Friday, October 17, 2014

Carestream Dental Launches CS PracticeWorks Cloud, Offers Live Demos on CAD/CAM Stage at ADA 2014


SAN ANTONIO—Carestream Dental announced today at ADA 2014, the annual meeting of the American Dental Association, the launch of CS PracticeWorks Cloud. Carestream Dental is also showcasing its computer-aided design/computer-aided manufacturing portfolio, CS Solutions, on the Live-Patient CAD/CAM Stage. Both CS PracticeWorks Cloud and CS Solutions represent Carestream Dental’s continued commitment to workflow integration, humanized technology and diagnostic excellence in the field of dentistry.
CS PracticeWorks Cloud is Carestream Dental’s fourth cloud offering, joining CS SoftDent Cloud, CS Orthotrac Cloud and CS WinOMS Cloud. The platform gives practices the tools they need to work smarter, including a comprehensive set of scheduling, charting and financial features that can be accessed anytime, anywhere on a device with Internet capabilities. The cloud version of CS PracticeWorks also includes several features to enhance practices’ workflow such as the Patient Attachments and Doctor's Work Queue functionality; the eReminders module; and 2015 CDT codes, to name just a few features. ICD-10 codes for CS PracticeWorks Cloud will also be available in 2015.
Workflow has been greatly improved with Patient Attachments and Doctor's Work Queue, which gives practices the ability to attach any kind of document to a patient record; easy labeling and categorization features also makes searching for these attachments more efficient. This feature allows users to flag a patient attachment as "requiring doctor's review," which will move it into a queue for the doctor to review and acknowledge.
Studies have shown that using appointment reminders can reduce no-shows by up to 30 percent. The eReminders module allows practices to connect with their patients through text messages, emails or voicemails. Users simply select a contact message and specify a timeframe and frequency and messages are sent automatically; no user intervention is required.
“One of the unique features of using CS PracticeWorks on a cloud platform is that, as we continue to enhance the product, all upgrades are made automatically,” Matt Ackerman, senior product line manager, CS PracticeWorks, said. “Practices will always be using the most up-to-date version of CS PracticeWorks because Carestream Dental takes care of upgrading practices remotely. Other benefits include secure, HIPPA-compliant storage of patient files, automatic backups and even fewer physical paper files around the office.”  
Also at ADA 2014, Daniel Delrose, D.D.S., is presenting live 30-minute demonstrations of CS Solutions, Carestream Dental’s CAD/CAM portfolio, at the Live-Patient CAD/CAM Stage. Attendees can see how CS Solutions keeps the entire process within a practice to provide more control, save time and keep patients happier. Delrose will perform procedures step-by-step and take questions from the audience in this interactive session. Demonstrations are held twice a day, Thursday, Oct. 9 through Saturday, Oct. 11, at the Henry B. Gonzalez Convention Center.
CS Solutions, made available for the first time at ADA 2013, is an open CAD/CAM system that allows users to opt for the workflow that is best for their practice, such as handling the entire restoration process in-house or capturing scans and sharing files with one of hundreds of preferred labs around the country. Tools in the CS Solution portfolio include the CS 3500 intraoral scanner, CS Restore software and the CS 3000 milling machine.
ADA 2014 takes place Oct. 9-14, San Antonio, Texas, at the Henry B. Gonzalez Convention Center. Carestream Dental is exhibiting all of its latest products in booth #2300, Oct. 9-11.
For more information on Carestream Dental’s innovative solutions, please call 800.944.6365 or visit www.carestreamdental.com.
About Carestream Dental
Carestream Dental provides industry-leading imaging, CAD/CAM, software and practice management solutions for dental and oral health professionals. With more than 100 years of industry experience, Carestream Dental products are used by seven out of 10 practitioners globally and deliver more precise diagnoses, improved workflows and superior patient care. For more information or to contact a Carestream Dental representative, call 800.944.6365 or visit www.carestreamdental.com.

About Carestream Health
Carestream is a worldwide provider of dental and medical imaging systems and IT solutions; X-ray imaging systems for non-destructive testing and advanced materials for the precision films and electronics markets. For more information about the company’s broad portfolio of products, solutions and services, please contact your Carestream representative, call 888.777.2072 or visit www.carestream.com.

Thursday, October 16, 2014

Guidance to Dental Professionals on the Ebola Virus from the ADA


A person infected with Ebola is not considered contagious until symptoms appear. Due to the virulent nature of the disease, it is highly unlikely that someone with Ebola symptoms will seek dental care when they are severely ill. However, according to the Centers for Disease Control and Prevention and the ADA Division of Science, dental professionals are advised to take a medical history, including a travel history from their patients with symptoms in which a viral infection is suspected.
Any person within 21 days of returning from the West African countries Liberia, Sierra Leone and Guinea may be at risk of having contacted persons infected with Ebola and may not exhibit symptoms. If this is the case, dental professionals are advised to delay routine dental care of the patient until 21 days have elapsed from their trip. Palliative care for serious oral health conditions, dental infections and pain can be provided if necessary after consulting with the patient’s physician and conforming to standard precautions and physical barriers.
An elevated temperature (fever) is often a consequence of infection, but Ebola is not the only infection that may have similar signs and symptoms. The most common signs and symptoms of Ebola infection are:
  • fever (greater than 38.6°C or 101.5°F) and severe headache
  • muscle pain
  • vomiting
  • diarrhea
  • stomach pain or unexplained bleeding or bruising
You are advised not to treat dental patients if they have these signs and symptoms for Ebola. If a patient is feeling feverish and their travel history indicates they may be at risk of Ebola, dental professionals and staff in contact with the patient should:
  • immediately protect themselves by using standard precautions with physical barriers (gowns, masks, face protection, and gloves)
  • immediately call 911 on behalf of the patient
  • notify the appropriate state or local health department authorities
  • ask the health department to provide you and your staff with the most up-to-date guidance on removing and disposing of potentially contaminated materials and equipment, including the physical barriers. 
The Ebola virus is spread through direct contact (through broken skin or mucous membranes) with blood and body fluids (urine, feces, saliva, vomit and semen) of a person who is sick with Ebola, or with objects (like needles) that have been contaminated with the virus. Ebola is not spread through the air or by water or, in general, by food. Again, there is no reported risk of transmission of Ebola from asymptomatic infected patients.
Information and resources on Ebola are posted on the CDC’s website at cdc.gov. A checklist for healthcare providers (PDF) specific to Ebola is included on the site.
Please visit ADA.org/ebola for continued updates on this important public health issue.




Wednesday, October 15, 2014

AMD Lasers launches new web site

Indianapolis, IN – (October 15, 2014) – AMD LASERS, a global leader in dental lasers and dental laser education, is proud to announce the launch of its new awww.amdlasers.com.  The newly designed site provides an intuitive and easy-to-use experience for dental professionals looking for content on laser dentistry and Picasso laser technology.
nd improved website

"We are excited to launch our new website and e-store,” said Alan Miller, President and Founder of AMD LASERS. We redesigned our site to provide laser enthusiasts with a better online laser experience,” he mentioned. “The result is a fresh, new look with streamlined navigation and more content. Our products are known for their intuitiveness and simplicity, so we made sure to provide that same experience to our online visitors, whether they are looking for information on laser technology or making a purchase on our new e-store; we are proud of the end result and we know our online visitors will love it.” added Miller.

The new amdlasers.com includes the following site enhancements:
·         Improved Structure and Navigation: The site has been redesigned for an improved spacious layout, including intuitive navigation and an easy-to-use menu structure.
·         Simplified E-Commerce Experience: Users will now be able to register for an online account, view purchase history, see and quickly add related items to their cart, view wish lists and more.
·         Picasso Learning Center: More content has been added to provide a rich experience for visitors looking to learn about laser dentistry and Picasso laser technology.

To learn more about Picasso laser technology and to view the new website, please visit  www.amdlasers.com.

Tuesday, October 14, 2014

High levels of tooth decay found in UK three-year-olds

"Tooth decay affects 12% of three-year-olds, says survey," BBC News reports. The survey, carried out by Public Health England, found big variations in different parts of the country. Experts believe sugary drinks are to blame for this trend.
The survey looked at the prevalence and severity of tooth decay in three-year-old children in 2013. This is the first time the dental health of this age group has been surveyed nationally. It found 12% of children surveyed had tooth decay – more than one in eight children.
Tooth decay (also known as dental decay or dental caries) occurs when a sticky acidic film called plaque builds up on the teeth and begins to break down the tooth's surface. A diet high in sugar can help stimulate the production of plaque.
As it progresses, tooth decay can cause an infection of underlying gum tissue. This type of infection is known as a dental abscess and can be extremely painful.

Who produced the children's dental health report?

The survey and subsequent report was produced by Public Health England (PHE), part of the Department of Health. PHE's role is to protect and improve the nation's health and wellbeing, and reduce health inequalities.
This survey of the prevalence and severity of tooth decay in three-year-olds was performed to help identify which age group interventions to improve tooth decay should be aimed at.

What data did the report look at?

The report looked at the prevalence and severity of dental decay in three-year-old children in 2013. At three years of age most children have all 20 milk teeth (also known as primary teeth).
PHE randomly sampled children attending private and state-funded nurseries, as well as nursery classes attached to schools and playgroups. The children's teeth were examined to see if they had missing teeth, filled teeth or obvious signs of tooth decay.

What were the main findings of the report?

Of the 53,814 children included in the survey, 12% had dental decay. Of the children with dental decay, on average these children had at least three teeth that were decayed, missing or filled.
Across all the children included in the survey, the average number of decayed, missing or filled teeth was 0.36 per child.
The report found a wide variation in the levels of decay experienced by three-year-old children living in different parts of the country. The four regions with the most dental decay were:
  • the East Midlands
  • the north west
  • London
  • Yorkshire and the Humber

What are the implications of the report?

Where there are high levels of tooth decay among three-year-olds, Public Health England wants earlier interventions to target this younger age group, rather than waiting until the age of five (when these interventions usually take place).
Where there are high levels of tooth decay found in the primary incisors (a condition known as early childhood caries), PHE wants local organisations to tackle problems related to infant feeding practices.
Early childhood caries are associated with young children being given sugar-sweetened drinks in a bottle – especially when these are given overnight or for long periods of the day.
Where tooth decay levels increase sharply between the ages of three and five, PHE wants local organisations to tackle this by helping parents reduce the amount and frequency of sugary food and drinks their children have, as well as increasing the availability of fluoride.

Is fluoride safe?

There has been concern from some quarters that fluoride may be linked to a variety of health conditions.

Reviews of the risks have found no evidence to support these concerns, and the general consensus is that both fluoride toothpaste and water that contains the correct amount of fluoride have a significant benefit in reducing tooth decay.

Dental fluorosis (which can discolour teeth) can occur if a child's teeth are exposed to too much fluoride when they're developing. This is unlikely to cause problems for your child.

Conclusion

There are two important steps you can take to protect your children's teeth against tooth decay:
  • limit their consumption of sugar, especially sugary drinks
  • make sure they brush their teeth at least twice a day with fluoridated toothpaste

Sugar

Sugar causes tooth decay. Children who eat sweets every day have nearly twice as much decay as children who eat sweets less often.
This is caused not only by the amount of sugar in sweet food and drinks, but by how often the teeth are in contact with the sugar. This means sweet drinks in a bottle or feeder cup and lollipops are particularly damaging because they bathe the teeth in sugar for long periods of time. Acidic drinks such as fruit juice and squash can harm teeth, too.
Don't fall into the trap of thinking that a fruit juice advertised as "organic", "natural" or with "no added sugar" is inherently healthy. A standard 330ml carton of orange juice can contain almost as much sugar (30.4g) as a can of coke (around 39g).
As Dr Sandra White, director of dental public health at PHE, points out: "Posh sugar is no better than any other sugar … our key advice for [children] under three is to just have water and milk."

Tooth brushing

A regular teeth cleaning routine is essential for good dental health. Follow these tips and you can help keep your kids' teeth decay free:
  • Start brushing your baby's teeth with fluoride toothpaste as soon as the first milk tooth breaks through (usually at around six months, but it can be earlier or later). It's important to use a fluoride paste as this helps prevent and control tooth decay.
  • Children under the age of three can use a smear of family toothpaste containing at least 1,000ppm (parts per million) fluoride. Toothpaste with less fluoride is not as effective at preventing decay.
  • Children between the ages of three and six should use a pea-sized blob of toothpaste containing 1,350 to 1,500ppm fluoride. Check the toothpaste packet for this information or ask your dentist.
  • Make sure your child doesn't eat or lick the toothpaste from the tube.
  • Brush your child's teeth for at least two minutes twice a day, once just before bedtime and at least one other time during the day.
  • Encourage them to spit out excess toothpaste, but not to rinse with lots of water. Rinsing with water after tooth brushing will wash away the fluoride and reduce its benefits.
  • Supervise tooth brushing until your child is seven or eight years old, either by brushing their teeth yourself or, if they brush their own teeth, by watching how they do it. From the age of seven or eight they should be able to brush their own teeth, but it's still a good idea to watch them now and again to make sure they brush properly and for the whole two minutes. 

Monday, October 13, 2014

Variations in mouthguard thickness according to fabrication method.

Mizuhashi, F., Koide, K. and Takahashi, M. (2014), Variations in mouthguard thickness according to fabrication method. Dental Traumatology. doi: 10.1111/edt.12128

Abstract

Aim

The purpose of this study was to examine differences in mouthguard thickness according to the method used to form the mouthguard sheet in a combination vacuum-pressure former.

Materials and methods

The material used in this study was a mouthguard sheet of 3.8-mm ethylene vinyl acetate. Three forming methods were used: vacuum-forming, vacuum-pressure-forming, and pressure-forming. The sheets were formed when heating causing them to displace 15 mm from baseline. We measured mouthguard thickness at the labial surface of the central incisor, the buccal surface of the first molar, and the occlusal surface of the first molar. Differences in thickness in different regions of mouthguards formed under different conditions were analyzed by two-way analysis of variance and the Bonferroni method.

Results

We found that mouthguard thickness differed in different regions of the central incisors and the first molars (< 0.01). The incisal (cusp) region was thinner than the cervical region. There were significant differences in the thicknesses of vacuum-formed mouthguards and vacuum-pressure-formed mouthguards (< 0.05), with the vacuum-forming method resulting in thinner guards than the vacuum-pressure-forming method. Mouthguard thickness at the first molar did not differ according to the forming method.

Conclusions

Our results suggest that mouthguard thickness at the anterior teeth varies with different forming methods. This information is important when selecting a mouthguard-forming method.

Friday, October 10, 2014

Double Full-Arch Versus Single Full-Arch, Four Implant-Supported Rehabilitations: A Retrospective, 5-Year Cohort Study

Maló, P., Araújo Nobre, M. D., Lopes, A. and Rodrigues, R. (2014), Double Full-Arch Versus Single Full-Arch, Four Implant-Supported Rehabilitations: A Retrospective, 5-Year Cohort Study. Journal of Prosthodontics. doi: 10.1111/jopr.12228

Abstract

Purpose

To report the 5-year outcome of the All-on-4 treatment concept comparing double full-arch (G1) and single-arch (G2) groups.

Materials and Methods

This retrospective cohort study included 110 patients (68 women and 42 men, average age of 55.5 years) with 440 NobelSpeedy groovy implants. One hundred sixty-five full-arch, fixed, immediately loaded prostheses in both jaws were followed for 5 years. G1 consisted of 55 patients with double-arch rehabilitations occluded with implant-supported fixed prostheses, and G2 consisted of 55 patients with maxillary single-arch rehabilitations or mandibular single-arch rehabilitations occluded with natural teeth or removable prostheses. The groups were matched for age (±6 years) and gender. Primary outcome measures were cumulative prosthetic (both interim and definitive) and implant survival (Kaplan-Meier product limit estimator). Secondary outcome measures were marginal bone levels at 5 years (through periapical radiographs and using the patient as unit of analysis) and the incidence of mechanical and biological complications. Differences in survival curves (log-rank test), marginal bone level (Mann-Whitney U test), and complications (chi-square test) were compared inferentially between the two groups using the patient as unit of analysis with significance level set at p ≤ 0.05.

Results

No dropouts occurred. Prosthetic survival was 100%. Five patients lost 5 implants (G1: n = 3; G2: n = 2) before 1 year, rendering an estimated cumulative survival rate of 95.5% (G1: 94.5%; G2: 96.4%; Kaplan-Meier, p = 0.645, nonsignificant). The average (SD) marginal bone level was 1.56 mm (0.89) at 5 years [G1: 1.45 mm (0.77); G2: 1.67 mm (0.99); p = 0.414]. The incidence rate of mechanical complications (in both interim and definitive prostheses) was 0.16 and 0.13 for G1 and G2, respectively (p = 0.032). The incidence rate of biological complications was 0.06 and 0.05 for G1 and G2, respectively (p = 0.669).

Conclusions

Based on the results, rehabilitating double- or single-arch edentulous patients did not yield significant differences on survival curves. The incidence of mechanical complications was significantly higher for double-arch rehabilitated patients but nevertheless, these mechanical complications did not affect the long-term survival of either the prostheses or the implants.

Thursday, October 09, 2014

Bone Behavior in Atrophic Edentulous Mandibles After Rehabilitation With Immediate Loaded Implant: A Short-Term Radiographic and Tomographic Study

Implant Dentistry:
doi: 10.1097/ID.0000000000000154

Abstract

Purpose:
To evaluate bone response in the posterior area of edentulous mandibles rehabilitated with fixed prosthesis supported on dental implants considering baseline severity of mandibular atrophy.
Material and Methods:
The sample included 15 patients in whom 5 implants were inserted between the mental foramens. The prosthesis followed a cantilever extension from 15 to 20 mm. They were divided into 2 groups (severe and moderate) according to the degree of the atrophy presented. Panoramic x-ray and computerized tomography were obtained immediately after rehabilitation (T0) and after 8 months (T8). Linear measurements of the alveolar bone height at the posterior area of the mandible, 5, 10, and 15 mm from the long axis of the most distal implants, were recorded. Density measurements were also achieved at the same sites.
Results:
A slight bone increase in both groups was observed but with no statistically significant difference according to the baseline degree of atrophy.
Conclusions:
There was slight qualitative and quantitative bone improvement in the posterior area of the mandibles with the use of immediately loaded implant-supported fixed prostheses during the observed period. These results suggest that long-term follow-up is very important to understand bone behavior after rehabilitation.