Chances to Decrease Oral Wellbeing Variations: Essential Sciences to Clinical Practice Subside Milgrom, DDS College of S.

Uploaded on:
Category: Home / Real Estate
Oral cleanliness. Microscopic organisms. Diet. Defensins are characteristic anti-infection peptides ... of the University of Washington Dental School in advancing oral wellbeing in the ...
Slide 1

Chances to Reduce Oral Health Disparities: Basic Sciences to Clinical Practice Peter Milgrom, DDS University of Southern California, February 2003

Slide 2

University of Washington Northwest/Alaska Center for Research to Reduce Oral Health Disparities

Slide 3

This task is intended to think about a natural marker that may impact defenselessness to tooth rot Beta-Defensins in Caries-Prone Children Goals Dental Health Oral cleanliness Diet Host Defense The oral delicate tissue and spit make resistances against microscopic organisms. These safeguards incorporate beta-defensins , common anti-infection agents. We trust that these beta-defensins forestall dental caries.

Slide 4

Beverly A. Dale-Crunk, PhD Richard Jurevic, DDS Norma Wells, RDH, MPH Marjorie Tsutsui, Dental Stud Nancy Chino, Science Stud Peggy Chrisman, UW Res Tech Kimberly Matteiu, BS, RDH Oscar Suarez, DDS People

Slide 5

Eileen Beiersdorf, Superintendent, Toppenish School Leonor de Maldonado, Principal, Toppenish Middle School Susan Vlahakis, RN specialized curriculum Pat Brown, DSHS Children\'s Program Manager and Yakima County Children\'s Oral Health Coalition James Falco, Dean, Arts & Sciences, Heritage College Robert Ozuna, Director, UW-Yakima Valley Comm Partnerships, Heritage Center Barbara Owens, Director Dental Admin. Administrations, YVFWC Mark Koday, DDS, Dental Director, YVFWC Cheryl Vyhmeister, Mobile Unit Coordinator, YVFWC More People

Slide 6

GM Tooth JE Oral cleanliness Defensins Bacteria Tooth Decay Diet Defensins are common anti-infection peptides - and we make them !!! They are acquired like hair shading and tallness.

Slide 7

Our study investigates conceivable connections between beta-defensins and dental caries in kids. Is there a distinction in youngsters with low and high dental rot? Measure the measure of beta-defensins in spit Look at hereditary contrasts Subject Population We picked Toppenish for our study on account of the historical backdrop of the University of Washington Dental School in advancing oral wellbeing in the Yakima Valley territory, in view of the area close Heritage College, an accomplice in training and research, and as a result of the YVFWC.

Slide 8

Hum subjects, fall 01 Meet with Toppenish school and group bunch delegates 2/02 Meet with guardians and youngsters - instructive presentation 5/02 Time Line

Slide 9

SNPs are hereditary contrasts that we can measure We have discovered single base pair changes in the qualities for beta-defensins. These progressions, called single nucleotide polymorphisms (SNPs) are an exceptionally regular kind of hereditary variety. SNPs can be quiet, pernicious, or even worthwhile. Preparatory information demonstrates a conceivable defensive impact of one SNP (- 44).

Slide 10

Demographics 149 subjects; 88 females 61 guys Mainly Hispanic (127), Native American (5), Caucasian (16), African Amer. (1) Age (range 11-15) Most had lasting dentition blended dentition (20%), missing teeth (6%), free teeth (11%)

Slide 11

hBD-1 SNP (- 44) investigation and caries experience Caries 0 Lo Hi Number 50 47 47 SNP - 44 0.40 0.47 0.53 There is not a relationship of this hBD-1 SNP with caries experience. Our discoveries did not bolster the pattern of the pilot information.

Slide 12

Additional Work in Progress hBD-1 and hBD-2 SNP examination Bacterial burden in spit hBD-2, and hBD-3 test in salivation Determine relationship of extra b - defensin SNPs with caries experience Determine relationship of salivary bacterial burden with defensin expression and caries experience

Slide 13

Sign up and Be a piece of the Solution

Slide 14

Benefits The potential long haul advantage is that straightforward, non-intrusive methods might be created to foresee defenselessness to dental caries. We would like to pick up a comprehension of the organic premise for defenselessness to caries. Subjects in this study with serious dental issues will be alluded to the Yakima Valley Farm Workers Clinic or other neighborhood suppliers for treatment.

Slide 15

Early Orthodontic Intervention Under Medicaid

Slide 16

OBJECTIVE To look at the convenience of early orthodontic mediation as a method for expanding access to orthodontic administrations for offspring of low-salary families

Slide 17

Rationale Prevalent model for apportioning orthodontic administrations for Medicaid patients Minimal support by dental practitioners Minimal access for customers Potential favorable circumstances of interceptive/restricted treatment Potential for expanded investment by dental practitioners along these lines expanding access Potential for psychosocial benefits amid improvement Potential for diminished expenses/customer Demonstration venture at Odessa Brown Children\'s Clinic serving low-wage youngsters in urban inward Seattle

Slide 18

Specific Aim 1 To think about orthodontic results, facial self-perception, and personal satisfaction between Medicaid members who get early orthodontic TX and the individuals who do not To analyze the level of comprehension, consistence, and orthodontic results between subjects given data about objectives, dangers, and advantages by an orthodontist with the individuals who additionally utilize an intuitive CD-ROM.

Slide 19

Specific Aim 2 To look at orthodontic results, facial self-perception, and personal satisfaction between Medicaid-financed and private-pay patients who get full orthodontic TX

Slide 20

Specific Aim 3 To analyze orthodontic results, facial self-perception, and personal satisfaction between Medicaid-subsidized patients who get early orthodontic treatment just and Medicaid supported patients who get full orthodontic treatment at immaturity

Slide 21

Why Do This? Create people group based examination that interprets existing learning and new data about kids and their guardians into new advances and intercessions that will decrease inconsistencies

Slide 22

Study Design Component 1 Randomized Clinical Trial Aim 1 - treatment versus no treatment in blended dentition (ages 8-11) Aim 3 - same subjects, with those not getting early treatment accepting far reaching treatment (ages 12 - 14) Component 2 Cohort Study Aim 2 - Medicaid-subsidized exhaustive treatment contrasted with private-pay extensive treatment

Slide 23

Observation Early TX (n=75) AIM 1 AIM 3 Medicaid Patients Observation (n=75) Full TX AIM 2 Matched Private-Pay Patients (n=65) Full TX

Slide 24

CD-ROM (n=30) Standard counsel (n=30) AIM 1A Early TX (n=75) Medicaid Patients Observation (n=75) Randomization AIM 1

Slide 25

Outcome Variables Dental Variables Peer Assessment Rating (PAR) Index of Complexity, Outcome, and Need (ICON) Attitude and Behavior Dental Background Body Image Quality of Life

Slide 26


Slide 27

Early adolescence caries counteractive action with xylitol

Slide 28

Turku sugar studies

Slide 29

2 0 Xylitol/clinical studies… 3 6 X y l i t o l C o n t r o l 1 8 1 6 3 6 3 0 1 4 3 6 3 0 1 2 3 0 2 9 1 0 3 6 0 1 2 3 Years B a s e l i n e F i n a l e r

Slide 30

Xylitol/clinical studies…

Slide 31

Xylitol/clinical studies… Xylitol is best in caries avoidance of ejecting teeth (Ylivieska 1988, Belize 1996, Estonia 2000) The "restorative" impacts of xylitol seem just in chronic use and with sufficiently high frequencies/measurements Xylitol vehicles: biting gum, capsules, toothpaste (?)

Slide 32

Mechanisms of activity of xylitol No corrosive generation Reduces plaque by smothering arrangement of glue macromolecules, particularly glucans Selects for less cement mutans streptococci Xylitol:C5

Slide 33

Xylitol lessens plaque development

Slide 34

Xylitol makes mutans streptococci to shed all the more effectively to the spit

View more...