Thursday, October 19, 2017

AADOM ANNOUNCES SPECIALTY NETWORK PROGRAM

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

Wednesday, October 18, 2017

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

Journal of Dentistry

Volume 65, October 2017, Pages 11-21
Journal of Dentistry
Review article


Abstract

Objectives

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

Source

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

Study selection

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

Data

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

Conclusions

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

Tuesday, October 17, 2017

Intelligent Updates to CS 3600 Software Makes Implant Workflow Smarter





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



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



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



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



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



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



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



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

 

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

XXX

About Carestream Dental

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

Monday, October 16, 2017

Ransomware Malware and Other Nasty Viruses.

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

Friday, October 13, 2017

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



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


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

Thursday, October 12, 2017

Special Lecture At The ADA- LED Medicals Velscope

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

Velscope is a 7 time Best of Class Award winner.

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

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

Join us in Atlanta!

Wednesday, October 11, 2017

Special Lecture At The ADA- Dentlight




On Friday October 20th at 9:30am I will be discussing 2017 Cellerant Best of Class Emerging Technology Award winner Dentlight's Fusion TwinHead a dual head curing light and their other curing lights and unique products at the ADA meeting in Atlanta.


Dentlight offers a variety of light based products from curing lights with various attachments that allow you do do bleaching and oral cancer screening with a curing light. Its the Swiss Army Knife for curing your composites.


This will be an hour where as we explorer the benefits of dual head curing. Which in my practice makes me more efficient and gives me better composite cures. There will be an opportunity to ask questions along with ample hands on time with the products.

Come join us in Atlanta!

Tuesday, October 10, 2017

Special Lecture at the ADA- WEO Media


On Friday October 20th at 8am I will be discussing 2017 Cellerant Best of Class Award winner WEO Media's suite of web based marketing products at the ADA meeting in Atlanta.

WEO Media is a two time Best of Class Award winner.

WEO Media offers custom responsive websites, SEO, PPC, social media, Facebook ads, online patient reviews generation, online reputation management, custom video production, and direct-to-consumer marketing (mailers, radio, TV, print). In addition they offer logo design and branding, patient education videos, design services, email newsletters, email hosting, and much more.

This will be a fun interactive hour where I will be joined by Ian McNickle as we discuss everything about selecting a web site provider to how best to market your practice with social media and lots of other valuable information. 

Hope to see you in Atlanta!

Monday, October 09, 2017

Special Lectures at the ADA

Looking to learn more about some of the companies and products that have won this years Cellerant Best of Class Award? Come join me as I have the pleasure of presenting some unique informative events.  I will be highlighting them over the next 3 days on the blog. There are other presentations being done by my Cellerant Best of Class selection committee members. These sessions will be taking place on Thursday through Saturday at the ADA meeting in Atlanta October 19-21. The sessions are free so please take advantage of this opportunity while at the meeting.

Here are the winners:

Friday, October 06, 2017

Wide diameter immediate post-extractive implants vs delayed placement of normal-diameter implants in preserved sockets in the molar region: 1-year post-loading outcome of a randomised controlled trial.

Eur J Oral Implantol. 2017;10(3):263-278.

Abstract

PURPOSE:

To compare the effectiveness of 6.0 to 8.0 mm-wide diameter implants, placed immediately after tooth extraction, with conventional 4.0 or 5.0 mm diameter implants placed in a preserved socket after a 4-month period of healing in the molar region.

MATERIALS AND METHODS:

Just after extraction of one or two molar teeth, and with no vertical loss of the buccal bone in relation to the palatal wall, 100 patients requiring immediate post-extractive implants were randomly allocated to immediate placement of one or two 6.0 to 8.0 mm-wide diameter implants (immediate group; 50 patients) or for socket preservation using a porcine bone substitute covered by a resorbable collagen barrier (delayed group; 50 patients), according to a parallel group design in one centre. Bone-to-implant gaps were filled with autogenous bone retrieved with a trephine drill used to prepare the implant sites for the immediate wide diameter post-extractive implants. Four months after socket preservation, one to two 4.0 or 5.0 mm-wide delayed implants were placed. Implants were loaded 4 months after placement with fixed provisional restorations in acrylic, and replaced after 4 months by fixed, definitive, metal-ceramic restorations. Patients were followed to 1 year after loading. Outcome measures were: implant failures, complications, aesthetics assessed using the pink esthetic score (PES), peri-implant marginal bone level changes, patient satisfaction, number of appointments and surgical interventions recorded, when possible, by blinded assessors.

RESULTS:

Three patients dropped out 1 year after loading from the immediate group vs six from the delayed group. Five implants out of 47 failed in the immediate group (10.6%) vs two out 44 (4.6%) in the delayed group, the difference being not statistically significant (difference in proportion = 6.0%, 95% CI: -8.8% to 20.8%, P = 0.436). In the immediate group 10 patients were affected by 10 complications, while in the delayed group four patients were affected by four complications. The difference was not statistically significant (difference in proportion = 12%, 95% CI: -2% to 26%, P = 0.084). At delivery of the definitive prostheses, 4 months after loading, the mean total PES score was 9.65 ± 1.62 and 10.44 ± 1.47 in the immediate and delayed groups, respectively. At 1 year after loading, the mean total PES score was 9.71 ± 2.71 and 10.86 ± 1.37 in the immediate and delayed groups, respectively. The Total PES score was statistically significantly better at delayed implants both at 4 months (mean difference = 0.79; 95% CI: 0.05 to 1.53; P = 0.03) and at 1 year (mean difference = 1.15; 95% CI: 0.13 to 2.17; P = 0.02). Marginal bone levels at implant insertion (after bone grafting) were 0.04 mm for immediate and 0.11 mm for delayed implants, which was statistically significantly different (mean difference = 0.07; 95% CI: 0.02 to 0.12; P < 0.0001). One year after loading, patients in the immediate group lost on average 1.06 mm and those from the delayed group 0.63 mm, the difference being statistically significant (mean difference = 0.43 mm; 95% CI: 0.15 to 0.61; P < 0.0001). All patients were fully or partially satisfied both for function and aesthetics, and would undergo the same procedure again both at 4 months and 1 year after loading. Patients from the immediate group required on average 7.48 ± 1.45 visits to the clinician and 2.14 ± 0.49 surgical interventions and to have their definitive prostheses delivered vs 10.30 ± 0.99 visits and 3.08 ± 0.40 surgical interventions for the delayed group, the difference being statistically significant (P < 0.001 for visits, and P < 0.001 for surgical interventions).

CONCLUSIONS:

Preliminary 1 year follow-up data suggest that immediate placement of 6.0 to 8.0 mm wide diameter implants in molar extraction sockets yielded inferior aesthetic outcomes than ridge preservation and delayed placement of conventional 4.0 to 5.0 mm diameter implants. Conflict of interest statement: This trial was partially funded by the manufacturer of the implants evaluated in this investigation (MegaGen Implant Co, Gyeongbuk, South Korea). However, data belonged to the authors and in no way did the manufacturer interfere with the conduct of the trial or the publication of its results.

Thursday, October 05, 2017

Treating High-Caries Risk Occlusal Surfaces in First Permanent Molars through Sealants and Supervised Toothbrushing: A 3-Year Cost-Effective Analysis




Caries Res 2017;51:489-499

Abstract

We conducted a 3-year cost-effectiveness analysis on the cavitated dentine carious lesion preventive capabilities of composite resin (CR) (reference group) and atraumatic restorative treatment (ART) high-viscosity glass-ionomer cement (HVGIC) sealants compared to supervised toothbrushing (STB) in high-risk first permanent molars. School children aged 6-7 years in 6 schools (2 per group) received CR and ART/HVGIC sealants or STB daily for 180 days each school year. Data were collected prospectively and cost estimates were made for sample data and a projection of 1,000 sealants/STB high-risk permanent molars. Although STB had the best outcome, its high implementation cost (95% of cost for supervisors visiting schools 180 days/school year) affected the results. ART/HVGIC was cost-effective compared to CR for the sample data (savings of USD 37 per cavitated dentine carious lesion prevented), while CR was cost-effective compared to ART/HVGIC for the projection (savings of USD 17 per cavitated dentine carious lesion prevented), and both were cost-saving compared to STB. Two STB scenarios were tested in sensitivity analyses with variations in caries incidence and number of supervision days; results showed STB had lower costs and higher savings per cavitated dentine carious lesion prevented than CR and ART/HVGIC. A major assumption is that both scenarios have the same high effectiveness rate experienced by STB under study conditions; however, they point to the value of further research on the benefits of adopting STB as a long-term venture in a general population of school children.

Wednesday, October 04, 2017

Fixed vs removable complete arch implant prostheses: A literature review of prosthodontic outcomes.

Eur J Oral Implantol. 2017;10 Suppl 1:13-34.

Abstract

AIM:

To compare implant fixed complete dentures with implant overdentures relative to prosthodontic outcomes.

MATERIAL AND METHODS:

An electronic Medline (PubMed) with MeSH terms, and Cochrane library search was performed, focusing on studies that included implant fixed complete dentures and implant overdentures in the same study, with the results based on studies that included both types of prostheses.

RESULTS:

The following six categories of comparative studies were identified in the literature: 1) Implant and prosthesis survival; 2) Prosthesis maintenance/complications; 3) Bone changes; 4) Patient satisfaction and quality of life; 5) Cost-effectiveness; and 6) Masticatory performance. It was determined that both the fixed and removable treatments were associated with high implant survival rates. However, both types of prostheses were impacted by the need for post-placement mechanical maintenance or prosthetic complications. More maintenance/complications occurred with implant overdentures than with fixed complete dentures. Residual ridge resorption was greater with implant overdentures. Patient satisfaction was high with each prosthesis, with three studies revealing higher satisfaction with fixed complete dentures and five studies finding no difference. All but one study on cost-effectiveness indicated implant overdentures were more cost-effective. Based on two studies, it appears the masticatory performance of implant fixed complete dentures and implant overdentures is comparable.

CONCLUSIONS:

Multiple factors must be considered when determining whether an implant-fixed complete denture or implant overdentures are best suited for patients with completely edentulous jaws. Conflict-of-interest statement: The authors declare they have no conflicts of interest.

Tuesday, October 03, 2017

Accuracy of digital implant impressions with intraoral scanners. A systematic review.

Eur J Oral Implantol. 2017;10 Suppl 1:101-120.

Abstract

AIM:

The use of intraoral scanners (IOS) for making digital implant impressions is increasing. However, there is a lack of evidence on the accuracy of IOS compared with conventional techniques. Therefore, the aim of this systematic review was to collect evidence on the accuracy of digital implant impression techniques, as well as to identify the main factors influencing the accuracy outcomes.

MATERIALS AND METHODS:

Two reviewers searched electronic databases in November, 2016. Controlled vocabulary, free-text terms, and defined inclusion and exclusion criteria were used. Publications in English language evaluating the accuracy outcomes of digital implant impressions were identified. Pooled data were analysed qualitatively and pertinent data extracted.

RESULTS:

In total, 16 studies fulfilled the inclusion criteria: one in vivo and 15 in vitro studies. The clinical study concluded that angular and distance errors were too large to be acceptable clinically. Less accurate findings were reported by several in vitro studies as well. However, all in vitro studies investigating the accuracy of newer generation IOS indicated equal or even better results compared with the conventional techniques. Data related to the influence of distance and angulation between implants, depth of placement, type of scanner, scanning strategy, characteristics of scanbody and reference scanner, operator experience, etc were analysed and summarised. Linear deviations (means) of IOS used in in vitro studies ranged from 6 to 337 µm. Recent studies indicated small angle deviations (0.07-0.3°) with digital impressions. Some studies reported that digital implant impression accuracy was influenced by implant angulation, distance between the implants, implant placement depth and operator experience.

CONCLUSIONS:

According to the results of this systematic review and based on mainly in vitro studies, digital implant impressions offer a valid alternative to conventional impressions for single- and multi-unit implant-supported restorations. Further in vivo studies are needed to substantiate the use of currently available IOS, identify factors potentially affecting accuracy and define clinical indications for specific type of IOS. Data on Data on accuracy OF digital records, as well as accuracy of printed or milled models for implant-supported restorations, are of high relevance and are still lacking. Conflict-of-interest and funding statement: The authors state there is no conflict of interest.

Monday, October 02, 2017

Misfit of implant prostheses and its impact on clinical outcomes. Definition, assessment and a systematic review of the literature.

Eur J Oral Implantol. 2017;10 Suppl 1:121-138.

Abstract

BACKGROUND AND AIM:

Compromised fit between the contact surfaces of screw-retained implant-supported fixed dentures (IFDs) is thought to create uncontrolled strains in the prosthetic components and peri-implant tissues, thus evoking biological and technical complications such as bone loss, screw loosening, component fractures and, at worst, loss of implants or prostheses. The aim of this systematic review was to evaluate the impact of marginal misfit on the clinical outcomes of IFDs, and to elucidate definition and assessment methods for passive fit.

MATERIALS AND METHODS:

A systematic review of the literature was conducted with a PICO question: "For partially or complete edentulous subjects with screw-retained IFDs, does the marginal misfit at the implant-prosthesis interfaces have an impact on the clinical outcomes?". A literature search was performed electronically in PubMed (MEDLINE) with the help of Boolean operators to combine key words, and by hand search in relevant journals. English written in vivo studies published before August 31, 2016 that reported on both clinical outcome and related implant prosthesis misfit (gap, strains, torque) were selected using predetermined inclusion criteria.

RESULTS:

The initial search yielded 2626 records. After screening and a subsequent filtering process, five human and five animal studies were included in the descriptive analysis. The selected studies used different methods to assess misfit (linear distortion, vertical gap, strains, screw torque). While two human studies evaluated the biological response and technical complications prospectively over 6 and 12 months, the animal studies had an observation period < 12 weeks. Four human studies analysed retrospectively the 3 to 32 years' outcomes. Screw-related complications were observed, but biological sequelae could not be confirmed. Although the animal studies had different designs, bone adaptation and implant displacement was found in histological analyses. Due to the small number of studies and the heterogenic designs and misfit assessment methods, no meta-analysis of the data could be performed.

CONCLUSIONS:

The current literature provides insufficient evidence as to the effect of misfit at the prosthesis-implant interface on clinical outcomes of screw-retained implant-supported fixed dentures. Marginal gaps and static strains due to screw tightening were not found to have negative effects on initial osseointegration or peri-implant bone stability over time. Based on two clinical studies, the risk for technical screw-related complications was slightly higher. While the degree of tolerable misfit remains a matter of debate, the present data do not imply that clinicians neglect good fit, but aim to achieve the least misfit possible. Conflict of interest statement: The authors declare no conflict of interest. The review was conducted as part of the 2016 Foundation of Oral Rehabilitation Consensus Conference on "Prosthetic Protocols in Implant-based Oral Rehabilitation".

Friday, September 29, 2017

Untreated Dental Caries Is Associated with Reports of Verbal Bullying in Children 8-10 Years Old





Caries Res 2017;51:482-488

Abstract

The objective of this research was to verify the association between verbal bullying and untreated dental caries. The present cross-sectional study had a representative sample of 1,589 children, aged 8-10 years, from public schools. Information on verbal bullying related to the oral condition was obtained through a questionnaire directed to the students. Clinical data were collected by 4 calibrated examiners (kappa > 0.70) using the DMFT/dmft and PUFA/pufa indexes for caries. Socioeconomic issues were answered by those responsible. The prevalence of verbal bullying related to the oral condition was 27%. The results of the Poisson regression, in an adjusted multiple model, showed a significant association between bullying and untreated caries lesions (prevalence ratio, PR: 1.27; 95% CI: 1.07-1.52), PUFA/pufa index (PR: 1.34; 95% CI: 1.11-1.61), pulp involvement (PR: 1.35; 95% CI: 1.09-1.67), and abscess (PR: 1.74; 95% CI: 1.18-2.56). It was concluded that children with untreated dental caries had a higher prevalence of verbal bullying when compared to caries-free or disease-treated children.

Thursday, September 28, 2017

Join Me At America's Dental Meeting ADA Atlanta!



Here is what I will be speaking on:

American Academy of Periodontology Publishes Proceedings from Best Evidence Consensus Meeting on Cone-Beam Computed Tomography (CBCT)



Periodontal experts address current clinical applications of CBCT technology in patient care
CHICAGO – September 28, 2017 – The American Academy of Periodontology (AAP), the leading professional organization dedicated to the dental specialty of periodontics, today published its first-ever “best evidence consensus” (BEC) proceedings on the topic of cone-beam computed tomography (CBCT). The proceedings are the result of the AAP’s inaugural BEC meeting, a model of scientific inquiry rooted in the best available published research and expert opinion. The BEC meeting was held in Chicago in February 2017.
The BEC model was developed by the AAP to address emerging clinical topics in periodontology for which there is insufficient evidence to arrive at definitive conclusions. Using current high-quality published literature and the expert opinion of periodontal thought leaders, the BEC model aims to provide clinicians with reasonable applications of newer technologies, such as CBCT.
“As new technologies emerge, it often takes many years for sufficient high-quality evidence to allow clinicians to appropriately incorporate the technology into patient care,” said Kenneth Kornman, DDS, PhD, editor of the Journal of Periodontology. “The BEC reports are designed to bridge the gaps and provide evidence summaries and expert interpretations that guide clinical use now. We anticipate that the BEC reports will help us apply new technologies in a focused manner to help improve the health of our patients.”
Introduced just over 20 years ago, CBCT technology provides a beneficial tool for periodontists to use in diagnosis, treatment planning, and surgical management, especially in patients with complex cases. The three-dimensional nature of CBCT offers enhanced diagnostic information and increased accuracy compared to two-dimensional (2D) imaging. While the long-term radiation effects of CBCT are unknown, adherence to the “as low as reasonably achievable” (ALARA) dosage standard, paired with cautious shielding of susceptible tissues and careful limitation of the field of view, allows dental professionals to limit the risk of exposure.
The BEC proceedings, which appear in the October issue of the Journal of Periodontology (JOP), include a statement that answers focused questions that relate to the use of CBCT in the following specific clinical scenarios: the surgical management of patients requiring dental implants; determining risk to periodontal structures in patients requiring periodontal-orthodontic treatment; and adding clinical value to diagnostic assessment and treatment planning in managing patients with periodontitis.
The panel of over 10 periodontists who participated in the BEC meeting determined that CBCT has diverse applications for both dental implant therapy and periodontal-orthodontic therapy and should be used when the benefit to the patient outweighs the risk. The use of CBCT in dental implant and periodontal-orthodontic cases can not only assist in planning a safer approach to treatment, but also facilitate interdisciplinary communication. For patients with periodontitis, 2D full-mouth radiographs combined with clinical probing remain the gold standard; however, CBCT may be beneficial in certain advanced cases.
According to Steven Daniel, DDS, a practicing periodontist in Murfreesboro, Tenn., and president of the AAP, CBCT technology is advancing how periodontal treatment is delivered. “As the esteemed panel of periodontal experts who participated in the best evidence consensus meeting concluded, CBCT can serve as a useful and widely available tool that may improve patient care. Its utility in streamlining treatment planning and enhancing the periodontist’s specialized surgical and anatomical skills may allow for more predictable patient outcomes, especially in complex cases. Periodontists are dentistry’s leaders in adopting the latest technologies to ensure that their patients receive the highest quality care. The AAP’s publication of the BEC statement on CBCT demonstrates this leadership.”
The American Academy of Periodontology best evidence consensus meeting on cone-beam computed tomography was sponsored by Carestream Dental (Atlanta, Georgia). To access the BEC proceedings, please visit joponline.org. For more information about the AAP or periodontal disease, visit perio.org.
About the American Academy of Periodontology
The American Academy of Periodontology (AAP) represents over 8,000 periodontists—specialists in the prevention, diagnosis, and treatment of inflammatory diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontics is one of the nine dental specialties recognized by the American Dental Association.
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Wednesday, September 27, 2017

Dentsply Sirona World in Las Vegas proves a huge success among the more than 7,500 attendees from the dental industry




Speakers and participants alike described Dentsply Sirona World 2017 as an event in a class of its own. From September 14 to 16, 7,500 attendees- from 50 different countries- and 110 speakers met in Las Vegas to enjoy not only inspiring presentations, but also an A-list entertainment program. One particular highlight of the sold-out event was a live implant procedure – thousands of dentists and other dental professionals had the opportunity to watch Dr. Neal Patel place an implant in real time during General Session.
Bensheim/Salzburg, September 26th, 2017. Right at the start of the event visitors were treated to a genuine highlight: just a few meters away from the audience, Dr. Neal Patel performed an implant procedure in a sectioned-off area of the industry exhibition site which, thanks to a live stream, was watched live by the 7,500 participants. The procedure was performed using a surgical guide that was produced on site. This unique experience was well received by attendees.
Common success by drive for innovations
Dentsply Sirona CEO Jeffrey T. Slovin took appeared on stage to explain the driving factors for Dentsply Sirona’s success. “At Dentsply Sirona, it’s all about changing lives for the better. It’s about having an impact. Our success in developing solutions that meet the needs of dental professionals worldwide is a result of a commitment to product innovation and high quality service and training. This wouldn’t be possible without knowing why we do what we do. When you know your WHY, your priorities become clear. We are truly dedicated and passionate about changing the lives of dental professionals and patients.”
The array of sessions within the 11 different educational tracks promoted lively discussion on a wide range of subjects relating to dentistry and dental technology, including Business and Practice Management, CEREC, Endodontics, Imaging, Implantology, Office Design, Orthodontics, Periodontics and Hygiene, Prosthetics and Lab, Restorative, and Special Markets and Topics, the range of educational tracks meant that attendees could customize their educational experience.
An exceptional atmosphere thanks to the impressive entertainment program
The inspiring sessions and numerous exhibitors weren’t the only factors that made this year's event unforgettable; the celebrity entertainers help mold the Ultimate Dental Meeting into a league of its own. The appearance by Oscar-nominated actor, musician and producer Will Smith was one of the major highlights. Throughout the course of his diverse career, Smith has gained a wealth of experience that has been fundamental to his professional success. In an interview and Q&A session, he talked about these experiences and also gave valuable tips on setting both professional and personal goals.
In addition to the inspirational appearance by Smith, the legendary stand-up comedian Jeff Dunham dished a hilarious standup bit, which included his charismatic ventriloquist dummies.
Friday morning, to ensure that guests were fit for the second day of presentations, the enthusiastic Beachbody™ trainer Joel Freeman offered a workout in the morning for a wide range of age groups. And if that wasn’t enough, the Out of This World Fun Run welcomed hundreds of guests dressed in intergalactic costumes for a morning run down Las Vegas Blvd.
With his refreshing attitude towards corporate culture and innovation, later on Friday morning, TED Talk speaker and bestselling author Simon Sinek offered practical guidance for motivating staff and also discussed the properties that define a good management style. He first gained fame back in 2009 with his simple yet impressive model for inspirational management personalities and has since impressed audiences the world over. His TED Talk video on this subject has been viewed by 31 million people and was produced with subtitles in 45 languages; it is the third most popular video on TED.com. The first-class entertainment also continued into the evening. Visitors got the chance to experience the Grammy-winning band Imagine Dragons during a concert exclusive to Dentsply Sirona World attendees. The group rocked the stage to conclude the day on a musical high!
The success story is set to continue in 2018
The success of this year's Dentsply Sirona World was overwhelming and the event has already been confirmed for next year. From Sept. 13 to 15, 2018, dentists and experts from the dental industry and opinions leaders from around the world are invited to Orlando, Florida, to push forward new technologies, build on existing success and, ultimately, improve patient treatments.

Tuesday, September 26, 2017

Long-term evaluation of the effect of low-level laser therapy on orthodontic miniscrew stability and peri-implant gingival condition: A randomized clinical trial


 Abstract

Objectives

The aim of this study was to assess the stability of immediately loaded miniscrews in the buccal alveolar bone of the maxilla and the degree of peri-implant gingival inflammation after the application of low-level laser therapy.

Methods

Twenty-four miniscrews, 12 each, were inserted into the buccal alveolar bone between the second premolar and first molar on the right and left sides of the patient. The sides were randomly divided into experimental and control sides, after which the experimental side received four applications of low-level laser therapy (LLLT) during the first 14 days of insertion with 60 seconds for each application and an interval of 72 hours between each application. The control side did not receive any laser application. After 14 days of miniscrew insertion, both sides were loaded with a horizontal force of 150g for canine retraction. The miniscrew mobility was assessed at different times (before and after loading; 7, 14, 21, 30, and 60 days) with periotest, and peri-implant gingival inflammation was assessed using the gingival index.

Results

LLLT has been shown to improve stability of orthodontic miniscrews as evidenced by reduced mobility values measured with periotest but the results were not statistically significant. LLLT has definite influence on reducing gingival inflammation around miniscrews, as evidenced by gingival index values from the experimental side, whereas the control side experienced moderate inflammation after 2 months of placement.

Conclusions

LLLT can be suggested as a clinical adjuvant for improving clinical success with miniscrew treatment. However, more long-term studies incorporating more study subjects is deemed necessary to further validate the study results

Record-breaking Dentsply Sirona World sets a new precedent for dental conferences


This was a fun meeting to attend and fantastic entertainment! MJ

Dentsply Sirona World has concluded but the buzz surrounding the event continues
CHARLOTTE, NC (Sept. 20, 2017) – Dentsply Sirona World sold out weeks before the event launched on Thursday, Sept. 14, in Las Vegas and those who were lucky enough to attend experienced an event like no other in dentistry
More than 100 Breakout Sessions, inspiring General Sessions, unparalleled entertainment and exciting social activities solidified the event’s reputation as the Ultimate Dental Meeting. Throughout the three-day event, guests attended the highest caliber educational courses led by the biggest names in dentistry, ventured the trade show displaying the best products and technologies available on the market, enjoyed multiple star-studded events- including the private concert by Imagine Dragons and standup by Jeff Dunham- and much more.
Continuing education was available to all attendees who attended Breakout Sessions during the event and some General Sessions. Offering 11 educational tracks with hundreds of sessions from which to choose, there was no shortage of quality content.
General Sessions comprised clinical presenters Dr. Frank Spear, Dr. Gregg Kinzer, Dr. Joshua Austin, Dr. Sarah Jockin, Dr. Erin Elliot, Dr. Cliff Ruddle, and Dr. Neal Patel as he performed live surgery. Plus the hundreds of other phenomenal speakers who presented during the numerous Breakout Sessions. 

There was also no shortage of celebrity entertainment, as Dentsply Sirona continues to welcome the biggest names in the entertainment industry. Academy Award-nominated actor Will Smith participated in an interview and moderated Q&A, the room roared in laughter during Jeff Dunham’s performance, guests were awestruck with Simon Sinek’s remarkable insight and business savvy, and Imagine Dragons performed a live concert that was almost too good to Believe

Plus, guests sweat it out during BeachbodyTM Super Trainer Joel Freeman’s MMA-styled workout on Friday and during the Out of this World Fun Run on Saturday, both of which were sponsored by ClearCorrect. 

The Evening of Espionage party at TAO Nightclub, sponsored by Compassionate Finance, concluded the event as guests dressed as their favorite spy or villain, or dazzled in their best black tie attire danced and enjoyed the evening with their peers.

ABOUT DENTSPLY SIRONA:
Dentsply Sirona is the world’s largest manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. As
The Dental Solutions Company TM, Dentsply Sirona’s products provide innovative, high-quality and effective solutions to advance patient care and deliver better, safer and faster dentistry. Dentsply Sirona’s global headquarters is located in York, Pennsylvania, and the international headquarters is based in Salzburg, Austria. The company’s shares are listed in the United States on NASDAQ under the symbol XRAY. Visit www.dentsplysirona.com for more information about Dentsply Sirona and its products.
For those who missed the opportunity to attend Dentsply Sirona World 2017, don’t miss your chance to attend next year’s event! Dentsply Sirona World is heading back to Orlando, Florida, and the event is Sept. 13-15. Register now at www.dentsplysironaworld.com to take advantage of the lowest prices available for Dentsply Sirona World 2018!
The sold-out Dentsply Sirona World is located at The Venetian and The Palazzo in Las Vegas and spans from Thursday, Sept. 14 to Saturday, Sept. 16. To learn more about this event and next year’s event, Dentsply Sirona World 2018, visit www.dentsplysironaworld.com.

Friday, September 22, 2017

Effect of Simulated Mastication on the Retention of Locator Attachments for Implant-Supported Overdentures: An In Vitro Pilot Study

First published:

Abstract

Purpose

Limited information is currently available relative to the effect of masticatory loads on the retentive properties of Locator attachments. The aims of this in vitro study were to assess and compare the effect of simulated mastication on the retention of white, pink, and blue Locator inserts for overdentures retained by 2 implants.

Materials and Methods

Thirty specimens simulating a nonanatomic edentulous flat ridge with two implants and an overdenture were divided into 3 groups according to the color of the fitted insert: transparent clear group (n = 10), pink group (n = 10), and blue group (n = 10). Retention forces were measured in an axial direction initially and after 100,000 cycles of simulated masticatory loads. One-way ANOVA followed by Tukey's post hoc tests were used to compare retention values and percentage retention loss between the 3 groups with significance set at p = 0.05.

Results

The 3 groups presented significant differences in retention at baseline (9.95 ± 1.91 N, 15.43 ± 4.08 N, and 41.73 ± 9.29 N for the blue, pink, and clear groups, respectively) and after simulated mastication (6.37 ± 2.64 N, 14.00 ± 3.89 N, 38.20 ± 5.11 N for the blue, pink, and clear groups, respectively). Within the same group, cyclic loading did not significantly affect retention in the clear and pink groups, while the blue inserts showed a significant retention loss (-37%) after loading.

Conclusions

The results suggest that short-term simulated mastication affects the extra-light blue inserts but not the more-retentive inserts.

Thursday, September 21, 2017

Color stability of lithium disilicate ceramics after aging and immersion in common beverages

Abstract



 

Statement of problem

The color of an esthetic restoration and its color stability are important for long-term success. However, the impact of common beverages on lithium disilicate ceramic is not well known.

Purpose

The purpose of this in vitro study was to investigate color variations of lithium disilicate ceramics after thermal cycling (TC) and immersion in commonly consumed beverages.

Material and methods

A total of 288 specimens (1×10×10 mm) were fabricated from IPS e-max computer-aided design (CAD) (n=72), IPS e-max CERAM ([CER] n=72), IPS e-max Press with glazing ([PG] n=72), and IPS e-max Press without glazing ([PNG] n=72) according to the manufacturer's instructions. Each group was divided into 4 subgroups (n=18): TC, coffee, black tea, and red wine. Thermal cycling was performed at 21 900 cycles at 5°C, 37°C, 55°C, and 37°C (3 years’ clinical simulation), whereas the specimens were soaked in the staining solutions for up to 54 hours (3 years’ clinical simulation). Color parameters L*, a*, and b* were assessed with an ultraviolet-visible spectroscopy recording spectrophotometer. Color difference (ΔE) was calculated using the equation [ΔΕ= [(ΔL*)2 + (Δa*)2 + (Δb*)2]½]. Intraexaminer reliability was assessed by using the intraclass correlation coefficient. Two-way analysis of variance was used for the analysis of ΔΕ, and the parameters L*, a*, and b* were analyzed with linear mixed models for repeated measurements and the Bonferroni pair-wise comparison test (α=.05).

Results

Parameters ΔΕ, L*, a*, and b* were significantly affected by the interaction between material and treatment (P<.001). A ΔΕ >1 was recorded for PG with tea, wine, and coffee, PG after TC and CER after TC. For L*, greater reduction was observed for PNG with tea and CER after TC, whereas for a* significant changes were positive (to red shades), except for PNG with TC, where PNG with wine showed the greatest positive change. For b*, significant changes were negative (to blue shades) except for PNG with tea and coffee and CAD with tea.

Conclusions

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Wednesday, September 20, 2017

Short dental implants: A scoping review of the literature for patients with head and neck cancer

Journal of Prosthetic Dentistry Published online: September 16, 2017

Abstract

Statement of problem

Dental implants can be essential in the rehabilitation of various cancer defects, but their ideal placement can be complicated by the limited dimensions of the available host bone. Surgical interventions developed to increase the amount of bone are not all predictable or successful and can sometimes be contraindicated. Short dental implants have been suggested as an alternative option in sites where longer implants are not possible. Whether they provide a successful treatment option is unclear.

Purpose

The purpose of this study was to review the literature on short dental implants and assess whether they are a viable definitive treatment option for rehabilitating cancer patients with deficient bone.

Material and methods

A scoping review of the literature was performed, including a search of established periodontal textbooks for articles on short dental implants combined with a search of PubMed, MEDLINE, EMBASE, Web of Science, and Cochrane Database of Systematic Reviews. A search for all literature published before June 2016 was based on the following keywords: [‘dental implants’ OR ‘dental implantation, endosseous’ OR ‘dental prosthesis, implant supported’] AND [short].

Results

The minimum acceptable implant length has been considered to be 6 mm. The survival rates of short implants varied between 74% and 96% at 5 years, depending on factors such as the quality of the patient’s bone, primary stability of the implant, clinician’s learning curve, and implant surface. Short implants can achieve results similar to those of longer implants in augmented bone and offer a treatment alternative that could reduce the need for invasive surgery and associated morbidity and be safer and more economical.

Conclusions

Short dental implants (6 mm to 8 mm) can be used successfully to support single or multiple fixed reconstructions or overdentures in atrophic maxillae and mandibles. The use of short dental implants lessens the need for advanced and complicated surgical bone augmentation procedures, which reduces complications, costs, treatment time, and morbidity. Short implants could be an alternative in the rehabilitation of patients with cancer.

Tuesday, September 19, 2017

Digital versus conventional implant impressions for partially edentulous arches: An evaluation of accuracy

Journal of Prosthetic Dentistry Published online: September 16, 2017

Abstract

Statement of problem

To the authors’ knowledge, while accuracy outcomes of the TRIOS scanner have been compared with conventional impressions, no available data are available regarding the accuracy of digital impressions with the Omnicam and True Definition scanners versus conventional impressions for partially edentulous arches.

Purpose

The purpose of this in vitro study was to compare the accuracy of digital implant impressions using 2 different intraoral scanners (IOSs) with that of conventional impressions for partially edentulous arches.

Material and methods

Two partially edentulous mandibular casts with 2 implant analogs with a 30-degree angulation from 2 different implant systems (Replace Select RP; Nobel Biocare and Tissue level RN; Straumann) were used as controls. Sixty digital models were made from these 2 definitive casts in 6 different groups (n=10). Splinted implant-level impression procedures followed by digitization were used to produce the first 2 groups. The next 2 groups were produced by digital impression with Omnicam. The last 2 groups were produced by digital impression with the True Definition scanner. Accuracy was evaluated by superimposing the digital files of each test group onto the digital file of the controls with inspection software.

Results

The difference in 3-dimensional (3D) deviations (median ±interquartile range) among the 3 impression groups for Nobel Biocare was statistically significant among all groups (P<.001), except for the Omnicam (20 ±4 μm) and True Definition (15 ±6 μm) groups; the median ±interquartile range for the conventional group was 39 ±18 μm. The difference in 3D deviations among the 3 impression groups for Straumann was statistically significant among all groups (P=.003), except for the conventional impression (22 ±5 μm) and True Definition (17 ±5 μm) groups; the median ±interquartile range for the Omnicam group was 26 ±15 μm. The difference in 3D deviations between the 2 implant systems was significant for the Omnicam (P=.011) and conventional (P<.001) impression techniques but not for the True Definition technique (P=.247).

Conclusions

Within the limitations of this study, both the impression technique and the implant system affected accuracy. The True Definition technique had the fewest 3D deviations compared with the other 2 techniques; however, the accuracy of all impression techniques was within clinically acceptable levels, and not all differences were statistically significant.