Tag: Dentistry

Tooth decay can result in inflammation in the dental pulp – which is the innermost part of the tooth. Trying to avoid this is crucial, as it usually requires a Root Canal treatment. Now, a research team has looked at how the mechanisms involved in dental inflammation and root damage can be impacted by various situations. This is an important subject area to review.

Recent research has yielded discoveries regarding the mechanisms involved in dental pulp inflammation and root damage [1].

These discoveries will enable a search to take place for medications that can stop bone loss, when a tooth becomes impacted by endodontic infection.

What is the dental pulp?

The dental pulp refers to the innermost part of the tooth. Therefore, it sits below both enamel and dentin, and contains blood vessels, tissues and nerves.

When teeth become decayed, it can result in a tooth’s pulp becoming inflamed. This often advances to the stage where there is an infection at the root of a tooth, which is known as an abscess.

When this happens, a root canal treatment is normally needed to save the tooth. This is a more complex dental procedure that rarely provides permanent results [2].

The Research

The results involving the mechanisms involved in dental pulp inflammation and root damage have come from two research papers [1].

Both studies were published in the Journal of Endodontics [1]. They both used the key element of the aforementioned mechanisms as a basis for their studies.

The key element is tumor necrosis factor-a receptor-1 (TNFR1), which, when binding to the cytokine TNF-a, causes inflammation to develop [1].

The researchers used various situations to experiment this element. This is where the two studies took different approaches – although both involved analyzing the pathway between TNFR1 and TNF-a.

In the first study, the researchers looked to see how the pathway reacted to dental pulp capping – which is a procedure where bioactive materials are placed over an exposed pulp, thereby encouraging healing [3].

They found that when TNFR1 is altered, it results in inflammation and subsequent bone loss [3]. It can result in severe problems, including rapid demineralization.

The team used a mouse that was deficient in TNFR1 to discover this. They took tissues at both 7 and 70 days, which resulted in an analysis taking place, helping them to reach their conclusion.

In the second study, the researchers investigated how the pathway reacted following root canal contamination [4]. This effectively involves a situation where a person has root canal but the pulp becomes contaminated.

They found that the pathway reacted well. Furthermore, they demonstrated that when the pathway blocks the presence of microorganisms, the number of issues can be reduced [4].

The researchers found that the pathway could assist in protecting against inflammation and bone loss – which is crucial in oral health [4].

After analyzing these situations, the research team concluded that the difference between these situations was the presence of microorganisms [1].

The next steps

The research team are hoping that now that there is a better understanding of the mechanisms involved in inflammation of the dental pulp, that it could be possible to search for a medicine that can assist with stopping bone loss [1].

Paula Silva, who took part in both studies, said that the group “realized from these research findings that a treatment protocol could be developed” – which he suggested was “a very interesting target” they aim to reach in the future [1].

While such creations are likely to be quite some time away, this research has helped scientists to understand what is involved in dental pulp inflammation. Therefore, this can help with future research and the potential development of a medicine to target these issues.

Thinking points…

1) The research looked at the topic of dental pulp inflammation. Tooth decay is the main cause of this. If you don’t catch tooth decay early, it can eventually result in the pulp becoming inflamed. Therefore, rather than a simple cavity filling being needed, it can require a root canal treatment. Make sure you look after your teeth and visit a dental clinic at the first sign of decay!

2) Following on from the above point, it is very important that you attend dental check-ups on a regular basis. Here at Savanna Dental, we recommend that you go to a dental clinic at least once every six months. This will enable any issues to be identified and then treated. We recommend booking an appointment 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-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] Constantino, L. (2023). Discovery of mechanism involved in dental inflammation paves way to therapies against bone loss. Available: https://medicalxpress.com/news/2023-10-discovery-mechanism-involved-dental-inflammation.html. Last accessed: 9th October 2023.

[2] Watson, S. (2021). Tooth Pulp Function and Inflammation. Available: https://www.verywellhealth.com/tooth-pulp-dental-terms-1059180. Last accessed: 9th October 2023.

[3] de Almeida-Junior, L. A., Araujo, L. D. C., Lamarque, G. C. C., Arnez, M. F. M., Kapila, Y. L., da Silva, L. A. B., & de Paula-Silva, F. W. G. (2023). Reparative Dentin Formation Following Dental Pulp Capping is Mediated by TNFR1 In Vivo. Journal of Endodontics. 49 (10): p1329-1336. DOI: https://doi.org/10.1016/j.joen.2023.06.015.

[4] de Almedia-Junior, L. A., de Carvalho, M. S., Almeida, L. K. Y., Silva, R. A. B., Silva, L. A. B., & de Paula-Silva, F. W. G. (2023). TNF-α–TNFR1 Signaling Mediates Inflammation and Bone Resorption in Apical Periodontitis. Journal of Endodontics. 49 (10): p1319-1328. DOI: https://doi.org/10.1016/j.joen.2023.07.013.

Recent research has looked into how flossing technique impacts the effectiveness of flossing. Flossing is a key part of oral health and is an excellent tool to protect your teeth and gums. However, flossing is something that many people ignore. For those that do floss, the research has shown that using the correct technique can boost their oral health.

The importance of flossing cannot be understated. It is crucial for removing debris that a toothbrush can’t reach, and helps protect against cavities and bad breath.

However, while most people brush their teeth regularly, flossing is something that many people forget to do. Furthermore, for those that do floss, many do not know how to do so effectively.

Recent research has looked into what impact proper flossing technique has [1]. The results show that flossing is very important and has a positive impact. This impact is more pronounced when proper flossing technique is used.

Background

Flossing can help remove debris from food and anything else in the mouth. Furthermore, it stops dental plaque from forming, aiding cavity prevention. It also helps gum health.

The United Kingdom’s NHS recommends that people floss from the age of 12 [2]. But while dentists always praise flossing, there has been some debate on its effectiveness.

2016 Associated Press article

One of the key factors in this research was a somewhat controversial article from the Associated Press in 2016 [1]. The article, which used findings from numerous studies, stated that there was “little proof that flossing works” in the long-term [3].

At the time, it caused some debate on if flossing was actually effective. Dentists pointed out that gum disease can take many years to develop – making long-term studies unrealistic [1].

The Research

The research was carried out by a team from Tufts University School of Dental Medicine. Their findings have been published in the Journal of Dental Hygiene [1].

As mentioned, the research team wanted to provide evidence that dental flossing is an effective activity, which could dispute the findings of the Associated Press [1].

One of the first things they realised was that many people weren’t flossing accurately. Therefore, this limited the effectiveness of flossing.

They recruited 36 study participants. These participants all had a diagnosis of Gingivitis – the earliest stage of gum disease [1]. Gingivitis is a very common condition. With bleeding gums being a common symptom of gingivitis, the researchers decided this would be the key area that they would look out for.

Then, the participants were split into two groups. One group were trained to floss using a technique called “adapted horizontal vertical flossing”. Meanwhile, the other group were left to continue their usual flossing style [1].

The participants were asked to floss every night for an eight week period. After eight weeks, the researchers looked to see how common bleeding gums were among both groups.

Incredibly, those that had used the adapted horizontal vertical flossing technique had seen a 70% reduction in bleeding gums [1].

Also, those that flossed using their own technique saw a 30% reduction in bleeding gums [1]. This shows that even when the optimal technique isn’t used, any form of flossing can still have a positive impact.

Overall, the researchers concluded that people that learned and consistently used proper flossing technique showed fewer signs of gum disease and other oral health problems. However, the study also found any form of flossing can be effective.

What is proper flossing technique?

The study recommended that the below technique should be used [1]:

• Wrap each end of a 15–18-inch length of floss around the ring or middle finger of both hands.

• This should leave around 5-6-inches of floss to use. Hold this floss with the index finger or thumb of each hand. Use around three quarters of floss between the fingers of each hand.

• Start at one end of either the top or bottom set of teeth and apply the floss to the curved surface of the tooth – essentially bending a “c” shape around the tooth.

• Carefully move the floss in a forward-backward motion and upwards and downwards – this should remove any debris

• Continue this process for each tooth [1]

By following the above technique, it should result in effective flossing. This can boost your oral health and protect your gums.

The authors were pleased with the outcome of the research. Paul Levi of Tufts University, said that this was the first study “to prove that a person using floss with a specific technique will have less gum infection than a person who just does what they normally do” [4].

Making flossing a regular part of your oral hygiene routine is crucial! Furthermore, as this study shows, using an effective method is equally important!

Thinking points…

[1] Flossing can protect against cavities and gum disease. Another important part of preventing oral health is to attend regular dental check-ups. A check-up provides a dentist with an opportunity to take a look at your oral health in detail, and identify any problems. It is important to frequently attend check-ups. We recommend booking an appointment now!

[2] Many people do not floss. This might be due to not feeling it is worthwhile, being lazy, or just forgetting. But as this research has shown, it can have very strong results for our oral health. Therefore, try and find a way of incorporating flossing into your bedtime routine – and ensure you do it either just before or straight after brushing your teeth. We recommend figuring out a routine 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] Basali, D. H., Hong, I., Finkelman, M., Dragan, I. F., Gyurko, R., Uzel, N. G., & Levi, P. A. (2023). The Effect of Dental Flossing Instructions and Technique on Interproximal Bleeding: A randomized control trial. Journal of Dental Hygiene. 97 (4): p36-45.

[2] NHS. (2019). Why should I use dental floss?. Available: https://www.nhs.uk/common-health-questions/dental-health/why-should-i-use-dental-floss/. Last accessed: 23rd September 2023.

[3] Associated Press. (2016). Untitled. Available: https://apnews.com/article/f7e66079d9ba4b4985d7af350619a9e3. Last accessed: 23rd September 2023.

[4] Ragovin, H. (2023). You could be flossing all wrong, if you’re even flossing at all. Available: https://medicalxpress.com/news/2023-09-flossing-wrong-youre.html. Last accessed: 23rd September 2023.

Dental treatments like cavity fillings use a range of materials to ensure their effectiveness. However, the results are normally only a temporary fix, rather than a solution for life. Currently, efforts to improve the longevity of dental materials are ongoing, with researchers aiming to create longer-lasting materials. This could help to save money for both consumers and healthcare providers.

One of the major problems in dentistry currently is the fact that when we get treatments like cavities, a root canal treatment, or cosmetic dentistry like veneers, they are only temporary fixes.

While these temporary fixes will often last many years – ideally we would only require treatment once. In fact, the thought of repeated treatment can put some people off attending the dentist.

However, in positive news, research into making longer-lasting dental materials is ongoing [1]. Progress is being made, with the hope that the research will result in longer-lasting results.

The current situation

A large range of materials are needed in dentistry. For example, these materials can be used for cavity fillings, implants, in root canal treatments and veneers.

Common materials used in dental restorations include amalgam, zinc, resin, porcelain, zirconium, and bonding agents. This is by no means an exhaustive list, with a vast range used.

But while these materials do a great job of providing a fix, this is typically only a short-term measure. For example, research shows that cavity fillings last up to around 15 years, depending on the materials involved [2].

Therefore, the current situation does not provide lifetime solutions. This results in high costs for both consumers and healthcare providers. Resultingly, longer-lasting materials would make a huge difference!

Project CUPIID

In an effort to improve the current situation, The Department of Energy has set up an initiative which will provide $33.6million of funding to a team of researchers for “Project Cupiid” [1]. Project Cupiid stands for “Complex, Unique, and Powerful Imaging instrument for Dynamics” [1].

The project is bringing together chemists, physicists, engineers, bioengineers, and material scientists [1]. They hope to develop materials that can withstand the notoriously harsh conditions of the mouth.

There is an awareness among the researchers that this isn’t something that only dental researchers can create. This is why the multi-disciplinary approach is being taken [1].

By having this multi-disciplinary team, the researchers will be able to look at how different materials function within the human body. Combinations of materials will also be examined in an effort to produce the most effective and long-lasting materials.

The potential benefits

Dr. Fernando Esteban Florez of the University of Oklahoma’s College of Dentistry is a key figure in the ongoing research. Florez has said that the total cost saving for longer-lasting restoration materials would be approximately $5billion per year [1].

Cost is definitely the main benefit. Florez has pointed out that “the cost to fabricate these materials, the cost to replace restorations, the amount of time that the patient has to go to the dental office, the impacts in the oral health, those are huge” [1].

This would also mean less oral discomfort. For instance, for someone that has had a root canal treatment, they are likely to be in excruciating pain when the materials eventually fail. Unfortunately, it is very difficult to tell when this will be. Therefore, by having longer-lasting materials, this is less likely to happen.

Florez is reluctant to get too excited, instead saying that currently, “it’s very hard to pinpoint how revolutionary this is” [1]. But the hope is that in the long-term, researchers will look back at this project as a time that dentistry was revolutionized forever!

The researchers aim to produce positive results soon. Florez has said that the team would like to produce new products within the next 2 years [1]. This would surely provide a range of long-term benefits for patients, dental clinics, and dentistry as a whole.

Thinking points…

1) It can be easy to think that if you have had recent treatment, that you don’t need to return to the dentist again for a while. But as this research shows, dental treatments won’t last forever! Therefore, it is important to regularly attend your dentist for a check-up. A check-up will provide a dentist with a chance to take a look at your oral health and ensure everything is looking as it should. Remember not to get complacent – book an appointment now!

2) We mentioned above that it is difficult to know how long your dental treatments will last. However, there are things that you can do to try and boost the longevity of treatments. For example, if you have cavity fillings, eating hard foods, chewing aggressively, or ignoring the filling when brushing your teeth – can all make the life expectancy of the filling worsen. Remember to take good care of your teeth, as this can reduce the likelihood of further treatment being required.

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] Breasette, A. (2023). Revolution for dentistry, research for longer lasting dental materials. Available: https://kfor.com/news/local/revolution-for-dentistry-research-for-longer-lasting-dental-materials/. Last accessed: 9th September 2023.

[2] Jokstad, A. (2002). How long do fillings last?. Evidence-Based Dentistry. 3: p96-99. DOI: https://doi.org/10.1038/sj.ebd.6400146.