Tuesday, September 30, 2008

Upgrade to Dentrix G3 and Guru

Well it seemed to be time to upgrade Dentrix in my office. We successfully did the G2 upgrade and went chartless in February. One thing I had been hearing was that the conversion of the Document Center was what was taking the time in the upgrade to G3. I did not want to keep increasing the number of documents in the document center which would cause the upgrade to be slower. So I decide now was a good time to go to G3. The installation on the server went smoothly and took a little over an hour. I then used the Component 1 Update Disc to finish the installation on the server.

I then did the install on the workstations. I did run into a minor problem. For some reason a cab file was not in the installation directory. So I had to manually copy the file from the second disc to the install directory on the server. Then the install on the workstations went very smoothly. Overall it took about another hour to get the 10 work stations upgraded. I also did the G3 upgrade on my Macbook. I run Dentrix on my Macbook using VMware Fusion with Windows XP.

My office has Guru and wish I could have turned off the installation of the limited edition of Guru during the install. I did the upgrade on the server with the newest edition of Guru and all the work stations. I did have another minor glitch in authorizing Guru but tech support walked me right through it. The nice thing in G3 is that Guru is more tightly integrate. I also put the new Guru TV DVD into the DVD player attached to the large screen TV in the reception area.

I am also looking forward to trying VoicePro in the future.

I never forget the training and will be having our local trainer come in to get us up to speed on the new Perio chart and Document Center along with more hints and tips to maximize the use of Dentrix G3.

I will let you know how we are doing after we are live with Dentrix G3 in the next few days.

Monday, September 29, 2008

German dentist extracts payment from patient

A German dentist overpowered a female patient in her home and yanked out two dental bridges from her mouth because she had failed to pay her bill.

From the Daily Telegraph

Last Updated: 2:42PM BST 25 Sep 2008

The dentist from the Bavarian town of Neu-Ulm is now under investigation for assault and theft after arriving at the woman's home with his medical instruments to perform the unwanted surgery.

According to police, the dentist knocked on the door of the 35-year-old woman on Monday evening and without saying a word forced her into her living room and tied her hands.

In a scene reminiscent of the movie Marathon Man, he then forced open her mouth and removed the £320 worth of dental work which the woman's insurance company had refused to pay.

According to the victim, he never said a word.

"The dentist is being investigated for assault for the way he forced open her mouth, and theft for taking the bridges," said Christian Owsinski a police spokesman.

"The woman was in pain when she showed up at the police station."

Mr Owsinski said the dentist, who has not been named, had not been arrested.

If convicted he could face discipline from both the health insurance company and the dental association that could jeopardise his practice.

Sunday, September 28, 2008

Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications

Esposito M, Grusovin MG, Talati M, Coulthard P, Oliver R, Worthington HV
Cochrane Database Syst Rev. 2008 Jul 16;(3):CD004152.

Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH. espositomarco@hotmail.com

BACKGROUND: Some dental implant failures may be due to bacterial contamination at implant insertion. Infections around biomaterials are difficult to treat and almost all infected implants have to be removed. In general, antibiotic prophylaxis in surgery is only indicated for patients at risk of infectious endocarditis, for patients with reduced host-response, when surgery is performed in infected sites, in cases of extensive and prolonged surgical interventions and when large foreign materials are implanted. To minimize infections after dental implant placement various prophylactic systemic antibiotic regimens have been suggested. More recent protocols recommended short term prophylaxis, if antibiotics have to be used. With the administration of antibiotics adverse events may occur, ranging from diarrhoea to life-threatening allergic reactions. Another major concern associated with the widespread use of antibiotics is the selection of antibiotic-resistant bacteria. The use of prophylactic antibiotics in implant dentistry is controversial. OBJECTIVES: To assess the beneficial or harmful effects of systemic prophylactic antibiotics at dental implant placement versus no antibiotic/placebo administration and, if antibiotics are of benefit, to find which type, dosage and duration is the most effective. SEARCH STRATEGY: The Cochrane Oral Health Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE were searched up to 9th January 2008. Several dental journals were handsearched. There were no language restrictions. SELECTION CRITERIA: Randomised controlled clinical trials (RCTs) with a follow up of at least 3 months comparing the administration of various prophylactic antibiotic regimens versus no antibiotics to patients undergoing dental implant placement. Outcome measures were prosthesis failures, implant failures, postoperative infections and adverse events (gastrointestinal, hypersensitivity, etc.). DATA COLLECTION AND ANALYSIS: Screening of eligible studies, assessment of the methodological quality of the trials and data extraction were conducted in duplicate and independently by two review authors. Results were expressed as random-effects models using risk ratios (RRs) for dichotomous outcomes with 95% confidence intervals (CIs). Heterogeneity was to be investigated including both clinical and methodological factors. MAIN RESULTS: Two RCTs were identified: one comparing 2 g of preoperative amoxicillin versus placebo (316 patients) and the other comparing 2 g of preoperative amoxicillin plus 500 mg 4 times a day for 2 days versus no antibiotics (80 patients). The meta-analyses of the two trials showed a statistically significant higher number of patients experiencing implant failures in the group not receiving antibiotics: RR = 0.22 (95% CI 0.06 to 0.86). The number needed to treat (NNT) to prevent one patient having an implant failure is 25 (95% CI 13 to 100), based on a patient implant failure rate of 6% in patients not receiving antibiotics. The other outcomes were not statistically significant, and only two minor adverse events were recorded, one of which in the placebo group. AUTHORS' CONCLUSIONS: There is some evidence suggesting that 2 g of amoxicillin given orally 1 hour preoperatively significantly reduce failures of dental implants placed in ordinary conditions. It remains unclear whether postoperative antibiotics are beneficial, and which is the most effective antibiotic. It might be recommendable to suggest the use of one dose of prophylactic antibiotics prior to dental implant placement.

Saturday, September 27, 2008

American v British teeth

Ricky Gervais is the first to admit that his teeth are neither white nor straight - and Americans mistakenly think he wears bad false teeth for comedic purposes. Why the dental divide?

British teeth are not like American teeth.

Hollywood smiles are pearly white paragons of straightness. British teeth might be described as having character.

So much character, in fact, that Ricky Gervais says one US journalist complimented him on being prepared to wear unflattering false teeth for his role as an English dentist in his latest film, Ghost Town. Only he didn't.

"He was horrified that I could have such horrible real teeth. It's like the biggest difference between the Brits and the Americans, they are obsessed with perfect teeth," says Gervais.

Unlike many British stars hoping to make it big across the Atlantic, Gervais hasn't bought himself a Hollywood Smile.

But what is it about the bright white and perfectly straight teeth of Los Angeles that Americans love - and expect of their public figures?

Read the rest on the BBC web site

Friday, September 26, 2008

Novartis Rolls Out Educational Dinner Meeting Series for GP Dentists

Benefits of Bisphosphonate Therapy vs Frequency of Oral Complications:
An Educational Program for Dental Professionals

East Hanover, NJ, September 25, 2008 — Novartis Pharmaceuticals Corporation today announced the launch of a complimentary dental industry-focused dinner meeting series entitled “Benefits of Bisphosphonate Therapy vs Frequency of Oral Complications: An Educational Program for Dental Professionals.”

The dinner meetings are designed as an adjunct to Novartis’ recently-launched web seminar series and are being offered for dentists who prefer live seminars and the opportunity to interact with the presenters as well as their peers.

A total of ten 2-hour dinner meetings (www.oralhealthdinnermeeting.com) are to be hosted between September and December, and will be presented by a rotating roster of clinicians who are leading experts on this compelling and highly relevant subject.

“Benefits of Bisphosphonate Therapy vs Frequency of Oral Complications: An Educational Program for Dental Professionals” will cover the following topics that every general practice dentist needs to know:

Overview of bisphosphonates and uses in treatment of osteoporosis and metastatic 
bone disease
Osteonecrosis of the jaw (ONJ) background
ONJ frequency in oncology and osteoporosis patients treated with bisphosphonates
Review of ONJ studies and management

The convenient schedule for the 10 Novartis dinner meetings is as follows:

City Date Time

New Jersey Tues -10/14 7:00 PM
Philadelphia Thurs -10/16 7:00 PM
New York City Tues -10/21 7:00 PM
Boston Thurs -10/23 7:00 PM
Miami Tues -10/28 7:00 PM
Chicago Thurs -10/30 7:00 PM
Detroit Weds -11/05 7:00 PM
Dallas Thurs -11/06 7:00 PM
Los Angeles Weds - 11/12 7:30 PM
San Francisco Thurs -11/13 7:00 PM

For more details and to register for any dinner meeting session of “Benefits of Bisphosphonate Therapy vs Frequency of Oral Complications: An Educational Program for Dental Professionals,” visit

Thursday, September 25, 2008

Dental Loupes For Students Offer From British Dental Association

This is great. I fully believe there should not be any dentist doing restorative dentistry without magnification and proper illumination. This should be the standard of care. MJ

Final-year dental students are to benefit from an exclusive finance deal from the British Dental Association for the purchase of dental loupes to help encourage healthy and effective working habits right from the start of their career. The loupes are part of a special new membership benefit offer for students which also includes free membership of the BDA for their final year of study.

The scheme, supported by DP Medical Systems and Nuview Ltd, reflects the BDA's commitment to supporting students and young dentists at the beginning of their professional life.

Peter Ward, Chief Executive of the BDA, said:
"We value greatly our growing student membership, and we want to do all we can to help individual students as they begin their career. Dental loupes are an important piece of equipment for dentists, providing magnification to make treatment easier and improving posture. We want to encourage young dentists into good working habits right from the start of their career, and we're delighted DP Medical Systems and Nuview Ltd are supporting this initiative."

The new member benefit will be launched at the Dental Showcase exhibition in October at a dedicated section on the BDA stand. Details are also available from http://www.bda.org/loupes.

1. The two-year finance agreement will see the BDA's chosen strategic partners for the offer, DP Medical Systems and Nuview Ltd, give free BDA membership for a year, worth £45, to final-year students who buy loupes via the BDA. They will also receive half-price BDA membership in their first year after graduation.

2. DP Medical has been a leading Dental Magnification specialist in the UK for over twenty years. Based in Chessington, the company is the UK exclusive distributor of Surgitel/Oakley Loupes and Global Dental Microscopes, and has recently added Kodak Dental Imaging Systems to its portfolio. Specialising in Magnification, Lighting and Imaging, DP Medical has a team of five sales professionals and three service engineers. For more information please visit http://www.dpmedicalsys.com or call 0208 391 4455.

3. Nuview Ltd is a privately owned British company specialising in Dental Illumination and Magnification. Nuview is the exclusive UK distributor for Carl Zeiss Loupes and Microscopes. For further details see: http://www.voroscopes.co.uk.

4. The British Dental Association (BDA) is the professional association for dentists in the UK. It represents over 22,000 dentists working in general practice, in community and hospital settings, in academia and research, and in the armed forces.

British Dental Association

Wednesday, September 24, 2008

Japanese dental technicians take govt to court / Ban demanded on foreign-made dentures claimed to put health of patients at risk

A group of dental technicians has filed a lawsuit against the government, demanding state legislation banning the making of false teeth being outsourced overseas.

Only dentists or dental technicians are permitted to make false teeth domestically, but there are no such regulations regarding false teeth made abroad. Although they can be made much more cheaply overseas, there are concerns the dentures or crowns might contain materials that pose health risks.

The government has so far been content to remain at arm's length over the matter. "If dentists judge [the false teeth] to be safe, then they're free to import them," a government official said.

The plaintiffs, a group of 81 technicians from across the country, strongly oppose the government's stance and filed their lawsuit at the Tokyo District Court.

"Uncertified practitioners are making false teeth. If the matter isn't addressed, we are concerned people's health might be affected," a spokesman for the plaintiffs said.

Dentures and crowns are used to fill gaps in chipped or missing teeth. Normally, a dentist instructs a technician to make each false tooth individually to ensure a perfect fit.

Dental technicians in Japan are certified by the state. Uncertified personnel are not permitted to make false teeth under a law that regulates the duties and certification of the nation's 35,000 dental technicians. Violation of this law carries a maximum prison term of one year.

According to the petition and other sources, imported false teeth, mainly from China, are being used by dental clinics here.

A number of companies that relay dentists' instructions to workshops in China before importing the completed false teeth have emerged in recent years.

Although not covered by health insurance, imported false teeth cost between about one-half and one-third of those made in Japan.

Intensifying competition between dentists in recent years is believed to have spurred efforts to cut costs.

In a survey conducted in July by Hodanren, a national federation of associations of doctors who accept health insurance patients, 130 of the 2,008 dental clinics nationwide answered that they "had placed orders overseas."

"The strict regulations on the making of false teeth are necessary to ensure the safety of these items that are put into people's mouths," the plaintiffs state in the lawsuit. "Overseas, uncertified practitioners might use any material they like to make [false teeth]. This contradicts the purpose of the law."

A spokesman of the Health, Labor and Welfare Ministry's Dental Health Division said: "Dentists are responsible for making judgments on safety issues. No specific cases have come to light showing that false teeth made overseas are dangerous."

However, the ministry stated in 2005 that it did not know precisely what materials were being used to make false teeth overseas. It instructed dentists to explain to patients what materials were contained in the false teeth and to only provide such teeth with a patient's assent.

The ministry plans to establish a panel to examine the issue of foreign-made false teeth before the end of the fiscal year.

Yukio Wakimoto, a representative of the plaintiffs, expressed dissatisfaction at the ministry's tardy response.

"Why do we have state certification for dental technicians?" asked Wakimoto, a 66-year-old dental technician. "The horse will have bolted if they only do something after the danger to patients has become clear."

Not all dentists and technicians, however, oppose using false teeth made in China.

Tetsuro Shinoda, a dentist from Nagoya, has been importing false teeth from a workshop in Guangdong Province, China, since 2005. He has contracted out the making of hundreds of false teeth, and tells his patients their dentures are made in China.

"Even though they're made in China, the materials come from Europe and the United States, and so it's prejudicial to say they're inferior items," Shinoda, 51, said. "Their quality is on a par with false teeth made by skilled Japanese technicians."

But Shinoda also sympathized with the plaintiffs' plight.

"It's likely that some workshops in China churn out shoddy items. The government needs to use the trial as an opportunity to create some kind of regulations," he said.

The court will rule on the suit on Sept. 26.
(Sep. 7, 2008)

Monday, September 22, 2008

Arkansas Has One Of Lowest Dentist-Access Rates, Study Shows

By The Associated Press

LITTLE ROCK -- Arkansas faces a looming dental “crisis” as it fails to attract young dentists to replace retirees in a state with one of the nation’s lowest access levels, a new study shows.

Arkansas ranks 50th in the nation in the number of dentists it has serving every 100,000 residents in the state, in front of only Mississippi, the report shows. It suggests lawmakers set aside $1 million during next year’s legislative session to establish a Center for Dental Education at the University of Arkansas for Medical Sciences.

Arkansas is one of 16 states that don’t have a dental school.

“There’s going to be a crisis in dental work force in the next decade or so, and we need to be working on it now, not waiting until it hits us,” Dr. Lynn Douglas Mouden, director of the Arkansas Department of Health’s Office of Oral Health, told the Arkansas Democrat-Gazette.

On average, there are about 40.3 dentists to serve every 100,000 people in Arkansas, the study found. The national average is 60 dentists per 100,000 people.

The numbers grow even smaller when considering the number of dentists in the state’s rural areas, as opposed to central and northwest Arkansas. Four Arkansas counties — Calhoun, Cleveland, Perry and Newton — have no dentists, and 32 counties have five dentists or fewer. Sixty percent of the 1,175 dentists practicing in Arkansas are in eight of 75 counties.

In many rural communities, people have to drive 40 to 60 miles to see a dentist, said state Rep. Clark Hall, D-Marvell, who sponsored legislation last year requesting the report.

For decades, Arkansas relied on special agreements with eight dental schools in seven states that produce about 30 graduates a year. The state is paying $1.45 million this year for the 97 Arkansans now enrolled through those agreements.

But state officials say they can no longer rely on the agreements to produce enough dentists to meet the need.

“The present system, though it was good historically, won’t measure up in the future,” said Dr. Charles O. Cranford, a professor at the University of Arkansas for Medical Sciences College of Public Health.

However, creating dental schools prove to be expensive propositions for states, something lawmakers will have to consider.

Sunday, September 21, 2008

93% Of Brits Are Scared Of Going To The Dentist, UK

Men are worst offenders behind nation's criminal dental record

A shocking 93 per cent of people in the UK are scared of going to the dentist, with men worse worriers than women.

That's according to a new survey of more than 1,500 dental patients carried out by the Cosmetic Dentistry Guide - the leading website that offers guidance and advice for anyone considering dental treatment.

There is help at hand for petrified patients at www.cosmeticdentistryguide.co.uk which has a panel of experts available online.

Dr Kalpesh Bohara, one of the experts, has a 100% record of successfully treating patients with dental anxiety.

"Everyone knows that some people are scared of visiting the dentist but I don't think anyone realises the true extent of the problem," says Dr Bohara. "I would say it is the main cause of dental problems in the UK today."

Another leading dentist, Dr Kailesh Solanki, also featured on the Cosmetic Dentistry Guide advisory panel, says scared patients are hiding behind excuses to avoid sorting out their smiles.

"People like to blame a lack of NHS dentists or high private costs for their avoidance of dental care rather than admit that they are simply too scared," says Dr Solanki.

The survey, of 1,586 patients at Dr Solanki's Kissdental clinic, also showed that men are more scared than women, and less likely to confront their fears.

"Men are definitely more scared," says Dr Solanki. "The difference is that women might be worried too but take more pride in their appearance and are willing to accept the 'pain' for the gain."

"But people have nothing to fear. A trip to the dentist can be like a relaxing spa treatment. We have chill-out lounges, massages, DVD glasses, even a champagne bar. What's there to be scared of?"

Saturday, September 20, 2008

New Dental Student Community

September 18,2008- Ohio- “If I only knew then what I know now!” A lot of dentists can say that phrase after practicing for a few years. It’s a known fact that you spend four years in Dental School learning the bare essential of dentistry. You study your histology and your dental anatomy and practice your perfect MO Composite. But when you graduate, you find that dentistry’s a LOT different than what you were led to believe in school. You’re in a business. You have to deal with people- both staff and customers’ personalities. Nothing is the perfect “ideal.” And you realize that you get better as you “practice” your skills throughout the years.

What if there was a way to bypass this large learning curve? To learn different ways of doing things before you have to do them in your own practice? Well, we have the solution to your dilemma. It’s called www.the-newbie-guru.com

Stephanie Aldrich, DDS, FAGD writes for the Ohio edition of The Doctor of Dentistry magazine and heads the project. “ I definitely wish someone would have told me a lot of the things that I had to learn the hard way through the real-world school of hard knox. I was mentored by an older dentist that wasn’t up on the newest technology and ways of doing business. I estimate that the time I lost learning these new techniques from other people cost me over $300,000 over the past nine years of practicing dentistry. We want to answer these questions that young dentists have now so they can avoid the very costly mistakes that most dentists have to go through,” said Dr. Aldrich. “If they want to know how to jump right into practice, study for the board exams, or learn which materials work in certain situations, that’s what this community will answer.”

We intend on opening up the site sometime in Jan. ’09, but we need to know what specific questions today’s students want to know the answers to. We need them to go to www.the-newbie-guru.com and give us their biggest question about dentistry. They can receive a FREE ebook on time management for their efforts and more free things when the site goes up.

Friday, September 19, 2008

Dentists bite back over £200k earnings claim

Sep 17 2008 by Madeleine Brindley, Western Mail

THE highest paid dentists in England and Wales are earning up to £200,000 a year, new figures reveal today.

Their earnings are more than double the £96,135 most dentists received in the first year of the new dental contract.

And they are 10 times higher than the average salary in Wales. The sheer scale of dentists’ earnings will be a bitter pill to swallow for those who are still struggling to find an NHS dentist in Wales.

There are still ongoing concerns the new dental contract has not solved the problems in NHS dentistry. It is feared people with the most complex dental problems are still struggling to find an NHS dentist because of the way the contract was organised.

But leading dentists last night said the official government figures did not reflect the reality in Wales, where some practices could have to hand back up to £70,000 to local health boards because they have not met unrealistic activity targets.

Dentists’ earnings were revealed yesterday as a nationwide survey suggested people are cutting back on dental appointments and eyesight tests as a result of the deepening credit crunch. Four out of 10 said they would not be having a £12 check up this year because of the financial climate.

Nick Bourne, Welsh Conservative Assembly leader, said: “People will be extremely surprised to learn just how much dentists earn each year when their own experience of finding an NHS dental place has proved so difficult.

“While investment in training, recruiting and retaining qualified, experienced dentists is vital, current evidence suggests the new dental contract is a missed opportunity to provide quality and accessible dental services across Wales.”

Jenny Randerson, the Welsh Liberal Democrats’ health spokeswoman, called on Health Minister Edwina Hart to again review the dental contract.

She added: “High costs would be more acceptable to patients and taxpayers if the contract was delivering improvements in access and availability of NHS dentistry in Wales.” Figures released by the NHS Information Centre, revealed the average earnings of a dentist in England and Wales was £96,135 before tax in 2006-07 – the first year of the contract.

The average gross earnings – from which all dentists’ expenses, including staff costs, equipment and energy bills must be paid – was £206,225. Expenses accounted for around 50% of that figure.

Earnings were even higher for those dentists who provide both general and personal dental services – an average of £199,545 in England and Wales.

A 28-year-old patient who has been unable to find an NHS dentist in Swansea, said: “It certainly doesn’t sit well that dentists are earning this much money when there are still people struggling to find a dentist. The wage does not reflect the comparative skills a dentist has or number of working hours he fulfils.

“This summer, I needed to find a dentist quickly in Swansea, where I had just moved, because of a problem with a wisdom tooth. The pain gradually worsened over a week or two but none of the dentists I phoned were taking on NHS patients.

“Thankfully, the situation got better on its own but, without being overly dramatic, it could have been worse. I still don’t have a dentist.

“There is no way I’d pay to go privately, especially not in the current climate. It may sound cliched, but is that not what I pay my taxes for? Yet when I need the service it’s not there. If a £200,000 wage was halved, you could have two dentists still working on what is still an extraordinarily high wage.”

Tim Straughan, chief executive of the NHS Information Centre, said: “The report reveals the pay of NHS dentists varies greatly depending on contractual arrangements.”

Paul Bartley, a principal dentist in Rumney, said expenses were higher than the NHS Information Centre’s figure and an annual earning of £85,000 was more realistic. He said: “My associates make very good money but the figure of £96,000 seems somewhat excessive.”

And Stuart Geddes, director of the British Dental Association in Wales, said: “These figures do not tell the full story. They fail to take into account the clawing back of money from NHS dentists who have failed to meet the flawed treatment targets set for them.”

He added: “Dentists are highly skilled people working with hi-tech equipment they have invested in. It is a stressful job that involves long hours.”

Tina Donnelly, director of RCN Wales, said: “This is the first overview of dental salaries. It would be useful to have the average earnings of dental nurses and dental hygienists in order to have a complete picture of salaries in the profession.”

A spokesman for the Welsh Assembly Government said: “The new dental contract changed the way dentists are remunerated for NHS work rather than increase the amount paid to them.

“Under the old contract, dentists were paid retrospectively for items of service, whereas earnings are now paid monthly based on the services they have agreed to provide. There is a wide variation in the earnings of dentists providing NHS care.


Thursday, September 18, 2008

Assisting School Program Created by Top Clinician

EXTON, PA: September 17, 2008— Turnkey Opportunities, Inc. has introduced the TKO™ Dental Assisting School Program, which allows dentists to use their existing facilities to train assistants and generate significant new revenue. The comprehensive program, which was developed by “Top 100” Clinician and educator Jonathan Scharf, DMD, FAACD, provides all the administrative, instructional, and marketing materials needed for running a professional-quality dental assisting school within a dental office. TKO program components, including videos of all class lectures, come pre-loaded on a laptop computer.

The TKO Dental Assisting School Program was developed, tested, and proven by Dr. Scharf, who is a past president of the American Academy of Cosmetic Dentistry. It can be taught by a trained hygienist or assistant and the dentist need not be present during classes. Most practices that have room to seat students (the waiting area will often suffice) and have a day a week or evenings when the practice is closed to patients can qualify to operate the school. Having the program pre-loaded on a laptop makes it easy for the instructor to project the provided PowerPoint slides, print handouts, and access curriculum guides. A Success Manual is also included, which contains valuable advice and insider tips based on Dr. Scharf’s experience running his own highly successful school. The comprehensive program provides virtually everything needed to run a profitable dental assisting school, from a fully functional website to ready-to-print brochures, ads, response letters, typodont teeth, even graduation certificates. All materials come personalized with any school name and address the purchaser chooses.

The TKO Dental Assisting School Program is a proven model that adds prestige to the practice and allows dentists to build business equity. The ROI is exceptional; the program can pay for itself in as few as two classes. Each school is fully owned by the purchaser, so there are no franchise fees or revenue sharing and the dentist is free to set class prices and modify the program, if desired.

TKO is offering exclusive territories (where the company will not sell additional schools) in selected areas across the country. Schools are not available in all states. To learn more and find out whether there is a territory available in your area, call 888-TKO-DENT (888-856-3368). Information is also available at www.TKOdental.com.

Wednesday, September 17, 2008



Program Developed to Help Dental Manufacturers and Distributors Best Serve
the Fastest-Growing Segment of Dental School Graduates

Lincolnwood, IL – September 17, 2008 – Dr. Sheri Doniger, one of the nation’s most prominent woman dentists, recently announced the launch of a new lecture and training series, entitled “Winning over the Woman Dentist.”

According to Dr. Doniger, “In the past, a ‘one size fits both genders’ product development, marketing, and sales approach seemed to work, but it really didn’t. Lost opportunities didn’t seem to have an obvious impact on the bottom line because the woman dentist was a minority.”

The status quo of a male-dominated profession is rapidly changing. According to Volume 1 of the 2006-07 Survey of Dental Education report series, women made up 43.2% of first-year students. “This shift may impact the bottom lines of manufacturers and distributors who are not able to adapt,” explains Dr. Doniger.

Dr. Doniger’s lecture and training sessions can be tailored to meet the needs of any manufacturer, distributor, or association, whether it be a 1-hour or ½-day session. Topics of discussion include:

• Woman-Friendly Product Ergonomics and Office Design
• Woman-Focused Marketing Communications
• How to Sell to Women Dentists
• Trade Show Etiquette

For more information about “Winning over the Woman Dentist,” including available dates, contact Erin Foster at 732-389-4500, ext. 128 or efoster@lanmarkgroup.com.

About Sheri Doniger, DDS

Sheri B. Doniger, DDS is a leading dental clinician, author, educator, and consultant who currently practices dentistry in Lincolnwood, IL. Dr. Doniger has authored numerous articles on topics ranging from periodontal disease to effective communications, and has presented many lectures with an ongoing focus on women in the dental industry. She is also an active member of numerous professional societies, including the American Association of Women Dentists, the American College of Dentists, Chicago Dental Society, American Dental Association, and the Illinois Dental Society. Furthermore, Dr. Doniger is the editor of the respected online publication, Woman Dentist e-Journal.

Most recently, she was named clinical director of Lanmark Group, a full-service, business-to-business advertising, marketing, and communications agency specializing in brand empowerment. In this role,
Dr. Doniger provides Lanmark with ongoing insight, feedback, and validation on a variety of marketing and communications functions, including campaign strategies, product evaluations, training programs, clinical article reviews, public relations, key opinion leader recruitment, ad concept development, and continuing education program development and research

Tuesday, September 16, 2008

New Hands On Dental Technology Course

Drs. Paul Feuerstein, John Flucke and Marty Jablow Present:

Hands-On Training for Smarter Dental Technology Purchases

November 21-22 2008

Lees Summit MO

@ the brand new office of John Flucke

Class Size Limited to 15 Dentists

Learn the Latest Technology- Hands On!
o Cone Beam CT (CBCT) - How to take a scan and manipulate the images
o Digital Impressions - The accuracy you need without the mess you hate
o Hard & Soft Tissue Lasers - Learn the proper uses for the different wavelengths - Nd:Yag, Er:Yag and Diode lasers
o Computer Controlled Local Anesthesia Delivery Systems: Latest techniques and technology for improving the dreaded shot
o Digital Diagnosis - Learn about the latest instruments to make diagnosing dental disease easier and more accurate
o Oral Cancer Detection - Use the latest viewing aids and biopsy techniques to save lives
o Endodontic Obturation - Better seal, less post-root canal complications
o Data Management - Protect your office data from worse case scenarios
o Plus overviews of other topics by request

Friday, November 21st / 8:30AM - 4PM
Saturday, November 22nd / 8:30AM - 1PM
Earn 10 Hours of CE Credit

Cost $795

Download all the information and registration forms here.

Registration Forms

you will need Adobe Reader to view the forms

Monday, September 15, 2008

Back From CDA

I spent the weekend at the California Dental Association meeting in San Francisco. I did a workshop on Saturday with my lecture partner Paul Feuuerstien. We talked about the digital dental office. On Sunday I did the lecture High Tech Practice On A Low Tech Budget to over 200 dentists.

On the exhibit floor I heard the following:

From Kavo expect to see the upgrade available for the GentleRay 980 Diode Laser which will allow water cooling. Also look for a new electric handpiece. Helazone is still moving through the FDA approval process.

Air Techniques- Spectra the new caries detection device is still making its way through the FDA process. It should be here in 2009.

Dental EZ is coming out with a new electric handpiece

Sybron will be introducing RealSeal1- a Resilon bonded obturator

Dent-X has available through a 3rd Party a New Tom CBCT machine in the back of a van. Its a mobile turnkey operation.

A usual lots of CBVT equipment and new and better software for viewing amazing 3-D volumes.

More as I remember or get a chance to go through my bags. I do have to practice dentistry some times...

Friday, September 12, 2008

Maine Citizens Ask: Must I Really Strip and Shave for My Dentist?

Augusta, ME (September 9, 2008) – Hard as it is to believe, the State of Maine dental board is poised to approve new regulations that will require some patients to “strip and shave” for even common dental procedures, such as root canals and fillings.

The approval could come as early as Friday, September 12, when the Maine Board of Dental Examiners (MBDE) votes on a plan to require Maine dentists to administer an electrocardiogram (ECG) to all patients who opt for a popular, safe form of pain and anxiety sedation.

Read the whole story on stopthepaininmaine.com

Thursday, September 11, 2008

Precision of fit: zirconia three-unit fixed dental prostheses

Clinical Oral Investigations

Florian Beuer, Michael Naumann, Wolfgang Gernet and John A. Sorensen

Abstract The purpose of this in vitro study was to compare the precision of fit of substructures milled from semi-sintered zirconia blocks fabricated with two different computer-assisted design (CAD)/computer-assisted manufacturing (CAM) systems. Three-unit posterior fixed dental prostheses (FDP) were fabricated for standardized dies (n  = 10) with the Lava CAD/CAM system (Lava) and the Procera-bridge-zirconia CAD/CAM system (Procera). After cementation to the dies, the FDP were embedded and sectioned. Four cross-sections were made of each abutment tooth, and marginal and internal fit were evaluated under an optical microscope. A one-way analysis of variance was used to compare data (α = 0.05). Mean gap dimensions at the marginal opening for Lava and Procera were 15 (±7) μm and 9 (±5) μm, respectively. Mean marginal openings (P = 0.012) and internal adaptation at two out of three measurement locations were significantly different. Within the limitations of this study, the results suggest that the accuracy of both investigated systems is satisfactory for clinical use.

Wednesday, September 10, 2008

Dental Considerations for Cardiac Surgery

Journal of Cardiac Surgery

Published Online: 5 Sep 2008

Jeffrey S. Yasny, D.D.S, F.A.D.S.A.* and Jennifer White, M.P.H.*
*Department of Anesthesiology, Mount Sinai Medical Center, New York, New Yo

Abstract Many patients requiring cardiac surgery possess poor oral health. The presence of decayed teeth, untreated dental abscesses, and periodontitis can all represent potentially potent causes of an odontogenic infection. Ultimately, such an infection can have catastrophic consequences if it occurs during or soon after certain cardiac procedures. Since an association exists between poor oral hygiene and various systemic diseases, many patients scheduled for cardiac procedures inherently possess poor oral hygiene and untreated dental infections. Inadequate patient education, financial constraints, and dental phobia all serve as barriers for patients receiving routine intraoral care. Consequently, patients may unknowingly present for cardiac surgery with undetected oral infections that can magnify the likelihood of an adverse outcome, leading to increased costs, morbidity, and possibly mortality. It is recommended to view oral health in the perspective of systemic health, specifically, recognizing the deleterious impact that an untreated odontogenic infection can have upon cardiac surgery. Therefore, considering scheduling constraints and the urgency of the operation, if time and resources permit, then it is suggested that patients who undergo elective cardiac surgery should be screened preoperatively to ensure that any oral infection is diagnosed and definitively treated. Such an investment can yield significant improvements in surgical outcome and overall patient health.

Tuesday, September 09, 2008

Subantimicrobial Dose Doxycycline Efficacy Enhanced When Combined With a Non-Steroidal Anti-Inflammatory Drug

Journal of Periodontology
March 2004, Vol. 75, No. 3, Pages 453-463

Subantimicrobial Dose Doxycycline Efficacy as a Matrix Metalloproteinase Inhibitor in Chronic Periodontitis Patients Is Enhanced When Combined With a Non-Steroidal Anti-Inflammatory Drug
Hsi-Ming Lee
Department of Oral Biology and Pathology, School of Dental Medicine, State University of New York at Stony Brook, Stony Brook, NY.
Sebastian G. Ciancio
Department of Periodontics, School of Dental Medicine, University at Buffalo, Buffalo, NY.
Gülay Tüter
Department of Periodontology, Faculty of Dentistry, University of Gazi, Ankara, Turkey.
Maria E. Ryan
Department of Oral Biology and Pathology, School of Dental Medicine, State University of New York at Stony Brook, Stony Brook, NY.
Eugene Komaroff
General Clinical Research Center, School of Medicine, University Hospital, State University of New York at Stony Brook.
Dr. Lorne M. Golub
Department of Oral Biology and Pathology, School of Dental Medicine, State University of New York at Stony Brook, Stony Brook, NY.
Background: Administration of subantimicrobial dose doxycycline (SDD) to chronic periodontitis (CP) patients has repeatedly been found to reduce mammalian collagenase and other matrix metalloproteinase (MMP) activity in gingival tissues and crevicular fluid, in association with clinical efficacy, without the emergence of antibiotic-resistant bacteria either orally or extra-orally. More recently, SDD adjunctive to repeated mechanical debridement resulted in dramatic clinical improvement in patients (>50% smokers) with generalized aggressive periodontitis. As an additional pharmacologic approach, non-steroidal anti-inflammatory drugs (NSAIDs) can reduce gingival inflammation and alveolar bone resorption, at least under experimental conditions. In the current study, we determined the effect of administering a combination (combination) of these two host-modulating drugs (SDD plus low-dose NSAID) to CP patients, on selected neutral proteinases in gingiva, enzymes believed to mediate periodontal breakdown. Earlier preliminary studies in humans with bullous pemphigoid, which is also associated with excessive levels of host-derived proteinases including MMPs, indicated improved clinical efficacy of combination therapy.
Methods: Nineteen CP patients, scheduled for mucoperiosteal flap surgery bilaterally in the maxillary arch, were randomly distributed into three experimental groups administered either 1) low-dose flurbiprofen (LDF) alone, 50 mg q.d.; 2) SDD (20 mg b.i.d.) alone; or 3) a combination of SDD plus LDF (combination). The gingival tissues were biopsied during surgery from right and left maxillary posterior sextants, before and after a 3-week regimen of medication, respectively. The tissues were then extracted, the extracts partially purified, then analyzed for the endogenous proteinase inhibitor, ?1-PI, and its breakdown product, and for host-derived matrix metalloproteinases (i.e., collagenases, gelatinases) and neutrophil elastase activities.
Results: Short-term therapy with SDD alone produced a significant reduction and LDF alone produced no reduction in host-derived neutral proteinases. However, the combination therapy produced a statistically significant synergistic reduction of collagenase, gelatinase, and serpinolytic (?1-PI degrading) activities (69%, 69%, and 75% reductions, respectively) and a lesser reduction of the serine proteinase, elastase (46%).
Conclusions: Consistent with previous studies on animal models of chronic destructive disease (e.g., rheumatoid arthritis), the SDD and NSAID combination therapy synergistically suppressed MMP and other neutral proteinases in the gingiva of CP patients. A mechanism, suggested by earlier animal studies, involves the NSAID, in the combination regimen, increasing the uptake of the tetracycline-based MMP inhibitor in the inflammatory lesion, thus synergistically enhancing the efficacy of this medication. J Periodontol 2004;75:453-463.

Monday, September 08, 2008

Dental fillings without gaps

Tooth cavities are usually closed with plastic fillings. However, the initially soft plastic shrinks as it hardens. The tension can cause gaps to appear between the tooth and the filling, encouraging more caries to form. For the first time, researchers have simulated this process.

The patient's hands are clasped firmly around the armrests as the dentist drills away the caries-stricken sections of the tooth. Once the drilling is over, most toothache sufferers can begin to relax. All the doctor now has to do is to slightly etch the cavity, apply an adhesive film, and fill it with a special type of plastic. The plastic is soft at first, so that the doctor can easily press it into the cavity. It only solidifies afterwards under the light of a small lamp. However, the material tends to shrink slightly as it hardens, occasionally producing tension that can cause tiny gaps to form between the plastic filling and the tooth. Bits of food can get caught in these gaps and lead to more caries. Manufacturers of filling materials therefore offer a variety of plastics to choose from. But which filling is best suited to which shape of cavity? This is where dentists have to draw on their experience. "Until now, it has not been possible to establish a theoretical model of the hardening process. The tension occurring in the material always depends on the shape of the cavity, and can vary widely by a factor of up to ten, particularly at the edges," says Dr.-Ing. Christof Koplin, research assistant at the Fraunhofer Institute for Mechanics of Materials IWM in Freiburg. Measurements do not help either, as tension can only be measured selectively. Its precise course of development has never yet been observed.

A new method of simulation now enables tension in dental fillings to be accurately predicted, helping doctors to choose the least tension-prone plastic for each shape of cavity. Dentists can now draw on the results of the IWM to select the best material, and manufacturers can use the simulations to optimize their products. "We theoretically subdivide the dental filling into thousands of small parcels and calculate how each element affects its neighbor. Experimental parameters are incorporated in the individual elements. We started our laboratory tests by using a standard geometry to find out how each material reacts to the stresses that occur when the volume shrinks, and how the flow capability of the material changes as it hardens," explains Koplin. The IWM researchers have now successfully simulated the development of tension in dental fillings for various cavity shapes and materials, and more will follow.

Saturday, September 06, 2008

Dentist The Source of Medical Waste On A NJ Beach

WYNNEWOOD, Pa. - September 4, 2008 - (WPVI) -- There is a strong indication that the 150 syringes and pieces of medical waste that washed up on the beaches in Avalon, New Jersey two weekends ago were dumped by a Main Line dentist.

According to a search warrant, police say Dr. Thomas McFarland, of Wynnewodd, admitted to Avalon police Tuesday that he dumped the medical waste in Townsend Inlet between Sea Isle City and Avalon.

McFarland owns a house on the canal in Avalon Manor.

The court document indicates he used a small boat docked behind the house to take the waste out and dump it.

Read and watch the video on the medical waste incident.

Friday, September 05, 2008

Dentists offer tent consultations

Patients will be able to see dentists in tents under a scheme launched by a private firm to encourage people to travel to Hungary for treatment.

Hungarian Dental Travel is touring the UK offering consultations for complex treatment such as cosmetic dentistry.

The tent will be set up in seven locations although patients will have to travel to Hungary for the treatment.

Cosmetic work is not available on the NHS so thousands of Britons a year go abroad for the cheaper private prices.

Read the rest about Dental Tourism to Hungary on the BBC web site

Thursday, September 04, 2008

Patterson Dental Supply Introduces EagleSoft Version 15.00

Patterson Dental Supply, Inc. announces the release of Patterson EagleSoft Version 15.00, the latest version of the leading clinical and practice management software. New and enhanced features are based on feedback from current Patterson EagleSoft users, making the software even more convenient and user-friendly. Patterson EagleSoft practice management software is now free to new users, and the clinical software may also be attained at no cost with a qualifying digital technology purchase.

New to Patterson EagleSoft Version 15.00 is the ability to print CAESY patient education literature automatically during the patient walkout process after a service procedure code is entered. Built directly into Patterson EagleSoft and not requiring a separate CAESY system, this tool allows dental professionals to ensure that their patients have applicable information regarding post-op care recommendations before they leave the practice.

“The abundance of innovative support options that are available from the Patterson Technology support team demonstrates Patterson’s commitment to industry-leading customer service,” said Jim Garrett, Patterson EagleSoft development manager. “New features present in Version 15.00 ensure Patterson EagleSoft users that their voices are continually heard in recommendations for both current and future product enhancements.”

Additional Features of Patterson EagleSoft Version 15.00

· View Production Goals—Users are able to view actual production numbers against production goals for each day in the Month-at-a-Glance calendar. This gives dentists and office managers an opportunity to gauge their progress in assessing their productivity and obtaining goals.
· OnSchedule Notes—This feature allows users to make notes within the practice schedule as they pertain to appointments, patient requests, and staff meetings and needs. Pertinent notes appear each day on the schedule, allowing all staff members to easily stay up-to-date on scheduling notices and changes.
· Insurance Changes—When employer or insurance information is modified, a note appears in the System Activity Log to record what was changed, when, and by whom for the software user’s records.
· Chart Update—Users can quickly and easily track the status of patient treatments by color-coding the chart to represent “walkout” and “rejected” services.
· Lab Tracking—Practices can track cases sent to the lab and take notes with an expanded description field. An AutoNote button has also been added for additional convenience.

Patterson EagleSoft Version 15.00 continues Patterson’s commitment to customer service and technical support users have come to expect. With Patterson’s multitude of support options, such as Live Help, Remote Support, e-mail support and an FAQ online knowledge base available, Patterson continues to provide the best technology and support resources in the industry.

For more information about Patterson EagleSoft Version 15.00, call the Patterson Technology Center at 1.800.294.8504, contact a local Patterson Technology Representative or visit www.eaglesoft.net.

Wednesday, September 03, 2008

Zenith Dental Makes Excellent Impression at the University of Washington’s School of Dentistry

All Athletes Should Be Wearing A Mouthguard! MJ

Provides StatusBlue Automix Cartridges and MixStar™-eMotion Multifunctional Mixing Machine for over 130 Student Athlete
Mouth Guard Fittings

Englewood, NJ (September 2, 2008) - Zenith Dental, the visionary company with a 25-year tradition of introducing innovative and reliable restorative dental products and exclusive distributor of DMG-manufactured products, recently supplied the University of Washington’s (UW) School of Dentistry and athletics program with its MixStar™-eMotion multifunctional materials mixer and hundreds of StatusBlue® automix cartridges. The generous donation provided over 130 mouth guard fittings for UW’s student athletes.

The University of Washington’s School of Dentistry and the UW Athletic Department held the mouth guard event in July at the University’s dental clinic. Over 130 student athletes visited the clinic to be fitted for the mouth guards. Sixty dental students took impressions of the athletes’ teeth, as faculty members and staff supervised the process and offered tips on the best fit.

The University of Washington’s School of Dentistry and its Athletic Department have recently developed a partnership in order to implement preventive measures such as providing mouth guards to student athletes, and to ensure that dental care is available to athletes both on and off the playing field.

“The collaboration sends a great message to the community, especially to the children,” remarked Dr. Nestor Cohenca, an endodontic professional and leader of the new partnership. “Parents may learn for the first time that dental injuries can be prevented by using mouth guards. Just think about how many teeth and young smiles we can save by simply using the most effective and protective appliance.”

University of Washington senior Ryan Perkins, a kicker for the football team, said he understands the importance of wearing a mouth guard. “Players get popped in the head, you bite down, and if you don’t have a mouth guard, you can easily get a concussion or chipped teeth.”

The mouth guard event was featured on UW’s website on its home page, as well as in its weekly employee publication, U-Week, which has a circulation of 40,000 readers.

Zenith Dental President George Wolfe was pleased to supply the University with the materials and equipment needed for the fittings. “We are always more than happy to provide educational facilities with materials and equipment that benefit the students. It’s satisfying to know that our donation helped provide effective protection for so many student athletes, and we hope we were also able to provide UW’s dental students the opportunity to perfect newly obtained skills. We like to help any way we can.”

For more information on the University of Washington’s mouth guard event, please visit www.uwnews.org.

For more information on Zenith Dental’s full line of products, including StatusBlue® and MixStar™-eMotion, log onto www.zenithdental.com or call 800-662-6383.

Tuesday, September 02, 2008

RealSeal 1 new endo obturation device.

RealSeal 1 is will be released in October. It is a carrier device that is coated with Reislon. I was able to obturate canals with this device during its development. It was easy to use and if you like carrier based obturation this is something to look at. Learn more about RealSeal 1 by clicking here.

Monday, September 01, 2008

Avoiding Dental Perfection With a Slight Twist

August 28, 2008
Avoiding Dental Perfection With a Slight Twist

RAMY GAFNI, a makeup artist in Manhattan, used to have snow white, straight veneers.

He hated them. “They were too perfect,” Mr. Gafni said. “My nickname in college was Lite-Brite.” As a child, Lite-Brite’s natural teeth had grown in with gray striations, a result of antibiotics he had taken. So when he turned 21, he covered the offending teeth with veneers — wafer-thin pieces of porcelain that are bonded atop filed-down teeth.

Two years ago at 40, Mr. Gafni decided it was time to trade in his flawless teeth for veneers that look natural, but not flawless.

Rebecca Trachtenberg, a nurse practitioner in San Francisco, also asked her dentist to make her veneers subtly less than perfect. “I didn’t want them too white, so he graded them so they get darker as they go back,” said Ms. Trachtenberg, 31. “I also didn’t want them too symmetrical.”

Veneer placements are the third-most-performed cosmetic dental procedure in the nation, according to the American Academy of Cosmetic Dentistry, a nonprofit organization with 8,000 dental-industry members.

The veneerification of American mouths is most noticeable on reality television makeover shows, where new sets of straight, gleaming white teeth are often showcased. Nationwide, veneers have been so widely embraced that our smiles are becoming as indistinguishable as so many Starbucks.

Read the rest on Imperfect Veneers on the NY Times web site