Articles tagged "systemic disease"
AHA Statement on Periodontal Disease and Heart Disease
The American Heart Association published a scientific statement in its journal Circulation, stating that a review of the current scientific evidence did not establish a cause and effect relationship between periodontal disease and heart disease. Read more
Periodontal Health Isn’t Yet the Answer to Preterm Birth
The author, an obstetrician/gynecologist, calls for a better periodontal screening tool for pregnant patients to help reduce adverse outcomes of pregnancy. Read more
Building Osteoporosis Prevention into Dental Practice
This literature review found a relationship between osteoporosis and tooth loss for people who have an inadequate intake of calcium and vitamin D. Dental professionals can assist with national prevention strategies for osteoporosis care by discussing the importance of adequate lifelong dietary calcium and vitamin D consumption with their patients. Read more
Periodontitis: A Syndromic Condition
The association of periodontitis with cardiovascular and respiratory diseases, preterm and low-birth-weight pregnancies and diabetes warrants the use of the term syndrome to alert clinicians to these interrelations. Read more
Separating Fact from Fiction: Use of High-Level Evidence from Research Syntheses to Identify Diseases and Disorders Associated with Periodontal Disease
Evidence from research syntheses indicates that people with periodontitis have a significantly higher risk of certain other conditions, including cardiovascular disease, diabetes mellitus, respiratory disease and preterm low-birth-weight deliveries. The risk may be reversed by periodontal treatment. Read more
Oral Disease Added to United Nations Declaration on Noncommunicable Diseases
Following a coordinated advocacy campaign by FDI and its World Health Professions Alliance (WHPA) partners, oral diseases were officially included in a recent United Nations Declaration on Noncommunicable Diseases (NCDs). Read more
FDI World Dental Federation Report: Recap of the Annual World Dental Congress
Dr. Jack Cottrell of Port Perry, Ontario, sits on the Governing Council of FDI. Dr. Cottrell provided >JCDA with highlights from the 2011 AWDC in Mexico City. Read more
Access to Care for Young and Old
Dr. MacGregor outlines how a new national working group will be building on recommendations from previous CCSA reports and looking to implement access to care advocacy initiatives for children and seniors across Canada. Read more
So Why Do We Call It the Oral-Systemic Health Connection?
The phrase “oral and systemic health” reinforces the concept that the mouth is somehow separate from the body. The authors believe that associations between oral diseases and other diseases elsewhere in the body should in fact be discussed within the context of oral and overall health. Read more
Integrating Oral Health and Medicine: Impending Change in the Canadian Health Care System?
Tangible demonstrations of applying knowledge of the oral health and systemic health relationship to new models of population health within the Canadian health care system have begun to take place. Read more
Oral Hygiene and Patient Self-Reports as Risk Indicators for Cardiovascular Disease
Two recent studies on self-reported toothbrushing behaviour and validated self-report questionnaires show that these surrogate methods are as reliable as traditional clinical indices for establishing the presence of periodontitis. Read more
Improving Nutrition for Better Oral Health
Restricting dietary refined carbohydrates can effectively limit dental and systemic diseases, says Dr. Milan Somborac. The author believes the dental profession should increase its efforts to promote good nutrition for better oral and general health. Read more
Impact of Periodontitis on the Diabetes-Related Inflammatory Status
In this review article, the authors explore the mechanisms through which periodontal infection may influence the diabetic state and insulin resistance and discuss the impact of periodontal treatment on glycemic control. Read more
Sjögren Syndrome: Reduced Quality of Life as an Oral-Systemic Consequence
Studies highlighted in the latest installment by Dr. Anthony Iacopino examine quality of life issues in patients with Sjögren syndrome. This research reinforces the importance of the dental team in the co-management of patients with systemic diseases. Read more
Epigenetics: New Explanations for Old Problems?
The International Centre for Oral–Systemic Health, based at the University of Manitoba’s faculty of dentistry, was launched in January 2008. The centre is proud to partner with JCDA to provide summaries of contemporary literature and news in oral–systemic health that may affect modern dental practice Read more
A Diagnostic Puzzle in a Case Featuring Gross Gingival Enlargement
Swollen gums may be caused by something as simple as poor oral hygiene. However, they may signal serious disease that dentists may be instrumental in diagnosing at an early stage. Read more
Case Report on Suspected Association of Denture Creams and Neuropathy
Health Canada published a case presentation relevant to Canadian dentistry in the January 2010 edition of its Canadian Adverse Reaction Newsletter. The case discusses the potential risks of neurologic disease associated with the excessive use of denture adhesive creams. The case is reprinted in its entirety below. Read more
Models for Interprofessional Practice: Innovative Collaboration Between Nursing and Dentistry
In previous columns I discussed the importance of interprofessional health education and practice as they relate to oral– systemic health and emerging guidelines for co-management of patients.1-3 It will become increasingly common for health professionals in medicine and nursing to collaborate with the dental team in multidirectional screening and referral networks, to mutually reinforce health promotion and wellness messaging, and to jointly develop treatment plans and comprehensively co-manage patients. Read more
Dalhousie Emphasizes Interprofessional Education for Its Dentistry Students
Interprofessional health education (IPE) occurs when 2 or more professions can learn with, from and about each other, with the overall goal of improving collaboration and the quality of care delivered to patients. Nearly 4000 students are enrolled at Dalhousie’s faculties of dentistry, medicine and health professions. It is a challenge to educate such a large and diverse group of students on the topic of interprofessionalism and to provide hands-on experience in patient-centred team care. One of the biggest obstacles is trying to integrate the IPE program into the compressed course loads of students, especially when individual students have individual programs of varying lengths. Read more
A Place for Oral Health in Diabetes Management
A clinical guideline by the International Diabetes Federation aimed at diabetes care providers encourages the integration of oral health care within diabetes management. Read more
How are odontogenic infections best managed?
Dental infections, including gingivitis, periodontitis, dental caries and odontogenic infections, result in numerous dental visits each year in Canada. They can range in severity from a mild buccal space infection to a severe life-threatening multi-space infection. All dentists should be comfortable with prompt diagnosis and management of these types of infections. This review of odontogenic infections describes causative organisms, management including appropriate antibiotic selection and the indications for referral to a specialist. Read more
What dose of epinephrine contained in local anesthesia can be safely administered to a patient with underlying cardiac disease during a dental procedure?
Epinephrine is commonly used in health care and has multiple applications. Two frequent and often life-saving uses are the management of anaphylaxis and cardiac arrest. The word has a Greek origin and literally means “on” (epi) the “kidney” (nephros) referring to the anatomic location (the adrenal gland) where the drug is produced. Confusion still exists regarding the dose limits for epinephrine, particularly when the drug is administered to patients with underlying cardiovascular disease. Read more
If my patient has undergone radiation treatment of the jaw, does he/she need hyperbaric oxygen therapy before I extract teeth or perform other minor oral surgery?
Osteoradionecrosis (ORN) is a feared condition recognized by all dental practitioners (Figs. 1 and 2). Some of us have witnessed this disease among our patients, and we learned in dental school how devastating it can be. The biologic effects of high-dose radiation therapy on the jaws have been well described by Marx.1,2 Although there is no threshold radiation dose beyond which ORN becomes a higher risk, it usually occurs among patients who have had radiation therapy, surgery or both for oral cancer, usually squamous cell carcinoma. Read more
