An NPR Best Book of 2017 "[Teeth is] . . . more than an exploration of a two-tiered system—it is a call for sweeping, radical change." —New York Times Book Review "Show me your teeth," the great naturalist Georges Cuvier is credited with saying, "and I will tell you who you are." In this shattering new work, veteran health journalist Mary Otto looks inside America's mouth, revealing unsettling truths about our unequal society. Teeth takes readers on a disturbing journey into America's silent epidemic of oral disease, exposing the hidden connections between tooth decay and stunted job prospects, low educational achievement, social mobility, and the troubling state of our public health. Otto's subjects include the pioneering dentist who made Shirley Temple and Judy Garland's teeth sparkle on the silver screen and helped create the all-American image of "pearly whites"; Deamonte Driver, the young Maryland boy whose tragic death from an abscessed tooth sparked congressional hearings; and a marketing guru who offers advice to dentists on how to push new and expensive treatments and how to keep Medicaid patients at bay. In one of its most disturbing findings, Teeth reveals that toothaches are not an occasional inconvenience, but rather a chronic reality for millions of people, including disproportionate numbers of the elderly and people of color. Many people, Otto reveals, resort to prayer to counteract the uniquely devastating effects of dental pain. Otto also goes back in time to understand the roots of our predicament in the history of dentistry, showing how it became separated from mainstream medicine, despite a century of growing evidence that oral health and general bodily health are closely related. Muckraking and paradigm-shifting, Teeth exposes for the first time the extent and meaning of our oral health crisis. It joins the small shelf of books that change the way we view society and ourselves—and will spark an urgent conversation about why our teeth matter.

This book provides a comprehensive review of the assessment and management of older people’s oral health care needs. Discussing recent initiatives to emphasize oral health promotion and prevention, the book describes improvements in pharmacological and non-pharmacological approaches for special populations in geriatrics and illuminates the role of barriers to oral health care for older people. Divided into three sections, the book first explores aging and oral health, including age-related changes, epidemiology, nutrition, dysphagia, aspiration pneumonia, xerostomia and hyposalivation, management of periodontal disease and caries, systemic diseases that influence oral health, and considerations for chronic orofacial pain. The second section illuminates the ways in which frailty and other geriatric syndromes influence oral health care in older adults with a special focus on frailty, dementia, delirium and depression, and the delivery of oral health care to vulnerable geriatric populations in long-term care, home care, palliative care, and hospice. Lastly, the book addresses inequalities in the oral health of older minority populations, the disproportionate burden of oral disease and tooth loss, the contribution of these issues to further complications in comorbidities, the association of extended health literacy and periodontal disease, and the social and cultural conditions that might be altered or improved by healthcare programs and health policies. Oral Health and Aging is a useful book written by an international group of experts and designed to educate geriatricians, primary care physicians, nurses, dentists, dental hygienists, speech and language pathologists, dietitians, and health policy advocates.

USA TODAY AND WALL STREET JOURNAL BESTSELLER You’ve heard the advice: If you want to live longer, eat healthy foods and exercise daily. But there’s a third piece of the puzzle, and it can add 10 to 15 years to your life. It’s been right under your nose this whole time—literally. Your mouth is the gateway to your body and is the most critical organ for improving your health, from childhood onward. Everything in the human life cycle is related to the mouth: fertility, childbirth, sleeping soundly, success in school, finding a mate, getting a job, psychological well-being, avoiding chronic or systemic disease, and aging well. Your mouth is a window into the health of your body as a whole; from its microbiome to its structure, it impacts your physical and mental wellness in countless ways. Unfortunately, the mouth-body connection has been largely neglected by American medicine . . . until now. If Your Mouth Could Talk is the result of over 20 years of firsthand experience and research by renowned orthodontist and dentofacial orthopedist, Dr. Kami Hoss. In this groundbreaking work, Dr. Hoss connects the dots between oral health and whole-body health, offering a roadmap to a longer, more successful future for you and your family. This isn’t a book about brushing and flossing—or any of the other standard advice you get from your dentist. Instead, you’ll hear about how to protect your mouth’s microbiome, the effect of diet, the relationship between oral structure and sleep problems, how to breathe better, and more. This is an in-depth guide for people who want to take control of their health to the fullest extent possible—who want to understand how their mouth contributes to their overall health and quality of life, and what they can do to better care for it. If your mouth could talk, it would tell you about the condition of your entire life. Time to start listening.

This open access book examines health trajectories and health transitions at different stages of the life course, including childhood, adulthood and later life. It provides findings that assess the role of biological and social transitions on health status over time. The essays examine a wide range of health issues, including the consequences of military service on body mass index, childhood obesity and cardiovascular health, socio-economic inequalities in preventive health care use, depression and anxiety during the child rearing period, health trajectories and transitions in people with cystic fibrosis and oral health over the life course. The book addresses theoretical, empirical and methodological issues as well as examines different national contexts, which help to identify factors of vulnerability and potential resources that support resilience available for specific groups and/or populations. Health reflects the ability of individuals to adapt to their social environment. This book analyzes health as a dynamic experience. It examines how different aspects of individual health unfold over time as a result of aging but also in relation to changing socioeconomic conditions. It also offers readers potential insights into public policies that affect the health status of a population.

Though it is highly preventable, tooth decay is a common chronic disease both in the United States and worldwide. Evidence shows that decay and other oral diseases may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. However, individuals and many health care professionals remain unaware of the risk factors and preventive approaches for many oral diseases. They do not fully appreciate how oral health affects overall health and well-being. In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. The IOM recommends that HHS design an oral health initiative which has clearly articulated goals, is coordinated effectively, adequately funded and has high-level accountability. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders from both the public and private sectors. Advancing Oral Health in America provides practical recommendations that the Department of Health and Human Services can use to improve oral health care in America. The report will serve as a vital resource for federal health agencies, health care professionals, policy makers, researchers, and public and private health organizations.

This book explores in depth the relationships between nutrition and oral health. Oral health is an integral part of general health across the life course, and this book examines nutritional and oral health considerations from childhood through to old age, with particular attention focused on the consequences of demographic changes. Current knowledge on the consequences of poor diet for the development and integrity of the oral cavity, tooth loss, and the progression of oral diseases is thoroughly reviewed. Likewise, the importance of maintenance of a disease-free and functional dentition for nutritional well-being at all stages of life is explained. Evidence regarding the impact of oral rehabilitation on nutritional status is evaluated, and strategies for changing dietary behaviour in order to promote oral health are described. Nutrition and Oral Health will be an ideal source of information for all who are seeking a clearly written update on the subject.

The first edition of this classic text appeared in 1976 with the aim of refining and standardising the advice given to the public and to ensure that such advice was scientifically sound and evidence-based. It was written not only for members of the dental professions and those involved in general healthcare including medical practitioners, school nurses, health visitors, midwives, dieticians, pharmacists and public health practitioners, but also those who influence health in the wider community, such as teachers, child carers and peer educators. While originally written for a UK readership it became clear that it was used in other countries and that a new international edition was needed. To ensure that this new edition would reflect a consensus of international expert opinion and be relevant to a much broader readership, a panel of eminent experts was enlisted from as far afield as Japan, Singapore, Denmark, Switzerland and the USA. The text is consistent with current evidence and guidance from the WHO, and includes comparative guidance from other countries and systematic reviews of research evidence from the Cochrane Collaboration database. It provides information and advice on the main aspects of oral health, including the cause and prevention of dental caries, periodontal disease, dental erosion, oral cancer and dental problems in children under five, and older people. Throughout the book, key points are given at the beginning of each chapter, with an indication of the strength of supporting scientific evidence using a simple scheme.

This book provides an overview of the oral health care environment as the transition is made to a system increasingly focusing on disease prevention, early intervention to minimize disease progression, and a personalized approach that meets each individual’s needs. Descriptions are provided of an array of technologies based on rapid advances in genomic medicine and omics technology that are already entering clinical practice and promise to have a huge impact on risk assessment, diagnosis, and therapy. Detailed consideration is also paid to personalized health insurance in the new environment, the impact of personalized health care on the economics of health care, and the consequences for the global diagnostic market place and improved access to care. The changes in dental education required to produce dentists better equipped to participate in the new health care environment are examined, and the book concludes by considering key opportunities and challenges.

This book focuses on oral health promotion and the impact of systemic disease in the development of oral disease, as well as how to introduce, apply, and communicate prevention to a patient with a defined risk profile. Prevention in Clinical Oral Health Care integrates preventive approaches into clinical practice, and is a valuable tool for all health care professionals to integrate oral health prevention as a component of their overall preventive message to the patient. Discusses risk-based approaches to prevent problems such as caries, periodontal disease, and oral cancer. Topics are written at a level that can be understood by both practicing dental health team members and by dental hygiene and dental students so strategies can be applied to better understand the patient's risk for oral disease and how to prevent future disease. Identifies the barriers, oral health care needs, and preventive strategies for special populations such as children, the elderly, and the physically or mentally disabled. Explores the development of a culturally sensitive dental practice and strategies to make the dental environment more welcoming to individuals with different cultural backgrounds. Discusses how to gather patient information, the synthesis of the patient's data, and the application of the information collected in order to evaluate the patient's risk for disease.

Access to oral health services is a problem for all segments of the U.S. population, and especially problematic for vulnerable populations, such as rural and underserved populations. The many challenges to improving access to oral health services include the lack of coordination and integration among the oral health, public health, and medical health care systems; misaligned payment and education systems that focus on the treatment of dental disease rather than prevention; the lack of a robust evidence base for many dental procedures and workforce models; and regulatory barriers that prevent the exploration of alternative models of care. This volume, the summary of a three-day workshop, evaluates the sufficiency of the U.S. oral health workforce to consider three key questions: What is the current status of access to oral health services for the U.S. population? What workforce strategies hold promise to improve access to oral health services? How can policy makers, state and federal governments, and oral health care providers and practitioners improve the regulations and structure of the oral health care system to improve access to oral health services?