Coverage Continues: 13,000-Year-Old Teeth May Contain Earliest Evidence Of Fillings

The Daily Mail reports that researchers have discovered in 13,000-year-old front teeth what may be “the earliest example of the use of a filling.” Each tooth, found in northern Italy, has a “hole that extends down to the pulp chamber” the article reports. According to the article, tiny scratch marks inside the holes suggest a sharp stone was used “to remove diseased cavity tissue,” before the holes with then filled “with the tar-like substance bitumen.” The article reports that “the discovery of bitumen suggests the procedure was done out of medical necessity to remove decayed matter from the teeth and prevent further loss.” The findings are published in a paper in the American Journal of Physical Anthropology.

        International Business Times reports the teeth with bitumen filling are “one of the oldest pieces of evidence of ancient dentistry.”

        Ancient Origins (4/9, Karasavvas) reports the find may be “the world’s most ancient dental fillings.”

NYTimes Examines Health Benefits Of Chewing Gum

The New York Times analyzes the health claims that William Wrigley Jr., founder of the Wrigley Company, made in the 1930s about the company’s chewing gum. In a letter mailed at the time, Wrigley wrote that chewing gum “is good for children’s teeth, which need more exercise than they get with modern soft food.” According to Dr. Jade Miller, president of the American Academy of Pediatric Dentistry, there is no evidence supporting this or other claims of oral health benefits from chewing the gum sold in the 1930s, which all contained sugar. However, the article notes that since then, “dental experts have come to the conclusion that chewing sugar-free gum after meals increases the flow of saliva, which can help clear sugars and bacteria from the mouth, neutralize plaque acids and strengthen teeth, all of which can help to prevent cavities.” In addition, Dr. Miller said the increased salivary flow may be particularly beneficial for people with dry mouth. “That can be caused by a lot of medications or medical problems, and increased salivary flow can really be helpful for reducing the risk of cavities,” he said.

Brushing Tongue An Important Part Of Proper Oral Hygiene

Fox News carries an article first published on WomensHealthMag.com that discusses the importance of not only brushing teeth and flossing, but also brushing the tongue. The article states that when people do not brush their tongues, a “coating of bacteria, food particles, and dead skin cells called a biofilm” can form on it, which contributes to bad breath. People are encouraged to use the correct approach when brushing their tongues by starting at the back and gently brushing toward the front.

        MouthHealthy.org provides information on tongue scrapers and bad breath.

ADA, Dental Industry Addressing Opioid Prescribing Habits

NPR reports many dentists are working to prescribe fewer opioids, “with state dental boards and associations issuing new guidelines for patients and practitioners.” The article notes that Dr. Paul Moore “studies the usefulness of ibuprofen and other” non-steroidal anti-inflammatory drugs (NSAIDs) in pain management; Dr. Moore “worked on a recent update of the American Dental Association’s prescribing guidelines for opioids.” The guideline recommends dentists consider over-the-counter pain relievers as the “first-line therapy for acute pain management.” At the state level, Pennsylvania now “requires new dentists and those renewing their clinical license to get training in the best practices of opioid prescribing.” The article mentions that Pennsylvania dentist Dr. Joel Funari, who specializes in oral and maxillofacial surgery, participated in a working group in 2014 “to develop prescribing guidelines for dentists” in Pennsylvania. Dr. Funari and his colleagues found NSAIDS are “very effective” for treating dental pain. Their findings are published in The Journal of the American Dental Association.

Methamphetamine Use Can Lead To Dental Damage

KTRK-TV Houston (1/5) discussed how methamphetamine use can harm health, sharing “photos of repeat meth offenders” to illustrate the physical side-effects of methamphetamine use. The article notes that methamphetamine use negatively affects dental health, often leading to tooth loss. The article states that “according to the American Dental Association, meth mouth is probably caused by a combination of the drug’s effects, both physical and psychological,” which can result in xerostomia and extended periods of poor oral hygiene.

        The ADA provides additional information on “Meth Mouth” atMouthHealthy.org. A study published in The Journal of the American Dental Association also examined dental disease in methamphetamine users.

Study Suggests Preventive Dental Care Will Increase In The Future

In The Hill “Congress Blog,” the authors of the article “Projections of Dental Care Use Through 2026: Preventive Care To Increase While Treatment Will Decline,” which was published in the December 2016 issue of Health Affairs, discuss their findings. Using data from the 1996-2013 Medical Expenditure Panel Survey, a forecasting model suggests visits for preventive dental care are projected to increase in the future, while visits for dental treatment are expected to decline. “More prevention and less treatment means significant savings for individuals and government – measured in both individual pain and suffering as well as dollars and cents,” the authors say.

US, Canadian Researchers Warn E-Cigarettes May Harm Gums

The Daily Mail reports scientists are warning that vaping can “trigger severe gum disease – and even increase the risk of mouth cancer.” Experts at the University of California Los Angeles say that e-cigarette toxins and nanoparticles can “kill the top layer of cells in the mouth and gums.” University of Rochester researcher Dr Irfan Rahman said, “When the vapours from an e-cigarette are burned, it causes cells to release inflammatory proteins. This aggravates stress within cells, resulting in damage that could lead to oral diseases.” Université Laval researchers say e-cigarettes can cause gum tissue to mutate.

Tips For Choosing New Health Benefits Includes Recommendation To Consider Dental Plans

Virginia Business Magazine features a list of five tips for people taking advantage of open enrollment season to find a new healthcare plan, so that they can “make more informed choices that may improve [their] health and even save money.” The first four tips include: “take time to review your options;” “look for incentive-based wellness programs;” “take advantage of health care apps and online tools;” and “open a health savings account.” The fifth piece of advice is to pay attention to other sorts of benefit plans, notably dental, vision, accident and critical illness insurance plans. The magazine states, “Research shows a connection between oral health and overall health, so adding a dental plan may help prevent larger medical problems.”

Scientists Unveil Self-Repairing Bioactive Glass Fillings

The Daily Mail reported in continuing coverage that scientists at the Queen Mary University of London have developed a new compound for tooth fillings, known as bioactive glass, that “not only blocks cavities but repairs bacterial damage.” According to the article, “The filling is made from bioactive glass composites that release fluoride as well as calcium and phosphate needed to form tooth mineral.” Professor Robert Hill, who helped develop the technology, said the new compound “fills in the gaps with tooth mineral thus preventing the oral bacteria which cause tooth decay from establishing themselves.” Professor Hill adds, “Research suggests this will potentially prolong the life of fillings and slow secondary tooth decay because the depth of bacterial penetration with bioactive glass fillings was significantly smaller than for inert fillings.”

Benefits Of Community Water Fluoridation Discussed

USA Today carried a Kaiser Health News article discussing fluoridation, noting the CDC considers fluoridation to be “one of the 10 top public health achievements of the 20th century,” reducing tooth decay by about 25 percent in children and adults. “A big thing about community water fluoridation is that it’s a passive intervention, you don’t really have to do anything other than drink tap water,” said Katherine Weno, oral health director at the CDC. The article noted the American Dental Association and the World Health Organization also support fluoridation.

        Meanwhile, the Daily Caller reported that scientists at Australia’s National Health and Medical Research Council analyzed “60 years of research and 3,000 scientific studies,” finding “fluoride in drinking water is safe.” According to the article, “Researchers found that fluoride in water has no adverse health effects at the levels used in Australia, and that the substance is not linked to low IQ, cancer, or cognitive problems.” The researchers found the “only result” of fluoridation was “reduction of the effects of tooth decay by 26 to 44 percent in children.” The article notes that the ADA supports fluoridation, estimating that “every $1 invested in water fluoridation saves $38 in dental treatment costs.”

Swiss Oral Health Company Curaprox Introduces Activated Charcoal Toothpaste

Drug Store News reports Swiss oral health company Curaprox has introduced a new product called the Black Is White Collection that features “a natural and gentle toothpaste powered by activated charcoal.” The activated charcoal reportedly “removes stains without abrading the enamel or using chemical bleaching agents” by absorbing stain particles and eliminating them. Additionally, the activated charcoal “balances the PH of the mouth while protecting against the growth of pathogens and cavities.” The piece suggests the growing trend of companies incorporating activated charcoal into their products “seems like it’s here to stay.”

Flossing Still Beneficial For Oral Health

The McGill (CAN) Tribune discusses flossing in light of the AP story that questioned the benefits of the practice. The article notes the ADA has stated “flossing is an essential part of taking care of your teeth and gums.” Moreover, “most other dental associations recommend that their patients remove plaque with the aid of a physical support,” the article adds. “There is much we do in medicine and dentistry that is not evidence-based, but that doesn’t mean it does not work,” said Dr. Øyvind Asmyhr, head of the Norwegian Dental Association. Also commenting on the AP story, McGill Dentistry Professor Omid Kiarash said, “The notion that no flossing is somehow better than flossing simply because the strength of the studies are not high quality is ridiculous.”

        The ADA has released a statement on the benefits of using interdental cleaners, and a Science in the News article titled “The Medical Benefit of Daily Flossing Called Into Question” discusses evidence about the impact of flossing on oral health.

Study: Tooth Loss Associated With Reduced Physical, Mental Health Among Older Adults

Science Daily carried a release stating “older adults who have significant tooth loss are less functional when compared with people who lose fewer teeth,” according to a study published in the Journal of the American Geriatrics Society. For the study, researchers “examined information from the Japan Gerontological Evaluation Study (JAGES) project,” which asked participants questions about the number of teeth they had, their physical and mental health, and their ability to perform common activities. The researchers suggested “it is essential that older adults receive the support they need to maintain good oral health self-care practices, and that they receive adequate dental care.”

        MouthHealthy.org provides oral health information for patients over 60.

Despite FDA Ban From Soaps, Triclosan Considered Effective Ingredient In Toothpaste

The New York Times (9/7, Louis, Subscription Publication) reports that the ingredient triclosan, which the FDA banned from antibacterial soaps recently, can still be legally used in some toothpastes. According to FDA spokesperson Andrea Fischer, the ingredient is “demonstrated to be effective at reducing plaque and gingivitis.” Fischer adds, “Based on scientific evidence, the balance of benefit and risk is favorable for these products.” The article noted that a 2013 Cochrane review “concluded that toothpastes with triclosan and fluoride outperformed those with only fluoride.”

        The ADA reported previously that a study in the May 2016 issue of mSphere was “designed to examine whether use of consumer products” containing triclosan could “alter gut microbiome composition, endocrine function, and markers for obesity, diabetes, and inflammation.” The ADA says the study is “strongly suggestive” of triclosan’s “safety for use by humans.”

Brush, Floss Twice A Day To Promote Good Oral Hygiene

Spark People Health & Fitness writer Leanne Beattie discusses ways to address bad breath. Beattie recommends one of the best ways to combat bad breath is to maintain good oral hygiene by brushing teeth and the tongue and flossing at least twice a day. Additionally, she recommends people drink lots of water, eat crunchy fruits and vegetables, stop drinking coffee, chew sugarless gum, eat yogurt, consume an adequate amount of vitamins, avoid tobacco products, and watch out for OTC medicines that can cause bad breath.

Dental Sealants Effective At Preventing Tooth Decay

FiveThirtyEight reports in continuing coverage that dental sealants have been “shown to be very effective at preventing cavities.” The article notes that “sealants can prevent tooth decay from starting and can also stop early-stage decay from progressing into a cavity,” according to newly updated practice guidelines from the American Dental Association and the American Academy of Pediatric Dentistry. The article adds that the groups recommend clinicians “reorient their efforts toward increasing the use of sealants” on the biting surfaces of primary and permanent molars in children and adolescents.

Drs. Oz and Roizen: Flossing Still Beneficial

The Dubuque (IA) Telegraph Herald carries an article written by Michael Roizen, MD, and Mehmet Oz, MD, discussing recent AP reporting questioning the benefits of dental flossing. Drs. Oz and Roizen state, “What the AP findings actually showed was that there haven’t been enough reliable clinical trials to state definitively that flossing prevents cavities or periodontal disease.” The two note that the American Dental Association stated in response to the study, “The bottom line for dentists and patients is that a lack of strong evidence doesn’t equate to a lack of effectiveness.”

        The ADA has released a statement on the benefits of using interdental cleaners, and a Science in the News article titled “The Medical Benefit of Daily Flossing Called Into Question” discusses evidence about the impact of flossing on oral health.

Study: Patients With Gum Disease May Be More Likely To Suffer Heart Attack, Stroke, Severe Chest Pain

Reuters reported that a study finds an association between gum disease and heart disease and stroke. According to the article, the “study of more than 60,000 dental patients” indicated that “those with gum disease were twice as likely to have had a heart attack, stroke or severe chest pain.” Researchers found that “even after taking other risk factors for cardiovascular disease into account, such as high blood pressure, high cholesterol, diabetes, and smoking,” individuals “with periodontal disease were still 59 percent more likely to have a history of heart problems.” The findings were published in the Journal of Epidemiology and Community Health.

Programs Focus On Dental Care As Part Of Effort To Keep Seniors Out Of Nursing Homes

The New York Times reported that private companies are taking advantage of “a little-known Medicare program,” known as PACE, or the Program of All-Inclusive Care for the Elderly, “that will pay to keep older and disabled Americans out of nursing homes.” Through the program, Medicare and Medicaid pay PACE providers on average “$76,728 a person a year, about $5,500 less than the average cost of a nursing home.” The flat payment structure encourages “organizations to invest in maintaining a patient’s health and safety to avoid big hospital bills,” and given this, “dentistry — excluded from traditional Medicare coverage — is a crucial focus.” According to the article, “Programs invest heavily to fix broken teeth and dentures to avoid costly infections or poor nutrition that can cause cascading health problems.”

Many Medicare Advantage Plans Cover Dental Care

Fox Business (8/20) carried a Motley Fool article that explains some of the differences between the “original” Medicare package of Part A and Part B and the “Medicare Advantage plan, sometimes referred to as Part C.” The article noted that “while original Medicare doesn’t cover hearing, vision and/or dental care, many Medicare Advantage plans do.”