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Medical Forum / General / Dentistry / November 2008Dental Cleanings - New Science
A Cochrane Review of Dental Cleanings surprisingly showed no clear evidence that they are effective. So if you have to pay for them, there is at least some authoritative evidence that you could skip them without harm. See: http://scienceblogs.com/cortex/2008/05/cleaning_teeth.php and: http://freakonomics.blogs.nytimes.com/2008/03/11/is-tooth-cleaning-a-scam/ Here are a few quotes from those sites: It turns out there is an entire journal called "Evidence Based Dentistry." And in just a few minutes, I was looking at a formal Cochrane review titled "Insufficient evidence to understand effect of routine scaling and polishing." The review looked for evidence to answer two related questions: The first is, do scale and polish procedures [having your teeth cleaned] lead to any difference in periodontal health compared with no scale and polish? Second, does the interval between these scale and polishing procedures make any difference? The results were not heartening for those of us who have suffered through dozens upon dozens of cleanings. The meta analysis of qualifying studies suggested that the evidence was mixed, at best. For example, there is not strong evidence that hygienist cleaning reduces gingivitis: The authors of the only study that found differences in gingivitis scores (at 6, 12 and 22 months) deemed those differences clinically irrelevant.... My dad always told me that dealership rust-proofing was a scam to give dealerships some extra cash without providing your car with any extra protection. Could getting your teeth cleaned be the economic equivalent to having a car dealership rust-proof your car? > A Cochrane Review of Dental Cleanings surprisingly showed no clear > evidence that they are effective. So if you have to pay for them, [quoted text clipped - 34 lines] > protection. Could getting your teeth cleaned be the economic > equivalent to having a car dealership rust-proof your car? I wonder how this Cochrane group seems to be more expert on everything than the experts. Any number of studies of experimental gingivitis can demonstrate a clear correlation between presence of plaque and calculus and gingivitis. Do they evaluate brushing and flossing as well? Steve > I wonder how this Cochrane group seems to be more expert on everything >than the experts. [quoted text clipped - 3 lines] > >Steve Mebbe they should consult with David DiBenedetto DMD. He thinks he knows everything. Though his last two posts were a bit confusing since they came from "Mr. KnowItAll". Curious that. Dr. King sure was funny in his response. On Nov 16, 2:17 am, dinolamam...@gmail.com wrote: You ask an important question. What do "dental cleanings" do? (1) removes stain (2) removes tartar(calculus) (3) disrupts plaque (4) finds holes and imperfections in the teeth and fillings in the teeth (5) may cause bleeding, identifies capillary fragility (6) may cause bacteremia and sensitive teeth and tissues (7) may reduce inflammation in the gum tissue which can then shrink and change color David DiBenedetto, DMD, author of "Insider's guide to gum disease, orthodontics, and dentistry. What is not taught in dental school." >You ask an important question. And DumbBentdick, you answer none. A plethora of pseudo-scientific nonsense comes from your keyboard. You may as well post pictures of your dripping anal orifice. Would be just as relevant, stink, and is equivalent to your verbal diarrhea. Fools will gladly swallow any bit of pseudo-science and call it yummy, true, and don't that make the pros look stupid ! Try researching "periodontal disease" in dogs and cats for starters. Don't brush, don't floss, don't get professional cleanings, and there is a nice set of dentures waiting in your future ! 8-() BTW full dentures are a piss poor substitute for natural teeth. >A Cochrane Review of Dental Cleanings surprisingly showed no clear >evidence that they are effective. So if you have to pay for them, >there is at least some authoritative evidence that you could skip them >without harm. Uh, major conflict of interest here, Sir. Dental cleanings are the golden horseshoe of a dental practice. You expect us to take the words of those making car payments with dental cleaning earnings? > Uh, major conflict of interest here, Sir. Dental cleanings are the > golden horseshoe of a dental practice. > You expect us to take the words of those making car payments with > dental cleaning earnings? You mock me, Sir! And I will NOT be MOCKED! Steve Swords or pistols? Now, you each need a second, and a meeting time and place.  SignatureChristopher A. Young Learn more about Jesus www.lds.org . bmodey@gmail.com wrote: > Uh, major conflict of interest here, Sir. Dental cleanings are the > golden horseshoe of a dental practice. > You expect us to take the words of those making car payments with > dental cleaning earnings? You mock me, Sir! And I will NOT be MOCKED! Steve Hey dude, If you want to stay away from the dentist office for years at a time, have at it. You won't be hurting anyone but yourself. I see it almost every day. A guy yesterday hadn't been to the dentist in 5 years or so. He needs complete scaling and root planing, several cavities fixed, and the problem that brought him in....pain in his upper right lateral incisor....started a root canal because the cavity was already into the pulp....and there is decay at the margin of a crown on the neighboring central incisor. He could have saved hundreds of dollars, avoided a toothache, and been in better health by visiting a good dentist regularly. Be true to your teeth or they will be false to you, D > Uh, major conflict of interest here, Sir. Dental cleanings are the > golden horseshoe of a dental practice. > You expect us to take the words of those making car payments with > dental cleaning earnings? He could have avoided his troubles with dental checkups. Cleanings -- the topic -- had nothing to do with it. This is not about avoiding dentists. It's about questioning the value of scaling. > Hey dude, > [quoted text clipped - 16 lines] > > D > He could have avoided his troubles with dental checkups. > Cleanings -- the topic -- had nothing to do with it. > This is not about avoiding dentists. It's about questioning the value > of scaling. Nothing wrong with asking the question. The defensiveness you may sense is more like weariness, after years of being questioned on amalgam, root canals, water lines, HIV, x-rays, and being accused of everything from being avaricious, ignorant, greedy, insensitive, etc. etc. I'm an old cynical coot. We never heard the term "evidence-based dentistry" until the last couple of years. I hope the marketing genius who came up with the term got paid well. What do you think we were doing before that? The research journals that have been published since way before G.V. Black were pulled out of someone's a.s? Periodontal disease is a very complex process, involving multiple phenomena and tissue systems. Some are understood more completely than others. After almost 100 years of periodontal research, I think we can be forgiven a bit of healthy skepticism when we hear that something we do every day may be a complete sham. But if there indeed is research that can be cited (you know, a real research paper, not a link to a blog from a disgruntled patient) I'd love to get my hands on it. Who knows--maybe the earth is flat! Steve >> Hey dude, >> [quoted text clipped - 16 lines] >> >> D SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 If you read the entire post, *he needs complete scaling and root planing*. Calculus thick and deep under his gums. Regular cleanings would have prevented this. Period. End of story. You need to observe in a dental office for a few weeks and the picture would be pretty clear to you. D > He could have avoided his troubles with dental checkups. > Cleanings -- the topic -- had nothing to do with it. [quoted text clipped - 21 lines] > > D |Fools will gladly swallow any bit of pseudo-science | [...] |BTW full dentures are a piss poor substitute for natural teeth. As a board certified prosthodontist of some 25+ years I can tell you without fear of contradiction that dentures are NOT a substitute for natural teeth. They are a substitute for NO TEETH AT ALL! Dr. G., DDS FACP |>A Cochrane Review of Dental Cleanings surprisingly showed no clear |>evidence that they are effective. So if you have to pay for them, |>there is at least some authoritative evidence that you could skip them |>without harm. SignaturePlease reply via newsgroup. |
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