Tag: dental care

A recent study has looked at the possibility of tissue regeneration being able to replace root canal treatment in the future. Root canal treatment has been used for several years in cases of badly infected teeth. Research into more effective treatments has been ongoing for many years. Now, a team of researchers have explored tissue regeneration, with a view of investigating its oral capabilities.

For many years, Root Canal treatment has been the go-to method for saving a tooth that would otherwise die due to an infection caused by extensive decay.

However, new research suggests that tissue regeneration may prove to be an effective alternative to a root canal treatment [1]. This has the potential to transform the way that some dental treatments are carried out.

The possibility of tissue regeneration has been analyzed in recent years, but owing to the complexity of this topic, little progress has been made. But this research has sought to advance this research area.

What is a root canal treatment?

This research focused on root canal treatment. A root canal treatment is a common dental procedure that involves a dentist removing infected soft tissue inside the tooth – known as the pulp [2].

A root canal treatment aims to save a tooth that has become infected – normally due to extensive tooth decay, trauma, or a botched filling. Therefore, a root canal treatment can be a very effective treatment.

However, it isn’t a perfect treatment. Complications are relatively common, and the results are rarely permanent. For example, research has shown the average survival time of a tooth following a root canal is approximately 11 years [3].

Due to the imperfect nature of the root canal treatment, research is commonly undertaken into alternatives. One area that has been analyzed in recent years is the topic of tissue regeneration.

Tissue regeneration refers to the process of renewal and growth to repair or replace a tissue that has become damaged [4]. In the context of this research, this would be the infected tissues in the mouth.

The Research

The research was carried out by a team of scientists at the Forsyth Institute. Their findings have been published in the Journal of Dental Research [1].

The research involved the use of resolvins – which are a group of molecules that come from omega-3 fatty acids, which are naturally produced by the body.

Moreover, the research specifically used the E1 resolvin [1]. E1 resolvin is known as being very effective in controlling excess inflammation – which is common in cases that require a root canal treatment.

To experiment with regeneration, the researchers set up a study which applied E1 resolvin to a range of pulps. These pulps were all infected or damaged to different extents. This allowed the researchers to use E1 resolvin at numerous stages of infection, from a minor infection to an advanced infection, and others in between [1].

The researchers then watched to see how the tissues reacted once E1 resolvin had been applied.

The analysis produced two main findings. Firstly, the researchers found that E1 resolvin is very effective at promoting pulp regeneration – with positive results seen across pulps that were at an early stage in damage or infection [1].

However, the researchers also found that when E1 resolvin was applied to severely infected or damaged pulps, no regeneration took place [1]. It appeared that this was irreversible.

But in one positive – despite not fixing the issue, they did find that E1 resolvin was still able to slow down the rate of infection, providing a better chance of long-term survival for the tooth [1].

Analysis of the results

The research produced mixed results. There was a very positive result in terms of the use of E1 resolvin on early-stage pulp infections. However, as the pulp became more infected, there was no way of stopping the infection.

These findings show that E1 resolvin definitely has the potential to be effective, but does have some limitations. Therefore, it is debatable as to whether or not this could replace a root canal treatment in the long-term.

But these are early days in the research field, and advancements in forthcoming years are likely. So while it is unlikely that the root canal treatment will become redundant anytime soon, there is potential in the future for tissue regeneration to play a key role in oral health treatment.

Looking beyond dentistry, Dr. Thomas Van Dyke, the senior scientist at the Forsyth Institute, believes that the research topic has “huge potential for the field of regenerative medicine” [5]. Therefore, this underlines the potential impact it could have across the healthcare industry [5].

Thinking points…

[1] This article features the topic of root canal treatments. It is important to remember that root canal treatments are avoidable! Therefore, remember to have excellent oral hygiene, including cleaning your teeth at least twice a day, and flossing regularly. This can limit any damage to your teeth. Why not take this chance to have a look at your oral hygiene routine, and see if you can make any improvements?

[2] Another important thing to do in order to avoid oral health problems is to attend a dental clinic for a regular check-up. A dentist can examine your oral health, and can look for any problems. If there are any issues, early detection is key. Therefore, this is a great way of ensuring your oral health is strong. We recommend booking a check-up now!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a wide range of dental treatment options and advice aimed at improving their oral health.

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™! Many people find that these treatments have a positive impact on their appearance, confidence and self-esteem.

Moreover, all of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide. This ensures transparent and fair pricing.

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] Wu, Y-C., Yu, N., Rivas, C. A., Mehrnia, N., Kantarci, A., & Van Dyke, T. E. (2023). RvE1 Promotes Axin2+ Cell Regeneration and Reduces Bacterial Invasion. Journal of Dental Research. 102 (13): p1478-1487. DOI: https://doi.org/10.1177/00220345231197156.

[2] NHS. (2022). Root canal treatment. Available: https://www.nhs.uk/conditions/root-canal-treatment/. Last accessed: 9th December 2023.

[3] Thyvalikakath, T., LaPradd, M., Siddiqui, Z., Duncan, W. D., Eckert, G., Medam, J. K., Rindal, D. B., Jurkovich, M., & Gilbert, G. H. (2022). Root Canal Treatment Survival Analysis in National Dental PBRN Practices. Journal of Dental Research. 101 (11): p1328-1334. DOI: https://doi.org/10.1177/00220345221093936.

[4] Albulet, D., Florea, D. A., Boarca, B., Ditu, L. M., Chifiriuc, M. C., Grumezescu, A. M., & Andronescu, E. (2017). Nanotechnology for personalized medicine: cancer research, diagnosis, and therapy. Nanostructure for Cancer Therapy. p1-21. DOI: https://doi.org/10.1016/B978-0-323-46144-3.00001-5.

[5] Forsyth Institute. (2023). Scientists work to bring tissue regeneration to replace root canal treatment. Available: https://medicalxpress.com/news/2023-12-scientists-tissue-regeneration-root-canal.html. Last accessed: 9th December 2023.

With full details of the Canadian Dental Care Plan due to be released soon, dentists from a range of dental associations have provided recommendations about the plan. The associations believe that these recommendations will result in a plan that works for patients, dental care providers, and taxpayers.

The Canadian Federal Government is expected to reveal the full details of the Canadian Dental Care Plan within weeks. This is a long-awaited plan which has been months in the making.

In preparation for the announcement, Canadian dentists from a range of dental associations have been sharing their expertise, resulting in them creating a proposed framework for the dental plan, which seeks to provide advice to the government [1].

The dental associations believe that their recommendations will result in a plan that will work for patients, dental care providers, and taxpayers [1].

Background

The Canadian Dental Care Plan was first announced as part of the supply-and-confidence agreement between the governing Liberals and the New Democratic Party (NDP) following the last election.

After being beset by setbacks, a temporary measure was enacted in the form of a dental benefit, which launched at the end of 2022 [2]. This benefit offered financial assistance to the children of low- and middle-income families.

But the long-term goal has always been to create a full plan. Initially, children, teenagers, seniors, and people with disabilities will be prioritized. The aim is for the full rollout to take place by 2025 [2].

The recommendations

Dental associations across Canada have contributed to a document titled A Proposed Framework for the Canadian Dental Care Plan [3].

As dentists will be the ones that actually deliver the care, they are understandably very passionate. For example, all dental professionals share a common goal – they wish to see an improvement in oral health for Canadians.

The document provides their recommendations and a framework for what they believe to be a strong and successful dental care program. Their recommendations are based on data, research, and input from experts in the dental field [1].

The main recommendations are:

• To safeguard access to dental care by respecting and acknowledging the current dental insurance system

• To allow each patient to select their own dentist

• To ensure the public can access the dental care they need without having to deal with unneeded delays or bureaucracy

• Work alongside existing government dental programs to ensure the public get the maximum from the dental care they are entitled to

• Fairly pay the dental professionals that deliver the care [1].

These recommendations are important. The patient-centric approach outlined above can maximize the positive experience that patients could have.

As part of the recommendations, dentists also note that there are existing dental programs seen across various provinces. With this in mind, it is important that the plan complements these existing plans, rather than replacing them.

Moreover, the document suggests that it is important for the government to not rush into the plan. Instead, they suggest that the Canadian Dental Benefit could be temporarily expanded if needed [1].

Addressing a labour shortage

Aside from the above recommendation, the dental associations have also collectively asked for a coordinated plan to increase skilled workers for dental offices to be implemented [1].

This is because of a serious shortage of dental hygienists across Canada [1]. This can cause unnecessary delays for patients, and worsen their experiences.

By recruiting more dental hygienists, the hope is that there will be more appointments available, less waiting times, and the chance to provide excellent care for the Canadian public.

Quotes

Key figures from various dental associations have commented on the framework and advice. Dr. Bruce Yaholnitsky, President of the Alberta Dental Association, has summed up the situation by stating “we all want” a “successful and sustainable” plan [1].

Yaholnitsky says that “the only way we reach our goal is if dentists and policy makers work together to create a plan that benefits patients, while respecting both providers and taxpayers” [1].

Meanwhile, Dr. Brock Nicolucci, President of the Ontario Dental Association, has looked at the bigger picture. He has mentioned that the dental plan “could become one of Canada’s greatest achievements in public health” – but this is contingent on the government getting “it right” [1]. This quote underlines the potential that the plan has.

What happens next?

Now that the various dental associations have commented on the situation, the hope is that the government will take their recommendations into account.

The next step is to wait for an official announcement from the federal government. This is expected to happen soon, and will hopefully be the catalyst for improved oral health across Canada.

Thinking points…

1) One of the main reasons for the dental plan is the need for more affordable dental care – with many people citing cost as a barrier to receiving care. However, here at our Calgary dental clinic Savanna Dental, our prices are set in line with the Alberta Dental Fee Guide. This means that our fees are transparent, reliable, and trustworthy! If you wanted to find out more about us, we recommend you take a look at our website https://savannadentalclinic.ca, and book an appointment with us!

2) On some online forums, there has been discussion among members of the public that they are in significant dental pain, but are waiting for the dental plan before getting treatment. If you are in a similar position, it is crucial that you seek help sooner! The longer that problems are left, the more severe and potentially irreversible they can become. Therefore, if you are in any pain, we recommend visiting your dental clinic right away!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a wide range of dental treatment options and advice aimed at improving their oral health.

We advise our patients to attend our Calgary-based dental clinic twice a year for a regular dental check-up. When 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™! Many people find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, all of our services at our Calgary dental clinic Savanna Dental are 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] GlobeNewswire. (2023). Canadian dentists to government: Here’s how to build a strong dental care plan. Available: https://www.thecanadianpressnews.ca/globenewswire_press_releases/canadian-dentists-to-government-here-s-how-to-build-a-strong-dental-care-plan/article_cf997071-e2c1-5405-b6b4-10388191544c.html. Last accessed: 24th November 2023.

[2] Ontario Dental Association. (2022). Canadian Dental Care Plan. Available: https://www.oda.ca/visiting-the-dentist/government-dental-programs/canadian-dental-care-plan/. Last accessed: 24th November 2023.

[3] Ontario Dental Association. (2023). CDCP Proposed Framework. Available: https://www.oda.ca/visiting-the-dentist/government-dental-programs/cdcp-proposed-framework/. Last accessed: 24th November 2023.

Recent research has compared how the dental industry looked during Covid-19 and before the pandemic. This has implications for the modern day, as many people are yet to return to a dental clinic since the pandemic. The findings were rather concerning, with there being many decreases in various areas, including preventive healthcare like check-ups and restorative procedures.

In concerning news, new research has found that there has been a significant decrease in the provision of preventive oral healthcare services when compared to the levels seen prior to Covid-19 [1].

These results have raised concerns that there could be a long-term impact on oral health. This may only be evident in years to come.

The authors of the research have proposed a few potential explanations for this. Regardless of the reasons behind this, it is a concerning situation.

Dentistry in the Covid-19 pandemic

Dentistry was one of the most affected industries during Covid-19. Routine and non-emergency dentistry was suspended in 2020, resulting in only those requiring urgent dental care receiving treatment [2].

As a result of this, tens of millions of people around the world missed their planned dental check-ups. Some people are still waiting for these appointments to be re-scheduled, with some dental clinics continuing to work through a backlog of appointments.

The Research

The research was undertaken by Delta Dental, an institute that is dedicated to advancing oral health for all Americans. Their findings were published in the Journal of the American Dental Association [1].

The research team were looking to assess the impact that the Covid-19 pandemic had on oral healthcare that was provided between July 2020 and December 2021 [1]. This included the peak months of the pandemic.

The team used national claims data. In order to gain a picture of oral healthcare during the above time period, they used past data as a comparison tool. Therefore, the team used data from 2017 to 2019 – as this represented pre-pandemic dentistry [1].

Then, the data was sorted into various treatment categories. This allowed the researchers to identify which treatments had seen a rise or fall during the pandemic.

When the research team compared the two data sets, there were concerning findings. This included the realization that all age groups – especially those aged under 65 – had seen worse statistics post-pandemic [1].

For children aged from 0 to 5, the use of sealants and topical fluorides other than varnish were significantly lower in 2021 [1].

For children aged 6 to 18, there were huge decreases. Regular check-up diagnostics, operations, surgery and periodontic procedures were all down in 2021 compared to 2019 [1].

For adults, as well as having similar trends to those seen in the 6 to 18 age group, they also had significantly less gingival surgery [1]. Therefore, this suggests that there was a lack of surgeries for gum disease in this time.

However, the researchers did find that in adults, incidences of root planing and scaling – two methods used in treating gum disease – had increased [1]. This suggests that in the absence of any surgery, patients compromised by utilizing root planing or scaling for their gums.

The only increases seen were in the use of silver diamine fluoride and prefabricated crowns [1]. This suggests that many who needed emergency care opted to use a crown, as it typically provides more stability to the tooth that has been worked on. This may have been a way of providing longer-term success to what was most likely a short-term fix from a dental clinic.

Long-term impact

The overall picture suggested that there has been a trend towards less patients having preventive care. The lack of check-ups and other preventive care is very concerning.

It is very likely to have long-term implications. We may see in the next few years a large number of people needing restorative work done, as many have not returned to a clinic since the pandemic.

Other barriers exist too, including cost and access to dental clinics. Then there has also been decreases in employer-sponsored dental benefits too [3].

Joseph Dill is the Chief Dental Officer at Delta Dental [3]. He discussed the findings. Dill noted that “while we’re through the pandemic, we’re just beginning to understand the long-term impacts it could have on the nation’s oral and overall health” [3].

Moreover, Dill has pointed out some concerns. For example, he said that “the reduction in preventive procedures seen across age groups could lead to an increase in caries or deterioration of periodontal status, particularly for people who require regular preventive and maintenance care” [3].

Furthermore, Dill also pointed out the implications of this on physical health. He said that “this can exacerbate other health problems, like risk of stroke, high blood pressure, and diabetes” [3].

There are certainly a number of concerns caused by these findings. Hopefully though, we will soon see a resurgence in the number of appointments being booked.

Thinking points…

1) The researchers in this study have pointed out the physical health consequences that poor oral health can have. Let this be a reminder to you of the importance of your oral health! Remember to keep good care of your teeth and attend regular dental check-ups. We recommend making an appointment now!

2) Some people haven’t made a dental appointment since dental clinics reopened after Covid-19. If you are one of these people, we strongly recommend that you book a check-up as soon as possible! This will provide a dentist with the chance to look at your oral health and provide treatment options if needed. Therefore, remember to book soon!

What we offer at Savanna Dental

Savanna Dental is a Calgary dental clinic that provide its patients with a wide range of dental treatment options and advice aimed at improving their oral health.

We advise our patients to attend our Calgary-based dental clinic twice a year for a regular dental check-up. When 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™! Many people find that these treatments have a positive impact on their appearance, confidence and self-esteem.

In addition, all of our services at our Calgary dental clinic Savanna Dental are 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] Dill, J., Fontana, M., Bader, J., Chaffin, J., Strock, S., & Eckert, G. (2023). Impact of the COVID-19 pandemic on oral health care use in the United States through December 2021. The Journal of the American Dental Association. 154 (10): P937-947.DOI: https://doi.org/10.1016/j.adaj.2023.07.012.

[2] Rivas, K. (2020). Amid coronavirus, avoid nonessential dental care, WHO says. Available: https://www.foxnews.com/health/who-coronavirus-avoid-nonessential-dental-care. Last accessed: 26th October 2023.

[3] Delta Dental Institute. (2023). New research from Delta Dental finds a significant decrease in the provision of preventive oral health services resulting from the pandemic, raising concerns about long-term impacts. Available: https://www.prnewswire.com/news-releases/new-research-from-delta-dental-finds-a-significant-decrease-in-the-provision-of-preventive-oral-health-services-resulting-from-the-pandemic-raising-concerns-about-long-term-impacts-301961466.html. Last accessed: 26th October 2023.