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Glasgow dentist reports ten-fold increase in demand for implants after lockdown extractions

A LEADING dentist says he has seen a ten-fold increase in demand for implants amid fears that lockdown caused a spike in tooth extractions that might have been avoided.

Duncan Black, one of Scotland’s most experienced dental implantologists, said many patients are coming to him after having teeth – including front teeth – removed at emergency dental hubs which under normal circumstances dentists would have tried to save.

Mr Black, who is based at Halo Dental in Glasgow but treats patients from as far afield as Ayrshire and Lanarkshire and also runs an outreach clinic in Galashiels, said it is probably an inevitable consequence of lockdown.

He said: “People have not been able to access their usual dental care, that’s the crux of the matter.

“We were told by the Chief Dental Officer to leave the practices and not come back again, but no one thought it would be nearly three months before we came back.

“During that time we had to provide an emergency service.

“I don’t want to beat up on them [dental hubs] too much because it was scary times for everyone.

“Some people were in extreme pain.

“There was probably a lack of PPE available for normal dentistry to carry on so the hubs were the best solution, but yes, I think that due to Covid some people had teeth removed rather than, if they had been accessing normal care through their own dentist, attempts would have been made to save the tooth.

“I think that’s fair comment.”

CASE STUDY: Ayrshire man’s lockdown ordeal as rotten tooth has to be pulled out without anaesthetic

Mr Black’s practice, which is part of the Clyde Munro dental group, re-opened in mid-July and since then has seen ten times as many people requesting dental implants as they have in previous years, with most patients self-referring.

Implants are titanium screws which dentists attach directly to the jawbone, replacing the missing tooth root. A false tooth, such as a crown, can then be held securely in place.

Unlike dentures, which tend to last around five to 10 years, implants can last as long as natural teeth provided they are cared for properly.

However, they are more expensive. Mr Black said a single implant, without any other complications, will cost around £2000 in Glasgow.

The service is only available on a private basis, meaning NHS patients have to pay the full cost of the treatment.

Mr Black said: “Normally, if someone goes to their dentist and says ‘I have a problem with this tooth’ and the dentist takes and X-ray and concludes it’s unsalvageable, that they need an implant or whatever, they’d be sent along to us and we’d order everything for them so that they wouldn’t go without a front tooth.

“They’d have a temporary of some description.

“But because the dental labs weren’t open either during lockdown there wasn’t even a possibility for any sort of temporary provision to be made for people.

“So quite often they just had to

New Cancer Risk With Textured Breast Implants?

Use of textured breast implants for postmastectomy reconstruction led to a small but significant increase in breast cancer recurrence as compared with smooth-surface implants, a retrospective study from South Korea showed.

Overall, 4% of 650 women had some form of disease recurrence during a median follow-up of 52 months after receiving breast implants. The 5-year locoregional recurrence-free survival (LRRFS) rate was 95.9% among women who received textured implants and 97.8% in those who had smooth implants, a nonsignificant difference, reported Sa Ik Bang, MD, PhD, of Sungkyunkwan University and Samsung Medical Center in Seoul, and colleagues.

As shown in their study online in JAMA Surgery, the 5-year disease-free survival (DFS) rate was significantly lower with textured implants: 93.3% vs 97.8%.

In a Kaplan-Meier survival analysis, LRRFS did not differ by implant surface type, but DFS remained significantly lower in the textured-implant group at 3, 4, and 5 years.

“Textured implant use could be associated with a lower DFS and high risk for recurrence than use of a smooth implant,” the researchers concluded. “This association may be valid regardless of other factors, including tumor stage and ER [estrogen receptor] status. Further investigation is required to verify these results.”

The results added to the well-documented risk of anaplastic large-cell lymphoma (ALCL) associated with breast implants, which have been blamed for 733 cases of ALCL and 36 deaths worldwide as of early 2020. The accumulation of adverse data makes a case for discontinuing use of textured implants, according to the authors of a commentary that accompanied the article by Bang and colleagues.

“Given the association of textured implants with ALCL, and now the suggestion that they are associated with increased risk for breast cancer recurrence, surgeons who choose textured implants should counsel their patients with breast cancer about their possible consequences,” wrote Michael R. Cassidy, MD, and Daniel S. Roh, MD, PhD, both of Boston University School of Medicine. “Many reconstructive surgeons across the world have already abandoned the use of textured implants altogether.”

The sudden emergence of the breast implant-associated (BIA) ALCL, and its possible relationship with implant-surface texture, focused more emphasis on implant safety, Bang and co-authors noted. Patients have raised concern about whether the implants might also be associated with breast cancer recurrence when used in reconstruction procedures after mastectomy, the team added.

No clinical studies had examined the association between breast implants and breast cancer recurrence. Chronic inflammation associated with an implant or the surgical procedure has been hypothesized as a potential trigger for BIA-ALCL.

Clinical and preclinical studies showed that surgery-induced inflammation could have implications for local residual or dormant tumor cells, including the potential to trigger tumor regrowth and metastasis, the authors continued.

To examine the issue, Bang and colleagues retrospectively analyzed data for patients whose breast cancer treatment included use of an implant during reconstruction procedures performed at Samsung Medical Center in Seoul from 2011 through 2016.

The researchers identified 650 patients who received a total of 687 implants, which had textured surfaces in 413

How Safe are Breast Implants?

From Oprah Magazine

Two years after Nicole Daruda of Vancouver Island received silicone breast implants, she found herself beset by health issues: recurring infections, G.I. problems, jumbled thinking. By the five-year mark, she had food allergies and other maladies and had been diagnosed with two autoimmune diseases. A year later, at 47, she noticed swelling around her left armpit and breast, and it came to her: Could her ailments have something to do with her implants?

In 2013, Daruda had the implants removed, and her panic attacks and anxiety went away. Within two years, she no longer needed thyroid medication and her allergies disappeared. She started a Facebook group called Breast Implant Illness and Healing by Nicole. Today it has more than 125,000 members. “A tsunami of women came together to say the jig is up,” Daruda says.

Breast implant illness (BII) is the term coined by people with implants to describe postsurgical symptoms that include fatigue, joint pain, muscle weakness, dry eyes
and mouth, and brain fog. BII isn’t an official diagnosis, which can present challenges for women seeking treatment or insurance coverage. But evidence is mounting that patients like Daruda are right to be suspicious.

Since the first silicone-gel breast implant surgery in 1962, tens of thousands of patient anecdotes and dozens of scientific studies have pointed to a possible link between the implants and conditions like autoimmune diseases. “It’s been known for 25 years that silicone implants can leak,” says Jan Willem Cohen Tervaert, MD, PhD, professor of medicine and director of the Division of Rheumatology at the University of Alberta, who has spent 25 years studying how the body reacts to implants, authored ten studies on the topic, and treated more than 500 patients reporting BII.

SILICONE VS. SALINE: All breast implants have silicone shells, but the filling can be silicone gel or saline. Ninety percent of women choose silicone because it feels more like breast tissue.Early studies suggest this option is more likely to be associated with BII, but more research is necessary.

Cohen Tervaert hypothesizes that when silicone leaks, it can be absorbed by surrounding tissue and nearby lymph nodes, further activating the immune system. “Over time, some people’s systems may be unable to recover from the chronic stimulation, and autoimmune disease may set in.”

In 1984, a federal jury in San Francisco ordered Dow Corning, then the largest maker of silicone implants, to pay a patient $1.5 million in punitive damages after she alleged that the implants triggered an autoimmune disease. Hundreds of other lawsuits followed, and in 1990, public outcry led Congress to hold hearings on implant safety. In 1992, FDA commissioner David Kessler, MD, requested a voluntary moratorium on silicone implants until the FDA could assess the safety data.

“We know more about the life-span of automobile tires than we do about the longevity of breast implants,” he later said. But despite years of investigation, “the signals between silicone breast implants and autoimmune diseases were never strong enough to

What To Do If You Can’t Afford Dental Implants

Poor dental health can all the time affect your self esteem. It causes chilly sweats, nervousness and severe anxiousness.” A survey by Post Office Telecom in 2010 had revealed that the stress ranges evoked by the nervousness of being without a cell phone equated to the stress of visiting a dentist, moving homes and even getting married.

Earlier than I learnt the way to make dentures, crowns and orthodontic home equipment myself, I had not even thought of that this stuff have been customized made individually by precise people – I just never thought previous when the dentist takes the impression of the teeth.

I went to a dentist with a toothache, and as a substitute of attempting to put it aside he pulled it. I asked him why didn’t he simply fill it, and his response was, “I’m not in the enterprise of filling teeth, I pull tooth.” This was within the late 60’s, early 70’s probably not sure which.

Even so, there is a pretty big group of People who are completely happy with their healthcare insurance coverage the way in which it’s. This group consists primarily of individuals whose medical insurance premiums are subsidized by their employers, and who have never confronted a severe illness – but, that is. So long as these individuals keep comparatively wholesome, and don’t face premium funds that consume a big percentage of their income, this group will remain happy with things the way in which they are.

If there is a filling that has came out, or a complete or break in the tooth that is causing pain due to contact with the air, water, heat or chilly, you should use a small amount of gauze or mushy dental wax that may be bought at your native drug retailer.…

Dental Implants

To take care of a proper healthy body, it is very essential to take care of healthy enamel. Yow will discover a veterinary dentist near you by visiting the American Veterinary Dental Faculty web site. Most often, dental sufferers go to the clinic when in a number of pain and it is therefore necessary that they’re attended in essentially the most professional method and within the shortest length of time potential.

A superb clinic should have essentially the most qualified dentists in all of the dental specialties. An electrical toothbrush could be very effective solution for cleansing and massaging of the gums. In actual fact the healthcare insurance coverage industry CEO’s take pleasure in an above common CEO compensation, someplace within the excessive 7-eight digit vary, and people extra digits do not characterize cents.

I’ve an excellent healthcare program, Tricare Prime (army) so I do not fear for me. I solely worry for my other daughter who owns a small struggling company and may’t get Medicaid because of her income, but can’t afford $800 a month both for a household plan.

Dental recall methods are offering a solution to this problem and helping dental offices stay in contact with their sufferers. The dental assistant will clean the teeth, prime and backside, with a pointy utensil to remove any and all plaque that has collected on the tooth and around the gums.

A: A dentist helps sufferers care for their teeth and gums, they usually present care for something associated to tooth and gums which may affect the physique. 4.Conservative dentistry and Endodontics :- Conservative dentistry is the department of dentistry involved with diagnosis,prevention and therapy of illnesses associated to teeth and its related deals with the conservation of teeth within the oral cavity.…

The Cost Of Dental Implants

Dental insurance is a profit sometimes offered by employers to assist offset among the excessive prices for dental care. In the states patients do not have this benefit and should rely on Insurance or different means to acquire straighter teeth. The acheivment of common healthcare would not qualify as making us a socialist society, it might simply mean that we’ve achieved equal entry to medical care.

As talked about above, you will discover specialists from all the main branches of dentistry in Derby, in addition to numerous visiting specialists who supply appointments within the space on a regular basis. With common dental examine-ups, a superb cleaning routine, and a weight-reduction plan low in sugary snacks you are likely to nonetheless have all your tooth by the time you’re in your sixties.

Why dentists take such a relatively long time in injecting you. Sometimes this third molar, or wisdom tooth, might by no means come out at all, and when it does come, it usually does not come down to a degree with the opposite enamel. 5. Oral Prophylaxis – such a dental service entails tooth polishing and scaling.

You’ll find a veterinary dentist near you by visiting the American Veterinary Dental School website. Most often, dental sufferers go to the clinic when in a variety of pain and it’s due to this fact essential that they are attended in essentially the most professional method and within the shortest duration of time possible.

At present congress is working on hammering out a compromise, however this effort is hampered by a nonetheless misinformed public, politics as common, and the fact that at the least a number of the members of congress may be in the pockets of the healthcare insurance business.…