Traditionally, general dentists have been reluctant to treat pregnant patients due to uncertainty of the risks that might be imposed on both the mother and the fetus. However, preventive, emergency, and routine dental procedures are all suitable during various phases of a pregnancy, with some treatment modifications and initial planning. This article will review some of the physiologic changes and oral pathology associated with pregnancy, and how these alterations affect dental care for the patient. A brief discussion concerning the risks and benefits of radiation, certain medications, and pre-natal fluoride is also given. Additionally, an overview of possible obstetric emergencies that may arise during a general dental appointment is presented with treatment options outlined.
Two markers used to aid in the diagnosis and treatment of breast cancer were examined in the saliva of a cohort of 135 healthy women. The investigators detected the presence of cancer antigen 15-3 (CA 15-3) and c-erbB-2 in the saliva sampled from the 135 women. The marker concentrations for CA 15-3 and c-erbB-2 were also evaluated and compared in terms of tobacco usage, menopausal status, estrogen usage, systemic diseases, prescription medications, race, and age. The results of the study showed no association between the aforementioned variables and salivary marker concentrations. The results of this study establish a baseline for measuring the biomarkers in the saliva of women with no evidence of malignant disease and add further support to the notion that salivary concentrations of CA 15-3 and c-erbB-2 may be useful in the detection of breast cancer and/or the post operative follow-up of patients being treated for carcinoma of the breast.
A dire need for additional dental educators is emerging. This article reflects on the heavily skewed age groups of our current dental educators and the lack of sufficient new faculty to undertake the tasks of faculty members. A literature review is presented of previous studies monitoring the current demographics of dental faculty, projected trends, and factors that influence an individual's career choices concerning dental education involvement. Both intrinsic and extrinsic factors are explored to offer potential avenues for interesting, recruiting, and retaining qualified individuals as dental faculty. The goal of this article is to stimulate thought-provoking discussions and/or solutions within academic dentistry in regard to the question: Who will be our dental school faculty in the next decade?
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