dental care

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Why is it separate from medical insurance? And is it really insurance at all? Zachary Crockett goes in for a cleaning.

• SOURCES:
  • Brad Bolman, postdoctoral member of the School of Historical Studies at the Institute for Advanced Study.
  • Pamela Maragliano-Muniz, prosthodontist and chief editor for Dental Economics.
  • Wendell Potter, president of the Center for Health and Democracy; former executive at Cigna.

• RESOURCES:
  • "Dental Medical Loss Ratios: Understanding the Landscape in Massachusetts and Beyond," by Shaza Stevenson, Megan D’Alessandro, Sandra Wilkniss, and Nicole Evans (National Academy for State Health Policy Blog, 2023).
  • "Health Insurance Coverage in the United States: 2021," by Katherine Keisler-Starkey and Lisa N. Bunch (U.S. Census Bureau Reports, 2022).
  • "Medicare and Dental Coverage: A Closer Look," by Meredith Freed, Nancy Ochieng, Nolan Sroczynski, Anthony Damico, and Krutika Amin (KFF, 2021).
  • "Dentists’ Group Fights Plan to Cover Dental Benefits Under Medicare," by Julie Bykowicz (The Wall Street Journal, 2021).
  • "Antisocial Dentistry," by Brad Bolman (Hypocrite Reader, 2021).

• EXTRAS:
  • "'Insurance Is Sexy.' Discuss," by Freakonomics Radio (2023).
  • "Does Health Insurance Make You Healthier?" by Freakonomics, M.D. (2022).

It is with a very heavy heart that we let you know that Dr Uchenna Okoye died just a few weeks after this episode was recorded. She passed away at her home on the 15th September 2023.

We are heartbroken and shocked beyond measure at this news. At the wishes of her family and colleagues we’re sharing this episode with you as a tribute to her tremendous tenacity and talent, and to acknowledge the legacy she leaves in the world of dentistry. We really hope you can enjoy this episode in the spirit it was intended. 

For Menopause Awareness Month, leading cosmetic dentist Dr Uchenna Okoye joined Liz to help us better understand the changes the menopause can have on the mouth.

Uchenna shared the effects changing hormone levels can have on our mouth health at different life stages, such as pregnancy and menopause.

Liz and Uchenna discussed common oral symptoms of the menopause, such as gum disease and burning mouth syndrome, and shared oral hygiene hacks to care for our mouths.

The episode also covered the benefits of mouth taping, tongue scraping and chewing gum.

Links mentioned in the episode:

• Read Dr Uchenna Okoye and Dr Louise Newson’s oral health and menopause fact sheet
• Shop MYSMILE by Dr Uchenna Okoye
• Listen to our podcast on bladder health with Professor Vik Khullar

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Dr. Patricia Corby is Associate Professor of Oral Medicine and Associate Dean of Translational Research at Penn Dental Medicine. Her work focuses on the importance of providing dental services alongside critical public healthcare services, like cancer treatment. In this episode, Pat provides an overview of dental anatomy, the importance of oral hygiene to overall health, and the association of poor oral health and systemic diseases like cancer and diabetes. She addresses tooth decay, oral hygiene in children, the utility of dental products, and ideal oral care regimens for different populations. She also discusses issues specific to immunocompromised patients and those with chronic illnesses as well as her own research with cancer patients undergoing radiation treatment.

We discuss:

• Anatomy of teeth and the purpose of the dental pulp—a highly vascularized and innervated region of the tooth [3:00];
• Types of teeth and the different purpose they serve [14:15];
• Anatomy of the oral cavity, bacteria in the mouth, and what a healthy mouth looks like [18:10];
• Pat’s study demonstrating the importance of flossing [23:00];
• Detrimental effects of sugar and the importance of fluoride and oral hygiene [31:45];
• Oral health challenges for cancer patients and immunocompromised people [39:45];
• Pat’s current research on cancer patients undergoing radiation treatment and the oral health risks associated with human papilloma virus (HPV) [50:00];
• Periodontal disease: caries and root canals [57:30];
• The relationship between poor oral health and systemic health diseases [1:11:00];
• Potential connection between oral hygiene and COVID-19 [1:17:45];
• Dry mouth leading to oral infections and ways to prevent it [1:22:30];
• What determines the appearance of teeth, methods of teeth whitening, and whether you should remove mercury fillings [1:27:30];
• Importance of fluoride for preventing tooth decay, and dental care for children [1:32:45];
• Useful dental products: floss, electrics toothbrushes, and more [1:39:15];
• Ideal oral care regimens [1:47:30]; and
• More.

Trevor highlights some uplifting developments, Michael Kosta talks to Americans seeking dental care in Mexico, and singer-songwriter Halsey discusses her book "I Would Leave Me if I Could."

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