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Dentists are likely to encounter patients who have eating disorders. The paper explains the various types and considers both the risk factors, and the psychological and medical complications. The effect on oral health and the principles of dental management are outlined. Dentists have an important part to play in the overall care of these patients.
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A recent report on diet and oral health by the British Nutrition Foundation reviews the anatomy, microbiology and pathology of a number of oral diseases including dental caries, tooth-wear, oral cancer, periodontal disease and enamel defects. The role of nutritional factors in the aetiology and prevention of these oral diseases is discussed. The report states that improvements in the levels of caries in the UK are halting and remain unacceptably high in some 'at risk groups'--including the socially deprived. It states that a two-pronged attack, i.e. reduced frequency of consumption of sugary foods and use of fluoride is necessary to address the problem. To address the increased prevalence of oral cancer avoiding tobacco, limiting alcohol and increasing fruit and vegetable consumption are recommended. Recommendations for approaches to improve oral health are made for health authorities, industry, schools and health professionals and it is recommended that the Government make adequate resources available to improve oral health preventive strategies.
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This part of the series is devoted to tooth surface loss (TSL) not caused by caries or trauma. The management of this form of generalised TSL is included in this series because knowledge of occlusion is needed for both the diagnosis and, when indicated, treatment. There are, however, many other factors involved in the management of generalised TSL other than those associated with 'occlusion'. These will also be discussed.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Ecstasy (also known as 'love drug', 'XTC' or 'E') is the name commonly used for the illegal designer drug related to amphetamine, 3,4 methylenedioxy-methamphetamine (MDMA). MDMA was patented in 1914 as an appetite suppressant, has been investigated as a mood modifying agent, but with its predecessor 3,4 methylenedioxyamphetamine (MDA) is now widely (and wrongly), promoted as a safe, non-toxic means to 'warm loving relaxation'.
The effect of the presence of fluoride in toothpaste on tooth wear was investigated in extracted human premolar teeth collected from two geographic areas with different fluoride concentrations in the public water supply. Nine teeth from each area were divided bucco-lingually into matched pairs and subjected to a wear regime in vitro. The regime consisted of 5 minutes immersion in 6% citric acid buffered at pH 3.5, followed by 200 cycles of linear tooth-brushing in a slurry of either a fluoride or a non-fluoride toothpaste, the whole process repeated 720 times. Teeth collected from subjects in Birmingham (public water supply fluoridated at 1 ppm) had a higher fluoride concentration in the surface enamel (P < 0.01) and greater hardness (P < 0.001) than teeth collected from subjects in London (non-fluoridated water supply). The results showed that less wear was produced in the presence of the fluoride toothpaste than in the presence of the non-fluoride toothpaste with an otherwise identical formulation (P < 0.001), and that the amount of tooth wear in vitro was not significantly affected by differences in fluoride concentration and hardness of enamel.