Can't let the day go by.
🎺 #OTD in 1945, the city of Grand Rapids, Michigan, became the first city anywhere to fluoridate its citizens using their water, in order to prevent tooth decay. wzzm13.com/article/news/h…
Remembering the hoopla (small h) two years ago. Still think that there is a warehouse somewhere that is full of "75 YEAR ANNIVERSARY - WATER #FLUORIDATION" tchotchkes that never got deployed...
Two years ago: -|- "The American Dental Association credited water fluoridation with reducing tooth decay by 50-60% in the U.S. since its introduction, especially in children."
Sixty six years ago: -|- "In all studies the findings show a reduction of 60-65 per cent in the prevalence of caries in the permanent teeth of children born subsequent to the change in the water supply." ncbi.nlm.nih.gov/pmc/articles/P…
We sure must be getting really ineffective #fluorine for the #fluoridation effort today. Doesn't appear to be near "50~65 per cent reduction" today. -|- "Dental caries (tooth decay) remains the most prevalent chronic disease in both children and adults" nidcr.nih.gov/research/data-…
A reduction of how much today? -|- "92% of adults 20 to 64 have had dental caries in their permanent teeth."
Dental caries, "in all adults age 20 to 64 declined from the early 1970s until the most recent (1999-2004) National Health and Nutrition Examination Survey."
Now they are going back up.
The parallel timeline of Dr Bass and personal oral hygiene (1943); and the addition of bioavailable #fluorine to the diet of citizens of Grand Rapids (1945) begs the question, which actually improved the oral health of the patients?
Seeing as how dental caries rates are increasing to pre-1970 levels, and, taking in to account the fact that more public water supplies have added #fluorine than ever before, and, since nobody is really advocating personal oral hygiene to any measurable extent, what next?
Do remember, the two main recommendations of the sugar sweetened 1971 National Caries Program were #fluoride and #sealants.
The root word of Doctor is docere. To teach. When do patients learn how to effectively clean their teeth? When the Doctor takes the time to teach them.
The problem lies there. -|- "Research suggests dental professionals may prioritize clinical experience, personal values and preferences over evidence when delivering such interventions." onlinelibrary.wiley.com/doi/abs/10.111…
"The average percentage of correctly answered questions was: for the dentists 53%, for the dental hygienists 58% and for the dental assistants 37%." onlinelibrary.wiley.com/doi/abs/10.111…
Understatement. -|- "With some reservations the conclusion can be stated that an obvious necessity exists for post-academic courses in preventive dentistry in the groups concerned."
Nobody is teaching patients HOW to brush their #teeth?
'Go ride that bicycle!'
'Go fly that airplane!'
'Go fight that bull!' womanandhome.com/health-wellbei…
Certainly not in a manner the patients get. And nothing about when, or even why they should clean their teeth.
The first step in recovery is admitting you have a problem. Good to see recovery is on the way! -|- "In spite of advances in preventive care and reduction in untreated tooth decay, significant oral health disparities exist"
🙄 Bragging about filling teeth faster? -|- "reduction in *untreated* tooth decay"?
ZERO #prevention in mind. -|- "If not treated through dental surgical intervention, this disease can result in emergency department visits and life- threatening infection and hospital admission."