Dentaltown October 2013 - (Page 104)

hygiene and prevention perio reports Dental Students Rank High with Bad Breath Dentists lead by example. Their personal oral hygiene will be noticed by patients. To instill confidence in patients, dentists need to have fresh breath. Halitosis sends the wrong message to patients and undermines their confidence in him/her. Halitosis is linked to several oral factors: tongue coating, poor oral hygiene and dental disease. Objective measure of halitosis is done by smelling the breath and measuring sulphur compounds in the mouth air. Researchers in the faculty of dentistry, Ankara University in Ankara, Turkey, evaluated the oral status and breath of 268 dental students. Measurements were taken between 9 a.m. and 11 a.m. and students were instructed to refrain from eating anything with a strong odor the night before and the morning of the testing. Volatile sulphur compounds were measured using a Halimeter. Organoleptic testing, or smelling the breath, was done by a trained breath tester. Oral malodor was measured using a six-point scale: 0=no odor, 1=barely noticeable, 2=slight, 3=moderate, 4=strong and 5=extremely strong odor. Tongue coating was measured using a scale from zero to 3, with 3 being two-thirds of the tongue covered with coating. Bad breath was prevalent in these dental students, with 83 percent of males and 71 percent of females with oral malodor. Fifth-year students had higher rates of bad breath than first-year students. Tongue coating was significantly related to bad breath. Clinical Implications: Dental students at this school need the expertise of dental hygienists for oral hygiene, better oral health and fresher breath. n Perio Reports Vol. 25, No. 10 Evirgen, S., Kamburoglu, K.: Effects of Tongue Coating and Oral Health on Halitosis Among Dental Students. Oral Heath Prev Dent 11:169-173, 2013. www.hygienetown.com t Perio Reports provides easy-to-read research summaries on topics of specific interest to clinicians. Perio Reports research summaries will be included in each issue to keep you on the cutting edge of dental hygiene science. The Maintenance Cost of Implants vs. Natural Teeth Various treatments are available for periodontal disease, including debridement, surgery and implants. One question left unasked and unanswered is, “How successful was the treatment of choice based on reaching and maintaining health and financial cost?” A private practice periodontist in Egersund, Norway, asked what the financial cost was to maintain implants compared to natural teeth. He looked back at his patients who had implants placed at least seven years before. He evaluated a group of 43 patients with a total of 847 teeth and 119 implants. The number of disease-free years for implants following periodontal treatment was 8.44 years. Disease-free years for neighboring teeth was nine years and for contra-lateral teeth it was 10 years. The incidence of peri-implantitis within the group was 53 percent, the same was true for natural teeth, 53 percent experienced periodontitis. Since there were so many more teeth than implants, the incidence of disease was 31 percent at the implant level and eight percent at the tooth level. The high incidence of peri-implantitis led to the need in some cases for surgery around an implant. Two implants were lost, one after 13 years and the other after 22 years. After various calculations the cost of maintenance treatment was determined to be $13.58 (10.2 Euro) per implant per year and $2.66 (2.1 Euro) per tooth per year. Clinical Implications: Natural teeth are still the best option, kept healthy and free from disease with daily care and professional maintenance. n Fardal, O., Grytten, J.: A Comparison of Teeth and Implants During Maintenance Therapy in Terms of the Number of Disease-Free Years and Costs - An In Vivo Internal Control Study. J Clin Perio 40: 645-651, 2013. continued on page 106 104 OCTOBER 2013 » dentaltown.com http://www.hygienetown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown October 2013

Dentaltown.com Highlights
Howard Speaks: Treatment Plans, Social Media Marketing and the Meaning of Life
Professional Courtesy: 10 Things that Annoy Me
Continuing Education Update
Parent Wants to Video Appointments for Child’s Protection
Ribbond Splinted Bridge for Tooth #8
New Products
Corporate Profile: Scientific Metals
Rental Investments: Sane or a Pain?
Product Profile: 3M ESPE RelyX Luting Plus Cement
Product Profile: U.S. Bank
Product Profile: Demandforce
You Should Know: Shatkin F.I.R.S.T.
The Pity Prison
You Should Know: DC Dental
What’s Your Practice’s Online Reputation?
The Changing World of Pediatric Dentistry
Quality Face Time at Dental Home Day
You Should Know: Healthy Smiles Healthy Children
Where There’s a Will, There’s a Way
You Should Know: EZ-Pedo
The Mini Implant-supported Long-term Temporary Crowns for Missing Lateral Incisors
My Son, the Slippery Octopus
Continuing Education: Fundamental Space Maintenance
In This Issue: Oral Cancer
Perio Reports
Ad Index
Profile in Oral Health: A Hygienist’s Personal Experience with Oral Cancer
Dentally Incorrect

Dentaltown October 2013