THE NEXTDDS Blog

[Webinar] Prevention, Professional Treatment & Self-Care

Posted by THE NEXTDDS on Tue, Nov 21, 2017 @ 11:00 AM

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Effective chairside communication with your patients is one of the most important elements to building a sustainable, successful relationship. Several methods that can create successful patient communication include telling your patients their oral health problems precisely and in simple terms, informing them of how the problems occurred and providing them the best treatment recommendations, and informing them of the consequences if treatment is delayed or ignored. The use of technology and collaborating with your dental team staff are additional ways that you can help take necessary preventive steps with patients to achieve a positive outlook on a patient’s oral health needs.

This event be a discussion of what communication methods are best to use effectively in-office by the dentist and hygienist. In addition, learn how you can influence the patient in their home care, allowing them to control and help eliminate oral biofilms and improve their systemic health.

The following subjects will be addressed in this virtual training event:

  • The basics of the doctor-patient relationship to improving oral health
  • In-office methods of collaborating between the dentist and dental hygienist
  • Creating a “dental home” and other factors to enhance patient education
  • Establishing a patient-centric approach to dentistry
  • Improving patient communication to foster questions and garner case acceptance
  • Recommendations to provide patients to eliminate oral biofilms and systemic health

Save your seat now for our November 28th webinar happening at 9pm Eastern!

Register Now

Tags: oral health, Tertiary Prevention, self-care

[Webinar] At the Heart of It All - Periodontal Disease & Cardiovascular Disease

Posted by THE NEXTDDS on Wed, Nov 01, 2017 @ 02:03 PM

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Periodontal disease and heart disease have been linked together in several studies over the years, and investigators continue to debate the exact nature of this relationship. At present, there is consensus among researchers that periodontal disease and cardiovascular (CDV) disease are multifactorial conditions, and such patients share common risk factors that must be monitored and managed by healthcare providers and dental professionals.

While a cause-and-effect relationship has not yet been proven, research has indicated that periodontal disease increases the risk of heart disease. Scientists believe that inflammation caused by periodontal disease may be responsible for the association. Periodontal disease can also exacerbate existing heart conditions.1

In this virtual training event, the learning objectives will focus on current theories explaining the mechanism by which periodontal disease impacts cardiovascular health and present the following:

  • Outline patient demographics and population affected by periodontal disease and CDV
  • Role of inflammation in CDV and pro-inflammatory mediators
  • The relationship between periodontal ligament attachment loss and risk for myocardial infarction
  • Professional treatment (i.e., periodontal therapy) that may be plausible for preventing the onset or delaying the progression of CDV
  • Importance of OHI and managing the patient’s individual risk factors
  • Interacting with other members of the patient’s healthcare team

Save your seat now for our November 7th webinar happening at 9pm Eastern!

Register Now

References

  1. Gum Disease and Heart Disease | Perio.org. https://www.perio.org/consumer/gum-disease-and-heart-disease. Accessed August 21, 2017.

Tags: webinar, oral health, oral inflammation, oral biofilms, systemic health

Understanding Three Approaches to Disease Prevention

Posted by THE NEXTDDS on Tue, Oct 24, 2017 @ 10:45 AM

Dental-root-tip-infections-increase-risk-for-heart-disease-Study.jpgDisease prevention in dentistry can be categorized based on scientific findings in the literature and on the oral health of the patient. To help mitigate the need for more invasive procedures, preventive measures can be a more conservative alternative that allows the patient and the practitioner to work together to achieve optimal oral health. A THE NEXTDDS webinar presentation from Dr. Kenneth Markowitz entitled, “Clinical Application of Disease Detection and Management for Preventive Dentistry” outlines several factors to consider planning such an approach for your patients.

Primary Prevention

Prevention applies to all stages of the disease process, but in primary prevention, the dentist is looking at the earliest stages of disease, or even before evidence of any disease occurs to begin the necessary protocols. Primary prevention is about developing a healthy “dental career” in individual patients. This is achieved through oral health promotion, enabling individuals to adopt healthy behaviors from birth.1

Instilling a proactive approach (a brush-floss-rinse regimen, education on power and manual toothbrushes, etc.) improves the oral health and quality of life of patients in a way that is not costly and before any serious issues develop. Here, there is also the possibility of detecting other early-stage issues, such as oral cancer, that will lead to immediate treatment planning and intervention.

Secondary Prevention

In secondary prevention, the goal is to limit the complications of an already established disease. Secondary prevention focuses on interfering with the disease process before signs and symptoms appear.2 Using a minimally invasive approach, a practitioner hopes to repair or stop further damage once the disease has already occurred.

Various visualization and detection tools are available to the dentist seeking to apply secondary prevention, including digital radiography, intraoral scanners, and digital cameras. This type of preventive care is harder to implement consistently in the philosophy of a modern practice. For example, despite these efforts in primary and secondary prevention, millions of people are still affected by chronic periodontitis and/or caries disease.3 However, methods such as the CAMBRA look to manage causative factors of disease in at-risk patients.

Tertiary Prevention

In tertiary prevention, the clinical focus is on the progression of disease with complications. Tertiary prevention is the management of patients with chronic periodontitis through nonsurgical and surgical therapy and maintenance to avoid further damage by the disease process.3 A key factor in this type of prevention is managing the disease when it has reached an advanced stage.

Tertiary prevention encompasses methods and measures that should remove existing complications and prevent their further possible progression. Treatments for the dental pulp, periodontium, and dental prosthetics fall into this tertiary category.4 Dentists who treat populations with high levels of dental disease often implement a tertiary prevention approach.1

 

Dentists are granted the opportunity to work together with patients, allowing them to significantly alter oral health for the better by regularly treating and managing. Instead of relying on the operatory and surgical approach to dentistry, an emphasis for patient education and intervention should be the first priority. New dentists should aspire for a minimally invasive type of practice that has its roots in communication and conservative care, leaning on the goals of primary as well as secondary prevention if necessary. Learn more about what specific things you can do during prevention by listening to the full webinar.

Watch & Listen Now

References

1. Richards W. Prevention in practice. British Dental Journal. https://www.ncbi.nlm.nih.gov/pubmed/18690167. 2008 Aug 9;205(3):111. Accessed September 14, 2017.

2. Stedman's Medical Dictionary. 28th ed. Baltimore: Lippincott Williams & Wilkins; 2006.

3. Kumar S. Exploring prevalence and prevention. Dimensions of Dental Hygiene. http://www.dimensionsofdentalhygiene.com/2015/05_May/Features/Exploring_Prevalence_And_Prevention.aspx. May 2015;13(5):53–59. Accessed September 14, 2017.

4. Dostálová TCA, ed. Dentistry and Oral Diseases. Prague, Czech Republic: Grada Publishing; 2010.

Tags: oral health, disease prevention, primary prevention, secondary prevention, Tertiary Prevention

[Webinar] Inflammation and the Oral Health Relationship

Posted by THE NEXTDDS on Wed, Sep 20, 2017 @ 01:00 PM

Periodontal-Probe.jpgThe connection between periodontal disease and other diseases in the body has been explored throughout the dental literature over the last several decades. Bacteria present in periodontal disease were once thought to play a cause-and-effect role in systemic disease, yet emerging research has instead attributed this link to inflammation.

As a consequence, dental professionals aim to control inflammation in order to help with the management of other chronic inflammatory conditions (e.g., diabetes, cardiovascular disease, stroke). This will be traced in subsequent events in our upcoming virtual training event series that focuses on periodontal disease and its systemic conditions and relationship to other severe diseases.

Other key topics that will be explored in this webinar include:

  • Etiology and prevalence of periodontal disease
  • The role of biofilms, bacteria, and bacterial byproducts
  • Understanding the body’s inflammatory process
  • Potential pathways (e.g., bacteremia, provocation of an autoimmune response, and aspiration/ingestion of oral contents) affecting oral-systemic health
  • Overview of impact on heart health, respiratory disease, diabetes, stroke, and similar.
  • Clinical management and the importance of oral health instruction (OHI) for the at-risk patient

Save your seat now for our September 26th webinar happening at 9pm Eastern!

 

Register Now

Tags: periodontal disease, webinar, oral health, inflammation, oral inflammation

3 Important Oral Health Questions to Ask Your Patients

Posted by THE NEXTDDS on Tue, Aug 29, 2017 @ 01:00 PM


One important aspect of your experience as a new practitioner is the patient - dentist relationship. Honesty and sensitivity both aid in developing this bond.  As a new dentist, it’s crucial to gain an understanding of the patients’ oral health habits  and provide proper instruction when any deficiencies are noted. Certainly, poor oral hygiene and lack of proper care can lead to plaque buildup  as well as periodontal disease. According to the World Health Organization, 60% to 90% of school children and nearly 100% of adults worldwide have dental caries (1). These data may seem daunting  but, as you know, these issues can be overcome. Ask a patient these three questions to learn about his or her oral care maintenance and determine how you can provide guidance toward optimal oral health.


Do You Brush Your Teeth Twice Daily?

bigstock-Brushing-Teeth-241344.jpgAccording to an article on the Dimensions of Dental Hygiene website, less than half of children brush their teeth twice a day. (2) The most common step towards improving oral health is brushing regularly. However, there are a few particulars your patients should keep in mind. Be sure to stress the importance of brushing twice each day, and spending about two minutes doing so. Advocate the use of a timer if necessary. Patients should also be reminded to replace their toothbrush every three to four months. Here are a few proper brushing techniques to advocate with your patients:

  1. Place the toothbrush at a 45-degree angle to the gingiva
  2. Gently move the brush back and forth in short strokes
  3. Brush the outer, inner, and chewing surfaces

 

Are You Flossing After Every Meal?

As you know, brushing  and flossing go hand-in-hand. According to the ADA, only 40% of Americans floss daily and 20% of Americans do not floss at all. (3) Many people brush twice daily but forget to remove debris interproximally. Inform the patient that  once the outer surfaces of the teeth are clean, it’s pertinent to clean between them as bacteria still linger between teeth where the bristles can’t reach. Share these flossing technique with every patient. (4) bigstock-woman-smile-with-tooth-floss-178781266.jpg

  1. Hold the floss tightly between the index fingers and thumbs, slide it gently up-and-down between the teeth
  2. Curve the floss gently around the base of each tooth, making sure to go subgingivally
  3. Make sure to use the clean sections of floss while moving from tooth to tooth
  4. To remove the floss, use the same back-and-forth motion to bring the floss up and away from the teeth

 

What Does Your Daily Diet Consist Of?

Express the importance of healthy dietary options. Your patient may not know how the food he or she consumes can largely affect their oral health. (5) Advise the patient to reduce the number of snacks eaten during the day. However, if an individual chooses to eat between meals, it’s wise to make healthier snack choices like fruits and vegetables rather bigstock-Food-4708340.jpgthan sugar-based options that can contribute to caries. Tell your patients to keep these tips in mind when choosing meals and snacks:

  • Drink six to eight glasses of water daily.
  • Eat a variety of foods from each of the five major food groups, including:
  1. Fruits
  2. Vegetables
  3. Unsweetened grains
  4. Low-fat and fat-free dairy foods
  5. Lean sources of protein such as dry beans, peas, lean beef, fish, and skinless poultry

 

 These three considerations should be embedded in the minds of all patients looking to improve their oral health. Building rapport with your patients begins with congeniality and honesty. Let each know how to properly care for their teeth. A few extra minutes out of the day and smarter food choices, along with proper professional intervention, can ensure that the oral cavity is preserved and protected. This will surely establish to a cohesive bond with your patients as they achieve that fresh, healthy, and clean smile.

 

  1. World Health Organization. “Oral Health.” http://www.who.int/mediacentre/factsheets/fs318/en/. Published April 2012. Accessed August 25, 2017.
  2. Dimensions of Dental Hygiene, 1ADAD, www.dimensionsofdentalhygiene.com/ddhright.aspx?id=18172. Accessed 23 Aug. 2017
  3. ADA News. “Survey finds shortcomings in oral health habits” http://www.ada.org/en/publications/ada-news/2014-archive/october/survey-finds-shortcomings-in-oral-health-habitsPublished October 20, 2014. Accessed August 22, 2017
  4. Brushing Your Teeth. Mouth Healthy TM. http://www.mouthhealthy.org/en/az-topics/b/brushing-your-teeth. Accessed August 22, 2017
  5. Desiree, Yazdan, DDS, MS http://www.dentistrytoday.com/news/todays-dental-news/item/1591-how-diet-affects-your-patients-teeth. Published January 2017. Accessed August 24, 2017


 

Tags: dental health, brushing, flossing, oral health, eating healthy

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