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THE IMPORTANCE OF PREVENTION

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31 May 2016

Better training of dental practitioners in the field of prevention, as well as increased public awareness and education placing emphasis especially on the establishment of basic measures of oral and gum hygiene in childhood, are considered essential to minimise the growing problem that oral diseases pose.

If 80-85% of the adult population in Spain has gingivitis, 25-40% have periodontitis; 43% have peri-implant mucositis, and 22% peri-implantitis, this may mean the health care and health promotion model needs reviewing. Perhaps the solution lies in improving strategies and preventive measures, complementing the important role of treatment.

A recent European Workshop on Periodontology on prevention of periodontal and peri-implant diseases—held in November 2014 and whose findings were published in the March 2015 issue of the Journal of Clinical Periodontology—highlighted recent evidence on the benefits of primary and secondary prevention of infectious diseases of the gums or tissues around dental implants, and also identifies the most significant trends for the future concerning prevention.

Given the clinical, social and economic impact of diseases of the gums and tissues surrounding dental implants, experts are calling for greater involvement of health authorities and health policy makers. “We have to educate the authorities on how effective periodontal treatment is for general health, and they have to become convinced of the advantages of investment in the prevention of oral diseases” insists Professor of Periodontology Mariano Sanz.

In the same vein, the President of the Spanish Society of Periodontology (SEPA), David Herrera, expressed “the need to end an incongruous situation, that of excluding periodontal problems from the portfolio of public health prevention and care, especially when the consequences of these diseases are proving to have a negative impact on overall health.”

Better training of dental practitioners in the field of prevention and increased awareness and education of society (with special emphasis on the establishment of basic measures of oral and gingival hygiene since childhood), are considered essential to minimize the growing problem posed by gum disease. And experts believe that the dental office can and should become an advocate centre of health and preventive measures.

Best to invest in prevention. What works and what doesn't?

There remains some controversy as to which hygiene measures and advice have actually been shown to have a positive effect in the prevention of periodontal and peri-implant diseases, and which have not.

Evidence regarding prevention of periodontal and peri-implant diseases

1. Brushing teeth, using either manual or electric toothbrushes, is effective in preventing these diseases, the latter possibly being more efficient due to convenience or ease of use.

2. The duration of brushing is important and may be different in primary or secondary prevention. Teeth must be brushed at least twice a day and for over 60 seconds.

3. Interdental hygiene is necessary, and the use of interdental brushes has better scientific support than the use of dental floss (probably due to the greater difficulty in the use of the latter).

4. Chemical control of bacterial plaque, using toothpastes or mouthwashes, has shown clinically relevant effectiveness; most studies show positive results.

5. Professional removal of bacterial plaque is essential, but is not sufficient as the sole measure to prevent recurrence of periodontal problems. In this sense, education and changes in behaviour are essential for good prevention.

6. The use of anti-inflammatory products has not yet shown significant results.

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Data controller DENTAID, S.L. LABORATORIOS DE PREVENCIÓN E HIGIENE BUCAL, SLU (“PHB”).
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Recipients of disclosure or transfer Data is not disclosed or transferred internationally.
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Do you want to keep up with the latest news for pharmacy professionals?

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Data controller DENTAID, S.L. LABORATORIOS DE PREVENCIÓN E HIGIENE BUCAL, SLU (“PHB”).
Purpose of data processing To respond to a query from the interested party with the advice of a specialist.
Legitimisation of data processing Your consent to process your personal data.
Recipients of disclosure or transfer Data is not disclosed or transferred internationally.
Rights of the interested persons To access, rectify and delete their data, and to exercise other rights as set out in the additional information.
Additional information You can consult additional and detailed information on data protection at this link.
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