Tooth discoloration is such a common issue. It can be caused by improper brushing habits, smoking, or even drinking too many dark beverages like coffee or tea. So, people often opt for teeth whitening as a resolution.
Teeth whitening isn’t the only solution for tooth discoloration. Dental veneers, which are little shells that get placed over the teeth, can cover up yellowed teeth or teeth with brown spots quite effortlessly. This way, you won’t have to worry about regularly getting your teeth bleached or purchasing expensive teeth-whitening products.
Response: Cigarette smoking is one of the well-established causes of periodontitis, but the effect of using electronic cigarettes (e-cig), especially its long-term impact on periodontal health, is not yet clearly understood. Considering the increased popularity of e-cig use, especially among teenagers and young adults, and the known effect of high nicotine concentration in e-cigarette products, we conducted this clinical research to see if there were differences in periodontal health between e-cig users, traditional smokers, and nonsmokers. The study consisted of two visits, 6 months apart, where measures of oral and periodontal health were obtained.
Our data showed significantly greater clinical attachment loss in the e-cigarette users and cigarette smokers than in the non-smokers at both study visits. In only e-cigarette users, we observed an over 0.2 mm average increase in the clinical attachment loss after 6 months.
Dr. LaMonte[/caption]
Michael J. LaMonte, PhD, MPH
Research Professor (epidemiology)
Department of Epidemiology and Environmental Health
School of Public Health and Health Professions
Women’s Health Initiative Northeast Regional Center
University at Buffalo – SUNY
Buffalo, NY 14214
MedicalResearch.com: What is the background for this study? What are the main findings?
Dr. LaMonte: The rationale for this study was based on existing study results showing
Dr. Bei Wu[/caption]
Bei Wu, PhD
Dean's Professor in Global Health
Vice Dean for Research
Rory Meyers College of Nursing
Affiliated Professor, College of Dentistry
Co-Director, NYU Aging Incubator
New York University New York, NY 10010
MedicalResearch.com: What is the background for this study?
Response: Social isolation and loneliness are global public health concerns. Social isolation is the lack of social contacts and having few people to have regular interactions; while loneliness is the distressing feeling of being alone or separated. Approximately 24% of community-dwelling older adults aged 65 and above are considered to be socially isolated in the United States, and 43% adults aged over 60 years old report feeling lonely. Increasing evidence suggests that social isolation and loneliness are risk factors for older adults’ health outcomes, such as depression, comorbidities, cognitive impairment and dementia, and premature mortality. However, one key limitation in the literature is that only a few studies have examined the impact of social isolation and loneliness on oral health.
Dr. Cabana[/caption]
Michael Cabana, M.D., M.A., M.P.H
Professor of Pediatrics
Albert Einstein College of Medicine.
Physician-in-chief , Children's Hospital at Montefiore
Chair of the Department of Pediatrics
Albert Einstein College of Medicine
Member, U.S. Preventive Services Task Force
MedicalResearch.com: What is the background for this study and recommendation statement?
Response: Dental caries, also known as cavities or tooth decay, is the most common chronic disease in children in the United States and can develop in any child whose teeth have come in. Many young children under five years old do not visit a dentist, so the Task Force reviewed the latest evidence on how primary care clinicians can help prevent tooth decay in young children.
The Task Force’s research led to two important findings: all young children whose teeth have come in should have fluoride varnish applied by their clinician, and all children six months and older whose water supply doesn’t contain enough fluoride should receive fluoride supplements. Both approaches can help prevent cavities in kids.
The Task Force also determined that there is not enough evidence to recommend for or against screening for tooth decay in the primary care setting for children under five. This is consistent with the Task Force’s 2014 recommendation on dental caries.
Dr. Daniell[/caption]
Dr. Henry Daniell Ph.D
W. D. Miller Professor & Director of Translational Research,
Vice Chair, Department of Basic and Translational Sciences,
Editor in Chief, Plant Biotechnology Journal, Oxford, UK
School of Dental Medicine,
University of Pennsylvania,
Philadelphia PA 19104-6030
MedicalResearch.com: What is the background for this study?
Response: ACE2 is a human protein present in human cells, blood and saliva. In COVID-19 patients this protein is inactivated. SARS-CoV-2 virus enters human cells using receptor of this protein. ACE2 chewing gum utilizes two different mechanisms. ACE2 enzyme directly binds to the spike protein on SARS-CoV-2 and traps virus in the chewing gum. In addition, ACE2 enzyme binds to its own receptor on oral epithelial cells, thereby blocks entry of any virus that is not trapped in the chewing gum
Dane Kim[/caption]
Dane Kim, Dental Student
University of Pennsylvania School of Dental Medicine
MedicalResearch.com: What is the background for this study?
Response: This large study was inspired, in part, by a previous publication, Gustatory Function After Third Molar Extraction (Shafer et al. 1999), which examined the effect of third molar extractions on human taste function. Their work was based upon more severe extractions and followed patients only up to six months after their surgery. Studies examining taste function over a longer period, i.e., beyond six months from the surgery, were non-existent.
The Smell and Taste Center of Penn Medicine, which is the only center of its type in the United States, has a large unique database of patients who have been thoroughly tested for both smell and taste function. This provided us with the opportunity to compare data from hundreds of persons who had previously received third-molar extractions to those who had not received such extractions. Importantly, the extracts had occurred years before thee taste testing.
Dr. Hwang[/caption]
Geelsu Hwang, Ph.D.
Assistant Professor
Department of Preventive and Restorative Sciences
Center for Innovation and Precision Dentistry (CiPD)
School of Dental Medicine
University of Pennsylvania
MedicalResearch.com: What is the background for this study? What is the significance of this oral biofilm?
Response: Dental caries is one of the most common and costly biofilm-dependent diseases that afflict children and adults worldwide. Particularly, Early Childhood Caries (ECC) is a hyper-virulent type of chronic tooth decay that most frequently afflicts underprivileged preschool children. The onset and progression of carious lesions in ECC are rapid and aggressive, causing rampant destruction of the smooth surfaces of teeth.
ECC is painful and often requires surgical procedure under general anesthesia, while current treatment modalities are inefficient and recurrence of ECC is common. Notably, interactions between a fungus, Candida albicans, and a bacterium, Streptococcus mutans, have been known to play important roles in the pathogenesis of dental caries.
Thus, we attempted to strategically develop a targeted measure to effectively prevent cross-kingdom interactions and subsequent biofilm development.
Dr. Kamer[/caption]
ANGELA R. KAMER, DMD, MS, PhD
Associate Professor
Periodontology and Implant Dentistry
NYU Dentistry
MedicalResearch.com: What is the background for this study?
Response: The accumulation of amyloid β plaques and neurofibrillary pathology in the brain are pathognomonic to Alzheimer's disease (AD). Brain amyloid deposition begins decades before cognitive dysfunction and is thought to be the first AD pathological feature followed by tau tangle accumulations and other pathologies.
The mechanisms by which brain amyloid develops are incompletely understood although inflammation and bacterial imbalances (known as dysbiosis) of the gut and oral cavity may be involved. Periodontal disease affecting more than 50% of elderly is an inflammatory, chronic condition characterized by periodontal tissue destruction and bacterial imbalances. Using PET studies, we showed previously that measures of periodontal destruction were associated with brain amyloid retention in the brain [1]. In this study, we sought to investigate whether subgingival (under the gum line) bacteria associated with Alzheimer’s disease specific pathology, namely amyloidosis and tauopathy.
Prof. D'Aiuto[/caption]
Francesco D’Aiuto
Professor/Hon Consultant
Head of Periodontology Unit
UCL Eastman Dental Institute
MedicalResearch.com: What is the background for this study?
Response: This study was set out to further our understanding of the link between gum disease and high blood pressure. Recent evidence suggested that individuals with gum disease had a 20-70% increased risk of hypertension and systemic inflammation seemed to be a driver in mediating this association. Further research on the matter was needed. We recruited two relatively large groups of otherwise healthy participants (without a confirmed diagnosis of hypertension) who had gum disease one and healthy gums the other.
We found that diagnosis of periodontitis (gum disease) was consistently linked to higher systolic blood pressure independent of other cardiovascular risk factors.
Dr. Glogauer[/caption]
Prof. Michael Glogauer, D.D.S., Ph.D
Faculty of Dentistry, University of Toronto
Toronto, ON Canada
MedicalResearch.com: What is the background for this study?
Response: Periodontal disease (PD) affects between 20% and 50% of the global population, with growing evidence supporting its association with other inflammatory diseases, including heart disease, arthritis, and diabetes.
Several studies have shown how untreated periodontal disease leads to increased medical care costs for nonoral conditions, including patient hospitalization rates. The interaction of inflammatory diseases with PD suggests a shared, underlying pathology that may be exploited to better manage patients and reduce the economic burden. However, the mechanisms through which these diseases interact are unclear.
In periodontal disease, tissue and bone destruction in the mouth is driven by elevated recruitment of white blood cells called polymorphonuclear neutrophils (PMNs), which are activated by the oral disease and recruited from the circulation to sites of inflammation.
Dr. Meyers[/caption]
Craig Meyers, PhD
Department of Microbiology and Immunology
Pennsylvania State College of Medicine
Hershey, PA
MedicalResearch.com: What is the background for this study?
Response: As nasal and oral cavities are major points of entry and transmission for human coronaviruses our team of physicians and scientists (Craig Meyers, Janice Milici, Samina Alam, David Quillen, David Goldenberg and Rena Kass of Penn State College of Medicine and Richard Robison of Brigham Young University) were interested in testing common over-the-counter oral antiseptics and mouthwashes for their efficacy to inactivate infectious human coronavirus, which is structurally similar to SARS-CoV-2, the virus that causes COVID-19. While we wait for a vaccine for COVID-19 to be developed, methods to reduce transmission are needed. We chose products that are readily available and often already part of people’s daily routines.
Dr. Song[/caption]
Mingyang Song, MD, ScD.
Division of Gastroenterology
Clinical and Translational Epidemiology Unit, Massachusetts General Hospital and
Harvard Medical School
Department of Nutrition and Department of Epidemiology
Harvard T.H. Chan School of Public Health
Boston, Massachusetts
MedicalResearch.com: What is the background for this study?
Response: Recent studies showed a presence of dysbiotic oral microbiome in patients with esophageal and gastric cancer, suggesting a link between oral health and these cancers. However, how periodontal disease and tooth loss may influence the risk of these cancers has been inconsistent.
MedicalResearch.com: What are the main findings?
Response: Our findings support a possible role of oral health in the development of upper GI cancer. Individuals with periodontal disease and tooth loss are at higher risk of developing esophageal and gastric adenocarcinoma. The risk is particularly high for individuals with both periodontal disease and tooth loss.
CDC PHIL image[/caption]
MedicalResearch.com: What is the background for this study?
Response: This report reviewed three measures of tooth loss among adults over 50 years old with selected chronic conditions. The report analyzed data from the 2011–2016 cycles of the National Health and Nutrition Examination Survey (NHANES) to compare the rates of total tooth loss, severe tooth loss (less than 8 teeth), and lacking functional dentition (less than 20 teeth) among people with and without selected chronic conditions.
Dr. Nalliah[/caption]
Dr. Romesh P. Nalliah BDS, MHCM
Associate Dean for Patient Services
Clinical Professor
Institute for Healthcare Policy & Innovation
Michigan Institute for Data Science
Director, Synergy Program
MedicalResearch.com: What is the background for this study?
Response: We designed and conducted this study because there is a paucity of knowledge related to opioid prescribing for acute dental pain.
Dr. Wiener and Christopher Waters, Research Labs Director, WVU School of Dentistry[/caption]
R. Constance Wiener, DMD, PhD
Associate Professor
West Virginia University School of Dentistry
MedicalResearch.com: What is the background for this study?
Response: Perfluoroalkyl and polyfluoroalkyl substances (PFAS) are chemical groups that have had a wide variety of uses due to their ability to their ability to repel water and stains. They might be found in food packaging, water-repellant clothing and carpeting, paints, fire-fighting foam, and water, for example. Although many are no longer manufactured in the United States, PFAS persist in the environment as they do not readily break down. Adverse health effects have been speculated especially for low birthweight babies, immunological effects, certain cancers and thyroid hormone disruption.1 With these considerations, we hypothesized that there may be an association of PFAS with tooth development and subsequent dental caries (cavities).
Dr. Suda[/caption]
Katie J. Suda, PharmD, MS
Study Principal Investigator
Professor of Medicine
University of Pittsburgh School of Medicine
MedicalResearch.com: What is the background for this study?
Response: Dentists are one of the top prescribers of opioids; prescribing 1 in 10 opioids in the United States. Dentists also prescribe a lot of opioids to adolescents and young adults which are a high risk population for substance misuse. This is especially true because studies have shown that non-opioid pain medications are similar or more effective for the treatment of oral pain.
Dr. Margolskee[/caption]
Robert Margolskee, MD, PhD
Director and President
Monell Center
Adjunct Professor, Department of Systems Pharmacology and Translational Therapeutics
University of Pennsylvania Perelman School of Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: We found chemical-sensing cells in the gums that protect the mouth by standing guard against infections that damage soft tissue and destroy the bone that supports the teeth. With the help of bitter taste receptors that also detect byproducts from harmful bacteria, these special gum cells trigger the immune system to control the amount and type of bacteria in the mouth. This knowledge could one day lead to personalized dental treatments against gum disease.
Periodontitis is a serious gum disorder caused by an imbalance in the bacteria and other microorganisms of the mouth. We hope that our new information can help to combat this sixth-most prevalent infectious disease and most common cause of tooth loss worldwide.
Dr. Gross[/caption]
Alan E. Gross, PharmD
Clinical Assistant Professor
University of Illinois
Chicago, IL
MedicalResearch.com: What is the background for this study?
Response: Dentists prescribe 10% of all outpatient antibiotics. Most of this prescribing is for infection prophylaxis prior to dental procedures.
Our prior research has found that 80% of prescriptions for dental prophylaxis is unnecessary. Although antibiotic prophylaxis prior to dental procedures is often for a short course (e.g. one time amoxicillin dose), there may be patient harm associated with this.
Rivka Green[/caption]
Rivka Green, MA
Doctoral Candidate
Clinical Developmental Neuropsychology
York University
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: We conducted a study on 512 mother-child pairs from 6 major cities across Canada, about half of whom lived in a region that receives fluoridated water.
We found that prenatal fluoride exposure was associated with lower IQ scores in 3-4 year old children.
Dr. Arany[/caption]
Praveen Arany, DDS, PhD
Department of Oral Biology
School of Dental Medicine
University of Buffalo
MedicalResearch.com: What is the background for this study? How is the light treatment delivered?
Response: Cancers are usually treated with chemotherapy and/or radiation to destroy the tumor cells. However, an unfortunate side-effect of these treatments is pain and ulcers in the mouth due to breakdown of normal protective responses.
Light has various applications in human health and normal physiology. Two good examples are vision and sunlight-Vitamin D for bone and health. The use of low dose light to alleviate pain or inflammation and promote tissue healing is termed Photobiomodulation (PBM) Therapy.
This treatment can be provided with lasers or LED devices at specific wavelength (color) and dose (power). This treatment is currently being provided by a health care provider - usually a laser - either nurse or dentist prior or during the cancer treatments. There are several exciting innovation where take-home, self-use devices are becoming available.
Dr. Lieblich[/caption]
Dr. Stuart Lieblich, DMD
Oral and maxillofacial surgeon
Avon, CT
MedicalResearch.com: What is the background for this study? How does EXPAREL® differ from other pain medication for dental work or other short-term procedures?
Response: This study analyzed the use of opioids and non-opioid options for postsurgical pain following third molar extraction (wisdom teeth removal). Our research team reviewed data from 600 patients who underwent third molar extraction, with 300 patients having received non-opioid option EXPAREL (bupivacaine liposome injectable suspension) and 300 patients that did not receive an infiltration of EXPAREL. The study aimed to show that reducing opioid prescriptions following this procedure may decrease opioid-related adverse events and the risk of opioid dependence.
Dr. Reva[/caption]
Dr. Ivan V. Reva
Senior Researcher, Laboratory of Cellular and Molecular Neurobiology
School of Biomedicine, Far Eastern Federal University (FEFU)
MedicalResearch.com: What are the prerequisites for this study?
Response: The existence of congenital and acquired malformations of the teeth and jaws and the many shortcomings of artificial implants dictate the search for alternative methods of treatment of adentia. The prerequisites were the study of the development of the human gastrointestinal tract in the embryonic period, since it is during this period that all the most significant events occur in the structuring of all parts of the gastrointestinal tract, especially the oral cavity, the knowledge of which is necessary for developing a strategy for regenerative medicine. This is associated with obtaining ideas about cell-cell interactions for the cultivation of bioengineering structures of various sections of the gastrointestinal tract, including jaws and teeth.
It was noted that the differentiation of the structures of the developing jaws is ahead of other divisions. The presence of chromophobic spindle-shaped cells migrating in the direction of the tooth rudiments and their location in the region surrounding the enamel organ indicates intercellular interactions in the development of teeth in humans that differ from these processes in lower vertebrates. At the present stage, it is known that ectomesenchyme is involved in cell assemblies participating in the development of dentin.
Dr. Suda[/caption]
Dr. Katie Suda, PharmD, M.S.
Associate Professor
College of Pharmacy
University of Illinois at Chicago
MedicalResearch.com: What is the background for this study?
Response: Dentists prescribe approximately 1 in every 10 antibiotics in the United States and are the top specialty prescriber. Dentists are the primary prescriber of clindamycin in the U.S., which is associated with a high risk of C. difficile infection (an overgrowth of bacteria in the GI tract that can cause a life-threatening infection). Clinical guidelines recommend that patients with specific cardiac conditions receive a dose of antibiotics prior to undergoing invasive dental procedures to prevent infective endocarditis (an infection of the heart values). Taking a dose of antibiotics prior to a dental visit is referred to as antibiotic prophylaxis. Starting in 2007, these guidelines were narrowed secondary to poor evidence on the effectiveness of antibiotic prophylaxis and the risk of antibiotic-related adverse events. Antibiotic adverse events include antibiotic resistance, C. difficile infection, and other general adverse events (nausea, vomiting, diarrhea).
While significant research has been conducted on unnecessary prescribing of antibiotics by medical providers, little work has described appropriateness of prescribing by dentists. We assessed if antibiotics prescribed for prophylaxis prior to dental procedures were consistent with clinical guidelines.
Dr. Scurrah[/caption]
Katrina Scurrah PhD
Senior Research Fellow (Biostatistician), Twins Research Australia, and Melbourne School of Population and Global Health, The University of Melbourne and
Honorary Fellow, Murdoch Childrens Research Institute.
MedicalResearch.com: What is the background for this study?
Response: Oral health is an important component of general health and yet dental caries (decay) is still common in children (affecting up to one in three 5-6 year old children in Australia). Although we know that some genetic and lifestyle factors (such as diet) are important risk factors for caries, the relative importance of these is still unclear. Risk factors from pregnancy and very early childhood (even before teeth appear) might also be important. This study is the first to include prospectively measured data on health and well-being from pregnancy, birth and early childhood in a study of twin children. We analysed data from a cohort of 172 pairs of twin children to assess the effects of genes and environment on susceptibility to dental caries at six years-of-age.
Dr. Palmer[/caption]
Julie R. Palmer, ScD
Professor, Boston University School of Medicine
Associate Director, Slone Epidemiology Center at Boston University
Boston, MA 02118
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Since 1995, 59,000 African American women from all regions of the U.S. have participated in a Boston University research study of the health of Black women. Study participants complete mailed or online questionnaires every two years.
Our major goal is to identify modifiable risk factors for cancers and nonmalignant conditions that disproportionately affect African Americans (e.g., pancreatic cancer, early-onset breast cancer, type 2 diabetes, uterine fibroids). The reasons for the higher incidence of pancreatic cancer in African Americans relative to non-Hispanic White women in the U.S. are unknown.
I was aware that several recent studies in predominantly White populations had observed a higher incidence of pancreatic cancer in those who had reported poor oral health and wondered whether the higher prevalence of poor oral health among African Americans could play a role in their higher incidence of pancreatic cancer. We had already asked about gum disease, periodontal disease, and adult tooth loss in several rounds of data collection.
After rigorous analysis, we found that women who reported any adult tooth loss had about two times the risk of future development of pancreatic cancer compared with those who had no tooth loss and had never reported periodontal disease.
The estimated risk was even greater for those who had lost five or more teeth. A similar association was observed for reports of periodontal disease, but the association was not statistically significant.