Routine dental care: does the evidence give us something to smile about?

In thisEvidently Cochrane blog, Sarah Chapman looks at the Cochrane evidence for aspects of routine dental care. Something to smile about? Or are there big gaps …?“Are you afraid to laugh?” Goodall’s Dental Institute, 1912.Wellcome Collection.My grandmother used to tell the tale of when she was a schoolgirl, back in about 1920, and a school event to which parents were invited. Nan and her friend enjoyed a carefree afternoon without their mothers there, having avoided inviting them – the friend because her mother had white hair, and Nan because her mother had just had all her teeth taken out. There was trouble, she recalled, when they were rumbled by a write-up of the event.Teenagers haven ’t changed much in the hundred years since then, but thankfully the state of the nation’s teeth has. My great-grandmother would not have been unusual in having all her teeth removed, to be replaced by an easier-to-care-for set of dentures, and some women even received this as a 21st birthday pre sent! This changed, thanks, in part, to free dental treatment through the NHS from its beginning in 1948, the fluoridation of toothpaste from 1959, improvements in diet and a new emphasis on good dental hygiene.Today, we are commonly told we should have a dental check-up every six months, and a visit to the dental surgery often includes getting advice from a hygienist on how to care for our teeth and gums, and perhaps a ‘scale and polish’. This r...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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In conclusion, the prevalence of dental caries and periodontal disease among pregnant women in this study were relatively high. The presence of untreated dental caries, moderate and severe gingivitis, and periodontal pockets were significantly associated with their corresponding oral symptoms.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
CONCLUSION: The rs1800795 in IL-6 gene was associated with gingivitis. The rs1143627 and rs1143629 in IL-1β were associated with dental caries and gingivitis. PMID: 32643487 [PubMed - as supplied by publisher]
Source: Acta Odontologica Scandinavica - Category: Dentistry Authors: Tags: Acta Odontol Scand Source Type: research
Conclusion: Children with disabilities were found to have high rates of caries and gingivitis, as well as cumulative needs for preventive and curative treatment.
Source: Oral health and Preventive dentistry - Category: Dentistry Source Type: research
Nguyen, Van Thai / Nguyen, Hong Loi / Nguyen, Toai / Jagom ägi, TriinPage 457 - 463Purpose: To determine the oral hygiene habits, levels of dental caries, and periodontal condition of patients with repaired cleft lip and/or palate (CL/P) in Central Vietnam.Materials and Methods: A total of 78 patients (1-54 years old; median: 6 years) with CL/P were examined for dental caries, gingivitis and periodontitis using the decayed, missing, and filled teeth (dmft/DMFT) index, gingival bleeding on probing and periodontal pocket depth. Data about dental visits, brushing habits and socioeconomic status were collected.Results: A ...
Source: Oral health and Preventive dentistry - Category: Dentistry Source Type: research
Many people use toothbrushes to remove the plaque that builds up on the surface of teeth, but what about getting to the plaque between the teeth? Should we be using dental floss or interdental brushes to help? The relevantCochrane Review was published in April 2019 and we asked the lead author, Helen Worthington from Cochrane Oral Health at the University of Manchester in England to let us know the answer." To keep our mouths and teeth in good health depends a lot on removing the dental plaque that builds up every day and, as Monaz said, most people use toothbrushes to do this. But toothbrushes can ’t reach in-b...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
CONCLUSIONS: Only one study looked at whether toothbrushing with interdental brushing was better than toothbrushing alone, and there was very low-quality evidence for a reduction in gingivitis and plaque at one month. There is also low-quality evidence from seven studies that interdental brushing reduces gingivitis when compared with flossing, but these results were only found at one month. There was insufficient evidence to determine whether interdental brushing reduced or increased levels of plaque when compared to flossing. PMID: 31017680 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: Using floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both, more than toothbrushing alone. Interdental brushes may be more effective than floss. Available evidence for tooth cleaning sticks and oral irrigators is limited and inconsistent. Outcomes were mostly measured in the short term and participants in most studies had a low level of baseline gingival inflammation. Overall, the evidence was low to very low-certainty, and the effect sizes observed may not be clinically important. Future trials should report participant periodontal status according to the new peri...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
This study aimed to determine predictors of changes in visible plaque (VP) and gingival bleeding (GB) during integrated dental care.Materials and methodsA retrospective longitudinal study was conducted by a census of patients receiving integrated dental care in a general clinical practice ambulatory at the Federal University of Rio Grande do Sul (Brazil). The sample comprised 91 charts of patients attended over a 6-months period. Gender, age, patient ’s main complaint, oral hygiene pattern, and clinical data were recorded from charts for the last two dental visits in the ambulatory. Changes in VP and GB were modeled ...
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
CONCLUSIONS: The combination of manual toothbrush and mechanical interdental device demonstrated a better plaque control and gingival inflammation levels in orthodontic patients compared to manual brushing alone. PMID: 29495655 [PubMed - as supplied by publisher]
Source: Minerva Stomatologica - Category: Dentistry Tags: Minerva Stomatol Source Type: research
I’m not a dentist, so sometimes my patients are surprised when I tell them I want to look at their teeth and gums. Here’s why I do it… Your mouth is an early warning system for serious conditions throughout your body. Whatever is going on with your oral health gives me a pretty good idea of what’s going on with all your major organs and systems. It makes sense because everything in your body is connected biologically. And your mouth is the gateway to the rest of your body. It’s also home to around 100 billion bacteria. Most dentists are concerned when those bacteria cause tooth decay and gum ...
Source: Al Sears, MD Natural Remedies - Category: Complementary Medicine Authors: Tags: Anti-Aging Source Type: news
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