By DTI STOCKHOLM, Sweden: Although medical screening in dental set- tings has been shown to be cost- effectiveandbeneficialforpatients’ health outcomes, there have been no widespread implementation attempts in dental practice so far. Various studies have found that both patients and dental profes- sionalsregardsuchscreeningposi- tively; however, the position of health authorities and organisa- tions in this regard has not been established. Swedish researchers have thus conducted a study to elicit their views on the topic. As associations between peri- odontal and cardiovascular dis- ease and diabetes have become evident in the past, research in- dicates that medical screening in dentistry could be an effective component of disease prevention and enhance cross-border cooper- ation between dental and medical care. In order to investigate the attitudes of health authorities and organisations regarding med- ical screening in dental settings, Swedish researchers from Karo- linska Institutet and Karlstad University interviewed 234 rep- resentatives of 13 institutions. All of the respondents received a standardised questionnaire of 18 questions concerning medical screening in dental settings and took part in subsequent personal interviews. The results showed 46 per cent (108)positiveresponsestomedical screening in dental settings, 41 per cent (95) negative responses and 13 per cent (31) non-responses. Al- though health care officials gen- erally had a positive view of med- ical screening in dentistry, they reported a lack of facts concerning the scientific communities’ posi- tion, guidelines and procedures on the topic. DENTALTRIBUNE The World’s Dental Newspaper · Nordic Edition Published in Scandinavia www.dental-tribune.com Vol. 1, No. 3 SHADEMEASUREMENT A new study has compared two digital shade measurement so- lutions with the conventional method for colour assessment, the human eye. ” Page 3 INTERVIEW Prof. Martin Schimmel, Head of the Division of Gerodontology at the University of Bern, on ethical and financial issues related to im- plant treatment of the elderly. ” Page 10 AVERSATILETOOL Light is capable of many things. Swedish dentist Dr Jan Tunér on using the composite curing lamp asaphototherapeutictoolindaily dental practice. ” Page 14 By DTI SEATTLE, USA/LONDON, UK: New re- searchhasrelatedchronicmaternal stress to a higher prevalence of cav- ities among children. While this is not the first study to associate ma- ternalexposuretostresswithchild- hood cavities, it is the first to exam- inetherelationshipusingbiological markers of chronic stress, an inci- dentknownasallostaticload(AL). Carieswasmorecommonamong children whose mothers had two or more biological markers of AL compared with no such markers— 44.2 per cent vs. 27.9 per cent. They further identified that maternal AL wasassociatedwithsocio-economic status, affecting care-taking behav- iors, such as breast-feeding, dental visits,andgivingbreakfastdaily. “Policythataimstoimproveden- tal health, particularly the preva- lence of cavities among children, shouldincludeinterventionstoim- provethequalityoflifeofmothers,” Dr. Wael Sabbah from the Dental InstituteatKing’sCollegeremarked. Stressraises cariesrisk PRINT DIGITAL EDUCATION EVENTS The DTI publishing group is composed of the world’s leading dental trade publishers that reach more than 650,000 dentists in more than 90 countries. AD ” Page 2 A Swedish study found varying views on the implementation of medical screening in dentistry. By DTI ÖREBRO, Sweden: Aiming to shed newlightonthemechanismbehind the relationship between perio- dontitisandcardiovasculardisease, researchersfromÖrebroUniversity in Sweden have cultured human aortic smooth muscle cells and in- fected them with Porphyromonas gingivalis, a periodontal pathogen that has been found in coronary ar- teryplaquesofheartattackpatients. They found that gingipains, which are virulence factors pro- duced by the pathogen, promoted expression of the pro-inflamma- tory growth factor Angiopoietin-2. In contrast, the expression of anti-inflammatory growth factor Angiopoietin-1inthesmoothmus- cle cells was inhibited. Altogether, the infection with P. gingivalis changed the expression of 982 genes in the cells tested, resulting in increased inflammation and atherosclerosis. In combination with the ob- served cellular effects, the findings suggest that Angiopoietin-2 plays a role in the association between periodontitis and atherosclerosis, the investigators said. Their research clarifies the mechanismbehindtheassociation of the two diseases and may enable researchers to find biomarkers for them in the future, concluded Boxi Zhang, a PhD student at the DepartmentofHealthandMedicine at the university. Periodontalandheartdisease Medical screening in dentistry DTNE0315_01-02_Title 03.11.15 11:58 Seite 1 DTNE0315_01-02_Title 03.11.1511:58 Seite 1