Donald Chi, University of Washington

For more than 50 million Americans, finding a dentist is a difficult – in some cases, impossible – proposition. Many rural communities don’t have a dentist. People of color and those with disabilities often lack access, and only about one-third of dentists accept Medicaid.

That’s why dental therapists – professionals who don’t have a full dentistry degree but are trained to provide basic dental care – are becoming increasingly popular. Dental therapists are now authorized to practice in 14 states, and they focus primarily on underserved populations.

Dr. Donald Chi, a pediatric dentist and professor of oral health sciences at the University of Washington, explains the kind of training that dental therapists receive, the critical need for them throughout the U.S., and how they have affected the communities they serve.

The Conversation has collaborated with SciLine to bring you highlights from the discussion, which have been edited for brevity and clarity.

Who lacks adequate dental care in the U.S.?

Donald Chi: Low-income people often have difficulty finding and accessing dental care. That population includes racial and ethnic minorities, people with disabilities or special health care needs, and people in rural areas who live a long distance from a dental office.

What are some of the effects of poor oral health?

Chi: Oral health touches every part of our lives as human beings. To eat, to socialize, to hold a job and to learn, you need your teeth, and you need them to be healthy.

Painful cavities can get in the way of sleeping, chewing your food and your employment. Imagine if you had missing teeth in the front of your mouth because you had them removed because of large cavities. There are numerous studies that show that people missing their front teeth can’t find or hold down jobs. Both the pain and aesthetic aspects of poor oral health can really create problems.

What are dental therapists, what training do they receive, and what services do they provide?

Chi: Dental therapists are a lot like physician assistants. They’re not full-fledged dentists, but they’ve received enough training to provide a limited set of dental procedures. Dental therapists typically get anywhere from two to four years of training after high school, and they’re trained to provide preventive care.

Dental therapists can administer cleanings and fluoride treatment as well as sealants, that is, coatings that protect your teeth from bacteria. And they can do some relatively simple procedures – for instance, small fillings and simple tooth extractions. But dentists are still needed for more complex treatments: bigger fillings, complicated tooth extractions, root canals, crowns and dentures.

Dental therapists are not substitutes for dentists. Dental therapists have a limited scope of practice, but that scope is critical.

In a community with lots of unmet dental care needs, dental therapists can put out small fires. Dentists can then focus on putting out the big fires. It’s a team-based effort – dental therapists work with dentists to make sure that all of a community’s needs are met.

In 2006, Alaska became the first state to authorize dental therapists. What did your research reveal about how Alaska’s plan worked?

Chi: What we found is that Medicaid recipients, both children and adults, were less likely to have teeth removed after the authorization of dental therapists. This meant that more people were keeping their teeth longer, and they were more likely to get preventive care, like fluoride treatment and cleanings.

What other lessons have you learned from other states with dental therapists?

Chi: The rest of the 13 states that have authorized dental therapists have dental therapy programs that have been running for fewer than 20 years, which is about how long Alaska’s program has run.

But we’ve seen data out of Minnesota showing that Medicaid enrollees were more likely to get dental care after dental therapy was introduced. And we see similar types of outcomes in other areas served by dental therapists. To see this almost immediate impact has just been remarkable.

Besides visiting the dentist, what other ways can people promote good oral health?

Chi: Healthy eating is a great way to promote oral hygiene, maintain tooth enamel and reduce the likelihood of gum disease.

I realize healthy eating can be hard because of the limited availability and the relatively high costs of healthy food. But minimizing the amount of sugar in your diet and staying away from juice and sugary beverages are both good ways to protect your teeth.

Brushing twice a day with a toothpaste that contains fluoride and drinking fluoridated water will also maintain good oral health.

Watch the full interview to hear more.

SciLine is a free service based at the American Association for the Advancement of Science, a nonprofit that helps journalists include scientific evidence and experts in their news stories.

Donald Chi, Professor of Oral Health Sciences, University of Washington

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Liam Courtney-Davies, University of Colorado Boulder; Christine Siddoway, Colorado College, and Rebecca Flowers, University of Colorado Boulder

Around 700 million years ago, the Earth cooled so much that scientists believe massive ice sheets encased the entire planet like a giant snowball. This global deep freeze, known as Snowball Earth, endured for tens of millions of years.

Yet, miraculously, early life not only held on, but thrived. When the ice melted and the ground thawed, complex multicellular life emerged, eventually leading to life-forms we recognize today.

The Snowball Earth hypothesis has been largely based on evidence from sedimentary rocks exposed in areas that once were along coastlines and shallow seas, as well as climate modeling. Physical evidence that ice sheets covered the interior of continents in warm equatorial regions had eluded scientists – until now.

In new research published in the Proceedings of the National Academy of Sciences, our team of geologists describes the missing link, found in an unusual pebbly sandstone encapsulated within the granite that forms Colorado’s Pikes Peak.

Solving a Snowball Earth mystery on a mountain

Pikes Peak, originally named Tavá Kaa-vi by the Ute people, lends its ancestral name, Tava, to these notable rocks. They are composed of solidified sand injectites, which formed in a similar manner to a medical injection when sand-rich fluid was forced into underlying rock.

A possible explanation for what created these enigmatic sandstones is the immense pressure of an overlying Snowball Earth ice sheet forcing sediment mixed with meltwater into weakened rock below.

An obstacle for testing this idea, however, has been the lack of an age for the rocks to reveal when the right geological circumstances existed for sand injection.

We found a way to solve that mystery, using veins of iron found alongside the Tava injectites, near Pikes Peak and elsewhere in Colorado.

Iron minerals contain very low amounts of naturally occurring radioactive elements, including uranium, which slowly decays to the element lead at a known rate. Recent advancements in laser-based radiometric dating allowed us to measure the ratio of uranium to lead isotopes in the iron oxide mineral hematite to reveal how long ago the individual crystals formed.

The iron veins appear to have formed both before and after the sand was injected into the Colorado bedrock: We found veins of hematite and quartz that both cut through Tava dikes and were crosscut by Tava dikes. That allowed us to figure out an age bracket for the sand injectites, which must have formed between 690 million and 660 million years ago.

So, what happened?

The time frame means these sandstones formed during the Cryogenian Period, from 720 million to 635 million years ago. The name is derived from “cold birth” in ancient Greek and is synonymous with climate upheaval and disruption of life on our planet – including Snowball Earth.

While the triggers for the extreme cold at that time are debated, prevailing theories involve changes in tectonic plate activity, including the release of particles into the atmosphere that reflected sunlight away from Earth. Eventually, a buildup of carbon dioxide from volcanic outgassing may have warmed the planet again.

The Tava found on Pikes Peak would have formed close to the equator within the heart of an ancient continent named Laurentia, which gradually over time and long tectonic cycles moved into its current northerly position in North America today.

The origin of Tava rocks has been debated for over 125 years, but the new technology allowed us to conclusively link them to the Cryogenian Snowball Earth period for the first time.

The scenario we envision for how the sand injection happened looks something like this:

A giant ice sheet with areas of geothermal heating at its base produced meltwater, which mixed with quartz-rich sediment below. The weight of the ice sheet created immense pressures that forced this sandy fluid into bedrock that had already been weakened over millions of years. Similar to fracking for natural gas or oil today, the pressure cracked the rocks and pushed the sandy meltwater in, eventually creating the injectites we see today.

Clues to another geologic puzzle

Not only do the new findings further cement the global Snowball Earth hypothesis, but the presence of Tava injectites within weak, fractured rocks once overridden by ice sheets provides clues about other geologic phenomena.

Time gaps in the rock record created through erosion and referred to as unconformities can be seen today across the United States, most famously at the Grand Canyon, where in places, over a billion years of time is missing. Unconformities occur when a sustained period of erosion removes and prevents newer layers of rock from forming, leaving an unconformable contact.

Our results support that a Great Unconformity near Pikes Peak must have been formed prior to Cryogenian Snowball Earth. That’s at odds with hypotheses that attribute the formation of the Great Unconformity to large-scale erosion by Snowball Earth ice sheets themselves.

We hope the secrets of these elusive Cryogenian rocks in Colorado will lead to the discovery of further terrestrial records of Snowball Earth. Such findings can help develop a clearer picture of our planet during climate extremes and the processes that led to the habitable planet we live on today.

Liam Courtney-Davies, Postdoctoral Research Associate in Geological Sciences, University of Colorado Boulder; Christine Siddoway, Professor of Geology, Colorado College, and Rebecca Flowers, Professor of Geological Sciences, University of Colorado Boulder

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Liam Courtney-Davies, University of Colorado Boulder; Christine Siddoway, Colorado College, and Rebecca Flowers, University of Colorado Boulder

Around 700 million years ago, the Earth cooled so much that scientists believe massive ice sheets encased the entire planet like a giant snowball. This global deep freeze, known as Snowball Earth, endured for tens of millions of years.

Yet, miraculously, early life not only held on, but thrived. When the ice melted and the ground thawed, complex multicellular life emerged, eventually leading to life-forms we recognize today.

The Snowball Earth hypothesis has been largely based on evidence from sedimentary rocks exposed in areas that once were along coastlines and shallow seas, as well as climate modeling. Physical evidence that ice sheets covered the interior of continents in warm equatorial regions had eluded scientists – until now.

In new research published in the Proceedings of the National Academy of Sciences, our team of geologists describes the missing link, found in an unusual pebbly sandstone encapsulated within the granite that forms Colorado’s Pikes Peak.

Solving a Snowball Earth mystery on a mountain

Pikes Peak, originally named Tavá Kaa-vi by the Ute people, lends its ancestral name, Tava, to these notable rocks. They are composed of solidified sand injectites, which formed in a similar manner to a medical injection when sand-rich fluid was forced into underlying rock.

A possible explanation for what created these enigmatic sandstones is the immense pressure of an overlying Snowball Earth ice sheet forcing sediment mixed with meltwater into weakened rock below.

An obstacle for testing this idea, however, has been the lack of an age for the rocks to reveal when the right geological circumstances existed for sand injection.

We found a way to solve that mystery, using veins of iron found alongside the Tava injectites, near Pikes Peak and elsewhere in Colorado.

Iron minerals contain very low amounts of naturally occurring radioactive elements, including uranium, which slowly decays to the element lead at a known rate. Recent advancements in laser-based radiometric dating allowed us to measure the ratio of uranium to lead isotopes in the iron oxide mineral hematite to reveal how long ago the individual crystals formed.

The iron veins appear to have formed both before and after the sand was injected into the Colorado bedrock: We found veins of hematite and quartz that both cut through Tava dikes and were crosscut by Tava dikes. That allowed us to figure out an age bracket for the sand injectites, which must have formed between 690 million and 660 million years ago.

So, what happened?

The time frame means these sandstones formed during the Cryogenian Period, from 720 million to 635 million years ago. The name is derived from “cold birth” in ancient Greek and is synonymous with climate upheaval and disruption of life on our planet – including Snowball Earth.

While the triggers for the extreme cold at that time are debated, prevailing theories involve changes in tectonic plate activity, including the release of particles into the atmosphere that reflected sunlight away from Earth. Eventually, a buildup of carbon dioxide from volcanic outgassing may have warmed the planet again.

The Tava found on Pikes Peak would have formed close to the equator within the heart of an ancient continent named Laurentia, which gradually over time and long tectonic cycles moved into its current northerly position in North America today.

The origin of Tava rocks has been debated for over 125 years, but the new technology allowed us to conclusively link them to the Cryogenian Snowball Earth period for the first time.

The scenario we envision for how the sand injection happened looks something like this:

A giant ice sheet with areas of geothermal heating at its base produced meltwater, which mixed with quartz-rich sediment below. The weight of the ice sheet created immense pressures that forced this sandy fluid into bedrock that had already been weakened over millions of years. Similar to fracking for natural gas or oil today, the pressure cracked the rocks and pushed the sandy meltwater in, eventually creating the injectites we see today.

Clues to another geologic puzzle

Not only do the new findings further cement the global Snowball Earth hypothesis, but the presence of Tava injectites within weak, fractured rocks once overridden by ice sheets provides clues about other geologic phenomena.

Time gaps in the rock record created through erosion and referred to as unconformities can be seen today across the United States, most famously at the Grand Canyon, where in places, over a billion years of time is missing. Unconformities occur when a sustained period of erosion removes and prevents newer layers of rock from forming, leaving an unconformable contact.

Our results support that a Great Unconformity near Pikes Peak must have been formed prior to Cryogenian Snowball Earth. That’s at odds with hypotheses that attribute the formation of the Great Unconformity to large-scale erosion by Snowball Earth ice sheets themselves.

We hope the secrets of these elusive Cryogenian rocks in Colorado will lead to the discovery of further terrestrial records of Snowball Earth. Such findings can help develop a clearer picture of our planet during climate extremes and the processes that led to the habitable planet we live on today.

Liam Courtney-Davies, Postdoctoral Research Associate in Geological Sciences, University of Colorado Boulder; Christine Siddoway, Professor of Geology, Colorado College, and Rebecca Flowers, Professor of Geological Sciences, University of Colorado Boulder

This article is republished from The Conversation under a Creative Commons license. Read the original article.