RESUMEN
Ignoring evidence on causes of disease such as smoking can harm public health. This report explores how public health experts started to ignore evidence that pediatric vitamin D deficiencies are associated with dental caries. Historical analyses show that an organization of clinical specialists, the American Dental Association (ADA), initiated this view. The ADA was a world-leading organization and its governing bodies worked through political channels to make fluoride a global standard of care for a disease which at the time was viewed as an indicator of vitamin D deficiencies. The ADA scientific council was enlisted in this endeavor and authorized the statement saying that "claims for vitamin D as a factor in tooth decay are not acceptable". This statement was ghost-written, the opposite of what the ADA scientific council had endorsed for 15 years, and the opposite of what the National Academy of Sciences concluded. Internal ADA documents are informative on the origin of this scientific conundrum; the ADA scientific council had ignored their scientific rules and was assisting ADA governing bodies in conflicts with the medical profession on advertising policies. The evidence presented here suggests that professional organizations of clinical specialists have the power to create standards of care which ignore key evidence and consequently can harm public health.
Asunto(s)
Caries Dental/etiología , Caries Dental/prevención & control , Fluoruros/administración & dosificación , Deficiencia de Vitamina D/complicaciones , American Dental Association/organización & administración , Suplementos Dietéticos , Humanos , Fenómenos Fisiológicos de la Nutrición/fisiología , Salud Pública , Riesgo , Estados Unidos , Vitamina D/administración & dosificaciónRESUMEN
A partir de una propuesta del Comité de Investigaciones del Ateneo Argentino de Odontología se realizó una encuesta anónima transversal para conocer el estado de los odontólogos en relación con la infección provocada por la covid-19 ya que los afecta de una manera especial debido a las características del virus SARS-CoV-2 y su forma de trasmisión (AU)
From a proposal of the Research Committee of the Argentine Athenaeum of Dentistry, an anonymous cross-sectional survey was conducted to know the status of dentists in relation to the infection caused by covid-19 and that particularly affects dentists due to the characteristics of the SARS-CoV-2 virus and its form of transmission (AU)
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Infecciones por Coronavirus/transmisión , Coronavirus Relacionado al Síndrome Respiratorio Agudo Severo , Odontólogos , Argentina , Facultades de Odontología/estadística & datos numéricos , Sociedades Odontológicas/normas , Control de Enfermedades Transmisibles/métodos , Estudios Transversales , Encuestas Epidemiológicas , Infecciones por Coronavirus/prevención & control , Control de Infección Dental/métodos , Distribución por Edad y Sexo , Betacoronavirus , American Dental Association/organización & administración , Odontología del TrabajoAsunto(s)
Empleos en Salud/legislación & jurisprudencia , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Negativa al Tratamiento/legislación & jurisprudencia , Personas Transgénero/legislación & jurisprudencia , American Dental Association/organización & administración , American Medical Association/organización & administración , Conducta de Elección/ética , Cristianismo , Coerción , Libertad , Accesibilidad a los Servicios de Salud/ética , Humanos , Autonomía Personal , Negativa al Tratamiento/ética , Sexismo , Texas/epidemiología , Personas Transgénero/estadística & datos numéricos , Estados UnidosRESUMEN
In response to the increasing incidence of certain oral and oropharyngeal cancers, the Society of Behavioral Medicine (SBM) calls on healthcare providers and legislators to expand awareness of oral and oropharyngeal cancer risk factors, increase early detection, and support policies that increase utilization of dental services. SBM supports the American Dental Association's 2017 guideline for evaluating potentially malignant oral cavity disorders and makes the following recommendations to healthcare providers and legislators. We encourage healthcare providers and healthcare systems to treat oral exams as a routine part of patient examination; communicate to patients about oral/oropharyngeal cancers and risk factors; encourage HPV vaccination for appropriate patients based on recommendations from the Advisory Committee on Immunization Practices; support avoidance of tobacco use and reduction of alcohol consumption; and follow the current recommendations for evaluating potentially malignant oral cavity lesions. Because greater evidence is needed to inform practice guidelines in the primary care setting, we call for more research in collaborative health and dental services. We encourage legislators to support policies that expand Medicaid to cover adult dental services, increase Medicaid reimbursement for dental services, and require dental care under any modification of, or replacement of, the Affordable Care Act.