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Evidence based dental public health

Jennifer Erickson, Behnam Sadeghirad, Lyubov Lytvyn, Joanne Slavin, Bradley C Johnston
Background: The relationship between sugar and health is affected by energy balance, macronutrient substitutions, and diet and lifestyle patterns. Several authoritative organizations have issued public health guidelines addressing dietary sugars. Purpose: To systematically review guidelines on sugar intake and assess consistency of recommendations, methodological quality of guidelines, and the quality of evidence supporting each recommendation. Data Sources: MEDLINE, EMBASE, and Web of Science (1995 to September 2016); guideline registries; and gray literature (bibliographies, Google, and experts)...
December 20, 2016: Annals of Internal Medicine
Ana Karina Mascarenhas, Donald Altman
In preparation to update the Dental Public Health specialty competencies, the Expert Panel determined that a needs assessment be conducted. A nine item open and close ended survey developed by the Expert Panel was used to collect data on the Diplomates current work environment, the utility of the current set of Dental Public Health competencies, and to identify any gaps in the current competencies. In 2015, the survey was administered to all active Diplomates of the American Board of Dental Public Health. One hundred and nine Diplomates responded...
September 2016: Journal of Public Health Dentistry
Elham Emami, Hermina Harnagea, Felix Girard, Anne Charbonneau, René Voyer, Christophe Pierre Bedos, Martin Chartier, John Wootton, Yves Couturier
INTRODUCTION: Integrated care has been introduced as a means of improving health outcomes and access to care, and reducing the cost of healthcare. Despite its importance, the integration of oral health into primary care is still an emerging healthcare pathway. This scoping review protocol has been developed and funded by the Canadian Institutes of Health Research to provide an evidence-based synthesis on a primary oral healthcare approach and its effectiveness in improving oral health outcomes...
October 18, 2016: BMJ Open
Andrew B Schenkel, Ivy Peltz, Analia Veitz-Keenan
BACKGROUND: Resin-based composite (RBC) is currently accepted as a viable material for the restoration of caries for posterior permanent teeth requiring surgical treatment. Despite the fact that the thermal conductivity of the RBC restorative material closely approximates that of natural tooth structure, postoperative hypersensitivity is sometimes still an issue. Dental cavity liners have historically been used to protect the pulp from the toxic effects of some dental restorative materials and to prevent the pain of thermal conductivity by placing an insulating layer between restorative material and the remaining tooth structure...
October 25, 2016: Cochrane Database of Systematic Reviews
Nikisha Mehta, Zoe Marshman
BackgroundThis systematic appraisal was conducted to determine if the Evidence-Based Dentistry Journal (EBDJ) acts as a reliable and contemporary source of knowledge for practitioners across all disciplines within dentistry.ObjectivesThe main objectives were to determine i) the year the articles were published and included in the EBDJ; ii) if the articles published covered all fields equally within dentistry; iii) the type of study design of the articles reported in the journal and; iv) the level of expertise of the writers of the commentaries...
2016: Evidence-based Dentistry
Alessandro Montedori, Iosief Abraha, Massimiliano Orso, Potito Giuseppe D'Errico, Stefano Pagano, Guido Lombardo
BACKGROUND: Despite considerable improvements in oral health, dental caries continue to be a public health issue. The most frequently used, and universally accepted technique, to remove caries is through mechanical ablation of decayed tissues by means of rotating drills (diamond or tungsten carbide, or both). In the past few decades, the introduction of adhesive filling materials (resin composites) has affected cavity filling procedures by reducing its retention needs, with advantages for dental tissue conservation...
September 26, 2016: Cochrane Database of Systematic Reviews
Mariam A Khokhar, Waqqas Ahmad Khokhar, Andrew V Clifton, Graeme E Tosh
BACKGROUND: People with serious mental illness not only experience an erosion of functioning in day-to-day life over a protracted period of time, but evidence also suggests that they have a greater risk of experiencing oral disease and greater oral treatment needs than the general population. Poor oral hygiene has been linked to coronary heart disease, diabetes, and respiratory disease and impacts on quality of life, affecting everyday functioning such as eating, comfort, appearance, social acceptance, and self esteem...
September 8, 2016: Cochrane Database of Systematic Reviews
Ingeborg J De Kok, Lyndon F Cooper, Albert D Guckes, Kathleen McGraw, Robert F Wright, Carlos J Barrero, Sun-Yung Bak, Lisa O Stoner
PURPOSE: A systematic search of the literature was performed to identify and characterize articles reporting the influence of removable partial denture (RPD) therapy on satisfaction and quality of life (QoL). MATERIALS AND METHODS: The literature search for relevant articles published between January 1983 and March 30, 2013 was conducted using keyword searches of electronic databases and complimentary hand searches. The search strategy included the following keyword combinations (MeSH and free-text terms): fail, complication, surviv*, longevity, outcome, patient satisfaction or QoL, and denture or prosthes*, and partial and removable...
January 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Lindsay McLaren
BACKGROUND: Statistics Canada's population health surveys may be an important source of up-to-date evidence on fluoridation and population oral health. The objective of this study was to examine the validity of a geographic measure of fluoridation from a national survey (based on site of data collection), by comparing it with estimates of fluoride level from urine samples. METHODS: The data source is the environmental urine subsample (n=2563) from Cycle 2 (2009-2011) of the Canadian Health Measures Survey...
August 2016: Journal—Canadian Dental Association, Journal de L'Association Dentaire Canadienne
Valeria C C Marinho, Lee Yee Chong, Helen V Worthington, Tanya Walsh
BACKGROUND: Fluoride mouthrinses have been used extensively as a caries-preventive intervention in school-based programmes and by individuals at home. This is an update of the Cochrane review of fluoride mouthrinses for preventing dental caries in children and adolescents that was first published in 2003. OBJECTIVES: The primary objective is to determine the effectiveness and safety of fluoride mouthrinses in preventing dental caries in the child and adolescent population...
2016: Cochrane Database of Systematic Reviews
Gowri Sivaramakrishnan, Kannan Sridharan
INTRODUCTION: Clinical trials are the back bone for evidence-based practice (EBP) and recently EBP has been considered the best source of treatment strategies available. Clinical trial registries serve as databases of clinical trials. As regards to dentistry in specific data on the number of clinical trials and their quality is lacking. Hence, the present study was envisaged. METHOD: Clinical trials registered in WHO-ICTRP (
June 2016: Journal of Evidence-based Dental Practice
Martina Albrecht, Florian Isenbeck, Jüürgen Kasper, Ingrid Mühlhauser, Anke Steckelberg
BACKGROUND: Patients can only make well-informed decisions if the information they are given by health professionals is based on scientific evidence. In this study, we assessed the foundation in evidence of free, publicly available telephone consultations in Germany. METHODS: From March 2013 to January 2014, four hidden clients seeking information asked standardized questions about three medical topics (screening for colorectal cancer, for glaucoma, and for trisomy 21) and three dental ones (the sealing of dental fissures, professional dental cleaning, and mercury detoxification)...
June 6, 2016: Deutsches Ärzteblatt International
Esma J Doğramacı, Marco Aurelio Peres, Karen Glazer Peres
BACKGROUND: The authors sought to assess the quality of information on the Internet for laypeople regarding the effect of breast-feeding on malocclusions and to determine the levels of evidence of the articles cited to support the information. METHODS: The first author (E.J.D.) entered a key word term, "breast-feeding and crooked teeth," and a natural language term, "does breast-feeding protect against crooked teeth," into 4 search engines. The author performed consecutive sampling of every Web site until 5 Web sites were identified that fulfilled the inclusion criteria per search engine, per search term, producing 40 Web sites for evaluation...
October 2016: Journal of the American Dental Association
D M O'Mullane, R J Baez, S Jones, M A Lennon, P E Petersen, A J Rugg-Gunn, H Whelton, G M Whitford
The discovery during the first half of the 20th century of the link between natural fluoride, adjusted fluoride levels in drinking water and reduced dental caries prevalence proved to be a stimulus for worldwide on-going research into the role of fluoride in improving oral health. Epidemiological studies of fluoridation programmes have confirmed their safety and their effectiveness in controlling dental caries. Major advances in our knowledge of how fluoride impacts the caries process have led to the development, assessment of effectiveness and promotion of other fluoride vehicles including salt, milk, tablets, toothpaste, gels and varnishes...
June 2016: Community Dental Health
Jens Christoph Türp, Heinz Spranger
Non-communicable diseases (NCDs), such as cardiovascular diseases, chronic respiratory diseases, cancers, and diabetes mellitus, are responsible for most deaths worldwide. In view of the rising prevalence and the long-term consequences of NCDs, their prevention is a public health priority. Dentistry plays an important role in this endeavor. Since oral and general diseases share common risk factors (e.g., poor oral hygiene, unhealthy diet, alcohol abuse, tobacco consumption, distress), preventive measures may target both oral diseases (e...
2016: Swiss Dental Journal
Gaurav Sharma, Manjunath P Puranik, K R Sowmya
BACKGROUND: Smoking and other forms of tobacco use remain the most significant worldwide public health problem. The dental practice is being identified as potential location for smoking cessation activity. Nicotine replacement therapy (NRT) promotes the chances of tobacco cessation, however, evidence related to prescription of the NRT in dental settings is lacking. This study aimed to assess and compare the attitudes, practices, beliefs, and barriers in prescribing NRT for tobacco cessation among dental interns and post-graduates (PGs)...
2016: Addiction & Health
Margherita Fontana, Sandra Guzmán-Armstrong, Andrew B Schenkel, Kennneth L Allen, John Featherstone, Susie Goolsby, Preetha Kanjirath, Justine Kolker, Stefania Martignon, Nigel Pitts, Andreas Schulte, Rebecca L Slayton, Douglas Young, Mark Wolff
Maintenance of health and preservation of tooth structure through risk-based prevention and patient-centered, evidence-based disease management, reassessed at regular intervals over time, are the cornerstones of present-day caries management. Yet management of caries based on risk assessment that goes beyond restorative care has not had a strong place in curriculum development and competency assessment in U.S. dental schools. The aim of this study was to develop a competency-based core cariology curriculum framework for use in U...
June 2016: Journal of Dental Education
Ghadeer Thalji, Kate McGraw, Lyndon F Cooper
PURPOSE: The aim of this systematic review is to report on the current knowledge regarding patient satisfaction as a primary outcome for maxillary complete denture therapy. We asked, "For the maxillary edentulous patient treated using maxillary dentures, what are the patient-based outcomes regarding quality of life and treatment satisfaction." MATERIALS AND METHODS: An electronic search of publications up to March 2014 was established using four databases: PubMed, Web of Science, Scopus, and Embase...
2016: International Journal of Oral & Maxillofacial Implants
K A Gray-Burrows, P F Day, Z Marshman, E Aliakbari, S L Prady, R R C McEachan
BACKGROUND: Dental caries in young children is a major public health problem impacting on the child and their family in terms of pain, infection and substantial financial burden on healthcare funders. In the UK, national guidance on the prevention of dental caries advises parents to supervise their child's brushing with fluoride toothpaste until age 7. However, there is a dearth of evidence-based interventions to encourage this practice in parents. The current study used intervention mapping (IM) to develop a home-based parental-supervised toothbrushing intervention to reduce dental caries in young children...
May 6, 2016: Implementation Science: IS
J Bernadette Moore, Barbara A Fielding
PURPOSE OF REVIEW: There is considerable political and public awareness of new recommendations to reduce sugars and sugar-sweetened beverages in our diets. It is therefore timely to review the most recent changes in guidelines, with a focus on evidence for metabolic health, recent research in the area and gaps in our knowledge. RECENT FINDINGS: Sufficient evidence links a high intake of sugar to dental caries and obesity, and high intakes of sugar-sweetened beverages in particular to increased risk of type 2 diabetes...
July 2016: Current Opinion in Clinical Nutrition and Metabolic Care
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