Friday, November 30, 2012

Vitamin D and dental caries in controlled clinical trials: systematic review and meta-analysis

Hujoel, P. P. (2012), Vitamin D and dental caries in controlled clinical trials: systematic review and meta-analysis. Nutrition Reviews. doi: 10.1111/j.1753-4887.2012.00544.x

Vitamin D has been used to prevent and treat dental caries. The objective of this study was to conduct a systematic review of controlled clinical trials (CCTs) assessing the impact of vitamin D on dental caries prevention. Random-effects and meta-regression models were used to evaluate overall and subgroup-specific relative-rate estimates. Twenty-four CCTs encompassing 2,827 children met the inclusion criteria. Twenty-two of the 24 CCTs predated modern clinical trial design, some of which nonetheless reported characteristics such as pseudo-randomization (n = 2), blinding (n = 4), or use of placebos (n = 8). The relative-rate estimates of the 24 CCTs exhibited significant heterogeneity (P < 0.0001), and there was evidence of significant publication bias (P  < 0.001). The pooled relative-rate estimate of supplemental vitamin D was 0.53 (95% CI, 0.43–0.65). No robust differences were identified between the caries-preventive effects of vitamin D2, vitamin D3, and ultraviolet radiation (Prob > F = 0.22). The analysis of CCT data identified vitamin D as a promising caries-preventive agent, leading to a low-certainty conclusion that vitamin D may reduce the incidence of caries.

Thursday, November 29, 2012

10 Signs Your Child Has Chronic Bad Breath

There are a lot of things that cause people to have bad breath. Usually, brushing your teeth and tongue will get rid of annoying bad breath, but sometimes there can be something more serious causing the problem. How do you tell if there is a problem with your child’s breath? Here are a few signs that their halitosis might be chronic.

Read the 10 signs by clicking here.

Wednesday, November 28, 2012

Henry Schein Launches Viive- Mac Based Practice Management Software

MELVILLE, N.Y., November 25, 2012 -- Henry Schein, Inc. (NASDAQ: HSIC), the world’s largest provider of health care products and services to office-based dental, medical and animal health practitioners, today announced the launch of “Viive,” a new dental practice management software for the Apple Mac computer.

Viive (pronounced “Vive”) features a patient-centric workflow on a simple and clean platform to manage dental practices.  The new workflow takes advantage of the Mac operating system to provide access to all available management tools directly from one patient screen, streamlining task management to a single click. 

Charts, ledgers, and other tasks are completed faster and more simply by eliminating the need to switch between modules.  “Viive has a very aesthetic, clean, beautiful look. Its patient-centric approach makes it easy to gain access to information, charts and management tools,” said Dr. Derek Fine, a Viive user practicing in Denville, NJ. 

Another reason for Viive’s speed is its powerful PostgreSQL database, which loads charts and dental images almost instantly, synchronizes records in real time and allows updates to the same patient record from the front and back office simultaneously.

“One of the largest benefits of Viive is its backing by Henry Schein, which guarantees continued development of advanced features that integrate the office technology,” said Kevin Bunker, President and General Manager of Henry Schein Practice Solutions.  “It also ensures that users will receive the highest level of customer service.”
“With more dentists choosing the Mac platform, Viive will become an important foundation for the integrated digital Mac office,” Mr. Bunker added.
Viive was built directly on the Mac OS X platform, providing the user with the same robust, simple features already built into the Mac operating system.  

“I love Mac computers because of their elegance, combined with simplicity and ease of use. Henry Schein successfully captured that balance in the Viive practice management system,” said Liz Alexander, an office manager based in Doylestown, PA.

 The Viive Practice Management system will be launched with a number of equipment partnerships that ensure a comprehensive imaging solution and integration of core technologies.  These include: Planmeca, digital x-ray and imaging; Digital Doc intraoral cameras; and Acteon dental imaging equipment.  

For more information about Viive, please visit or call Henry Schein Dental
at 1-855-MAC-VIIVE. 

Monday, November 26, 2012

Chartless Office Lecture @ GNYDM- Thank You

A BIG THANK YOU ! to everyone who attended my sold out lecture at the GNYDM yesterday for the The Chartless Office.

If you could not attend or would like more information on how you can have a chartless office.  Go to

I am holding a small group workshop on Saturday January 12th in my office in Woodbridge NJ.
This full day lecture will include an 80+ manual to assist you in your move into "Un-Charted Territory" plus 3 months of tech support.

Use Discount Code GNYD and you can take the course for just $695. This includes both the dnetist and office manager.

Hope to see you there. Only 3 spots left!

Effect of pre-flaring and file size on the accuracy of two electronic apex locators

J. Appl. Oral Sci. vol.20 no.5 Bauru Sept./Oct. 2012

OBJECTIVE: This ex vivo study evaluated the effect of pre-flaring and file size on the accuracy of the Root ZX and Novapex electronic apex locators (EALs).
MATERIAL AND METHODS: The actual working length (WL) was set 1 mm short of the apical foramen in the palatal root canals of 24 extracted maxillary molars. The teeth were embedded in an alginate mold, and two examiners performed the electronic measurements using #10, #15, and #20 K-files. The files were inserted into the root canals until the "0.0" or "APEX" signals were observed on the LED or display screens for the Novapex and Root ZX, respectively, retracting to the 1.0 mark. The measurements were repeated after the preflaring using the S1 and SX Pro-Taper instruments. Two measurements were performed for each condition and the means were used. Intra-class correlation coefficients (ICCs) were calculated to verify the intra- and inter-examiner agreement. The mean differences between the WL and electronic length values were analyzed by the three-way ANOVA test (p<0 .05=".05" br="br"> RESULTS: ICCs were high (>0.8) and the results demonstrated a similar accuracy for both EALs (p>0.05). Statistically significant accurate measurements were verified in the pre-flared canals, except for the Novapex using a #20 K-file.
CONCLUSIONS: The tested EALs showed acceptable accuracy, whereas the pre-flaring procedure revealed a more significant effect than the used file size.

Saturday, November 24, 2012

Is there sufficient evidence to support the long-term efficacy of mineral trioxide aggregate (MTA) for endodontic therapy in primary teeth?

Anthonappa RP, King NM, Martens LC. Is there sufficient evidence to support the long-term efficacy of MTA for endodontic therapy in primary teeth? International Endodontic Journal International Endodontic Journal, 00, 000000, 2012.


Several papers have been published to illustrate the effectiveness of mineral trioxide aggregate (MTA) as a pulpotomy medicament. Most of these reports do not offer a critical assessment on the data quality. Therefore, this review evaluated whether the currently available evidence is of an appropriate quality to support the long-term effectiveness of MTA as a pulpotomy medicament in primary molars using a standardized assessment criterion. A comprehensive literature search of human clinical outcome studies, which employed MTA as a pulpotomy medicament in primary teeth, was conducted using the MEDLINE database. Two independent observers rated these articles using the standardized assessment criteria. Furthermore, based on the initial sample mentioned in the individual studies and the sample included for the final analysis, the drop-out rates were calculated. Twenty-two studies were included for quality assessment with an excellent interobserver agreement. None of the 22 studies obtained grade A, four studies attained grade B1, five were graded B2 and 13 received grade C. Based on the assessment criteria employed, there was no evidence that MTA was better than present materials and techniques as a pulpotomy medicament. Furthermore, given the low quality of data, it is highly desirable to establish standard requisites for conducting and reporting on pulp therapy studies in primary teeth so as to benefit both researchers and clinicians to produce high-quality studies that are comparable and to prevent the misuse of clinical material and resources.

Friday, November 23, 2012

In vitro and in vivo investigation of the biological and mechanical behaviour of resin-modified glass-ionomer cement containing chlorhexidine

Available online 30 October 2012



To evaluate: (1) the in vitro antibacterial, cytotoxic and mechanical properties of a resin-modified glass ionomer cement (RMGIC) containing different concentrations of chlorhexidine (CHX) and (2) the in vivo microbiologic action of the best concentration of CHX associated with the RMGIC applied on remaining dentine after indirect pulp treatment (IPT).


For the in vitro studies, RMGIC was associated with 0.2, 0.5, 1.25 and 2.5% CHX. Microbiologic evaluation consisted of an agar diffusion test on cariogenic bacteria for 24 h. Odontoblast-like cell metabolism and morphology analyses measured the cytotoxic effects of the RMGIC groups after 24 h. The same groups were submitted to compressive and diametral tensile strength. The in vivo treatment consisted of IPT using an RMGIC associated with the best CHX concentration. Clinical and microbiologic evaluations were performed before and after 3 months.


The use of 1.25% CHX significantly improved the antibacterial effects of the evaluated RMGIC, without causing any detrimental effects to the odontoblast-like cells and on the mechanical properties. This RMGIC and CHX combination completely eliminated mutans streptococci after 3 months of IPT.


The RMGIC and 1.25% CHX mixture showed great biological and mechanical behaviour and could be a good treatment against caries progression.

Clinical significance

The association of CHX with a liner RMGIC opens a new perspective for arresting residual caries after IPT.

Wednesday, November 21, 2012

Darby Dental Supply Pledges to Donate $5,000 to Lanmark360’s Shave the Shore™ Campaign Once New Donation Goal is Met

Darby Challenges Jersey Shore-based Agency to Raise Original Donation Goal of $10,000 to $15,000 for its Shave the Shore Campaign

West Long Branch, NJ (November 12, 2012) – Following the recent destruction that Hurricane Sandy has inflicted on the Jersey Shore, Darby Dental Supply, LLC, the largest all-telesales national distributor of dental merchandise and equipment, has pledged to donate $5,000 to Lanmark360’s Shave the Shore campaign once Lanmark360 raises $15,000. If the goal is met, with Darby’s contribution, the Shave the Shore campaign will contribute a total of $20,000 to those affected by Hurricane Sandy. 

Originally, Lanmark360 President, Howard Klein, publicly pledged on Facebook NOT to shave until he personally raised $10,000 to help Jersey Shore families struck by Sandy’s path. From this, the Shave the Shore campaign was formed. 

On Day 14 of the campaign, at which time nearly $9,000 was already raised, Michael Bocian, Vice President of Sales and Marketing at Darby Dental Supply, presented the following challenge to Klein via Facebook:

“Challenge: Raise $15,000 total and Darby Dental Supply will commit another $5,000 to bring your total to $20,000! This is a great cause and we are happy and proud to support you at this very important and needing time. Are you up to the challenge?” 

Klein immediately accepted, and the donations continue to steadily come in. 100% of all donations will go to the American Red Cross Hurricane Sandy Relief Efforts. 

“Hurricane Sandy has affected so many of our friends, family and partners, so we, too, have taken this blow very personally,” said Bocian. “Once we saw the effort that Lanmark360 was putting forth with its Shave the Shore campaign, we knew we couldn’t sit back and just hope that everything would work out.”

With the original goal of $10,000 nearly accomplished, Lanmark360 now has extra incentive to raise even more money to meet Darby’s challenge. “The response and support we have received for the Shave the Shore campaign thus far has been nothing short of remarkable,” stated Klein. “We are almost at our original goal of $10,000, and with Darby’s proposed challenge, we’re now aiming for double that amount. The Darby crew has given us that extra support, generosity and motivation to keep ‘growing!’ I’m not surprised to see Darby Dental Supply step up and lead by example once again.” 

For more information about Shave the Shore and how you can help, please visit or visit for regular updates. 

You can also follow Shave the Shore on Twitter by using the hashtag, #ShaveTheShore or following Howard Klein at @ShaveTheShore.

Tuesday, November 20, 2012

Monday, November 19, 2012

Join me at the GNYDM

I will be in the Smile Reminder booth (#4009) from 3-4 PM to answer any and all technology questions.

I will be giving a lecture on the benefits of a chartless dental office at the Greater NY Dental Meeting on Monday Novemeber 26th, 2-5pm. 3 CEU's and its Free! Hope to see you there.

More information by clicking here

Saturday, November 17, 2012

In vivo accuracy of conventional and digital radiographic methods in confirming root canal working length determination by Root ZX

J. Appl. Oral Sci. vol.20 no.5 Bauru Sept./Oct. 2012

OBJECTIVES: To compare, in vivo, the accuracy of conventional and digital radiographic methods in determining root canal working length.
MATERIAL AND METHODS: Twenty-five maxillary incisor or canine teeth from 22 patients were used in this study. Considering the preoperative radiographs as the baseline, a 25 K file was inserted into the root canal to the point where the Root ZX electronic apex locator indicated the APEX measurement in the screen. From this measurement, 1 mm was subtracted for positioning the file. The radiographic measurements were made using a digital sensor (Digora 1.51) or conventional type-E films, size 2, following the paralleling technique, to determine the distance of the file tip and the radiographic apex.
RESULTS: The Student "t" test indicated mean distances of 1.11 mm to conventional and 1.20 mm for the digital method and indicated a significant statistical difference (p<0 .05=".05" br="br"> CONCLUSIONS: The conventional radiographic method was found to be superior to the digital one in determining the working length of the root canal.

Friday, November 16, 2012

Generation Demandforce - Sneak Peek

Generation Demandforce launched a little over 2 weeks ago. The community is a place for Demandforce customers to get answers by accessing content, posting questions, and communicating tips and tricks with other Demandforce users. Click here to learn more!

Generation Demandforce - Sneak Peek from Demandforce Services on Vimeo.

Thursday, November 15, 2012

In vitro performance of different methods in detecting occlusal caries lesions

Available online 9 November 2012


Early caries detection is essential for the implementation of preventive, therapeutic and intervention strategies within general dental practice. Objective: The aim of this study was to compare the in vitro performance of the International Caries Detection and Assessment System (ICDAS), Digital Photographs scored with ICDAS (ICDAS photographs), Fibre-Optic Trans-Ilumination (FOTI), Optical Coherence Tomography (OCT), SoproLife® camera and two implementations of Quantitative Light-Induced Fluorescence a commercial (QLF-Inspektor Research systems) and a custom (QLF-Custom) system, to detect early and intermediate occlusal lesions. Methods: One hundred and twelve permanent extracted teeth were selected and assessed with each detection method. Histological validation was used as a gold standard. The detection methods were compared by means of sensitivity, specificity, Areas Under Receiver Operating Characteristic (AUROC) curves for enamel and dentine levels and with the Spearman's rank correlation coefficient against histology. Results: For any enamel or dentine caries detection, the AUROC curves ranged from 0.86 (OCT) to 0.98 (ICDAS and ICDAS photographs, SoproLife® camera) and at the dentine level from 0.83 (OCT) to 0.96 for FOTI. The correlations with histology ranged between 0.65 (OCT) and 0.88 (ICDAS and FOTI). Under in vitro conditions, the assessed detection methods showed excellent intra-examiner reproducibility. All the methods were strongly correlated with histology (p < 0.01) except OCT which showed a moderate correlation (0.65). Conclusion: Even though all methods present similar performance in detecting occlusal caries lesions, visual inspection seems to be sufficient to be used in clinical practice for detection and assessment of lesion depth. Other methods may be useful in monitoring caries lesion behaviour.

Wednesday, November 14, 2012

Treatment for Gum Disease Can Lower Medical Costs for People With Diabetes

November 5, 2012 (United Concordia Dental) — United Concordia Dental Offers Innovative Program in Response to Study Findings.

Medical costs are lower for people with diabetes who receive treatment for gum disease, according to a study presented today to the American Association for Dental Research by Dr. Marjorie Jeffcoat of the University of Pennsylvania. The study was done in collaboration with United Concordia Dental and Highmark Inc.
“The study showed that periodontal treatment and ongoing maintenance is associated with a significant decrease in the cost of medical care for people with diabetes – in the amount of $1,800 per year,” said James Bramson, D.D.S., chief dental officer for United Concordia. “The findings also showed that hospitalizations decreased by 33 percent and physician visits by 13 percent across the entire study population of diabetics when gum disease is treated and managed afterward.” Findings related to pharmacy costs in the study population will be released in the near future.
More than 25.8 million adults and children are living with diabetes in 2011 – a number that has more than doubled since 1999, according to the Centers for Disease Control and Prevention.
“It is really a landmark study because of its size and three-year duration. These numbers clearly demonstrate the importance of the study’s findings for people with diabetes, as well as the impact the treatment of gum disease can have on the rising medical costs associated with diabetes,” said. Dr. Bramson.
F.G. Merkel, United Concordia president and chief operating officer, said the dental insurer and its parent company, Highmark Inc., funded the study by Professor and Dean Emeritus Marjorie Jeffcoat, D.M.D., of the University of Pennsylvania, School of Dental Medicine, because of United Concordia’s increasing concern with the importance of oral health on overall health and to underscore both companies’ commitment to wellness.
“The study points to the ability to lower medical costs among patients with diabetes through appropriate dental care,” said Merkel. “Because of what we now know, United Concordia is introducing a group product that provides additional coverage for treatment of periodontal disease for members with diabetes. We believe that employers will realize reduced medical costs when their employees with diabetes receive appropriate periodontal care."
As a result of the study’s findings, United Concordia will offer UCWellness, a disease-specific program that provides 100 percent coverage for maintenance following periodontal treatment, certain surgical procedures that treat gum disease and removal of plaque and tartar in patients with gum disease. An important component of UCWellness is targeted education geared toward covered members with diabetes.
“What makes UCWellness different than others on the market is the enhanced surgical benefit we are offering,” said Merkel. “United Concordia is the first to offer this type and level of coverage to people with diabetes.”
“A considerable amount of literature exists pointing to an association between dental disease and certain medical conditions, including diabetes, heart disease, stroke, and premature or low birth weight infants,” said Dr. Jeffcoat. “The number of individuals’ data in this study makes it the largest of its kind and is clinically significant in my opinion.”
The information being released related to diabetes is the first in a series of findings which will demonstrate that appropriate dental treatment and maintenance can actually help lower medical costs for individuals with certain medical conditions.
“We hope these additional findings will show medically related cost savings as well. What’s clear now is that appropriate dental treatment and maintenance for diabetics can predict lower medical costs,” said Dr. Bramson.
The University of Pennsylvania study analyzed data over a three-year period from nearly 1.7 million individuals with United Concordia dental and Highmark medical coverage. It focused on determining if dental cleanings and/or treatment of gum disease would decrease the cost of medical care in patients who have diabetes. The study will also analyze other chronic diseases and conditions, such as heart disease, strokes and pregnancy with pre-term birth.
Dr. Jeffcoat presented the diabetes findings today to more than 2,500 attendees at the American Association for Dental Research annual meeting in Tampa, Florida. United Concordia expects to release the finding for the other diseases and conditions when the analysis is complete and will use the information to help employers drive down group benefit costs.
Learn more about the UCWellness program and the connection between diabetes and oral health on our site.

Tuesday, November 13, 2012

Comparison of different focusing fiber tips for improved oral diode laser surgery

Stock, K., Stegmayer, T., Graser, R., Förster, W. and Hibst, R. (2012), Comparison of different focusing fiber tips for improved oral diode laser surgery. Lasers Surg. Med.. doi: 10.1002/lsm.22091


Background and Objectives

State of the art for use of the fiber guided diode laser in dental therapy is the application of bare fibers. A novel concept with delivery fiber and exchangeable fiber tips enables the use of tips with special and optimized geometries for various applications. The aim of this study is the comparison of different focusing fiber tips for enhanced cutting efficacy in oral surgery.

Material and Methods

For this purpose various designs of tip geometry were investigated and optimized by ray tracing simulations. Two applicators, one with a sphere, and another one with a taper, were realized and tested on porcine gingiva (diode laser, 940 nm, 5 W/cw; 7 W/modulated). The cutting depth and quality were determined by light microscope. Histological sections of the cuts were prepared by a cryo-microtome and microscopically analyzed to determine the cut depths and thermal damage zones.


The simulations show that, using a sphere as fiber tip, an intensity increase of up to a factor of 16.2 in air, and 13.2 in water compared to a bare 200 µm fiber can be achieved. Although offering high focusing factor in water, the cutting quality of the sphere was rather poor. This is probably caused by a derogation of the focusing quality due to contamination during cutting and light scattering. Much better results were achieved with conically shaped fiber tips. Compared to bare fibers they exhibit improved handling properties with no hooking, more regular and deeper cuts (5 W/cw: 2,393 ± 468 µm, compared to the cleaved bare fiber 5 W/cw: 711 ± 268 µm). The thermal damage zones of the cuts are comparable for the various tips and fibers.


In conclusion the results of our study show that cutting quality and efficiency of diode laser on soft tissue can be significantly improved using conically shaped fiber tips. Lasers Surg. Med. © 2012 Wiley Periodicals, Inc.

Monday, November 12, 2012

Point 4 and Prodigy to be discountinued

From Kerr,

You have been a loyal user of Point 4 and/or Prodigy, and your works have undoubtedly shown the quality and longevity of these two Kerr composites. In 2009, Kerr introduced Herculite Ultra, a nanohybrid composite that combines the clinical legacy of Herculite with advanced science for a very strong yet esthetic and easy-to-use composite. Because Kerr now has a composite that rivals and even surpasses Point 4 and Prodigy in handling, strength, and esthetics, we believe it is time to transition users of Point 4 and Prodigy to a better and more advanced product that is Herculite Ultra.

If you have yet to try Herculite Ultra, we are more than happy to provide you with material to try in your facility. Please let us know.

We have also built a presentation for you to incorporate in your lectures about transitioning from Point 4 and Prodigy to Herculite Ultra. Please share with those who follow your works in the dental community. We believe that your influence can help build awareness of Herculite Ultra and guide dentists to choose a material that is more beneficial for their practice.

Lastly, we thought it’s important to note that Prodigy and Prodigy Condensable are to be exited in late 2012. Point 4 will being discontinued in 2013.

Thank you for your continued contribution to Kerr and the dental community.

Saturday, November 10, 2012

Antimicrobial efficacy of 0·05% cetylpyridinium chloride mouthrinses

Sreenivasan, P.K., Haraszthy, V.I. and Zambon, J.J. (2012), Antimicrobial efficacy of 0·05% cetylpyridinium chloride mouthrinses. Letters in Applied Microbiology. doi: 10.1111/lam.12008


This study evaluated the antimicrobial activity of two commercially available 0·05% cetylpyridinium chloride (CPC) mouthrinses with or without alcohol and examined its antimicrobial activity on oral bacterial species including fresh clinical isolates compared to a chlorhexidine mouthrinse and a control fluoride mouthrinse without CPC. Two different approaches were used to evaluate antimicrobial activity. First, the minimum inhibitory concentration (MIC) was determined for each mouthrinse against a panel of 25 micro-organisms including species associated with dental caries, gingivitis and periodontitis. Second, supragingival dental plaque obtained from 15 adults was incubated with the four mouthrinses to evaluate antimicrobial activity on micro-organisms in oral biofilms. Both CPC mouthrinses exhibited lower MIC's, that is, greater antimicrobial activity, against oral Gram-negative bacteria especially periodontal pathogens and species implicated in halitosis such as Aggregatibacter actinomycemcomitans, Campylobacter rectus, Eikenella corrodens, Porphyromonas gingivalis, Prevotella intermedia and Solobacterium moorei than the control mouthrinse. Ex-vivo tests on supragingival plaque micro-organisms demonstrated significantly greater antimicrobial activity by the CPC mouthrinses (>90% killing, < 0·001) and the chlorhexidine rinse (>98% killing, < 0·05) compared to the control fluoride mouthrinse. Whilst the chlorhexidine mouthrinse was most effective, mouthrinses containing 0·05% CPC formulated with or without alcohol demonstrated broad-spectrum antimicrobial activity against both laboratory strains and supragingival plaque bacteria compared to a control mouthrinse without CPC.

Significance and Impact of the Study

These in vitro and ex-vivo studies provide a biological rationale for previous clinical studies demonstrating the efficacy of CPC mouthrinses in reducing supragingival plaque and plaque-associated gingivitis.

Friday, November 09, 2012

D4D Technologies introduces E4D version 4.5 featuring E4D Sky™

 Richardson, TX – (November 6, 2012) – With the release today of E4D DentaLogic™ software version 4.5 featuring E4D Sky, D4D Technologies announced the creation of a truly open network of chairside restorative solutions for patient treatment. The E4D Sky communication network enables E4D system operators to exchange case data via the internet with internal and external service providers, greatly extending the range of treatments they can provide their patients.

“With E4D v 4.5 and E4D Sky, a dental office has total flexibility and a full range of options for assistance with more complex cases, for some extra help at busy times, or for additional material options to those that are typically milled in office, like zirconia,” said Gary Severance, DDS, D4D Technologies.
E4D Sky is supported by Henry Schein’s DDX (Digital Dental Exchange) and connects E4D systems running version 4.5 software with a variety of outsourcing options for restoration design and fabrication:

·         E4D Digital Services experts design, mill, or complete restorations, as well as make models or bridges
·         E4D Certified Laboratories offer a variety of services
·         Any third party provider can be sent an .stl open platform file
“E4D Sky takes the E4D system to the next level while supporting the launch of our E4D Solo scan only options. Operators will also be able to exploit the flexibility of the .stl open platform file export to access numerous other services with their scanned data,” said Glen Freeman, D4D Technologies. “We are pleased to announce that the expanded capabilities of E4D DentaLogic software version 4.5 with E4D Sky are now available to all new and current customers.”
For more information, visit

Thursday, November 08, 2012

D4D Technologies Introduces E4D Solo™ Scan-Only System

Richardson, TX – (November 6, 2012) –

D4D Technologies announced today the launch of E4D Solo scan-only digital impression system. E4D Solo, in conjunction with the E4D Sky™ communication network the company also announced today, enables E4D Solo operators to send scanned restorative case data via the internet to internal and external service providers, for design and fabrication of restorations, models, and bridges.

E4D Solo offers new options for offices that want to introduce highly accurate digital impressions and enhance their patients’ comfort and convenience. By connecting with E4D Sky, E4D Solo provides access to a truly open network of services, including E4D Digital Services where experts will design, mill and finish restorations, or fabricate models or bridges. E4D Sky can also connect offices to E4D Certified Laboratories offering a full range of services. An additional option is to export an .stl open platform file of the scan data that can be downloaded to any third party provider.

Offices that already use the full E4D system can expand their capabilities by adding an E4D Solo and then designing and fabricating in house or using E4D Sky services at busy times or for more complex cases. E4D Solo is available in a cart configuration for intraoral, model, or impression scanning as well as a desktop configuration for model and impression scanning only.  “E4D Solo is the solution for clinicians who are not ready to adopt full chairside CAD CAM in their practices, as well as for those who have already experienced the benefits of this technology and are ready to grow their capacity,” said Gary Severance, DDS. “We are pleased to announce that E4D Solo is now available to all new and current customers.”
For more information, visit

Wednesday, November 07, 2012

Patterson Dental Introduces Eaglesoft Clinician – an EHR Solution

Eaglesoft Clinician is fully certified for federal EHR incentive programs

ST. PAUL, Minn. – (November 1, 2012) – Patterson Dental Supply, Inc., introduces Eaglesoft Clinician, a fully certified Electronic Health Record (EHR) solution designed to help dental offices qualify for federal incentive payments. To develop Eaglesoft Clinician, Patterson has partnered with Emdeon, a leading provider of revenue and payment cycle management and clinical information exchange solutions. The program is available now to users of Eaglesoft Practice Management Software, and will be fully interfaced with the upcoming version of the software, Eaglesoft 17.

Eaglesoft Clinician has received the federal government’s “meaningful use” stamp of approval by earning complete EHR Ambulatory certification. The designation officially deems the electronic health record (EHR) software capable of enabling providers to qualify for funding under the American Recovery and Reinvestment Act (ARRA). Tested and certified under the Drummond Group's Electronic Health Records Office of the National Coordinator Authorized Testing and Certification Body (ONC-ATCB) program, the EHR software is 2011/2012 compliant in accordance with the criteria adopted by the Secretary of Health and Human Services. 

Drummond Group’s ONC-ATCB 2011/2012 certification program tests and certifies that EHRs meet the meaningful use criteria for either eligible provider or hospital technology. In turn, healthcare providers using the EHR systems of certified vendors are qualified to receive federal stimulus monies upon demonstrating meaningful use of the technology—a key component of the federal government’s push to improve clinical care delivery through the adoption and effective use of EHRs by U.S. healthcare providers.

In addition to allowing offices to meet meaningful use criteria, Eaglesoft Clinician also gives dentists the ability to submit prescriptions electronically. These capabilities add to the list of efficiency-minded features included in Eaglesoft 16, the number one practice management software on the market. Eaglesoft 16 streamlines everyday tasks for every member of the dental team, helping the whole office run quickly and efficiently. Designed to be intuitive and easy to use, Eaglesoft also offers advanced, customizable tools and features to help practices become more profitable and productive.

To join the list of Eaglesoft offices that are already using Eaglesoft Clinician and receiving incentive payments, dentists should contact Emdeon at 1.866.369.8805. Upon the release of Eaglesoft 17, Eaglesoft Clinician users will be transitioned to the fully integrated version of the software.

For more information, call the Patterson Technology Center at 1.800.294.8504, contact a local Patterson Technology Representative or visit

This EHR Module is 2011/2012 compliant and has been certified by Drummond Group, an ONC-ATCB approved to certify any complete or modular EHR both ambulatory and inpatient, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department.
Patterson Dental Supply, Inc., Certified on Sept. 27, 2012, Eaglesoft Clinician 7.6, Certification ID number 09272012-3071-1, Complete Ambulatory.

Campaign to “Shave the Shore™” after Hurricane Sandy

Lanmark360 Launches Campaign to
“Shave the Shore” after Hurricane Sandy

Company President Howard Klein Pledges Not to Shave
Until He Personally Raises $10,000

West Long Branch, NJ (November 6, 2012) – With the recent devastation of Hurricane Sandy rocking the Jersey Shore, Lanmark360, a leading full-service healthcare advertising, marketing and communications agency, recently launched the “Shave the Shore” campaign in order to raise money to help families affected by Hurricane Sandy.

Lanmark360 President, Howard Klein, has pledged NOT to shave until he personally raises at least $10,000 to help Jersey Shore families struck by Sandy’s path. 100% of all donations will go to the American Red Cross Hurricane Sandy Relief Efforts.

“Everyone that lives at the Jersey Shore has been affected in one way or another by Hurricane Sandy,” remarked Klein. “During the initial aftermath of the storm, I was looking in the mirror and realized I haven’t shaved in a while – and thinking what can I do now to help instead of sitting around in the dark and being sad. And then it dawned on me – the power of social media. I went onto my Facebook page and publicly announced that I wasn’t shaving and my plans for the Shave the Shore campaign. The response I received was overwhelming. People began making promissory pledges on Facebook before the donation site was even live.”   

Donations are now steadily coming in and more and more men are following Klein’s lead by not shaving. There are even reports of women supporters who have chosen not to shave their legs until Klein’s goal is met. 

Within minutes of the announcement being made, Michael McCarthy, CSO and Managing Partner of Lanmark360 immediately joined the cause and hasn’t shaved since. “Yes, I have a goatee, but my beard is coming in snow-white, and it ain’t pretty. Several of our employees are displaced from their homes, some of their family residences are just gone. Some had cars float away. If you could find it in your hearts to donate to this worthy cause, it would be greatly appreciated.”

Klein believes that there’s a silver lining to everything. “Situations like this bring out the best and worst in people. I want to do my part to help bring out the best in those around me. The Shave the Shore campaign is a way anyone can help – even just by not shaving to generate awareness. No donation is too small. I just want people to be aware – if you can’t donate money, simply don’t shave in recognition of those suffering. It’s a time for us to unite and rebuild our home.”

Once the Shave the Shore goal is met, Klein will celebrate with a nice, hot shave at Franks Barber Shop, located in West Long Branch.

For more information about Shave the Shore and how you can help, please visit or visit for regular updates. 

You can also follow Shave the Shore on Twitter by using the hashtag, #ShaveTheShore or following Howard Klein at @ShaveTheShore.

Tuesday, November 06, 2012

Liptak Dental's DDS Rescue to the Rescue

Last week the entire East Coast of the US was hit by Hurricane Sandy. New Jersey were I live has been heavily damaged. My primary residence sustained minimal damage, lost power and communications for a number of days, my office only lost power and communications. My beach home ... who knows a this time as we are not allowed into the town at this time to check for damage.

Even though I was not thinking about it at the time (there were much more pressing issues) Liptak Dental was thinking about me!

Although I had minimal communications I did receive an email  on my smartphone from Liptak Dental informing me that they were aware of the fact the my server had been off line for an extended period of time and they were activating my cloud based server and enabling me to have remote access to my office server. This was not just access to my data but to the "The Server". We were up and running if and when needed!

I am using DDS Rescue. My office data is the most valuable asset of my practice. I love the fact everything was there from my practice managment system, patient chart notes to radiographs. This shows a benefit of being a chartless office but even if you are not you still need your office information.

There is a dental office a few blocks down from my beach house that in all likelihood was destroyed. I hope the dentists and their staff are all safe and have good backups when they are ready to start practicing again.

When the chips are down its always nice to know someone has your back and in this case the Liptak Dental folks had my back.

Thanks to Paul, Kenny, Shaun, David and Marshal for being there.

One happy and satisfied customer.


Monday, November 05, 2012

Nanomechanical properties of dental resin-composites

Dental Materials
Volume 28, Issue 12 , Pages 1292-1300, December 2012



To determine by nanoindentation the hardness and elastic modulus of resin-composites, including a series with systematically varied filler loading, plus other representative materials that fall into the categories of flowable, bulk-fill and conventional nano-hybrid types.


Ten dental resin-composites: three flowable, three bulk-fill and four conventional were investigated using nanoindentation. Disc specimens (15mm×2mm) were prepared from each material using a metallic mold. Specimens were irradiated in the mold at top and bottom surfaces in multiple overlapping points (40s each) with light curing unit at 650mW/cm2. Specimens were then mounted in 3cm diameter phenolic ring forms and embedded in a self-curing polystyrene resin. After grinding and polishing, specimens were stored in distilled water at 37°C for 7 days. Specimens were investigated using an Agilent Technologies XP nanoindenter equipped with a Berkovich diamond tip (100nm radius). Each specimen was loaded at one loading rate and three different unloading rates (at room temperature) with thirty indentations, per unloading rate. The maximum load applied by the nanoindenter to examine the specimens was 10mN.


Dependent on the type of the resin-composite material, the mean values ranged from 0.73GPa to 1.60GPa for nanohardness and from 14.44GPa to 24.07GPa for elastic modulus. There was a significant positive non-linear correlation between elastic modulus and nanohardness (r2=0.88). Nonlinear regression revealed a significant positive correlation (r2=0.62) between elastic moduli and filler loading and a non-significant correlation (r2=0.50) between nanohardness and filler loading of the studied materials. Varying the unloading rates showed no consistent effect on the elastic modulus and nanohardness of the studied materials.


For a specific resin matrix, both elastic moduli and nanohardness correlated positively with filler loading. For the resin-composites investigated, the group-average elastic moduli and nanohardnesses for bulk-fill and flowable materials were lower than those for conventional nano-hybrid composites.

Saturday, November 03, 2012


Available online 23 October 2012



This study was to compare the effect of three different one-step polishing systems on the color stability of three different types of nanocomposites after immersion in coffee for one day and seven days and determine which nanocomposite material has the best color stability following polishing with each of the one-step polishing system.


The nanocomposites tested were Tetric EvoCeram, Grandio and Herculite Précis. A total of 120 discs (40/nanocomposite, 8 mm x 2 mm) were fabricated. Ten specimens for each nanocomposite cured under Mylar strips served as the control. The other specimens were polished with OptraPol, OneGloss and Occlubrush immersed in coffee (Nescafé) up to seven days. Color measurements were made with a spectrophotometer at baseline and after one and seven days. Two way repeated measure ANOVA, Two way ANOVA and Bonferroni tests were used for statistical analyses (P < 0.05).


The immersion time was a significant factor in the discoloration of the nanocomposites. The effect of three one-step polishing systems on the color stability was also significant. The color change values of the materials cured against Mylar strips were the greatest. The lowest mean color change values were from the Occlubrush polished groups. The effect of the three different types of nanocomposite on the color change was significant. The highest color change values were with Tetric EvoCeram groups. The lowest color change values were with Herculite Précis groups.


The color change of nanocomposite resins is affected by the type of composite, polishing procedure and the period of immersion in the staining agent.

Friday, November 02, 2012

Acid production in dental plaque after exposure to probiotic bacteria

BMC Oral Health 2012, 12:44 doi:10.1186/1472-6831-12-44
Published: 24 October 2012

Abstract (provisional)


The increasing interest in probiotic lactobacilli in health maintenance has raised the question of potential risks. One possible side effect could be an increased acidogenicity in dental plaque. The aim of this study was to investigate the effect of probiotic lactobacilli on plaque lactic acid (LA) production in vitro and in vivo.


In the first part (A), suspensions of two lactobacilli strains (L. reuteri DSM 17938, L. plantarum 299v) were added to suspensions of supragingival dental plaque collected from healthy young adults (n=25). LA production after fermentation with either xylitol or fructose was analyzed. In the second part (B), subjects (n=18) were given lozenges with probiotic lactobacilli (L. reuteri DSM 17938 and ATCC PTA 5289) or placebo for two weeks in a double-blinded, randomized cross-over trial. The concentration of LA in supragingival plaque samples was determined at baseline and after 2 weeks. Salivary counts of mutans streptococci (MS) and lactobacilli were estimated with chair-side methods.


Plaque suspensions with L. reuteri DSM 17938 produced significantly less LA compared with L. plantarum 299v or controls (p<0 .05=".05" altered="altered" and="and" any="any" b="b" baseline="baseline" between="between" but="but" concentrations="concentrations" counts="counts" differences="differences" displayed.="displayed." during="during" follow="follow" fructose="fructose" gave="gave" group="group" groups="groups" higher="higher" in="in" increased="increased" intervention="intervention" la="la" lactobacilli="lactobacilli" ms="ms" no="no" not="not" of="of" p="p" part="part" placebo="placebo" production="production" salivary="salivary" significant="significant" significantly="significantly" test="test" than="than" the="the" there="there" up="up" were="were" xylitol.="xylitol.">


Lactic acid production in suspensions of plaque and probiotic lactobacilli was strain-dependant and the present study provides no evidence of an increase in plaque acidity by the supply of selected probiotic lactobacilli when challenged by fructose or xylitol. The study protocol was approved by The Danish National Committee on Biomedical Research Ethics (protocol no H-2-2010-112).
Trial registration

Thursday, November 01, 2012

Mums Can Influence Children's Oral Health, Study Suggests

The British Dental Health Foundation believes a new study showing how a mother's knowledge is key to their child's oral health is a timely reminder of how important their early years are.
The study3 concluded that mothers who were more able to handle stresses in their environment had children with better oral health. According to the research, mothers with higher maternal factors when their child was three years old resulted in a better oral hygiene for their child, more visits to the dentist and more preventive treatments.

The research speculated that mothers with better maternal instincts are more attentive to the oral hygiene and dental needs of their children, leading to a reduced risk of tooth decay and gum disease.

The early years of children's lives are a time of rapid development, none more so than their teeth. Even prior to entering pre-school, a child's learning and understanding is largely based on experiences from within their family and home environment. That is why Chief Executive of the British Dental Health Foundation, Dr Nigel Carter OBE, believes the study reinforces the importance of ensuring good oral health for your child as early as possible.

Dr Carter said: "The study builds on previous work that suggests mothers have a key role to play when it comes to the development of their child's oral hygiene. What mums should remember is that looking after your baby's oral health starts during pregnancy.

"Good nutrition for the mother during those nine months is crucial for your baby's teeth to develop correctly. It is also worth knowing that due to hormonal changes your gums may bleed more easily, so the Foundation advises more regular visits to the dentist and a higher level of oral health.

"It is not just a child's mum who can help their oral health. The responsibility to improve oral health lies with each and every one of us. Poor dental health is constantly being linked with a variety of diseases, while too many people do not visit their dentist as often as recommended.

"If we can reach out to the non-attenders and encourage them to follow the Foundation's three key messages, of brushing twice a day with a fluoride toothpaste, cutting down how often you have sugary foods and drinks and visiting the dentist regularly there is no reason the oral health of the nation and future generations cannot improve even more."

The study, published in the Journal of Dental Research, analysed data from a long-term study involving the dental records of 224 teenagers and questionnaires from their mothers.