Friday, January 29, 2016

Effect of full-mouth disinfection on insulin sensitivity in type 2 diabetes patients with and without chronic periodontitis

Quintessence Int 47 (2016), No. 2  (25.01.2016)

Page 103-112, doi:10.3290/j.qi.a34811, PubMed:26417619


Objective: To explore the effect of full-mouth disinfection (FMD) on glycemic control and insulin resistance in type 2 diabetes mellitus (DM).
Method and Materials: Sixty dentate patients who were never-smokers with type 2 diabetes mellitus were recruited for the study. Based on clinical examination they were divided into two groups: one with chronic periodontitis and the other without chronic periodontitis. Periodontal parameters Plaque Index (PI), Gingival Index (GI), and probing pocket depth (PPD) were evaluated. Blood samples were assessed for the levels of fasting glucose (FG), insulin, and C-reactive protein (CRP), and insulin glucose ratio was calculated using a mathematical equation (HOMA-IR). All parameters were assessed at baseline, and at 3 months and 6 months after FMD.

Results: The results showed a significant reduction in PI, GI, PPD, FG, and HOMA-IR from baseline to 6 months. The CRP levels were constant throughout the study period.

Conclusion: Within the limitations of the present study it can be concluded that FMD contributes to significant reduction in insulin resistance, thereby improving the glycemic control in type 2 diabetes mellitus patients.

Thursday, January 28, 2016

Evaluation of the efficacy of flowable composite as lining material on microleakage of composite resin restorations: A systematic review and meta-analysis

Quintessence Int 47 (2016), No. 2  (25.01.2016)

Page 93-101, doi:10.3290/j.qi.a35260, PubMed:26665259


Objective: The efficacy of flowable composite in improving marginal adaptation or reducing microleakage is not fully understood. The purpose of this study was to systematically evaluate existing evidence to verify whether an application of flowable composite as a liner provided less microleakage in Class 2 composite restorations.

Method and Materials: PubMed, ISI (Web of Science), and Scopus databases were searched according to the selected keywords, up to 15 Feb 2015, without any restriction on date or language. Full texts of published articles that seemed to meet primary criteria for inclusion in this research were obtained. Data of studies were extracted if they were assessed as high or moderate level of evidence. Due to the variation of methods used in different studies, they were divided into five groups: groups 1 and 2, studies that evaluated the effect of flowable composite as a liner on dentinal or enamel margins and applied flowable composite on all of the cavity wall margins; groups 3 and 4, studies that evaluated the effect of flowable composite as a liner on dentinal and enamel margins and applied flowable composite only on gingival margin; and group 5, clinical studies.

Results: The initial search yielded 1,370 publications. After hand searching, six extra studies were included in the review. The abstracts of all were read independently by AB and SG. After methodologic assessment and evaluation of the level of evidence, 18 studies were selected for this study. The results of this study indicate that flowable composite liners have no significant effect on microleakage of composite restorations in all of five groups.

Conclusion: Application of flowable composite as a liner in composite restorations cannot reduce microleakage or improve clinical performance.

Wednesday, January 27, 2016

OSAP Boot Camp Sets Records

The Organization for Safety, Asepsis and Prevention (OSAP), the advocate for The Safest Dental Visit™, reports that its Dental Infection Control Boot Camp™, held in Atlanta, Georgia, January 11-13, set records for attendance, speakers, and content. The annual “basic training” program covers all of the core infection prevention fundamentals for dental practitioners, but this year’s meeting featured a record 15 speakers, including 5 representatives from the Centers for Disease Control and Prevention (CDC) and the Director of the Division of Oral Health at CDC, Katherine Weno DDS, JD. Attendees were also were given a sneak peek at the new CDC Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care, which builds on the CDC Guidelines issued in 2003.
The OSAP Boot Camp featured national and international experts in infection prevention and safety. “We are very fortunate to have a stellar faculty of world-renowned infection prevention experts who will contribute their knowledge and expertise to this curriculum,” said OSAP Executive Director Therese Long. “The manufacturers and distributors also are generous supporters of the course and we recognize and thank them for their commitment to OSAP and dental safety.” One of the stand-out activities this year was “Traveling the Instrument Processing Pathway,” which provided hands-on training addressing the pre-cleaning, transport, washing, and disinfection of instruments; instrument wrapping and chemical indicators and integrators; and sterilizer loading, unloading, and monitoring.
Boot Camp is targeted to dental personnel who desire a strong foundation in infection control, infection control coordinators, educators, and compliance officers, federal service employees with infection control responsibilities, federally qualified health center personnel, consultants, and sales representatives.          
OSAP recognized and thanked the US Federal Services for supporting the course over the past 2 decades. Dr. Shannon Mills, Col USAF (RET) conceived the OSAP-Federal Services alliance in 1994. The course has evolved into a foundational course for which civilians and the military both benefit. “We greatly appreciate the expertise contributed by members of the curriculum development committee comprising Dr. David Carr, Dr. Randy Coffey, Kathy Eklund RDH MHP, Earl Fillmore BAS BSN MS, Dr. Leslie Grant, Dr. Kelli Mack, Dr. Chris Miller, Carol Oeder CDA LPN, Dr. Doug Risk and Dr. Scott Trapp,” said Long. Special recognition and thanks were given to Dr. Marie Fluent who spearheaded the entire program. Her hard work, dedication, and deep knowledge of the subject matter made a significant difference in the quality of the educational course.
Celebrating over 30 years of service to the worldwide dental community, OSAP is a growing community of clinicians, educators, students, policy-makers, and industry representatives who advocate for safe and infection-free delivery of oral healthcare. OSAP focuses on strategies to improve compliance with safe practices and on building a strong network of recognized infection control experts. OSAP offers an extensive online collection of resources, publications, FAQs, checklists and toolkits to help dental professionals ensure that every visit is The Safest Dental Visit™ for patients and the dental team. For more information, visit www.osap.org or call 800-298-OSAP (6727) or 410-571-0003.

Tuesday, January 26, 2016

Mini dental implants retaining mandibular overdentures: A dental practice-based retrospective analysis

 

Abstract

Purpose

The purpose of this study was to assess the survival of mini dental implants (MDI) and to measure prosthetic maintenance needs in a dental practice-based setting.

Methods

Patients with mandibular removable dentures were provided with MDI to improve denture retention. Complications and maintenance were analyzed by use of patient records and evaluated with Kaplan–Meier curves and the log rank test at a significance level of 0.05.

Results

Ninety-nine MDI were placed in 25 patients (mean age: 72 years). Two MDI fractured during placement and eight implants failed during the first weeks. No more implants were lost for up to seven years, resulting in 92% survival. Implant survival differed significantly depending on whether the maxilla was provided with complete dentures (94.9%) or with partial dentures (81%). All prostheses were in use at the time of data extraction. Denture base fractures were observed in six cases, an incidence of fractures of 24%. Some minor intervention was necessary: one resin tooth fractured, retention rings were changed in five cases, and repeated relining was required for 16% of the dentures.

Conclusions

After mid-term observation, survival of MDI was good. However, the incidence of denture base fractures and of minor prosthetic complications should not be under-estimated.

Monday, January 25, 2016

3M Oral Care Releases RelyX™ Fiber Post 3D Glass Fiber Post


In Search of Simplified Post and Core Solutions, 

New fiber post is centerpiece of efficient 3M post and core solution

ST. PAUL, Minn. – (Jan. 20, 2016) – Often teeth that have undergone endodontic therapy are rendered compromised with regard to structural integrity and esthetics. To combat this common issue, dentists understand the importance of using an endodontic fiber post to recreate an abutment and preserve tooth strength. But placing a fiber post can often be time-consuming and inefficient, adding multiple steps to an already complicated endodontic procedure. With the new RelyX™ Fiber Post 3D, 3M introduces an integral component of 3M’s new streamlined post and core solution.

The new RelyX Fiber Post 3D builds on 8 years of clinical success of the original RelyX Fiber Post. Its updated design offers higher mechanical retention to the core build-up material thanks to coronal 3D macro retentions, and maintains a strong bond in the root canal due to its microporous surface. Post position control within the canal is greatly improved as a result of RelyX Fiber Post 3D’s enhanced radiopacity. And, in combination with not more than three other easy-to use 3M products, the entire post and core build-up procedure can be significantly simplified and requires just four simple steps:
  1. Dentists begin by applying the ready-mixed RelyX™ Unicem 2 Automix Self-Adhesive Universal Resin Cement directly into the root canal from bottom to top using an endo tip for a virtually void-free mix.
  2. Following cement application, RelyX Fiber Post 3D is placed in the canal without pretreatment such as etching or silanization.
  3. Scotchbond™ Universal Adhesive is then applied to the post and surrounding tooth structure providing a reliable bond to the core build-up material.
  4. After adhesive application, Filtek™ Bulk Fill Posterior Restorative enables a fast, easy and void-free core build-up around the post.
“Performing endodontic restorative procedures can be complicated and often come with a lot of variables that a dentist can’t control,” said James Braun, DDS, MS, of Saginaw, Mich. “With the 3M post and core solution, I can feel confident that I receive a robust and reliable outcome from a simple procedure.”

To learn how the 3M post and core solution including RelyX Fiber Post 3D can benefit your practice, visit 3M.com/RelyX3D.

3M Oral Care promotes lifelong oral wellness through inventive solutions that help oral care professionals achieve greater clinical, professional and personal success. Learn more at 3MESPE.com (dental) or 3MUnitek.com (orthodontics).

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About 3M
At 3M, we apply science in collaborative ways to improve lives daily. With $32 billion in sales, our 90,000 employees connect with customers all around the world. Learn more about 3M’s creative solutions to the world’s problems at www.3M.com or on Twitter @3M or @3MNewsroom.

Friday, January 22, 2016

Protect Your Patient’s Esthetic Investment with These Three Great Options!

Spokane, WA – January 20, 2016 – You’ve just spent a great deal of time and effort on a wonderful new smile for your patient. The final result is superb. The patient is ecstatic. There’s only one challenge left. Think about what 600 pounds of grinding force per square inch (10 times the force registered during normal mastication) from a bruxing patient could do to your cosmetic dentistry. That’s enough force to crack a walnut – and to easily damage the smile you have taken such care in creating!!!
Consider some safe, comfortable “smile insurance” – with Nightguards and Mouthguards from Space Maintainers – Pacific NorthwestTM! Choose from the following options, depending on the clinical situation:
Pro-Form® Night Guard
  •   Indicated for patients with mild bruxing/clenching.
  •   Entirely constructed of soft material.
  •   Often used for “clenchers” where the occlusal surface must give under stress.
    Dual-Flex® Splint
  •   Indicated for patients with moderate to severe bruxing/clenching.
  •   Combines the fit and comfort of a soft splint with the wear resistance, accuracy and
    adjustability of a hard acrylic occlusal surface.
  •   Can be utilized for all splint designs (e.g., Gelb, MORA, May, Sears, Jankelson, Tanner, etc.)
    Intact “Multi-Purpose” Mouthguard
  •   Offer greater protection for athletically active patients.
  •   The perfect choice for a wide variety of athletic activity and contact levels.
  •   Constructed from bonded sheets of injection-molded, cross-woven vinyl (provides extra
    strength and resistance to distortion).
    Contact Aurum Group®/Space Maintainers – Pacific NorthwestTM at 1-800-423-6509 for full details on Pro-Form® Night Guards; Dual-Flex Splints; and the Intact “Multi-Purpose” Mouthguard today!
About the Aurum Group®/Space Maintainers – Pacific NorthwestTM
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.

Thursday, January 21, 2016

Voco's Admira® Fusion


I have been using this for a few months and like the way it looks and handles. MJ



Biocompatible Nano-ORMOCER® Direct Universal Restorative
The World’s First ALL CERAMIC-based Direct Restorative


In the modern world of cosmetic and restorative dentistry the ALL-CERAMIC crown restoration is considered the pinnacle of quality as an indirect restoration for strength, esthetics and longevity.  Today VOCO presents an evolutionary step forward in the realm of direct restorative dental materials with the introduction of Admira® Fusion, the world’s first ALL CERAMIC-based universal, direct restorative material. After almost two decades of intensive research and development, VOCO has created the first ever nano-ORMOCER® through the innovative “FUSION” of VOCO’s proven Nano-Hybrid and ORMOCER® (ORganic MOdified CERamic) technologies. 

Nano-Hybrid technology was first introduced to the dental industry in 2003 when VOCO successfully launched Grandio the world’s first Nano-Hybrid composite.  ORMOCER® technology, developed by the German based Fraunhofer Institute for Silicate Research ISC, has been embraced and implemented by many other industries with much success for its beneficial optical properties, scratch resistance, anti-static and anti-microbial behaviors.  These benefits have created new levels of quality for industries utilizing medical technologies, electronics, optics, sensors, and surface refinements.  Today VOCO has brought these two successful technologies together as a nano-ORMOCER in Admira Fusion to create new levels of quality within the dental industry.

As a nano-ORMOCER® Admira Fusion’s chemical base is formed by silicon oxide, making up both the glass fillers as well as the ceramic resin matrix, a first of its kind. This unique “Pure Silicate Technology” offers several remarkable advantages that include up to 50% lower polymerization shrinkage (1.25% by volume) than today’s conventional composites, as well as up to 50% lower shrinkage stress.  Further physical properties enhanced by VOCO’s nano-ORMOCER® technology include extremely high color stability, elevated esthetics in translucency and opacity that allow it to adapt and blend well to surrounding tooth structure, as well as high surface hardness and edge strength.

The ORMOCER®s used in the manufacturing of Admira® Fusion makes it highly biocompatible, as it contains none of today’s classic monomers (BisGMA [BPA], TEGDMA, UDMA, etc). The light-curing, radiopaque Admira® Fusion has an 84 % (by weight) inorganic filler content giving it excellent wear resistance, which when combined with Admira® Fusion’s particularly high color stability allows for its universal use meeting the highest demands in both the anterior and posterior regions. This very homogeneous material offers outstanding non-sticky handling and is compatible with all conventional bonding materials.

Further value is realized with VOCO’s ISO-pak packaging of Admira Fusion capsules that offers air-tight, individually sealed foils to maximize infection & humidity control.  Available in 18 VITA shades in unit-dose capsules and syringes, Admira® Fusion’s nano-ORMOCER® technology truly represents the next generation in the world of universal direct restorative materials. 





Wednesday, January 20, 2016

Intuit sells Demandforce to Internet Brands

http://www.zdnet.com/article/intuit-sells-demandforce-to-internet-brands/

Financial software giant Intuit has sold its Demandforce software business to Internet Brands, a private media company based out of El Segundo, California. Terms of the deal were not disclosed.
Demandforce was part of a trio of divisions Intuit included in divestiture plans back in August, along with Quicken and QuickBase.
Intuit acquired Demandforce in 2012 for a cool $423.5 million. The software aims to help small- and medium-sized businesses automate communications with their customers.
At the time, the deal marked a turning point for Intuit and the company's move into software as a service and the SMB market. Analysts lauded the acquisition as a strategic move that could ultimately reshape Intuit.
Four years later, Intuit decided that DemandForce was just too far outside of its core focus to justify its place in the company.
"Demandforce and QuickBase are great businesses, but they do not support the QuickBooks Online ecosystem, and both serve customers that are up-market from our core small business customers," Intuit CEO Brad Smith said on a conference call in August following the divestiture news.
"For Demandforce, we are seeking a buyer who will invest in this industry-leading marketing solution with a growing and talented sales force."
As it moves on to Internet Brands, Demandforce will be used to bolster the company's presence in the SMB SaaS space, particularly in the Health category. The Demandforce brand will live on and its existing team will remain in its San Francisco headquarters.


Tuesday, January 19, 2016

Dental treatment planning considerations for patients using cannabis: A case report.

J Am Dent Assoc. 2016 Jan 5. pii: S0002-8177(15)01149-6. doi: 10.1016/j.adaj.2015.11.019. [Epub ahead of print]

Abstract

BACKGROUND AND OVERVIEW:

There is a deficit in clinical research on the potential risks involved in treating dental patients who use cannabis for either medicinal or recreational purposes. The aim of this case report is to illustrate the need for additional education for oral health care professionals so they can understand the wide variety of available cannabis options and their potential effects on dental treatment.

CASE DESCRIPTION:

A 27-year-old man sought care at the dental clinic with a nonrestorable molar requiring extraction. During the review of his medical history, the patient reported taking a "dab" of marijuana approximately 5 hours before his appointment. Because of the admission of recent illicit drug use, no treatment was rendered. The patient was offered an appointment the next day but he refused, citing bias in regard to his cannabis use.

CONCLUSIONS AND PRACTICAL IMPLICATIONS:

The number of Americans using marijuana is increasing rapidly. Twenty-three states and the District of Columbia have laws legalizing cannabis to some degree, and Alaska, Colorado, Oregon, and Washington have legalized marijuana for recreational use. This drastic upswing in availability and usage will require dentists to address the possible effects of cannabis on dental practices. It is imperative that dental care providers make clinical decisions based on scientific evidence regarding the pharmacologic and psychological effects of marijuana, not on the societal stigma associated with illegal drug use. Dentists should be familiar with popular delivery systems and understand the differences between various marijuana options. Clinical guidelines may need to be developed to help providers assess the patient's degree of cognitive impairment. Dentists should be able to advise patients on the potential consequences of this habit on their oral health.

Monday, January 18, 2016

NYU Study Links Life’s Milestones to a Non-Circadian Biological Rhythm in Teeth



College of Dentistry researchers provide first experimental evidence of a new multidien chronobiological rhythm responsible for regulating the pace of growth and development in large mammals

The circadian rhythm, or “daily biological clock,” controls much of an organism’s regular pace of development, and this growth paradigm has been the focus of intense molecular, cellular, pharmacological, and behavioral, research for decades. But then, why do rats mature faster than humans?

“It is impossible to explain enormous variations in age at maturity and other developmental milestones just by looking at differences in this daily rhythm,” said Dr. Timothy Bromage, a professor of Biomaterials and of Basic Science & Craniofacial Biology at the New York University College of Dentistry. “This suggests that another biological timing mechanism is at work.”

Through metabolomic analysis of blood plasma, Dr. Bromage and his team, have for the first time, linked these variations to another biological timing mechanism operating on multi-day (multidien) rhythms of growth and degradation. The findings were published today in the online journal PLOS ONE.

This research builds upon earlier studies by Dr. Bromage that observed multi-day biological rhythms within incremental growth lines in tooth enamel and skeletal bone tissue first published in the February, 2009 issue of Calcified Tissue International.

“These rhythms, originating in the hypothalamus, a region of the brain that functions as the main control center for the autonomic nervous system, affect bone, body size, and many metabolic processes, including heart and respiration rates,” Dr. Bromage hypothesized. “The rhythms affect an organism’s overall pace of life and its lifespan, so a rat that grows teeth and bone in a fraction of the time of a human, in fact also lives faster and dies at a much younger age.”

In his current research, Dr. Bromage and his team further characterized these rhythms through metabolome and genome analysis of blood plasma from a medium-sized mammal, the domestic pig. The study, “The Swine Plasma Metabolome Chronicles "Many Days" Biological Timing and Functions Linked to Growth,” is the first ever use of metabolomics to address a question in evolutionary biology.

The researchers found that blood plasma metabolites and RNA drawn from 33 domestic pigs over a two-week period oscillate on a five-day rhythm. Using microscopic analysis, the investigators also observed a corresponding five-day rhythm in the pigs’ tooth enamel.

Further study revealed two five-day rhythms in tandem – one controlling tissue growth and a second one beginning three days later for degradation of growth-related molecular compounds back to their basic biological entities for use in the next growth round.

“These findings provide new insight into biological processes regulating growth and body size and controlling gestation length, weaning, age at maturity and other developmental milestones,” said Dr. Bromage. “We believe this to be a key component to what regulates species’ life history evolution.”

In the next stage of this research, Dr. Bromage will use metabolic profiling to reveal the intricacies of a four-day growth rhythm he observed in the rhesus macaque monkey’s teeth. The final stage of research will examine humans, who are expected to clock eight- to nine-day rhythms, reflecting a larger body size and longer average lifespan than the macaque.


Dr. Bromage’s coinvestigators included: Dr. Youssef Idaghdour of the Department of Biology at NYU Abu Dhabi; Dr. Rodrigo S. Lacruz of the Department of Basic Science & Craniofacial Biology at NYU College of Dentistry; Dr. Thomas D. Crenshaw of the Department of Animal Science at the University of Wisconsin at Madison; Dr. Olexandra Ovsiy of the Department of Biomaterials at NYU College of Dentistry; Dr. Björn Rotter and Dr. Klaus Hoffmeier, both of GenXPro GmbH in Frankfurt, Germany; and Dr. Friedemann Schrenk, head of the Palaeoanthropology Division at the Senckenberg Research Institute and professor of Paleobiology at the Institute for Ecology, Evolution, and Diversity at Goethe University, both in Frankfurt.

Acknowledgments

We posthumously thank Dr. Franz Halberg, a long-time explorer of long period rhythms, for many discussions, and for his advice during the course of this study. We thank Dr. Germaine Cornelissen for discussions on spectral analyses, for providing assistance with the development of our cosinor algorithm, and for performing an independent validation of its operation. Mass spectrometry and metabolite profiling were generously provided by Metanomics GmbH. We thank Dr. Bin Hu for expert dental histology. We thank anonymous non-peer reviewers, who helped to clarify several lines of reasoning, and three PLoS ONE reviewers, including Dr. Holly Smith, who helped illuminate several important points and counterpoints of our work.

This study was hosted by the Senckenberg Research Institute, Frankfurt, and funded by the 2010 Max Planck Research Award to TGB, administered by the Max Planck Society and the Alexander von Humboldt Foundation in respect of the Hard Tissue Research Program in Human Paleobiomics.

About New York University College of Dentistry--New York University College of Dentistry (NYUCD) is the third oldest and the largest dental school in the US, educating more than 8 percent of all dentists. NYUCD has a significant global reach and provides a level of national and international diversity among its students that is unmatched by any other dental school. http://www.nyu.edu/dental/

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Friday, January 15, 2016

Dental Recycling North America Offers Best Solution for Compliance with new EPA Regulations


 
New York, Jan. 12, 2016 - Dental Recycling North America, Inc. (DRNA) announced its amalgam recycling deposit program is now widely available for dentists.  DRNA's deposit program allows dental offices to lock in current pricing for amalgam recycling technology and services, but not install the separator until the EPA rule goes into effect.
 
DRNA, known for its waste management expertise throughout the dental industry, offers a complete solution for dental practices by not only providing the amalgam separator, but also handling the compliance paperwork and recycling practices to ensure dentists are compliant with EPA regulations.
 
The DRNA deposit program also includes the following benefits for dentists:
  • The DRNA model is 50% less expensive than the models sold by most dental dealers.
  • Annual recycling with DRNA is $500, while most dental dealers cost around $850.
  • DRNA locks in its annual recycling costs for up to five years, while competitors can raise the price each year. No increases in recycling costs for five years helps dentists control ongoing operating expenses.
  • DRNA handles the solid amalgam wastes as well, and the model is larger so it only needs to be switched out yearly, rather than each month or quarterly, as many competitors' models require.
  • DRNA handles the solid amalgam waste as well, which is part of the new regulation.
 
"Many of our customers are early adopters of the EPA rules, and have already put the DRNA amalgam separator to use in their office," said Marc M. Sussman, President and CEO of DRNA, Inc. "The benefit of our deposit program is that dentists who don't want to install the technology before the EPA requires it can lock in on the current pricing offered, and DRNA will install the separator equipment when the rule is in place. It allows dentists to have the best solution on the market at a significant discount, without the expense to their office until it's required by law."
 
 
 
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     About DRNA, Inc.
     DRNA is the North American leader in dental waste management and recycling. Whether amalgam waste, x-ray chemistry, lead, bio-hazardous or pharmaceutical waste, DRNA provides essential and affordable solutions for every dental office. DRNA is the number one compliance partner providing equipment, recycling, long-term documentation and education.
For more information on DRNA please visit www.drna.com.

Thursday, January 14, 2016

Kerr Restoratives Launches Maxcem Elite Chroma


I had the opportunity to try this product throughout its development and the unique properties and the great cement make this an easy choice for your office MJ

The first Self-Etch/Self-Adhesive resin cement
 to offer a Color Cleanup Indicator.

January 12, 16.  Kerr Restoratives is proud to announce the launch of Maxcem Elite Chroma, the first Self-Etch/ Self-Adhesive resin cement offering a Color Cleanup Indicator, making it the smartest cement available on the market today.
The Smart Cement begins with a pink color that fades at the gel state, telling the clinician the optimal time to cleanup excess cement. The pink color will disappear after both self-cure and tack cure, allowing for maximum flexibility in its use. In addition to the color cleanup indicator, Maxcem Elite Chroma also offers One-Peel™ cleanup, automix delivery system, easy no-refrigeration storage, and compatibility with all indirect restorations.
Featuring best-in-class adhesion when compared to other leading self-adhesive cements, Maxcem Elite Chroma forms a strong and durable bond with a wide variety of dental substrates and is compatible with all indirect restorations - anterior or posterior ceramics, PFMs, metal restorations, and CAD/CAM materials.
Maxcem Elite Chroma is a prime example of how we continually provide innovative products to address the evolving needs of the dentist,” said Phil Prentice, Vice President, North American Marketing, Kerr. “As a company, our new addition to our cements portfolio and how we provide a total solution to the dentist as Kerr Restoratives is how we strive to do more everyday.”
Radiopaque for easy identification on x-rays, the cement is available in a .dual barrel, automix syringe system ,supplied with single-use automix tips and optional curved dispensing tips to allow the user to deliver desired volume of cement directly into restoration and/or tooth preparations.
For more information, visit www.kerrdental.com.

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About Kerr Corporation
For nearly 125 years, Kerr has been serving the comprehensive needs of the entire dental care community in pursuit of enhancing oral health.  Individual Kerr brands are encompassed within the Kerr Restoratives, Kerr Endodontics, Kerr Rotary, and Kerr TotalCare platforms. By providing best-in-class, patient-based solutions, we believe that in partnership with those we serve - “Together we’re more.”
Visit us at www.kerrdental.com or call 800-KERR123.



Wednesday, January 13, 2016

On-Going Support for Six Month Smiles Dentists


We all know confidence is gained through experience.Thousands of dentists around the world have already taken the step to provide their patients with common sense short term orthodontics through our turnkey Six Month Smiles system. And while the two-day course will give you the power of the Six Month Smiles system, every dentist has questions as they embark to treat their patients. 
  • Is this patient a good candidate?
  • How will I close this gap?
  • How much IPR in this case?
  • Should I refer this to an orthodontist?
Of course, our bracket specialists will determine the optimal bracket placement to align a patient's teeth. But we know you are on the front line. Your reputation is at stake, and you don't want to make any false promises.
 
Because we have a community of Six Month Smiles providers around the world, we have an online resource available around the clock. Our Provider Resource Center (PRC) provides:
  • Peer-to-peer case support in our online forum
  • Video modules from the two-day course
  • How-to videos
  • Hands-on video review
  • Marketing collateral like patient photos,6MS logos, social media marketing videos & more
  • Information about on-going cases
  • Patient forms
  • Upcoming Webinar Schedule
  • Supply order forms
You will gain access to the PRC once you have completed the two-day course. The PRC ensures a smooth transition as you begin offering cosmetic ortho to your patients. Join the community of Six Month Smiles providers around the world helping their patients to smile with confidence - because every one deserves to smile with confidence, and every dentist can help
"The fact that you have individuals who are passionate about helping each of the Six Month Smiles providers provide great results for their patients is a huge confidence builder."  - Dr Noel Ananthan

If you would like to bring more patients into your practice by adding Short Term Orthodontics to your practice – sign up for the award winning 2 day hands-on training course provided by Six Month Smiles. Also – as an added bonus, use promo code ASKMARTY300 to receive $300 off your course tuition! Visit www.SixMonthSmiles.com/Level1 to register.
For more information, clinical case studies and a host of other information, register for the next Six Month Smiles overview webinar here:  http://www.6monthsmiles.com/pages/dentist_home/free_webinar.aspx

Tuesday, January 12, 2016

American Dental Association and Sikka Software Introduce the ADA Benefit Plan Analyzer




New Tool Helps Dentists Compare Insurance Plan Costs and Benefits;
FREE Six-Month Trial Now Available to all ADA Members

San Jose, CA (January 8, 2016) – Sikka Software, the leading innovator in Business Intelligence Software for healthcare and small business communities, and the American Dental Association (ADA) announced today that all ADA members are eligible to receive a free, six-month trial of the new ADA Benefit Plan Analyzer (ADA BPA).

The ADA Benefit Plan Analyzer is designed to help dentists evaluate potential revenue and costs of becoming a provider for dental benefit plans and compare the outcomes via the Sikka Software Platform Cloud. 

Dental professionals who utilize the ADA Benefit Plan Analyzer are able to:

Score the Benefit Plan: This particular ADA BPA tool connects with the dentist’s practice management system, automatically pulling out key data points integral to evaluating insurance plans. Dentists can choose from a list of PPO and DHMO plans across the nation to evaluate. Based on practice-specific inputs, the ADA BPA scores the plan on a 100-point scale, providing a visualization of potential value that can be added to the practice. Each score is unique to a practice and accounts for differences in operational management.

Know the Numbers: With the ADA BPA, dentists receive an estimate of not only gross revenue and overhead costs, but also the chair time and practitioner hours associated with serving the patients in the network. Estimates are based on practice inputs, allowing practices to better manage their capacities and administrative hours and ensuring all patients receive the time they need to achieve optimum oral health.  

Compare Multiple Plans: Each dental benefit plan is different and by using the unique inputs from a practice alongside the proposed fee plan, dentists can compare plans side-by-side for quick and accurate evaluations. Side-by-side comparisons remove the guesswork from choosing insurance plans by providing standardized data that dentists need for objective evaluation.

“Previously, dentists have needed to guess which insurance plans will be profitable for their practice while also best serving the dental needs of their community,” remarked Vijay Sikka, CEO of Sikka Software. “With the ADA Benefit Plan Analyzer, dental professionals can make informed decisions about which insurances to accept, and feel confident they have made the best choice for their practice and their patients.”

The ADA offers easy enrollment for the free six-month trial by visiting: http://success.ada.org/freeBPA.  Non-ADA members may also purchase the tool through the ADA catalog.

More than 16,000 providers use Sikka Software apps worldwide. The apps are compatible with 96% of practice management systems and help dentists manage their practices by providing the critical information they need to make management decisions anytime, anywhere.

For more information about the ADA Benefit Plan Analyzer as well as all Sikka Software practice management solutions, please visit www.sikkasoftware.com.

About Sikka Software 

Sikka Software Corporation is revolutionizing the retail healthcare industry via its platform cloud, analytical tools, apps, and big data leadership. The retail industry includes over 2.1 million providers worldwide and over 600,000 in the United States. The Sikka Platform Cloud allows seamless compatibility with over 96% of the dental, veterinary, vision care, and hearing care markets in the United States. Sikka Software Corporation has over 16,000 installations and is experiencing strong growth and market presence in the retail healthcare big data space. For more information, please visit www.sikkasoftware.com.

Monday, January 11, 2016

Lares Introduces ProStyle Handpiece Line


Lares Research has introduced a new ProStyle line of highspeed handpieces. The new handpieces offer many advantages over the company’s prior models, including improved ergonomics and optics.

Lares ProStyle highspeed handpieces feature new solid-rod cellular optics for brighter, longer-lasting illumination. The new ergonomically optimized grip diameter and gentler handle bend radius reduces hand fatigue and provides better control. Super-smooth head profiles allow fast, easy cleaning. The 557 compact head size models offer 20% more cutting power than previous models. The 757 full head size models have a new four-port spray that provides improved water atomization for better spray coverage.

Lares handpieces can be ordered factory direct from the company’s website at www.laresdental.com or by calling 1-888-333-8440, Extension 1.

ProStyle is included in the Lares Research 30-day money back satisfaction guarantee program.

For more information, call 1-888-333-8440, Ext. 1 or visit www.laresdental.com.

Friday, January 08, 2016

Heating methods for reducing unevenness softening of mouthguard sheets in vacuum–pressure formation

Takahashi, M., Koide, K., Satoh, Y. and Iwasaki, S.-i. (2015), Heating methods for reducing unevenness softening of mouthguard sheets in vacuum–pressure formation. Dental Traumatology. doi: 10.1111/edt.12254

Abstract

Background

Unevenness in softening of the plastic sheet leads to a decrease in the mouthguard thickness during thermoforming. In this study, we examined the heating methods for reducing unevenness when softening mouthguard sheets during vacuum–pressure formation.

Materials and methods

Ethylene vinyl acetate mouthguard sheets and olefin copolymer sheets (thickness: 4.0 mm) were used. The following three heating conditions were compared: condition A—the sheet was molded when it sagged 15 mm from the sheet frame (under normal condition); condition B—the heater was turned off when the sheet sagged by 10 mm from the frame, followed by the sheet molding when the sagging reached 15 mm below the frame; and condition C—the sheet was inverted after heating when the sheet sagged 10 mm and was molded when the sagging reached 15 mm below the frame. The sheet was heated and pressed over the model using a vacuum–pressure machine; then, 10 s of vacuum forming and 2 min of pressure molding were applied. The sheet temperatures were measured using a radiation thermometer. Thickness of the fabricated sheets was determined for the incisal and the molar portion using a measuring device. Thickness data for each condition were analyzed by one-way anova followed by Bonferroni's multiple comparison tests.

Results

On both sheets, condition B was smallest for temperature difference between the heated and the non-heated surface, and thicknesses after molding were greatest at all measuring portions.

Conclusion

By comparing changes in sheet temperatures at molding and variation in thicknesses when applying the heating method using a vacuum–pressure molding machine, we found that reduced unevenness in sheet softening occurred when the heater was turned off when the sag distance of the sheet was 5 mm less than the conventional molding, and then, the sheet was pressed when the conventional sag distance was reached.

Thursday, January 07, 2016

A Systematic Review of Recall Regimen and Maintenance Regimen of Patients with Dental Restorations. Part 2: Implant-Borne Restorations

Bidra, A. S., Daubert, D. M., Garcia, L. T., Gauthier, M. F., Kosinski, T. F., Nenn, C. A., Olsen, J. A., Platt, J. A., Wingrove, S. S., Chandler, N. D. and Curtis, D. A. (2016), A Systematic Review of Recall Regimen and Maintenance Regimen of Patients with Dental Restorations. Part 2: Implant-Borne Restorations. Journal of Prosthodontics, 25: S16–S31. doi: 10.1111/jopr.12415

Abstract

Purpose

To evaluate the current scientific evidence on patient recall and maintenance of implant-supported restorations, to standardize patient care regimens and improve maintenance of oral health. An additional purpose was to examine areas of deficiency in the current scientific literature and provide recommendations for future studies.

Materials and Methods

An electronic search for articles in the English language literature from the past 10 years was performed independently by multiple investigators using a systematic search process. After application of predetermined inclusion and exclusion criteria, the final list of articles was reviewed to meet the objectives of this review.

Results

The initial electronic search resulted in 2816 titles. The systematic application of inclusion and exclusion criteria resulted in 14 articles that satisfied the study objectives. An additional 6 articles were added through a supplemental search process for a total of 20 studies. Of these, 11 were randomized controlled clinical trials, and 9 were observational studies. The majority of the studies (15 out of 20) were conducted in the past 5 years and most studies were conducted in Europe (15), followed by Asia (2), South America (1), the United States (1), and the Middle East (1). Results from the qualitative data on a combined 1088 patients indicated that outcome improvements in recall and maintenance regimen were related to (1) patient/treatment characteristic (type of prosthesis, type of prosthetic components, and type of restorative materials); (2) specific oral topical agents or oral hygiene aids (electric toothbrush, interdental brush, chlorhexidine, triclosan, water flossers) and (3) professional intervention (oral hygiene maintenance, and maintenance of the prosthesis).

Conclusions

There is minimal evidence related to recall regimens in patients with implant-borne removable and fixed restorations; however, a considerable body of evidence indicates that patients with implant-borne removable and fixed restorations require lifelong professional recall regimens to provide biological and mechanical maintenance, customized for each patient. Current evidence also demonstrates that the use of specific oral topical agents and oral hygiene aids can improve professional and at-home maintenance of implant-borne restorations. There is evidence to demonstrate differences in mechanical and biological maintenance needs due to differences in prosthetic materials and designs. Deficiencies in existing evidence compel the forethought of creating clinical practice guidelines for recall and maintenance of patients with implant-borne dental restorations.

Wednesday, January 06, 2016

A Systematic Review of Recall Regimen and Maintenance Regimen of Patients with Dental Restorations. Part 1: Tooth-Borne Restorations

Bidra, A. S., Daubert, D. M., Garcia, L. T., Gauthier, M. F., Kosinski, T. F., Nenn, C. A., Olsen, J. A., Platt, J. A., Wingrove, S. S., Chandler, N. D. and Curtis, D. A. (2016), A Systematic Review of Recall Regimen and Maintenance Regimen of Patients with Dental Restorations. Part 1: Tooth-Borne Restorations. Journal of Prosthodontics, 25: S2–S15. doi: 10.1111/jopr.12417

Abstract

Purpose

To evaluate the current scientific evidence on patient recall and maintenance of dental restorations on natural teeth, standardize patient care regimens, and improve maintenance of oral health. An additional purpose was to examine areas of deficiency in the current scientific literature and provide recommendations for future studies.

Materials and Methods

An electronic search for articles in the English language literature from the past 15 years was performed independently by multiple investigators using a systematic search process. After application of predetermined inclusion and exclusion criteria, the final list of articles was reviewed in depth to meet the objectives of this review.

Results

The initial electronic search resulted in 2161 titles. The systematic application of inclusion and exclusion criteria resulted in 12 articles that met the objectives of the study. An additional 4 articles were added through a supplemental search process for a total of 16 studies. Out of these, 9 were randomized controlled clinical trials and 7 were observational studies. The majority of the studies (14 out of 16) were conducted in the past 5 years, and most of the studies were conducted in Europe (10). Results from the qualitative data, on a combined 3569 patients, indicated that outcome improvements in recall and maintenance regimen were related to (1) patient/treatment characteristics (adherence to recall appointments, type of restoration and type of restorative material); (2) agent (chlorhexidine, fluoride, triclosan); and (3) professional interventions (repeated oral hygiene instruction, regular oral hygiene intervention).

Conclusions

There is minimal evidence related to recall regimens in patients with removable and fixed tooth-borne restorations; however, there is considerable evidence indicating that patients with tooth-borne removable and fixed restorations require lifelong dental professional maintenance to provide repeated oral hygiene instruction and regular oral hygiene intervention customized to each patient's treatment. Current evidence also indicates that use of specific oral topical agents like chlorhexidine, fluoride, and triclosan can aid in reducing risk for gingival inflammation, dental caries, and candidiasis. Therefore, these agents may aid in improvement of professional and at-home maintenance of various tooth-borne dental restorations. Furthermore, due to the heterogeneity of patient populations, restorations, and treatment needs, the evidence compels forethought of creating clinical practice guidelines for recall and maintenance of patients with tooth-borne dental restorations.

Monday, January 04, 2016

Forty-Year Trends in Tooth Loss Among American Adults With and Without Diabetes Mellitus: An Age-Period-Cohort Analysis

Luo H, Pan W, Sloan F, Feinglos M, Wu B. Forty-Year Trends in Tooth Loss Among American Adults With and Without Diabetes Mellitus: An Age-Period-Cohort Analysis. Prev Chronic Dis 2015;12:150309. DOI: http://dx.doi.org/10.5888/pcd12.150309.

Abstract

Introduction
This study aimed to assess the trends in tooth loss among adults with and without diabetes mellitus in the United States and racial/ethnic disparities in tooth loss patterns, and to evaluate trends in tooth loss by age, birth cohorts, and survey periods.
Methods
Data came from 9 waves of the National Health and Nutrition Examination Survey (NHANES) from 1971 through 2012. The trends in the estimated tooth loss in people with and without diabetes were assessed by age groups, survey periods, and birth cohorts. The analytical sample was 37,609 dentate (ie, with at least 1 permanent tooth) adults aged 25 years or older. We applied hierarchical age-period-cohort cross-classified random-effects models for the trend analysis.
Results
The estimated number of teeth lost among non-Hispanic blacks with diabetes increased more with age than that among non-Hispanic whites with diabetes (z = 4.05, P < .001) or Mexican Americans with diabetes (z = 4.38, P < .001). During 1971–2012, there was a significant decreasing trend in the number of teeth lost among non-Hispanic whites with diabetes (slope = −0.20, P < .001) and non-Hispanic blacks with diabetes (slope = −0.37, P < .001). However, adults with diabetes had about twice the tooth loss as did those without diabetes.
Conclusion
Substantial differences in tooth loss between adults with and without diabetes and across racial/ethnic groups persisted over time. Appropriate dental care and tooth retention need to be further promoted among adults with diabetes.