Research Clinic at the University of Washington, told WebMD. Patients should say to their dentists, "I want to talk about what can be done to make me more comfortable. I don't want someone to tell me something doesn't hurt me."



Patients seek not only technical competence but also interpersonal skills in a dentist to reduce their anxiety. Dentists can lend a helping hand with problems like teeth and gum issues and chronic halitosis. Oftentimes, fear of dentists stems not so much from the level of pain as from the lack of control they feel in the dentist's chair.



In addition, male dentists are less likely than female dentists to be aware of the patients caring about procedural information, according to the study. They added that there could be two reasons for this. One is that female providers conduct longer consultations, and the other is that patients' vary in their responses depending on the practitioners' gender.



Yet, when the treatment is all said and done, the anticipation is almost always worse than the actual procedures. Surveys of patients before and after dreaded procedures, such as root canal and even cavity treatments, found that patients anticipated much more discomfort than they actually experienced.



With this in mind, the importance of expressing any nervousness, anxiety or fear cannot be overstated. Dentists can help calm fears in patients, but only if they know about what the patient is expecting. You can ask what you should expect to feel during a treatment, and for how long. Before the operation, design a cue with your dentist so that if, for any reason you need to stop, raise your left hand. Also, have your clinician make brief time for breaks as requested.



Other tips to ease fear

Besides communicating your comfort levels to the dentist, here are other ways to overcome your fear of the dental room:



Go to the dentist with a friend, family member or someone who has no fear of dentist. They can help walk you through it.

Find a distraction while in the dentist's chair. Bring an iPod with a new cd and listen to it. Or, find a dentist with a TV or other distractions in the treatment room.

Try relaxation techniques. Take a big breath, hold it and let it out slowly.



Source: http://www.therabreath.com/articles/news/oral-care-industry-news/communication-is-key-during-dentist-visit-34048.asp



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Tuesday, May 13, 2014

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What's on Your Toothbrush Just Might Surprise You

Toothbrushes Most people store their toothbrushes in their bathroom, but did you know your toothbrush is exposed to gastrointestinal microorganisms that may be transferred via a fecal-oral route? Proper handling and maintenance of your toothbrush is important to your overall health.



Did you know that Staphylococci, coliforms, pseudomonads, yeasts, intestinal bacteria and even fecal germs may be on your toothbrush? Appropriate toothbrush storage and care are important to achieving personal oral hygiene and optimally effective plaque removal, says Maria L. Geisinger, DDS, assistant professor of periodontology in the School of Dentistry at the University of Alabama at Birmingham.



“The oral cavity is home to hundreds of different types of microorganisms, which can be transferred to a toothbrush during use,” Geisinger says. “Furthermore, most toothbrushes are stored in bathrooms, which exposes them to gastrointestinal microorganisms that may be transferred via a fecal-oral route. The number of microorganisms can vary wildly from undetectable to 1 million colony-forming units (CFUs). Proper handling and care of your toothbrush is important to your overall health.”



What constitutes proper care and handling? Geisinger answers several questions that may help better protect families from toothbrush germs.



Q. Can bacteria from your toilet really reach your toothbrush?



A. “The short answer is ‘yes.’ Enteric bacteria, which mostly occur in the intestines, can transfer to toothbrushes and thus into your mouth. This may occur through inadequate hand-washing or due to microscopic droplets released from the toilet during flushing. The topic of dirty toothbrushes was a recent subject of the popular Discovery Channel show “Mythbusters,” when 24 toothbrushes were tested, and all of them demonstrated enteric microorganisms — even those that had not been inside of a bathroom. In fact, toothbrushes may be contaminated with bacteria right out of the box, as they are not required to be packaged in a sterile manner.”



Q. What is the proper way to clean your toothbrush to help remove germs?



A. “You should thoroughly rinse toothbrushes with potable tap water after brushing to remove any remaining toothpaste and debris. Additionally, soaking toothbrushes in an antibacterial mouth rinse has been shown to decrease the level of bacteria that grow on toothbrushes.”



Q. How should you to store your toothbrush to avoid germ and bacteria buildup?



A. “The American Dental Association recommends that you not store your toothbrush in a closed container or routinely cover your toothbrush, as a damp environment is more conducive to the growth of microorganisms. Also, storing toothbrushes in an upright position and allowing them to air dry until the next use is recommended, if possible. If more than one brush is stored in an area, keeping the toothbrushes separate can aid in preventing cross-contamination.”



Q. What is the proper toothbrush protocol when you are sick?



A. “Any illness that can be transmitted through body fluids should warrant separation of the toothbrush of the infected individual and, if economically feasible, replacement of the toothbrush after the illness.”



Q. How often should your toothbrush be replaced?



A. “Toothbrushes should be replaced at least every three to four months or when bristles become frayed and worn, whichever comes first.”



There are four other steps Geisinger recommends be followed to help achieve a higher quality of oral health and avoid or limit some of the causes of bacteria toothbrush buildup.



Use antimicrobial mouth rinse prior to brushing. This can decrease the bacterial load in your mouth considerably and may reduce the number of microorganisms that end up on the toothbrush after brushing.



Engage in routine dental care. Routine dental care, including regular dental cleanings, can reduce the overall bacterial load in your mouth, and the types of bacteria present, and can therefore reduce bacteria on your toothbrush. It is especially important for those with gum disease, as the oral bacteria present in their mouths can enter the bloodstream as they perform everyday activities, including eating, chewing gum and toothbrushing.



Wash your hands. Handwashing after using the restroom and prior to using your toothbrush can reduce the likelihood of fecal-oral contamination.



Do not share toothbrushes. This seems like a no-brainer, but a large proportion of spouses admit to sharing toothbrushes. That means bacteria on those toothbrushes are being shared, including the ones that cause dental decay and periodontal disease — the two major dental diseases in adults.



Source: University of Alabama at Birmingham



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Monday, May 12, 2014

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Low Vitamin D Levels During Pregnancy Linked To Toddler's Cavities

mothers-vitamin-d-levels-causes-toddlers-cavities

A mother's low levels of vitamin D is a cause of dental cavities in young children. But theoretical claims about the vitamin playing a role in the development of autism spectrum disorder lack the same clear evidence.



A new study underscores the importance of vitamin D supplements for pregnant and nursing mothers to prevent conditions from diabetes and respiratory infection to — possibly — autism spectrum disorder (ASD).



Researchers at the University of Manitoba in Canada confirmed this month that low levels of vitamin D in mothers and babies leads to more cavities in the child. "Prevention efforts should begin during pregnancy by bolstering maternal nutrition, either through improved dietary intake or supplementation with vitamin D," the researchers said in a statement.



In the study, the Canadian team followed 207 young pregnant women with an average age of 19, many of whom representing lower socioeconomic groups in the country. The researchers interviewed participants and took blood samples, later examining 134 babies at the age of 16 months. A third of the study participants had low levels of vitamin D while 26 to 36 percent of toddlers had cavities, the researchers reported Tuesday in the journal Pediatrics.



As suspected, children born to women with lower levels of vitamin D during pregnancy were more likely to develop cavities than others. However, defects in tooth enamel in children also led to cavities, the researchers said.



William B. Grant of the Sunlight, Nutrition and Health Research Center says the benefits of proper prenatal nutrition are numerous. "All pregnant and nursing women need to take 4000 to 5000 [International Units per day] of vitamin D3,” he told Reuters. “There are many benefits for pregnancy outcomes including reduced risk of gestational diabetes, respiratory and other infections, premature delivery, pre-eclampsia, adverse effects on the fetus such as birth defects including very possibly autism.”



In recent years, medical scientists have found increasing evidence that vitamin D might play a role in the development of autism spectrum disorder (ASD), according to John Cannell, a research physician who describes himself as “mildly autistic” and absolutely obsessed with vitamin D. The founder of the Vitamin D Council, the investigator continues to research a possible link between a deficiency of the vitamin and development of the condition.



“For the last year, I have been helping parents of autistic children correct their child’s vitamin D deficiency,” Cannell wrote in January in Life Extension Magazine. In tentative conclusions he called preliminary and unscientific, the researcher reported that while half of the children in the study with ASD were unaffected by the vitamin D regimen, the other half experienced either dramatic or significant improvements in their symptoms.



“It’s clear that various reasonable mechanisms exist for how vitamin D could help children with autism,” Cannell says. “Be it via anti-inflammatory actions, anti-autoimmune activities, upregulation ofneurotrophins, or stimulation of antioxidant pathways, adequate doses of vitamin D (enough to obtain natural blood levels of 50-80 ng/mL of 25-hyroxyvitamin D) may be a potential treatment for some cases of autism.”



Yet such claims remain entirely theoretical at this point, supported by a recent study from Children's Hospital Oakland Research Institute as well as at least one Aspie with a fixation on vitamin D. But at the very least, science now understands the role vitamin D plays in pediatric dental cavities.







Source: Schroth RJ, Lavelle C, Tate R. Prenatal Vitamin D And Dental Caries In Infants. Pediatrics. 2014.



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Sunday, May 11, 2014

Giving Meaning To Marathons

st-jude-hopeline-050914-steve-blume-main-image Steve Blume with his son, Jason, and his daughter, Shelley, who all raised money as St. Jude Heroes.



Steve Blume is passionate about two things: running and St. Jude Children’s Research Hospital. He has combined these passions into action that has had a real impact on his fellow running enthusiasts and the children of St. Jude.



Blume, 59, of Brentwood, Tennessee, leads running groups that train for the St. Jude Country Music Marathon in Nashville and the St. Jude Memphis Marathon Weekend. Over the last two years, Blume and his groups of St. Jude Heroes have raised almost $70,000 for St. Jude. “I live this, and I breathe it,” he said.

As charity athletes, St. Jude Heroes raise funds for St. Jude through pledges and donations while preparing to compete. Blume even started a blog to offer fundraising tips to fellow St. Jude Heroes at heroeshelper.blogspot.com.



st-jude-hopeline-050914-steve-blume-secondary-image This athlete-turned-fundraiser came to running late in life. A 6’4” defensive tackle for Memphis State University in the 1970s, Blume was stunned when his doctor in 2006 classified him as obese. He entered a local weight-loss contest, changed his diet and began running on the treadmill, which helped him to lose more than 60 pounds.

Spurred on by these results, Blume continued running and completed his first marathon the following year in Nashville. After multiple half marathons, he decided in 2011 to run another marathon and selected the St. Jude Memphis Marathon without knowing much about the hospital.



"To go back to Memphis where I played football as a lineman in the 1970s and to finish a full marathon in the top 25 percent at my age would be kind of a statement for me,” he said. Instead, the marathon made a statement to him. “At most races when you run people are yelling, ‘Come on, you can do it.’ At St. Jude they were yelling ‘Thank you.’ Even though I wasn’t a Hero, I felt involved; I felt I was doing something.”

Blume decided to really make a difference and started raising funds as a St. Jude Hero, as well as training groups to run both marathons. His training sessions are free as long as group participants are running as St. Jude Heroes or donating to a St. Jude Hero. “If you are in my group, at water stops you are going to learn about St. Jude and what the hospital does and what the kids do,” Blume said.

“My commitment to St. Jude started with that first race, but it has strengthened so much since then. If you dig a little, you learn more about St. Jude and that builds your belief system.”

If you are interested in being a St. Jude Hero, sign up now for the St. Jude Memphis Marathon® Weekend.



Source: http://www.stjude.org.ve/stjude/v/index.jsp?vgnextoid=1999a14a2ba65410VgnVCM100000290115acRCRD



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Carestream Dental Partners with California Dental Association Foundation to Provide Dental Services

ATLANTA—For the third year in a row, Carestream Dental is a presenting sponsor of CDA Cares, a two day event organized by the California Dental Association (CDA) and the CDA Foundation which gives volunteer dentists the opportunity to provide dental services at no charge to those who experience barriers to dental care.



“We’re so pleased that the CDA Foundation has once again put their trust in Carestream Dental to provide all the imaging equipment for CDA Cares.” Shauna Holliday, director of U.S. regional sales for Carestream Dental, said. “Carestream Dental is committed to providing dentists and patients with cutting edge technology that results in faster, more accurate diagnoses; this event, coupled with Carestream Dental’s systems and expertise, improves the lives of thousands of patients.”



Carestream Dental is exclusively supplying three extraoral imaging systems—two CS 9000 Extraoral Imaging Systems and a CS 8100 Digital Panoramic System—and 14 RVG 6100 Digital Radiography Systems, as well as the expertise of its staff and volunteers who will oversee the imaging station.



The CS 9000 captures top-quality panoramic X-ray images quickly and easily, and features low-dose radiation exposure to ensure patient safety. The ultra-compact CS 8100 is an award-winning panoramic imaging system that produces clear and sharp digital images that are ready for review almost immediately. The RVG 6100, Carestream Dental’s most popular intraoral sensor, displays images in less than two seconds and provides exceptional image resolution.



“We appreciate the donations provided by our CDA Cares sponsors, including the X-ray equipment from Carestream Dental,” Don Rollofson, D.M.D., CDA Foundation chair, said. “X-rays are an essential part of the care we provide to our patients, helping us to diagnose dental disease and plan each patient’s treatment.”



All the equipment provided by Carestream Dental is able to capture digital images within seconds, meaning faster diagnoses from doctors and less waiting time for patients. Considering that past CDA Cares events have seen well over 2,000 patients, fast, accurate results are all the more vital to ensure that the most patients are served.



Just as important as the cutting edge technology, Carestream Dental is also providing the volunteer hours and exceptional expertise of its employees to oversee the imaging station for both days of the event.



CDA Cares Solano takes place April 25-26, Solano County Fairgrounds, McCormack and Expo Halls, Vallejo, Calif. Patients will receive cleanings, fillings, extractions, oral health education and resources for finding a dentist for follow-up care.



Source: http://www.dentistrytoday.com/industry-news/10049-carestream-dental-partners-with-california-dental-association-foundation-to-provide-dental-services-at-no-charge



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Thursday, May 1, 2014

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