Blood Pressure Hard to Control? Maybe its Your Teeth

MedicalResearch.com Interview with:
"Still from "My Dental Hell(th)"" by littledropofpoison is licensed under CC BY 2.0Rita Del Pinto, MD
University of L’Aquila
Department of Life, Health and Environmental Sciences,
L’Aquila – Italy 

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: There is a wealth of literature in support of a role for inflammation behind cardiovascular risk factors and diseases. One relatively poorly explored field is that of oral diseases, namely periodontitis, as a potential source of low-grade, chronic inflammation. Previous studies had described a beneficial effect of periodontal treatment on blood pressure; we extended current knowledge with our findings on over 3600 treated hypertensive adults with and without periodontitis, showing a significant benefit over systolic blood pressure behavior and control in the presence of a good periodontal health.  Continue reading

Tongue and Lip Piercings Can Aggravate Periodontal Disease

MedicalResearch.com Interview with:
“Tongue Ring!” by ethan lindsey is licensed under CC BY 2.0Prof. Dr. med. dent. Clemens Walter

Deputy Clinical Director & Director Postgraduate Program in Periodontology (SSP/BZW)
Board Certified Periodontist (D, CH)
Department of Periodontology, Endodontology and Cariology
University Center for Dental Medicine (UZB)

MedicalResearch.com: What is the background for this study?

Response: For periodontal diseases we have some important risk factors – such as tobacco use or insufficient oral hygiene. However, in some cases these factors do not explain the disease in a given patient. Therefore there is an ongoing need to analyse the pattern of periodontal destruction in each individual. Some years ago, a young female patient presenting an unusually severe periodontal destruction was referred to our department. The patient was periodontally healthy with the exception of the lower incisor teeth. We could not identify any known risk factors. The patient had a tongue piercing.

MedicalResearch.com: What kind of treatment was performed? 

Response: Non-surgical and advanced surgical treatment was performed and was not successful. The young female patient lost teeth. Since then, I have been curious about this association and started to collect cases.

MedicalResearch.com: What are the main findings of your research presented at Europerio9 in Amsterdam?

Response: We presented a poster on a retrospective study. We found an association between oral piercings and increased periodontal inflammation, as evident by increased bleeding on probing and increased probing depth and/or attachment loss.

The closer teeth were to a tongue piercing, the more affected they were.

MedicalResearch.com: Would you like to explain your study?

Response: For this study, 18 patients (14 female) with a tongue and/or lip piercing from our database of more than 1400 patients treated in our service were included. The mean age of this population was 28,3 + 7.7 years. Three out of 18 patients wore both, i.e. a total of 14 tongue piercings and 7 lip piercings were assessed. Clinical parameters and the maximum wearing time of the lip and/or tongue piercing were recorded. Periodontal findings in teeth close to the piercing were compared to teeth not affected by the piercing. 

MedicalResearch.com: Why you choose to perform retrospective study?

Response: Due to ethical considerations, it seems impossible to conduct a prospective study. Therefore the suitable design to answer our question was a retrospective study/ case series 

MedicalResearch.com: What should readers take away from your report?

Response: Oral piercings have a negative impact on periodontal and dental health.

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: We now try to create awareness about the consequences of piercings for oral health and we counsel our patients to remove piercings in order to decrease the risk for dental and periodontal complications. 

MedicalResearch.com: Is there anything else you would like to add?

Response: Yes, our study started as research project, performed by undergraduate students. We are happy to see, that a discussion on oral piercings and its negative effects is now initiated by this project. 

Citation:

EuroPerio9 Abstract 409 –
Calderaro S, Schmidt JC, Weiger R, Walter C
A retrospective study on the association between oral piercings and clinical signs of periodontal inflammation

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Oral Health Often Overlooked By Health Care Practitioners

Judith Haber, PhD, APRN, BC, FAAN Associate Dean, Graduate Programs The Ursula Springer Leadership Professor in Nursing New York, NY 10003MedicalResearch.com Interview with:
Judith Haber, PhD, APRN, BC, FAAN
Associate Dean, Graduate Programs
The Ursula Springer Leadership Professor in Nursing
New York, NY 10003

Medical Research: What is the background for this study? What are the main findings?

Dr. Haber: The background of the project originally aligns with publication of the Surgeon General’s Report (2000), challenging health providers to think about the “mouth as a window to the body”.  More recent Institute of Medicine (IOM) reports, Advancing Oral Health in America (2011) and Improving Access to Oral Health Care for Vulnerable and Underserved Populations (2011) highlighted the extant problems with oral health access, oral health disparities and outcomes and the potential role of the primary care workforce in addressing this population health issue.  However, there is a dearth of curricular focus on oral health in the curriculum of health professionals.  The IOM challenged the Health Resource and Service Administration (HRSA) to convene an Expert Panel to develop interprofessional oral health core clinical (IPOHCC) competencies; the report, Integrating Oral Health and Primary Care Practice, delineating the IPOHCC competencies, was published in 2014.   Our HRSA funded initiative, Teaching Oral-Systemic Health (TOSH), focuses on building interprofessional oral health workforce capacity with a special focus on the nursing, medical and dental professions.  We have operationalized the IPOHCC competencies by transforming the HEENT component of the health history, physical exam, risk assessment, diagnosis, and management plan, including collaboration and referral, to the HEENOT approach.  When a health professional uses the HEENOT approach, he or she cannot forget about oral health.

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Oral Health and Diabetes: Effects of Health Coaching

ayse_basak_cinarMedicalResearch.com Interview with:
Ayse Basak Cinar, Assistant Professor
The Department of Odontology
The Faculty of Medical and Health Resources
2200 Copenhagen N Denmark

MedicalResearch.com:  What are some of the unique or enlightening findings of this study that haven’t been published before?

Answer:  To our knowledge, this is the first randomized controlled intervention study comparing the impact of individualized Health Coaching (HC) to formal Health Education (HE); applying HC as a holistic intervention for management of more than one specific type of chronic disease, namely oral health and diabetes management.

The present study has two phases [the Turkish Phase, Turkey (2010-2012) and the Danish Phase, Denmark (2012- …)]. The unique/enlightening figures from the Turkish phase as follows:

The HC group compared to the HE group had significantly higher improvement at;

HbA1c* (reduction: 0, 8% vs. 0%), and Periodontal Attachment Loss (PAL) (56% vs. 26%), (p≤0.01)

Tooth Brushing Self-Efficacy (TBSE) (increase: 61% vs.25%) and stress (reduction: 16% vs. 1%), (p≤0.01).
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