Dr. Hajeera Banu
As a dentist dedicated to advancing patient care, I am continually inspired by research that uncovers hidden intersections between oral health and systemic conditions. A recent study published in the British Dental Journal sheds light on a compelling link between dental caries and cystic fibrosis (CF), offering fresh perspectives for practitioners and patients alike. This exploration not only deepens our understanding of CF’s broader implications but also underscores the critical role of dentistry in holistic healthcare.
Cystic fibrosis, a genetic disorder primarily known for its impact on respiratory and digestive systems, presents unique challenges in oral health. The study highlights that individuals with CF are at an elevated risk of dental caries due to a combination of factors: altered salivary composition, frequent use of sugary medications, and dietary patterns often necessitated by their condition. These insights resonate deeply, as they remind us that oral health is not an isolated domain but a reflection of systemic well-being.
One of the study’s most striking findings is the role of saliva in this equation. In CF patients, salivary glands may produce thicker, less effective saliva, reducing its natural protective effects against caries. This compromised salivary flow, coupled with the high sugar content of medications like antibiotics or pancreatic enzyme supplements, creates a perfect storm for enamel demineralization. As a practitioner, I find this a poignant reminder of the need for tailored preventive strategies. Regular fluoride applications, salivary stimulants, and customized oral hygiene protocols could be transformative for these patients.
The research also emphasizes the importance of dietary management. CF patients often rely on high-calorie diets to maintain nutritional status, which can inadvertently increase caries risk. This presents an opportunity for dentists to collaborate with dietitians and CF care teams to design diets that balance caloric needs with oral health preservation. Simple measures, like encouraging water rinses after sugary snacks or timing medication doses away from meals, can make a significant difference.
What I find particularly inspiring is the study’s call for integrated care. Dentists are uniquely positioned to contribute to the multidisciplinary teams managing CF. By routinely screening for caries and educating patients on oral health risks, we can mitigate complications that might otherwise exacerbate their condition. This collaborative approach not only enhances clinical outcomes but also empowers patients, giving them agency over an aspect of their health they can actively manage.
However, challenges remain. The study points to the need for greater awareness among dental professionals about CF’s oral implications. Many practitioners may not routinely encounter CF patients, making it crucial to disseminate this knowledge through continuing education. Additionally, access to dental care can be a barrier for CF patients, who often juggle complex medical schedules. Here, innovations like teledentistry could bridge gaps, offering remote consultations to guide oral care routines.
As we reflect on these findings, the path forward is clear: dentistry must evolve to meet the nuanced needs of patients with chronic conditions like CF. At DentistryUnited, we are committed to championing such causes, fostering a community of practitioners who view oral health as a vital piece of the systemic puzzle. I urge my colleagues to delve into this research and consider how we can adapt our practices to better serve this vulnerable population.
Let us seize this opportunity to elevate care, ensuring that every patient with cystic fibrosis can smile confidently, knowing their oral health is in capable hands. Together, we can transform challenges into opportunities for healthier lives.
Dr. Hajeera Banu is a practicing dentist in India with a passion for integrating oral health into systemic care. She contributes regularly to DentistryUnited, inspiring professionals to embrace holistic approaches to dentistry.
Source: British Dental Journal, Volume 237, Pages 697–698 (2024), DOI: 10.1038/s41415-024-8269-8
About the Author
Dr. Hajeera Banu is a skilled dentist who graduated from RGUHS in 2014 and has since built a successful career in the field. With a strong focus on implants, restorative dentistry, and aligners, she has honed her expertise to offer her patients the highest level of care. Based in Mysore, India, Dr. Banu runs her own private practice, where she combines advanced dental techniques with a patient-centered approach.
Her passion for dentistry extends beyond her practice; she stays up-to-date with the latest advancements in the field to ensure she delivers the best outcomes. Outside of her professional life, Dr. Banu enjoys blogging, where she shares insights and experiences from her dental journey, as well as her love for cooking and traveling. These interests help to balance her dynamic lifestyle, and she continues to seek personal and professional growth in all aspects of her life.