Children and young people have healthy teeth

Efforts in child and adolescent dental care is now bearing fruit, and new figures from the Health Protection Agency show that dental health is getting better and better with the country's children and youth. The new figures show that all three of the ten 18-year-old has never felt the dentist's drill into a tooth. In 1990, one out of every ten 18-year-old who had never experienced tooth decay, which required treatment with boron.

Among the 18-year-olds who have been treated tooth decay, most have only been put fillings in up to four tooth surfaces. Again, there is a marked improvement compared to 1990.

For the 15-year-old, it is possible to follow the evolution dating back to 1980/81. Back then, the 15-year average of 13.2 fillings in tooth surfaces. The new figures from the Health Protection Agency show that the corresponding figures in 2009 is 2.33.

Compiled by region is dental health among children and adolescents most in the Capital Region, followed by Region Zealand and NSW. Region North and Region South Denmark occupies the fourth and fifth place.

Dental Association President Susanne Andersen welcomes the positive developments, but warn against downgrade the efforts of child and adolescent dental care.

- I have no doubt that the major prevention efforts in child and adolescent dental care have contributed to children and young people as healthy teeth today. But although the average figures are impressive, there is unfortunately still children who have many cavities. And then we got a new dental health problem: syreskader on tooth enamel due to the increasing consumption of cola and other soft drinks, says Susanne Andersen.

According to dentists President has some kids need to get to the dentist very often, while there are also children with healthy teeth and gums that their dentist is estimated to only having to have a check up every 1-2 years.

- Efforts are now much more targeted and individualized than when sought for all every six months, says Susanne Andersen.

The address determines whether your child has cavities

Few parents think that their place of residence may influence whether their children have tooth decay or not. A new Danish study shows that there is a significant correlation between children's and young people's residence and the risk of caries (tooth decay), writes Tandlægebladet.

Fluoride concentration in the tap water that comes out of taps in the home can have a decisive influence on their children's caries. Children who live in Jutland, has twice as likely to have cavities as children who live in the southeastern part of Zealand and Lolland-Falster, Moen and Bornholm, where fluoride concentrations are highest.

There are significant differences in fluoride concentration in drinking water, depending on where you are in the country. If you live as a child or young in an area where a high concentration of fluoride in drinking water, it may mean that the risk of tooth decay can be half as large as in an area where the fluorine content is low - for example in West Jutland where the risk of tooth decay is up to twice as large as the areas where the fluoride concentration is highest. The more fluoride in the water, the fewer holes.
The survey was conducted among 48,351 children in the 5-year age and 43,848 15-year-olds across the country.

Here you can see what the fluoride content in drinking water is in your area. Click on the image to see larger photo.

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Read more in Tandlægebladet No. 6 2010 or www.tandlaegebladet.dk

"Sweet" cultural background affects young children caries

If mom and dad have a short training or non-Western background, the risk of caries in children significantly higher than in average. It shows a new Norwegian study, published in Community Dentistry and Oral Epidemiology.

In the study, 523 children by dental examination, while parents answering questions about socio-economic conditions and about their own dental habits. In the group of parents with non-western background and brief training had children, respectively, nine and twelve times greater risk of incipient caries in tooth enamel and bone. This is due to an excessive sugar intake and lacked regular brushing.

Non-Western background and brief training
"In the group parents with non-western background and brief training had children nine and 12 times as likely to have incipient caries in enamel and dentin. But the confidence intervals for these probabilities were quite large, ie. subject to some uncertainty - and one should also note that it is about 24 children out of a total 523, "says Dorthe Holst, professor of samfundsodontologi at Oslo University, adding:

"Evidence suggests that there is a 'sweet' and not too systematic toothbrush culture behind the numbers. Toddlers culture in some non-western families are different from what is now characterizes most of the Nordic. We also find high cariesaktivitet among Norwegian children, but rather it is a most assembly than a cultural challenge. Fortunately, studies of the same problem, among 14-16-year-old children and adolescents in Oslo, showed that the differences are erased. A good and respectful communication with the current risk families should be able to give good results. "

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Read more in Tandlægebladet No. 4 2010 or www.tandlaegebladet.dk

Better oral hygiene could save ventilator patients' lives

One of the most frequent complications in patients in hospital intensive care units is pneumonia. Pulmonary Infection in the respiratory therapy affects not only older people but debilitated patients of all ages. In a large U.S. study, recently published in American Journal of Critical Care, researchers have studied the effect of performing extensive oral health with particular suction, cleaning and brushing twice daily on respiratory therapy.

In many cases, it is bacteria from the mouth which cause complications - and thorough oral hygiene may reduce the risk according to the study of lung inflammation and the resulting costs, writes Tandlægebladet.

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Read more in Tandlægebladet No. 4 2010 or www.tandlaegebladet.dk

Dentists want higher fee for non-attendance

Some of the dentist's prices are fixed in the so called dentist agreements concluded between the Dental Association and the Danish Regions. When negotiations between the Dental Association and the Danish Regions began in February 2010, it was such with a wish from the Dental Association's side to discuss a higher no-show fees at agreed more treatments.

Today is the fee for no-show set at 229 million, regardless of the extent of the agreed treatment. It believes Dental Association's chief negotiator, Bear Haulrig is not reasonable.

"In absentia fee may be reasonable in relation to the fee for an investigation, but it stands in stark contrast to the cost of a non-profit, whose non-appearance is connected with a larger planned treatment, such as a root canal or a larger pa-treatment", says Bjørn Haulrig to Tandlægebladet and continues:

"Even worse, it seems, if there is planned a major operation, which is reserved even more time. Add to this that opdækningen with sterile been spilled - a table setting that is both time consuming and expensive, "emphasizes Bear Haulrig.

How much should the maximum cost for patients to default from major planned treatments Dental Association has not yet been agreed upon, since the system also could be structured in ways other than the current model, for example by being dependent on the reserved time.

Although collective bargaining with the Dental Association and the Danish Regions started in February, negotiations will likely continue for the rest of the year. And by then there will certainly be no change in fee for adults from agreed treatments.

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Read more in Tandlægebladet No. 3 2010 or www.tandlaegebladet.dk

Oral hygiene important for nursing home residents' nutritional status

Oral Care improves the nutritional status of dependent elderly shows a Japanese study.

53 nursing home residents were included in the study. It was a group of professional oral care three times a week for a year. A second group served as control.
As the years had elapsed, had subjects in both groups, among others measured their BMI and cholesterol, and the figures were then subsequently compared.

In the oral care group found no decrease in the indicators, while in the control group measured significant decreases over the past year. The authors behind the study concludes that oral care is important for nursing home residents - it helps to maintain good nutritional status.

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Read more in Tandlægebladet No. 2 2010 or www.tandlaegebladet.dk

Tongue Piercings give sponge

A study published in the journal Oral Diseases shows that tongue piercings gives sponge. In an Israeli study, 115 young healthy tungepiercede subjects compared with 86 young healthy people with piercings outside the mouth. Twice as many of the tungepiercede (20%) was found to have sponge.

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Read more in Dentistry Magazine No. 15 2009 or www.tandlaegebladet.dk

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Patient Insurance convicted of utterances about drug

Dental Association's Patient Insurance has today been sentenced to pay CMS Dental 2.5 million. million in damages.

The judgment has fallen in a case concerning an article in Dentistry magazine from 2005. The article advised the President of the Dental Association's Patient Insurance dentists to be careful when they used 4% articaine with bedøvelser in the lower jaw.

The judgment does not clarify whether there is a greater risk of using articaine than using other anesthetic agents for anesthesia in the mandible.

Dental Association's Patient Insurance takes note of the judgment.

President of the Dental Association's Patient Insurance, Dental Jahn Legarth, said:

- When I was invited to write article for Tandlægebladet had previously been written in the magazine on articaine. Pharmaceutical Insurance Association was informed, and thus there was also passed information to the Medicines Authority, which is responsible for drug safety. I do not know what I would have done if I had known beforehand that the article would lead to a lawsuit that has had great personal cost to me.

Dental Association President Susanne Andersen says:

- The judgment includes some scary prospects. It will be important for us, medical associations and other health organizations. We are concerned that the High Court's judgment will be seen as a restriction of free speech in the health care debate about possible adverse effects of drugs. The judgment does not change that it is the individual dentist's duty to advise his patients as possible and report adverse reactions to the Medicines Agency.

Dental Association's Patient Insurance has not yet ruled on whether the judgment should be appealed.

Dental Association and the Dental Patient Insurance Association has no further comments to the judgment.

Dental care for homeless and social risk spreading

It is no longer only in Bisserne in Copenhagen that homeless people can get their teeth sorted. Aalborg, Arhus, Odense and Aarhus have now also been awarded money for dental treatment for the social risk. At the same time, Copenhagen can look forward to another clinic.

- It's fantastic that socially vulnerable in several places in the country may now subordinate their teeth. Homelessness is not a special phenomenon in Copenhagen. Quite the contrary. There are more and more homeless people in other major Danish cities. And it's incredibly gratifying that dental care is so well represented in spending for social risk, says dentist Peter Østergaard, who is chairman of Bisserne who operates a dental clinic in the men's home in Copenhagen.

Although Joy is also great in Randers, Aalborg and Odense, the three cities simultaneously disappointing that they have been denied their applications for the operation of dental clinics.

- It is outrageous that we do not have money to operate the clinic. This might seem foolish to give us money to establish a clinic and also not sure that we can actually operate the clinic, says dentist Furdal Reiff, who is one of those most responsible for the project in Odense. Dentist Majbritt Jensen of the project in Aalborg Municipality supports it.

The dedicated dentists are working now to secure funds for the operation, so dental care to homeless people can also become a reality in Arhus, Aalborg and Odense.

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Read more in Dentistry Magazine No. 14 2009 or www.tandlaegebladet.dk .

Bad breath is often caused by constipation

Recent Danish research shows that the explanation for bad breath, often to be found further down than in the oral cavity. The culprit may instead be constipation, which is the case with almost every fourth patient, complaining of bad breath. The solution is usually a healthier lifestyle.

Chief of Surgery at Hillingdon Hospital Intestinal Laboratory, Helsingør, MD. Dennis Raahave estimates that 5-10% of all Danes suffer from chronic constipation, while approx. 20% of them also have bad breath due to accumulation of digested food. He experiences most often it is the patients' spouses who must go to confession and tell the patient that he or she has bad breath. But it most often occurs as a surprise to both parties that there is a connection between bowel problems and bad breath, as most people associate the symptoms with oral cavity or stomach.

Western lifestyle is blamed
When many Danes suffer from constipation, it is because of Dennis Raahave very much our western lifestyle with sedentary lifestyles, wrong eating habits and our warped relative to the toilet. If patients with hidden or chronic constipation must be rid of the bad breath, it requires that they get a functioning gut. In the pursuit of the good spirit helps exercise, high fiber and low fat diet, and intake of fluid each hour.

Intestinal Specialists instead of dentist
Dentists who can not find the explanation for the bad breath of oral cavity of their patients are advised to ask whether the patient has digestive problems, stomach ache or feel bloated, miserable, tired and lethargic. If the patient can recognize some of these symptoms, he or she is being investigated by a bowel specialist.

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Read more in Dentistry Magazine No. 11 2009 or www.tandlaegebladet.dk .

We are ready to fight obesity

Dental Association interfering in the current debate about whether dentists should measure and weigh children to prevent obesity.

"In Dental Society general, we find it natural that dentists are helping to prevent problems with obesity among children and adolescents. Dentists are in some municipalities already involved in multi-disciplinary counseling on diet and healthy living. This must be done in accordance with the nurse, doctors, dieticians. Dental Association does not want to take on the task that others think they have a better educational foundation to lift, "says a member of the Dental Association's executive committee Inge Marie Behrndtz in the magazine's conductor.

Danish dentists happier than Swedish
Public employees dentists in Denmark have greater job satisfaction than their colleagues in Sweden. It identifies the preliminary results of the Swedish research project "The good jobs" that is underway on. Despite the stress and other negative factors at work, preliminary figures so that 69 percent of Swedish and 77 percent of Danish dentists are experiencing job satisfaction high or very high extent.

Are redheads more dental anxiety? ... And other research Tandlægebladet not brought
If one is born with a long and short legs - you get so often wry? Is true redheads more dental frightened than others? Does herbal tea a special risk for patients with braces?

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Read more in Dentistry Magazine No. 10 2009 or www.tandlaegebladet.dk

Your dentist can detect osteoporosis

By means of X-rays can help dentists to detect osteoporosis, especially among older and middle-aged women. It writes Professor, DDS. Ib Sewerin in an article in Dentistry magazine.

According to WHO, about suffering. 400,000 Danes of osteoporosis, also called osteoporosis, which reduces the strength of the bones and causes frequent fractures. The most common injuries are forearm and hip fractures and ryghvirvelsammenfald. The disease predominantly affects women, and about one in three women will experience a hip fracture during her life. Despite the prevalence of osteoporosis, it is neither economical nor practical to systematically screen the population for the disease.

Most Danes come regularly to the dentist, where they regularly must have taken X-rays of teeth and jaw. Osteoporosis is evident eg Typically, in that the width of the lower jaw bone is slightly narrower than the normal. In addition, a bit of the bone being lost, or it may be less strong and durable than normal.

From X-ray images and a series of simple questions about health and lifestyle can dentist thus help to reveal whether a patient has osteoporosis or are at risk of developing the disease.

Dentists can help to identify patients with osteoporosis at an early stage and send them on to further medical examinations, so the disease serious consequences can best be prevented.

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The full article can be read in Tandlægebladet No. 8 2009 or www.tandlaegebladet.dk

Younger dentists are afraid of the Province

When newly qualified dentists will complete the study in either the Copenhagen or Aarhus, they are not afraid to seek jobs in the province. New figures from the Dental Association shows that younger dentists graduated after 1990 are evenly distributed across the country when it comes to private practice. It writes Tandlægebladet.

Compared to the total number of dentists in private practice dentists are trained in the period 1990-2005 approximately. 29 percent. Broken down into regions, North, the minimum percentage of 23 per cent. at between 29 and 31 per cent. in other regions.

When the younger dentists choose jobs, play challenges, colleagues and working hours of a significant role. The geographic location of the workplace is less significant. It tells three randomly surveyed dentists Dentist magazine.

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The full article can be read in Tandlægebladet No. 7 2009 or www.tandlaegebladet.dk