TELEARUBA — broadcast
20260920 220000 UTC
425 transcript segments
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[00:06:26] Hi, I'm Dr. Dexter Brown, parodontist from Trinidad and Tobago,
[00:06:29] hi Caribbean, my name is Dr. Vigal, dentist at from your dentals
[00:06:33] and kits and nevis, I'm Jeff Masse, I'm a cardiologist in
[00:06:37] Barbados. Hi everyone, I'm Dr. Allison
[00:06:41] Mirs, specialist adontist based in barbados and you're
[00:06:45] watching Caribbean Medical TV. Today on Caribbean
[00:06:48] Medical TV, we examine how advanced dental care
[00:06:52] serves as a cornerstone for systemic wellness throughout our
[00:06:56] lives. Ask anyone who visits the Caribbean, what lingers in
[00:07:00] their memory, and they'll tell you it's the radiant warmth of its
[00:07:03] people. That grace is carried in our expressions, the
[00:07:07] vivid outward reflection of a deeply rooted cordiality.
[00:07:11] Preserving our dental. Health is certainly aesthetic
[00:07:14] pursuit, but more importantly, it's a vital gateway to our
[00:07:18] overall health. Later in the program, we look at the profound
[00:07:22] impact of early clinical intervention, profiling a dedicated
[00:07:26] organization, providing vital vision screenings and
[00:07:29] corrective lenses to primary school students across our
[00:07:33] communities.
[00:07:37] Dental standards in the Caribbean was always very high and now in the last,
[00:07:41] I would say 20-25. is we have indigenous schools here, so we
[00:07:45] have good schools and of course we have guys who've always gone abroad and got good
[00:07:49] education, solid education and continuous learning, so
[00:07:52] Caribbean people don't have to worry about dental health, they're in good hands,
[00:07:56] what as a Caribbean people we have to be more concerned about is an integrated
[00:08:00] approach to peridontal health. what i mean by that?
[00:08:03] mean peridontally what we need to look at is from
[00:08:07] very young age, our oral hygiene and link
[00:08:10] that to and cds: it is not just
[00:08:14] about the mouth, it is not just about that cargate smile,
[00:08:18] there's a lot more to dental
[00:08:22] health than than the smile and the white flashing teeth. a tooth is
[00:08:26] organ, so you shouldn't think about like, okay, it's just a tooth, no, it's not
[00:08:30] just a tooth, it's there for reason, is there to help you to
[00:08:33] shoot, is there to help you to speak, is there to help you with
[00:08:37] aesthetic, is there to help you, is there because they got a
[00:08:40] function, that's why is an organ. so now this day with all the medical advance that
[00:08:44] we have, you shouldn't be losing your teeth either for cavities or for peridontal
[00:08:48] disease, yet despite how deeply we treasure a healthy
[00:08:52] smile, the quiet habits of daily care are too often
[00:08:55] overlooked, leaving the door open to dental disease.
[00:08:59] pan disease is caused by infectious bacterial
[00:09:03] plaque, colorless white sticky
[00:09:06] substance that sits on your teeth. the bacterial plat contains
[00:09:10] toxins and those t break down the gum
[00:09:13] tissue and the bone, so as the toxins start to
[00:09:17] invade the gum tissue and the bone, what starts to happen is we
[00:09:21] start to develop what we call pockets, what pockets are
[00:09:25] essentially when the gum tissue starts to pull away from the teeth,
[00:09:29] when the gum tissue start to pull away the teeth, it starts to get deeper and
[00:09:32] deeper, and in those spaces there you have the
[00:09:36] development of certain types of bacteria which break down
[00:09:40] the bone and
[00:09:41] the the gumth.
[00:09:42] and the tissue surrounding the teeth, so your teeth eventually
[00:09:46] become weaker and mobile, and eventually over a period
[00:09:50] of time, your teeth may fall out or may become so
[00:09:53] mobile, person may have discomfort chewing, and
[00:09:57] may unsightly look, so we have to remove the teeth over a period of
[00:10:01] time. pan disease mainly affect the gum
[00:10:05] tissue, that the gingervitis based peridontal type of
[00:10:08] diseases and there also the adult peridontitis which tends.
[00:10:12] affect more the tissues below the gum line and the
[00:10:16] bone, so we see patients of all ages, mostly patients come to us for number
[00:10:20] of different reasons, they don't come to the dentist unless something's
[00:10:24] happening. and they don't realize that problem start from really really
[00:10:27] small, not for example, let's say not brushing and
[00:10:31] flasing daily, that's going to lead to dental decay, a dental decay is going to start
[00:10:35] like a small litter stain and then it's going to turn in a hole
[00:10:39] and then it's going to go and damage the nerve on the tooth and then that's going
[00:10:43] to lead to either a real canal treatment or an
[00:10:46] extraction, and every dental
[00:10:49] disease needs time, requires time to develop like
[00:10:53] fully, the mouth, is also the most
[00:10:56] grateful area in your whole body, anything that happens over there is going to
[00:11:00] heal really good like nothing happened before if you make sure that you do what you
[00:11:04] supposed to be doing. let's take for example gum
[00:11:08] disease. gums disease start from teenagers
[00:11:12] because they start accumulating plag and build up on the area. it's going to
[00:11:15] start just like the swelling the gums and if it doesn't treat
[00:11:19] properly is going to lead to loose teeth like
[00:11:23] mobile teeth and more likely lose those seat
[00:11:27] like end up on extraction or something like that because it's going to start losing
[00:11:31] bone and the bone is the support that your teeth have once you don't have the
[00:11:34] support these are coming out. neglect does more than dim the
[00:11:38] brilliance of smile. poor dental health is mirror for the rest
[00:11:42] the body, acting as silent warning sign or even the
[00:11:46] underlying cause of deeper medical conditions. one
[00:11:50] the infectious causes of heart disease that we we didn't
[00:11:54] we didn't look. at because we were so preoccupied with
[00:11:58] rehumatic fever affecting the valve is what the dentists are
[00:12:01] telling us to look at. periodontal
[00:12:04] disease. disease the
[00:12:07] gum can actually cause disease
[00:12:11] the valves the heart, not only the valves, but the muscles
[00:12:14] too. so a part of
[00:12:18] a thorough cardiac assessment in this
[00:12:22] age is referral to your dent. for the
[00:12:26] dentist to make sure that you do not have
[00:12:29] subterranean periodontal disease, so now
[00:12:33] there's a need for better line of communication between
[00:12:37] the cardiologists and the periodontal specialists or even your
[00:12:41] general dentist, because the bacterial
[00:12:44] infection, just like the bacterial infection of reumatic fever that we used to
[00:12:48] go to the tonsils, the bacterial infection the gums
[00:12:52] can also get into the bloodstream and and affect the
[00:12:55] heart. paradol disease has been linked to
[00:12:59] cardiovascular disease, diabetes and even
[00:13:03] respiratory disease. there are two mechanisms by which they operate,
[00:13:07] they operate one on the bacteria side where
[00:13:10] bacteria in your mouth enter into your bloodstream and have been known
[00:13:14] to attack the valves and the arteries for instance, and on
[00:13:18] the other side and immune system side. take for instance
[00:13:22] diabetes, high blood sugar interferes with immune
[00:13:25] control, so therefore people who are diabetics tend to have
[00:13:29] paranormal disease, because when your blood sugar tends to be high, it sends to
[00:13:32] interfare with immune control of your body. they
[00:13:36] could also cause some type of high blood pressure, they were
[00:13:40] doing an study that they prove that bacterias on the
[00:13:43] gums are related like really close to
[00:13:47] alzheimer and brain issues, so it's really important. another
[00:13:51] way to look at it, there is lot of systemic disease. that
[00:13:55] show up certain symptoms in your mouth, like for
[00:13:59] example, let's say lupus, lupus is disease that show symptoms in
[00:14:03] your mouth, they give you glocitis, is inflammation of your tongue,
[00:14:06] diabetic is going to give you serestomy, which reduce
[00:14:10] this celiver production that you have in your mold that it could lead to peridontal disease,
[00:14:14] basically peridontal disease is really related to diabetics and
[00:14:18] diabetics to the peridontal disease, a patient with peridontal disease we could
[00:14:22] suspect that is a patient with diabetes issues. sugar problem so when
[00:14:26] we see a patient for let's say first time and we see lot of issues with the
[00:14:30] perioddontal disease, a patient who is not healing as fast
[00:14:34] as he supposed to, we could always suspect that that's one the issues
[00:14:37] and we going to let them know like hey you should go and check your sugar because you might have
[00:14:41] some sugar issues, also that diabetic disease is gonna
[00:14:45] lead you into the peridontal problems,
[00:14:49] let's say for example a patient
[00:14:53] with that is been submit to cancer treatment like
[00:14:56] chemo or radiation therapy, they will have symptoms in
[00:15:00] their gums, they will have really sensitive,
[00:15:04] extremely sensitive gum and teeth. when we talk about over our
[00:15:08] health, that's why we
[00:15:10] have to be taking care of those things, because they could into something. you might be
[00:15:14] going through a process in that moment that it will give you
[00:15:18] more discomfort at the end the day if you don't take care of your mouth
[00:15:21] properly. regular visits with your dental hygienus are a
[00:15:25] essential strategy in safeguarding your well-being, and for those
[00:15:29] who view the dental chair with apprehension, take comfort.
[00:15:33] modern techniques and advanced technology have transformed dentistry
[00:15:36] offering gentle, seamless experience far beyond what you
[00:15:40] might expect. parents should have their children examined as early
[00:15:44] as six months. those visits may be quite simple, but it is
[00:15:48] important that the dentist is just making sure that things are
[00:15:51] developing as they should. sometimes the children can have little
[00:15:54] eruption cis, sometimes they may be other anomalies that at least
[00:15:58] if they're detected early we can then address, but a
[00:16:02] large part of
[00:16:03] it is also the socialization, getting that child who's never had
[00:16:07] a... problem accustomed to having their teeth examined,
[00:16:10] because that goes a long way in developing a comfortable
[00:16:14] child, a more comfortable teenager and a more comfortable
[00:16:17] adult. what we don't want is that the child or the young
[00:16:21] adult's first experience of dentistry is after they
[00:16:25] have had to think or worst case scenario trauma where they've had
[00:16:29] fall, because then that sets them up for lifetime of fear
[00:16:33] because their first experience was a traumatic one. right now we
[00:16:37] have like digital x-rays, we can actually see
[00:16:40] whether patients are losing bones, and part the diagnosis of gum
[00:16:44] disease depends on actually looking to see if we actually
[00:16:48] have bone loss as opposed to what may be a gingervitis where
[00:16:52] there may be some bleeding the gums, but no bone loss. we're
[00:16:56] also going to be getting to the point where maybe
[00:16:58] we can do what we call salivery diagnostics where we can take a sample of
[00:17:02] saliva to test for certain pathogens to see if there's a
[00:17:06] higher risk of gum disease. in those circumstances of course
[00:17:09] AI is extremely important right now in paradal disease too
[00:17:13] because number the labs are studying they're using
[00:17:17] AI to diagnose paradol disease what they able to
[00:17:20] diagnose is looking at the shape the bone to determine
[00:17:24] early whether people be exposed to paradol disease and with
[00:17:28] 3d cone beam x-rays and plugging in that into the AI what
[00:17:31] able to detect is your susceptibility to
[00:17:35] disease based on the use of AI and the x-ray
[00:17:38] technology, so they bringing both them together to diagnose
[00:17:42] peridonal disease early just based on the shape the
[00:17:46] bone and with the x-rays, so it's a very interesting diagnostic
[00:17:49] tool that is going to be very much on the horizon and paradol disease in
[00:17:53] next seven years. last couple of years we've seen the rise the pin
[00:17:57] hole techniques, most of those techniques are through california based
[00:18:01] doctor cho, with those techniques what we're using is
[00:18:04] collagen, so you're placing strips of collagen, through small
[00:18:08] holes into the tissue and you're finding that you
[00:18:12] getting resolution for multiple areas with recession,
[00:18:16] so the use of collagen, of course collagen is terribly exciting in the
[00:18:19] aesthetic world and aesthetic medicine, but now is is very very
[00:18:23] present in prayadontal disease, and of course these techniques are
[00:18:27] offered right here in the Caribbean from Bahamas to Trinidad, we have
[00:18:31] train professionals offering pinhole techniques,
[00:18:35] gum grafting, soft tissue grafting, quite interesting,
[00:18:39] another very exciting area in dentistry to
[00:18:42] come is using 3d printers, they are
[00:18:45] scanning defects in the bone, these in
[00:18:49] 3D printing, from those 3D printing the defects, what they are doing
[00:18:53] is using collagen to form what was the defect and
[00:18:57] place that immediately into the defect, so you're going to hear a lot
[00:19:01] about that to any upcoming years, so regeneration of bone can be
[00:19:04] done, we can regenerate some the bone and help to
[00:19:08] stabilize the teeth and basically help patients to save their
[00:19:12] teeth. most dentists or primary concern is actually trying to
[00:19:16] save the teeth that you have. however, we always have to have
[00:19:19] options if that's not possible, but controlling the gum disease,
[00:19:23] reducing the inflammation, making sure that the patient knows how to take
[00:19:27] care their mouth, how to brush and how to clean between their teeth, that's going
[00:19:31] to be the first two things that the dentist does. so we've heard lot about
[00:19:35] the advances made in mod dentistry and how well equipped our Caribbean
[00:19:39] dentists are, but of course there are still some deeply rooted
[00:19:43] concerns and fairs that have been passed on from generation to
[00:19:47] generation about visiting the dentist office. I
[00:19:50] think if they just go periodically to the dentists, they
[00:19:54] should avoid all those stuff. now these days let's say we really, we
[00:19:58] practically use anesthesia for almost all the procedures that are going to
[00:20:01] involve the high speed or anything that is going to
[00:20:05] involve to touch the tooth. even to cleanings we
[00:20:09] might use it if it's necessary, if the patient has too much buildup under it
[00:20:13] and we know the gums are going to hurt, we're just going to use it. another
[00:20:17] thing that our patients are scared about is the injection, they are afraid
[00:20:21] of needles, the needle is the less the problems, we numb their gums
[00:20:24] with topical anesthesia. i will tell our baby patients like it's just
[00:20:28] a toothpaste to num your gum right, and then they don't feel the
[00:20:32] needle, they might feel the liquid the medication which is just local
[00:20:36] anesthesia is going to normal. around the tooth, just only around the tooth that we're going to
[00:20:40] work, and it will give them like the numbness,
[00:20:43] enough numbness to the dentist be able to work on the tooth without them
[00:20:47] feeling any type of pain, before the... we're afraid of pain, now we tell
[00:20:51] them, oh we're going to get you num, we always explain them that the injection is
[00:20:55] the last the problems, you don't have to worry about that, all the fears in your
[00:20:59] mind, and once you train your your mind like you're going to be fine, you have
[00:21:03] all the power to do that, to train yourself, you're going to be fine, then you just school, just go
[00:21:07] ahead, while the dentist care is indispensable, the
[00:21:10] true foundation is built at home, instilling mindful health
[00:21:14] practices from early age ensures that vibrant smile
[00:21:18] remains a lifel companion and a
[00:21:22] day-to-day basis, i think the dentist tell me that the
[00:21:25] bacterial overgrowth is greatest at night, so after
[00:21:29] you've had your sumptuous dinner at restaurant and you go home, the last
[00:21:33] thing you really should be doing is cleaning and flossing before you go to
[00:21:37] bed, because for some other reason the bacteria seem
[00:21:41] to be very active at night, and if the bacteria have
[00:21:44] stuff to to be active on, it's it's even worse, so
[00:21:48] a very simple strip. forward level, one the
[00:21:52] recommendations is the cleaning before you go to
[00:21:55] bed so that you decrease the environment in
[00:21:59] which those bacteria could prosper. a minimum
[00:22:03] we want to have a good toothbrush, we want to be brushing our teeth, but we
[00:22:07] also want to clean between our teeth as
[00:22:10] well. as dental professionals, we encourage the
[00:22:14] public to reduce sugar intake, and of course you always use
[00:22:18] a fluoride-based toothpaste. Also as Caribbean people, we may
[00:22:22] need to adjust the type of toothpaste which best fits your knees, the
[00:22:26] tarta control toothpaste, the cavity control toothpaste, are
[00:22:30] wide mirad of types and adjust the ones which best suits your
[00:22:33] needs, keep your tata low, keep cavities, low, of
[00:22:37] course your whiteners and all these things, but always try to use a
[00:22:41] fluoride based toothpaste for the very least. Fluorid is very
[00:22:45] good at helping to strengthen our teeth and make them more resistant to
[00:22:49] decay. and this is relevant not only if it is that
[00:22:52] you have gum disease, but if you don't have gum disease. i would
[00:22:56] also say if you've had gum disease, it also means that you've
[00:23:00] probably had some of your gum receded and your roots are
[00:23:04] exposed, and our roots are significantly weaker, not as
[00:23:07] resistant to decay as the crown where you have the enamel, so having
[00:23:11] fluoride to clean the roots is also very important to make sure that
[00:23:15] these exposed roots do not become decayed. with respect to mouth
[00:23:19] washing. i will say it isn't a scenario where you must use
[00:23:23] mouth wash, there may be times where you have infection that's quite
[00:23:27] acute at that time, or if you've had a dental procedure and
[00:23:31] you're not able to brush as well at that time, that we may advise
[00:23:35] particular antibacterial mouth washes, but the regular day-to-day
[00:23:39] use of mouth wash is not a standard recommendation for all
[00:23:42] patients, but it may be given to a particular patient a case by
[00:23:46] case, particularly if they have a challenge and brushing as thoroughly as
[00:23:50] would like them to brush. Thankfully, the timeless wisdom of
[00:23:53] daily cares changed very little over the years. Time and
[00:23:57] again, honoring these simple expert principles has proven
[00:24:01] to be our greatest defense. My message to you is that I
[00:24:05] urge you to take personal responsibility for your own
[00:24:08] health. Always remember everyday brush,
[00:24:12] floss, mouth wash, and visit your dentist as often as
[00:24:16] possible. No one should have be toothless, like no...
[00:24:20] but it should afford to lose one single tooth, all them are there
[00:24:24] for reason and we need to make sure that they stay there,
[00:24:27] okay? just make sure that you do what you have to
[00:24:31] do and you keep them as much as possible
[00:24:33] and you keep them until you are just old and you just
[00:24:37] die with them, the you were born with them in your bone, you didn't knew about
[00:24:40] it, the follicular from the teeth are formed since
[00:24:44] the baby is in the belly in the woman, so you was born
[00:24:48] with them, you didn't saw them the... grow after, but you
[00:24:52] you have them there, so you should carry them with you. don't be afraid the
[00:24:56] dentists, we are fortunate in this time to have quite
[00:25:00] a large number of regionally trained dentists who are
[00:25:04] able to help you. we are able to look at your teeth,
[00:25:07] examine them and guide you. it isn't like years ago
[00:25:11] where you had to be afraid the van that came around. talk to your
[00:25:15] dentists, share with them your concerns, listen to what they
[00:25:19] have to say. It's really important to have your teeth
[00:25:22] examined, have your gums examined to make sure there's no
[00:25:26] disease, and then try to commit to seeing them regularly so that
[00:25:30] things don't get out of hand. Remember,
[00:25:33] unfortunately, just because it does not hurt does not mean
[00:25:37] that everything is okay. There are a lot of dental and oral diseases that
[00:25:40] will have no pain, but can become quite severe. We want
[00:25:44] to prevent you from losing your teeth, we want you to keep your gums and
[00:25:48] teeth healthy. We want you to be able to smile with
[00:25:51] confidence, so come to see us regularly and we will be able to
[00:25:55] assist you wherever possible. rest assured, healthy
[00:25:59] smile can endure for lifetime through the... power
[00:26:02] prevention, blending awareness, mindful habits and regular
[00:26:06] care, the iconic welcoming smiles of our Caribbean
[00:26:10] people will continue to shine as bright as ever.
[00:26:14] Up next on Caribbean Medical TV, we journey to Trinidad and
[00:26:18] Tobago, where the Rapid Fire Kids Foundation is restoring
[00:26:22] clarity and confidence to children through the gift of brand new
[00:26:25] eyeglasses. This is Caribbean Medical TV, and
[00:26:29] there's still a lot more to share with you.
[00:26:37] Hello, I am Nigel Batist, Group President and
[00:26:41] Chief Executive Officer of Republic Financial
[00:26:44] Holdings. The Republic group has always
[00:26:48] prioritized the holistic development the communities and
[00:26:52] the countries we serve. These include our
[00:26:55] collaborations with the diabetes and hypertension
[00:26:58] association of Barbadus and the Grenada.
[00:27:02] heart foundation to counteract the effects of
[00:27:05] chronic and non-communicable diseases. We've also
[00:27:09] invested in programs to promote good health overall while
[00:27:13] marrying food security. For us, this is just
[00:27:17] the beginning of our sustainability journey, which
[00:27:20] ultimately would lead to a Caribbean region that is
[00:27:23] safe, healthy and
[00:27:26] sustainable for many generations to
[00:27:29] come.
[00:27:36] Welcome back to Caribbean Medical TV. From the moment a child
[00:27:40] opens their eyes for the first time and sees the world, we
[00:27:43] take vision as a given. Sometimes we cannot even
[00:27:47] imagine what it might be like to be unable to see. That is
[00:27:51] until we start having difficulties in vision. The point a
[00:27:55] child's life when their eyes are still developing is often the period
[00:27:59] when they are presenting with vision issues. Many children.
[00:28:02] complain of having difficulty seeing and following what's going on in the
[00:28:06] classroom, and proper eyecare can go a long way in
[00:28:09] supporting them. Knowing well the challenges that many families
[00:28:13] face in getting this care for their child, the Rapid Fire Kids Foundation of
[00:28:17] Trinidad and Tobago has taken steps to help children who need
[00:28:21] important optical intervention. The project officially began
[00:28:25] in 2014 and what we found was that as a
[00:28:29] children's charity, we used to get lot of requests.
[00:28:33] from parents for eye glasses for their kids, so we
[00:28:37] got to thinking, this suggested to us that
[00:28:40] there was a need for this type of assistance,
[00:28:44] so we brainstormed and discussed it with a couple experts in the
[00:28:48] IK industry, and that is how the isright project was
[00:28:52] born in 2014, every single
[00:28:55] term, except when schools were closed for
[00:28:58] COVID, we have done the project in various parts the...
[00:29:02] country every term we have selected a minimum of
[00:29:06] two, maximum of three schools and our service
[00:29:10] provider cv optical goes into the schools and screens all the
[00:29:13] children from standard one up and all the children who require
[00:29:17] glasses regardless of whether their parents can afford or
[00:29:21] not, we supply it free of charge. republic bank
[00:29:24] limited partnered with us as a corporate sponsor the
[00:29:28] project, and they have been a worthy, relentless
[00:29:32] sponsor, They are the financing arm of this entire project and rapid
[00:29:36] fire is the I would call it the coordinating arm, so Republic Bank
[00:29:40] is now the corporate sponsor the isright project and it's
[00:29:43] been tremendously successful. Good
[00:29:46] health is also about
[00:29:49] vision. Healthy eyes are the
[00:29:52] foundation of a happy, confident
[00:29:55] childhood. We believe that seeing
[00:29:59] clearly shouldn't be a loveser. or
[00:30:03] privilege, it is basic right for
[00:30:07] every single child. scheduling your children
[00:30:11] for regular checkups and taking their comments about their vision
[00:30:14] seriously is an important step to ensuring they have
[00:30:17] good eye health. so there was this kind doctor
[00:30:21] and he allowed me to sit a chair and then he put
[00:30:25] device in front of me and he told me which
[00:30:29] type of frame would make me see clearer. and
[00:30:33] so he showed me different frames, after that he said that
[00:30:36] i would need to get glasses, and he said to some tips to
[00:30:40] get my eyes back healthy, like to stop spending so
[00:30:44] much time on my devices. that's how our life is now, you know, it's
[00:30:48] based around devices, around screens, even from young children now,
[00:30:52] when it comes to their schooling, their schooling involves some aspect of screen
[00:30:56] time just to get their work done for research projects for home.