The effect of local and systemic statin use as an adjunct to non-surgical and surgical periodontal therapy—A systematic review and meta-analysis

Journal of Dentistry

Available online 30 August 2017

In Press, Accepted Manuscript

Abstract

Objectives

To evaluate the effect of local and/or systemic statin use as an adjunct to non-surgical and/or surgical periodontal therapy.

Data

Literature search according to PRISMA guidelines with the following eligibility criteria: (a) English or German language; (b) interventional studies; (c) statins as monotherapy or as an adjunct to non-surgical and/or surgical treatment of periodontitis; (d) clinical and/or radiographic treatment effect size of statin intake reported.

Sources

Medline (PubMed), Embase (Ovid), CENTRAL (Ovid).

Study

selection Thirteen clinical studies regarding local application and 2 with systemic administration of statins as an adjunct to non-surgical treatment (SRP) and 4 studies regarding intrasurgical statin application with a maximum follow-up of 9 months could be included; simvastatin, atorvastatin, and rosuvastatin were used. Local but not systemic statin application as an adjunct to SRP yielded significantly larger probing pocket depth (PD), radiographic defect depth (RDD), and bleeding index reduction, and larger clinical attachment level gain, and less residual PD and RDD (p ≤ 0.016); rosuvastatin appeared as the most efficacious. Three of 4 studies reported a significant positive effect of intrasurgical statin application. No adverse events were reported after statin use. The vast majority of the included studies were from the same research group.

Conclusions

Significant additional clinical and radiographic improvements are obtained after local, but not systemic, statin use as an adjunct to SRP in deep pockets associated with intrabony defects and seemingly with furcation defects; intrasurgical statin application seems similarly beneficial. Confirmation of these results, and especially of the effect size, from other research groups is warranted.

AADOM ANNOUNCES SPECIALTY NETWORK PROGRAM

Red Bank, N.J., October 15, 2017 – The American Association of Dental Office Management (AADOM) is proud to launch a new initiative for office managers and practice administrators of specialty dental practices. This initiative was recently announced at the AADOM Annual Conference in Scottsdale, much to the enthusiasm of AADOM members.  This program was created as a result of AADOM specialty members requesting to discuss challenges found in non-general dental practices. These unique situations include scheduling, marketing, billing & coding, specific to each specialty. AADOM responded to this challenge with the creation of the AADOM Specialty Network (ASN). Via the ASN, AADOM members will now have additional resources to help them navigate specialty specific management issues and to lead successful practices.   Andrea Bowlin, FAADOM, Chairperson of the AADOM Oral Surgery Network states, “Specialty office managers face unique challenges in our practices. In oral surgery practices our relationships with our patients, education, billing/coding, and referral sources are specific to our specialty. The opportunity AADOM is extending to oral surgery specialty practices will help expand our knowledge through communication and education with office managers in similar practice settings.”   Michael Cruz, FAADOM, Chairperson of the AADOM CEREC Network elaborates, “Specialty offices have their own set of challenges that may not always be addressed by GP offices. AADOM’s mission is to make sure that front office professionals know that they are not alone and the AADOM Specialty Network is just a continuation of that mission to bridge the gap for specialty offices.”  There are several networks that are available to AADOM members. These include the AADOM Pediatric Network, the AADOM Orthodontic Network, the AADOM Multi-Specialty Network, The AADOM Periodontic Network, The AADOM Oral Surgery Network, the AADOM Endodontic Network, and the AADOM CEREC Network.  Each Specialty Network will be chaired by an AADOM member. Benefits of the Specialty Networks include private online Facebook communities, specialty-specific educational webinars hosted by AADOM members and specialty-focused education at the AADOM Conference.  Dentists are also enthusiastic about what the AADOM Specialty Networks will do for their practices. Oral Surgeon Charles E. Witkowski, Sr. DDS, MD, PhD states “We are the specialty that - while our background is in dentistry - we ride the fence between dentistry and medicine and face our unique challenges to address this. We stress education (dental and medical), relationships and communications with our colleagues, both specialists and general dentists. An excellent skill set is required for this. Equally important is a superb ability to communicate and mesh with our patients. The office manager must be the hub on a wheel with spokes radiating outward. The office manager should be able to teach, communicate and coordinate all aspects of the practice, a true leader. When this happens, the spokes attach to the rims of the wheel and the practice rolls along smoothly.”  “The AADOM Specialty Network has been a long time coming,” says AADOM Founder and President Heather Colicchio. “Our specialty members clearly need additional resources to help them with what we have not covered for them - until now. The additional community, support and education we are rolling out for our specialty members will be an advantage to them in managing their practices and excelling in every way. We are excited to continue to expand our benefits to fill the needs of ALL of our members.”  Also enthusiastic is Courtney Roberts, FAADOM, and Chairperson of the AADOM Endodontic Network: “I am thrilled to help this platform develop as the go-to resource for specialty managers; a place where we can stay connected to each other on familiar grounds while making sure our training game is focused and stronger than ever! And for those endo managers, you can expect our Facebook page to be full of videos, surveys, informative post, marketing ideas, FAQs and more!”

About AADOM: The American Association of Dental Office Management (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. Please visit to learn more about the AADOM Specialty Network or visit www.dentalmanagers.com or email at info@dentalmanagers.com

Effect of flowable composites on the clinical performance of non-carious cervical lesions: A systematic review and meta-analysis

Journal of Dentistry

Volume 65, October 2017, Pages 11-21

Review article

Abstract

Objectives

To answer the following PICO question (participant, intervention, comparator and outcome): Does flowable resin composite restorations compared with regular resin composites improve the marginal adaptation, marginal discoloration and retention rates of restorations placed in non-carious cervical lesions [NCCLs] of adults?, through a systematic review and meta-analysis.

Source

MEDLINE, Scopus, Web of Science, LILACS, BBO, Cochrane Library and SIGLE were searched without restrictions, as well as the abstracts of the IADR, clinical trials registries, dissertations and theses in May 2016 (updated in April 2017).

Study selection

We included randomized clinical trials (RCTs) that answered the PICO question. RCTs were excluded if cavities other than NCCLs were treated; indirect restorations; polyacid-based resins instead of composite resins were employed, restorations in primary teeth and restorations were placed in carious cervical lesions. The risk of bias tool of the Cochrane Collaboration was applied in the eligible studies and the GRADE tool was used to assess the quality of the evidence.

Data

After duplicates removal, 5137 articles were identified. After abstract and title screening, 8 studies remained. Six were at “unclear” risk of bias. The study follow-ups ranged from 1 to 3 years. No significant difference was observed between groups for loss of retention and marginal discoloration in all follow-ups. Better marginal adaptation was observed for restorations performed with flowable composites. At 1-year (risk ratio = 0.27 [0.10 to 0.70]) and 3-year (risk ratio = 0.34 [0.17 to 0.71]) follow-ups, flowable composites showed a risk 73% and 66% lower than regular composites for lack of adaptation, respectively. The evidence was graded as moderate quality for loss or retention at 3 years due to risk of bias and low and very low for all other outcomes due to risk of bias, imprecision and inconsistency.

Conclusions

We have moderate confidence that the resin composite viscosity does not influence the retention rates at 3 years. Similar marginal discoloration and better marginal adaptation was observed for flowable composites but the quality of evidence is doubtful. (PROSPERO CRD42015019560).

Intelligent Updates to CS 3600 Software Makes Implant Workflow Smarter

SAN FRANCISCO—When it was first launched in 2016, Carestream Dental’s CS 3600 intraoral scanner optimized the implant planning workflow. Today, the latest enhancements to the scanner’s acquisition software make introducing intraoral scanning into the implant workflow not just a smart choice, but a genius one.



The new intelligent scanning features of the CS 3600 make it easier to capture scans correctly on the first try, making scanning more efficient and resulting in higher quality scans before they’ve even been rendered. Missing information is color coded to indicate either holes or gaps and guide arrows recommend the best direction to scan to recapture the data. The ability to scan in high-resolution also improves quality and clinical details.



The scanner’s dedicated workflow, designed specifically for implant-borne restorative scanning, supported abutments and scanbodies, has also been updated with new features to make the digital implant workflow faster, smarter and more efficient. For example, dual scan mode allows the user to scan the same implant region of interest twice—once with the scanbody in place and once without—to capture more precise data.



When using multiple scanbodies on a single case, the new scanbody area selection tool lets users select the region around the scanbody to prevent an image mismatch. Then, the area where the scanbody is located is unselected. Finally, the new scan replaces only the area within the selected area.



“This uniquely designed tool was developed in direct response to feedback from current scanner users who are placing implants,” Ed Shellard, DMD, chief dental officer, Carestream Dental, said. “It significantly improves the quality of complex restoration cases with multiple-scan bodies for optimal implant-borne restorations.



Also new for all scanning workflows is color-coded occlusion mapping and a smaller third tip size. The new tip is the shortest autoclavable tip available and is designed for posterior scanning. All three of the CS 3600’s tips can be autoclaved up to 60 times.*



To learn more about all the latest features of the CS 3600, visit Carestream Dental at the AAOMS Annual Meeting in booth #1102, Oct. 12-14, Moscone Convention Center South, San Francisco, Calif.



For more information about the CS 3600 or any of Carestream Dental’s innovative solutions, call 800.944.6365 or visit www.carestreamdental.com.

 

* Tips can be autoclaved up to 60 times if the exposure is limited to 134˚C at no more than 4 minutes and if gauze is used, as outlined in the CS 3600 Family Safety, Regulatory, and Technical Specifications  User Guide (9J8269).

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About Carestream Dental

Carestream Dental provides industry-leading dental digital product lines and services, including imaging equipment, CAD/CAM systems, software and practice management solutions, for dental and oral health professionals. With more than 100 years of industry experience, Carestream Dental technology captures two billion images annually and delivers more precise diagnoses, improved workflows and superior patient care. For more information or to contact a Carestream Dental representative, please call 800.944.6365 or visit carestreamdental.com.

Ransomware Malware and Other Nasty Viruses.

Join me Saturday October 21 at the ADA in Atlanta. At 12:45pm I will be lecturing on Ransomware Malware and Other Nasty Viruses. This lecture is free in the Tech Expo. Learn about how to protect your office from online threats and HIPAA violations. Contact Liptak Dental for a free HIPAA risk assessment for your practice.

Dentsply Sirona Announces Program to Benefit Dentists Affected by Hurricanes Harvey and Irma

Relief program designed to support dentists in the states of Texas, Louisiana, Florida and Georgia focuses on long-term recovery of their practices.
CHARLOTTE, N.C. (October 10, 2017) – Dentsply Sirona announced that it is offering an extra 10 percent discount on MSRP pricing through the end of the year on all equipment sales to dentists affected by Hurricane Harvey in the states of Texas and Louisiana, as well as dentists affected by Hurricane Irma in areas of Florida and Georgia. The program facilitates the donation process for distributors who want to offer financial support to storm victims in affected areas.
“Dentsply Sirona is committed to helping those affected by these tragic events,” said Senior Vice President of the U.S. Commercial Organization Michael Augins. “Our organization, along with our dealer partners, are committed to helping dentists in the affected areas rebuild their businesses and communities throughout the months to come.”
Orders must be placed and goods delivered by Dec. 31, 2017, except for treatment centers, which must be delivered by March 31, 2018. The offer is on top of all promotions by Dentsply Sirona.
The company will also offer special savings programs designed to help dental offices restock products for consumable materials.
Hurricane Harvey made landfall on Aug. 24 near Corpus Christi, Texas, as a Category 4 storm. It is on track to be one of the costliest hurricanes in U.S. history. The storm produced up to 50 inches of rain in some areas, causing historic flooding and wreaking havoc on communities throughout Southeastern Texas and Southwestern Louisiana. On Sept. 10, Hurricane Irma made landfall in Florida as a Category 4 storm, producing disastrous storm-surge flooding, tornadoes and forceful wind gusts across the state. This is the first time in recorded history that two Category 4 storms made landfall in the U.S. in the same year.


For more information on this relief program and to learn more about Dentsply Sirona, visit www.dentsplysirona.com or speak to your preferred dental products dealer.

Special Lecture At The ADA- LED Medicals Velscope

On Saturday October 21th at 8am I will be discussing 2017 Cellerant Best of Class Award winner LED Medical's Velscope at the ADA meeting in Atlanta.

Velscope is a 7 time Best of Class Award winner.

Velscope has set the standard in oral cancer screening. LED Medical keeps pushing the product with additional helpful attachments and services. If you own a Velscope and want to see how to get the most out of it or just want to learn more about the product then you need to join us.

This will be a fun interactive hour where I will be joined by Ebon Turner as we discuss everything the Velscope can do along with highlighting the use with an iPod Touch so that collaboration and referrals are as simple as possible. There will be demonstrations and hands on time.

Join us in Atlanta!