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Caring for baby's teeth starts before birth

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Care for a child’s teeth and gums can start even before the baby is born.  Pregnancy causes many hormonal changes , among these the rise of estrogen and progesterone increases the risk of developing oral health problems, like gingivitis and periodontitis .  The presence of maternal periodontal diseases and active infections has been associated with adverse pregnancy outcomes, such as preterm birth, preeclampsia, gestational diabetes and foetal loss.  Therefore, it is important to educate pregnant women about their oral hygiene and the importance of taking care of their newborn’s oral health.  J. Courtad and A. Horowitz devised six steps to help us in promoting oral health (ADA Convention- 2016 Denver):  1. Asking right questions such as “Has there been any change in your health history since your last visit?” and “When did you brush your teeth last?” is recommended in order to find out wether your patient is pregnant and to get to know her dental care better.  2. Know your audience:

‘Save a Tooth’

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Dentists should always be prepared to give appropriate advice to the public about first aid for avulsed teeth .  An avulsed permanent tooth is one of the few real  emergency situations in dentistry. In addition to  increasing the public awareness by, for example, mass  media campaigns, healthcare professionals  and teachers should receive information on how to  proceed following these severe unexpected injuries. should receive information on how to  proceed following these severe unexpected injuries. Also, instructions may be given by telephone to people  at the emergency site. Immediate replantation is the  best treatment at the place of accident.  How can a dental trauma be manifested? If for some  reasons this cannot be carried out, there are alternatives such as using various storage media .  If a tooth is avulsed, make sure it is a permanent tooth  (primary teeth should not be replanted)  First aid for avulsed teeth at the place of accident • Keep the patient calm. • Find the too

The Influence of Breastfeeding and Pacifier Use on the Association Between Preterm Birth and Primary-Dentition Malocclusion

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Little is known about the influence of biological characteristics on the occurrence of malocclusion .This study aimed to investigate the association between preterm birth and primary-dentition malocclusion and how breastfeeding and the use of pacifiers are related to this association ? Dentists should be aware that preterm birth may be a risk factor for malocclusion in primary dentition . The findings reinforce the benefits of breastfeeding on occlusal development and the negative consequences of pacifier use. In children born preterm, MSM ( moderate or severe malocclusion ) was found to be more prevalent even after adjustment for pacifier use and breastfeeding for a short period. Breastfeeding longer than 9 months reduced but did not eliminate the risk of malocclusion in preterm children.                                                   malocclusion in primary dentition By contrast, pacifier use seemed to have a more harmful effect of MSM in infants born preterm compared wit

Potential Side Effects of Dental Whitening

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Dental whitening 1- Enamel Hardness Tooth whitening agents cause a number of adverse effects on the hardness of human enamel ,  making it more susceptible to deformation and fracture . Enamel specimens exposed  to 7.5% HP exhibit a significant reduction in enamel hardness, is explained by the oxidation process   that the organic and inorganic components of enamel undergo when exposed to whitening  agents.   This leads to changes in enamel morphology by the development of porosities and  micro-cracks, ultimately causing a reduction in hardness. Whitening agents with acidic pH cause greater reductions in hardness when compared to products with neutral or slightly alkaline pH . Research has also revealed that whitening using two 10% CP products with pHs 6.79 and 6.23 for 8hrs/day for a duration of 14 days have resulted in no significant changes in enamel hardness.   All studies reported had artificial saliva as a storage medium for whitened enamel to provide samples with an opportun

Healthy and/or White Teeth !?

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La Cardiopathie et l'implantologie dentaire

  Selon les recommandations de la Société Française de Cardiologie, la chirurgie implantaire est contre-indiquée chez les patient souffrant des cardiopathies à haut risque d’endocardite infectieuse ( groupe A et B) Sur la base de leurs recherches, Diz, al, Kullar, Miller ont conclu qu'il existe très peu de contre-indications médicales absolues pour les procédures d' implantation dentaire , en soulignant que le degré de contrôle de la maladie cardiovasculaire systémique peut être beaucoup plus important que la nature de la maladie elle-même. Il a été déclaré que la pose d' implants dentaires chez les patients prenant des anticoagulants peut être réalisée en toute sécurité sans interruption du traitement. Le Centre académique de Dentistry Amsterdam considère que la pose de jusqu'à trois implants est une procédure sûre chez les patients anticoagulés. Une revue de la littérature récemment publiée a rapporté que sur au moins 1283 patients prenant des antiagrégant

La chimiothérapie et l'implantologie dentaire

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  Les bisphosphonates sont principalement utilisés pour le traitement de l' ostéoporose (forme orale) et du cancer métastatique (forme IV) en induisant la mort ostéoclastique ou l'apoptose au niveau cellulaire.                                                                   Ostéochimionécrose Dans le contexte dentaire, les bisphosphonates les plus courants auxquels les dentistes implantaires sont exposés appartiennent très probablement à la famille des bisphosphonates contenant de l'azote par voie orale , tels que le risédronate , l' ibandronate et l' alendronate .  Les dernières études montrent que les bisphosphonates par voie orale ont une très faible probabilité de provoquer une ostéonécrose . Les risques et les avantages d'un traitement dentaire doivent être discutés en détail avec le patient. Un formulaire de consentement bien documenté est recommandé avec une éventuelle consultation médicale si le patient prend ce médicament depuis plus de 3 a