The American Dental Association estimates that less than 1 in 3 Millennial (those in their 20s and 30s) visit the dentist each year – the lowest visit rate among any generation except for those over age 75.Read More
Julie DiNardo, RDH (Hamilton, ON) reports a patient with long-term respiratory disease has recently improved lung function. the patient’s respirologist and the patient are unsure why the improvement. So the patient asked Julie if it has anything to do with Prevora, an antiseptic which she has been receiving in Julie’s practice for the past 5 years.Read More
…the (possibly deadly) game of bouncing patients between the dentists and the physician.
How So? Well, as explained as an example by a Forbes article, diabetics are considered the exclusive domain of physicians. Gum infections require a visit to the dentist. Yet these 2 chronic, inflammatory disease are interrelated.Read More
Hygienists often tell me their “horror stories” in serving older patients in retirement residences and nursing homes. These stories cover the waterfront – rampant decay among those with dementia, can’t get past the front door, gross inflammation in the mouth, preoccupation by the nursing team and unwillingness by the family to pay for better oral health until it is too late.Read More
In this new age of containing medical costs, it seems the ultimate argument and purpose for oral health services is better overall health. For example, note this excerpt form a recent blog in Health Affairs, an influential journal in organizing the healthcare system: “Periodontal disease treatment can reduce medical costs in patients with diabetes, coronary artery disease, and cerebral vascular disease. Gum disease is strongly linked to poor cognitive brain function among patients with Alzheimer’s disease. The risk of developing dementia has been found to be higher in those with periodontitis than those without it.”Read More
A recent assessment from the Cochrane Reports concluded that regular hygiene visits for scaling and polishing (a routine procedure for preventing gum disease and tooth decay) had no clinical benefit. Here’s the data which supports this conclusion:
“Healthy” patients with no scaling and polishing over 3 years had 39.3% of their teeth with bleeding gums.Read More
That’s the recommendation on a new blog from the Robert Wood Johnson Foundation. How so? well, here’s an argument.
Let’s begin by recognizing chronic diseases such as diabetes and COPD have a much higher prevalence in poorer communities than rich ones. For example, about 4 in 100 adults in Rosedale (high income) in Toronto have diabetes, whereas, 3 kilometers away in St. Jamestown (low income), 12 in 100 are diabetic.
A new study which examines why American spending on healthcare has shown little growth over the past few years, reports that a key reason is healthier hearts among Seniors.
Between 1999 and 2012, American per capita spending on cardiovascular and cerebrovascular diseases (heart attack, cardiac arrest, stroke, etc.) declined by $827 per person. Spending on a related category called cardiovascular risk factors (high blood pressure, high cholesterol, diabetes) also fell $802 per person below the trend line.Read More