2 News 5/19 Finnish study links childhood oral infections and adult carotid atherosclerosis by Dental Tribune International HELSINKI, Finland: Studies that link oral infections with systemic diseases and conditions have been going on for a long time. A recent Finnish study, after a 27-year follow-up, has revealed that childhood oral infections, such as caries and periodontal diseases, are associated with a greater risk of atherosclerosis in adulthood. This is a significant finding, which emphasises the need for a quality oral care during childhood. This study was initiated in 1980, through a collaboration between the Department of Oral and Maxillofacial Diseases, University of Helsinki and the research group participating in the national Cardiovascular Risk in Young Finns Study. First, 755 children aged 6, 9 and 12 years underwent clinical oral examinations at the start of the study, and at regular intervals Pixabay: (Image by renatalferro from Pixabay) Ad their cardiovascular later, factors were measured. risk The follow-up took place 27 years later in 2007, when the same participants aged 33, 36 and 39 years, underwent an ultrasound examination for the measurement of carotid artery intima-media thickness. included The study four signs of oral infection: caries, fillings, bleeding on probing, and pockets. At the baseline, 68 per cent children had bleeding on probing, 87 per cent showed caries and 82 per cent had received restorations. No difference was observed between boys and girls in these three parameters. However, slight periodontal pockets observed in 54 per cent of the children showed higher frequency in boys than in girls. The study also showed that 61 per cent of the children had one to three signs of oral infection, whereas 34 per cent had all four signs of oral infection. Only 5 per cent of them were totally healthy. The researchers, at different time, measured intervals of the thickening of the carotid artery wall, which indicates the progression of atherosclerosis and an increased risk for myocardial or cerebral infarction. They found a significant association between both childhood caries and periodontal diseases with carotid intima-media thickness in adulthood. artery Prof. Markus Juonala from the University of Turku, Finland, who was a co-author in this study, stated “The number of signs is associated significantly with the cumulative exposure to the cardiovascular risk factors in adulthood, but especially in childhood,” adulthood. Hence, The study concluded that the childhood oral infections are associated with the subclinical carotid atherosclerosis in the message on the importance of maintaining good oral health right from childhood needs to reach maximum people globally. The study, titled “Association of childhood oral infections with cardiovascular risk factors and subclinical atherosclerosis in adulthood”, was published online in JAMA Network Open on 26 April 2019. Periodontal diseases and dental caries, both of which initiate early in life, are known to be the most common chronic infection induced inflammatory diseases worldwide. It‘s critical to diagnose and treat them in their early stages, because if early signs go undetected, the untreated diseases may lead to more severe infections, which may result in tooth loss. The role of childhood oral infections in cardiovascular risk has been poorly understood, and it needed a long term study to answer the complex question of causality.
3 News 5/19 Simple exercise that can improve oral function in the elderly by Dental Tribune International caries, SEOUL, South Korea: Common symptoms frequently experienced by older adults include decreased salivation and xerostomia, which may lead to oral soft-tissue disease, dental periodontal disease and oral candidiasis. It’s well known that masticatory and swallowing functions are closely linked to overall health, nutritional status and quality of life. At the same time, chemical agents used to treat dry mouth not only require a prescription, but may also cause side effects. A new study has shown improved oral function in the elderly, who perform a simple oral stretching and exercise technique. the Previous studies had shown that conventional oral exercises were impractical for continuous use in the elderly owing to the extended duration needed for positive treatment outcomes. The present study tried a simple oral exercise (SOE), which included lip stretching, tongue stretching, stretching, masticatory muscle exercise and swallowing movements to reduce performance time and to determine the short-term effects of the SOE. cheek The current study involved 84 participants aged 65 years and older, who performed the SOE twice a day for one week after receiving instructions from a trained dental hygienist. The study evaluated the participants’ masticatory performance by using the mixing ability index (MAI). Also, they assessed the unstimulated saliva and the moisture the tongue and buccal mucosa and performed the repetitive saliva swallowing test. Based on these four measurements, participants levels of were divided into two groups with good and poor oral health conditions. (Photograph: Photographee.eu/Shutterstock) Ad MIXPACTM The Original Look for the Candy ColorsTM increase The data showed a 6% increase in the mean MAI immediately after the intervention and a 16 % in the poor- chewing group. Similarly, a 0.1 ml/min rise in the amount of unstimulated saliva immediately after the SOE and 29 % rise in the poor-salivation group. Also, a 3 % rise in the degree of tongue moisture was reported. In the poor-swallowing group, 25 % of the participants were upgraded good-swallowing to group the intervention, and 40 % of them after one week of intervention. Finally, the participants reported reduced discomfort as their oral function improved. the immediately after The study, titled “Improvements in oral functions of elderly after simple oral exercise”, was published online on 16 May 2019 in Clinical Interventions in Aging. Oral health and systemic health are interrelated. Impaired oral health can worsen the systemic diseases, as it affects a multitude of factors such as dietary habits, nutrition, sleep, mental status, and social relationships. It is critical for the elderly people to maintain good oral health, as they are exposed to various risk factors that threaten their oral function. Also, the process of aging affects their overall bodily functions making to various diseases. Saliva plays an important role in maintaining oral health and a reduction in its flow in the elderly may lead to diseases, such as oral soft tissue disease, dental caries, periodontal disease, and oral candidiasis. them susceptible MIXPAC™ for quality and precision. Swiss Quality at the highest level. MIXPACTM solutions for dosing, mixing, and dispensing of dental materials assure safe, and precise mixing of the highest quality. Swiss Quality at the Highest Level LOOK FOR the MIXPAC Candy ColorsTM (teal, blue, purple, yellow, brown, pink) and insist on MIXPACTM quality. www.sulzer.com/dental u s a t t b o o t h # 4 3 1 8 V i s i 2 5 t h - 2 8 t h N o v e m b e r
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5 Clinical 5/19 Study says ‘No need for antibiotic prophylaxis for prevention of dental implant infections’ by Dental Tribune International NEW YORK, U.S.: It’s still a debatable question whether antibiotics positively influence the survival of dental implants in systemically healthy patients. A team of researchers from the New York University College of Dentistry, conducted a study recently to determine the efficacy of antibiotic prophylaxis and specific antibiotic regimens for the prevention of postoperative infection in dental implant placement. study included Randomized controlled trials (RCTs) that compared antibiotics versus no antibiotics or placebo for dental implant placement. They considered two types of outcomes. The primary outcomes were early, late or total POI, and the secondary outcomes considered wound dehiscence, pain and adverse events of antibiotic treatment. (POI) The were The researchers analyzed a total of 1,022 abstracts and ten RCTs, covering a total of 1,934 patients. All ten RCTs reported no significant difference in POI. Meta-analysis statistically A recent study has found that the prophylactic use of antibiotics has no influence on the prevalence of post-surgical dental implant complications in overall healthy patients. (Photograph: megaflop/Shutterstock) found no statistically significant differences in primary and secondary outcomes between antibiotic no-antibiotic groups. The concluded: “The results of this systematic review suggest that antibiotic study and not be prophylaxis may indicated for prevention of POIs following dental implant placement in overall healthy patients. These findings and in light of antibiotic-associated risks for individual and public health demand revaluation of routine prescription of antibiotic prophylaxis in dental implant placement procedures.” The study, titled “Antibiotic prophylaxis may not be indicated for prevention of dental implant infections in healthy patients. A systematic review and meta- analysis,” was published in the April 2019 issue of Clinical Oral Investigations. Ad Relax your patients and make them feel more comfortable during dental procedures Matrx Nitrous Oxide and Oxygen Conscious Sedation Systems There are many good reasons to use nitrous oxide sedation in your dental practice: • Safe - N2O/O2 has been used globally for over 100 years • Relieves patient anxiety and discomfort • Patients remain awake, yet more relaxed, making it an excellent patient management tool • Improves patient experience, resulting in return visits Matrx is made in the USA 210 Udyog Mandir 1 7-C Bhagoji Keer Road Mahim West, Mumbai 400016 India Phone: +91 22 61 46 47 48 Email: firstname.lastname@example.org www.lifecare.in
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