Elango Akshitha, S. Girish, Shanmugam Shankar, G. Lalithambigai, Smith John
The aim of the study was to assess the parental perceptions of silver diamine fluoride (SDF) dentinal staining using a pre-tested questionnaire and SDF treatment photographs. In this cross-sectional study, 300 parents of pre-school children with previous dental cavity experience were randomly selected to obtain data. Univariate analysis of the association of variables and the acceptability of SDF based on the treatment was conducted using the Mann–Whitney U test, P < 0.05 was considered statistically significant. SDF treated photographs of anterior and posterior teeth were displayed and their understanding of the ease of application and dentinal staining was obtained using a pretested, self-structured, and closed-ended questionnaire by face-to-face interview method. After interviewing 163 mothers and 137 fathers, 62.4% of participants acknowledged SDF staining on the posterior teeth to be satisfactory, but only 28.7% of parents made this equivalent judgment about anterior teeth (P < 0.005). In the absence of their child having behavioral barriers to conventional restorations, 60.3% of parents reported that they were likely to settle on SDF to treat their child’s posterior teeth, but only 21% of participants were likely to settle on SDF to treat their child’s anterior teeth. The level of acknowledgment of the parents increased with the children’s behavioral barriers. Although staining on anterior teeth was undesirable, most parents opted for this cavity management over advanced behavioral techniques. Therefore, the proper understanding of parental perceptions is important while choosing SDF for treating dental caries.
{"title":"Assessment of parental perceptions and acceptance of silver diamine fluoride staining among the children with dental caries experience in Namakkal, Tamil Nadu – A cross-sectional study","authors":"Elango Akshitha, S. Girish, Shanmugam Shankar, G. Lalithambigai, Smith John","doi":"10.25259/jgoh_36_2021","DOIUrl":"https://doi.org/10.25259/jgoh_36_2021","url":null,"abstract":"\u0000\u0000The aim of the study was to assess the parental perceptions of silver diamine fluoride (SDF) dentinal staining using a pre-tested questionnaire and SDF treatment photographs.\u0000\u0000\u0000\u0000In this cross-sectional study, 300 parents of pre-school children with previous dental cavity experience were randomly selected to obtain data. Univariate analysis of the association of variables and the acceptability of SDF based on the treatment was conducted using the Mann–Whitney U test, P < 0.05 was considered statistically significant. SDF treated photographs of anterior and posterior teeth were displayed and their understanding of the ease of application and dentinal staining was obtained using a pretested, self-structured, and closed-ended questionnaire by face-to-face interview method.\u0000\u0000\u0000\u0000After interviewing 163 mothers and 137 fathers, 62.4% of participants acknowledged SDF staining on the posterior teeth to be satisfactory, but only 28.7% of parents made this equivalent judgment about anterior teeth (P < 0.005). In the absence of their child having behavioral barriers to conventional restorations, 60.3% of parents reported that they were likely to settle on SDF to treat their child’s posterior teeth, but only 21% of participants were likely to settle on SDF to treat their child’s anterior teeth. The level of acknowledgment of the parents increased with the children’s behavioral barriers.\u0000\u0000\u0000\u0000Although staining on anterior teeth was undesirable, most parents opted for this cavity management over advanced behavioral techniques. Therefore, the proper understanding of parental perceptions is important while choosing SDF for treating dental caries.\u0000","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133028233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The present research indicates an increased interest in global health among dental students. We focused on developing our future dental practitioners with the skills and capacity to treat underserved populations as international experiences. This pilot explored the perspective of dental learners regarding global oral health knowledge who had experienced mission trips. Participants were assessed with a validated global oral health survey to understand their existing knowledge. Gaps in training were noted and a global oral health interactive module was created to address international community service learning approaches. Later, all students who intended to participate in a global oral health education or mission trip were administered the same validated pre-test. Finally, on the completion of mission trips or global oral health experiences, the same post-global oral health questionnaire survey was administered to assess knowledge gained. Thirty-two dental students (Female = 18 and Male = 14) and learners who had completed mission trips to Jamaica and the Dominican Republic were invited to complete the pre-survey. Twenty-seven students completed the pre-survey in its entirety. About 41% (11/27) were not aware of developed and developing countries’ oral healthcare systems. Participant dental learners (56%) expressed limited cultural competency. They also expressed the lack of global health ethics (52%) awareness (knowledge). Results indicated that students benefited from a structured global oral health module, where their perspectives shifted positively. The results suggested that a shift from “mission trip” perspectives to a global oral health readiness is feasible as a student empowerment approach.
{"title":"A learner-centered global oral health education approach","authors":"Moshtagh R Farokhi, Alvin Estacio, D. K. English","doi":"10.25259/jgoh_39_2021","DOIUrl":"https://doi.org/10.25259/jgoh_39_2021","url":null,"abstract":"\u0000\u0000The present research indicates an increased interest in global health among dental students. We focused on developing our future dental practitioners with the skills and capacity to treat underserved populations as international experiences.\u0000\u0000\u0000\u0000This pilot explored the perspective of dental learners regarding global oral health knowledge who had experienced mission trips. Participants were assessed with a validated global oral health survey to understand their existing knowledge. Gaps in training were noted and a global oral health interactive module was created to address international community service learning approaches. Later, all students who intended to participate in a global oral health education or mission trip were administered the same validated pre-test. Finally, on the completion of mission trips or global oral health experiences, the same post-global oral health questionnaire survey was administered to assess knowledge gained.\u0000\u0000\u0000\u0000Thirty-two dental students (Female = 18 and Male = 14) and learners who had completed mission trips to Jamaica and the Dominican Republic were invited to complete the pre-survey. Twenty-seven students completed the pre-survey in its entirety. About 41% (11/27) were not aware of developed and developing countries’ oral healthcare systems. Participant dental learners (56%) expressed limited cultural competency. They also expressed the lack of global health ethics (52%) awareness (knowledge).\u0000\u0000\u0000\u0000Results indicated that students benefited from a structured global oral health module, where their perspectives shifted positively. The results suggested that a shift from “mission trip” perspectives to a global oral health readiness is feasible as a student empowerment approach.\u0000","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127647840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With increasing numbers of various periodontal problems one of most frequently encountered is chronic periodontitis. Although the benchmark for treatment is always scaling and root planing, non-invasive adjuncts to SRP in the form of various irrigations have shown promising results. Ozone, one of potent oxygen scavenger, is used in this study as an adjunct to non-surgical periodontal therapy. A total of 60 patients with 186 sites were selected with PPD >5 mm, PI >2, GI >2. Scaling and root planing was performed meticulously and on the same day ozonated olive oil irrigation was performed and the healing of gingiva was checked by clinical parameters after 1 month. Statistically significant reduction in PPD, plaque index has been seen at the end of period of 1 month. Use of ozonated olive oil irrigation as an adjunct to scaling and root planning showed good results in reduction of clinical parameters, in patients with chronic periodontitis.
随着各种牙周问题的增加，最常遇到的是慢性牙周炎。虽然治疗的基准始终是刮除和刨根，但以各种灌洗形式的非侵入性SRP辅助手段已显示出良好的效果。臭氧是一种有效的氧气清除剂，在本研究中被用作非手术牙周治疗的辅助手段。选取PPD > 5mm, PI >2, GI >2的患者60例，186个部位。仔细刮除牙垢和刨根，当天进行臭氧橄榄油冲洗，1个月后通过临床参数检查牙龈愈合情况。在1个月结束时，PPD和斑块指数有统计学意义的降低。在慢性牙周炎患者中，使用臭氧化橄榄油灌溉作为洗牙和牙根规划的辅助方法，在减少临床参数方面显示出良好的效果。
{"title":"Evaluation of ozone oil irrigation as an adjunct to SRP in the treatment of chronic periodontitis – A randomized clinical trial","authors":"Hiroj Bagde, Palak Sharma, S. Chaturvedi","doi":"10.25259/jgoh_1_2021","DOIUrl":"https://doi.org/10.25259/jgoh_1_2021","url":null,"abstract":"\u0000\u0000With increasing numbers of various periodontal problems one of most frequently encountered is chronic periodontitis. Although the benchmark for treatment is always scaling and root planing, non-invasive adjuncts to SRP in the form of various irrigations have shown promising results. Ozone, one of potent oxygen scavenger, is used in this study as an adjunct to non-surgical periodontal therapy.\u0000\u0000\u0000\u0000A total of 60 patients with 186 sites were selected with PPD >5 mm, PI >2, GI >2. Scaling and root planing was performed meticulously and on the same day ozonated olive oil irrigation was performed and the healing of gingiva was checked by clinical parameters after 1 month.\u0000\u0000\u0000\u0000Statistically significant reduction in PPD, plaque index has been seen at the end of period of 1 month.\u0000\u0000\u0000\u0000Use of ozonated olive oil irrigation as an adjunct to scaling and root planning showed good results in reduction of clinical parameters, in patients with chronic periodontitis.\u0000","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128657695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Once endodontic treatment is completed, the tooth must be provided with adequate protection. The endodontically treated teeth are considered more brittle due to structural changes in the tooth structure, which is more prone to fracture if they are not properly crowned. Not every root treated needs a post space. Predominantly when the roof of the pulp chamber is removed, it weakens the tooth. Thus resulting in the need for strong interior and exterior support like a post system. It is critical that the implications (remaining tooth structure, number of teeth, periodontal support, active caries, and good oral hygiene as well as tooth biomechanics) largely influence the restorative approach. Several alterations of the natural shape of the canal become necessary to accommodate a circular post inside the root. Non-rigid post systems such as glass, quartz, and silicon fiber posts have become hugely popular since their introduction in the 1990s. Requirements include an optimal combination of resilience, stiffness, flexibility, and strength. These posts have modulus similar to dentin and provide a more uniform distribution of stress on the remaining tooth structure. Sometimes an anatomic post becomes necessary where fiber posts are contraindicated. Here, it requires more than one visit. Thus, we need to have a thorough knowledge of what type of post to be used.
{"title":"Evolution of posts-from rigid to flexible","authors":"Sriganesh Anguswamy","doi":"10.25259/jgoh_14_2021","DOIUrl":"https://doi.org/10.25259/jgoh_14_2021","url":null,"abstract":"Once endodontic treatment is completed, the tooth must be provided with adequate protection. The endodontically treated teeth are considered more brittle due to structural changes in the tooth structure, which is more prone to fracture if they are not properly crowned. Not every root treated needs a post space. Predominantly when the roof of the pulp chamber is removed, it weakens the tooth. Thus resulting in the need for strong interior and exterior support like a post system. It is critical that the implications (remaining tooth structure, number of teeth, periodontal support, active caries, and good oral hygiene as well as tooth biomechanics) largely influence the restorative approach. Several alterations of the natural shape of the canal become necessary to accommodate a circular post inside the root. Non-rigid post systems such as glass, quartz, and silicon fiber posts have become hugely popular since their introduction in the 1990s. Requirements include an optimal combination of resilience, stiffness, flexibility, and strength. These posts have modulus similar to dentin and provide a more uniform distribution of stress on the remaining tooth structure. Sometimes an anatomic post becomes necessary where fiber posts are contraindicated. Here, it requires more than one visit. Thus, we need to have a thorough knowledge of what type of post to be used.","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115763826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A novel human coronavirus – now named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with 80% genetic makeup similarity with SARS-CoV-€1 – emerged from Wuhan, China, in late 2019. This new virus is highly infective especially through airborne transmission. Dentistry has been listed as the very-high-risk category in a new report called “Guidance on preparing workplaces for COVID-19” by occupational safety and health act. This literature review aimed at assembling relevant information regarding the risk of coronavirus disease 2019 through aerosol generated dental procedures.
{"title":"Risk of coronavirus disease 2019 through aerosol generated dental procedures: A brief report","authors":"Avishek Das","doi":"10.25259/jgoh_46_2020","DOIUrl":"https://doi.org/10.25259/jgoh_46_2020","url":null,"abstract":"A novel human coronavirus – now named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with 80% genetic makeup similarity with SARS-CoV-€1 – emerged from Wuhan, China, in late 2019. This new virus is highly infective especially through airborne transmission. Dentistry has been listed as the very-high-risk category in a new report called “Guidance on preparing workplaces for COVID-19” by occupational safety and health act. This literature review aimed at assembling relevant information regarding the risk of coronavirus disease 2019 through aerosol generated dental procedures.","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126242045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 has created havoc all around the world, ever since discovered. The COVID-19 virus is reportedly responsible for causing severe immunodeficiency states in patients. This has led to a rise in opportunistic infections, majorly being fungal in form. This increase in fungal infections may also be linked to other factors such as immunosuppressive drugs or antiviral drugs which have been discussed on this platform. Fungal infections most commonly associated with COVID-19 virus are those which majorly affect upper respiratory tract and/or lungs, that is, Mucor, Aspergillus, and Candida. Fungal infections can cause great discomfort to the patient and, hence, need to be diagnosed at the earliest followed by subsequent therapeutic management or else can prove out to be fatal. Conclusively, this review suggests that clinicians need to be vigilant about the possible opportunistic infections, and thus, COVID-19 management should be done judiciously.
{"title":"COVID-19-associated fungal spectrum (CAFS): The intraoral purview","authors":"Naila Perween, A. Mushtaq, S. Chawla","doi":"10.25259/jgoh_20_2021","DOIUrl":"https://doi.org/10.25259/jgoh_20_2021","url":null,"abstract":"COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 has created havoc all around the world, ever since discovered. The COVID-19 virus is reportedly responsible for causing severe immunodeficiency states in patients. This has led to a rise in opportunistic infections, majorly being fungal in form. This increase in fungal infections may also be linked to other factors such as immunosuppressive drugs or antiviral drugs which have been discussed on this platform. Fungal infections most commonly associated with COVID-19 virus are those which majorly affect upper respiratory tract and/or lungs, that is, Mucor, Aspergillus, and Candida. Fungal infections can cause great discomfort to the patient and, hence, need to be diagnosed at the earliest followed by subsequent therapeutic management or else can prove out to be fatal. Conclusively, this review suggests that clinicians need to be vigilant about the possible opportunistic infections, and thus, COVID-19 management should be done judiciously.","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124156548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sanket Keshav Avhad, S. Sachdev, Pratiksha Jaiswal, Premraj Jadhav, Rashmi Balasaheb Watharkar, S. S. Save
QR codes form an integral part of modern-day digitalized information storage technology in almost all the fields. Their utility in oral health-care field also has a huge potential, most of which can be uncovered once the oral health-care professionals are aware about their uses and technique of generation. A self-constructed e-questionnaire was validated and circulated through online media to oral health-care professionals in India. Data were subjected to statistical analysis and descriptive statistics were obtained. Comparison of frequencies of categories of variables with groups was done using Chi-square test. The study sample of n = 334 respondents comprised 222 females and 112 males. The age of respondents ranged from 22 to 65 years with a mean age of 28.96 years (S.D = ± 6.877). Majority of respondents were aware about the utility of QR codes in day-to-day aspects as well as dental clinical practice and academics. Although two-thirds of respondents perceived online data management as an easy task, generation of QR codes was considered as relatively more difficult requiring higher technical skills. QR codes can have a wide variety of applications in the field of dentistry such as in prosthodontics, orthodontics, oral pathology, radiology, and forensic odontology. Our findings suggest that most of the dental professionals have convenient access to the technology essential to generate QR code, and yet, about 70% of oral health-care professionals are unaware about their generation technique.
{"title":"Survey on knowledge, attitude, and practice of Indian oral health-care professionals regarding QR codes in dental practice and academics","authors":"Sanket Keshav Avhad, S. Sachdev, Pratiksha Jaiswal, Premraj Jadhav, Rashmi Balasaheb Watharkar, S. S. Save","doi":"10.25259/jgoh_24_2021","DOIUrl":"https://doi.org/10.25259/jgoh_24_2021","url":null,"abstract":"\u0000\u0000QR codes form an integral part of modern-day digitalized information storage technology in almost all the fields. Their utility in oral health-care field also has a huge potential, most of which can be uncovered once the oral health-care professionals are aware about their uses and technique of generation.\u0000\u0000\u0000\u0000A self-constructed e-questionnaire was validated and circulated through online media to oral health-care professionals in India. Data were subjected to statistical analysis and descriptive statistics were obtained. Comparison of frequencies of categories of variables with groups was done using Chi-square test.\u0000\u0000\u0000\u0000The study sample of n = 334 respondents comprised 222 females and 112 males. The age of respondents ranged from 22 to 65 years with a mean age of 28.96 years (S.D = ± 6.877). Majority of respondents were aware about the utility of QR codes in day-to-day aspects as well as dental clinical practice and academics. Although two-thirds of respondents perceived online data management as an easy task, generation of QR codes was considered as relatively more difficult requiring higher technical skills.\u0000\u0000\u0000\u0000QR codes can have a wide variety of applications in the field of dentistry such as in prosthodontics, orthodontics, oral pathology, radiology, and forensic odontology. Our findings suggest that most of the dental professionals have convenient access to the technology essential to generate QR code, and yet, about 70% of oral health-care professionals are unaware about their generation technique.\u0000","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130836279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Building back better oral health delivery system: Why dental volunteering would matter for the post-COVID world","authors":"S. Balaji","doi":"10.25259/jgoh_35_2021","DOIUrl":"https://doi.org/10.25259/jgoh_35_2021","url":null,"abstract":"","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129251634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Covid associated mucormycosis of the jaw: Expect the un-expected","authors":"G. Jadhav","doi":"10.25259/jgoh_16_2021","DOIUrl":"https://doi.org/10.25259/jgoh_16_2021","url":null,"abstract":"","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124015603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Having practiced over 54 years the art and science of general dentistry, many changes in philosophy and performance have occurred. Some are minor while others very major. This series of observations will treat some in detail while others very briefly. The physical locations have been in the Dallas, Texas area of the USA. Definitions of terms set the stage for discussion of the basis of dentistry. Support for the scientific as well as evidence-based approaches is laid forth. Filling materials have transitioned from amalgam to composite being most prevalent. Fluoride added to local water supplies has decreased the number of decayed/sensitive teeth, the timing of initial decay, and the prognosis for remediation. pH is a major player in the deterioration of tooth structure. New understandings of tooth brushing and oral hygiene have significantly improved the future for continuing dental health. Absence of fluoride in bottled water has taken a front-center stage for helping/hurting chances of keeping teeth free of decay. Fluoride varnishes have widespread acceptance in America. Failure to seek routine dental care has influenced the outcomes for many younger patients, especially those who have graduated high school, gone off to college or into the workforce. Such lack of routine preventive influence raises the costs of care when it is received, often leading to complaints from patients about the high costs of repair. The alternative is prevention with ongoing consistent 6-month recalls/repairs when problems initiate, rather than allowing problems of long duration. The USA dental insurance industry adverse impact on practicing dentists is a vital monologue. Revealing the dental insurance industry as a number one concern of many surveys of practicing dentists is a way of preparing international countries for learning from the flawed USA models. Recent Congressional law, HR 1418, the Competitive Health Insurance Reform Act, will address some of the most critical wrongs by placing the dental insurance industry into antitrust restraints. Current concerns about digital X-ray’s diagnostic potential are revealed. Conservative dentistry is promoted. Results of conservative practice from nearly 50 years are documented with photos and X-rays. Bonded bridge technology is highlighted for its valued impact.
{"title":"Practical lessons from a general dentist of more than 50 years private practice plus 2 years of United States Air Force practice","authors":"T. Davis","doi":"10.25259/jgoh_6_2021","DOIUrl":"https://doi.org/10.25259/jgoh_6_2021","url":null,"abstract":"Having practiced over 54 years the art and science of general dentistry, many changes in philosophy and performance have occurred. Some are minor while others very major. This series of observations will treat some in detail while others very briefly. The physical locations have been in the Dallas, Texas area of the USA. Definitions of terms set the stage for discussion of the basis of dentistry. Support for the scientific as well as evidence-based approaches is laid forth.\u0000Filling materials have transitioned from amalgam to composite being most prevalent. Fluoride added to local water supplies has decreased the number of decayed/sensitive teeth, the timing of initial decay, and the prognosis for remediation. pH is a major player in the deterioration of tooth structure. New understandings of tooth brushing and oral hygiene have significantly improved the future for continuing dental health. Absence of fluoride in bottled water has taken a front-center stage for helping/hurting chances of keeping teeth free of decay. Fluoride varnishes have widespread acceptance in America. Failure to seek routine dental care has influenced the outcomes for many younger patients, especially those who have graduated high school, gone off to college or into the workforce. Such lack of routine preventive influence raises the costs of care when it is received, often leading to complaints from patients about the high costs of repair. The alternative is prevention with ongoing consistent 6-month recalls/repairs when problems initiate, rather than allowing problems of long duration. The USA dental insurance industry adverse impact on practicing dentists is a vital monologue. Revealing the dental insurance industry as a number one concern of many surveys of practicing dentists is a way of preparing international countries for learning from the flawed USA models. Recent Congressional law, HR 1418, the Competitive Health Insurance Reform Act, will address some of the most critical wrongs by placing the dental insurance industry into antitrust restraints. Current concerns about digital X-ray’s diagnostic potential are revealed. Conservative dentistry is promoted. Results of conservative practice from nearly 50 years are documented with photos and X-rays. Bonded bridge technology is highlighted for its valued impact.","PeriodicalId":441224,"journal":{"name":"Journal of Global Oral Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130174638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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