Friday, December 31, 2010

Thank You and Happy 2011

I want to thank everyone who reads the blog on a regular basis be it from the blog, Facebook or Twitter. I appreciate the fact that you take a little time out of your busy lives to step into my world for a little bit. As I meet some of you as I travel the country lecturing I do get people thanking me for the information in the blog. That is the reason I do this, to help other dentists by providing information that you may not easily see on your own.

So as 2011 approaches may you and your families be blessed with health and happiness. May the year be everything you can make it be. If you see me at a meeting by all means come by and say hello. I love meeting my readers.

All the best,

Thursday, December 30, 2010

University Of Maryland Dental School Stepping Up Ergonomics Instruction

University Of Maryland Dental School Stepping Up Ergonomics Instruction

In response to a high prevalence of neck and back pain among working dentists and dental hygienists, the dean of the University of Maryland Dental School Christian S. Stohler, DMD, DrMedDent, has launched an initiative to bring renewed attention to ergonomics into dental education.

Starting with the current semester, every incoming student must take the School's course "Ergonomics in Dentistry," before he or she can practice simulations or live-patient dental work. The School wants to be the place where dentists and dental hygienists learn to practice ergonomically correct practices, says Stohler.

"Three out of every five dentists live with the pain," due to years of practicing with poor posture and other unwise positioning, guest lecturer Lance Rucker, DDS, director of clinical ergonomics and simulation at the University of British Columbia, told this year's incoming class.

Stohler recruited Rucker as the world's leading authority on dentistry ergonomics to kick off its course with a lecture and workshops. He greeted the new students with, "If you want to be a healthy, well-postured individual, statistically you have chosen the wrong profession. However, you do have a choice."

Studies in the U.S. and in Canada over the past 37 years have underscored the need for dentists to adopt more ergonomically correct equipment and positioning, Rucker explained. He said that two-thirds of dentists lose days of practice each year by avoidable muscular skeletal pain.

Retired professor Michael Belenky, DDS, MPH, has taught what he refers to as human center ergonomics at the School for many years," We first ask a student to identify how he or she would like to stand or sit for optimal visual and physical comfort and effectiveness," says Belenky "Many dentists eventually need years of physical therapy, go to a chiropractor or even have surgery, but seldom do you hear about the need for preventive solutions, the etiology of the problem."

Norman Bartner, DDS, a clinical assistant professor who leads the upgraded course, (above with students) says, "We are widely recognized as the no. 1 dental school in the country. Now we want to be known as the School that graduates students with the longest careers, greatest earning capacity, and enjoy the most leisure time because they are healthy." He added, "This should increase alumni financial support for the School as well."

Bartner and Belenky have created an instructional video that begins with dentists who have been forced from the profession with musculo-skeletal problems, due to poor ergonomic working conditions.

Bartner says, "I don't want students developing musculo-skeletal problems from chronic stress on the neck, shoulder, high back, and low back. We start all the dental students off with knowing the proper posture as a dentist for avoiding such career-limiting problems."

Wednesday, December 29, 2010

GAO: Dental Care Access Limited in Low-Income Children

Emma Hitt, PhD
December 2, 2010 — Access to dental care poses a significant challenge for children in Medicaid and the Children's Health Insurance Program (CHIP), despite ongoing efforts to connect patients' families with dental providers, according to the US Government Accountability Office (GAO).
Under the directive of the CHIP Reauthorization Act of 2009, the GAO presented an overview of dental care access among children who are served by CHIP and Medicaid in a congressional report released this week.
In 2000, the Surgeon General reported that tooth decay was the most common chronic childhood disease and described a "silent epidemic of oral disease affecting the nation's poor children." According to the new report, high rates of dental disease in children in low-income families and the "challenge of finding dentists to treat them are long-standing concerns."
To determine the current level of dental access for low-income children, the GAO assessed state-reported dentist participation in Medicaid, CHIP, and the Department of Health and Human Services' (HHS's) Insure Kids Now Web site for all 50 states and the District of Columbia. They also reviewed data on access for children served by Medicaid and CHIP throughout the United States and in managed care and examined federal efforts to connect families with participating dentists.
"Providing complete and accurate information to help families...find dental care is an important tool in improving access," the report stated. The GAO noted some difficulties with finding comprehensive and reliable information about dental providers for children served by Medicaid and CHIP. For example, HHS's Insure Kids Now Web site, a tool designed to match children enrolled in Medicaid and CHIP with dentists who can serve them, contains some inaccurate and incomplete information about dentists, including wrong or disconnected telephone numbers.
In addition, the report states that less than 37% of children in Medicaid received dental services in 2008. Although this figure has improved since 2001, it is still far below HHS's Healthy People 2010 target of 66% for low-income children, which is likely a result of a combination of low participation by dentists in Medicaid and CHIP and a lack of information about dental providers.
The GAO noted that HHS's Health Center and National Health Service Corps programs, which serve both children and adults, reported increases in the number of dentists and dental hygienists practicing in underserved communities but also emphasized the continued need for dental providers to treat low-income individuals.
The GAO also interviewed officials from 4 countries and 8 states and found that in addition to dentists, midlevel dental providers, who can perform intermediate restorative services under remote supervision of a dentist, are in limited use in the United States and may help improve children's access to dental care.
In addition, the GAO recommended several steps to improve dental care access for children covered by Medicaid and CHIP. They suggested a periodic verification of dental providers' information on HHS's Insure Kids Web site, as well as a provision for alternate sources of information during Web site maintenance. They also recommended that the Administrator of the Centers for Medicare & Medicaid Services should ensure the collection of comprehensive and reliable data on Medicaid and CHIP dental services by managed care programs in different states.
HHS agreed with the recommendations and noted specific actions it will take.

Tuesday, December 28, 2010

CAO Group Introduces Sheer FluorX™ Fluoride Treatment Film

Fluoride Treatment that is Simple to Apply, Easy to Wear, and Loved by Patients!

West Jordan, UT (December 17, 2010) – The CAO Group, Inc. (CAO), a worldwide provider of innovative dental devices and materials, recently introduced the newest member of its revolutionary Sheer Film family of products, Sheer FluorX Fluoride Treatment Film. 

Sheer FluorX Fluoride Treatment Film employs the most advanced delivery system on the market – CAO Group’s innovative and proprietary thin, flexible Sheer Film material.  The new Sheer FluorX Fluoride Treatment Films are applied easily and eliminate the bulky fluoride trays that often cause gagging (and worse!) that many patients cannot tolerate. 

SheerFluorX molds tightly to the teeth, ensuring complete contact of Sheer FluorX’s 5% acidulated sodium fluoride, enabling rapid uptake.  Since Sheer FluorX molds to the unique contours of a patient’s teeth and arch, it  effectively prevents any washout of the Sheer FluorX gel and leakage down a patient’s throat (the loose fit of trays “pumps” out excess gel/foam during seating, and saliva will wash it out of the loose tray and down the throat). 

Application is easy – simply remove from the packaging and place.  The no-mess design of the strips enable Sheer FluorX to be applied as soon as SRP or prophylaxis is complete, enabling dental professionals to free up the operatory and patients to be quickly released.  Unlike bulky fluoride trays, Sheer FluorX films will not trigger the gag reflex. 

The initial treatment is placed in-office, and the remaining Sheer FluorX Patient Treatment Kit is dispensed to the patient for home care.  Each Patient Treatment Kit provides 24 FluorX films. 

Sheer FluorX Fluoride Treatment Film is distributed exclusively by Henry Schein Dental. 

For more information on Sheer FluorX, please call 877-236-4408 or log onto 

Monday, December 27, 2010

Efficacy of a probiotic and chlorhexidine mouth rinses: A short-term clinical study

Journal of Indian Society of Pedodontics and Preventive Dentistry
Year : 2010  |  Volume : 28  |  Issue : 3  |  Page : 179-182

Probiotic technology represents a breakthrough approach to maintaining oral health by utilizing natural beneficial bacteria commonly found in healthy mouths to provide a natural defense against those bacteria thought to be harmful to teeth and gums. However, data are still sparse on the probiotic action in the oral cavity. The review article on probiotics in children published by Twetman and Stecksen- Blicks in 2008 showed only one study of dental interest on probiotics in children. Aim and Objectives: The present study evaluated clinically the efficacy of a probiotic and chlorhexidine mouth rinses on plaque and gingival accumulation in children. The trial design is a double-blind parallel group, 14 days comparative study between a probiotic mouth rinse and a chlorhexidine mouth rinse, which included 45 healthy children in the age group of 6-8 years. Results: The Probiotic and Chlorhexidine groups had less plaque accumulations compared with the Control group at the end of 14 years (P < 0.001 and P < 0.001, respectively). But, unlike the plaque score, there was a significant difference in the Gingival Index between the Probiotic and the Chlorhexidine groups (P = 0.009), Probiotic group being better than the Chlorhexidine group (mean = 0.2300 and 0.6805, respectively). Conclusion: The Probiotic mouth rinse was found effective in reducing plaque accumulation and gingival inflammation. Therefore, probiotic mouth rinse obviously has a potential therapeutic value and further long-term study is recommended to determine its efficacy.

Friday, December 24, 2010


WATERTOWN, MA:  December 22, 2010— Pulpdent Corporation was invited to train 40 dental assistants on the subject of “New Technology Resins for Provisional Restoration” during the Greater New York Dental Meeting November 29, 2010. The educational program was sponsored by the American Dental Assistant Association Foundation (ADAAF), which provides continuing education and valuable demonstrations by selected manufacturers to further the knowledge and skills of the member dental assistants.

Larry Clark, Director of Clinical Affairs for Pulpdent, first presented a scientific program on the three provisional technology groups: acrylics (PMMA), bis-acrylics, and rubberized-urethane™. The strengths, weaknesses, and clinical techniques for the three different chemistries were reviewed in detail. The scientific session was followed by a hands-on workshop and demonstration using Tuff-Temp, the new rubberized-urethane provisional material from Pulpdent.

Tuff-Temp’s rubberized-urethane is strong, impact resistant, and fits tightly on the teeth. Breakage and debondings are minimized or eliminated. The material has the convenience and handling of a modern automix system, but does not shrink and stretch, break, debond, or lose its margins like bis-acrylics. It has the strength of powder and liquid acrylics but eliminates the mixing, odor, shrinkage, heat generation, loose fit, and recementations.

Tuff-Temp grinds and powders, producing crisp and accurate margins that do not soften or distort. Finishing instruments do not gum up or clog. Tuff-Temp is dual cure. It both self-cures and has a fast light cure option that is also ideal for use with a clear vinyl polysiloxane template.

Pulpdent manufactures high-quality products for the dental profession, including adhesives, composites, sealants, cements, etching gels, calcium hydroxide products, endodontic specialties, and bonding accessories.  For more information, call 800-343-4342 or visit 

Thursday, December 23, 2010

NHS dental shake-up to be tested in England

NHS dental shake-up to be tested in England

A new dentistry system will be piloted in England next year in yet another attempt to improve access to NHS services.
Ministers have agreed to push ahead with plans set out by Labour in summer 2009, which will herald the return of patient registration.
The current system was only introduced in 2006, but led to fewer patients using services.
Up to 60 pilots will be start running from next April taking into account patient list size, quality of care and courses of treatment.
The current system is based solely on courses of treatment, but led to cases where dentists turned away patients because they ran out of their quota of NHS treatments part way through the year.
Instead of improving access, one million fewer patients were treated in the two years after it was introduced than the two years before.

Read the rest of the article

Wednesday, December 22, 2010

New News Same As The Old News- Philips purchases Discus- Offical Letter

I got this email today finalizing  news I reported back in October. MJ

December 20, 2010


We are writing to inform you that today Royal Philips Electronics, a world leader in healthcare, lifestyle and lighting, has announced that it has acquired Discus Holdings, LLC.

Having built the company to a position of strength in the professional dental space, the Discus founders felt that a global player in the area of oral healthcare would be able to take it to the next level of international growth as part of a broader portfolio.

Philips is the ideal partner to achieve this - the company offers the number one sonic, electric tooth brush as recommended by dental professionals worldwide with their Sonicare line. Together, Philips and Discus will significantly expand the global reach and scope of the combined products.

Headquartered in the Netherlands, Philips employs approximately 118,000 employees in more than 60 countries worldwide. With sales of EUR 23 billion (approx. 30B USD) in 2009, the company is a market leader in healthcare, lighting and lifestyle, with strong leadership positions in lifestyle products including flat TV, male shaving and grooming, portable entertainment and oral healthcare.

In the coming months, we will update you on the integration process. Any questions you may have on Discus activities and products should be directed as normal to your local Discus representative.

Yours sincerely,

Tuesday, December 21, 2010

New Guides on Radiotherapy Treatments for Head and Neck Cancer Are Available

AHRQ’s Effective Health Care Program released new summary guides on Comparative Effectiveness and Safety of Radiotherapy Treatments for Head and Neck Cancer and Understanding Radiotherapy for Head and Neck Cancer: A Guide for Adults and Their Caregivers.  The new guides are based on a recent AHRQ comparative effectiveness review on the effectiveness of different types of radiotherapy to treat head and neck cancers.  That report, published in May, found that an advanced type of radiation called intensity-modulated radiation therapy leads to fewer cases of xerostomia, commonly known as dry mouth, than other types of radiation, but it is unknown whether the treatment is better or worse at reducing the size of tumors.  The report was prepared by the Blue Cross and Blue Shield Association, Technology Evaluation Center in Chicago for AHRQ’s Effective Health Care Program.  In addition, a CME activity and a slide talk are also available. 

Monday, December 20, 2010

C-reactive protein in relation to early atherosclerosis and periodontitis

DOI: 10.1007/s00784-010-0487-6

 Periodontitis may affect atherosclerosis via the chronic inflammation. We investigated high-sensitivity C-reactive protein (hsCRP) in relation to early vascular atherosclerotic changes in non-symptomatic subjects with and without long-term periodontitis. Carotid ultrasonography with calculation of common carotid artery intima-media area (cIMA) was performed, and hsCRP and atherosclerosis risk factors were analysed in randomly chosen 93 patients with periodontitis and 41 controls. The relationship between hsCRP, cIMA and atherosclerosis risk factors was evaluated with multiple logistic regression analysis. Women displayed lower hsCRP (p < 0.05) and higher serum HDL (p <  0.001) than men. In all patients with periodontitis, cIMA values were higher than in controls. Periodontitis appeared to be a major predictor for increased cIMA (odds ratio, 3.82; 95% confidence interval, 1.19–12.26). Neither of these factors was significantly associated with hsCRP which thus appeared not sensitive enough to be a marker for periodontitis or atherosclerosis. Hence, irrespective of low hsCRP levels, periodontitis appeared to increase the risk for atherosclerosis.

Saturday, December 18, 2010

BDA Positive On Improvements In Adults' Dental Health, UK

Commenting on the preliminary findings from the 2009 Adult Dental Health Survey (ADHS) published recently, the British Dental Association has given a positive reception to the continuing improvements seen in adults' oral health. The report shows that adults are retaining at least some of their natural teeth later into life. Additionally, the report found that 86 per cent of adults had 21 or more natural teeth. In 1978, this was the case for only 74 per cent of adults.

The BDA's Scientific Adviser, Professor Damien Walmsley, said:

"This survey confirms that the condition of people's teeth overall has got much better since this survey was first carried out. Fluoride toothpaste, greater awareness of the importance of a healthy diet and regular visits to the dentist have all undoubtedly contributed to the better dental health we see in adults today.

"While the growing number of patients retaining more of their teeth into later life is, of course, excellent news, this improvement brings its own challenges. The way that teeth are cared for will need to evolve to ensure that these challenges are met."

The report also confirms the relationship between low socio-economic status and poorer oral health. Professor Walmsley continued:

"Depressingly, this report also confirms what we know about the strong link between social deprivation and poor oral health. Addressing this must be a priority for the UK's governments."


1. The reports can be viewed here.

Friday, December 17, 2010

Flowable resin used as a sealant in molars using conventional, enameloplasty and fissurotomy techniques: An in vitro study

Journal of Indian Society of Pedodontics and Preventive Dentistry

 2010 | 28 | 3 | July-September        

Background and Objective: Preventive procedures using pit and fissure sealants are one of the most important aspects of pediatric dental practice. The objectives of this in vitro study were to comparatively evaluate microleakage of a flowable resin used as a sealant on molars after preparation with conventional, enameloplasty and fissurotomy techniques.
Materials and Methods: A total of 24 teeth were divided into three groups of eight samples each. Pits and fissures were prepared with conventional sealant technique (CST) (Group A), enameloplasty sealant technique (EST) (Group B) and fissurotomy technique (FT) (Group C). Following sealant placement, thermocycling and sectioning of samples of Groups A, B and C were performed and microleakage was assessed under a stereomicroscope after methylene blue dye immersion.
Results: There was significantly lesser microleakage in EST when compared with CST and FT, which showed more microleakage. No statistical significance between CST and FT was found. Interpretation and Conclusion: EST has proven to be an excellent method of preparation of pits and fissures when flowable composite is used as a sealant because of its lesser microleakage.

Thursday, December 16, 2010

3M ESPE Marks 50,000th Lava™ Chairside Oral Scanner C.O.S. Case

Increased productivity and outstanding fit drive popularity of system for doctors and labs

ST. PAUL, Minn. – (December 13, 2010) – Since the launch of the 3M™ ESPE™ Lava™ Chairside Oral Scanner C.O.S. in 2008, dentists have been won over by the system’s productivity and accuracy, which enable them to efficiently create precisely fitting restorations. Successes for the scanner have been mounting worldwide, and 3M ESPE recently observed the 50,000th case completed with the device.

The case was completed by Dr. William Bethke of Eau Claire, Wis. Dr. Bethke adopted the system in early 2010 and has been making heavy use of it since. “The accuracy is number one,” Dr. Bethke says. “There is no impression material in the world that can equal the accuracy of the Lava C.O.S. in combination with CAD/CAM technology. This is an important part of dentistry’s drive for perfection.”

Users of the system have consistently noted that restorations created with the Lava C.O.S. fit with outstanding accuracy, reducing seating time and stress in the operatory. Data shows that seating times for single unit crowns created with the Lava C.O.S. are an average of 41 percent shorter than for crowns made with traditional impressions. To provide dentists with additional confidence, 3M ESPE also offers a one year guarantee for new doctors using the system for Lava restorations, with an agreement to compensate both the doctor and laboratory in the event of a remake.

In addition to the exceptional accuracy made possible with the device, dentists have a high degree of flexibility in choosing the materials used in their restorations with the ability to prescribe PFM or CAD/CAM restorations. Dr. Bethke’s milestone case utilized a monolithic all-ceramic material to restore a patient’s smile.

The accuracy of the digital scans has been a boon to laboratories as well, as dentists now have the capability to assess the accuracy of their impression before submitting a case. “We are seeing remake rates of less than one percent due to the accuracy of the digital data,” says Brad Slominski, CDT, of Dental Crafters Laboratory. “Reducing remakes helps us strengthen our relationships with dentists, and helps dentists save both money and time.”

 “The Lava C.O.S. continues to deliver greater productivity and flexibility to dentists and laboratories,” said Mark Farmer, general manager of the 3M Digital Oral Care Department. “With more than 50,000 cases completed, more dentists, lab technicians and patients are discovering the clinical excellence made possible by this system every day.”

For more information, visit or call 1-800-634-2249. 

Wednesday, December 15, 2010

HPV Link Between Cervical and Oral Cancer

Detection of human papilloma virus (HPV) in oral mucosa of women with cervical lesions and their relation to oral sex practices

Authors: Luis Sanchez-Vargas et al
Previous studies have either investigated the relationship of HPV with oral cancer or the prevalence of HPV on the oral cavity. The purpose of this investigation was to study the prevalence of HPV in oral cavity of women with oral sex practices and cervical lesions.
Forty six (46) non-smokers and non-alcoholic patients attended the “Clinica de Displasias”of “Ciudad Juarez”were sampled. This population had a CIN (cervical intraepithelial neoplasia) diagnosis sometime between the previous six months. On previous consent they filled out a questionnaire related to their oral sex practices. Afterwards one swab from cheeks and another from palate/gum were taken; PCR (polymerase chain reaction) was used to determine generic HPV, HPV16 and HPV18.
Seventy two percent (72%) of the patients stated to have oral sex practices regularly which all of them were positive to HPV either in oral mucus, palate/gum or both. The total of the given results showed that 35% had HPV16; among those distributed in 26% with regular oral sex practices and 9% stated as never practiced oral sex.
An association was found between oral HPV16 positivity and progression to CIN advanced lesions. On the other hand HPV18 was not detected. The frequency of HPV16 was higher in buccal mucosa (23%) versus palate/gum (16%).
This study suggests that buccal HPV16 infection is associated with CIN progression.
Source: Infectious Agents and Cancer 2010, 5:25
Authors: Luis Sanchez-Vargas, Cecilia Diaz-Hernandez, Alejandro Martinez-Martinez

Tuesday, December 14, 2010

YouTube to MP3 converter is the easiest online service for converting videos to mp3. You do not need an account, the only thing you need is a YouTube URL. We will start to convert the audiotrack of your videofile to mp3 as soon as you have submitted it and you will be able to download it. Different from other services the whole conversion process will be perfomed by our infrastructure and you only have to download the audio file from our servers. Because of this our software is platform-independent: You can use it with your Mac, a Linux PC or even an iPhone. All our conversions will be perfomed in high quality mode with a bitrate of at least 128 kBit/s. Do not worry, our service is completely free. We need approximately 3 to 4 minutes per video.

Monday, December 13, 2010

Dental Informatics Training Program

Help shape the field of informatics in healthcare by training in the Biomedical Informatics Training Program at the University of Pittsburgh! The Center for Dental Informatics is currently recruiting for one trainee (MS, PhD or postdoc level) in one or more of the following research areas:

- clinical informatics, with focus on applications in dental care
- information model and/or terminology development
- 3D visualization and simulations
- human-computer interaction
- computer-supported cooperative work
- informatics in evidence-based healthcare

The program is highly multidisciplinary and is open to individuals with a variety of backgrounds, such as information science/computer science, dentistry, medicine, information technology or related fields.

The program prepares trainees for a research and teaching career in dental/biomedical informatics. As a Masters/PhD student or postdoctoral associate, you will participate in a multi-faceted and stimulating curriculum as part of a group of over 35 trainees. As a postdoctoral associate, your time will be almost 100% dedicated to research. Twenty-eight core faculty and over 40 affiliated faculty, spanning a total of 20 departments and centers, are available to interact with and mentor you.

Financial support from the NIDCR/NIH is available to eligible individuals (US citizens and permanent residents). NIDCR/NIH funds provide for a stipend, tuition, fees and health insurance support, travel subsidies, and a state-of-the-art computer. The program also offers a limited number of positions for self-funded trainees. Applications are accepted immediately. Program start is 8/2011.

Please note: The National Institutes of Health (NIH) offers a loan repayment program for qualifying educational loans. This program is open to trainees through a separate application and award by the NIH. The program provides a maximum of $35,000 per year for three years in loan repayments. For more information, please visit our Website at

Saturday, December 11, 2010

Ambiguity in bone tissue characteristics as presented in studies on dental implant planning and placement: a systematic review

Ribeiro-Rotta RF, Lindh C, Pereira AC, Rohlin M. 

Clin. Oral Impl. Res. xx, 2010; 000–000.


Objectives: To survey definitions of bone tissue characteristics and methods of assessing them in studies of dental implant planning and placement.
Material and methodology: Three databases were searched using specified indexing terms. Three reviewers selected from the titles and retrieved abstracts in accordance with inclusion and exclusion criteria. Descriptions of bone tissue characteristics (bone quality, density and quantity) used before or during dental implant placement were searched for and categorized.
Results: The search yielded 488 titles. One hundred and fort-nine publications were selected and read in full text. One hundred and eight were considered relevant. There were many different definitions and classification systems for bone tissue characteristics and examination protocols. Approximately two-third of the included publications reported the Lekholm & Zarb classification system for bone quality and quantity. However, only four studies implemented the Lekholm & Zarb system as originally proposed. A few publications described bone quality in accordance with the Misch or Trisi and Rao classifications systems. Assessment methods were often described only briefly (or not at all in one-fifth of the publications). Only one study presented the diagnostic accuracy of the assessment method, while only two presented observer performance.
Conclusion: The differing definitions and classification systems applied to dental implant planning and placement make it impossible to compare the results of various studies, particularly with respect to whether bone quality or quantity affect treatment outcomes. A consistent classification system for bone tissue characteristics is needed, as well as an appropriate description of bone tissue assessment methods, their diagnostic accuracy and observer performance.

Friday, December 10, 2010

US House Passes Red Flags Reform—A Victory for Dentistry

The U.S. House of Representatives today passed legislation (S. 3987) exempting certain businesses, including dental practices, from the Federal Trade Commission's (FTC) Red Flags Rule.
The rule, which stems from the Fair and Accurate Credit Transactions Act (FACT) of 2003, was intended to force large financial institutions to implement measures to protect consumers from identity theft. 
An unintended effect of the law extended the rule to include millions of small businesses.
The ADA led a coalition of organizations to get this legislation passed, and thousands of grassroots dentists contacted Capitol Hill lobbying on its behalf. President Obama is expected to sign the bill by the end of the month.
This law could save your practice money and hours of administrative red tape. In fact, the ADA estimates the nationwide savings associated with this exemption to be $72 million for dental offices alone.

Thursday, December 09, 2010

Glucose levels and hemodynamic changes in patients submitted to routine dental treatment with and without local anesthesia


version ISSN 1807-5932

Clinics vol.65 no.10 São Paulo  2010

doi: 10.1590/S1807-59322010001000009 

Marcelo Carlos Bortoluzzi; Rafael Manfro; Anderson Nardi
Faculdade de Odontologia, Oral and Maxillofacial Surgery (FUNOESC), Joaçaba, Santa Catarina, Brazil

OBJECTIVE: The aim of this study was to (1) observe the extent to which hemodynamic and glucose measurements change in patients submitted to a dental procedure with and without a local anesthetic and a vasoconstrictor (LAVA; 2% mepivacaine with adrenaline 1100,000) and (2) correlate those parameters with the patients' anxiety levels.
METHOD: This was an unblinded, random, prospective, and observational study with paired groups. Patients were evaluated during two different consultations during which they either did or did not receive a local anesthetic/vasoconstrictor.
RESULTS: Thirty-seven patients ranging in age from 18 to 45 years (mean 30.4 ± 5.5 years) were evaluated. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, heart rate, and glucose levels, did not change significantly in healthy patients, regardless of whether a LAVA was administered during the dental treatment.
CONCLUSION: The patients' anxiety statuses neither varied significantly nor showed any correlation with the studied hemodynamic parameters and glucose levels, regardless of whether local anesthetics were used.

Wednesday, December 08, 2010

Tooth Decay to Be a Thing of the Past? Enzyme Responsible for Dental Plaque Sticking to Teeth Deciphered

The Groningen professors Bauke Dijkstra and Lubbert Dijkhuizen have deciphered the structure and functional mechanism of the glucansucrase enzyme that is responsible for dental plaque sticking to teeth. This knowledge will stimulate the identification of substances that inhibit the enzyme. Just add that substance to toothpaste, or even sweets, and caries will be a thing of the past.
Dijkhuizen points out that in future glucansucrase inhibitors may be added to toothpaste and mouthwash. 'But it may even be possible to add them to sweets', he suggests. 'An inhibitor might prevent that sugars released in the mouth cause damage.' However, Dijkhuizen doesn't expect that toothbrushes have had their day: 'it will always be necessary to clean your teeth.'

 A. Vujicic-Zagar, T. Pijning, S. Kralj, C. A. Lopez, W. Eeuwema, L. Dijkhuizen, B. W. Dijkstra. Crystal structure of a 117 kDa glucansucrase fragment provides insight into evolution and product specificity of GH70 enzymes. Proceedings of the National Academy of Sciences, 2010; DOI: 10.1073/pnas.1007531107

Tuesday, December 07, 2010

Dental capitation insurance provider compensation: a fair deal?

Am J Manag Care. 2010 Nov 1;16(11):e276-80.
PO Box 221347, Louisville, KY 40252. E-mail:


OBJECTIVE: To investigate the fairness of dental capitation insurance provider compensation amounts being paid by one of the nation's largest capitation insurance companies.

STUDY DESIGN: Analysis of insurance company documents.

METHODS: The article first reports and then analyzes the capitation amounts paid by one of the nation's largest capitation plans over the past 13 years as retrieved directly from the insurance company documents. The annual rates of change in the capitation amounts are then compared with the annual rates of change in the mean dental office overhead expenses across the United States, as well as with the rates of change in income and expenses of the average US worker.

RESULTS: The compensation (capitation amount) paid to participating providers decreased dramatically every year over the past 13 years, while the mean office overhead costs of participating providers increased every year.

CONCLUSIONS: Solo general dentists with office overhead costs greater than or equal to the national mean likely find that the capitation amounts paid by insurance companies are an unfair compensation or are incompatible with their income objectives. Participation by solo general practitioners in capitation plans with such compensation levels would be problematic or unlikely.

Monday, December 06, 2010

Liposome-encapsulated ropivacaine for intraoral topical anesthesia

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology 
Michelle Franz-Montan, PhDabCorresponding Author Informationemail address, Eneida de Paula, PhDb, Francisco C. Groppo, PhDa, André L.R. Silva, PharmDb, José Ranali, PhDa, Maria C. Volpato, PhDa

This study evaluated the efficacy of liposome-encapsulated 2% ropivacaine in topical anesthesia and its influence on pulpal response.
Study design
Forty volunteers received the following topical formulations in the buccal fold of the maxillary lateral incisors region (bilaterally): liposome-encapsulated 2% ropivacaine gel (RL2); 20% benzocaine gel (B20); liposomal placebo gel (LP); and placebo gel (P). Formulations were kept in place for 30 minutes, during which time the teeth were electric pulp tested every 10 minutes. After this procedure, a dental needle was inserted until periosteum contact in the same site of topical application and pain was rated by a visual analog scale. Duration of soft tissue anesthesia was assessed by pinprick test.
RL2 and B20 showed lower pain response to needle insertion and longer soft tissue anesthesia then P and LP (P = .0003 and P < .0001, respectively); however, RL2 was not different from B20 (P > .05) regarding those parameters. None of the formulations was able to induce pulpal anesthesia.
RL2 was as effective as B20 in reducing pain during needle insertion and inducing soft tissue anesthesia; however, neither one was able to induce pulpal anesthesia after a 30-min application.

Saturday, December 04, 2010

The new RAMVAC® Badger™ Dry Vacuum System

The DentalEZ® Group Unveils the RAMVAC® Badger
at 2010 Greater New York Dental Meeting

Economically Priced, Environmentally Friendly LubeFree Dry Vacuum
is a Welcome Alternative to Wet Ring or Aging Dry Vacuum Systems

Malvern, PA (December 1, 2010) – The DentalEZ® Group, a supplier of innovative products and services for dental health professionals worldwide, recently unveiled its latest utility room offering at the annual Greater New York Dental Meeting.  The new RAMVAC® Badger is a LubeFree, waterless, affordable alternative to wet ring or aging dry vacuum systems.  
The Badger is an economical dry vacuum unit that easily replaces most traditional water ring pumps.  Designed for 1-3 users, the Badger is lightweight, flexible, and compact.  With a small footprint of 18” x 22” x 25”, installation is simple and easy.  The Badger is compatible with existing plumbing as small as ¾” and as large as 2” in either rigid or flexible PVC, making installation a breeze.  Stackable for easy expansion, the Badger provides superior performance while taking up minimal space.

The Badger’s LubeFree rotary vane vacuum pump includes a 5 gallon separation tank and is protected by RAMVAC’s exclusive 5-year no-fail, no-wear-out pump warranty.  The E1 “Smart Control” provides maintenance reminders every 2,000 hours, and has an auto shutdown feature that ensures the longevity of its rotary vanes. 

The open-frame design of the Badger provides a cooler unit operation and ease of maintenance.  There are no traps to clean or maintain and the unit provides whisper-quiet operation.  In addition, the Badger maintains consistent vacuum levels when one or more HVE’s are in use, ensuring smooth operation at all times. 

Moreover, the Badger recently received an EDA Accepted status seal from the Eco-Dentistry Association, due to its superior water conservation aspect and pollution-prevention features.  100% water-free operation of the unit completely eliminates additional vacuum-related water and sewage fees. 

For more information, please call 866-DTE-INFO or visit 

About DentalEZ® Group

DentalEZ® Group is committed to advancing the practice of dentistry through innovative products and services.  Encompassing six distinct product brands—StarDental®, DentalEZ®, CustomAir®, RAMVAC®, NevinLabs, and Columbia Dentoform® — DentalEZ® Group manufactures everything in the operatory, from handpieces to chairs to vacuum systems to dental simulation models, creating a complete line of products to elevate the health, comfort, and efficiency of the dental operatory.  For more information, please visit

Friday, December 03, 2010

New Hard Tissue Dental Lasers

It is about time that there are some new lower priced erbium hard tissue lasers. I have had an erbium laser for years and watched the prices increase but now there are 2 lasers available to purchase for less then $30K.
Lares has the new Skywalker  which is available for purchase now.

AMD Lasers who changed the entire diode laser market introduced the new Picasso ATL  (All Tissue Laser). Retail should be $25K. It is not available for sale but should be soon.

Photo of Picasso ATL courtesy of  Glen Van As

Its nice to see lasers getting some more buzz again.

Thursday, December 02, 2010

Oral Manifestations of Smokeless Tobacco Use

Otolaryngologic Clincs of North America
Volume 44, Issue 1, Pages 31-56 (February 2011)
Robert O. Greer Jr., DDS, 
Smokeless tobacco (SLT) has been smoked, chewed, and inhaled in various forms for hundreds of years. The primary oral, mucosal, and hard tissue changes associated with SLT use include SLT keratosis (STK); gingival inflammation, periodontal inflammation, and alveolar bone damage; and dental caries, tooth abrasion, and dysplasia and oral squamous cell carcinoma (SCC). Some high-risk STKs are human papillomavirus associated, and the highest level of transition of STK to dysplasia or oral SCC appears to be in those lesions that have a diffuse velvety or papillary texture clinically. There is minimal risk for oral cancer associated with SLT use.

Wednesday, December 01, 2010

Preventative Dental Care, Daily Toothbrushing Are Keys To Healthy Pet

When it comes to pet dental care, two Kansas State University veterinarians hope that owners remember an important message: Prevention is always better and often cheaper than treatment.

"Although prevention may be more effort for the owners, it has the best end result for their pets and often their pocketbook," said Marjory Artzer, a clinical assistant professor at the K-State Veterinary Medicine Teaching Hospital.

By the age of 3, about 80 percent of dogs and 70 percent of cats already have established periodontal disease, said Jennifer Akers, a clinical assistant professor at the Veterinary Medicine Teaching Hospital. Akers said preventative measures are key to identifying and stopping disease before it gets too bad.

Dogs often have more straightforward periodontal disease, ranging from mild cases of gingivitis that can be reversed with cleaning, to more advanced cases where dogs can lose teeth, Akers said. Cats more commonly suffer from issues with tooth resorption and inflammatory disease in their mouth.

Both conditions can be very painful for pets, but animals don't have to act as if they are pained for disease to exist in the mouth, according to the K-State veterinarians. Often pain comes on slowly, so the animal has time to adjust.

"A lot of times we only know it has been problematic for them after we've instituted therapy and they go back to feeling good and have a change in behavior for the better," Artzer said.

Some signs of dental problems include bad breath, bleeding from the gingiva, changes in eating behavior or pawing and rubbing faces.

Most dental pathology is best identified by a veterinarian, Artzer said, and to help identify any dental problems, owners should make sure their animals get an oral exam every year with their annual checkup.

To help prevent periodontal disease, owners should brush pets' teeth daily with a pet toothbrush and pet toothpaste. Do not use human toothpaste, Akers said, as it can be toxic to animals. Water-additives, dental chews and dental diets can also help prevent periodontal disease.

"For cats, vigilance in observing and trying to intercede as early in the disease process as possible helps to keep them more comfortable longer," Akers said. "Daily oral health care is important for preventing periodontal disease and also keeps the owners looking in the mouth on a routine basis for signs of problems."

Owners should not give dogs bones or other hard toys, as they are a common cause of tooth-breaking.

"With the best intention of providing something that owners may think is OK, it can have a very negative outcome," Artzer said. "If we provide pets with appropriate toys to chew, that is a better scenario."

Both veterinarians said owners should start dental care when pets are babies and easily trainable so that they become accustomed to daily toothbrushing. It is especially important for small breed dogs because they are most at risk for periodontal disease.

"Unfortunately, what we see is middle age older pets with really horrible disease in their mouths, and the owners, only in hindsight, wished that they had been doing something about it at a young age," Akers said.

But with preventative measures, owners can improve their animal's quality of life and prevent severe complications of periodontal disease, such as complicating factors for heart conditions, kidney problems or other dental diseases.

"Dental care can help pets live a long, happy pain-free life; but no dental care can often lead to very detrimental consequences that can be very painful for our pets and very detrimental for their long term survival," Akers said.

Monday, November 29, 2010

Upocming GNYDM Lecture and Webinar

Join me at the Greater NY Dental Meeting Wednesday December 1as I discuss State of the Art Diagnostics. This is a free one lecture at 2:45pm.

Curing Composites Is More Than Shining A Light
Presenter: Dr. Martin Jablow    CE Credits: 1
Webinar Begins:  12/8/10  8:00 PM ET,  5:00 PM PT
Curing composite is not as simple as it seems. A lot of physics goes into the mechanisms for proper curing. This course will give dentists and hygienists the information necessary to determine the proper use of a curing light in different clinical situations. Why your old curing light might not be curing composite as well as you think. Learn about the different types of curing lights. Determine which curing lights are best for your practice. What you should look for when purchasing a new LED curing light. Learn when to change the amount of curing based on type and color of composites. You will now better understand what is happening when you turn your curing light on.   

Click on the link to register.

Thanks to Kerr for sponsoring the webinar. 

Saturday, November 27, 2010

CAO Group to Host “Beauty Week” at 2010 Greater New York Dental Meeting

West Jordan, UT (November 29, 2010) – In celebration of its revolutionary patient-friendly Sheer Film delivery system, the CAO Group, Inc. (CAO), a worldwide provider of innovative dental devices and materials, will present “Beauty Week” at the 2010 Greater New York (GNY) Dental Meeting from November 28th through December 1st. 

As part of Beauty Week, all GNY attendees who visit CAO booth #5237 will receive a free Sheer White!teeth whitening film application.  They will be encouraged to apply the film on the spot in order to experience the many benefits that the new Sheer Film delivery system provides, including easy and secure application, and fast whitening results.

Each participant will have the opportunity to capture their Sheer White! experience with a “framed” electronic picture taken at the booth, and a short video segment will capture the individual with the Sheer White! film in place in order to demonstrate how Sheer White! Is virtually undetectable when talking or in use.  

Each participant’s picture will be sent to the individual electronically, and will include a link to a special photo montage video posted on YouTube® showcasing all GNY participants who tried the Sheer White! films.  The first person identified by 10 friends in the YouTube comments section of the site will win a free Patient Kit of Sheer White! teeth whitening film for all 10 people who mention them by name!

“We are excited to have as many people possible experience our Sheer White! teeth whitening films,” remarked Robert Nordquist, Vice President of Marketing and Sales for the CAO Group. 
“Although CAO’s Beauty Week will be focused primarily on its Sheer White! teeth whitening films, all Sheer Film products, including Sheer DesenZ Desensitizing Treatment and Sheer FluorX Fluoride Treatment, will be available for trial.”

About Sheer White! Teeth Whitening Films

Consisting of thin, flexible films plus 20% carbamide peroxide gel, new Sheer White! teeth whitening films employ the most advanced delivery system available today.  Using CAO’s innovative and proprietary thin, flexible Sheer Film material, Sheer White! teeth whitening films are easily molded to individual tooth and arch anatomy and cover from approximately first molar to first molar.  The Sheer Film material molds tightly to the teeth, ensuring complete contact of Sheer White!’s whitening gel to enamel and effectively preventing washout or leakage down the patient’s throat.

Moreover, Sheer White! teeth whitening films are very comfortable and discreet.  Unlike whitening trays or old-style “strips,” patients are able to speak clearly, so Sheer White! teeth whitening films can be worn anytime – at work or even overnight.

Sheer White! is the new and better alternative to traditional whitening products such as tray delivery or strip products.  Sheer White! is also the perfect complement to in-office whitening,  as patients usually must finish treatment at home.  With Sheer White!, there is no tray to fabricate, no lab costs, and whitening can begin immediately.

For more information on Sheer White!, please call 877-236-4408, or log onto  

About The CAO Group, Inc.

The CAO Group, Inc. (CAO), under the direction of Densen Cao, PhD, is headquartered in West Jordan, Utah, with FDA registered and EN 13485 certified manufacturing facilities in West Jordan, Utah and Beijing, China.  CAO is one of the world-leading companies focused on understanding and optimizing the use and application of light and biomaterials in dental care applications.  Driven by innovative technologies, CAO has been granted or filed more than 150 patents in these high-technology areas, and is recognized as the product development leader in dental materials and devices, especially in LED curing lights and soft tissue surgical lasers. CAO’s mission in dentistry is to make applications of dental materials and devices Easier. Faster.  Better.  

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Friday, November 26, 2010

Radiation Worries for Children in Dentists’ Chairs

A scathing article on CBVT and dental radiography in general. 

Read the article in the NY Times.

A statement reiterating the ADA's guidance on the use of CBCT and other radiological devices can be found here.
If member dentists should ask about this story - or want to know how they should talk about this issue with patients -- we've prepared some talking points that you should feel free to pass along, at this link.

ADA positions hold that dentists should apply the ALARA principle (As Low as Reasonably Achievable) to reduce radiation exposure to their patients by: determining the need for and type of radiographs to take; using "best practices" during imaging, including the application of quality control procedures; and, interpreting the images completely and accurately.
"Dentists should weigh the benefits of dental radiographs against the consequences of increasing a patient's exposure to radiation, the effects of which accumulate from multiple sources over time," according to the ADA's Council on Scientific Affairs report, "The Use of Dental Radiographs: Update and recommendations.

CLICK HERE for a response from Imaging Sciences International (i-CAT).

CLICK HERE for a response from Carestream Dental.

Thursday, November 25, 2010

Never Mind Conflict With The In-Laws; It's Cake Vs. Cranberry, Pie Vs. Wine At Thanksgiving Dinner

Never Mind Conflict With The In-Laws; It's Cake Vs. Cranberry, Pie Vs. Wine At Thanksgiving Dinner 

If you're lucky, it will all be kisses and hugs around the Thanksgiving dinner table, with friends and family near and dear gathered about, and puppies at your feet waiting for table scraps.

But peace won't reign within the confines of the oral cavity, where Streptococcus mutans and other harmful bacteria will await their own holiday feast. Your meal will enable S. mutans to launch one of its biggest assaults of the year on your tooth enamel.

New work by dental researchers at the University of Rochester Medical Center brings both good and bad news. While bacterial forces in your mouth will exploit your delectables in newly discovered ways, some foods common at the holiday dinner table - like the cranberry and even wine - offer new leads in the effort to stop tooth decay.

The Thanksgiving Day battle for oral health hinges on microbes like S. mutans. Most cookies, pies and the like contain mountains of sugar, but it's not the sugar itself that causes tooth decay. Rather, S. mutans and other bacteria in our mouths - billions of individual microbes all waiting for their next snack - feast on the sugars, stick on your teeth and then churn out acid that eats away at tooth enamel.

At the front lines is Hyun "Michel" Koo, D.D.S, Ph.D., a dentist turned food scientist and microbiologist who is both exploring the destructive power of S. mutans and scouring foods and natural substances to harness their ability to prevent cavities. With every portion of bad news he delivers about cavities comes good news about compounds that may help prevent tooth decay.

"Natural substances offer tremendous possibilities for stopping tooth decay," said Koo, who earlier this year received a $1.6 million from the National Institute of Dental and Craniofacial Research to conduct his research. "Our time spent in the laboratory is aimed at harnessing the potential of some of these compounds, perhaps eventually incorporating them into a toothpaste or mouth rinse to stop dental decay."

Good news at the dinner table

Koo is hot on the trail of the cranberry as a potential ally in the fight against S. mutans, which is a threat to our teeth primarily because of its ability to form plaque. What appears to us as sticky white gunk along our teeth is actually a formidable fortress of molecules known as glucans - building blocks of plaque, stacked like bricks in a wall, rife with bacteria. It's a gunky fortress that covers the tooth and gives bacteria a safe haven to munch on sugar, thrive, and churn out acid.

Koo has discovered that compounds within the cranberry disrupt enzymes known as glucosyltransferases that bacteria use to build glucans. Without its glucans, S. mutans and other bad bacteria in plaque becomes vulnerable.

Together with Nicholi Vorsa, Ph.D., director of the Philip E. Marucci Center for Blueberry and Cranberry Research and Extension at Rutgers University, Koo is working to isolate the compounds within the cranberry that are most protective. The pair has identified molecules known as A-type proanthocyanidins as having potential to reduce cavities dramatically. Earlier this year in the journal Caries Research, the team reported that when the molecules were applied, glucan and acid production by S. mutans was reduced by up to 70 percent, and cavity formation in rats was slashed by up to 45 percent.

"Maintaining the natural balance of resident flora in the oral cavity is important for keeping opportunistic pathogens in check," said Koo, a researcher in the Center for Oral Biology and an associate professor in the Eastman Institute for Oral Health and the Department of Microbiology and Immunology. "These molecules don't outright kill S. mutans. Instead, they disrupt the two most harmful actions of this pathogenic organism, acid production and glucan production."

More good news

More good news comes from that delicious glass of wine, or at least the waste in its wake. With funding from the U.S. Department of Agriculture, Koo began a research project with Olga I. Padilla-Zakour, Ph.D., associate professor of Food Processing at the New York Agricultural Experiment Station of Cornell University. They found that the abundant waste from the red-wine-making process - materials such as fermented seeds and skins collectively known as pomace that are cast away after grapes are pressed - contains compounds that fight S. mutans. In particular, some polyphenols can inhibit the activity of S. mutans' crucial enzymes by as much as 85 percent and also reduce the amount of acid the bacteria produce.

And the bad news

Last month in PloS One, Koo showed that S. mutans is even more powerful than scientists have realized, responding readily to changing environmental conditions in the presence of starch and sucrose to thrive in the mouth.

In work led by Marlise Klein, D.D.S., Ph.D., research assistant professor, Koo's team analyzed the activity of more than 300 genes in S. mutans under changing conditions. The team found that certain key proteins boost their activity dramatically in the presence not only of sugar but also complex carbohydrates derived from starch digestion. Once the body's own amylase enzymes naturally present in saliva break down starches, S. mutans kicks its glucan-forming machinery into high gear.

"The new research shows how two pillars of the modern diet, starch and sugar, can work cooperatively to bring about tooth decay," said Koo. "A cookie, sugar-covered doughnut, or a piece of pie filled with both sugar and starch provide the perfect recipe for the bacteria that destroy teeth."

Even when the amount of sugar was slashed in half, certain genes central to the ability of S. mutans to create its formidable glucan fortress boosted their activity five-fold in the presence of starch-derived carbohydrates. That enabled the bacteria to create plaque that is hardier, stickier, and capable of producing more acid than plaque created without significant starch present.

On Thanksgiving Day ......

Koo notes people shouldn't simply eat more cranberry sauce or drink more wine to try to prevent cavities. His work is aimed at identifying and then exploiting specific compounds that give the benefit without, for instance, the high levels of acidity or the added sugar that cranberry products might include. Rather, at this point, everything your dentist keeps telling you remains the best advice to prevent cavities.

"On Thanksgiving Day, like any day, brush your teeth, avoid foods filled with sugars as best you can, and don't snack often - and if you do, brush your teeth again," said Koo. "Consider using a mouth rinse, get some fluoride in there - and be sure to see a dentist regularly."

Tom Rickey
University of Rochester Medical Center

Thank you to everyone who reads this blog. Thanks to my family and friends, my lecture partners John Flucke and Paul Fuerestein. May the start of the holiday season 2010 bring everyone nothing but joy!

Wednesday, November 24, 2010

Guide on Oral-Systemic Health

Groundbreaking New Clinician’s Guide on Oral-Systemic Health
Introduced at the American Academy of Periodontology Annual Meeting

NEW YORK, NY (November 18, 2010) –
During the recent American Academy of Periodontology annual meeting, Colgate-Palmolive celebrated the release of a new, groundbreaking textbook entitled, Periodontal Disease and Overall Health: A Clinician’s Guide

A result of a 2 year effort involving internationally renowned authors and editors in the dental field, this textbook features 18 chapters of cutting-edge information regarding the relationship between oral and systemic diseases. Robert J. Genco, DDS, PhD, a distinguished professor of Oral Biology and Microbiology at the School of Dentistry at the State University of New York at Buffalo, and Ray C. Williams, DMD, Professor and Dean of the School of Dental Medicine at Stony Brook University,
co-edited this innovative work. 

“There has long been a need for this resource. Distinguished clinicians and scientists worldwide have studied the relationship between periodontal disease and the risk for systemic conditions,” said Ray C. Williams, DMD. “It is our aim that this textbook will help document recent findings and put into context the latest information for students of dentistry and medicine.”

Colgate-Palmolive is committed to supporting educational initiatives regarding oral-systemic health. Periodontal Disease and Overall Health: A Clinician’s Guide is being published by Professional Audience Communications, Yardley, PA and was funded through an educational grant provided by Colgate-Palmolive. Ultimately, the textbook is meant to serve as a guide to continue the advancement of dental and medical practices and to improve patient outcomes worldwide.

“We are fortunate to have assembled such an esteemed and highly respected group of scholarly clinicians and scientists who provided a contemporary and thoughtful perspective to this book,” said Robert J. Genco, DDS, PhD.  Fotinos Panagakos, DMD, PhD, Director of Clinical Research Relations and Strategy at Colgate-Palmolive and the project’s manager, added, “As a leader of oral care, Colgate is committed to supporting the dental and medical professional community. This body of work will help educate future clinicians on the growing importance of the relationship between oral health and an individual’s well being.”

Periodontal Disease and Overall Health: A Clinician’s Guide is available online for all dental and medical professionals, and can be downloaded at  Hardcopies are being distributed to dental school deans, academic deans, department of periodontics chairpersons and directors of dental hygiene education programs.  Additionally, CDs of this textbook are being distributed to dental school and dental hygiene program students and faculty.

To learn more about oral-systemic health topics, you can also visit

Tuesday, November 23, 2010

Effects of casein phosphopeptide amorphous calcium fluoride phosphate paste on white spot lesions and dental plaque after orthodontic treatment: a 3-month follow-up

European Journal of Oral Sciences

Volume 118, Issue 6, pages 610–617, December 2010
  1. M. W. Beerens,
  2. M. H. Van Der Veen,
  3. H. Van Beek,
  4. J. M. Ten Cate
 The effects of casein phosphopeptide amorphous calcium fluoride phosphate (CPP-ACFP) paste vs. control paste on the remineralization of white spot caries lesions and on plaque composition were tested in a double-blind prospective randomized clinical trial. Fifty-four orthodontic patients, with multiple white spot lesions observed upon the removal of fixed appliances, were followed up for 3 months. Subjects were included and randomly assigned to either CPP-ACFP paste or control paste, for use supplementary to their normal oral hygiene. Caries regression was assessed on quantitative light-induced fluorescence (QLF) images captured directly after debonding and 6 and 12 wk thereafter. The total counts and proportions of aciduric bacteria, Streptococcus mutans, and Lactobacillus spp. were measured in plaque samples obtained just before debonding, and 6 and 12 wk afterwards. A significant decrease in fluorescence loss was found with respect to baseline for both groups and no difference was found between groups. The size of the lesion area did not change significantly over time or between the groups. The percentages of aciduric bacteria and of S. mutans decreased from 47.4 to 38.1% and from 9.6 to 6.6%, respectively. No differences were found between groups. We observed no clinical advantage for use of the CPP-ACFP paste supplementary to normal oral hygiene over the time span of 12 wk.