Home » Supporting Your Practice » Dental Specialties » Preventive Dentistry (page 5)

Preventive Dentistry

Are there risk factors for early childhood caries?

This summary is based on the summary review published in the Evidence-Based Dentistry journal: Early Childhood caries  (June 2013) Context Early childhood caries (ECC) are prevalent and have become a public health concern.ECC are a determinant of health status in later stages of life.  Purpose of the Review Assess the evidence available on ECC risk factors experienced in the first year of life as measured by mutans streptococci and taking into consideration protective factors for ECC.  Results Factors occurring during the first year of life affect ECC experience. Maternal factors influence bacterial acquisition, whereas colonisation is mediated by oral health behaviour ...

Read More »

Opening the Conversation: What is the recommended protocol for remineralizing incipient cervical carious lesions using Recaldent (MI paste)?

This question was submitted by a general dentist: What is the recommended protocol for remineralizing incipient cervical carious lesions using Recaldent (MI paste)? The following is a “discussion-opener” response by a dentist: Dr. Karen Black I have been using MI Paste for many years and have send my patients home with a tube of the paste and the following written instructions. M I Paste should not be used if you are allergic to milk proteins. M I paste can be used if you are lactose intolerant. M I paste is safe to swallow. M I paste does not contain fluoride. For ...

Read More »

What is the relationship between obesity and dental caries? A systematic review

This summary is adapted from the article published in the journal of Community Dentistry and Oral Epidemiology: Obesity and Dental Caries in Children: A Systematic Review and Meta-Analysis Childhood obesity is a global health problem and  a multifactorial disorder, influenced by environmental and genetic risk factors, where a sustained imbalance between energy intake and energy expenditure facilitates storage of excess energy as fat. Consequently, poor diet is a primary determinant of obesity.  Poor oral health is characterized by the onset of dental caries, considered the most common chronic disease found in children. Diet specifically through the frequent consumption of monosaccharide (e.g. glucose, fructose) and disaccharide (e.g. sucrose) sugars ...

Read More »

Are stevia and agave syrup healthier sweeteners than sugar?

This summary is based on the article published in the Globe and Mail (July 15, 2013): Are stevia and agave syrup healthier sweeteners than sugar? Question What’s the difference between agave syrup and stevia? Are they healthier than sugar? Response by Leslie Beck Agave syrup (agave nectar) and stevia are often perceived as more natural, or less highly processed, than table sugar and artificial sweeteners. Yet, both are derived from multistep processing methods. Agave syrup comes from the same plant that produces tequila, the blue agave plant that grows primarily in Mexico. The core of the plant contains aguamiel, the ...

Read More »

What are minimum intervention dentistry (MID) principles and objectives?

This summary is based on the article published in the Australian Dental Journal: Minimum intervention dentistry principles and objectives (June 2013 Issue) Authors: LJ Walsh and AM Brostek Abstract Purpose: This review paper discusses the key principles of MID as a philosophy of patient care, and the practical objectives which flow into individual patient care. Minimum intervention dentistry (MID) is the modern medical approach to the management of caries, utilizing caries risk assessment, and focusing on the early prevention and interception of disease. Moving the focus away from the restoration of teeth allows the dentist to achieve maximum intervention, with minimal invasive treatments. The ...

Read More »

Are current caries risk-assessment systems predictive of future caries?

This Systematic Review Summary is adapted from the British Evidence-Based Dentistry Journal Summary html Summary PDF Clinical Question Are current caries risk assessment systems predictive of future caries? Context The identification of high risk individuals to allow both prevention and intervention based on susceptibility to disease is commonplace in contemporary treatment planning. A systematic review of the literature by Harris et al in 2004 found ‘106 risk factors significantly related to the prevalence or incidence of caries’2. In general caries risk assessment systems standardise the risk factor information collected in order to predict potential caries outcome for the patient. Results ...

Read More »

When do you really need to prescribe a fluoride complement for your patients?

The following question was submitted by a general dentist: Our patients can no longer purchase Oral B Fluorinse. Does anybody have an alternative daily and weekly fluoride rinse they can recommend? This initial quick response is presented by Dr. Getulio Nogueira, from the Faculty of Dentistry at the University of Toronto in collaboration with experts: Dr. Walter Siqueira (Western University, Canada) and Dr. Jaime Cury (Faculty of Dentistry, UNICAMP, Brazil) Clinical Question When do you really need to prescribe a fluoride complement for your patients? The Fact It has been confirmed that Oral B Fluorinse is no longer available in Canada. Since ...

Read More »

Are there any trials to inform the treatment of displaced luxated permanent teeth?

This review summary is adapted from The Dental Elf blog post on May 1st 2013: Cochrane Review finds no trials to inform the treatment of displaced luxated permanent teeth Cochrane Authors’ Conclusion “We found no randomised or quasi-randomised trials of interventions to treat displaced luxated permanent front teeth. Current clinical guidelines are based on available information from case series studies and expert opinions. Randomised controlled trials in this area of dental trauma are required to robustly identify the benefits of different treatment strategies.” To read the post and review the review sources, click here   The Cochrane Collaboration Cochrane Reviews ...

Read More »