Monday, July 31, 2017

Impact of biannual treatment with fluoride varnish on tooth-surface-level caries progression in children aged 1–3 years

A very interesting conclusion to this study MJ
Available online 22 July 2017



This study describes caries progression at tooth-surface level in children from 1-3 years of age and the impact of biannual treatment with fluoride varnish.


Children who participated in a cluster-randomized controlled trial and had shown signs of dental caries were included in this study (n = 801). International Caries Detection and Assessment System (ICDAS) was used to classify dental caries. The present study compared children receiving a standard yearly intervention to children receiving the same standard preventive intervention supplemented with an application of fluoride varnish every half year.


The maxillary incisors were the first teeth to develop cavitation (ICDAS 3–6) and also mostly affected. Further analyses focusing on maxillary incisors buccal surfaces showed that sound surfaces had least progression and that progression to extensive decay was more common in teeth that had exhibited moderate decay. A summarizing progression index (PI) was calculated for the buccal surfaces of the maxillary incisors. Between 1 and 2 years of age PI was 26% and between 2 and 3 years of age PI was 21%. The progression on buccal incisors and on occlusal first primary molars did not differ between intervention groups (p ≤ 0,05).


No impact on caries progression for biannual treatment with fluoride varnish was found. Clinical significance: Using fluoride varnish as a complement to standard intervention in toddlers did not add in the prevention of dental caries or its progression. The education of parents in the use fluoride toothpaste as they start brushing the teeth of their children is essential.

Friday, July 28, 2017

Sweet Taste Perception and Dental Caries in 13- to 15-Year-Olds: A Multicenter Cross-Sectional Study

Caries Res 2017;51:443-450


Dietary habits and, in particular, the intake frequency of sucrose are of major importance for the development of dental caries. The perception of sweet taste is believed to have an influence on sucrose intake and therefore affects the predisposition to dental caries. The aim was to study the caries experience and sweet taste perception and to further analyze the possible relationship between the 2 tested variables in 13- to 15-year-old children from 3 different geographical areas. A cross-sectional survey comprising 669 children (220 Italian, 224 Mexican, and 225 Saudi Arabian) was conducted. The children were examined in their school setting. A sweet taste perception level was determined by the sweet taste threshold (TT) and sweet taste preference (TP). The sweet test was performed with sucrose solutions varying in concentration from 1.63 to 821.52 g/L. The International Caries Detection and Assessment System (ICDAS) and DMFS indices were used to diagnose caries. The highest mean value for TT was found for Italian children followed by Saudi and Mexican. Saudi schoolchildren showed the highest mean values for TP and DMFS, followed by Italian and Mexican. A statistically significant difference for TP, TT, DMFS, and initial caries was found between the 3 countries. A weak yet positive correlation was found between taste perception (TT and TP) versus DMFS and manifest caries in all 3 countries (r = 0.137-0.313). The findings of the present study showed a variation in sweet taste perception between the 3 countries, which may influence the caries outcome of the children in the individual countries.

Thursday, July 27, 2017

A clinical trial of a novel emulsion for potential use as a saliva substitute in patients with radiation induced xerostomia

Accepted manuscript online:



Researchers have recently developed a novel oily formulation for potential use as a saliva substitute for the treatment of dry mouth. The aim of this randomised, cross-over study was to compare this new formulation to a currently available saliva substitute and a control of water on measures of mastication, subjective feeling of oral dryness and product acceptability.


Forty participants treated with radiotherapy to the head and neck and experiencing xerostomia were invited to participate in the trial. Each participant trialled all three products in a randomised order. The effect of each product was measured using the Test of Masticating and Swallowing Solids (TOMASS), the Shortened Xerostomia Inventory (SXI) and a questionnaire designed to test patient acceptability of each product. Outcome data were gathered in a single session after the first administration of each product to evaluate immediate effects, and after seven days of use to evaluate longer-term effects. Statistical analyses consisted of repeated measures analysis of variance and mixed models.


There was no evidence that application of the three formulations had an effect on any of the TOMASS measures, either immediately or after one week of use (p > 0.05). There was a significant main effect of formulation on the SXI score (p=0.02). Application of the novel emulsion resulted in a clinically small but significant improvement in SXI score (p<0 .01="" acceptability="" and="" application="" between="" difference.="" difference="" however="" in="" methylcellulose="" no="" of="" p="0.32)</p" participant="" products="" resulted="" significant="" the="" there="" three="" was="" water="">


The novel oily emulsion showed no clinically significant benefit over two existing products for relief of xerostomia. Indeed none of the three products demonstrated significant change in patient outcomes.

Wednesday, July 26, 2017

Curve Dental and NexHealth are working together to strengthen your practice!

NexHealth is a HIPAA-certified, patient relationship management suite that nicely compliments Curve Hero. You can retain and delight more patients with automated email/SMS recall messages and appointment reminders, one-tap appointment scheduling, digital wait-list management, and other patient-pleasing features.

To learn more, give NexHealth a call at 888-397-6399 or send them a message at I asked NexHealth for a savings specifically for Curve Dental customers and they were happy to oblige. Just mention this email and you'll receive a 10% discount on your NexHealth subscription.

Tuesday, July 25, 2017

The future of digital dentistry

Read the entire  DPR article where I discuss digital dentistry now and in the future 

Each month, Dr. Lou Shuman consults with a dental technology specialist to discuss the latest developments in digital dentistry, data security, social media trends, SEO strategies, website optimization, online reputation management, marketing and more. 
This month, Dr. Shuman sat down with Marty Jablow, DMD to discuss the future of digital dentistry, and how it will affect dental practice workflows and diagnostics.Where is digital dentistry heading in the dental office in 2017?
The progression continues. Front office staff are still migrating to the paperless office but are now incorporating many more online digital technologies. We’ve gone from just reminders to online reputation management, reviews and overall office efficiencies and production goals. The back office continues to evolve with patient treatment enhancements, such as digital caries detection and diagnostic devices, to digital impressions, CAD/CAM and 3D printing.

Dental Hygiene KOL Patti DiGangi Launches the Dental Codeologist Community Membership Program

The First Subscription-Based Program Providing Ongoing Education, Value and Interaction for Those Dedicated to Accurate Dental Coding

Addison, IL – July 20, 2017 – Patti DiGangi, RDH, BS, a prominent dental hygiene thought leader, recently launched The Dental Codeologist Community Membership Program.

The latest brand extension of her DentalCodelogy book series and her ROMA Manual on Dentistry, DiGangi is taking a member’s only approach to providing dental professionals with the latest news, tips and continuing education credits regarding CDT codes.

Also included are exclusive discounts on products and services from Dental Codeologist Partners such as GC America, Young Dental, Curaprox USA, ph2OH, MouthWatch, Xlear/Spry ACTEON North America, DentalPost, Crown Seating, Phaal, Air Techniques, LexiComp, Solutionreach and others.

According to DiGangi, “We developed a program that keeps the importance of accurate dental procedure coding top of mind in a continuous, interactive way while also providing ongoing dividends via CE credits, virtual consultation and some cool deals. I guess you can call me The Chief Dental Codeologist.”

For a nominal $8.25 a month (annual membership paid in full for only $99.00 a year), Dental Codeologists will receive the following member’s only benefits:

·       A monthly e-newsletter, The Dental Codeologist
·       Discounts on DentalCodeology and ROMA books
·       Discounted live and online CE credits at participating dental and hygiene meetings and via DentalPost
·       Discounts on products and services provided by a growing network of Dental Codeologist Partners
  • Monthly group mastermind calls with Patti DiGangi, RDH, BS
  • Savings on swell Dental Codeologist swag such as T-shirts, pens, etc. - "I'm a Dental Codeologist."
·       Invitation to join the private Dental Codeologist Facebook group for community interaction and discussion
  • Live, invitation-only Dental Codeologist meet-ups at hygiene and dental meetings

Dental professionals interested in learning the finer points of accurate dental procedure coding, for elevating the standard of patient care and improving practice profitability should join The Dental Codeologist Member Community by visiting For more information, send an email to

About Patti DiGangi:

Patti DiGangi, RDH, BS is an international speaker who is passionate about prevention and working with dental professionals to improve practice profitability. Patti is the author of the recently-published book A Gingivitis Code Finally! - The fifth installment in the DentalCodeology series of bite-size books for busy dental professionals. She also recently published The ROMA Manual of Dentistry – A Light-Hearted Yet Deadly Serious Look at The Dental Profession.

Patti’s latest endeavor is the just-launched Dental Codeologist Community – a member’s only program providing ongoing education, value and interaction for those dedicated to accurate dental coding for elevating the standard of patient care and improving practice profitability.

Patti holds publishing and speaking licenses with the American Dental Association for Current Dental Terminology and SNODENT Diagnostic Coding and recently authored a chapter in the American Dental Association’s CDT 2017 and CDT 2018 Companion entitled “D9000 – D9999 Adjunctive General Services.”

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Friday, July 21, 2017

Will Bioceramics be the Future Root Canal Filling Materials?

DOI: 10.1007/s40496-017-0147-x
Cite this article as:
Camilleri, J. Curr Oral Health Rep (2017). doi:10.1007/s40496-017-0147-x


Purpose of Review

Filling the root canal is necessary when the dental pulp is lost as the dead space will be colonised by bacteria, leading to reinfection of the root canal and treatment failure. Treatment methodology depends on the extent of root formation and the choice of materials available. This review looks at the classical clinical methods and also queries if the newer materials change the treatment rationale.

Recent Findings

There is considerable confusion with nomenclature for some classes of dental materials. The newer materials have specific features that may not address the treatment needs. Nonetheless, the use of bioceramics and related materials definitely modifies and improves treatment outcome.


The classical treatment methods for filling the root canals of both immature and mature teeth are quite well-established in clinical practice. Open apices are treated with calcium hydroxide paste for an extended period of time to stimulate barrier formation at the apex, and the roots are then obturated in a similar way to adult teeth using a solid cone and root canal sealer. With the introduction of bioceramics and related materials, treatment of the immature apex has been shortened to one to two visits. Bioceramic root canal sealers have changed the concept of root canal obturation from the concept of hermetic seal and inert materials to biological bonding and activity. The introduction of these materials has certainly changed the clinical outcomes of filling the root canals. Treatment time has been reduced, which is beneficial for the treatment of paediatric patients. The chemical bond and antimicrobial properties of the sealers in conjunction with hydraulic properties are promising and can potentially improve the clinical success of treatment. Further research is necessary to be able to define clinical protocols for the use of these materials in order to optimise their properties.

Thursday, July 20, 2017

A technique for immediately restoring single dental implants with a CAD-CAM implant-supported crown milled from a poly(methyl methacrylate) block


This technique is used when a single dental implant is placed. A stent made of autopolymerized acrylic resin was used to transfer the implant position to the laboratory. Once the implant position was transferred, the stone cast was scanned, and a computer-aided design and computer-aided manufacturing (CAD-CAM) interim implant-supported crown was milled from a poly(methyl methacrylate) (PMMA) block. A titanium insert, in contact with the implant platform and not the PMMA material, was used to support the crown. The interim prosthesis was then placed intraorally. The soft tissues were sutured, and the interim prosthesis was left for a period of at least 3 months to confirm osseointegration and allow the soft tissue to heal. A CAD-CAM titanium impression coping was made and used for the definitive impression. The contours of the impression coping were identical to the contours of the interim restoration. The data of the digital design of the interim prosthesis were saved, and the definitive prosthesis was fabricated with contours identical to those of the interim prosthesis.