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Help to drink your milk
practice classification, and whether the practice was limited to children. Only 22.2% of respondents cited the Internet as a source of information, with most citing dental journals, continuing education courses, and brochures and pamphlets. Discussion.—Many of the Manitoba dental practitioners were not aware of the CDA and AAPD recommendations regarding children’s first visit to the dentist. The average age recommended by the study respondents for a first visit was 24.8 months, more than a year later than the CDA and AAPD recommendations. Pediatricoriented practices (including both general practitioners and pediatric specialists), female practitioners, and recent graduates were more likely to recommend earlier visits. Limited access for young children may be a problem, based on these results, meaning that ECC preventive efforts may be less than effective.
Clinical Significance.—The patients at most risk for severe ECC depend on others for their oral hygiene care and access to preventive measures. Early dental visits are strongly encouraged by the major dental health organizations, but the message isn’t always reaching providers on the front lines. All dental practitioners should familiarize themselves with the preventive and treatment measures regarding ECC and seek to provide access to the populations at risk.
Stijacic T, Schroth RJ, Lawrence HP: Are Manitoba dentists aware of the recommendation for a first visit to the dentist by age 1 year? J Can Dent Assoc 74:903-903h, Dec 2008-Jan 2009 Reprints available from RJ Schroth, 507 – 715 McDermott Ave, Winnipeg, MB R3E 3P4, Canada; e-mail: [email protected]
EXTRACTS HELP TO DRINK YOUR MILK Desensitizing children with cow’s milk allergy may be possible with oral immunotherapy. Researchers at Johns Hopkins Hospital gave 20 allergic children gradually increasing doses of placebo or milk daily over 8 weeks. The children were then maintained at 500 mg (or 15 mL of milk) for 13 weeks. Adverse reactions were common, but 90% of them were transient and required no intervention. Before treatment most of the children developed symptoms after exposure to about 40 mg of milk. After treatment allergic responses did not occur in most children until they had consumed about 5140 mg of milk. The lowest dose of milk to cause a reaction after immunotherapy was 1340 mg, which was considered sufficient to protect against most accidental exposures. Post-treatment food challenge elicited reactions in 14 of 18 children, however, so the children may only be transiently desensitized. [Oral Immunotherapy Promising for Children with Milk Allergy. Journal of Allergy and Clinical Immunology, December 2008; reported by Reuters Health at http://www.reutershealth.com.]
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Issue 3
2009
121
Clinical Significance.—The patients at most risk for severe ECC depend on others for their oral hygiene care and access to preventive measures. Early dental visits are strongly encouraged by the major dental health organizations, but the message isn’t always reaching providers on the front lines. All dental practitioners should familiarize themselves with the preventive and treatment measures regarding ECC and seek to provide access to the populations at risk.
Stijacic T, Schroth RJ, Lawrence HP: Are Manitoba dentists aware of the recommendation for a first visit to the dentist by age 1 year? J Can Dent Assoc 74:903-903h, Dec 2008-Jan 2009 Reprints available from RJ Schroth, 507 – 715 McDermott Ave, Winnipeg, MB R3E 3P4, Canada; e-mail: [email protected]
EXTRACTS HELP TO DRINK YOUR MILK Desensitizing children with cow’s milk allergy may be possible with oral immunotherapy. Researchers at Johns Hopkins Hospital gave 20 allergic children gradually increasing doses of placebo or milk daily over 8 weeks. The children were then maintained at 500 mg (or 15 mL of milk) for 13 weeks. Adverse reactions were common, but 90% of them were transient and required no intervention. Before treatment most of the children developed symptoms after exposure to about 40 mg of milk. After treatment allergic responses did not occur in most children until they had consumed about 5140 mg of milk. The lowest dose of milk to cause a reaction after immunotherapy was 1340 mg, which was considered sufficient to protect against most accidental exposures. Post-treatment food challenge elicited reactions in 14 of 18 children, however, so the children may only be transiently desensitized. [Oral Immunotherapy Promising for Children with Milk Allergy. Journal of Allergy and Clinical Immunology, December 2008; reported by Reuters Health at http://www.reutershealth.com.]
Volume 54
Issue 3
2009
121