KRIENS, Suisse : le SARS-CoV-2 a été détecté dans la salive de 91,7 % des personnes infectées par le virus. Cela signifie que les professionnels de la santé dentaire sont particulièrement vulnérables à l’infection et qu’il est recommandé que les patients se rincent la bouche avec un bain de bouche antiviral pendant 30 secondes avant toute forme de traitement. Des chercheurs de l’université de Lyon ont publié un document de synthèse indiquant les ingrédients qu’un bain de bouche devrait contenir pour réduire efficacement la charge virale au SARS-CoV-2 dans la bouche.
ITOP, short for individually trained oral prophylaxis, is a training programme for achieving and maintaining perfect oral health. Aimed at dental students and practising professionals, the programme teaches atraumatic and efficient practical oral hygiene skills to pass on to patients. Indian periodontist Dr Aditi Chopra has introduced iTOP as part of her curriculum in the Department of Periodontology of the Manipal College of Dental Sciences in India, where she is a researcher and reader.
Getting patients to brush interdentally can be an arduous task, but the BOB-App does exactly that. BOB stands for “bleeding on brushing”, which is the motivation app’s crucial parameter. The BOB-Score tells patients their overall inflammation level, and a mouth map shows them exactly which size of interdental brush to use at home for each interdental space. As a result, patients are motivated to reduce their inflammation scores before the next follow-up. Argentine dentist and periodontist Dr Matias Fontanetto uses the BOB-App in order to motivate his patients to turn interdental brushing into a daily habit.
Management of type 1 diabetes patients in dentistry can be a challenge. Tailored dental care programme makes a difference. The main goal of the insulin-dependent diabetes care programme is to early classify the high-risk groups to improve general oral health and thus improve the quality of life of our patients.
Periodontal disease and diabetes share some life-style risk factors, like smoking, and there is a two-way relationship: patients with uncontrolled diabetes have a 3-fold higher risk to develop advanced periodontitis, while untreated periodontitis further dysregulates glycemic balance.
In patients with type 2 diabetes an inflammatory process is present. This inflammation is due to a pathological activation of the innate immune system, caused by metabolic stress and is partly governed by IL-1 signaling. We identified the role of IL-1β and insulin in the regulation of metabolism and immunity in response to food intake. Yet, as it becomes chronic, activation of auto-inflammatory processes may then become deleterious.