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00:06:26Hi, I'm Dr. Dexter Brown, parodontist from Trinidad and Tobago,
00:06:29hi Caribbean, my name is Dr. Vigal, dentist at from your dentals
00:06:33and kits and nevis, I'm Jeff Masse, I'm a cardiologist in
00:06:37Barbados. Hi everyone, I'm Dr. Allison
00:06:41Mirs, specialist adontist based in barbados and you're
00:06:45watching Caribbean Medical TV. Today on Caribbean
00:06:48Medical TV, we examine how advanced dental care
00:06:52serves as a cornerstone for systemic wellness throughout our
00:06:56lives. Ask anyone who visits the Caribbean, what lingers in
00:07:00their memory, and they'll tell you it's the radiant warmth of its
00:07:03people. That grace is carried in our expressions, the
00:07:07vivid outward reflection of a deeply rooted cordiality.
00:07:11Preserving our dental. Health is certainly aesthetic
00:07:14pursuit, but more importantly, it's a vital gateway to our
00:07:18overall health. Later in the program, we look at the profound
00:07:22impact of early clinical intervention, profiling a dedicated
00:07:26organization, providing vital vision screenings and
00:07:29corrective lenses to primary school students across our
00:07:33communities.
00:07:37Dental standards in the Caribbean was always very high and now in the last,
00:07:41I would say 20-25. is we have indigenous schools here, so we
00:07:45have good schools and of course we have guys who've always gone abroad and got good
00:07:49education, solid education and continuous learning, so
00:07:52Caribbean people don't have to worry about dental health, they're in good hands,
00:07:56what as a Caribbean people we have to be more concerned about is an integrated
00:08:00approach to peridontal health. what i mean by that?
00:08:03mean peridontally what we need to look at is from
00:08:07very young age, our oral hygiene and link
00:08:10that to and cds: it is not just
00:08:14about the mouth, it is not just about that cargate smile,
00:08:18there's a lot more to dental
00:08:22health than than the smile and the white flashing teeth. a tooth is
00:08:26organ, so you shouldn't think about like, okay, it's just a tooth, no, it's not
00:08:30just a tooth, it's there for reason, is there to help you to
00:08:33shoot, is there to help you to speak, is there to help you with
00:08:37aesthetic, is there to help you, is there because they got a
00:08:40function, that's why is an organ. so now this day with all the medical advance that
00:08:44we have, you shouldn't be losing your teeth either for cavities or for peridontal
00:08:48disease, yet despite how deeply we treasure a healthy
00:08:52smile, the quiet habits of daily care are too often
00:08:55overlooked, leaving the door open to dental disease.
00:08:59pan disease is caused by infectious bacterial
00:09:03plaque, colorless white sticky
00:09:06substance that sits on your teeth. the bacterial plat contains
00:09:10toxins and those t break down the gum
00:09:13tissue and the bone, so as the toxins start to
00:09:17invade the gum tissue and the bone, what starts to happen is we
00:09:21start to develop what we call pockets, what pockets are
00:09:25essentially when the gum tissue starts to pull away from the teeth,
00:09:29when the gum tissue start to pull away the teeth, it starts to get deeper and
00:09:32deeper, and in those spaces there you have the
00:09:36development of certain types of bacteria which break down
00:09:40the bone and
00:09:41the the gumth.
00:09:42and the tissue surrounding the teeth, so your teeth eventually
00:09:46become weaker and mobile, and eventually over a period
00:09:50of time, your teeth may fall out or may become so
00:09:53mobile, person may have discomfort chewing, and
00:09:57may unsightly look, so we have to remove the teeth over a period of
00:10:01time. pan disease mainly affect the gum
00:10:05tissue, that the gingervitis based peridontal type of
00:10:08diseases and there also the adult peridontitis which tends.
00:10:12affect more the tissues below the gum line and the
00:10:16bone, so we see patients of all ages, mostly patients come to us for number
00:10:20of different reasons, they don't come to the dentist unless something's
00:10:24happening. and they don't realize that problem start from really really
00:10:27small, not for example, let's say not brushing and
00:10:31flasing daily, that's going to lead to dental decay, a dental decay is going to start
00:10:35like a small litter stain and then it's going to turn in a hole
00:10:39and then it's going to go and damage the nerve on the tooth and then that's going
00:10:43to lead to either a real canal treatment or an
00:10:46extraction, and every dental
00:10:49disease needs time, requires time to develop like
00:10:53fully, the mouth, is also the most
00:10:56grateful area in your whole body, anything that happens over there is going to
00:11:00heal really good like nothing happened before if you make sure that you do what you
00:11:04supposed to be doing. let's take for example gum
00:11:08disease. gums disease start from teenagers
00:11:12because they start accumulating plag and build up on the area. it's going to
00:11:15start just like the swelling the gums and if it doesn't treat
00:11:19properly is going to lead to loose teeth like
00:11:23mobile teeth and more likely lose those seat
00:11:27like end up on extraction or something like that because it's going to start losing
00:11:31bone and the bone is the support that your teeth have once you don't have the
00:11:34support these are coming out. neglect does more than dim the
00:11:38brilliance of smile. poor dental health is mirror for the rest
00:11:42the body, acting as silent warning sign or even the
00:11:46underlying cause of deeper medical conditions. one
00:11:50the infectious causes of heart disease that we we didn't
00:11:54we didn't look. at because we were so preoccupied with
00:11:58rehumatic fever affecting the valve is what the dentists are
00:12:01telling us to look at. periodontal
00:12:04disease. disease the
00:12:07gum can actually cause disease
00:12:11the valves the heart, not only the valves, but the muscles
00:12:14too. so a part of
00:12:18a thorough cardiac assessment in this
00:12:22age is referral to your dent. for the
00:12:26dentist to make sure that you do not have
00:12:29subterranean periodontal disease, so now
00:12:33there's a need for better line of communication between
00:12:37the cardiologists and the periodontal specialists or even your
00:12:41general dentist, because the bacterial
00:12:44infection, just like the bacterial infection of reumatic fever that we used to
00:12:48go to the tonsils, the bacterial infection the gums
00:12:52can also get into the bloodstream and and affect the
00:12:55heart. paradol disease has been linked to
00:12:59cardiovascular disease, diabetes and even
00:13:03respiratory disease. there are two mechanisms by which they operate,
00:13:07they operate one on the bacteria side where
00:13:10bacteria in your mouth enter into your bloodstream and have been known
00:13:14to attack the valves and the arteries for instance, and on
00:13:18the other side and immune system side. take for instance
00:13:22diabetes, high blood sugar interferes with immune
00:13:25control, so therefore people who are diabetics tend to have
00:13:29paranormal disease, because when your blood sugar tends to be high, it sends to
00:13:32interfare with immune control of your body. they
00:13:36could also cause some type of high blood pressure, they were
00:13:40doing an study that they prove that bacterias on the
00:13:43gums are related like really close to
00:13:47alzheimer and brain issues, so it's really important. another
00:13:51way to look at it, there is lot of systemic disease. that
00:13:55show up certain symptoms in your mouth, like for
00:13:59example, let's say lupus, lupus is disease that show symptoms in
00:14:03your mouth, they give you glocitis, is inflammation of your tongue,
00:14:06diabetic is going to give you serestomy, which reduce
00:14:10this celiver production that you have in your mold that it could lead to peridontal disease,
00:14:14basically peridontal disease is really related to diabetics and
00:14:18diabetics to the peridontal disease, a patient with peridontal disease we could
00:14:22suspect that is a patient with diabetes issues. sugar problem so when
00:14:26we see a patient for let's say first time and we see lot of issues with the
00:14:30perioddontal disease, a patient who is not healing as fast
00:14:34as he supposed to, we could always suspect that that's one the issues
00:14:37and we going to let them know like hey you should go and check your sugar because you might have
00:14:41some sugar issues, also that diabetic disease is gonna
00:14:45lead you into the peridontal problems,
00:14:49let's say for example a patient
00:14:53with that is been submit to cancer treatment like
00:14:56chemo or radiation therapy, they will have symptoms in
00:15:00their gums, they will have really sensitive,
00:15:04extremely sensitive gum and teeth. when we talk about over our
00:15:08health, that's why we
00:15:10have to be taking care of those things, because they could into something. you might be
00:15:14going through a process in that moment that it will give you
00:15:18more discomfort at the end the day if you don't take care of your mouth
00:15:21properly. regular visits with your dental hygienus are a
00:15:25essential strategy in safeguarding your well-being, and for those
00:15:29who view the dental chair with apprehension, take comfort.
00:15:33modern techniques and advanced technology have transformed dentistry
00:15:36offering gentle, seamless experience far beyond what you
00:15:40might expect. parents should have their children examined as early
00:15:44as six months. those visits may be quite simple, but it is
00:15:48important that the dentist is just making sure that things are
00:15:51developing as they should. sometimes the children can have little
00:15:54eruption cis, sometimes they may be other anomalies that at least
00:15:58if they're detected early we can then address, but a
00:16:02large part of
00:16:03it is also the socialization, getting that child who's never had
00:16:07a... problem accustomed to having their teeth examined,
00:16:10because that goes a long way in developing a comfortable
00:16:14child, a more comfortable teenager and a more comfortable
00:16:17adult. what we don't want is that the child or the young
00:16:21adult's first experience of dentistry is after they
00:16:25have had to think or worst case scenario trauma where they've had
00:16:29fall, because then that sets them up for lifetime of fear
00:16:33because their first experience was a traumatic one. right now we
00:16:37have like digital x-rays, we can actually see
00:16:40whether patients are losing bones, and part the diagnosis of gum
00:16:44disease depends on actually looking to see if we actually
00:16:48have bone loss as opposed to what may be a gingervitis where
00:16:52there may be some bleeding the gums, but no bone loss. we're
00:16:56also going to be getting to the point where maybe
00:16:58we can do what we call salivery diagnostics where we can take a sample of
00:17:02saliva to test for certain pathogens to see if there's a
00:17:06higher risk of gum disease. in those circumstances of course
00:17:09AI is extremely important right now in paradal disease too
00:17:13because number the labs are studying they're using
00:17:17AI to diagnose paradol disease what they able to
00:17:20diagnose is looking at the shape the bone to determine
00:17:24early whether people be exposed to paradol disease and with
00:17:283d cone beam x-rays and plugging in that into the AI what
00:17:31able to detect is your susceptibility to
00:17:35disease based on the use of AI and the x-ray
00:17:38technology, so they bringing both them together to diagnose
00:17:42peridonal disease early just based on the shape the
00:17:46bone and with the x-rays, so it's a very interesting diagnostic
00:17:49tool that is going to be very much on the horizon and paradol disease in
00:17:53next seven years. last couple of years we've seen the rise the pin
00:17:57hole techniques, most of those techniques are through california based
00:18:01doctor cho, with those techniques what we're using is
00:18:04collagen, so you're placing strips of collagen, through small
00:18:08holes into the tissue and you're finding that you
00:18:12getting resolution for multiple areas with recession,
00:18:16so the use of collagen, of course collagen is terribly exciting in the
00:18:19aesthetic world and aesthetic medicine, but now is is very very
00:18:23present in prayadontal disease, and of course these techniques are
00:18:27offered right here in the Caribbean from Bahamas to Trinidad, we have
00:18:31train professionals offering pinhole techniques,
00:18:35gum grafting, soft tissue grafting, quite interesting,
00:18:39another very exciting area in dentistry to
00:18:42come is using 3d printers, they are
00:18:45scanning defects in the bone, these in
00:18:493D printing, from those 3D printing the defects, what they are doing
00:18:53is using collagen to form what was the defect and
00:18:57place that immediately into the defect, so you're going to hear a lot
00:19:01about that to any upcoming years, so regeneration of bone can be
00:19:04done, we can regenerate some the bone and help to
00:19:08stabilize the teeth and basically help patients to save their
00:19:12teeth. most dentists or primary concern is actually trying to
00:19:16save the teeth that you have. however, we always have to have
00:19:19options if that's not possible, but controlling the gum disease,
00:19:23reducing the inflammation, making sure that the patient knows how to take
00:19:27care their mouth, how to brush and how to clean between their teeth, that's going
00:19:31to be the first two things that the dentist does. so we've heard lot about
00:19:35the advances made in mod dentistry and how well equipped our Caribbean
00:19:39dentists are, but of course there are still some deeply rooted
00:19:43concerns and fairs that have been passed on from generation to
00:19:47generation about visiting the dentist office. I
00:19:50think if they just go periodically to the dentists, they
00:19:54should avoid all those stuff. now these days let's say we really, we
00:19:58practically use anesthesia for almost all the procedures that are going to
00:20:01involve the high speed or anything that is going to
00:20:05involve to touch the tooth. even to cleanings we
00:20:09might use it if it's necessary, if the patient has too much buildup under it
00:20:13and we know the gums are going to hurt, we're just going to use it. another
00:20:17thing that our patients are scared about is the injection, they are afraid
00:20:21of needles, the needle is the less the problems, we numb their gums
00:20:24with topical anesthesia. i will tell our baby patients like it's just
00:20:28a toothpaste to num your gum right, and then they don't feel the
00:20:32needle, they might feel the liquid the medication which is just local
00:20:36anesthesia is going to normal. around the tooth, just only around the tooth that we're going to
00:20:40work, and it will give them like the numbness,
00:20:43enough numbness to the dentist be able to work on the tooth without them
00:20:47feeling any type of pain, before the... we're afraid of pain, now we tell
00:20:51them, oh we're going to get you num, we always explain them that the injection is
00:20:55the last the problems, you don't have to worry about that, all the fears in your
00:20:59mind, and once you train your your mind like you're going to be fine, you have
00:21:03all the power to do that, to train yourself, you're going to be fine, then you just school, just go
00:21:07ahead, while the dentist care is indispensable, the
00:21:10true foundation is built at home, instilling mindful health
00:21:14practices from early age ensures that vibrant smile
00:21:18remains a lifel companion and a
00:21:22day-to-day basis, i think the dentist tell me that the
00:21:25bacterial overgrowth is greatest at night, so after
00:21:29you've had your sumptuous dinner at restaurant and you go home, the last
00:21:33thing you really should be doing is cleaning and flossing before you go to
00:21:37bed, because for some other reason the bacteria seem
00:21:41to be very active at night, and if the bacteria have
00:21:44stuff to to be active on, it's it's even worse, so
00:21:48a very simple strip. forward level, one the
00:21:52recommendations is the cleaning before you go to
00:21:55bed so that you decrease the environment in
00:21:59which those bacteria could prosper. a minimum
00:22:03we want to have a good toothbrush, we want to be brushing our teeth, but we
00:22:07also want to clean between our teeth as
00:22:10well. as dental professionals, we encourage the
00:22:14public to reduce sugar intake, and of course you always use
00:22:18a fluoride-based toothpaste. Also as Caribbean people, we may
00:22:22need to adjust the type of toothpaste which best fits your knees, the
00:22:26tarta control toothpaste, the cavity control toothpaste, are
00:22:30wide mirad of types and adjust the ones which best suits your
00:22:33needs, keep your tata low, keep cavities, low, of
00:22:37course your whiteners and all these things, but always try to use a
00:22:41fluoride based toothpaste for the very least. Fluorid is very
00:22:45good at helping to strengthen our teeth and make them more resistant to
00:22:49decay. and this is relevant not only if it is that
00:22:52you have gum disease, but if you don't have gum disease. i would
00:22:56also say if you've had gum disease, it also means that you've
00:23:00probably had some of your gum receded and your roots are
00:23:04exposed, and our roots are significantly weaker, not as
00:23:07resistant to decay as the crown where you have the enamel, so having
00:23:11fluoride to clean the roots is also very important to make sure that
00:23:15these exposed roots do not become decayed. with respect to mouth
00:23:19washing. i will say it isn't a scenario where you must use
00:23:23mouth wash, there may be times where you have infection that's quite
00:23:27acute at that time, or if you've had a dental procedure and
00:23:31you're not able to brush as well at that time, that we may advise
00:23:35particular antibacterial mouth washes, but the regular day-to-day
00:23:39use of mouth wash is not a standard recommendation for all
00:23:42patients, but it may be given to a particular patient a case by
00:23:46case, particularly if they have a challenge and brushing as thoroughly as
00:23:50would like them to brush. Thankfully, the timeless wisdom of
00:23:53daily cares changed very little over the years. Time and
00:23:57again, honoring these simple expert principles has proven
00:24:01to be our greatest defense. My message to you is that I
00:24:05urge you to take personal responsibility for your own
00:24:08health. Always remember everyday brush,
00:24:12floss, mouth wash, and visit your dentist as often as
00:24:16possible. No one should have be toothless, like no...
00:24:20but it should afford to lose one single tooth, all them are there
00:24:24for reason and we need to make sure that they stay there,
00:24:27okay? just make sure that you do what you have to
00:24:31do and you keep them as much as possible
00:24:33and you keep them until you are just old and you just
00:24:37die with them, the you were born with them in your bone, you didn't knew about
00:24:40it, the follicular from the teeth are formed since
00:24:44the baby is in the belly in the woman, so you was born
00:24:48with them, you didn't saw them the... grow after, but you
00:24:52you have them there, so you should carry them with you. don't be afraid the
00:24:56dentists, we are fortunate in this time to have quite
00:25:00a large number of regionally trained dentists who are
00:25:04able to help you. we are able to look at your teeth,
00:25:07examine them and guide you. it isn't like years ago
00:25:11where you had to be afraid the van that came around. talk to your
00:25:15dentists, share with them your concerns, listen to what they
00:25:19have to say. It's really important to have your teeth
00:25:22examined, have your gums examined to make sure there's no
00:25:26disease, and then try to commit to seeing them regularly so that
00:25:30things don't get out of hand. Remember,
00:25:33unfortunately, just because it does not hurt does not mean
00:25:37that everything is okay. There are a lot of dental and oral diseases that
00:25:40will have no pain, but can become quite severe. We want
00:25:44to prevent you from losing your teeth, we want you to keep your gums and
00:25:48teeth healthy. We want you to be able to smile with
00:25:51confidence, so come to see us regularly and we will be able to
00:25:55assist you wherever possible. rest assured, healthy
00:25:59smile can endure for lifetime through the... power
00:26:02prevention, blending awareness, mindful habits and regular
00:26:06care, the iconic welcoming smiles of our Caribbean
00:26:10people will continue to shine as bright as ever.
00:26:14Up next on Caribbean Medical TV, we journey to Trinidad and
00:26:18Tobago, where the Rapid Fire Kids Foundation is restoring
00:26:22clarity and confidence to children through the gift of brand new
00:26:25eyeglasses. This is Caribbean Medical TV, and
00:26:29there's still a lot more to share with you.
00:26:37Hello, I am Nigel Batist, Group President and
00:26:41Chief Executive Officer of Republic Financial
00:26:44Holdings. The Republic group has always
00:26:48prioritized the holistic development the communities and
00:26:52the countries we serve. These include our
00:26:55collaborations with the diabetes and hypertension
00:26:58association of Barbadus and the Grenada.
00:27:02heart foundation to counteract the effects of
00:27:05chronic and non-communicable diseases. We've also
00:27:09invested in programs to promote good health overall while
00:27:13marrying food security. For us, this is just
00:27:17the beginning of our sustainability journey, which
00:27:20ultimately would lead to a Caribbean region that is
00:27:23safe, healthy and
00:27:26sustainable for many generations to
00:27:29come.
00:27:36Welcome back to Caribbean Medical TV. From the moment a child
00:27:40opens their eyes for the first time and sees the world, we
00:27:43take vision as a given. Sometimes we cannot even
00:27:47imagine what it might be like to be unable to see. That is
00:27:51until we start having difficulties in vision. The point a
00:27:55child's life when their eyes are still developing is often the period
00:27:59when they are presenting with vision issues. Many children.
00:28:02complain of having difficulty seeing and following what's going on in the
00:28:06classroom, and proper eyecare can go a long way in
00:28:09supporting them. Knowing well the challenges that many families
00:28:13face in getting this care for their child, the Rapid Fire Kids Foundation of
00:28:17Trinidad and Tobago has taken steps to help children who need
00:28:21important optical intervention. The project officially began
00:28:25in 2014 and what we found was that as a
00:28:29children's charity, we used to get lot of requests.
00:28:33from parents for eye glasses for their kids, so we
00:28:37got to thinking, this suggested to us that
00:28:40there was a need for this type of assistance,
00:28:44so we brainstormed and discussed it with a couple experts in the
00:28:48IK industry, and that is how the isright project was
00:28:52born in 2014, every single
00:28:55term, except when schools were closed for
00:28:58COVID, we have done the project in various parts the...
00:29:02country every term we have selected a minimum of
00:29:06two, maximum of three schools and our service
00:29:10provider cv optical goes into the schools and screens all the
00:29:13children from standard one up and all the children who require
00:29:17glasses regardless of whether their parents can afford or
00:29:21not, we supply it free of charge. republic bank
00:29:24limited partnered with us as a corporate sponsor the
00:29:28project, and they have been a worthy, relentless
00:29:32sponsor, They are the financing arm of this entire project and rapid
00:29:36fire is the I would call it the coordinating arm, so Republic Bank
00:29:40is now the corporate sponsor the isright project and it's
00:29:43been tremendously successful. Good
00:29:46health is also about
00:29:49vision. Healthy eyes are the
00:29:52foundation of a happy, confident
00:29:55childhood. We believe that seeing
00:29:59clearly shouldn't be a loveser. or
00:30:03privilege, it is basic right for
00:30:07every single child. scheduling your children
00:30:11for regular checkups and taking their comments about their vision
00:30:14seriously is an important step to ensuring they have
00:30:17good eye health. so there was this kind doctor
00:30:21and he allowed me to sit a chair and then he put
00:30:25device in front of me and he told me which
00:30:29type of frame would make me see clearer. and
00:30:33so he showed me different frames, after that he said that
00:30:36i would need to get glasses, and he said to some tips to
00:30:40get my eyes back healthy, like to stop spending so
00:30:44much time on my devices. that's how our life is now, you know, it's
00:30:48based around devices, around screens, even from young children now,
00:30:52when it comes to their schooling, their schooling involves some aspect of screen
00:30:56time just to get their work done for research projects for home.