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How Can Artificial Intellingence Help With Straightening Teeth?
18Mar
Many people use braces as a way of straightening their teeth and to improve their oral health. However, braces do not always fit, and can become loose easily – which inhibits their impact. But new research has shown that artificial intelligence can assist with straightening teeth, and provide much more accurate fittings for aligners. This research can help many people.

Anyone that has had braces in the past will know about the difficulties of them being placed correctly and comfortably. Moreover, they are often either too loose or too tight.

However, this could soon be a thing of the past. Researchers have developed a new tool which – with assistance from Artificial Intelligence (AI) – can predict how teeth will move to ensure that braces fit well and are comfortable [1].

This is very positive news, and could result in far more comfort for many with braces. It is also an example of AI’s growing influence on dental research.

Background

This research looked at braces. Braces are tools that help to straighten teeth. They are extremely effective, helping to enhance a person’s appearance, prevent tooth decay and dental injuries, and protect teeth from misaligning.

Braces are very common. For example, in the United States, around 4.5 million people wear braces at any one time [2]. It isn’t just children either that wear them, over 1 million adults wear them in the United States too.

Even though braces are incredibly common, it can be very challenging for orthodontists to fit them in a way that will result in comfort for their patients. Even when they do fit initially, teeth continue to shift slightly throughout a person’s life.

For those whose braces do not fit correctly, it can inhibit the aligning process and cause discomfort in eating and general mouth movement. Therefore, any way of improving the fitting process of aligners can be helpful.

The Research

The research was conducted by a team from the University of Copenhagen and technology company 3Shape. Their research has been published in the IEEE Access journal [1].

The team aimed to create a tool that could simulate how braces should fit on a patient to predict the exact shape that can best-straighten a patient’s teeth [1].

The research took place in Denmark, where around 30% of Danish youth up to the age of 15 wear braces [1].

A crucial part of the research process was to use scanned imagery of teeth and bone structures from human jaws. Then, AI used these to predict how braces should be designed.

The research also involved a process where the researchers mapped sets of human teeth using detailed CT scans of teeth and the periodontal ligaments – which are a connective tissues that holds teeth in the jaw [1].

This creates a precise digital imitation of the human jaw. This type of imitation is known as a “digital twin”, with the researchers building up a large database of “digital dental patients” [1]. The idea of the “digital patient” is relatively new in healthcare, but can certainly help with oral health.

So how will this work in practice? The computer model is capable of creating accurate 3D simulations of a patient’s jaw, which can be taken ahead of the alignment process.

Then, when the orthodontist is preparing the aligners, they can use the 3D simulation to match up aligners that should fit well. This should reduce the need for trial and error and repeated visits.

The simulation produced incredibly accurate results. Therefore, they can be applied to individual patients, with the 3D simulations capable of producing strong imitations of each patient’s teeth.

Author Comments

The researchers were pleased with the outcome of the research. Moreover, this research is also another example of how AI is impacting dentistry in a positive way.

Professor Kenny Erbelen of the University of Copenhagen, was one of the authors. Erbelen commented on the findings, stating that the “simulation is able to let an orthodontist know where braces should and shouldn’t exert pressure to straighten teeth” – thereby aiding the fitting process [3].

Furthermore, Erbelen pointed out that the current process involves “a great deal of trial and error”, but that the simulation can help to “reduce [this process] in the long run” [3].

Returning to the discussion surrounding the “digital dental patients”, the authors also pointed out that this could be extended to use for physical health. For example, the researchers argued this could be used for hip implants. This is an exciting additional development.

The researchers did caution that the tool would need to clear some regulatory hurdles before being offered by orthodontists. But they believe this is a strong possibility in the near future.

Overall, these findings are positive, and should result in improved treatment outcomes for patients going forward. Having more comfort with aligners is important, with this tool likely to help with this.

Thinking points…

1) Are you looking for aligners? If so, then it is useful to know that here at our Calgary dental clinic Savanna Dental, we offer a range of alignment services, including Invisalign™. Our process involves an initial consultation, before the moulds are prepared for you. We also keep in regular contact with you to ensure that the aligners are working well and that you are happy with the progress of your teeth. If you are interested, we would love to hear from you soon – see our website https://savannadentalclinic.ca for more!

2) If you either have naturally straight teeth, or have recently finished using braces, remember to not get complacent! It is important to look after your teeth, which involves attending the dentist for a check-up on a regular basis. At an appointment, your dentist can look to see if there are any problems and provide treatment options if needed. We recommend booking an appointment now!

What we offer at Savanna Dental

Savanna Dental is a dental clinic based in Calgary, Alberta, Canada. We provide our patients with a range of treatment options and advice, with the aim of improving oral health and boosting overall wellbeing!

We advise our patients to attend our Calgary-based dental clinic twice a year for a dental check-up. If any problems are detected, we have many treatments available. For instance, these include cavity fillings and root canals. To try and prevent problems, it is important to brush your teeth at least twice a day and floss regularly.

Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, tooth whitening and Invisalign™! Our patients find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, the fees of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide.

We would love you to visit our Savanna Dental dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca/!

References

[1] Xu, P., Gholamalizadeh, T., Moshfeghifar, F., Darkner, S., & Erleben, K. (2024). Deep-Learning-Based Segmentation of Individual Tooth and Bone With Periodontal Ligament Interface Details for Simulation Purposes. IEEE Access. 11. DOI: https://dx.doi.org/10.1109/ACCESS.2023.3317512.

[2] Sadick, B. (2022). Getting the Facts Straight on Braces for Adults. Available: https://www.aarp.org/health/healthy-living/info-2022/adult-braces.html. Last accessed: 14th March 2024.

[3] Jensen, M. S. (2024). Straightening teeth? AI can help. Available: https://medicalxpress.com/news/2024-03-straightening-teeth-ai.html. Last accessed: 14th March 2024.

What Is the Dental Operative Microscope? What Impact Has It Had on Dentistry?
11Mar
The Dental Operative Microscope (DOM) is a key component in modern dentistry. It was first introduced in the 1980s, and has provided a range of benefits to dentists and their patients. These benefits include an enhanced vision of a patient’s oral health and prevention. Now, new research has looked into the impact of DOMs.

When patients go to the dentist, the chances are that they won’t take much notice of what their dentist is wearing, nor think about what the purpose of each item or tool they are using is.

However, over the last few decades, there have been great advances in dentistry. Therefore, this has resulted in improvements in the tools that dentists use.

One of the most landmark introductions in the modern era is the Dental Operative Microscope (DOM). This tool has revolutionized dentistry. Now, research into the impact of the DOM has taken place [1].

What is the Dental Operative Microscope?

Traditionally, dentistry has heavily relied on the human eye for diagnosis and treatment. But as time has passed, dentistry has become more complex, resulting in the need for enhancements in dental technology.

A milestone moment for dentistry came in 1981, when the Dental Operative Microscope was introduced. It was first known as the “Dentiscope” [1].

A DOM is a microscope that is used by dentists. It provides dentists with enhanced vision of the oral health of their patients. Learning how to use DOMs is a key component of education at dentistry schools.

DOMs have reduced the reliance on the human eye, and have resulted in a higher detection rate of problems. In fact, DOMs are used in the vast majority of areas of dentistry, including endodontics and operative dentistry [1].

The Benefits of DOMs

With DOMs having such a transformative impact on dentistry, new research has looked into its impact and highlighted its benefits.

The research was carried out by a team from Shanghai Jiao Tong University. Moreover, their findings were published in the International Journal of Oral Science [1].

One of the key benefits that DOMs provide include enhanced vision for the dentist. As mentioned earlier, by having better vision, the dentist isn’t so reliant on the naked eye, which means more accurate results [1].

Moreover, DOMs provide adaptations for eyepiece distance, diopter correction, magnification levels, brightness levels, and selection of filters [1].

DOMs have also helped to reduce errors, as they provide dentists with more of a thorough look at the oral health of their patients. For example, dentists are able to identify openings of canals in the teeth, check the fitting of a crown, or see cracks in the teeth [1]. This was not possible with the naked eye.

The importance of clinician and patient comfort

However, the research team did point out that using DOMs require a systemic approach which involves a dental professional following standard rules and regulations [1].

Among these rules are safeguarding the components of DOMs, ensuring that seating for both clinician and patient is suitable, and that the way that their patient is positioned is suitable [1].

Clinician and patient comfort are important. DOMs help to achieve this, as long as the dental professional utilizes the tool as they should.

In terms of clinician comfort, this is important. After all, dental professionals need to be comfortable while operating. But before DOMs, this was not always possible. For example, past research found that 30% of dentists that retired early did so because of a musculoskeletal disorder – with this particularly the case in female dentists [2].

Summary

The research team highlighted numerous benefits. Moreover, DOMs will continue to play a role going forward in dentistry.

Dentistry continues to change, meaning that technology will need to adapt. DOMs will definitely play a key role in this, and will continue to aid dental professionals.

Overall, the use of DOMs have revolutionized dentistry. As we see technology continue to evolve, it is expected that DOMs will advance in their capabilities too. This will make them continue to be an essential part of dentistry.

Thinking points…

1) As discussed previously, DOMs make it easier for dentists to see problems in the mouth. But just think – if the dentist can’t see issues to the naked eye, then either can you! Therefore, remember to attend regular dental appointments, so that any problems can be picked up on immediately. A dentist will be able to use a DOM and other equipment to take a thorough look at your oral health. We recommend that you book an appointment right away!

2) At your next dental appointment, why not take a moment to have a look at the various equipment that surrounds you? You might find it very interesting to see some of the instruments! You can make this coincide with a check-up – remember to have these once every six months. Why not book an appointment now?

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a range of treatment options and advice, with the aim of improving oral health and boosting overall wellbeing!

We advise our patients to attend our Calgary-based dental clinic twice a year for a dental check-up. If any problems are detected, we have many treatments available. For instance, these include cavity fillings and root canals. To try and prevent problems, it is important to brush your teeth at least twice a day and floss regularly.

Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, tooth whitening and Invisalign™! Our patients find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, the fees of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide.

We would love you to visit our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.

References

[1] Liu, B., Zhou, X., Yue, L., et al. (2023). Experts consensus on the procedure of dental operative microscope in endodontics and operative dentistry. International Journal of Oral Science. 15 (43). DOI: https://doi.org/10.1038/s41368-023-00247-y.

[2] Valachi, B. (2008). Musculoskeletal health of the woman dentist: distinctive interventions for a growing population. Journal of the California Dental Association. 36 (2): p127-132. PMID: 18411975.

How Can Bad Dental Habits Like Thumb-Sucking Be Stopped in Young Children?
3Mar
Most infants will suck their thumb or a pacifier at some point. While most will naturally stop this habit, this isn’t always the case. Unfortunately, these habits can actually have a negative impact on a child’s oral health in the long-term. Now, two doctors have provided advice for parents that need help in stopping these habits in their children. These tips can be very beneficial.

A very common action among young children and babies is what dentists call “non-nutritive sucking” [1].

This behaviour relates to when a baby or young child sucks on a pacifier, thumb, finger(s), or other objects [1].

While these habits can initially be positive for infants, in the long-term it can negatively affect their oral health. Therefore, stopping these bad habits early on is important.

What is non-nutritive sucking?

As outlined above, non-nutritive sucking is the behaviour which involves an infant sucking on an object – normally a pacifier or their thumb [1].

It is important to state that this is a very common action. For example, The National Institute of Health state that approximately 50% of infants such a thumb or finger [2].

It is recommended that parents ensure that these habits end by the time a child turns 3. However, this isn’t always easy – but there are many tips available for helping with this process!

Now, Dr. Katherine Fleming and Dr. Tiana Piscitelli of the University of Connecticut have put together a range of tips to assist parents in stopping these habits from continuing into later childhood [1].

The Top Tips

Here are some of their top tips [1]:

• Use distraction techniques to keep your child busy, such as doing activities like going for a walk or run, playing a game or colouring.

• Use positive reinforcement rather than punishment if the child continues the action.

• When dealing with older children, use this as an opportunity to set goals together, like banning the use of a pacifier or thumb-sucking an hour before meals and bedtime – before working your way up to longer periods.

• Allow the child to be rewarded – which will mean they will be incentivized to stop the habit.

Tips for Thumbs, Fingers and Pacifiers

Fleming and Piscitelli have provided specific advice for when children suck their thumb or fingers [1]:

• When you notice that the child is sucking their thumb or fingers, gently remind them not to do so – rather than shouting at them.

• Furthermore, don’t get too harsh with your child, as thumb or finger sucking is a difficult habit to break, and takes time. Be patient with them.

• Consider covering the child’s hands while they sleep, such as through gloves or mittens. If needed, you could also buy a finger/thumb guard.

• Discuss the situation with your dentist, as they can offer advice or even an appliance if needed.

Finally, the duo have also offered advice for those sucking on pacifiers [1]:

• A great way of weaning a child off of a pacifier is to gradually decrease the size of it over time. You can cut small parts off over a few weeks, which will help your child to slowly become accustomed to life without a pacifier.

• However, sometimes a “cold turkey” approach is better. One way of doing this is to “trade” the pacifier in for a special toy. This is best done with some notice, so that the child is aware that they will soon lose the pacifier.

• It is also possible to replace the pacifier with a different comfort item. For example, this could be a teddy bear, extra pillow, or a blanket.

One of the main over-arching tips is to be firm if your child resists. Being firm and not backing down is important, otherwise this makes the process become harder.

What are the dangers of long-term sucking?

As mentioned earlier, it is important that these habits are stopped, as they can negatively impact a child’s oral health in the long-term.

Long-term sucking can impact the alignment of teeth, as they are likely to have been pushed in different directions. Moreover, the front teeth may stick out more [3].

Speech and the shape of the roof of the mouth can also be affected by long-term thumb sucking [3]. These can then cause eating difficulties too.

These issues can result in the requirement of orthodontic treatment, like braces, to correct teeth positioning. Moreover, tooth decay becomes likelier due to the increase in bacteria entering the mouth [4].

Summary

It is important to not get too worried about sucking, as most children naturally outgrow this habit. But there are definitely ways of helping them, as outlined above.

Having conversations about oral health is important, as it can make children understand its importance from a young age. This can start by gently talking about the usefulness of stopping this habit.

As outlined above, there are several ways that you can try and stop this habit from occurring. But as discussed, dentists will always be there to provide further support if needed.

Thinking points…

[1] Are you struggling to stop your child from sucking on a pacifier or their thumb? If so, consider speaking to your child’s dentist about this. They will be able to provide advice and if needed – there are fixed or removable appliances which they can offer. Therefore, this can help to break your child out of their habit. We recommend that you speak to your dentist soon!

[2] Making children aware of the importance of oral health from an early age is crucial. One of the best ways of doing this is to attend regular dental appointments with your child. They will be able to see you get examined and realize its importance. It is also vital for your oral health to have regular check-ups! We recommend booking a check-up soon!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a range of treatment options and advice, with the aim of improving oral health and boosting overall wellbeing!

We advise our patients to attend our Calgary dental clinic at least twice per year for a regular dental check-up. At these check-ups, we provide a comprehensive review of a patient’s oral health. If any problems are detected, we have many treatments available. For example, these include cavity fillings and root canals. To strengthen your oral health, we recommend brushing your teeth at least twice a day and flossing regularly.

Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, teeth whitening and Invisalign™! Our patients find that these treatments have a positive impact on their appearance, confidence and self-esteem.

Moreover, the fees of our treatments at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide. This ensures transparent and fair pricing, with no hidden costs.

We hope to see you soon at our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.

References

[1] Chandler, C. (2024). Breaking detrimental oral habits in young kids. Available: https://medicalxpress.com/news/2024-02-detrimental-oral-habits-young-kids.html. Last accessed: 1st March 2024.

[2] Fukuta, O., Braham, R. L., Yokoi, K., & Korusu, K. (1996). Damage to the primary dentition resulting from thumb and finger (digit) sucking. ASDC Journal of Dentistry for Children. 63 (6): p403-407. PMID: 9017172.

[3] American Dental Association. (2024). Thumbsucking. Available: https://www.mouthhealthy.org/all-topics-a-z/thumbsucking/. Last accessed: 1st March 2024.

[4] Cerny, R. (1981). Thumb and finger sucking. Australian Dental Journal. 26: p167-171. DOI: https://doi.org/10.1111/j.1834-7819.1981.tb03938.x.

Could Weight Loss Advice During a Dental Appointment Be Helpful for Patients?
26Feb
With Obesity being a growing problem worldwide, there is a focus within healthcare of finding ways to improve the situation. New research has looked at the potential role that dentists could have in addressing weight management. The research has explored how dentists could incorporate weight management into dental check-ups, with positive findings.

Obesity is a growing health problem worldwide, with the World Health Organization (WHO) calling obesity a “global epidemic” [1].

Finding ways of combatting obesity has proven difficult for health professionals. However, new research has looked into how dentists could play a role in this.

The research seemingly suggests that this could have a positive impact on the weight loss of patients [2]. This would be very helpful to the global healthcare system.

Obesity “epidemic”

Obesity is defined as someone with excess body fat. However, obesity goes beyond being overweight, and is a serious health concern.

Obesity has a range of negative health consequences. Research shows that obesity increases the risk of numerous types of cancer, premature death, cardiovascular conditions, stroke, and mental health problems [3].

Moreover, the economic impact of obesity is significant. Annual obesity-related healthcare costs in the United States alone is estimated to be over $170 billion [3].

The WHO have noted their concerns over obesity, referring to it as an “epidemic”. For example, the WHO have said that rates of obesity have almost trebled since 1975 [1].

From an oral health perspective, obesity is very relevant. As obesity is often caused by an over-consumption of high calorie or sugary foods, it can impact oral health. In fact, there is a strong connection between Gum Disease and obesity [4].

The Research

The research was undertaken by a team from Loughborough University in the United Kingdom. Their findings have been published in the Obesity Reviews journal [2].

There are limited treatments for obesity. Instead, lifestyle and diet changes are recommended. While a doctor may provide this information, there is also the possibility that dentists could deliver this information – with this possibility looked into as part of this research.

The team reviewed 28 past studies from seven different countries on dental input into weight management [2]. This spanned 13,684 participants.

The past research pointed towards weight management being useful for patients. The research found that approximately 83% of participants were in support of weight being discussed in a dental appointment [2].

Also, the participants appeared to largely support being signposted to other health departments by dentists. This would create a wider support network across healthcare for patients [2].

Aside from reviewing past research, the team also worked directly with dentists and patients in the United Kingdom to assess how weight management screening could become part of a routine dental appointment [2].

They found that there is currently a lack of input during dental appointments to discuss weight issues. The researchers explained that existing barriers included weight stigma, lack of time, and a fear of offending their patient [2].

Moreover, the researchers also cautioned that it would be a delicate topic with children, as discussing weight at such a young age could risk inducing an eating disorder [2].

The researchers also pointed out that training and support would be necessary for dentists to make this approach work. Furthermore, clear guidance and advocacy from stakeholders, including professional regulatory bodies, would be required [2].

But the overall opinion was that discussing weight management during dental appointments was positive.

Author Comments

The findings were positive, and suggest that dentists can certainly play a role in weight management. Patients are seemingly receptive to this idea too.

Pediatric Dentist Jessica Large and Professor Amanda Daley led the research. The duo were pleased with the results, and voiced their approval of the findings [5].

Large said that “all health professionals have the opportunity to contribute to reducing obesity and improving health, and these results suggest that with the right support and training, dentists could help in a positive way to achieve this” [5].

Moreover, Daley said that dental appointments provide “an ideal opportunity to screen and intervene to reduce obesity”, along with offering the chance for dentists to offer dietary advice, which puts them in “a strong position to address weight concerns” [5].

Hopefully, this research will result in more dentists engaging with their patients regarding weight management. It could help the overall health of patients and contribute towards lessening the burden of obesity on the global healthcare system.

Thinking points…

1) One of the biggest drivers of obesity is high-sugar and calorific foods. This also links with the onset of tooth decay and oral health problems, as sugar has a negative effect on our oral health. Therefore, try and limit your sugar intake, and regularly attend dental appointments. At these appointments, any problems can be identified and then treated accordingly. We recommend booking a check-up now!

2) Weight management is definitely a sensitive topic. If you feel that you want to lose some weight, then you can start by setting yourself some targets like exercising more and increasing vegetable intake. This should also positively impact your oral health, as this will typically involve less sugary snacks being consumed!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a range of treatment options and advice, with the aim of improving oral health and boosting overall wellbeing!

We advise our patients to attend our Calgary-based dental clinic twice a year for a dental check-up. If any problems are detected, we have many treatments available. For instance, these include cavity fillings and root canals. To try and prevent problems, it is important to brush your teeth at least twice a day and floss regularly.

Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, tooth whitening and Invisalign™

! Our patients find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, the fees of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide.

We would love you to visit our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.

References

[1] World Health Organization. (2024). Controlling the global obesity epidemic. Available: https://www.who.int/activities/controlling-the-global-obesity-epidemic. Last accessed: 21st February 2024.

[2] Large, J. F., Madigan, C., Graham, H., Biddle, G. J. H., Sanders, J., & Daley, A. J. (2024). Public and dental teams’ views about weight management interventions in dental health settings: Systematic review and meta-analysis. Obesity Reviews. (Early View): e13726. DOI: https://doi.org/10.1111/obr.13726.

[3] Centers for Disease Control and Prevention. (2024). Consequences of Obesity. Available: https://www.cdc.gov/obesity/basics/consequences.html. Last accessed: 21st February 2024.

[4] De Castilhos, E. D., Horta, B. L., Gigante, D. P., Demarco, F. F., Peres, K. G., & Peres, M. A. (2012). Association between obesity and periodontal disease in young adults: a population-based birth cohort. Journal of Clinical Periodontology. 39 (8): p717-724. DOI: https://doi.org/10.1111/j.1600-051x.2012.01906.x.

[5] Loughborough University. (2024). Study finds patients happy to get support on how to lose weight during routine dental appointments. Available: https://medicalxpress.com/news/2024-02-patients-happy-weight-routine-dental.html. Last accessed: 21st February 2024.

How Do Preventable Oral Health Problems Contribute to Global Healthcare Expenditure?
18Feb
While oral health conditions like Tooth Decay and Gum Disease are preventable, they are very common conditions. Now, a report has looked into global expenditure on preventable oral health conditions – with concerning results. The findings underline the importance of having strong oral health. It also shows the financial burden caused by the treatment of preventable oral health conditions.

Oral health conditions like Tooth Decay and Gum Disease are preventable through measures like regular toothbrushing and flossing, eating healthily, and regular trips to the dentist.

However, for numerous reasons, these conditions are very common. In fact, a recent report has revealed that almost 5% of entire global health expenditure is spent on preventable oral health conditions [1].

This finding shows that many people are neglecting their oral health, and that preventable conditions are proving to be burdensome to healthcare costs.

Commissioned Report

These findings have been produced in a report called “Time to put your money where your mouth is: Addressing inequalities in oral health”, which was commissioned by the European Federation of Periodontology (EFP) [1].

This report looked in detail at the burden caused by gum disease and tooth decay [1]. The report aimed to propose a plan that could be implemented to try and address in the inequality in oral healthcare [1].

The report pointed out that tooth decay affects more than two billion people around the world, whereas gum disease affects over one billion people [1]. This emphasizes the need for action in terms of improving oral healthcare.

Creation of a cost calculator

Moreover, the report also involved the creation of a tooth decay prevention and care cost calculator. This calculator sought to find out the direct treatment costs that these conditions cause [1].

Incredibly, direct treatment costs totalled $357 billion per year, which represents 4.9% of global health expenditure [1]. These huge numbers underline the high costs involved in treating preventable conditions.

Additionally, the calculator suggested that severe tooth decay, gum disease and tooth loss contributed significantly to a loss in productivity. Therefore, this resulted in the worldwide economy losing an estimated $188 billion per year [1].

Costs associated with tooth decay

Additionally, the calculator estimated the long-term direct costs associated with managing tooth decay in those aged 12-65 in six countries – Brazil, France, Germany, Italy, Indonesia and the United Kingdom [1].

This revealed some interesting results. The report found that the overall cost caused by tooth decay varied from $10.3 billion in Italy to $36.2 billion in Brazil [1]. The authors of the report explained that this difference was in part due to the range in population sizes in these six nations [1].

Interestingly, the largest costs per person due to tooth decay were in the United Kingdom – with a total of $22,910 per person. The United Kingdom has recently been gripped by a dental crisis – leading the British government to admit an “urgent and fundamental reform of NHS dentistry” is needed [2]. Conversely, Indonesia featured the lowest amount at $7,414 per person [1].

How can the situation be improved?

The findings are concerning, but do at least provide researchers with the statistics that underline the need for improvement in the prevention of oral health conditions.

Professor Nicola West is the secretary general at the EFP. She says that the report offers “a timely reminder that there is no overall health without oral health” [3].

Moreover, West has called on “policy makers and budget holders to put their money where their mouth is” and make changes as soon as possible [3].

The authors suggest that targeting common risk factors like tobacco and alcohol use, and diet, that both oral health and wider physical health problems like cardiovascular conditions, can be helped [1].

Furthermore, the authors point out that there are simple preventable measures, which includes brushing with fluoridated toothpaste, applying topical fluoride and strategically targeting different stages of tooth decay development to take action [3].

The findings of the report are certainly concerning. It emphasizes the importance of oral health, and underlines how action is needed to tackle the current situation.

Thinking points…

1) As this article has shown, it is very important to try and prevent oral health problems. Prevention is easier than needing to receive treatment. Therefore, remember to have excellent oral hygiene and attend regular dental check-ups. These check-ups offer a dentist the chance to take a look at your oral health and provide advice and treatment options if needed. We recommend that you book an appointment now!

2) This article has also looked at gum disease, which is an incredibly common condition. While there is no cure for gum disease, there are treatments that can help. These include root planing and scaling. These can help the health of your gums and wider oral health. You could have a discussion with your dentist about these options if needed!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a range of treatment options and advice, with the aim of improving oral health and boosting overall wellbeing!

We advise our patients to attend our Calgary-based dental clinic twice a year for a dental check-up. If any problems are detected, we have many treatments available. For instance, these include cavity fillings and root canals. To try and prevent problems, it is important to brush your teeth at least twice a day and floss regularly.

Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, tooth whitening and Invisalign™! Our patients find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, the fees of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide.

We would love you to visit our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.

References

[1] The Economist Group. (2024). Time to put your money where your mouth is: Addressing inequalities in oral health. Available: https://www.efp.org/fileadmin/uploads/efp/Documents/Other_publications/EIxEFP_-_Oral_Health_white_paper_FINAL.pdf. Last accessed: 16th February 2024.

[2] UK Parliament. (2023). Fundamental reform of NHS dentistry needed to end a ‘crisis of access’. Available: https://committees.parliament.uk/committee/81/health-and-social-care-committee/news/196443/fundamental-reform-of-nhs-dentistry-needed-to-end-a-crisis-of-access/. Last accessed: 16th February 2024.

[3] European Federation of Periodontology. (2024). Treatment of preventable gum disease, caries and tooth loss totals 4.9% of global health care expenditure: Report. Available: https://medicalxpress.com/news/2024-02-treatment-gum-disease-caries-tooth.html. Last accessed: 16th February 2024.

What Is the ADA’s Latest Advice on the Use of Radiographic Exams in Dentistry?
11Feb
The American Dental Association (ADA) has produced new recommendations for dentists over the use of radiographic exams. These new recommendations have been produced by an expert panel, and aim to improve safety for dentists and their patients. These recommendations will result in some changes to dentistry.

The American Dental Association (ADA) has issued new guidance and recommendations over the use of radiographic exams [1].

These new guidelines mark a departure from previous advice that has been used consistently in the past. The new advice comes from an expert panel.

The changes aim to improve protection for both dentists and patients. Dentists will need to take these recommendations on board.

Background

Radiography is a very important part of modern-day dentistry. It refers to the use of X-Rays – called radiographs – which produce detailed images of a patient’s mouth.

Radiographs help a dentist to analyze the teeth of their patients. An X-Ray can help to identify any tooth decay, bone loss, gum disease or an infection. They aid a dentist in their diagnosis of dental problems.

The research also took into account something called Cone Beam computed tomography, which is a type of X-ray machine which is used at times where a regular dental X-ray doesn’t provide sufficient detail [2].

However, there are risks involved in radiography. Research shows that long-term exposure to dental X-rays can in some cases result in extreme conditions like brain tumours and thyroid dancer [3].

Therefore, looking at the safety of radiography is very important. It is important to state that dental clinics have measures in place to limit the damage of X-rays, with dentists taking precautions against harm.

The Guidelines

The guidelines have been formulated by an expert panel. Their main focus has been on radiography – which is a key part of healthcare.

Subsequently, the recommendations have been published via the Journal of the American Dental Association [1].

These recommendations have come after an analysis of 95 existing research articles, guidance documents and regulations based on radiography [1]. Moreover, this analysis allowed the team to analyse the overall safety profile of radiography.

The ADA recommend that prior to taking radiographs, dentists should consider what diagnostic information is required from the images, in order to benefit patient care and improve clinical outcomes [1].

Furthermore, the ADA suggested thyroid and abdominal shielding during dental imaging is no longer recommended. Also, they recommend that the use of protective shielding should be discontinued [1].

This is based on how lead aprons and thyroid collars – which are normally used by dentists for protective shielding – can actually block the X-ray beam, which can mean an X-ray picture isn’t captured correctly [1].

Instead, the ADA have said that evidence suggests modern digital radiography equipment, along with restricting the X-ray size to only the area that needs to be captured, can better protect dentists and patients alike [1].

In regards to cone bean computed tomography, the recommendations also state that this should only ever be used when regular X-rays have not provided the required diagnostic information [1].

There are other, smaller recommendations put forward. For example, the ADA have also recommended ensuring that patients are positioned properly for the most accurate X-ray pictures, and the need to adhere to any federal or state regulations on radiation safety [1].

The ADA believe that these recommendations will improve protection against radiation in dental radiography and the aforementioned cone beam computed tomography [1].

Summary

Understanding and acting upon the implications of radiation is important. These recommendations should help dental clinics to achieve this.

These recommendations will hopefully improve safety for both dentists and patients. The recommendations apply to all patients, regardless of their age or health [1].

Dr. Purnima Kumar is the Professor of Dentistry at the University of Michigan’s School of Dentistry. He also chairs the ADA’s Council on Scientific Affairs – who produced the recommendations [4].

Commenting, Kumar said that the ADA “encourage dentists and their teams to review these best-practice recommendations, comply with radiation protection regulations and talk with their patients about any questions or concerns before ordering dental imaging” [4].

These recommendations are important for everyone in dentistry. It can improve safety for dentists, dental clinic staff, and patients, along with providing other benefits.

Thinking points…

1) These recommendations are unlikely to impact patients too much, so there is no need to change your regular dental appointment schedule. We recommend that you visit the dentist at least twice a year. At a regular check-up, a dentist can have a thorough look at your mouth, provide advice and suggest treatment if needed. If you are due an appointment, we recommend booking now!

2) When reading this article, you may feel concerned about the use of X-rays in dental clinics. However, please do not worry! There are many safety precautions in place which ensure safety for both patients and clinicians. If you have any questions or worries, we recommend speaking to your dentist at your next appointment!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a range of treatment options and advice, with the aim of improving oral health and boosting overall wellbeing!

We advise our patients to attend our Calgary-based dental clinic twice a year for a dental check-up. If any problems are detected, we have many treatments available. For instance, these include cavity fillings and root canals. To try and prevent problems, it is important to brush your teeth at least twice a day and floss regularly.

Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, tooth whitening and Invisalign™! Our patients find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, the fees of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide.

We would love you to visit our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.

References

[1] Benavides, E., Krecioch, J. R., Connolly, R. T., Allareddy, T., Buchanan, A., Spelic, D., O’Brien, K. K., Keels, M. A., Mascarenhas, A. K., Duong, M-L., Aeme-Bowe, M. J., Ziegler, K. M., & Lipman, R. D. (2024). Optimizing radiation safety in dentistry. The Journal of the American Dental Association. (Pre-publication issue). DOI: https://doi.org/10.1016/j.adaj.2023.12.002.

[2] RadiologyInfo.org. (2022). Dental Cone Beam CT. Available: https://www.radiologyinfo.org/en/info/dentalconect. Last accessed: 9th February 2024.

[3] Hwang, S-Y., Choi, E-S., Kim, Y-S., Gim, B-E., Ha, M., & Kim, H-Y. (2018). Health effects from exposure to dental diagnostic X-ray. Environmental Health and Toxicology. 33 (4): e2018017. DOI: https://doi.org/10.5620%2Feht.e2018017.

[4] Versaci, M. B. (2024). Using thyroid collars during radiographic exams no longer recommended by ADA. Available: https://adanews.ada.org/ada-news/2024/january/using-thyroid-collars-during-radiographic-exams-no-longer-recommended-by-ada/. Last accessed: 9th February 2024.

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