CDA Essentials 2019 • Volume 6 • Issue 6

CONCLUSION STATEMENTS Oral diseases like caries and periodontal disease are preventable. In the last decade, evidence has been accumulating supporting several relationships between oral health and general health. The strongest of these associations are between periodontal inflammation and diabetes mellitus, cardiovascular diseases and aspiration pneumonia. Additional emerging evidence is accumulating for oral links with certain types of cancers, Alzheimer’s disease, rheumatoid arthritis, and other systemic conditions. Although no causal relationships have been determined for most of the diseases, individuals at risk for these conditions must be diligent with their oral care. When compared to manual toothbrushes or to other types of electric toothbrushes, Oscillating-Rotating toothbrushes present with clinical advantages in randomized controlled trials and systematic reviews in terms of plaque removal and reduction of gingival inflammation. This can lead to caries and periodontal disease prevention. Recent developments in the formulation of a stabilized stannous fluoride toothpaste show better clinical results in randomized controlled trials when compared to other types of fluoridated toothpastes for reduction of gingival inflammation and plaque removal. This may help in prevention of caries and periodontal diseases. A tailor-made regimen consisting of a proper toothbrush, toothpaste and adequate inter-dental cleaning tool should be proposed and recommended for each patient in order to prevent oral diseases and promote oral and general health. METHODS An extensive search of 838 articles in PubMed-Medline databases using the PICO model was conducted by Prof. Liran Levin DMD, FRCD(C), FIATD, FICD (Scientific Chairman) and Danielle Clark (Scientific co-chair) RDH, BSc, MSc) Univ of Alberta. OSCILLATING-ROTATING POWERBRUSH • 454 articles published from 2009 to 2018 that included oscillating rotating (OR), sonic and manual brushes. • 123 papers’ abstracts were screened. • 21 full-text papers assessed. • 7 excluded. • 15 randomized, controlled trials comparing OR to other electric toothbrushes met the criteria and were included for qualitative synthesis. • Study duration ranged from single use to 6 months. STANNOUS FLUORIDE TOOTHPASTE • 384 toothpaste articles published from 2015 to 2019. • 23 full-text papers were screened. • 16 randomized, controlled trials comparing stannous fluoride to other toothpastes met the criteria and were included for qualitative synthesis. • 6 were included in meta-analysis. • Study duration ranged from 2 to 24 weeks. A set of publications was sent to each panel member prior to the meeting. The publications were reviewed, analyzed and discussed in a workshop at the North American Oral Health Scientific Review meeting. ORAL-SYSTEMIC LINKS AND ITS IMPLICATIONS on overall health is an area of tremendous interest in dentistry. While evidence of the direct causal effects of various diseases is being researched, the importance of good oral hygiene playing a critical role in periodontal health is well documented. Thought Leaders in periodontics, prosthodontics, orthodontics, general practice, dental hygiene and academia met to develop conclusion statements through a comprehensive literature review at the first North American Oral Health Scientific Review Panel meeting on April 29th, 2019, at the Procter & Gamble R&D Center in Mason, Ohio. The review highlighted the importance of evidence-based dentistry (EBD) and the role that properly designed, randomized, controlled clinical trials can play in measuring oral health outcomes. By incorporating evidence-based decision making, dental professionals can elevate the standard of oral care to significantly enhance their ability to diagnose, treat and motivate patients to achieve optimal oral health beyond the dental chair. The scientific panel’s Conclusion Statements on oral health represent the unified view of eminent Thought Leaders from across Canada and the US. ELEVATING THE STANDARD OF ORAL CARE ACKNOWLEDGEMENTS The North American Oral Health Scientific Review was made possible by a grant from Procter & Gamble Canada. Front Row: Dr. Salme Lavigne, Danielle Clark RDH, BSc, MSc., Dr. Dana van Elslande, Dr. Pamela Maragliano-Muniz Back Row: Dr. David Rice, Dr. Michael Kamatovic, Dr. Liran Levin, Dr. Warden Noble, Dr. Siavash Hassanpour, Dr. Aviv Ouanounou SPONSORED CONTENT