Wednesday, October 01, 2014

The impact of orthodontic treatment on quality of life and self-esteem in adult patients.

Eur J Orthod. 2014 Sep 11. pii: cju047. [Epub ahead of print]


Summary OBJECTIVES: To assess the impact of fixed orthodontic treatment on oral health related quality of life (OHRQoL) and self-esteem in adults.


A prospective study design was applied, within private practice. Sample size estimation revealed a minimum of 52 subjects, allowing for drop outs. All participants completed a set of validated questionnaires at baseline (T0), 1- (T1), 3- (T2), and 6-months (T3) and post-treatment (T4). These included the Rosenberg Self-esteem scale, the Oral Health Impact Profile (OHIP-14) and a socioeconomic status questionnaire. The Dental Health Component of the Index of Orthodontic Treatment Need (IOTN) was used to assess malocclusion severity.


Sixty-one subjects were recruited, with only one subject lost to follow-up. A statistically significant difference in OHRQoL scores was seen between: T0 and T1 (P = 0.001); T0 and T2 (P = 0.020). There was no statistical difference between T0 and T3 (P = 0.078) or T4 (P = 0.565), where OHRQoL improved to pre-treatment scores. A significant difference in self-esteem scores was observed between baseline and end of treatment (P = 0.002).


Undergoing fixed orthodontic therapy had a negative impact on the overall OHRQoL, during the first 3 months of treatment, which then improved to pre-treatment scores, whilst a significant increase was observed in self-esteem as a result of treatment.

Tuesday, September 30, 2014

In vitro and in vivo removal of oral Candida from the denture base

Gerodontology 2014; 10.1111/ger.12149 In vitro and in vivo removal of oral Candida from the denture base


To clarify the effectiveness of ultrasonic cleaning for removing Candida lodged in the denture base.

Materials and Methods

In vitro – Specimens of acrylic resin for denture plates contaminated with Candida cells were ultrasonically cleaned for 30 min. Washings were sampled every 5 min and cultured to investigate residual contamination, measured as colony forming units/ml, and the surfaces of the specimens were subjected to low-vacuum scanning electron microscopy (LV-SEM). In vivo – A total of 24 maxillary denture bases were brushed for 2 min under running tap water, then ultrasonically cleaned for 30 min. The washings were sampled every 5 min and cultured to investigate residual contamination.


In vitro – Maximum removal was achieved during the first 5 min of cleaning, with the mean CFU/ml counts significantly declining over time. More than 85% of all Candida was removed within the first 15 min in specimens inoculated with phosphate-buffered saline suspensions of Candida albicans and Candida glabrata. LV-SEM revealed a decreased number of Candida on the surface of the specimens after 30 min of ultrasonic cleaning. In vivo – Maximum removal was achieved during the first 5 min of cleaning, then the mean CFU/ml count significantly declined during the first 10 min. Ultrasonic cleaning for 15 min removed 88.4% of Candida species from the denture base.


Ultrasonic cleaning is a reliable and simple method for removing Candida lodged in the denture base.

Monday, September 29, 2014

Guided surgery is now simplified and affordable.

 September 2014, iMDDS, LLC of San Antonio, TX, announces the introduction of the Implant Concierge Virtual Treatment Plan Coordinator™.  After six months of intensive internal testing and external beta testing with dentists in San Antonio and Dallas, TX, the Implant Concierge™ is now available for all dentists. 

iMDDS, LLC, founded in Jan. 2006, has long provided CBCT diagnostics services through itsten CBCT dental imaging centers.  Focusing on fanatical customer service, iMDDS provides CBCT diagnostic imaging for dentists as well as virtual implant planning services, 3D CAD/CAM surgical guides and board certified oral and maxillofacial radiology interpretations.  The release of the Implant Concierge™ will allow any dentist who places implants to easily incorporate the many published benefits of guided surgery into their practice easily and affordable through a free, web-based application.  The Implant Concierge™ integrates and synchronizes the dental implant team serving as a Virtual Treatment Plan
Coordinator™ allowing your team to work and communicate efficiently while simplifying the costly and fragmented work flow process that inhibits many dentists from incorporating guided surgery into their practice. 

3D Case Coordinators host online virtual surgery treatment plans and upon a dentists approval will print patient specific CAD/CAM surgical guides in their US based headquarters in San Antonio, TX, for a flat fee of $225.  A dentist can also order radiology interpretations through the Implant Concierge™.

Bret E. Royal, CEO and co-founder of Implant Concierge™ states, “The Virtual Treatment Plan Coordinator™ was designed to simplify and consolidate a complicated and fragmented dental process:  contracts favorable pricing with vetted and trained providers, discloses and guarantees costs up-front, uses industry-best 3D Case Coordinator, contracts with leading regional labs, and manufactures CAD/CAM surgical guides at a competitive price.  It enables any implantologist or surgeon to seamlessly implement the known benefits of guided implant surgery into their practice quickly and affordably.  There is nothing like it.” 

To learn more about the Virtual Treatment Plan Coordinator™, Implant Concierge™ and the $225 flat-priced surgical guide, or to inquire about becoming a lab partner or CBCT imaging center partner, please visit or call (866) 977-2228 to schedule an on-line demo.

Friday, September 26, 2014

Thursday, September 25, 2014

Roland Announces Release of New Digital Dentistry White Paper Comparing e.max Restoration Processes


Download the New White Paper Today
Roland DGA has announced the release of its new digital dentistry white paper, “e.max Press vs. e.max CAD – A Comparison.” The informative document, complete with detailed charts and images, includes in-depth comparative analysis of the e.max Press and e.max CAD restoration processes, providing expert insight and clinical data to help labs choose the best production method, materials and equipment for this popular application.
Roland’s new dental white paper, which can be downloaded for free at, explains why wet milling is not the only production platform well suited for performing e.max dental restorations and why labs should consider milling wax and pressing e.max for greater versatility, increased precision, simplified workflow and lower operational costs.
In addition to the white paper on e.max restoration, Roland has published a new, informative technology brief, “Advantages of Roland DWX Digital Dental Prosthesis Production.”   The tech brief includes an overview of digital dental milling, detailed information on the benefits of Roland’s revolutionary DWX-50 and DWX-4 series mills, analysis of the ROI that labs can expect to achieve using these advanced devices, customer testimonials, and more. To download the tech brief, click here.

Wednesday, September 24, 2014

Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis

Mota, A. C. L. G., de Castro, R. D., de Araújo Oliveira, J. and de Oliveira Lima, E. (2014), Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis. Journal of Prosthodontics. doi: 10.1111/jopr.12207



To evaluate the in vitro antifungal activity of apple cider vinegar on Candida spp. involved in denture stomatitis.

Material and Methods

The microdilution technique was used to determine the minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) of apple cider vinegar containing 4% maleic acid, and nystatin (control). Further tests of microbial kinetics and inhibition of adherence to acrylic resin were performed testing different concentrations (MIC, MICx2, MICx4) of the products at time intervals of 0, 30, 60, 120 and 180 minutes. A roughness meter was used to measure the changes in surface roughness; color change of the acrylic resin specimens exposed to the test products in different concentrations and time intervals were also evaluated.


Apple cider vinegar (4%) showed MIC of 2500 μg/ml and MFC of 2500, 5000, and 10,000 μg/ml depending on the strain tested. Nystatin showed MIC of 3.125 μg/ml and strain-dependent MFC values ranging from 3.125 to 12.5 μg/ml. The microbial kinetic assay showed a statistical difference between apple cider vinegar and nystatin (p < 0.0001). After 30 minutes of exposure, apple cider vinegar showed fungicidal effect at MICx4, whereas nystatin maintained its fungistatic effect. Apple cider vinegar showed greater inhibition of adherence (p < 0.001) compared to control. Apple cider vinegar did not significantly alter the surface roughness of the acrylic resin specimens compared to nystatin (p > 0.05), and both had no influence on their color.


Apple cider vinegar showed antifungal properties against Candida spp., thus representing a possible therapeutic alternative for patients with denture stomatitis.

Tuesday, September 23, 2014

At The AAOSH Annual Session: Charles Whitney MD Launching Community and Medical Outreach Program for Dental Practices™

Doylestown, PA – September 22, 2014 –  3rd Era Dentistry, a company founded by Dr. Charles Whitney, the nation’s leading medical advocate for improved collaboration between dentistry and medicine, is launching The Community and Medical Outreach Program for Dental Practices.

The comprehensive practice transformation program will debut during the 2014 Annual Scientific Session of the American Academy for Oral-Systemic Health from September 26-28th in St. Louis, MO.

3rd Era Dentistry is a division of 3rd Era Health Inc., which was recently formed by Dr. Whitney to be a catalyst for integrating patient care across all healthcare disciplines in an effort to prevent illness by creating health.

According to Dr. Whitney, “3rd Era Dentistry was formed as our first corporate division because I firmly believe that if a physician and dental professional together deliver the message that what happens in the mouth really matters, we can begin to reverse the increase of serious, yet preventable systemic conditions such as heart disease, diabetes and dementia in the United States.  Dental professionals must be invited to the table of integrative medicine!”

During the AAOSH Annual Scientific Session, Dr. Whitney’s director of operations, hygiene thought leader Lisa Wadsworth, RDH, BS and strategic marketing adviser Michael Ventriello will be unveiling The Community and Medical Outreach Program for Dental Practices, a comprehensive package of tools designed to empower dental practices to achieve the following goals:
·       Improve Credibility with Physicians
·       Increase MD & Self Referrals
·       Reactivate Lapsed Patients
·       Expand Treatment Acceptance

·       Enhance Community Understanding

·       Optimize Communications & Protocols

“The underlying goal of The Community and Medical Outreach Program is to break down the communications barriers between dentists, physicians and patients and level the playing field when it comes to understanding the importance of the mouth-body connection,” explained Wadsworth.
The Community and Medical Outreach Program for Dental Practices, consists of a comprehensive series of tools and forums, including but not limited to the following:
·       8x a year newsletter on dental/medical news and trends
·       Quarterly CE webinars presented or hosted by Dr. Whitney
·       8x a year conference calls hosted by Dr. Whitney with frequent industry experts
·       50% discount on any courses related to oral-systemic health from
·       Guidelines on how to build MNR (medical necessity rationale) to increase treatment acceptance and insurance reimbursement
·       Letter of introduction to physician
·       Patient survey on oral-systemic awareness
·       Downloadable brochures for patients and physicians
·       Patient reactivation letter
·       MD-friendly medical history record
·       PowerPoint for physician or study club presentation
·       Downloadable poster
·       Quarterly bulletins on building MNR (Medical Necessity Rationale) – How to communicate with patients and their physicians

The cost to join 3rd Era Dentistry’s Community and Medical Outreach Program for Dental Practices, is $799.00 per month for the first year which will begin in January 2015. After the first year, a renewal subscription of $399.00 per month will be available to charter members.

However, those who sign up during the AAOSH Annual Scientific Session will receive their first year membership starting in January 2015 for only $599.00 per month – An annual savings of $2,400.00!

For more information, visit , call 215-359-6627, or email

About 3rd Era Dentistry

Based in Doylestown, PA, 3rd Era Dentistry is a division of 3rd Era Health, which was founded by practicing physician and healthcare industry thought leader Charles Whitney MD, to be a catalyst for integrating patient care across all healthcare disciplines. 3rd Era Dentistry is specifically-focused on the links between oral disease and overall health by encouraging increased collaboration between dentistry and medicine. The ultimate goal of 3rd Era Dentistry is to create optimal health and prevent systemic diseases that originate from or are exacerbated by periodontal or endodontic infections. These preventable or manageable diseases include heart disease, stroke, pregnancy complications, arthritis, diabetes and dementia. For more information, visit , call 215-359-6627 or email

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