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  • BACTERIA IN DENTAL PLAQUE LINKED TO COLON CANCER

    2011 - 12.23

    Two seperate studies in USA and Canada have found abnormally high numbers of fusibacteriom in tumor samples collected from colorectal cancer patients compared to healthy tissue samples.
    Fusibacterium is typically associated with periodontitis (gum disease), appendicitis, ulcerative colitis,and crohn’s disease. In addition researchers found that increased numbers of this bacterium in the gut is associated with decreased number of good bacterium normally present.

    Cold soar treatment at the dentist

    2011 - 12.11

    Cold soars are viral infections which tend to remain dormant in the neural ganglions till stimulated, where they manifest on the skin.They manifest at first with the patient feeling itchiness and discomfort and then by formation of blisters which are painful and uncomfortable.They eventually disapear leaving no scaring.The reason for reactivation of the virus can range from exposure to sun, cold, chemical exposure,etc. Regular treatments include antiviral medication ,effective if started in the first two days of infection, topical cream the effects of which are debatable.Recenly diode lasers have been used in treatment of cold soars. The mechanism of action of lasers on the virus is not clear but what is evident that the frequency and the length of attacks are shortened.The earlier treatments are started the faster and better the results.
    So if you suffer from this affliction please ask your dentist regarding the subject of diode lasers.
    yours for better health
    Dr.R.Mirmooji

    Lasers in dentistry

    2011 - 10.16

    In recent years dentistry has technologically advanced quite a bit, lasers are one of these advancements. The lasers we presently use at the clinic are Diagnodent and navigator.
    Lasers in dentistry are used to diagnose cavities, in cold soar treatments, gum treatment, as cold lasers for jaw joint pain, for minor soft tissue surgeries for children and gum surgery for adults.

    Diagnodent- for cavity detection Soft tissue laser for surgeries
    Lasers offer many advantages:
    1. In many cases no need for needles.
    2. Nearly no bleeding and better diagnostics.
    3. Faster healing time.
    4. Better disinfection of cavities and root canals.
    5. Reduces patient phobia.

    Several dental companies are recently introducing hard tissue lasers for cavity treatment, in many cases without anesthesia (needle), we are presently experimenting with two, to evaluate their efficiencies, and hopefully will soon be able to add it to our armamentarium of laser equipments.

    Le cancer de la bouche

    2011 - 10.16

    cancer de la bouche désigne la croissance et la propagation anormales de cellules dans la cavité buccale. Il affecte les parties suivantes de la bouche :les lèvres; l’intérieur des lèvres et des joues; la langue; les gencives; le plancher de la bouche; les glandes salivaires; les amygdales; l’oropharynx; fond de la gorge, la voûte palatine.
    Faits en bref
    Au Canada, le cancer de la bouche se classe au treizième rang des cancers les plus répandus, parmi les vingt trois cancers déclarés.
    En 2009, le nombre de nouveaux cas et de décès attribuables au cancer de la bouche est prédit être près de trois fois plus élevé que celui du col de l’utérus et correspond à près du double de celui du cancer du foie. On prévoit aussi qu’en 2009, le nombre de nouveaux cas et de décès attribuables au cancer de la bouche sera supérieur à celui des cancers de l’estomac, du cerveau et des ovaires
    Le taux de survie après cinq ans pour le cancer de la bouche est de 63 pour cent, comparativement à 75 pour cent pour le cancer du col de l’utérus, 89 pour cent pour le mélanome et 95 pour cent pour le cancer de la prostate.
    En 2009, on estime qu’il y aura 3 400 nouveaux cas de cancer de la bouche et que 1 150 personnes mourront de ce type de cancer. Dans plus de la moitié des nouveaux cas, il s’agira d’hommes.
    Facteurs de risque
    Âge
    Les personnes âgées de plus de 40 ans présentent un plus grand risque de développer un cancer de la bouche. Le cancer de la bouche peut apparaître à n’importe quel âge, mais son incidence augmente nettement après l’âge de 40 ans pour atteindre un sommet chez les personnes de plus de 60 ans.
    Tabagisme
    Le tabagisme ou l’usage des produits du tabac, surtout s’il est combiné à une grande consommation d’alcool, augmente le risque. Cela comprend le tabac sans fumée, le tabac à priser, le tabac à mâcher, la noix de bétel, la noix d’arec et les cigarettes.
    Alcool
    Une grande consommation d’alcool, surtout si elle combinée au tabagisme, augmente le risque de développer le cancer de la bouche. La quantité d’alcool consommée et la durée de l’utilisation augmentent le risque de cancer de la bouche.
    VPH
    De plus en plus d’études montrent un lien entre l’infection au virus du papillome humain, en particulier le VPH-16, et le cancer de la bouche.
    Sexe
    Le cancer de la bouche touche plus les hommes que les femmes. Dans le passé, le ratio était de six hommes pour une femme. Toutefois, le ratio diminue et est maintenant plus près de deux hommes pour une femme.

    Mini implants and esthetic partial dentures

    2011 - 08.23

    A common complaint when patients recieve their partial dentures is the fact that the vitalium silver hooks which are used for retention(holding the prosthesis in place) show thus showing the fact that the patient wears a denture.There are two solutions to this problem one is to perform root canal on existing teeth and place retention apparatus on those teeth the other is to plce mini implants and attach the denture to the mini implants.The second option has gained in popularity since the costs are comparable and the procedure is faster.

    BRUXISM

    2011 - 05.13

    Is the name given to teeth grinding while sleep. According to researchers this can be classified as a habitual behaviour or a sleep disorder depending on the cause and patterns.
    Chewing in itself is a complex neuromuscular activity which is controlled by conscious and unconscious processes. In bruxers the unconscious processe take over at sleep thus the grinding.
    The trigger for this grinding could be, occlusal disease, gastrintestinal disease, stress, and if the behaviour does not stop patient will exhibit a habitual behaviour(i.e bruxing becomes a habit).
    Symptomes of bruxism can vary from soar muscles or headaches waking in the morning, to ringing of the ears(tinitus), or pain in the joints on the effected site. Shortened teeth are visible when the condition has gone unchecked for some time .

    LOOSE DENTURES

    2011 - 05.13

    Many people do not recognise the long term consequences of tooth loss.During the first year of loss the patient looses 4mm in bone height and 30% in bone width.If all teeth are removed then we are talking about atrophy of the whole jaw.The consequences of the bone loss is quite evident on long time denture wearers who seeme to have closed jaws, thin lips, and wrinkles around their lips and chin,we have all watched the funny clips on you tubes.
    The not so evident consequences are loss of muscular force and loose dentures. After all those dentures have to sit on some sort of the ridge in order to stay in the mouth,when people are eating or laughing.
    The solution for denture stablizations are few,and include,implants and mini implants.

    GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY

    2011 - 05.13

    this is an X-linked recessive hereditary disease charecterised by low levels of a metabolic enzyme involved in break down of glucose pathway.Patients with this condition exhibit hemolytic anemia.
    most individuals with this maladie are asymptomatic, symptomatic patients are all male,exhibiting neonatal jaundice,hemolytic crisis due to infections,certain drugs or foods and diabetic ketoacidosis.
    Some enviromental triggers can be harmful to sufferers of this disease,to name a few anti malarial drugs(containing primaquine,chloroquine) ,sulfanomides,naphthalene,sulfa drugs and henna.

    To floss or not to floss?

    2011 - 05.10

    As a hygienist, I constantly hear my patients tell me they don’t like to floss because they think brushing is sufficient in removing bacteria, or because they say it hurts when they do.
    I hope to make this clear: brushing is not sufficient!
    Most of the bacteria in the mouth hide between the teeth under the gums. Brush bristles do not reach there no matter what the advertisers on TV say. Before I talk about the consequences of not flossing, I’ll start by explaining some tooth anatomy. Your tooth is held in place by little fibers that connect the tooth to the bony socket that your tooth sits in. There is a little space between your tooth and your gums, which, in a healthy mouth should measure no more than 3mm.
    Not flossing can lead to 2 types of periodontal diseases:
    -gingivitis
    - periodontitis
    Gingivitis is when the gums are inflamed, sore, and bleed. The reason why this happens is because of your immune system. When there is an infection in the mouth, the body recognizes that and sends different types of cells to fight off the bacteria. The inflammation and soreness are caused by all those cells gathering in that one area fighting the bacteria, the redness is because of the increased blood flow to the infection site, and the bleeding is the body’s attempt to flush out the bacteria. The good news is with proper hygiene, gingivitis is totally reversible. However, if it is treated it may lead to periodontitis, which is a more aggressive form of periodontal disease.
    When the bacteria accumulate below the gum line, they multiply and lodge themselves deeper and deeper into the space between the gums and the tooth. They start destroying those attachment fibers and also the bone. When this happens, that healthy 3mm first starts by turning into a 4mm pocket, and if that isn’t treated it will continue destroying bone and the teeth will at one point start moving and may eventually fall out. Unlike gingivitis, even if periodontitis gets treated, the bone will never grow back so if there’s a 6mm pocket, then it will remain a 6mm pocket, so it is very important to catch the disease sooner rather than later, although it’s best to prevent it!
    It is important to go for regular dental check-ups to assess your oral health and help prevent disease
    So the answer to the ultimate question of to floss or not to floss should be clear by now: To floss! :)

    NEW USE FOR OMEGA-3 ?

    2011 - 05.06

    New evidance by Huang and Ebersole of the university of kenetucky is suggesting that consumption of small amounts of Omega-3 can act as an oral antibacterial agent,killing streptococcus mutans(cavity causing),candida albicans(associatedwith oral thrush),and porphyromonas gingivalis(periodontitis).This is quite promising results which is going to be followed up.