Dentistry for Asthmatics!

Asthmatics are more likely to develop tooth decay

Do you remember that old song; ‘The knee bone’s connected to the leg bone. The leg bone’s connected to the foot bone….’ Yes, I know it gives away my age but it’s a great example of how in our bodies everything is joined up! One thing affects another. A good example of this in dentistry is the special care that must be taken with diabetic patients. If you’re diabetic you probably heal more slowly, your resistance to infection is reduced and your body finds it harder to deal with trauma, both physical or psychological then others.

That’s hard luck but you know about it! It’s important your dentist knows about it too and takes your condition seriously; adapting treatments appropriately.

It’s not only that. There are many medical conditions that can affect your dental health.

A recent report in the Mail on Sunday suggested that asthmatics are at three times more risk of developing dental cavities than the rest of the population.  Research carried out by the University of Oulu in Finland analysed the oral health of more than 10,000 adults and children worldwide for evidence of a link between asthma and dental health. It is thought asthmatics are more prone to dental problems because they produce less saliva, which neutralises plaque acid. British Dental Association Scientific Adviser, Professor Damien Walmsley commented on the study suggesting asthma sufferers take care to visit their dentist. Quoted as Professor of Restorative Dentistry at the University of Birmingham, he said ‘So long as you maintain a rigorous dental regime and visit your dentist regularly it is possible to have healthy teeth and well-controlled asthma’.

Did you know that? I didn’t either before I read the report. It’s so important for health professionals to keep up with the latest research if they want to give their patients the best possible care.

Of course, my research sometimes throws up some more dubious information; for example the suggestion that redheads feel pain more acutely than those with other hair shades. How do colour-blind dentists deal with that?! How many people visit my practice saying;

‘Don’t bother with that silly injection, I’m a blond you know….’

My daughter’s ginger child cries far less often than his brown-haired cousin when he falls over; although some may say he takes after his granddad. ‘No sense, no feeling’  a trait not carried through the female line I’m told. They gang up on me!

The link between diabetes and dental disease is well-recognised. Asthma seems to be gaining the same level of scientific support.

Red hair? Babies stealing their Mum’s calcium? Pyorrhoea in the family? (it’s a nice thought but it doesn’t really wash when it’s your husbands family!)

I’ll reserve judgement on these; after all there’s another song:

Remember Ray Ellington?

‘My friend the witch-doctor…..’

Stairway to Heaven!

Stairway to Heaven!

Little things apparently please little minds, but for some of us the overdue refurbishment of the practice stairwell is a red-letter event!

OK, I know I’m a Sad Person. My children keep telling me so but years of looking on tired, 1980’s perforated hardboard cladding and peeling paintwork have taken their toll on me. The shame! Chic, Southern US décor throughout the practice leading to the abhorrent entry to the upper floor has been a constant embarrassment, resulting in the connecting door remaining firmly closed throughout working hours.

Patients must have wondered: ‘What lies beyond the Secret Door?’ A museum, perhaps, of extracted teeth and the ghoulish remains of un-aesthetic crown and bridgework?  An exclusive health-club, where practice team-members can luxuriate in sweetly scented saunas and steam rooms in their few available minutes between work sessions?

Actually, it’s not quite as romantic as that.

At the top of the stairs is an area we euphemistically call ‘the staff room’ If you can fight your way through Chloe’s handbags and make-up products there is an excellent kettle where hot drinks can be prepared. Some team-members deny its existence as their refreshments are consistently cold by the time they get to drink them. Beyond that is the ‘stock room’. This is another area in need of attention but is useful for keeping some items in.

Did you know tissues have to be bought in cases of a gross at least? Paper towels come by the van-load as does toilet paper and those flimsy little covers for the dental chair. That’s Modern Dentistry for you! Mention those magic words ‘Dental Practice’ and every supplier in the world assumes you need their products in quantities that would be sufficient for a multi-national corporation.

To make it worse, someone has to carry all this up there. The suppliers or their delivery agents? You’re having a laugh!

‘We wuz told, ground floor only And ground floor only it shall be!’

Who’s left?

The dentist has to mind his back. The receptionist really does have other things to do; dealing with patients from the dentist and the hygienists as well as answering the telephone and making appointments. The dental nurses? Excuse me, haven’t you heard of finger nails??

That leaves only one person. Gordon, the Practice Administrator. Thank goodness we didn’t give him a job-description when he joined us! As well as looking after the day-to-day running of the practice; making sure we don’t run out of patient information forms, consent forms, information packs and yes, supplies, we do occasionally call on him to perform other teeny-weeny duties.

‘Gordon, could you just take these few boxes upstairs?’

‘Gordon, we’ve run out of coffee. Any chance of running over to the shop?’

‘Gordon, the trade waste goes tomorrow. I haven’t had time to knock down those cartons…..’

If we ever need to engage another Practice Administrator I think I’ll have to re-name the position; ‘Practice Hero!’

The stairwell still isn’t finished. It needs ‘skimming’ and re-decorating. The handrail needs to be replaced. The stairs themselves need painting. Hopefully all this will be completed during the next couple of weeks.

When it’s ready, patients will be offered a peek. They won’t be allowed to climb the stairs of course until we’ve dealt with the stock-room. At least, in the meantime Gordon can struggle up with tons of paper while enjoying a pleasant view of the smart new walls……