Thursday, November 30, 2017

Its Flosstime!!!

Flossing is one of those habits that many people just try and avoid. Well now there is a great little device to try and make it easier. Its called Flosstime!

Flosstime is the world’s first automated floss dispenser, designed to create lifelong flossing habits for you and your family.

Flosstime uses a proven, habit-forming process to help you remember to floss your teeth daily. With a simple push of a button, Flosstime dispenses the perfect amount of floss, cuts it and times your flossing routines. Once finished, the device will light up with a beautiful smile to reward you for a job well done. Forget to floss? You'll get an orange frown. Using the three Rs of habit forming--Reminder, Routine, Reward--Flosstime helps you and your family build healthy, lifelong habits. The device is powered by two standard AA batteries and comes with an easily replaceable floss cartridge. We also offer colorful and fun animal snap-ons to make flossing fun for kids!

Check out the video

Tuesday, November 28, 2017

Accuracy of extraoral bite-wing radiography in detecting proximal caries and crestal bone loss.

J Am Dent Assoc. 2017 Oct 28. pii: S0002-8177(17)30788-2. doi: 10.1016/j.adaj.2017.08.032. [Epub ahead of print]

Abstract

BACKGROUND:

Extraoral bite-wing (EB) radiography is an imaging technology used in dentistry. The authors conducted an in vivo study comparing the accuracy of intraoral bitewing (IB) radiographs and EB radiographs for proximal caries and bone loss diagnosis.

METHODS:

The authors recruited 116 patients who received IB radiographs to receive EB radiographs. The 5 calibrated authors made a consensus radiographic diagnosis of proximal caries and crestal bone loss. For this study, they assumed IB radiographs as the criterion standard. Next, they obtained EB radiographs for the 116 patients and calculated sensitivity, specificity, and false-positive rates against each patient's IB radiograph.

RESULTS:

The patients' EB radiographs revealed a significantly greater number of caries and crestal bone loss findings compared with their IB radiographs. The EB radiographs had a high to excellent sensitivity and moderate to low specificity of caries and crestal bone loss findings, respectively. Considering IB radiographs to be the criterion standard, the false-positive rate for EB radiographs was moderate for caries and high for bone loss diagnosis.

CONCLUSIONS:

The EB radiographs, which generate fewer images of overlapping proximal surfaces, have the advantage of detecting more carious lesions and bone loss findings than the IB radiographs do, but with the disadvantage of more false-positive diagnoses. Further research is needed to evaluate if the false-positive findings represent true carious lesions and bone loss.

PRACTICAL IMPLICATIONS:

EB radiography is a promising technology, which has several advantages over traditional IB radiography. Clinicians should be aware of false-positive diagnosis of caries and bone loss with EB radiography.

Seattle Study Club® Partners with 3Shape to offer advanced education in digital dentistry solutions


 
Seattle, WA (November 26, 2017)—Seattle Study Club (SSC) announced today that it has partnered with 3Shape, a global leader in 3D scanners and dental CAD/CAM software solutions.
 
Tais Clausen, 3Shape co-founder and co-CEO, stated that “3Shape is honored to be selected as an industry partner for the Seattle Study Club. At 3Shape, we strive to create innovative solutions inspired by our close work with leading professionals. Seattle Study Club provides a terrific forum for gathering and sharing best practices as well as an opportunity for us to contribute with advanced SSC education programs and demonstrate how our award-winning eco-system of digital dentistry solutions helps dentists, labs, orthodontists and surgeons to work more predictably and seamlessly. Together, we are changing dentistry,” he concludes.
 
“The Seattle Study Club network is recognized as one of the most advanced continuing education groups for dental professionals in the world, providing clinicians with the tools to become more proficient at comprehensive patient diagnosis and case treatment planning available,” said Dr. Michael Cohen, founder of the Seattle Study Club, Inc. “3Shape's commitment to the highest quality digital scanning technology will enhance Seattle Study Club's protocols for initial  case documentation, establishing more accurate diagnoses and facilitating comprehensive interdisciplinary team treatment planning.”
 
The Seattle Study Club organization is often referred to as a university without walls. It is recognized as one of the most advanced continuing education groups for dental professionals in the nation. Members participate in hands-on demonstrations, problem-solving workshops, panel discussions, and clinical treatment planning sessions. The Seattle Study Club network consists of more than 270 affiliated clubs around the world with a combined membership of more than 8,000 clinicians. For more information, visit www.seattlestudyclub.com.
###
About 3Shape
3Shape is changing dentistry together with dental professionals across the world by developing innovations that provide superior dental care for patients. Our portfolio of 3D scanners and CAD/CAM software solutions for the dental industry includes the multiple award-winning 3Shape TRIOS intraoral scanner, the upcoming 3Shape X1 CBCT scanner, and market-leading scanning and design software solutions for dental labs. Two graduate students founded 3Shape in Denmark’s capital in the year 2000. Today, 3Shape has over 1,000 employees serving customers in over 100 countries from an ever-growing number of 3Shape offices around the world. 3Shape’s products and innovations continue to challenge traditional methods, enabling dental professionals to treat more patients more effectively. www.3shape.com

Monday, November 27, 2017

Three-camera setup to record simultaneously standardized high-definition video for smile analysis


Introduction

Our objective was to develop a photographic setup that would simultaneously capture subjects' smiles from 3 views, both statically and dynamically, and develop a software to crop the produced video clip and slice the frames to study the smile at different stages.

Methods

Facial images were made of 96 subjects, aged 18 to 28 years, in natural head position using a standardized setup of 3 digital single lens reflex cameras, with a reference sticker (10 × 10 mm) on the forehead of each subject. To test the reproducibility of the setup, 1 operator took 3 images of all subjects on the same day and on 3 different days in a subset of 26 subjects.

Results

For the same-day observations, correlation coefficients varied between 0.87 and 0.93. For the observations on 3 different days, correlation coefficients were also high. The duplicate measurement error and the mean difference between measurements were small and not significant, pointing to good reliability.

Conclusions

This new technique to capture standardized high-definition video and still images simultaneously from 3 positions is a reliable and practical tool. The technique is easy to learn and implement in the orthodontic office.

Tuesday, November 21, 2017

Comparison of the effect of endodontic-periodontal combined lesion on the outcome of endodontic microsurgery with that of isolated endodontic lesion: survival analysis using propensity score analysis

Original Article

Abstract

Objectives

The purpose of this retrospective clinical study was to evaluate the effect of lesion types related to endodontic microsurgery on the clinical outcome.

Materials and methods

Patients who underwent endodontic microsurgery between March 2001 and March 2014 with a postoperative follow-up period of at least 1 year were included in the study. Survival analyses were conducted to compare the clinical outcomes between isolated endodontic lesion group (endo group) and endodontic-periodontal combined lesion group (endo-perio group) and to evaluate other clinical variables. To reduce the effect of selection bias in this study, the estimated propensity scores were used to match the cases of the endo group with those of the endo-perio group.

Results

Among the 414 eligible cases, the 83 cases in the endo-perio group were matched to 166 out of the 331 cases in the endo group based on propensity score matching (PSM). The cumulated success rates of the endo and endo-perio groups were 87.3 and 72.3%, respectively. The median success period of the endo-perio group was 12 years (95% CI: 5.507, 18.498). Lesion type was found to be significant according to both Log-rank test (P = 0.002) and Cox proportional hazard regression analysis (P = 0.001). Among the other clinical variables, sex (female or male), age, and tooth type (anterior, premolar, or molar) were determined to be significant in Cox regression analysis (P < 0.05).

Conclusion

Endodontic-periodontal combined lesions had a negative effect on the clinical outcome based on an analysis that utilized PSM, a useful statistical matching method for observational studies.

Clinical relevance

Lesion type is a significant predictor of the outcome of endodontic microsurgery.

Monday, November 20, 2017

Academy of Laser Dentistry Hosts Three Educational Sessions at GNYDM



Coral Springs, FL – November 15, 2017 –  The Academy of Laser Dentistry (ALD) the only independent and unbiased non-profit association dedicated to improving patient care with the proper use of laser technology, will carry on its mission with three hands-on sessions during the upcoming Greater New York Dental Meeting.

According to ALD president, Dr. Charles Hoopingarner, “I’m very excited to be co-presenting three valuable courses with my friend and colleague, Dr. Edward Kusek. As always, the ALD will provide hands on clinical training on many different lasers for both the new laser user as well as the more experienced clinician.” 

The ALD-hosted courses are as follows:

·       Hands-On Introduction to Lasers – Tech Talk / 3 CEUs
Monday, 11/27/17 l 9:45 – 12:00 l Exhibit Floor # 6216

Laser Tech Talk” provides an overview of clinical applications of lasers in contemporary dental practice. Interactive discussions will provide a balanced view of dental laser wavelengths, techniques and applications. Various laser manufacturers are present during the workshop to demonstrate the best of their products in a workshop forum. Attendees listen to each 10-minute “Tech Talk”; then rotate to demonstrate hands-on exercises specific to different lasers led by course faculty. Click here to register. Attendees will learn the following:
  • A basic understanding of dental laser wavelengths for hard and soft tissue procedures, diagnosis and treatment
  • Laser tissue interaction, its effects and results
  • Basic laser physics, how lasers work and brief laser safety considerations
·       Get the Most out of Diode Lasers / 3 CEUs
Monday, 11/27/17 l 2:00 – 5:00 l Exhibit Floor # 6216

Appropriate for the entire clinical team, this hands-on program covers safety protocol with the diode laser.  Attendees will gain confidence by practicing procedures which can be applied as soon as they return to their office. Click here to register. Attendees will learn the following:

o   How to perform: biopsies, create ovate pontic space, lAPT, removal of venous lake, aesthetic gingival recontouring, tissue troughing and implant uncovering
o   The correct energy levels when using a diode laser to perform previous listed procedures safely

·       Diode Laser Basic Competency Course - Laser Workshop / 6CEUs
Tuesday, 11/28/17 l 9:45 – 12:45 & 2:00 – 5:00 l Exhibit Floor #107

This 6-hour program includes both a lecture and hands-on portion covering a comprehensive overview and basic understanding of the diode dental laser. This program focuses on laser tissue interactions as well as the safety and operation of a variety of diode lasers that are provided by numerous companies. Attendees will be given a list of procedures to complete during this workshop. This program satisfies the ALD’s basic competency course. Click here to register. Here’s what will be covered:

o   Popular diode laser procedures such as tissue troughing, frenectomies, laser sculpting in smile design, photo biomodulation to aid in wound healing, removable of redundant tissue for orthodontics and non-invasive periodontal procedures
o   Correct safety procedures for staff, clinician and patient
o   How diode lasers interact with soft tissue dental tissues

“The programs hosted by the ALD at the Greater New York Dental Meeting are just a snapshot of the in-depth laser dentistry curriculum we provide during our annual scientific sessions,” explained ALD executive director Gail Siminovsky. “Our upcoming scientific session in April will be our biggest annual event to date. Our theme is Innovation, Illumination, Imagination – Celebrating Laser Dentistry 25 Years and Beyond.”

ALD2018 will take place from April 26-28th at the Caribe Royale Orlando, Florida. For more information and to register, visit http://www.laserdentistry.org/index.cfm/conference

About the Academy of Laser Dentistry
The Academy of Laser Dentistry (ALD) is the only independent and unbiased non-profit association devoted to laser dentistry and includes clinicians, academicians and researchers in all laser wavelengths. The Academy is devoted to clinical education, research, and the development of standards and guidelines for the safe and effective use of dental laser technology. ALD was founded in 1993, with the merging of the International Academy of Laser Dentistry, the North American Academy of Laser Dentistry and the American Academy of Laser Dentistry. For more information, visit www.LaserDentistry.org.

Friday, November 17, 2017

Dentsply Sirona reintroduces the CEREC® MC Milling Unit to the U.S. market



The entry-level milling solution is available again as part of the U.S. CEREC product portfolio, offering an attractive and affordable path to digital dentistry and single-visit restorations 

CHARLOTTE, N.C., Nov. 14, 2017- Dentsply Sirona announced today the reintroduction of the CEREC MC Milling Unit to the U.S. dental market.
CEREC MC is ideal for practitioners who are interested in single- visit chairside inlays, onlays, and single-unit veneers and crowns. With the ability to wet grind and dry mill, dentists can use a vast array of chairside materials to produce single-unit restorations in one office visit.
Used in conjunction with CEREC Omnicam, CEREC MC:
  • Provides fully-anatomical single-unit restorations
  • Supports block sizes up to 20 mm
  • Can produce ceramics, glass ceramics, lithium discilicate
    blocks and more
  • Mills zirconium oxide and polymers
  • Is dry-mill ready
  • Offers an ideal entry option into digital dentistry and
    single-visit restorations
    The milling unit is part of the plug-and-play CEREC workflow. Simply scan, design and produce for strong, beautiful restorations in just a single patient visit.
    “We used to say CAD/CAM was the future of dentistry, and as we enter 2018, it’s become clear that it is now the present,” said Director of Marketing, Clinical CAD/CAM Lou Vodopivec. “CEREC MC offers a cost-effective option to incorporate efficient workflows, improving productivity and patient satisfaction. We are excited to reintroduce this high-quality product with a flexible upgrade path that grows with the needs of the practice.”
    Providing an avenue for future development, Dentsply Sirona is offering an upgrade path for anyone who purchases a CEREC MC Milling Unit between now and June 1, 2018. All MC units purchased

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.
between the aforementioned dates are eligible for an upgrade to the CEREC MC XL Practice Lab Milling Unit within 24 months of ownership*.
To learn more, visit www.cerecforeveryone.com or contact your local Dentsply Sirona representative.
*To qualify for the MC XL Practice Lab upgrade, customer must take delivery, be invoiced and unit must be installed by June 1, 2018. Additionally, customer must pay the difference in MSRP of CEREC MC and CEREC MC XL Practice Lab established at time of original purchase. The upgrade offer is only available within 24 months of original purchase of CEREC MC. Must be a U.S. practicing dentist. This promotion cannot be combined with any other offer, and specifically does not include the SpeedFire furnace or the Consumables Bundle valued at $5,000. Dentsply Sirona reserves the right to discontinue program at any time without notice. Other terms and conditions may apply.

Thursday, November 16, 2017

TAUB to launch STELLAR DC Acrylic at GNYDM

TAUB Products, a long-time manufacturer of dental consumable products, announced the launch of STELLAR DC Acrylic at the upcoming Greater New York Dental Meeting.

STELLAR DC Acrylic, a dual-cure resin, is great for creating patterns for copings and models, and indexing of implants. It can be light-cured in 20 seconds or will cure on its own in 60. It provides the fastest production time of any pattern resin and acrylic, burns out completely and leaves no residue. The material can be layered, reproduces detail accurately, and grinds easily.

“STELLAR DC Acrylic is a great addition to our product line,” stated Jordan Taub, executive vice-president at TAUB Products. “Using our chemistry and technology we can now offer the CDT and prosthodontist an acrylic that increases production by dramatically reducing production times, which helps the bottom line. STELLAR’s on-demand continuous flow of material allows quick and easy fabrication,” he added. 

STELLAR DC Acrylic is available through authorized dental dealers nationwide and will be featured with other fine TAUB products at the TAUB booth #2708 during the 2017 Greater New York Meeting from November 26-29.

TAUB Products provides innovative, high quality solutions for dental professionals. For more information on TAUB and its products, call 800-828-2634, or go to www.taubdental.com.

Wednesday, November 15, 2017

Effects of low-level laser irradiation on the rate of orthodontic tooth movement and associated pain with self-ligating brackets



Introduction

The aim of this study was to evaluate the effect of low-level laser irradiation applied at 3-week intervals on orthodontic tooth movement and pain associated with orthodontic tooth movement using self-ligating brackets.

Methods

Twenty-two patients (11 male, 11 female; mean age, 19.8 ± 3.1 years) with Angle Class II Division 1 malocclusion were recruited for this split-mouth clinical trial; they required extraction of maxillary first premolars bilaterally. After leveling and alignment with self-ligating brackets (SmartClip SL3; 3M Unitek, St Paul, Minn), a 150-g force was applied to retract the canines bilaterally using 6-mm nickel-titanium closed-coil springs on 0.019 x 0.025-in stainless steel archwires. A gallium-aluminum-arsenic diode laser (iLas; Biolase, Irvine, Calif) with a wavelength of 940 nm in a continuous mode (energy density, 7.5 J/cm2/point; diameter of optical fiber tip, 0.04 cm2) was applied at 5 points buccally and palatally around the canine roots on the experimental side; the other side was designated as the placebo. Laser irradiation was applied at baseline and then repeated after 3 weeks for 2 more consecutive follow-up visits. Questionnaires based on the numeric rating scale were given to the patients to record their pain intensity for 1 week. Impressions were made at each visit before the application of irradiation at baseline and the 3 visits. Models were scanned with a CAD/CAM scanner (Planmeca, Helsinki, Finland).

Results

Canine retraction was significantly greater (1.60 ± 0.38 mm) on the experimental side compared with the placebo side (0.79 ± 0.35 mm) (P <0 .05="" 1.4="" 2.4="" after="" and="" application="" at="" compared="" day="" experimental="" first="" less="" llli="" nbsp="" of="" on="" only="" p="" pain="" placebo="" second="" side="" sides="" significantly="" the="" visit="" was="" with="">

Conclusions

Low-level laser irradiation applied at 3-week intervals can accelerate orthodontic tooth movement and reduce the pain associated with it.

Tuesday, November 14, 2017

Clinical survival of chair-side generated monolithic lithium disilicate crowns:10-year results

Original Article

Abstract

Objectives

Nowadays, all-ceramic materials are routinely used within the treatment of patients in dentistry. The objective of this prospective clinical trial was the evaluation of chair-side generated monolithic lithium disilicate crowns after 10 years.

Materials and methods

Forty-one posterior full contour crowns made of lithium disilicate ceramics were inserted with a self-adhesive resin cement in 34 patients (20 university/14 private practice) using a chair-side CAD/CAM technique. One crown per patient was randomly selected for evaluation according to the modified US Public Health Service criteria.

Results

After a mean examination time of 10.1 years, 26 crowns were available for re-examination. Within the observation period, five failures occurred due to one crown fracture after 2.9 years, an abutment fracture after 6.0 years, one severe endodontic problem after 6.1 years, a root fracture after 7.0 years, and a replacement of one crown caused by a carious lesion after 10 years. Complications occurred as retention loss of one crown, two carious lesions, and a change in sensibility perception of two abutment teeth. All events were associated with molars. The Kaplan-Meier analysis revealed a survival rate of 83.5% and a complication-free rate of 71.0% after 10 years.

Conclusion

Due to the small amount of technical complications and failures, the clinical performance of monolithic lithium disilicate crowns was completely satisfying.

Clinical relevance

The insertion of chair-side fabricated monolithic lithium disilicate crowns can be recommended for long-term use in the posterior region.

Monday, November 13, 2017

MouthWatch, LLC Showcasing Teledentistry for Urban and Suburban Private Practices During the Greater New York Dental Meeting




Metuchen, NJ – November 13, 2017 – MouthWatch, LLC a leader in intraoral imaging, digital case presentation and teledentistry solutions, will be showcasing private practice applications of its TeleDent™ teledentistry platform at booth #3430 during the Greater New York Dental Meeting.

According to MouthWatch CEO Brant Herman, “For the past few years, our TeleDent™ all-in-one teledentistry platform has been proving itself on the front lines of public health and other innovative care delivery models of dentistry.  The Greater New York meeting is an ideal place to introduce TeleDent™ to private practice specialists and GP dentists from both urban and suburban areas. We’re looking forward to demonstrating the benefits of virtual collaboration and secure case data sharing.”

Herman says the cost-effectiveness and ease-of-use his company’s TeleDent™ platform make it well-suited for the following teledentistry applications:

·       Specialist/GP Collaboration – Teledentistry is a catalyst for collaborative care and increased referrals. The results include positive patient outcomes and reduced risk of failure in complex cases.

·       Dentist-Owned Hygiene Clinics –A full service dental office can be linked to remote hygiene clinics that the dentist also owns and operates.

·      DSO Resource Sharing – Teledentistry enables DSOs and groups to offer live or asynchronous consults with a rotating specialist no matter which location they are currently working in.

·       Dentist / Dental Lab Collaboration –  Dentists and dental lab operators can
share CBCT images, digital impression files and patient photos to increase case accuracy and ultimately ensure patient satisfaction. This capability can be especially valuable in treatment planning and completing complex restorative cases.

“Of course, we will continue to serve the public health sector and assist with improving access to and equity of care,” explained Herman. “At the same time, TeleDent™ provides unique business and clinical opportunities for private practices and DSOs in urban and suburban settings. It’s is an ideal way for these practices to implement teledentistry. Our mission is to transform and enhance the delivery of care throughout dentistry.”

For more information about MouthWatch, visit www.MyMouthWatch.com, call 877-544-4342 or send an email to Info@MouthWatch.com.

About MouthWatch, LLC:  
Headquartered in Metuchen, New Jersey, MouthWatch, LLC is a leader in intraoral imaging devices, digital case presentation tools and teledentistry solutions. The company is dedicated to finding new ways to constantly improve the dental health experience for both patient and provider

The founders and management team of MouthWatch have relevant backgrounds and successful track records in dentistry, consumer products and communications. Since 2012, this team has pioneered the integration of digital imagery and communications technology in the field of dentistry. Their cumulative experience makes it possible for the company to take the lead in introducing the benefits of telemedicine to the world of dentistry.

Friday, November 10, 2017

How compliant are dental practice Facebook pages with Australian health care advertising regulations? A Netnographic review

  • Highly doubt based on my facebook feed that the results would be any different in the US. MJ

Abstract

Background

The National Law that regulates the dental and other health care professions in Australia sets out regulations that dictate how dental practices are to advertise. This study examines the extent to which the profession complies with these regulations and the potential impact that advertising may have upon professionalism.

Methods

A Facebook search of 38 local government areas in Sydney, New South Wales, was carried out to identify dental practices that had pages on this social media site. A framework for assessment of compliance was developed using the regulatory guidelines and was used to conduct a netnographic review.

Results

Two hundred and sixty-six practice pages were identified from across the 38 regions. Of these pages, 71.05% were in breach of the National Law in their use of testimonials, 5.26% displayed misleading or false information, 4.14% displayed offers that had no clear terms and conditions or had inexact pricing, 19.55% had pictures or text that was likely to create unrealistic expectations of treatment benefit and 16.92% encouraged the indiscriminate and unnecessary utilization of health services.

Conclusions

This study found that compliance with the National Law by the Facebook pages surveyed was poor.

Thursday, November 09, 2017

NHS targets super-sized chocolate bars in battle against obesity, diabetes and tooth-decay

Hospitals have been ordered to take super-size chocolate bars and “grab bags” of sugary snacks off of the shelves in the latest step of the NHS plan to fight obesity, diabetes and tooth-decay.
NHS England chief executive Simon Stevens has announced a 250 calorie limit on confectionary sold in hospital canteens, stores, vending machines and other outlets.
Hospital chiefs will have to ensure that four out of five items purchased on their premises do not bust the limit, which is an eighth of a woman’s and a tenth of a man’s recommended daily intake, or lose out on funding ring-fenced for improving the health of staff, patients and their visitors.
Unhealthy sandwiches and drinks are also being targeted as the NHS, Europe’s largest employer, takes a lead in tackling the availability of unhealthy food and drinks that are fuelling an obesity crisis.
Simon Stevens, NHS England’s chief executive, said: “The NHS is now stepping up action to combat the ‘super-size’ snack culture which is causing an epidemic of obesity, preventable diabetes, tooth decay, heart disease and cancer.
“In place of calorie-laden, sugary snacks we want to make healthier food an easy option for hospital staff, patients and visitors.”
Action has already been taken to remove price promotions and stop sales at checkouts on sugary drinks and foods high in fat, sugar or salt; end advertisements of these foods on NHS premises; and ensure healthy food options are available at all times, including for those people working night shifts.
In April NHS England announced that leading retailers  – WH Smith, Marks & Spencer, Greggs, the SUBWAY(r) brand, Medirest, ISS and the Royal Voluntary Service – have agreed to continue voluntarily reducing sales of sugary drinks to 10 per cent or less of their total drinks sales within hospitals over the coming year.
In 2018/19 health services will get financial incentives if they make further efforts, currently including:
  • 80 per cent of confectionery and sweets stocked do not exceed 250 kcal.
  • 75 per cent of pre-packed sandwiches and other savoury pre-packed meals to contain 400 kcal or less per serving and do not exceed five grams of saturated fat per 100g.
  • 80 per cent of drinks line stocked must have less than 5g of added sugar per 100ml.
Dr Alison Tedstone, chief nutritionist at Public Health England, said: “Hospitals have an important role in addressing obesity – not just treating those suffering the consequences, but helping to prevent it in the first place. Any plans to offer healthier food are a positive step towards tackling the country’s obesity problem.”
Andrew Roberts, Business Enterprise Manager for Royal Voluntary Service said: “Our shops, cafes and on-ward trolley services in England and Wales meet the current CQUIN requirements and we welcome the decision of NHS England to put these new measurements in place.
“We took an early lead on the NHS workforce healthy agenda by introducing our Healthier Choices programme and it is already having a significant effect on consumer behaviour.  In the first quarter of 2017, year on year sales of fruit increased by 25%, healthier chilled snacks like salad and sushi by 55% and healthier sweet and savoury snacks like popcorn and dried fruit by 109%.
“We will be implementing these new guidelines and are hopeful that they will result in healthier food being a more consistent feature in all Hospital retailers.”

Wednesday, November 08, 2017

A longitudinal study of the relationship between dental caries and obesity in late childhood and adolescence


Abstract

Objectives

To determine whether caries experience in late childhood (aged 7-9 years) was predictive of adolescent obesity (ages 12-16 years) to inform the use of a common risk factor approach (CRFA) for prevention.

Methods

A cohort study was conducted in an area of North West England. Clinical assessment of caries took place using the same methodology at ages 7-9 years and 12-16 years. Body mass index (BMI) category was calculated from height and weight measurements using age and gender specific cut-offs at 12-16 years only. The association between dependent variable (BMI category dichotomized as underweight/normal and overweight/obese) and explanatory variables (baseline and follow-up dental caries and sociodemographic status) adjusted for age, was assessed.

Results

At baseline, 5,470 (96.8 percent) participants took part and information was available for 2,958 (54.1 percent) participants at follow-up. Univariate analysis indicated that BMI category in adolescence was not shown to be significantly associated with: the presence or absence of caries in late childhood (P = 0.61); in adolescence (P = 0.06); gender (P = 0.91); or deprivation (P = 0.35). Multivariate logistic regression indicated that BMI category in adolescence was not predicted by caries in late childhood or adolescence, after adjusting for sociodemographic variables.

Conclusion

Caries and obesity were highly prevalent in this population. Caries in childhood was not shown to be associated with obesity in adolescence and there was no cross-sectional association between the two diseases in adolescence. A CRFA is not precluded, however, the results suggest that additional interventions, specific for each disease, are required to prevent obesity and caries.

Tuesday, November 07, 2017

Tooth Color as a Predictor of Oral Health-Related Quality of Life in Young Adults

Abstract

Purpose

Smiling plays an important role in social interaction. The purpose of this research was to explore the extent to which objective parameters of color of one's own teeth affected the social and emotional dimensions of young adults’ lives.

Materials and Methods

The sample included 134 subjects—students of the University of Rijeka, Croatia (65% female) aged 19 to 28 years (median 21). All subjects had six intact maxillary anterior teeth without restorations or severe malocclusions and healthy gingiva with no signs of inflammation. Tooth color was assessed intraorally using a spectrophotometer. Lightness, chroma, and translucency of the right maxillary central incisors (the reference teeth) were calculated and used for analysis. Subjects reported dimensions of their oral health-related quality of life (OHRQoL) using the Oral Health Impact Profile (OHIP), Orofacial Esthetic Scale (OES), and the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Linear relationships between elements of tooth color and OHRQoL were explored using Pearson correlations. Multiple linear regression, while controlling for the influence of age and gender, was also calculated. ANOVA with a Tukey post hoc test was employed to test whether nonlinear relationships existed between OHRQoL and categories of color elements.

Results

Dental self-confidence, esthetic concerns, orofacial appearance, social impact and psychological impact were not related to lightness, chroma, or translucency of the subjects’ teeth. Neither linear nor nonlinear relationships were detected between those aspects. Satisfaction with smile esthetics was only related to translucency where subjects with moderate translucency were least likely to be satisfied (p = 0.033). Women tended to report greater psychosocial impacts than men (p < 0.05), regardless of their tooth color.

Conclusion

According to the results of this study objective, measurable, quantitative parameters of tooth color did not accurately predict psychosocial dimensions of OHRQoL in dentate young adults.

Monday, November 06, 2017

Analysis of Shade Matching in Natural Dentitions Using Intraoral Digital Spectrophotometer in LED and Filtered LED Light Sources


Abstract

Purpose

To evaluate the shade matching capabilities in natural dentitions using Vita Toothguide 3D-Master and an intraoral digital spectrophotometer (Vita Easyshade Advance 4.0) in various light sources.

Materials and Methods

Participants between 20 and 40 years old with natural, unrestored right maxillary central incisors, no history of bleaching, orthodontic treatment, or malocclusion and no rotations were included. According to their shades, subjects were randomly selected and grouped into A1, A2, and A3. A total of 100 participants (50 male and 50 female) in each group were chosen for this study. Shade selection was made between 10 am and 2 pm for all light sources. The same examiner selected the shade of natural teeth with Vita Toothguide 3D-Master under natural light within 2 minutes. Once the Vita Toothguide 3D-Masterwas matched with the maxillary right central incisor, the L*, a*, and b* values, chroma, and hue were recorded with Vita Easyshade Advance 4.0 by placing it on the shade tab under the same light source. The values were statistically analyzed using one-way ANOVA and Tukey's HSD post hoc test with SPSS v22.0 software.

Results

The mean ∆E*ab values for shades A1, A2, and A3 for groups 1, 2, and 3 were statistically significantly different from each other (p < 0.001).

Conclusion

The intraoral digital spectrophotometer showed statistically significant differences in shade matching compared to Vita Toothguide 3D-Master. Incandescent light showed more accurate shade matching than the filtered LED, LED, and daylight.