Facebook PixelHow can we promote better oral hygiene and thereby reduce the risk of chronic diseases?
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How can we promote better oral hygiene and thereby reduce the risk of chronic diseases?

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Brett M.
Brett M. Dec 24, 2020

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[2]Uppoor AS, Lohi HS, Nayak D. Periodontitis and Alzheimer's disease: oral systemic link still on the rise? Gerodontology. 2013 Sep;30(3):239-42. doi: 10.1111/j.1741-2358.2012.00660.x. Epub 2012 Mar 28. PMID: 22458804.

[3]Li C, Lv Z, Shi Z, Zhu Y, Wu Y, Li L, Iheozor-Ejiofor Z. Periodontal therapy for the management of cardiovascular disease in patients with chronic periodontitis. Cochrane Database Syst Rev. 2017 Nov 7;11(11):CD009197. doi: 10.1002/14651858.CD009197.pub3. Update in: Cochrane Database Syst Rev. 2019 Dec 31;12:CD009197. PMID: 29112241; PMCID: PMC6486158.

[4] Cardoso, R. (2017). Chronic periodontitis, inflammatory cytokines, and interrelationship with other chronic diseases. Postgraduate Medicine, 130(1), 98–104. https://doi.org/10.1080/00325481.2018.1396876

[5] AAP, American Academy of Periodontology Task Force. American academy of periodontology task force report on the update to the 1999 classification of periodontal diseases and conditions. J Periodontol. 2015;86(7): 835–838. DOI:10.1902/ jop.2015.157001

[6]Yucel-Lindberg T, Båge T. Inflammatory mediators in the pathogenesis of periodontitis. Expert Rev Mol Med. 2013;15:e7.

[7]Hajishengallis G. Periodontitis: from microbial immune subversion to systemic inflammation. Nat Rev Immunol. 2015;15:30–44.

[8]Luo Y, Peng X, Duan D, Liu C, Xu X, Zhou X. Epigenetic Regulations in the Pathogenesis of Periodontitis. Curr Stem Cell Res Ther. 2018;13(2):144-150. doi: 10.2174/1574888X12666170718161740. PMID: 28721820.

[9] Garlet GP. Destructive and protective roles of cytokines in periodontitis: a re-appraisal from host defense and tissue destruction viewpoints. J Dent Res. 2010;89(12):1349–1363.

[10]Liu YC, Lerner UH, Teng YT. Cytokine responses against periodontal infection: protective and destructive roles. Periodontol 2000. 2010;52:163–206.

[11]Bosma-Den Boer MM, Van Wetten ML, Pruimboom L. Chronic inflammatory diseases are stimulated by current lifestyle: how diet, stress levels and medication prevent our body from recovering. Nutr Metab (Lond). 2012;9:32.

[12]Van Dyke TE, Van Winkelhoff AJ. Infection and inflammatory mechanisms. J Clin Periodontol. 2013;40:S1–7.




[16]Arweiler NB, Pergola G, Kuenz J, Hellwig E, Sculean A, Auschill TM. Clinical and antibacterial effect of an anti-inflammatory toothpaste formulation with Scutellaria baicalensis extract on experimental gingivitis. Clin Oral Investig. 2011 Dec;15(6):909-13. doi: 10.1007/s00784-010-0471-1. Epub 2010 Oct 9. PMID: 20936314.

Creative contributions

A sip of fluoride-containing water after every meal

Shubhankar Kulkarni
Shubhankar Kulkarni Jan 08, 2021

[1]McLaren, L, Patterson, S, Thawer, S, Faris, P, McNeil, D, Potestio, M, Shwart, L. Measuring the short‐term impact of fluoridation cessation on dental caries in Grade 2 children using tooth surface indices. Community Dent Oral Epidemiol 2016; 44: 274– 282. © 2016 The Authors. Community Dentistry and Oral Epidemiology Published by John Wiley & Sons Ltd.

Martina Pesce
Martina Pescea month ago
Very much relevant problem, thank you for bringing it up!
I think this sip of fluoride-containing water is a great idea, but it needs somehow to be integrated into people's culture and habits. Maybe a way to help this could be to oblige restaurants and bars (and every other shop which serves you something that would require you to brush your teeth afterward) to provide you a glass of fluoride-water.
No big trouble, no big cost, no trouble of people complaining about the conspiracy of too much fluoride in public water.
Shubhankar Kulkarni
Shubhankar Kulkarnia month ago
Martina Pesce Great idea. I was thinking fluoride can be added at the source. The water purification plants can add fluoride and then release the water. That way, every household and public place will receive fluoride-containing water. This is what the cities in the studies I mentioned in the contribution did.
Brett M.
Brett M.2 months ago
I definitely agree, fluoridated water is an essential part of the process. I know this has been a standard for water treatment plants throughout North America - fluoride is added to drinking water as a preventative measure against cavities. I'm wondering if that study quantified the amount of water consumed? If equal amounts, perhaps one of the issues we face in promoting oral hygiene is getting people to drink enough water. In fact, only 22% of a sample population were found to drink adequate amounts of water (the recommended 8-10 glasses per day; https://nypost.com/2020/09/03/most-adults-dont-drink-enough-water-every-day-do-you/). So, great point, maybe if people would just simply drink more water that has been fluoridated (which is commonplace in Western civilizations) aka typical drinking water, we would see a significant increase in oral hygiene status... Thanks for your contribution!

Install power floss at public places

Shubhankar Kulkarni
Shubhankar Kulkarni Jan 20, 2021

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