Tuesday, May 1, 2007

Oral Health in Alaska

Alaska is one of the largest state in the United States of America, about 2.3 times the size of Texas and about one-fifth the size of the Lower 48 states. Alaska has about 640,000 residents occupying 570,374 square miles, or 365,039,104 acres of land. As a young state, Alaska developed so many programs, as well in the Oral Health field, especially because Alaska is so wide with the variety population and spread in the whole Alaska bush, this program become very challenging. Historically a number of studies documented the low decay rates in Alaskan Native population. The traditional diet of natives in almost Alaska was rich in protein and fats and very low in sugars or other fermentable carbohydrates. The change of diets in native population also high rates soda consumption, with limited access to drinking water with fluoridation completing with limited access to dental provider in the rural Alaska are factor contributing to high rates of dental decay in Alaska.

4 comments:

siNGa [santribengal] said...

Dr. Evy, did you say that in Alaska's rural are minimum access for drinking water with fluoride and to dental provider.. my question is:

Why there are minimum access for minimum drinking... and Could you compare with rural indonesia?

sorry with my English

Evy., DDS., OMFS said...

:) Pak Santri
In US the water fluoridation is preparing by the state. The same in Indonesia in the rural there is no facility like PAM, thats why they just got the natural water which is maybe lack of fluor so they need to get another kind of fluor maybe from suplemen or aplication.

Susi said...

I think we must know about demineralization and remineralization teeth in oral cavity. The prcess always happen in oral cavity, coz human saliva full of enzym who break food debris that affecting acid. Outer layer enamel with fluor resistant to acid attack, but fluorattachment is a labil chemistry structure, topical aplication with fluor must reaplication twice a year, thats expensive and spent mucch money. Research had been prove that systemic fluor danger for brain, coz there will be residu in brain . . When demineralizaion is happen, calcium and phosphat release from inner layer of enamel. Fluorida ion is bigger than calcium and phosphat, so inner layer still empty and still danger for carious attack. If Calcium and Phosphat back to inner layer plus fluorapatite in outerlayer happen, thats ideal condition for teeth. Australia and Japan University has been research Casein. Casein is one derivate of milk, can bound calcium and phospat in saliva. CPP-ACP is pasta with casein calcium phosphat and can lead the mineral into dental plaque, outer layer and inner layer enamel. Sorry… see u next day. i promise finishing my opinion

Evy., DDS., OMFS said...

@Susi
so this is mean do you prefer topical aplication than systemic fluor? Well very interesting, if u could provide me with the resourcess that would be great, thanks