Wednesday, June 30, 2010

DentalEZ EverLight LED operatory light

It has been a few weeks now since my DentalEZ EverLight LED operatory light was installed. It is amazing what you don't know when you don't have it. This operatory light is different then what you are currently using. It did not take me long to incorporate the use of this light into my practice. Previously there was just an on/off switch on my light but now I have lighting choices!

Most dental operatory lights are based on halogen bulbs and reflect the light. The EverLight uses a dozen LED lights for direct lighting.  The LED's are very bright and cool and are rated for 10,000 hours. The light intensity is from 8000 to 20000 Lux.  The light is not coming from a single point so the light is more balanced. The light is positioned higher on the patient and is in a rectangular configuration reducing shadowing in the mouth. This also helps keep the light out of the patients eyes. The EverLight is very bright but you can control its intensity by pressing one of the 3 push buttons on the light. There are 3 different setting for the light. One setting simulates daylight (5300K)and can be used for shade matching. The second setting is at 4300K which can be used for routine restorative when you are not looking for bright white light. The third setting is for composite placement so as not to set the composite prematurely.  My assistant has grown accustomed to hitting the composite button automatically when we go to place the composite. There is plenty of light while still allowing me enough working time to easily place the composite.

I normally use a headlight on my loupes but this light has me switching back and forth as it very nicely illuminates the oral cavity. Sometimes I am combining the headlight and the Everlight but for some procedures I am just using the EverLight. Patients have made positive comments about the light when sitting in the chair. "Hey doc, you got a new light!" They reference the fact that is is different then what they are used too seeing and very high tech.

I had the light installed on a ceiling mount but it can be mounted as a pole light. If you are in the market for a new operatory light I would highly recommend considering the DentalEz EverLight.

Tuesday, June 29, 2010

Milestone STA safe to use on children

 I got this memo from Gene Casagrande, DDS. I am a big advocate of the C-CLAD devices and use the STA machine in my own office. MJ

 "Effect of computerized delivery intraligamental injection in primary molars on their corresponding permanent tooth buds" was conducted by  Prof's Malka Ashekenazi, Sigalit Blumer and Ilana Eli from Tel Aviv University, Department of Pediatric Dentistry.  The study was published in the June, 2010 issue of the prestigious International Journal of Paediatric Dentistry.

The study addressed the issue of using the Wand/STA System, i.e. Computer-Controlled Local Anesthetic Delivery (C-CLAD) technology. on primary teeth in children.  It addressed an important, unanswered question: Would using C-CLAD technology for an intra-ligamentary injection on primary teeth cause damage to the underlying, developing, adult permanent tooth?  It must be clearly understood that previous information (textbooks & articles) indicated that using intra-ligamentary injections on primary teeth was contraindicated because of the high-pressures produced using a high-pressure mechanical syringe or a conventional syringe.  Prior to the Ashkenazi study, no definitive study had been conducted using the Wand/STA Systems (C-CLAD technology) to perform the intra-ligamentary injection on children.
Ashkenazi's study design is well controlled, blinded, and has a sample size of 166 primary molars on 78 children, which meets statistical power and relevance.  It was conducted over 8 years and represents the most comprehensive data set on this topic to date.  The study goes beyond what was previously performed by Brannstrom, in 1982 by improving the general study design and by utilizing an innovative C-CLAD technology as the test instrument.  This study evaluates the use of C-CLAD and discusses the biologic rationale that using a computer-controlled, low-pressure, and precisely regulated fluid dynamic to perform the intra-ligamentary injection results in a specific outcome not previously noted in the dental literature.

The study results conclusively demonstrate that using the Wand/STA System,
(C-CLAD technology) for intra-ligamentary injections, does not contribute to nor does it increase the danger of producing developmental disturbances to the underlying permanent developing tooth.  The conclusion is unambiguous and represents important information for dentists who treat children.

Monday, June 28, 2010

Interventions for replacing missing teeth: treatment of perimplantitis.

Cochrane Database Syst Rev. 2010 Jun 16;6:CD004970.

Interventions for replacing missing teeth: treatment of perimplantitis.

Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH.


BACKGROUND: One of the key factors for the long-term success of oral implants is the maintenance of healthy tissues around them. Bacterial plaque accumulation induces inflammatory changes in the soft tissues surrounding oral implants and it may lead to their progressive destruction (perimplantitis) and ultimately to implant failure. Different treatment strategies for perimplantitis have been suggested, however it is unclear which are the most effective. OBJECTIVES: To identify the most effective interventions for treating perimplantitis around osseointegrated dental implants. SEARCH STRATEGY: We searched the Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE and EMBASE. Handsearching included several dental journals. We checked the bibliographies of the identified randomised controlled trials (RCTs) and relevant review articles for studies outside the handsearched journals. We wrote to authors of all identified RCTs, to more than 55 dental implant manufacturers and an Internet discussion group to find unpublished or ongoing RCTs. No language restrictions were applied. The last electronic search was conducted on 7th January 2010. SELECTION CRITERIA: All RCTs comparing agents or interventions for treating perimplantitis around dental implants. 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. We contacted the authors for missing information. Results were expressed as random-effects models using mean differences for continuous outcomes and risk ratios for dichotomous outcomes with 95% confidence intervals (CI). Heterogeneity was to be investigated including both clinical and methodological factors. MAIN RESULTS: Twelve eligible trials were identified, but five were excluded. The following procedures were tested: (1) use of local antibiotics versus ultrasonic debridement; (2) benefits of adjunctive local antibiotics to debridement; (3) different techniques of subgingival debridement; (4) laser versus manual debridement and chlorhexidine irrigation/gel; (5) systemic antibiotics plus resective surgery plus two different local antibiotics with and without implant surface smoothening; and (6) nanocrystalline hydroxyapatite versus Bio-Oss and resorbable barriers. Follow-up ranged from 3 months to 4 years. The only statistically significant differences were observed in two trials judged to be at high risk of bias. After 4 months, adjunctive local antibiotics to manual debridement in patients who lost at least 50% of the bone around implants showed improved mean probing attachment levels (PAL) of 0.61 mm and reduced probing pockets depths (PPD) of 0.59 mm. After 4 years, patients with perimplant infrabony defects > 3 mm treated with Bio-Oss and resorbable barriers gained 1.4 mm more PAL and PPD than patients treated with a nanocrystalline hydroxyapatite. AUTHORS' CONCLUSIONS: There is very little reliable evidence suggesting which could be the most effective interventions for treating perimplantitis. This is not to say that currently used interventions are not effective. The use of local antibiotics in addition to manual subgingival debridement was associated with a 0.6 mm additional improvement for PAL and PPD over a 4-month period in patients affected by severe forms of perimplantitis. After 4 years, improved PAL and PPD of about 1.4 mm were obtained when using Bio-Oss with resorbable barriers compared to a nanocrystalline hydroxyapatite in perimplant infrabony defects. In four trials, the control therapy which basically consisted of a simple subgingival mechanical debridement seemed to be sufficient to achieve similar results to the more complex and expensive therapies. Follow-up longer than 1 year suggested recurrence of perimplantitis up to 100% of the treated cases for some of the tested interventions. Sample sizes were very small and follow-up too short, therefore these findings have to be considered with great caution. Larger well-designed RCTs with follow-up longer than 1 year are needed.

Saturday, June 26, 2010

Are social judgements made by children in relation to orthodontic appliances?

Are social judgements made by children in relation to orthodontic appliances?

Journal of Orthodontics, Vol. 37, No. 2, 93-99, June 2010 doi:10.1179/14653121042948

Ajay Patel, Helen D Rodd, Sarah R Baker, Zoe Marshman, Peter G Robinson and Philip E Benson The University of Sheffield, UK

Prof. H. Rodd, Unit of Oral Health and Development, School of Dentistry, Claremont Crescent, Sheffield, S10 2TA.Email:
Objective: There is evidence to suggest that social judgements are made on the basis of dental appearance. This study sought to determine how children view other children with fixed orthodontic appliances.
Design: Cross-sectional, self-completion questionnaire.
Subjects and methods: Year 7 (aged 11–12 years) and year 10 (aged 14–15 years) school children (the participants) were invited to look at colour photographs of one girl and one boy (the subjects) and to make a social judgement about these children. Participants were randomly allocated either pictures of the two children without fixed orthodontic appliances or pictures of the same children with fixed orthodontic appliances. Using a previously validated child-centred questionnaire, participants rated subjects using a four-point Likert scale for three negative and six positive attributes. Multivariate analysis of variance was used to determine whether participant year group or gender and the presence of the orthodontic appliance had a significant effect on total attribute score.
Results: Three hundred and twenty-two children completed the questionnaires, giving a response rate of 69%. There was a significant effect of year group (P = 0·003) and gender of the participant (P = 0·031) on the attribute score. There was no effect according to the presence or absence of an orthodontic appliance (P = 0·791). Female participants gave more positive ratings than their male peers.
Conclusion: This study has found that children do not make social judgements about other children purely on the basis of wearing a fixed orthodontic appliance, suggesting that they are viewed as part of a normal dental appearance in adolescence.

Friday, June 25, 2010

Study Shows A Possible Link Between Preschoolers' Cavities And Excess Body Fat

Study Shows A Possible Link Between Preschoolers' Cavities And Excess Body Fat

23 Jun 2010  

Preschool children with tooth decay may be more likely to be overweight or obese than the general population and, regardless of weight, are more likely to consume too many calories, a new study indicates. The results will be presented Saturday at The Endocrine Society's 92nd Annual Meeting in San Diego.

"Poor eating habits may play a role in both tooth decay and obesity in preschoolers," the study's lead author, Kathleen Bethin, MD, PhD, said.

"Dental decay is the most common chronic disease of childhood, and obesity in youth is a growing problem. To prevent these problems, the dentist's office may be an important place to educate families about nutrition," said Bethin, a pediatrician at Women and Children's Hospital of Buffalo and an associate professor of pediatrics at the University of Buffalo in New York.

With funding from the New York State Department of Health, the doctors at the Women and Children's Hospital of Buffalo and University of Buffalo studied the relationship between poor dental health and overweight in 65 children who were 2 to 5 years old. All children needed dental work due to decay and had their dental procedure and blood work performed while they were under anesthesia.

Each child's height and weight were measured before the procedure to calculate the body mass index, or BMI. For most people, BMI reliably indicates the amount of body fat. Also, the child's guardian completed a questionnaire about the child's recent average daily food consumption.

Almost 28 percent of the children were overweight or obese compared with an estimated 21.2 percent in the general U.S. population. Those 18 children, who's BMI was high for their age (at the 85th percentile or above), already had much higher total cholesterol levels than their healthy-weight counterparts, Bethin reported.

Of the 65 children, 47 were a healthy weight, having a BMI in the fifth to 84th percentile for their age.

However, the questionnaire showed that both the normal-weight and overweight children consumed more calories a day than recommended for their age (1,440 and 1,570 calories respectively). Seventy-one percent of children consumed more than 1,200 calories per day although the daily recommended caloric intake ranges from 1,000 to 1,400 calories depending on age and gender of the child.

"Further analysis is needed to explore whether consumption of juice and sweets accounts for the excessive calorie intake and links high BMI and dental decay," Bethin said.

Endocrine Society

Thursday, June 24, 2010

Are Dentists Drilling Your Teeth Unnecessarily?

Are Dentists Drilling Your Teeth Unnecessarily?

23 Jun 2010  

Despite over 30 years of research implying the contrary, dentists persist drilling and filling tooth surfaces which have the capacity to heal, leading to repeated and costly dental treatment.

The objective of this randomized controlled trial, conducted by the University of Sydney Dental School, was to review the efficacy and cost-effectiveness of a non-invasive approach to the management of dental caries within a variety of private dental practices in Australia.

The non-invasive program was effective in reducing the incidence of new and recurrent decay over the 3 years of the study by more than 40 percent. These results were independent of age, gender, medical status, fluoride history, or previous history of dental caries, in a population of patients attending for treatment in private dental practices. Further, it appears in patients categorized at medium to high risk of developing dental decay, that the program was reasonably cost-effective when compared to existing dental care practice.

The prevention of caries has been, and still is, a major goal for the dental profession. A recent study, "Modeling the long-term cost-effectiveness of the Caries Management System in an Australian population" published in Value in Health, highlights the disparity between routine dental clinical practice and a model of care which is evidence-based in terms of diagnosis and preventive intervention.

Says study co-author Associate Professor Wendell Evans (Head - Community Oral Health and Epidemiology - University of Sydney): "Unfortunately dental care has moved towards a more interventionist model - the current payment rebate and remuneration process is weighted towards rewarding fillings performed, crowns fitted. This newly adopted system for early decay diagnosis has opened opportunities for action to prevent cavities. The shift in resources towards more expensive and cosmetic procedures, while understandable, is creating a resource and access issue that will require the collaboration of the profession, patients, dental funds and researchers - we see this study very much as a first step towards defining and potentially addressing the problem ".

This will be discussed in a future issue of Value in Health, the official journal of the International Society for Pharmacoeconomics and outcomes Research.

Value in Health (ISSN 1098-3015) publishes papers, concepts, and ideas that advance the field of pharmacoeconomics and outcomes research and help health care leaders to make decisions that are solidly evidence-based. The journal is published bi-monthly and has a regular readership of over 5,000 clinicians, decision-makers, and researchers worldwide.

Wednesday, June 23, 2010

Graduates Of US Dental Schools Unprepared To Screen For Sleep Disorders

Graduates Of US Dental Schools Unprepared To Screen For Sleep Disorders

07 Jun 2010  

According to new research presented at the 19th Annual Meeting of the American Academy of Dental Sleep Medicine, the majority of U.S. dental schools have not adequately prepared their graduates to screen for sleep disorders, which affect more than 70 million adults in the U.S.

Researchers from the University of California - Los Angeles (UCLA) School of Dentistry surveyed each of the 58 U.S. dental schools to determine the average number of curriculum hours offered in dental sleep medicine (DSM). DSM focuses on the management of sleep-related breathing disorders, such as snoring and obstructive sleep apnea (OSA), with oral appliance therapy (OAT) and upper-airway surgery.

Forty-eight schools responded to the survey, indicating that dental students spend an average of 2.9 instruction hours during their four years of dental school studying sleep disorders.

According to lead author Michael Simmons, DMD, D. ABOP, part-time instructor at both UCLA and USC, sleep medicine is being introduced at the majority of U.S. dental schools, but the total hours taught are inadequate given the epidemic proportion of people with OSA.

More than 18 million Americans suffer from OSA. An estimated 80 to 90 percent of patients with OSA are undiagnosed and more go untreated. Untreated sleep apnea can raise a patients' risk for heart attack, stroke, hypertension, diabetes, and obesity, among other health problems and premature death.

The survey asked which sleep topics were taught, which treatments were covered, and which departments were responsible for the teaching of dental sleep medicine.

Results show that classroom topics covered diagnosis of obstructive sleep apnea, sleep bruxism, snoring and upper-airway resistance syndrome, and treatments including oral appliance therapy, continuous positive airway pressure and surgery. Eight schools also discussed at-home sleep tests, which dentists can use to monitor treatment success.

Oral Surgery, TMJ/Orofacial Pain, Oral Medicine, Prosthodontics, and Orthodontics, were the most common academic departments that taught sleep medicine. The researchers were surprised by the variety of dental departments teaching sleep disorders, and that DSM could not be attributed to any particular discipline.

The authors suggest that because dentists see patients on a regular basis, they can notice early warning signs of sleep disorders.

"Dental students and dentists need to screen for sleep-related breathing disorders as part of patients' routine work-ups. Then, with additional interest and adequate training, they can learn to co-treat these serious medical conditions with their patients' physicians as an integral part of the sleep medicine team," said Simmons.

This abstract received the Clinical Research Award and Clinical Excellence Award at the 19th AADSM Annual Meeting.

Abstract Title: Teaching of Dental Sleep Medicine in U.S. Dental Schools
Presentation Date: Saturday, June 5, 2010
Category: Clinical Research Award and Clinical Excellence Award
Abstract ID: 014

Public Relations Coordinator Emilee McStay
American Academy of Sleep Medicine

Tuesday, June 22, 2010

Sirona's In Lab Discovery Seminar Held

Sirona’s inLab® Discovery Seminar Being Hailed
as Largest Dental Laboratory CAD/CAM Event

Sirona’s CAD/CAM Seminar Held at the Scottsdale Center for Dentistry
Attracts Over 150 Participants

Charlotte, NC (June 17, 2010) – Sirona Dental Systems, LLC, the company that pioneered digital dentistry 25 years ago and the world’s leading producer of dental CAD/CAM systems, recently held a two-day inLab Discovery Seminar which focused on the benefits of digital dentistry at the Scottsdale Center for Dentistry on April 30th and May 1st

With a jam-packed auditorium that included several hands-on demonstration stations, Sirona’s inLab Discovery Seminar turned out to be the largest dental laboratory CAD/CAM event in history, with over 150 industry professionals in attendance.  Sirona presented the top-notch CAD/CAM event complete with the most distinguished lecturers in the dental and laboratory industry speaking on the ho
ttest industry topics, which included information on all aspects of CAD/CAM and digital dentistry. 

Held amidst the beautiful backdrop of the prestigious Scottsdale Center for Dentistry, all inLab Discovery Seminar attendees were provided complimentary tuition, and CE credits were also available for attending the educational sessions. 

“We were extremely excited to present this seminar, and we were very satisfied with the number of attendees,” remarked Sirona Dental Systems President Michael Augins.  “The inLab Discovery Seminar was an educational experience in which each and every component of CAD/CAM was thoroughly explored by seasoned users who have employed CAD/CAM technology as the workhorse of their success.  It provided dental professionals with the information they require to make an informed decision about incorporating digital dentistry into their own laboratories.  I believe participants walked away with a better understanding of how Sirona’s CAD/CAM solutions can actually work for them.”

Topics of discussion during the inLab Discovery Seminar included success stories, materials efficacy, how any size laboratory can increase productivity with CAD/CAM, and many more.

Sirona also enlisted an impressive who’s-who list of distinguished dental industry speakers for the seminars, including:

  • Eddie Corrales
  • Russell Giordano, DMD, DMSc, FADM
  • Greg Harris, VP, Novadent Group
  • Imtiaz Manji, CEO, Scottsdale Center for Dentistry
  • William R. Mrazek, BS, CDT
  • Matt Roberts, CDT, AACD
  • Mike Skramstad, DDS

For more information on all future Sirona events, please check periodically. 

Monday, June 21, 2010

Federal Trade Commission Complaint Charges Conspiracy to Thwart Competition in Teeth-Whitening Services

Now the FTC is going to regulate the practice of dentistry? Another example of government out of control. So why license dental providers int he first place if the whole idea is to lower the costs. MJ

Also an article on Dr.
For Release: 06/17/2010

Federal Trade Commission Complaint Charges Conspiracy
to Thwart Competition in Teeth-Whitening Services

North Carolina Dental Board Charged with Improperly Excluding Non-Dentists

The Federal Trade Commission today initiated an action against the state dental board in North Carolina, alleging that it is harming competition by blocking non-dentists from providing teeth-whitening services in the state. The FTC charged that the North Carolina Board of Dental Examiners (the “Dental Board”) has impermissibly ordered non-dentists to stop providing teeth-whitening services, which has made it harder to obtain these services and more expensive for North Carolina consumers.
According to the FTC’s administrative complaint, teeth-whitening services are much less expensive when performed by non-dentists than when performed by dentists. A non-dentist typically charges between $100 and $150 per whitening session, while a dentist typically charges between $300 and $700, with some dental procedures costing as much as $1,000.
Whitening services provided by non-dentists are often available at salons, retail stores and mall kiosks. Dentists in North Carolina offer whitening services in their offices, and also provide take-home kits.
The Dental Board is a state agency created to regulate the practice of dentistry in North Carolina. It consists of eight members, including six licensed dentists, who collectively control the operation of the Dental Board. Any person who wants to practice dentistry in the state must be licensed by the Dental Board. The Dental Board also may ask a state court to deem a particular conduct an unauthorized practice of dentistry and issue an injunction.
Instead of seeking court orders to block non-dentists from providing teeth-whitening services, which the Dental Board believes constitute unauthorized practice of dentistry under North Carolina law, the Dental Board has unilaterally ordered non-dentists to stop providing whitening services. The Dental Board’s actions, according to the FTC, are improper and harm competition.
“Without active supervision by a disinterested state authority, a regulatory board whose members have a financial interest in the industry it is charged with regulating cannot exclude its competitors from the marketplace,” said Richard Feinstein, Director of the FTC’s Bureau of Competition. “The North Carolina Dental Board does not have authority to decide on its own to limit the whitening services available to North Carolina residents, and its actions have decreased competition and harmed consumers.”
According to the FTC’s complaint, the Dental Board sent 42 letters instructing teeth-whitening providers that they were practicing dentistry illegally and ordering them to stop. In at least six cases, the Dental Board threatened or discouraged non-dentists who were considering opening teeth-whitening businesses. The Dental Board also sent at least 11 letters to third parties – mall owners and property management companies – stating that teeth-whitening services offered in malls are illegal.
The FTC’s complaint alleges that as a result of the Dental Board’s actions, the availability of teeth-whitening service in North Carolina has been significantly diminished. The complaint charges that the Dental Board’s conduct is an anticompetitive conspiracy among the dentist members of the Dental Board in violation of federal law. The FTC seeks to stop the Dental Board’s illegal conduct so that North Carolina consumers can benefit from competition between dentists and non-dentists for teeth-whitening services.
The Commission vote approving the administrative complaint was 4-0-1, with Commissioner Julie Brill recused. It was issued today, and a public version will be available shortly on the FTC’s website and as a link to this press release.
NOTE: The Commission issues or files a complaint when it has “reason to believe” that the law has been or is being violated, and it appears to the Commission that a proceeding is in the public interest. The complaint is not a finding or ruling that the named parties have violated the law.
The administrative complaint marks the beginning of a proceeding in which the allegations will be ruled upon after a formal hearing by an administrative law judge.
The FTC’s Bureau of Competition works with the Bureau of Economics to investigate alleged anticompetitive business practices and, when appropriate, recommends that the Commission take law enforcement action. To inform the Bureau about particular business practices, call 202-326-3300, send an e-mail to, or write to the Office of Policy and Coordination, Room 394, Bureau of Competition, Federal Trade Commission, 600 Pennsylvania Ave, N.W., Washington, DC 20580. To learn more about the Bureau of Competition, read “Competition Counts” at

Saturday, June 19, 2010

Friday, June 18, 2010


June 17, 2010, Chicago, IL—Oral Health America (OHA) announces the launch of Fall for Smiles®, a public messaging campaign conducted in collaboration with Oral Healthcare Can’t Wait®, an initiative of the Dental Trade Alliance. The campaign begins in September to promote messages to consumers about the importance of self care, good nutrition, regular dental visits, and tobacco avoidance in maintaining oral health.

During the campaign, OHA will announce the results of a public opinion survey on consumers’ beliefs about oral health. Sponsored by Oral Healthcare Can’t Wait and Plackers dental flossers, the survey of more than 1,000 adults and more than 1,000 children asked questions about oral care habits and perceptions. Prior OHA surveys have shown that adults are unaware of the role that infectious bacteria play in tooth decay, and that time spent brushing teeth tends to diminish at nighttime and on weekends, suggesting that routines play a role in optimum oral care habits.

“The Fall for Smiles campaign is intended to bring the oral health community together to promote common messaging about what Americans can do to keep their mouths healthy,” said Beth Truett, President and CEO, Oral Health America. “We are excited about the strong interest we have from the public and private sectors in a messaging campaign in the third quarter that reminds consumers about the importance of oral care routines as families are heading back to school and back to work.”

Fall for Smiles will include outreach to dental care providers through a participation booklet and kit created by Patterson Dental. The campaign will also dedicate a week to the often-overlooked topic of oral health issues faced by mature adults and older Americans, an initiative being sponsored by Aspen Dental. A “Tobacco Free Week” will focus on the oral health risks of tobacco use.

“Oral Healthcare Can’t Wait shares a common purpose with OHA’s Fall for Smiles campaign—to increase dental patient awareness,” said Gary Price, CEO, Dental Trade Alliance. “Our members are encouraged by the collaborative nature of this effort, and the multiple opportunities for outreach to patient populations and opinion leaders throughout the country.”

Fall for Smiles is generously sponsored by Aspen Dental, GlaxoSmithKline Consumer Healthcare, Oral Healthcare Can’t Wait, Patterson Dental, Plackers dental flossers, and Trident®. Fall for Smiles promotion partners (confirmed to date) include Aegis Communications, American Dental Hygienists’ Association, Association of State and Territorial Dental Directors, Belmont Publications, DentalEZ Group, DNTLworks Equipment Corporation, Harry J. Bosworth Company, Henry Schein Dental, Hispanic Dental Association, Lanmark, Smiles Change Lives, and Ultradent. Contact Melissa Hoebbel, or at (312) 836-9900 for a campaign partner prospectus or to learn more!

Oral Health America’s mission is to change lives by connecting communities with resources to increase access to oral health care, education and advocacy for all Americans, especially those most vulnerable. For more information, visit

Thursday, June 17, 2010

Self-reported Bruxism - associations with perceived stress, motivation for control, dental anxiety and gagging*

Journal of Oral Rehabilitation

Published Online: 14 Jun 2010


Summary To examine possible associations between self-reported bruxism, stress, desirability of control, dental anxiety and gagging. Five questionnaires were distributed among a general adult population (402 respondents): the Perceived Stress Scale (PSS), Desirability of Control Scale (DC), Dental Anxiety Scale (DAS), Gagging Assessment Scale (GAS), and Bruxism Assessment Questionnaire. A high positive correlation between DAS and GAS (R = 0·604, < 0·001) was found. PSS was negatively correlated with DC (R = −0·292, < 0·001), and was positively correlated with GAS (R = 0·217, < 0·001) and DAS (R = 0·214, < 0·001). Respondents who reported bruxing while awake or asleep showed higher levels of GAS, DAS and PSS than those who did not. There were no differences between the bruxers and the non-bruxers (sleep and aware) with regard to the DC scores. The best predictors of awake bruxism were sleep bruxism (OR = 4·98, CI 95% 2·54–9·74) and GAS (OR = 1·10, CI 95% 1·04–1·17). The best predictors of sleep bruxism were awake bruxism (OR = 5·0, CI 95% 2·56–9·78) and GAS (OR = 1·19; CI 95% 1·11–1·27). Self-reported sleep bruxism significantly increases the odds for awake bruxism and vice versa. Tendency for gagging during dental care slightly increases the odds of both types of self-reported bruxism, but desirability of control is not associated with these phenomena.

Wednesday, June 16, 2010

Curve Dental Receives Best of Class Technology Award

Curve Dental Receives Best of Class Technology Award
Consulting Firm, Pride Institute, Adds Curve Dental to List of Winners in the Emerging Technologies Class

OREM, UT—Curve Dental, developers of Web-based dental software announced the company was one of thirteen companies to receive the Pride Institute’s Best of Class Technology Award for 2010. Curve Dental was a winner in the emerging technology class.

“We’re honored to have been selected by the Pride Institute and recognized for the accomplishments we have made in dental software,” said Jim Pack, CEO of Curve Dental. “We like nothing more than to create web-based tools that improve productivity, are more flexible to the doctor’s lifestyle and much more convenient. A web-based platform lets us think outside the box and deliver on our promise to provide a fresh alternative to dental software. And as a result, doctors every day are choosing Curve Dental over traditional software because they see us as a solution with less stress and more freedom. Pride Institute’s acknowledgment of what we are bringing to dentistry is a major achievement for Curve Dental.”

A panel of dental technology experts, organized by the Pride Institute, a dental practice management consulting firm based in Novato, California, placed Curve Dental on the list of winners in the emerging technologies class. The winning companies and their products were chosen through an unbiased, rigorous assessment selection process in conjunction with a distinguished panel of known technology experts. The winning technologies were selected by majority vote and divided into four categories: Foundational, Diagnostic, Therapeutic, and Emerging.

The Pride Institute Best of Class Technology awards were launched in 2009 as a new concept to provide an unbiased, non-profit assessment of available technologies in the dental space. Winners of the award are invited to participate in a technology fair showcased at the American Dental Association’s annual meeting. “We deeply felt a gap in the area of technology education and integration, said Lou Shuman, DMD, CAGS, President of the Pride Institute. “We feel the technology awards and fair were an ideal model to fill that gap. Pride Institute’s commitment is to provide the finest information and counsel in all areas of practice management.”

The panel consists of seven dentists with significant knowledge of and experience in dental technology, including Dr. Shuman; John Flucke, DDS, writer, speaker and Technology Editor for Dental Products Report; Paul Child, DMD, CDT, CEO of Clinician’s Report; Titus Schleyer, DMD, PhD, Associate Professor and Director, Center for Dental Informatics at the University of Pittsburg, School of Dental Medicine; Marty Jablow, DMD, technology writer and speaker; Para Kachalia, DDS, Assistant Professor of Restorative Dentsitry at the University of the Pacific, School of Dentistry; and Larry Emmott, DDS, technology writer, speaker and dental marketing consulting. “I feel very fortunate that a panel of this magnitude has agreed to contribute to the selection process,” said Dr. Shuman.

About Curve Dental, Inc.
Founded in 2005, Curve Dental provides web-based dental software and related services to dental practices within the United States and Canada. The company is privately-held, headquartered in Orem, Utah with offices in Calgary, Canada and Dunedin, New Zealand. Dentists can call 888-910-4376 or visit for more information.

Tuesday, June 15, 2010



WATERTOWN, MA:  June 10, 2010— The Pulpdent website now includes case studies from Save That Tooth, the popular book by Pulpdent founder Dr. Harold Berk. The excerpts describe evidence-based, research-supported techniques for treating the vital pulp and the pulpless tooth. Case studies on the site include “Congenital Defect, Youngest Pulpotomy Case Ever Reported” (Baby Gilbert), “Traumatic Injury” (Johnny the Newspaper Boy), and “Ectopic Eruption of a Dilacerated Central Incisor” (Kirk). The online content can be accessed at

Harold Berk practiced dentistry for almost 65 years and taught on the faculty of Tufts University School of Dental Medicine from 1946 to 2005. Save That Tooth contains his clinical memoirs and chronicles the original research in vital pulp therapy and root canal therapy, the techniques he pioneered, and some of the fascinating and often complicated cases that were routinely treated by this most talented of educators and dental practitioners.

Save That Tooth is also available for purchase.  The nearly 300-page hardcover book is richly illustrated and includes extensive references and suggestions for additional reading, as well as sections with helpful hints and frequently asked questions. The cost is $80, including shipping.  It can be ordered by calling 800-343-4342.

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  

Monday, June 14, 2010

FDA Review Of Dental Amalgam - Advisory Panel To Consider Risks To Vulnerable Patients

FDA Review Of Dental Amalgam - Advisory Panel To Consider Risks To Vulnerable Patients

12 Jun 2010  

The US FDA (Food and Drug Administration) say it is to hold an advisory panel on December 14th-15th to discuss a number of scientific issues that may affect dental amalgam regulation, used for direct filling of carious lesions or structural faults in teeth. The meeting will focus mainly on the possible risk to vulnerable patients, such as pregnant women, young children and fetuses.

Amalgam is used for the treatment of tooth decay. It consists of a mixture of metals, composed of liquid mercury and powdered amalgam alloy, made up mainly of silver, tin and copper.

On July 28, 2009, the FDA issued a final rule that reclassified dental mercury from a class I device to class II, classified dental amalgam as a class II device, and designated special controls for dental amalgam, mercury and amalgam alloy. The special control for the devices is a guidance titled, "Class II Special Controls Guidance Document: Dental Amalgam, Mercury and Amalgam Alloy."

Since that final rule, the FDA has received numerous petitions raising various issues regarding the final rule and special controls.

Concerns raised include:
  • The adequacy of the risk assessment method used by the FDA in classifying dental amalgam.
  • The bioaccumulative effect of mercury, the exposure of pediatric populations to mercury vapor.
  • The adequacy of the clinical studies on dental amalgam.
In addition, a recent report on risk assessments issued by the National Academy of Sciences, titled "Science and Decisions: Advancing Risk Assessment, NAP 2009," recommends new approaches to carrying out risk assessments. These may be some of the issues the agency asks the advisory committee to review.

Saturday, June 12, 2010

d-STATION 3D scanner

Press Release: Breuckmann's High Precision d-STATION 3D scanner dental clinical model and impression - June 8th 2010

Breuckmann's latest development, the digitizing system d-STATION 3D adapted and optimized for automated 3D imaging in dental, orthodontics, implantology and impression applications.

d-STATION 3D scanner utilizes miniaturized projection technique provides high-resolution acquisition of 3D data. d-STATION 3D scanner new, sleek and ergonomics design offers the optimal solution with regard to cost-benefit ratio.

Given d-STATION 3D scanner integrated concept of dental clinical model or impression positioning and 3D scanning hardware assembled in a closed housing, d-STATION 3D scanner is resistant to environmental interferences such as vibration, light, dust etc. and thereby ensures easy, error-free handling with high-quality results.

About Breuckmann GmbH

Since its incorporation in 1986, the Breuckmann GmbH, located in Meersburg at the Lake of Constance, Germany, has been playing a key role in developing and improving these technologies, resulting in the manufacturing of an extensive spectrum of high definition 3D surface scanners for fast and precise non-contact 3-dimensional image processing. 

For additional information please visit at, e-mail: or call +49 7532 43 46 33

Friday, June 11, 2010

Self-reported Halitosis and Emotional State: Impact on Oral Conditions and Treatments

Salvatore Settineri; Carmela Mento; Simona C Gugliotta; Ambra Saitta; Antonella Terranova; Giuseppe Trimarchi; Domenico Mallamace
Posted: 05/31/2010; Health and Quality of Life Outcomes. 2010;8:34 © 2010 Settineri et al.; licensee BioMed Central, Ltd.


Background: Halitosis represents a common dental condition, although sufferers are often not conscious of it. The aim of this study was to examine behavior in a sample of Italian subjects with reference to self-reported halitosis and emotional state, and specifically the presence of dental anxiety.
Methods: The study was performed on Italian subjects (N = 1052; range 15–65 years). A self-report questionnaire was used to detect self-reported halitosis and other variables possibly linked to it (sociodemographic data, medical and dental history, oral hygiene, and others), and a dental anxiety scale (DAS) divided into two subscales that explore a patient's dental anxiety and dental anxiety concerning dentist-patient relations. Associations between self-reported halitosis and the abovementioned variables were examined using multiple logistic regression analysis. Correlations between the two groups, with self-perceived halitosis and without, were also investigated with dental anxiety and with the importance attributed to one's own mouth and that of others.
Results: The rate of self-reported halitosis was 19.39%. The factors linked with halitosis were: anxiety regarding dentist patient relations (relational dental anxiety) (OR = 1.04, CI = 1.01–1.07), alcohol consumption (OR = 0.47, CI = 0.34–0.66), gum diseases (OR = 0.39, CI = 0.27–0.55), age > 30 years (OR = 1.01, CI = 1.00–1.02), female gender (OR = 0.71, CI = 0.51–0.98), poor oral hygiene (OR = 0.65, CI = 0.43–0.98), general anxiety (OR = 0.66, CI = 0.49–0.90), and urinary system pathologies (OR = 0.46, CI = 0.30–0.70). Other findings emerged concerning average differences between subjects with or without self-perceived halitosis, dental anxiety and the importance attributed to one's own mouth and that of others.
Conclusions: Halitosis requires professional care not only by dentists, but also psychological support as it is a problem that leads to avoidance behaviors and thereby limits relationships. It is also linked to poor self care. In the study population, poor oral health related to self-reported halitosis was associated with dental anxiety factors.

Thursday, June 10, 2010

Estimating determinants of dentist productivity: new evidence

Objective: Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006-2007 data to update available knowledge on dentist productivity.
Methods: In 2006-2007, the authors surveyed 1,604 Oregon general dentists regarding hours worked, practice size, payment and patient mix, prices, dentist visits, and dentist characteristics. Effects of practice inputs and other independent variables on productivity were estimated by multiple regression and path analysis.
Results: The survey response rate was 55.2 percent. Dentists responding to the productivity-related questions were similar to dentists in the overall sampling frame and nationwide. Visits per week are significantly positively related to dentist hours worked, number of assistants, hygienists, and number of operatories. Dentist ownership status, years of experience, and percentage of Medicaid patients are significantly positively related to practice output. The contributions of dentist chairside time and assistants to additional output are smaller for owners, but the number of additional dentist visits enabled by more hygienists is larger for owners.
Conclusion: As in earlier studies of dental productivity, the key determinant of dentist output is the dentist's own chairside time. The incremental contributions of dentist time, auxiliaries, and operatories to production of dentist visits have not changed substantially over the past three decades. Future studies should focus on ultimate measures of output – oral health – and should develop more precise measures of the practice's actual utilization of auxiliaries and their skill and use of technology.

Wednesday, June 09, 2010

ADA Scholarship Programs

ADA Scholarship Programs

web site
Sponsor American Dental Association
Deadlines Applications accepted on an ongoing basis
Purpose The ADA Foundation funds scholarships for dental students, minority dental students and allied dental students including dental hygiene, dental assisting and dental laboratory technology.
Eligibility Applicants must be a U.S. Citizen, Permanent Resident status does not qualify to apply to the ADA Foundation Scholarship Programs; Criteria for eligibility for an award is determined by the applicant’s demonstrated financial need, academic achievement, biographical sketch questionnaire and two completed reference forms; Applicants must be enrolled as a full-time student, a minimum of 12 credit hours; Applicants must demonstrate financial need; Applicants must have an accumulative grade point average of 3.0 based on a 4.0 scale.
Amount of
Amounts vary.
Only schools accredited by the Commission on Dental Accreditation of the American Dental Association are eligible to participate in the ADA Foundation’s Scholarship Program; School officials may contact the ADA Foundation by phone at 312-440-2763 or by e-mail: to request the scholarship application form; Students must contact the associate dean for student affairs/program director or financial aid officer at the school to request a scholarship application form as the forms are disbursed by school officials; The appropriate school officials should select its top two students as the ADA Foundation will only accept two applications from each school for each scholarship program to consider. Submission deadlines vary and application materials must be obtained from the applicant's school. Please check with the dental or allied dental school administrators regarding application requirements and dates.
For more information contact:
Applications must be obtained from and submitted at the schools.
Summaries of funding programs are provided by RAC for your convenience. Please contact the funder directly for the most complete and current information.

Tuesday, June 08, 2010

Dental X-ray link to thyroid cancer

From the Daily Telegraph

The thyroid gland, in the neck, is sensitive to ionising radiation, especially in children, but the potential risk posed by dental radiography is often ignored, researchers said.
In a study of 313 cancer patients, scientists from Brighton, Cambridge and Kuwait found the chances of developing cancer rose with increasing numbers of dental X-rays.
The researchers said the idea that dental radiography is absolutely safe merits further examination due to their findings.
They argued that their study drew attention to concerns that dental X-rays should only be prescribed to cater for a specific clinical need, rather than as part of a routine check-up.
About 1,900 new cases of thyroid cancer are diagnosed each year in Britain and the figures more than doubled between 1975 and 2006.
The researchers, led by Dr Anjum Memon, of the Brighton and Sussex Medical School, said the increasing use of sensitive diagnostic techniques does not necessarily account for the entire increase and that other causes warrant investigation.
They said the results of their work should be treated with caution because the data was based on self-reporting by the participants and comprehensive historical dental X-ray records were not available from the clinics.
Dr Memon said the findings were consistent with previous reports of increased risk of thyroid cancer in dentists, dental assistants and X-ray workers, suggesting that frequent low-dose exposures in adults may be significant.
Dental X-rays have also been linked with an increased risk of brain and salivary gland tumours, he added.
He said: "The public health and clinical implications of these findings are particularly relevant in the light of increases in the incidence of thyroid cancer in many countries over the past 30 years."
The research was funded by the Kuwait Foundation for the Advancement of Sciences (KFAS) and was administered by the Kuwait University Research Grant Administration.

Monday, June 07, 2010

The Dental Trauma Guide

The Dental Trauma Guide is a non-profit website dedicated to optimizing worldwide treatment of dental trauma. Bookmark the site because you may never know when you will need it. It has great images and will walk you through the steps for treating dental trauma.I highly recommend this site.

Saturday, June 05, 2010

Make Your Canon Camera Do More

CHDK is a firmware enhancement that operates on a number of Canon Cameras. CHDK gets loaded into your camera's memory upon bootup (either manually or automatically). It provides additional functionality beyond that currently provided by the native camera firmware.

CHDK is not a permanent firmware upgrade: you decide how it is loaded (manually or automatically) and you can always easily remove it.

This is free firmware and you can check it out on the CHDK website.

Friday, June 04, 2010

AAP Reaffirms its Position on Making Reasonable Efforts to Save Natural Dentition via Evidence-Based Treatment Planning

AAP Reaffirms its Position on Making Reasonable Efforts to Save Natural Dentition via Evidence-Based Treatment Planning

CHICAGOMay 25, 2010 As the field of dental implantology continues to have a significant effect on dental treatment planning, the American Academy of Periodontology (AAP) recently reaffirmed its position that, whenever reasonable, efforts should be made to save a patient’s natural dentition. What’s more, the AAP stressed that an evidence-based approach must always be taken when considering an individual’s treatment options, especially when it comes to surgical procedures such as tooth extraction and dental implant placement.

According to Samuel Low, DDS, MS, Associate Dean and professor of periodontology at the University of Florida College of Dentistry, and President of the American Academy of Periodontology, “There has been some discussion that more and more dentists, GPs and specialists alike, are favoring extraction and implant surgery, rather than saving the natural dentition. The reason often given is that the patient believes implant surgery is quicker and requires less effort than undergoing periodontal therapy and following a long-term oral health regimen. While it is important to consider the patient’s preferences, it is the AAP’s long-standing belief that evidence-based treatment planning produces better patient outcomes.”

Dr. Low also commented that there may be a misperception among some patients and dentists that traditional periodontal treatment is not effective. “The fact that traditional periodontal treatment, including both non-surgical and surgical techniques, has very high success rates has been shown in longitudinal studies,”1-3 explained Dr. Low. “It has also been shown that periodontal surgery, when not followed by good professional and personal care, will in many cases fail.”4,5

What’s more, the AAP maintains that implant surgery is not a “no-maintenance” alternative to natural dentition, because even implants require proper oral hygiene to prevent bone loss (peri-implantitis), which recent research has shown to be more prevalent than many dentists and patients realize.6

While implants do provide a useful option for patients whose natural dentition is unable to be maintained, sustained progress in periodontics has made preservation more attainable. For example, recent scientific advances in regeneration have made restoring lost periodontal tissues more predictable then ever. According to Dr. Low, “It is critical that all dental professionals ensure that patients are aware of all possible treatment options, and that an evidence-based approach is used to determine what the best possible course of treatment should be.”

Dr. Low summed up by saying, “The entire dental team of general dentist, periodontist, and hygienist must first work together in educating patients on proper oral hygiene in an effort to prevent periodontal disease and preserve the natural dentition. In addition, the dental team must provide a united front in ensuring that when periodontal treatment is needed, the patient understands the options and ultimately accepts the recommended course of treatment, maintenance, and at-home regimen.”


  1. Hirshfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol. 1978 May; 49(5):225-37.
  2. Oliver RC. Tooth loss with and without periodontal therapy. Periodontal Abstr. 1969 Mar; 17(1)8-9.
  3. Goldman MJ, Ross IF, Goteiner D. Effect of periodontal therapy on patients maintained for 15 years or longer. A retrospective study. J Periodontol. 1986 Jun; 57(6):347-53.
  4. Lindhe J, Nyman S. Long-term maintenance of patients treated for advanced periodontal disease. J Clin Periodontol. 1984 Sep; 11(8):504-14.
  5. Lindhe J, Westfelt E, Nyman S, Socransky SS, et al. Healing following surgical/non-surgical treatment of periodontal disease. A clinical study. J Clin Periodontol.1982 Mar; 9(2):115-28.
  6. Lindhe J, Meyle J; Group D of European Workshop on Periodontology. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008 Sep; 35(8 Suppl):282-5.

About the AAP:

The American Academy of Periodontology (AAP) is the professional organization for periodontists—specialists in the prevention, diagnosis, and treatment of diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontists are also dentistry’s experts in the treatment of oral inflammation. They receive three additional years of specialized training following dental school, and periodontics is one of the nine dental specialties recognized by the American Dental Association. The AAP has 8,000 members worldwide. For more information, contact the AAP Public Affairs Department at or 312-573-3242.

Thursday, June 03, 2010

3M ESPE Launches the Lava DVS Digital Crown to Dentists

3M ESPE Launches the Lava DVS Digital Crown to Dentists

Digitally created restoration ensures strength and beauty

ST. PAUL, Minn. – (May 17, 2010) – 3M ESPE announces the launch of the 3M™ ESPE™ Lava™ DVS Digital Veneering System, allowing dentists to prescribe an all-digital full contour crown for excellent esthetics and consistent strength. The system offers a revolutionary alternative to traditional hand-layered or pressed ceramics. The Lava™ DVS system was introduced at the California Dental Association’s Annual Meeting in Anaheim, May 12-15.

Lava DVS crowns offer dentists a number of unique advantages:

·         Strength: The system’s design software produces an anatomically shaped Lava zirconia coping that ensures proper porcelain support. Because the coping is made with Lava zirconia, the restoration is strong enough for both posterior and anterior crowns.

·         Fit: The system’s digital precision ensures minimal adjustments and an optimized fit for each Lava DVS crown. The digitally-designed glass ceramic delivers the same precision that dentists value with Lava copings.

·         Beauty: Lava DVS crowns offer excellent esthetics. All three elements of the restoration—the zirconia coping, the fusion porcelain, and the glass ceramic veneer—are available in a variety of shades and translucencies to ensure the Lava™ DVS crown matches the patient’s natural tooth esthetics.

Additionally, Lava DVS crowns are ideal for conservative preps and conventional cementation, allowing dentists to place them using the same familiar technique.

“With Lava DVS, my clients are pleased with the excellent esthetics and confident in the strengthened design,” said Stan Okon, President of Stanley Okon Milling Center Inc. “Another plus: they like the consistent results in material integrity with Lava DVS versus the variabilities sometimes inherent in hand stacked restorations.”

The Lava system’s growing digital capabilities mean that dentists can now prescribe a crown that offers more natural esthetics while still being produced quickly and efficiently.

Dentists can simply work with their existing lab partners to request Lava DVS Crowns.

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

Wednesday, June 02, 2010

Healthcare Credit Line Follow Up

Sometime back I posted about our issues with Healthcare Credit Line going out of business. It has taken my attorney some time to get answers but here is the response from HSBC, the bank that is collecting money from our patients even though my practice has not been paid for these services by the financing company. It seems that HSBC loaned the money to Healthcare Credit Line and then collects the money from the patients that were using Healthcare Credit Line. So Healthcare Credit Line was just the middle company for HSBC. I wonder why HSBC did not just eliminate the middleman in the beginning? Liability issues?

Here excerpts from the letter my attorney received. So in the end we have decided not to pursue this any further and just take the loss. Click on the image to read the letter.

Tuesday, June 01, 2010

Sylc- Combining the treatments of desensitizing, cleaning and regeneration

 Combining the treatments of desensitizing, cleaning and regeneration, OSspray introduces Sylc, a technological breakthrough that improves preventive dental care and its delivery.

With Sylc, you can begin today to:
  • Desensitize immediately
  • Rebuild eroded tooth surfaces
  • Clean more effectively
  • Brighten up to 4 shades
  • Increase patient comfort
Sylc is calcium sodium phosphosilicate, a powerhouse of bioactive materials with decades of proven benefits. When combined with saliva or water, Sylc forms hydroxycarbonate apatite crystals (HCA) that become entrapped into the collagen of dentin and biologically bond into the mineral surface to promote regeneration of dentin and damaged tooth surfaces. Unlike traditional desensitizing varnishes or pastes, Sylc provides superior relief from painful hypersensitivity without unsightly discoloration or unpleasant taste or feel.