DentalBuzz: a jolt of current

trends, innovations, and quirks of dentistry

One CT scan = 200 Panoramics

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No doubt you listened to the radio or television news today with a double take whut-What? There’s a Yale study that just came out which links the incidence of meningiomas to the frequency of dental radiographs taken during childhood? Your gentle ionizing beam of extrasensory perception is….BEING CRITICIZED?

Yes, yes it is. But have no fear, because the research, my friend, is also having its validity questioned. Supposedly there’s a significant likelihood of being diagnosed with a benign brain tumor if you grew up going to the dentist regularly and having periodic x-rays. This tumor, called a meningioma, is usually asymptomatic, and the vast majority of the time is discovered only when a person has a routine CT scan.

Okay, so is it just me who sees this flaw in the study? People who have CT scans just for “fun” are most likely to go to the dentist for “fun.” Only you should substitute the word “prevention” for “fun.” There were other people in the study who weren’t diagnosed with meningiomas. Was this because they didn’t have CT scans voluntarily (and their parents didn’t take them to the dentist very often, possibly)? And what is the criteria for needing a scan, since we’re criticizing the “need” for dental x-rays? I mean, CT zapping is not exactly radiation-free.

Go read these articles for yourself so that you’ll have well-formed opinions when patients ask about what they’ve heard in the media to help you turn around any radiation defiance that you may come up against in the next few weeks:

Dental X-Rays Linked to Common Brain Tumor, Study Finds – Huffington Post

Web MD: Annual X-rays May Expose Patients to Unnecessary Risk

Dental x-rays can double brain tumor risk – MSNBC.com

All about Meningiomas from Wikipedia

From ABC News: Early Dental X-Rays Linked to Brain Tumors

Now ask yourself who is healthier: the guy who never took a pill or saw a doctor his whole life, and felt great until the day he died? Or the one who did all the preventive stuff and discovered along the way that yes, he had some imperfections that needed to be treated?

See, it’s a stupid question that is irrelevant. Put it to bed, put this story to bed, go scare the masses with something fun. And yummy. And dangerous.

Like sugar.

For other reading, here’s a PDF of the ADA’s radiography recommendations, along with a previous DentalBuzz parody about radiation safety, and a comparison of dental radiation doses to other medical radiation doses.

Open, sesame!

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I wish they would have named it “Strangle Me Elmo.” Because that’s how I feel about that particular character.

Sesame Street was my babysitter growing up, especially since the show and I are practically the same age. So when the news comes that Sesame Workshop is launching an educational oral health initiative geared towards two year olds and up, I get it. They’re about modeling good habits with jingles and images that kids will remember when it’s their time to “do what they saw on TV.”

This is especially helpful for the kids from low-income families, because parents may not realize that their own belief systems about primary teeth can prevent children from getting appropriate care. When a kid sees Elmo brushing his teeth and eating healthy “crunch” foods, studies show that they’re very likely to have positive changes in their own nutrition and hygiene habits, and so even if they’re not going to the dentist, they just might have healthier teeth.

Elmo’s annoying voice was not part of my childhood, so I don’t “connect” with him. But I would, oh, I SO would connect with him, if someone wanted to put him in my hygiene chair and let me spin a prophy cup at his fur.

 

 

Learn more about Sesame Workshop and their “Healthy Mouth, Healthy Me” series here, and you also may enjoy reading this interview with Dr. James Crall, Sesame Workshop advisor and professor of pediatric dentistry and public health & community dentistry at UCLA.

Share this with patients

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The general public has no excuse when the Wall Street Journal has succinctly and comprehensively explained why dentistry is so important to patients’ overall health. Make copies, post a link from your Facebook page, tweet about it. Just make sure that EVERYONE IN YOUR NEIGHBORHOOD reads this article, watches the video, or interacts with the snapshot graphics. Click on the title below to visit:

If Your Teeth Could Talk…

The Mouth Offers Clues to Disorders and Disease; Dentists Could Play Larger Role in Patient Care

 

 

 

 

 

 

Way to go, WSJ.

If dental care is free, then who cares?

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The results of a national survey conducted a few months ago were released today:

Majority of Americans Support Mid-Level Dental Provider to Expand Access to Dental Care

Four-in-Ten Americans or Their Family Members Put Off Dental Care Due to Cost, according to the W.K. Kellogg Foundation.

BATTLE CREEK, Mich. – Millions of Americans cannot find affordable dental care in their communities and many want to explore mid-level providers as a way to improve their access to needed oral health care, according to a national survey released today by the W.K. Kellogg Foundation.

The survey reveals that many Americans are struggling to get the care that they need. Forty-one percent of Americans report they or someone in their household has put off dental care because of cost and 30% say they do not have a place to receive dental care.

Based on a poll of 1,023 adults, the survey, conducted by Lake Research Partners, finds that more than 80% of Americans believe it is difficult for people to get free or low-cost dental care in their communities, and think the number of Americans who cannot access dental care is a problem.

>> Read more of this original story at WK Kellogg Foundation News.

Here’s my thoughts on this survey: We are born with teeth, we don’t have to purchase them, so why should we have to keep paying for them? This mentality is what leads people to get away with the least cost for medical care as possible, because they don’t want to have to pay for something that they originally got for free. “Every tooth in a man’s head is more valuable than a diamond.” – Miguel de Cervantes, Don Quixote, 1605

So duh, of course the survey would reflect such an attitude. Whether it’s economically feasible to create a midlevel provider position or not shouldn’t even be in question; the current markets of dentists and hygienists are already flooded in metropolitan areas. The solutions should be incentive-based: forgiveness of school loans, possibly more independent preventive care delegation to hygienists in public health settings, much more education-based intervention, aggressive messages from AdCouncil or whatever it takes to get the word out that natural teeth are an investment; at the going rate a full set of implants is what? 50 grand? THERE’S your message.

Originally I posted this statement at Dr. Bicuspid but thought it could stand an airing-out here as well. And I know, as a card-waving member of the American Dental Hygienists’ Association you’d think I’d be all for the creation of a midlevel provider position, right? I probably would be, except for one thing: the current anticipated incomes of midlevel providers are significantly less than the average hygienist incomes in this country. It’s almost like there was a deal in the back corner of a committee, saying: hahaha, you GO to school two more years, girlie-girl. The dental boards will assure that it’s not economically worth your while to further your education.

Until the in-fighting between the militant factions of dentists and hygienists simmers, I believe that this survey only serves to get under the skin of those who will use it to justify their own stances. Something’s got to change though, when doctors and patients alike are excessively frustrated with some questionable treatments that are performed in dental clinics primarily funded with Medicaid dollars.

Here’s how I know something’s wrong with our government dental care programs: the majority of today’s Medicaid offices aren’t even hiring hygienists. So much for midlevel providers. So much for prevention.

 

Jamming on the Sonicare AirFloss

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by Trish Walraven

I’m taking flossing to the airwaves. Mah NUMPH bErrr BEHRRRRR… Don’t my riffs sound great?

No?

But it’s air guitar, man, use your imagination! Feel the energy, the passion, the creative flow that turns all of us into rock stars on our gaming consoles!

Something you may not have realized is that you are already a star, at least in the eyes of your patients. A Dental Star. Rock on. Your opinions are gold. Patients ask which toothpaste is best? Which mouthwash should they be using?

One question they never ask is “What should I use to clean between my teeth?” Do patients even register a thought about their interproximal surfaces? Here’s a question for you as a person, not as a dental professional: how often do you think about the skin between your toes? (toejam. eww.)

My point exactly.

But we think about the skin between teeth all the time. That’s where we see the most gingivitis, the highest plaque scores, the most room for improvement. And we’re tired of laying guilt trips on our patients when we realize that they’re not flossing.

That’s when you want to be able to point to alternatives and say to your non-flossers, “Maybe this will work for you.”

Water Piks are wet, messy, and have been around since the 1960’s. Still, they are my go-to recommendation for non-mechanical biofilm reduction because I see improvements in bleeding scores with patients who use them daily. They are also ubiquitous and affordable, making them more attractive than some of the higher priced or obscure dental water jets.

What’s that? Philips has a new gadget that competes with Water Pik? Well, Philips products can be bought everywhere, too! Can you say, “market penetration?” Can you say, “a funhouse explosion in your mouth?”

It’s called the Sonicare AirFloss, and it was introduced to the world a few weeks ago at the International Dental Show in Germany. Philips is being cheeky about it at the moment, but it looks to be making its American debut at the California Dental Association Meeting in Anaheim next week.

The Sonicare AirFloss is said to replace flossing with micro-bursts of water and air. Fill its reservoir with a few teaspoons of mouthwash or water and you’re ready to blast the little legs off your biofilm bugs.

As of this writing, the only way to learn more about the AirFloss is to sign your office up for a Lunch and Learn at the Sonicare website. Who would turn down free food and a nugget of sponsored CE credit to expand their knowledge base about a product that patients will soon be coming to us for answers about its worthiness?

I am always intrigued by the buzz about new preventive products. As an idea that Philips recently acquired with the purchase of Discus Dental, the Air Floss is being presented in a warm fuzzy cushion of patient acceptance. Do patients like this more than flossing? Do they like it more than using a Water Pik? This presentation makes me think that the science behind the product hasn’t shown the health results that Philips had hoped it would. Watch this video from the IDS in Cologne and see what you think. This is Maria Perno Goldie, RDH Village eFocus editor:




And then there’s me. My family will be so thankful when we get an AirFloss because it might just keep me from pretending to be on American Idol when I think I’m alone in the bathroom:



Concert yell, WooOOOOOOOO!

Living the dream, baby.


Thanks, Star Dental, for the shirt. You rock, too.



5/13/11 Update: The AirFloss is now live on the Sonicare Website!

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