Tuesday, June 30, 2015

Long-term clinical, technical, and esthetic outcomes of all-ceramic vs. titanium abutments on implant supporting single-tooth reconstructions after at least 5 years

Abstract

Aim

The aim of this prospective cohort study was to evaluate clinical, radiographic, technical, esthetic, and patient-centered outcomes of implants using two different restoration materials after 5–9 years.

Materials and Methods

The study included 28 patients (test group: 13 patients with all-ceramic crowns on aluminum oxide-based abutments; control group: 15 patients with metal abutments on porcelain-fused-to-metal crowns). Evaluation of patient satisfaction, clinical (periodontal probing depth, bleeding on probing, plaque index, mucosal recession, and width of keratinized mucosa), esthetical (papilla index, clinical crown length), technical (loss of retention, marginal adaptation, chipping of ceramic, anatomical shape, occlusal wear, color match), and radiological parameters were assessed. The statistical analyses included comparison of all-ceramic vs. metal abutments and between the groups using Mann–Whitney U-tests. For esthetic parameters, changes over time were assessed using Friedman test and post hoc Wilcoxon test of all complete cases.

Results

The survival rate of the restoration was 100% in both groups. Patient's satisfaction revealed 9.7 on the visual analog scale. A low satisfaction correlated with low ratings in color or anatomical shape. The mucosal recession in the test group was less than that in the control group. An increase in distal papilla height in the year 0 to 1, and a decrease from year 1 to 8, was detected. Sites, which received a soft tissue graft, revealed stable papillae over the observation period. Clinical crown length showed higher values in the control group.

Conclusions

Within the limitations of the study, it can be concluded that all-ceramic restorations reveal a high survival rate of 100% and show no difference to metal after a mean observation period of 7.2 years.

Monday, June 29, 2015

Systemic antibiotics in the treatment of aggressive periodontitis. A systematic review and a Bayesian Network meta-analysis.

J Clin Periodontol. 2015 Jun 19. doi: 10.1111/jcpe.12427. [Epub ahead of print]

Abstract

AIM:

The aim of this study was to assess the effect of systemic antibiotic therapy on the treatment of aggressive periodontitis (AgP).

METHODS:

This study was conducted and reported in accordance with the PRISMA statement. The MEDLINE, EMBASE, and CENTRAL databases were searched up to June 2014 for randomized clinical trials comparing the treatment of subjects with AgP with either scaling and root planing (SRP) alone or associated with systemic antibiotics. Bayesian network meta-analysis was prepared using the Bayesian random-effects hierarchical models and the outcomes reported at 6-month post-treatment.

RESULTS:

Out of 350 papers identified, 14 studies were eligible. Greater gain in clinical attachment (CA) (mean difference [MD]: 1.08 mm; p<0 .0001="" 0.45="" 0.53="" 1.05="" additional="" alone="" amoxicillin="" and="" antibiotics.="" associated="" bayesian="" benefits="" ca="" depth="" for="" gain="" in="" md:="" meta-analysis="" metronidazole="" mm="" mx="" network="" observed="" p="" pd="" placebo.="" probing="" reduction="" respectively="" showed="" srp="" systemic="" than="" tz="" was="" were="" when="" with="">

CONCLUSIONS:

SRP plus systemic antibiotics led to an additional clinical effect compared with SRP alone in the treatment of AgP. Of the antibiotic protocols available for inclusion into the Bayesian network meta-analysis, Mtz and Mtz/Amx provided to the most beneficial outcomes. This article is protected by copyright. All rights reserved.

Friday, June 26, 2015

Comparison of the marginal fit of lithium disilicate crowns fabricated with CAD/CAM technology by using conventional impressions and two intraoral digital scanners

Abstract

Statement of problem

Conventional impression materials and techniques have been used successfully to fabricate fixed restorations. Recently, digital pathways have been developed, but insufficient data are available regarding their marginal accuracy.

Purpose

The purpose of this in vitro study was to compare the marginal gap discrepancy of lithium disilicate single crowns fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) technology by using both conventional and 2 digital impression techniques.

Material and methods

One typodont maxillary right central incisor was prepared for a ceramic crown. Ten impressions were made by using each method: conventional with polyvinyl siloxane impression material, Lava COS (3M ESPE), and iTero (Cadent) intraoral scanning devices. Lithium disilicate (e.max CAD) crowns were fabricated with CAD/CAM technology, and the marginal gap was measured for each specimen at 4 points under magnification with a stereomicroscope. The mean measurement for each location and overall mean gap size by group were calculated. Statistically significant differences among the impression techniques were tested with F and t tests (α=.05).

Results

The average (±SD) gap for the conventional impression group was 112.3 (±35.3) μm. The digital impression groups had similar average gap sizes; the Lava group was 89.8 (±25.4) μm, and the iTero group was 89.6 (±30.1) μm. No statistically significant difference was found in the effects among impression techniques (P=.185)

Conclusions

Within the limitations of this study, digital and conventional impressions were found to produce crowns with similar marginal accuracy.

Thursday, June 25, 2015

Responses of Human Dental Pulp Cells after Application of a Low-concentration Bleaching Gel to Enamel


  1. Archives of Oral Biology 
    Published Online: June 20, 2015

 

Abstract

Objective

to evaluate the effect of a 17.5% H2O2 gel on the odontoblastic differentiation capability of human dental pulp cells (HDPCs).

Design

The bleaching gel was applied for 45, 15, or 5 minutes to enamel/dentin discs adapted to transwells, positioned over previously cultured HDPCs. In the control group, no treatment was performed on the discs. Immediately after samples were bleached, the cell viability (MTT assay) and death (Live/Dead assay) as well as the mRNA gene expression of inflammatory mediators (TNFα, IL-1β, IL-6, and COX-2; real-time PCR) were evaluated. The mRNA gene expression of odontoblastic markers (DMP-1, DSPP, and ALP) and mineralized nodule deposition (alizarin red) were assessed at 7, 14, and 21 days post-bleaching. The amount of H2O2 in contact with cells was quantified. Data were evaluated by Kruskal-Wallis and Mann-Whitney tests (α = 5%).

Results

Significant cell viability reduction and cell death were observed for bleached groups relative to control in a time-dependent fashion. Also, significant overexpression of all inflammatory mediators tested occurred in the 45- and 15-minute groups. In the bleached groups, the expression of ALP, DMP-1, and DSPP and the deposition of mineralized nodules were reduced in comparison with those in the control group, at the initial periods (7 and 14 days). However, the 15- and 5-minute groups reached values similar to those in the control group at the 21-day period.

Conclusions

The 17.5%-H2O2 gel was cytotoxic to pulp cells; however, cells subjected to short-term bleaching are capable of expressing the odontoblastic phenotype over time.

Wednesday, June 24, 2015

Profluorid® Varnish



Light and tasteful white transparent 5% Sodium Fluoride varnish

VOCO proudly presents Profluorid®’s “operatory ready” SingleDose 200 pack.  Profluorid is a thin, great tasting, white transparent, 5% NaF varnish that has quickly become the popular choice among hygienists and their patients alike.

Profluorid’s new 200 pack allows users to position the product within their operatory for easy retrieval eliminating the need for additional trips to the store room.  As a varnish Profluorid seals off the dentinal tubules and offers high immediate fluoride release to relieve hypersensitivity, setting up in seconds after contact with saliva. Enhanced flow characteristics allow Profluorid to reach areas that traditional varnishes may miss.

Profluorid Varnish has an easy, non-messy SingleDose delivery system making the application headache free for users which is complemented by its low film thickness, light taste, and enjoyable flavors (Caramel, Melon, Cherry and Mint).  

For more information on Profluorid® Varnish please visit www.vocoamerica.com

Tuesday, June 23, 2015

INTEGRATED CHARTS ANNOUNCES NEW VERSION OF TAB32 DENTAL OFFICE MANAGEMENT SOFTWARE




San Diego, CA: June 22, 2015- tab32, a San Diego technology company, has announced the release of the newest version of tab32, free cloud-based practice management software that provides seamless integration of scheduling, patient communications, clinical information, and billing services.
The platform has added several new features to manage practice workflow efficiently. tab32 still continues to offer the practice management platform for free to any number of users without storage limitations. 
Furthermore, tab32 has also released two new modules: claims filing & management, and patient communication system, both of which will be offered at a small fee. 
The software and systems are fully HIPAA compliant. With no in-house server required, practices save time and money and are protected against security breaches and hardware theft.
Kiltesh Patel, founder and CEO of tab32, stated, “The new version will continue to keep tab32 in the forefront of cloud-based systems. The new modules expand our product offering, giving our customers more options.”
For more information about tab32, or to sign up for a free product demonstration, go to www.tab32.com.



###

Monday, June 22, 2015

New version of Tellcast has been released...

Tellcast 2.1

New version of Tellcast has been released...

We are pleased to announce the release of Tellcast 2.1.  You might not see a large difference in the broadcast but behind the scenes is an entirely different matter.  Tellcast 2.1 uses HTML5 which removes the need for Flash video which is unreliable with very large files sizes that can lock up the system. With HTML5, the file size is far smaller and loads almost instantaneously on a reasonably good network.  This switch means quicker more reliable broadcasts and far less system crashes. Another benefit to HTML5 is that it's compatible with devices such as iPads and Android tablets.  We are currently testing the software on tablets to ensure it runs smoothly.   

If you have yet to upgrade to the Tellcast video streaming box, take advantage of our $299 special through the month of June.  If you have yet to get graphics design or even installed your Tellcast.tv, please give us a call at 888-519-1142 and get started today. 
Download the Tellcast Mobile App
 
             

N
OW AVAILABLE ON iTUNES (Again)...

Friday, June 19, 2015

The American Dental Association Caries Classification System for clinical practice: a report of the American Dental Association Council on Scientific Affairs.

J Am Dent Assoc. 2015 Feb;146(2):79-86. doi: 10.1016/j.adaj.2014.11.018.

Abstract

BACKGROUND:

The caries lesion, the most commonly observed sign of dental caries disease, is the cumulative result of an imbalance in the dynamic demineralization and remineralization process that causes a net mineral loss over time. A classification system to categorize the location, site of origin, extent, and when possible, activity level of caries lesions consistently over time is necessary to determine which clinical treatments and therapeutic interventions are appropriate to control and treat these lesions.

METHODS:

In 2008, the American Dental Association (ADA) convened a group of experts to develop an easy-to-implement caries classification system. The ADA Council on Scientific Affairs subsequently compiled information from these discussions to create the ADA Caries Classification System (CCS) presented in this article.

CONCLUSIONS:

The ADA CCS offers clinicians the capability to capture the spectrum of caries disease presentations ranging from clinically unaffected (sound) tooth structure to noncavitated initial lesions to extensively cavitated advanced lesions. The ADA CCS supports a broad range of clinical management options necessary to treat both noncavitated and cavitated caries lesions.

PRACTICAL IMPLICATIONS:

The ADA CCS is available for implementation in clinical practice to evaluate its usability, reliability, and validity. Feedback from clinical practitioners and researchers will allow system improvement. Use of the ADA CCS will offer standardized data that can be used to improve the scientific rationale for the treatment of all stages of caries disease.

Thursday, June 18, 2015

Team i-CAT Heralds Record Success And Participation At The AAO Annual Session



Attendees at the AAO meet and greet “Their Story” participants and support the Milo Foundation, exploring how to save human canine teeth as well as having some fun with furry friends. 

Hatfield, PA (June 10, 2015) i-CATTM, a brand of the KaVo Kerr Group, is proud of the success and engaging participation at the 2015 American Association of Orthodontists (AAO) Annual Session in May. The exhibit featured i-CAT’s latest “Their Story” featuring Dr. Sean Carlson and his patient Natalie. As part of his treatment armamentarium to save her transmigratory impacted canines in the mandibular jaw, Dr. Carlson used detailed information gathered from the i-CAT scan. At the meeting, orthodontists were able to meet Dr. Carlson and Natalie and learn about how i-CAT scans can aid in diagnosis so that dentist can treatment plan to allow patients to retain their full complement of teeth.More information on Their Story is at http://stories.i-cat.com/.
For more information on The Milo Foundation’s good works, visit http://www.milofoundation.org
Also at this meeting, i-CAT hosted the Milo Foundation, an established 501(c)(3) nonprofit, no-kill animal shelter in Northern California. Attendees were able to take photos with rescue dogs onsite to raise donations and help promote pet care awareness. Dr. Carlson’s case, which related to saving canine teeth in humans meshed well with the humanitarian effort of helping the animals through the Milo Foundation. This effort raised $3,000 for education, adoption services, and sanctuary for many types of and age of animals at the foundation.
Outreach Coordinator for the Milo Foundation, John Fonseca said, “What a success it was for the Milo Foundation to join with i-CAT at the AAO Annual Session! Our Founder and Director Lynne Tingle and I enjoyed being there with the rescue dogs and meeting so many animal lovers who supported our joint efforts to raise much needed funds as well as awareness about animal rescue. Most special was to see the kindness and affection the attendees showered on the Milo dogs, who lapped up the attention! Thank you for helping Milo and the amazing beings that simply need a chance in a loving home.”
Jessica Kachmar, Marketing Manager for i-CAT, added, “Dr. Carlson and Natalie were so inspiring at our booth. The success of her treatment resulted from a combination of Dr. Carlson’s knowledge and care, effort and energy from Natalie, and quality 3D cone beam scans from i-CAT. We were also so pleased to be able to help raise money for the Milo Foundation.”
To find out more about the i-CAT family of products, visit www.i-cat.com. To see more on Dr. Calrson and Natalie’s story and other extraordinary cases at stories.i-cat.com
Indications for Use: www.i-cat.com/ifu

About i-CAT
Serving the dental industry since 1992, i-CATTM is at the global forefront in the development and manufacturing of the computer-controlled dental and maxillofacial radiography products, and internationally recognized by highly regarded dentists and radiologists as one of the most innovative companies in dental imaging. i-CAT systems offers clinicians enhanced features for highly effective treatment planning and surgical predictability. i-CAT is exclusively distributed by Henry Schein Dental. To learn more, visit www.i-cat.com.
i-CAT is a member of the KaVo Kerr Group. KaVo Kerr Group is a global portfolio of leading dental brands that share common values of Trust, Experience, Choices, Quality and Smart Innovation. Brands include KaVo, Kerr, Kerr Total Care, Pentron, Axis|Sybron Endo, Orascoptic, Pelton & Crane, Marus, Gendex, DEXIS, Instrumentarium, SOREDEX, i-CAT, NOMAD, Implant Direct and Ormco. With over 500 years of combined experience and proven solutions, KaVo Kerr Group uniquely serves 99% of all dental practices. Visit www.kavokerrgroup.com for more information.
About The Milo Foundation
The Milo Foundation rescues adoptable dogs and cats of all ages, sizes, and breeds from high-kill shelters throughout California. Since our founding at our No-kill Sanctuary in 1994, Milo has saved the lives of more than 25,000 animals. Milo has an Intake and Adoption Center near San Francisco in Point Richmond, CA and our 283 acre Sanctuary three hours north in Mendocino County. A community of volunteers and foster homes plays a key role in helping the animals find loving homes. For more information please visit www.milofoundation.org.

Wednesday, June 17, 2015

Micro-Osteoperforations: Minimally Invasive Accelerated Tooth Movement

I have been using Propel to do this and it works very well in reducing ortho treatment time. MJ

Seminars In Orthodontics 
Published Online: June 09, 2015

Abstract

Safe, minimally invasive and cost-effective treatments are being sought to shortened orthodontic treatment time. Based on the well-known principle that orthodontic force triggers inflammatory pathways and osteoclast activity, we hypothesized that controlled micro-trauma in the form of micro-osteoperforations (MOPs) will amplify the expression of inflammatory markers that are normally expressed during orthodontic treatment and that this amplified response will accelerate both bone resorption and tooth movement. We tested our hypothesis in an animal model and in a human clinical trial. In adult rats, MOPs treatment significantly increased molar protraction with concomitant increases in inflammatory cytokine expression, osteoclastogenesis and alveolar bone remodeling. Likewise, in human subjects, MOPs increased the rate of canine retraction concomitant with increased TNF⃞ and IL-1⃞ levels in gingival crevicular fluid. Moreover, MOPs treatment did not produce additional pain or discomfort in the patients tested. Our data support our conclusion that MOPs offers a safe, minimally invasive and easy mechanism to accelerate orthodontic tooth movement.

Tuesday, June 16, 2015

Pulp Revascularization on Permanent Teeth with Open Apices in a Middle-aged Patient

Journal of Endodontics Home 

 

Abstract

Introduction

Pulp revascularization is a promising procedure for the treatment of adolescents' immature permanent teeth with necrotic pulp and/or apical periodontitis. However, the ability to successfully perform pulp revascularization in a middle-aged patient remains unclear.

Methods

A 39-year-old woman was referred for treatment of teeth #20 and #29 with necrotic pulp, extensive periapical radiolucencies, and incomplete apices. Pulp revascularization procedures were attempted, including root canal debridement, triple antibiotic paste medication, and platelet-rich plasma transplantation to act as a scaffold. Periapical radiographic and cone-beam computed tomographic examinations were used to review the changes in the apical lesions and root apex configuration.

Results

The patient remained asymptomatic throughout the 30-month follow-up. Periapical radiographic examination revealed no change in the apical lesions of either tooth at 8 months. The periapical radiolucency disappeared on tooth #20 and significantly decreased on tooth #29 by the 30-month follow-up, findings that were also confirmed by cone-beam computed tomographic imaging. No evidence of root lengthening or thickening was observed.

Conclusions

Successful revascularization was achieved in a middle-aged patient's teeth.

Monday, June 15, 2015

Effect of a chlorhexidine/thymol and a fluoride varnish on caries development in erupting permanent molars: a comparative study

Abstract

European Archives of Paediatric Dentistry

Aim

To compare the caries preventive effect of a chlorhexidine/thymol-containing antibacterial varnish with a fluoride varnish when topically applied during the eruption of permanent molars.

Methods

The study group consisted of 189 patients, 5–14 years of age, with one 1st or 2nd permanent molar in the process of eruption. After stratification for type of molar and stage of eruption, the patients were randomised to either quarterly topical applications with an antibacterial varnish (Cervitec® Plus; CV group) or biannual applications with a fluoride varnish plus biannual treatments with placebo varnish (Fluor Protector; FV group). The duration of the study was 2 years. The primary endpoint was caries incidence (initial and cavitated) in the erupting molars and the secondary outcome was salivary mutans streptococci (MS) counts.

Results

The groups were balanced with respect to socio-economy, oral hygiene, dietary habits and caries experience at baseline. The dropout rate was 11.6 %. The caries incidence was low (<10 0.94="" 1.08="" 95="" and="" at="" between="" both="" caries="" ci="" class="EmphasisTypeItalic" cv="" development="" difference="" disclosed="" em="" end="" erupting="" fv="" group="" groups="" in="" levels="" lower="" molars="" ms="" nbsp="" no="" occlusal="" of="" relative="" respect="" risk="" salivary="" significant="" significantly="" study="" the="" there="" to="" was="" were="" with="">p
 < 0.05).

Conclusions

No difference in occlusal caries development in young permanent molars was displayed after topical applications of either a chlorhexidine/thymol varnish or a fluoride varnish during tooth eruption.

Friday, June 12, 2015

Formation of a hard tissue barrier after experimental pulp capping or partial pulpotomy in humans: an updated systematic review

International Endodontic Journal

 

Abstract

The aim was to update a systematic review of pulp capping and partial pulpotomy by Olsson et al. (2006), by evaluating new evidence of formation of a hard tissue barrier after pulp capping and partial pulpotomy of experimental exposures in humans. PubMed (2005-01-01 to 2014-03-01) and CENTRAL were searched using specific keywords. Hand searches were made and the level of evidence for each included article was evaluated by the authors. The evidence of the conclusions was graded as strong, moderately strong, limited or insufficient. The initial search in PubMed yielded 215 abstracts. Hand searches of reference lists yielded no additional original scientific articles. After a selection process and interpretation, 22 articles were included and rated for level of evidence: no article was rated as high and seven as moderate. Overall the methodological quality of studies has improved since the previous systematic review was published in 2006. The conclusions are that there is limited scientific evidence that application of calcium hydroxide or mineral trioxide aggregate to an exposed pulp frequently results in formation of a hard tissue barrier, whereas adhesives or enamel matrix derivatives do not. There is insufficient scientific evidence that mineral trioxide aggregate promotes hard tissue formation more frequently than calcium hydroxide.

Thursday, June 11, 2015

DEXIS Releases Digital Imaging Evidence


A study comparing the DEXISTM Platinum Sensor with DEXISTM Imaging Software and the Schick 33 Sensor with Patterson Imaging Software substantiates DEXIS’ excellence for image quality and comfort. 

Hatfield, PA (June 2, 2015) DEXIS, LLC, a brand of the KaVo Kerr Group, has announced the results of its latest round of studies and testing of the DEXISTM Platinum Sensor with DEXISTM Imaging Software. The study compared the DEXIS Platinum Sensor with DEXIS Imaging Software and the Schick 33 Sensor with Patterson Imaging Software. The objective of this research was to quantify the performance of each sensor in a way that allowed for a direct, repeatable head-to-head comparison within the boundaries of their cleared indications for use in key aspects of interest like image quality, consistency, comfort and workflow.
For the purposes of the study, comparisons included visible resolution and contrast, dynamic range, contrast-to-noise ratio as well as images captured at a full spectrum of dose settings. The document provides the findings and then explains why these items are important to clinicians. The results allowed DEXIS to conclude and unequivocally state that, “DEXIS Platinum Sensor excels in visible resolution and contrast,” and “DEXIS radiographs are more consistent and clinically useable at a wider range of exposure settings” — this includes lower doses. The result of a broader dynamic range is that practitioners can benefit from a reduction in the number of time consuming, exposure-related retakes, and patients benefit from the reduction in radiation due to exposure issues.
Further, the double-blind comfort study data yielded this: “9 out of 10 people prefer the comfort of DEXIS.” The timed workflow studies proved that DEXIS offers the fastest workflow in both image capture and image use within the respective software programs*.
Over the years, the developers of DEXIS technology have worked very diligently to research and test our products, so that we can say with confidence that we are offering the “best” technology to dentists,” says John Steck, Vice President of Product Development for DEXIS. “Now, not only can we say it, but we can substantiate our claims with study data. We always knew it, but now we are happy that we can prove it.”
To learn more about this “Evidence” document, download it here for free:
http://www.dexis.com/best 

*Data sources: DEXIS Sensor Competitive Performance Study, December 2013, by Brad Carlson, Ph.D., and Scott Kravis, Ph.D.; DEXIS Sensor Clinical Evaluation Report, February 2015, by Christine Hart, CDA, and Lisa Ratnow; Indications for use at dexis.com/ifu 

About DEXIS
DX54640415REV0
DEXIS go App Page 2 of 2
DEXIS is an industry leader in developing high quality digital imaging solutions for the dental community. In 1997, DEXIS introduced digital radiography on laptop computers — making it the first truly portable and affordable digital X-ray system. In 2001, DEXISTM became the first intra-oral digital radiography system to be accepted by the American Dental Association into the highly prestigious ADA Seal Program. Today, DEXIS is the most highly awarded intra-oral digital X-ray system with numerous awards from dental researchers and well-respected dental publications. For more information on the DEXIS Imaging Suite of products including the DEXISTM Platinum Sensor and CariVuTM, visit www.dexis.com.
DEXIS is a member of the KaVo Kerr Group. KaVo Kerr Group is a global portfolio of leading dental brands that share common values of Trust, Experience, Choices, Quality and Smart Innovation. Brands include KaVoTM, KerrTM, Kerr Total CareTM, PentronTM, Axis|SybronTM Endo, OrascopticTM, Pelton & CraneTM, MarusTM, GendexTM, DEXISTM, InstrumentariumTM, SOREDEXTM, i-CATTM, NOMADTM, Implant DirectTM and OrmcoTM. With over 500 years of combined experience and proven solutions, KaVo Kerr Group uniquely serves 99% of all dental practices. Visit www.kavokerrgroup.com for more information.
About the Evidence Document
The “Evidence Document” provides a comparison of the imaging technologies using the DEXIS Platinum Sensor with DEXIS Imaging Software (“DEXIS”) and the Schick 33 Sensor with Patterson Imaging Software (“Schick 33”) in internally conducted laboratory bench studies*. The performance bench data was generated by using the listed devices and other devices within the boundaries of the cleared indications for use for each of the respective devices. The data was obtained using standard methodologies (phantoms, controlled conditions, etc.) that are accepted in the industry as representative of real world experience that is obtained in larger, heterogeneous and more complex populations, with a broader range of end-users. The intent is that these types of studies and the presented data are useful for identifying less evident but common technological benefits and limitations. The presented data can be recreated using the presented technologies under the same conditions for repeatability and reproducibility purposes.

Wednesday, June 10, 2015

Introducing SomnoDent Herbst AdvanceTM and the SomnoDent FusionTM





Spokane, WA – June 4, 2015 – The Aurum Group® and Space Maintainers – Pacific Northwest are pleased to announce the latest FDA-approved innovations from SomnoMed, the global leader in COATTM (Continuous Open Airway Therapy): SomnoDent Herbst AdvanceTM and SomnoDent FusionTM. These two new innovative options join with the rest of the proven SomnoDent* product line: Flex, G2, Classic, Herbst, and Air.
SomnoDent Herbst AdvanceTM- Visual Calibration Indicator
Available in two models (Classic and Flex), The SomnoDent Herbst AdvanceTM is the first and only intraoral device featuring an easily viewable Plus “+” calibration indicator showing direction of advancement, giving clinicians and patients greater control over OSA therapy. Asymmetry in titration can be a thing of the past - the visual calibration indicator tells you exactly how far the device has been advanced from its start point. Especially when made with proprietary SMH BFlex, the SomnoDent Herbst Advance features a hinge mechanism that is more comfortable in the patient’s mouth; making it easier to remain compliant. With an 8mm range of calibration, chair time is reduced due to minimal adjustment needed and ensuring patients’ continuous therapeutic efficacy.
SomnoDent FusionTM - Ultimate Calibration Flexibility 


The new patented SomnoDent FusionTM “fuses” wing and screw calibration technology together in one device, offering longer titration. The calibration flexibility offered in the SomnoDent Fusion means that it does not have to be reset as frequently, and less resets means your patients won’t be without their device during manufacturer adjustments. With exchangeable device wings that are closer to the occlusal surface, patients experience more room in their mouths and less bulk! Along with the flexibility in adjustment, the SomnoDent Fusion provides an 8.5mm advancement – longer than most other dorsal fin oral devices – and quick advancement with interchangeable wings and fine screw adjustments at .1mm increments. The SomnoDent Fusion can also be made with proprietary SMH BFlex material, which creates greater comfort for your patients. Ultimately, the SomnoDent Fusion saves your office time and money with its drop-in fit, along with less device adjustments afterwards.
Contact Aurum Group/ Space Maintainers – Pacific Northwest at 1-800-423-6509 for complete details on the full SomnoDent line-up today!
*
About the Aurum Group/ Space Maintainers – Pacific Northwest
No one in dentistry can match the breadth and depth in technology, experience, expertise and product that The Aurum Group and Space Maintainers – Pacific Northwest bring to the table for dental professionals and patients across North America today. Innovation, Technique, Service, Fast Turnaround - The Aurum Group and Space Maintainers – Pacific Northwest have made these the cornerstones of a tradition of excellence. We cover all aspects from digital dentistry to the creation of accurate, functional and aesthetic appliances, prostheses and restorative solutions. Whether you need removable appliances, retainers, fixed appliances, functional appliances, bleaching trays, snoring/OSA appliances or splints and mouthguards, Space Maintainers – Pacific Northwest is your Orthodontic Specialist. We blend the expertise of our well-trained, experienced and creative technicians with the finest materials available to provide your patients with unsurpassed orthodontic results.
About SomnoMed
SomnoMed (www.somnomed.com) is a public company providing diagnostic and treatment solutions for sleep-related breathing disorders including obstructive sleep apnea, snoring and bruxism. SomnoMed was commercialized on the basis of extensive clinical research. Supporting independent clinical research, continuous innovation and instituting medical manufacturing standards has resulted in SomnoDent® becoming the state-of-the-art and clinically proven medical oral appliance therapy for obstructive sleep apnea. The company’s SomnoDent® is a treatment solution that has proven effective for over 175,000 patients in 28 countries.
-30-

Tuesday, June 09, 2015

New 3M™ ESPE™ Elipar™ DeepCure-S and Paradigm DeepCure LED Curing Lights Add Confidence to Curing

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Optimized optics mean better curing in real-world conditions

ST. PAUL, Minn. – (June 1, 2015) – Dental professionals want predictability and confidence with their products and procedures, but sometimes the curing step can feel like a leap of faith. In fact, research shows that 69 percent of bulk fill users are not confident of polymerization deep in the cavity.1 If you can’t see under a restoration, how can you be sure it has cured properly and won’t break down prematurely? Now, with the new 3M™ ESPE™ Elipar™ DeepCure-S and Paradigm™ DeepCure LED Curing Lights, dental professionals can be more confident they have achieved a uniform and deep cure, even when they can’t get the light in a perfect position.
The new DeepCure LED Curing Lights have optimized optics, so they deliver a beam that is more uniform, with rays that stay more parallel and spread minimally as they travel away from the source. This creates a more even distribution of energy throughout the restoration, resulting in a complete and uniform cure from center to rim and from top to bottom—at clinically relevant distances. With the high-performing 1,470 mW/cm2 intensity, dental professionals can be sure of their cure.
“The well-balanced, ergonomic shape of the lights are comfortable for the operator, and performance is consistent regardless of the user,” said Nikki McKeon, U.S. marketer of direct restoratives for 3M ESPE Dental. “With improvements to the angle of the light guide, dentists now have easy access to all tooth surfaces, even hard to reach ones, which enhances overall patient comfort.”
The new lights are available in two models, both with identical technical performance. The Elipar DeepCure-S LED Curing Light is made with durable stainless steel, and has a charging base with built-in light meter indicating the operating status and light intensity. And the Paradigm DeepCure LED Curing Light gives dentists a lighter weight, economic model that is charged with a charging plug.
Both models provide intuitive two-button and single-mode operation, and no toggling between settings for optimal performance. The lights provide approximately 120 minutes of consecutive cordless curing time—that’s 720 10-second cures with constant light output, regardless of battery charge. The V-shaped handpiece and the 360° rotating light guide provide a comfortable grip, and the 10mm light guide provides a complete one-shot cure of MOD fillings.
With these new curing lights, dentists can be sure of their cure whether they use standard or bulk fill composites.
For more information, visit 3M.com/CuringLights.
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About 3M ESPE Dental
3M ESPE is a dental product manufacturer that markets more than 2,000 dental products and services designed to help dental professionals improve their patients' oral health care. 3M ESPE is part of 3M Health Care, which provides world-class innovative products and services to help health care professionals improve the practice and delivery of patient care in medical, oral care, drug delivery and health information markets. For more information on the complete 3M ESPE line of dental products, visit the 3M ESPE website at http://www.3MESPE.com or call the 3M ESPE Technical Hotline at 1-800-634-2249. Products are available for purchase through authorized 3M ESPE distributors.

3M, ESPE, and Elipar are trademarks of 3M or 3M Deutschland GmbH. Used under license in Canada. © 3M 2015. All rights reserved. 

Monday, June 08, 2015

Be a Part of Eaglesoft’s 21st Birthday At The CEREC 30th Anniversary Celebration


Attendees will enjoy big name entertainment plus practice management focused training

ST. PAUL, Minn. (May 21, 2015) – To commemorate its launch 21 years ago, Eaglesoft Practice Management System is celebrating its 21st birthday at the CEREC 30th Anniversary Celebration in Las Vegas on September 17-19. Eaglesoft is hosting a practice management focused educational track at the CEREC Celebration, where users can receive over 10 hours of invaluable Eaglesoft specific training. Attendees will return to their practice with new resources to implement change and measure success. 

Throughout the event, Eaglesoft Track attendees will learn how to find, implement, and measure success in their practices.  Attendees will receive training with Eaglesoft Mobile and learn to utilize features such as Money Finder, Intellicare and much more. There will also be ample opportunity to mix and mingle with other Eaglesoft users from across the U.S., as well as a sneak peak at Eaglesoft 18. Plus, Eaglesoft track registrants are able to enjoy all of the events, world class speakers and entertainment Sirona has planned for the CEREC event, including a live concert from the rock-band Train and a session with motivational speaker Tony Robbins.

“Eaglesoft has been improving practice workflows and scheduling for over 20 years, and we’re excited to provide an opportunity for users to attend a great educational event in a great city,” said Jana Berghoff, technology marketing manager of Patterson Dental. “A 21st birthday needs to be celebrated, so we’re ready to celebrate and show users how to maximize their current system and reveal what the future has in store for Eaglesoft!”

To sign up for the Eaglesoft Training Track, simply register for the CEREC Celebration and select the “Eaglesoft 21st Birthday Bash Track.” When signing up for the Eaglesoft Track, attendees are still able to attend all of the CEREC Celebration activities

Friday, June 05, 2015

AADOM CONTINUES GREEN INITIATIVE WITH ANNUAL CONFERENCE HOTEL SELECTION IN NASHVILLE



Red Bank, NJ:  May 21, 2015:  The American Association of Dental Office Managers(AADOM) Annual Conference will take place August 28-30, 2015 at the beautiful Gaylord Opryland Resort and Convention Center. AADOM is proud to be a supporter of companies that espouse sustainability and green efforts. The Gaylord Opryland Resort and Convention Center utilizes energy saving advancements such as the use of LED lighting, post-consumed paper and motion sensing devices. 

Marriott Hotels and Resorts operates the most ENERGY STAR© buildings in its industry. AADOM President Heather Colicchio states "We are excited to return to the Gaylord. Their commitment to a healthy environment is in line with our beliefs. " Members can expect an impressive location along with the knowledge that water conserving measures have been implemented throughout the property. 

To learn more about AADOM's Green Leader initiative visit our site for more information. Registration for the 11th Annual Conference is now open to the public at this site:  http://www.dentalmanagersconference.com/
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About AADOM:
The American Association of Dental Office Managers (AADOM) is the nation's largest educational and networking association dedicated to serving dental practice management professionals. Our mission is to provide our members with networking, resources and education to help them achieve the highest level of professional development. For more information 
visit www.dentalmanagers.com or call 732.842.9977



Thursday, June 04, 2015

Influence of phosphoproteins’ biomimetic analogs on remineralization of mineral-depleted resin–dentin interfaces created with ion-releasing resin-based systems

Dental Materials
April 22, 2015

Abstract

Objective

The study aimed at evaluating the remineralization of acid-etched dentin pre-treated with primers containing biomimetic analogs and bonded using an ion-releasing light-curable resin-based material.

Methods

An experimental etch-and-rinse adhesive system filled with Ca2+, PO43−-releasing Ca-Silicate micro-fillers was created along with two experimental primers containing biomimetic analogs such as sodium trimetaphosphate (TMP) and/or polyaspartic acid (PLA). Dentin specimens etched with 37% H3PO4 were pre-treated with two different aqueous primers containing the polyanionic biomimetic analogs or deionized water and subsequently bonded using the experimental resin-based materials. The specimens were sectioned and analyzed by AFM/nanoindentation to evaluate changes in the modulus of elasticity (Ei) across the resin–dentin interface at different AS storage periods (up to 90 days). Raman cluster analysis was also performed to evaluate the chemical changes along the interface. The phosphate uptake by the acid-etched dentin was evaluated using the ATR-FTIR. Additional resin–dentin specimens were tested for microtensile bond strength. SEM examination was performed after de-bonding, while confocal laser microscopy was used to evaluate the interfaces ultramorphology and micropermeability.

Results

Both biomimetic primers induced phosphate uptake by acid-etched dentin. Specimens created with the ion-releasing resin in combination with the pre-treatment primers containing either PLA and TMA showed the greatest recovery of the Ei of the hybrid layer, with no decrease in μTBS (p  > 0.05) after 3-month AS storage. The ion-releasing resin applied after use of the biomimetic primers showed the greatest reduction in micropermeability due to mineral precipitation; these results were confirmed using SEM.

Significance

The use of the ion-releasing resin-based system applied to acid-etched dentin pre-treated with biomimetic primers containing analogs of phosphoproteins such as poly-l-aspartic acid and/or sodium trimetaphosphate provides a suitable bonding approach for biomimetic remineralization of resin–dentin interfaces.


Wednesday, June 03, 2015

For children with autism, adjusting the environment to be more soothing could eliminate the need for general anesthesia to cope with routine dental cleanings

Going to the dentist might have just gotten a little less scary for the estimated 1 in 68 U.S. children with autism spectrum disorder as well as children with dental anxiety, thanks to new research from USC.

In an article published on May 1 by the Journal of Autism and Developmental Disorders, researchers from USC and Children's Hospital Los Angeles (CHLA) examined the feasibility of adapting dental environments to be more calming for children with autism spectrum disorder.

"The regular dental environment can be quite frightening for children with autism who, not knowing how to react, tend to be completely averse to whatever we're trying to do," said one of the study's authors, José Polido DDS, head of dentistry at CHLA and assistant professor at the Herman Ostrow School of Dentistry of USC.

Children with autism spectrum disorders -- as well as some typically developing children -- often show heightened responses to sensory input and find these sensations uncomfortable. As such, the dental office, with its bright lights, loud sounds from the dental equipment, and touch of children in and around the mouth, present particular challenges for such children.

In the study, 44 CHLA patients -- 22 with autism and 22 "typically developing" (defined as children not on the autism spectrum)--underwent two professional dental cleanings. One cleaning took place in a regular dental environment, the other in a sensory adapted dental environment. During each session, the child's physiological anxiety, behavioral distress and pain intensity were measured.

"I've talked to several parents who have said, 'We really put off taking our child to the dentist because we know how hard it is and we know he's going to scream and cry,'" said Sharon Cermak, the study's lead author and professor at the USC Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, as well as professor of pediatrics at the Keck School of Medicine of USC.

To help combat that reaction, researchers adapted the dental environments by turning off overhead office lights and headlamps, projecting slow-moving visual effects onto the ceiling and playing soothing music.

Instead of using traditional means to secure the child in the dental chair, practitioners used a seat cover that looked like a gigantic butterfly whose wings wrapped around the child and provided a comforting, deep-pressure hug.

The research team found that both children who are typically developing as well as those with autism spectrum disorders exhibited decreased psychological anxiety and reported lower pain and sensory discomfort in the sensory-adapted dental environment.

The study -- which represents a unique collaboration between pediatric dentists and occupational therapists--could help improve oral health care for children with autism -- a group reported to suffer from poor oral health, research shows.

The findings could also represent a cost savings to the health care system, with fewer insurance reimbursements paid to dental offices for the additional staff members and general anesthesia often necessary for children with autism.

Next up for the researchers is to increase their sample size -- they'll be using 110 children in each group -- to determine which factors (e.g. age, anxiety, sensory over-responsitivity) best predict which children respond best to the intervention.

"One of our long-term goals with this study is to help dentists develop protocols for their own dental clinics to see how sensory components are contributing to behavioral issues," Cermak said. "I think these protocols can then be translated across the globe."

Tuesday, June 02, 2015

A Ten-Year Longitudinal Study of Caries among Patients Aged 14-72 Years in Norway

Caries Res 2015;49:384-389
(DOI:10.1159/000381427)

Abstract

There are few longitudinal studies in which the development of caries over a long period of time has been studied for different age groups. Such studies are important because they can provide information to assess future needs for dental care and the implications if the development of caries is different for patients in different age groups. We describe changes in caries during the period 2003-2012 for several birth cohorts in Norway, using longitudinal data collected annually for each individual during a period of 10 years. The data set included patients born during the period 1940-1989 who received regular dental care in the public dental services in the county of Hedmark - altogether 7,519 patients. Information about caries was obtained from the electronic patient records. Nearly 90% of the patients had no caries for at least 5 years during the 10-year study period, and nearly 50% had no caries for at least 8 years. This pattern was similar for all birth cohorts. The mean number of carious teeth per patient decreased from 2003 to 2012. This decrease was particularly large at the end of the period and among the oldest birth cohorts, i.e. those born in the periods 1940-1949 and 1950-1959. Our findings indicate that the need for restorative treatment is reducing, particularly in the older age groups. Fewer dentists and more dental hygienists may be needed in the future to provide routine follow-up and care.

Monday, June 01, 2015

Study: Soda, Fruit Juice Drinkers Show Greater Dental Erosion.

Medical Daily (5/12, Caba) reports that a new study (5/12) published in the Journal of Public Health Dentistry that “found that people who drink sugar-laden soda and fruit juices have an increased risk for suffering dental erosion.” According to the article, “Data on 3,773 adults was taken from the National Health and Nutrition Examinations Survey 2003-2004 to assess the prevalence and severity of tooth wear. Researchers defined tooth wear as ‘wear on at least one surface of at least one examined tooth,’” revealing that 79 percent of participants “had experienced some level of dental erosion,” including 64 percent who suffered from “mild tooth wear,” 10 percent who suffered from “moderate tooth wear,” and five percent who suffered from “severe tooth wear.” Moreover, men were twice as likely to suffer dental erosion than women.
        Medical News Today (5/12, McNamee) also reports on the study, adding that participants “with moderate and severe tooth wear consumed more soft drinks and fruit juices each day than the other groups.” However, “among participants with lower levels of tooth wear, the researchers found that milk was a more popular drink than soda or fruit juice.”