Wednesday, December 31, 2008

Happy New Year 2009


Well another year has come and gone. There have been both ups and downs just like every other year. I want to thank everyone who takes time to read the blog. I want to thank my family for putting up with my travel and overall lack of time. Thank you to all my friends who are there if I need them.

To everyone may 2009 give you a little piece of paradise, be better, more fulfilling and healthier then 2008!

Wishing you all the best in creating a great 2009 for yourself!
Marty

Monday, December 29, 2008

DIY Dentistry- You have to be kidding yourself

Here is an article about trying to repair your own teeth.
Go give it a look. Obviously I would never suggest trying this. Go see a dentist and get the treatment done correctly.

DIY Dentistry

Saturday, December 27, 2008

PC with XP for your office

I am still hearing stories of people getting new computers for their dental office and having problems with Windows Vista. Well until the end of the year Geeks.com is selling a Dell PC that should run any dental software you use. The best part of this deal is not the $189.99 price but the fact the PC comes with Windows XP Pro. Offer ends 12/31/08

Check out the deal at Geeks.com

Thursday, December 25, 2008

If you got a new computer for the holidays you may need this.

If you got a new computer running a version of Windows you probably got a whole lot of junk software installed.

Try this software to get rid of it. Its called PC Decrapifier.
Surf on over to the Decrapifer web page

Wednesday, December 24, 2008

Treating gum disease linked to lower medical costs for patients with diabetes

University of Michigan, December 23, 2008

ANN ARBOR, Mich.-A new report suggests that treating gum disease in patients who have diabetes with procedures such as cleanings and periodontal scaling is linked to 10 to 12 percent lower medical costs per month.

The findings are encouraging but the study was not designed to firmly establish cause and effect, said George Taylor, University of Michigan associate professor of dentistry, who also has an appointment in epidemiology in the U-M School of Public Health. Taylor led the research project to investigate whether routine, non-surgical treatment for gum disease is linked to lower medical care costs for people with diabetes.

In periodontal disease, the body reacts to the bacteria causing the gum infection by producing proteins or chemicals called inflammatory mediators. Ulcers and open sores in the gums become passageways for these proteins and for the bacteria themselves to enter the body's blood circulation. These inflammatory mediators, as well as some parts of the bacteria, prevent the body from effectively removing glucose, or sugar, from the blood. The higher level of blood sugar is known as poor diabetes control. Poor diabetes control leads to serious diabetes complications such as vision disorders, cardiovascular and kidney disease and amputations, among others. "Cleanings and other non-surgical periodontal treatment remove the harmful bacteria," Taylor said. "We believe this helps prevent the body from producing those harmful chemicals that can enter the systemic circulation and contribute to poorer diabetes control."

Blue Care Network provided U-M researchers data from 2,674 patients aged 18-64 who were enrolled in BCN between 2001 and 2005 and had at least 12 consecutive months of medical, dental, and pharmaceutical coverage.

"We found insured adults with diabetes in Michigan who received routine periodontal treatment, such as dental cleanings and scaling, have significantly lower medical care costs than those who do not," Taylor said. "These results could be meaningful to individuals, employers, health care providers and insurers." The study showed that medical care costs decreased by an average of 11 percent per month for patients who received one or two periodontal treatment procedures annually compared to those who received none. For patients receiving three or four annual treatments, costs decreased nearly 12 percent. The study also showed that combined medical and pharmaceutical monthly costs were 10 percent lower for patients who received one or two periodontal procedures annually.

"The results of our analyses provide additional evidence supporting a beneficial role for periodontal treatment in improving overall health for people with diabetes," Taylor said. The findings could fuel changes in policies and practices for diabetes patients and their insurers.

The research was supported by a grant from the Blue Cross Blue Shield of Michigan Foundation. Taylor's team includes: Wenche Borgnakke, senior research associate in health sciences; Michael Manz, senior research associate in health sciences; and Tammie Nahra, assistant research scientist.

Monday, December 22, 2008

Differences in masticatory function in patients with endodontically treated teeth and single-implant-supported prostheses: a pilot study.

J Endod. 2009 Jan;35(1):10-4. Epub 2008 Nov 18.

Woodmansey KF, Ayik M, Buschang PH, White CA, He J.

Department of Endodontics, Baylor College of Dentistry, The Texas A&M University System Health Science Center, Dallas, Texas 75246, USA.

Endodontic treatment and dental implants are both viable treatment options to restore a compromised dentition. How these treatments impact patients' ability to chew has not been studied. The purpose of this study was to compare various parameters of masticatory function in patients with endodontically treated teeth and single-implant supported prostheses. Fifty patients were included in this study. Twenty-five patients had mandibular molar root canals, and 25 had single implant-supported prostheses in the mandibular molar region. The natural tooth contralateral to the treated side served as the internal control. Maximum bite force, chewing efficiency, and areas of occlusal contact and near contact (ACNC) were recorded for each subject, along with a questionnaire to evaluate subjective chewing ability. When compared with contralateral controls, dental implants were found to have significantly lower maximum bite forces, reduced chewing efficiency, and smaller ACNC. Endodontically treated teeth were not statistically different than their contralateral controls. These results indicate that endodontically treated natural teeth may provide more effective occlusal contact during masticatory function compared with implant-supported restorations, leading to more efficient mastication.

Sunday, December 21, 2008

Simple Dental Work-Up Reverses Atherosclerotic Lesions

Lisa Nainggolan

Heartwire 2008. © 2008 Medscape

December 19, 2008 (Milan, Italy) — For the first time, researchers have shown that treating mild to moderate gum disease in otherwise healthy volunteers improves endothelial dysfunction and significantly reduces carotid intima media thickness (IMT), as measured by echo Doppler. The report by Dr Stefania Piconi (Hospital Luigi Sacco, Milan, Italy) and colleagues was published online December 12, 2008 in the FASEB Journal [1].

"The novelty of this study is that this is the first physical evidence that you can reverse a lesion that is already growing in the intima by doing something as simple as taking care of your gums," immunologist and senior author Dr Mario Clerici (University of Milan, Italy) told heartwire. "To tell you the truth, we were really surprised by the result, but it turned up in subject after subject."

Clerici stressed, however, that their sample size was small--just 35 individuals--so his team are now repeating the study with a couple of hundred people, this time spanning a wider spectrum of periodontal disease, from mild to quite severe. "We have also included patients with frank atherosclerosis," he noted, "because we want to see whether--if people have a really big, solid plaque--we can modify that as well. We want to confirm and extend our results. That's what we are doing now."

Dr Maurizio Tonetti (executive director, European Research Group on Periodontology [ERGOPerio]), a periodontist with an interest in this field, but who was not involved with this research, told heartwire: "The data are consistent with current hypotheses that periodontitis is a cause of systemic inflammation and contributes to early atherosclerosis. [But] no conclusions can be drawn from this pilot study. Properly sized randomized clinical trials are needed to establish if periodontitis can be considered a contributing cause of atherosclerosis."

Simple Removal of Tartar and Cleaning is all That's Required

Clerici explained to heartwire that many previous studies have established a correlation between dental health and the genesis of atherosclerosis; in particular, the bacteria Porphyromonas gingivalis has been associated with the development of atherosclerotic plaques.

Previous research has shown that by improving dental health, markers such as lymphocytes, monocytes, and C-reactive protein are reduced, he said, "but there has never been any demonstration of changes that can be picked up by echo Doppler."

He and his colleagues enrolled 35 otherwise healthy individuals, with median age of 46 years, affected by mild to moderate periodontal disease who underwent treatment in their longitudinal study. This was "totally simple," said Clerici, "it involved removal of tartar and cleaning the gums, and that's it--no surgery and no antibiotics--just your basic dental hygiene."

Echo Doppler cardiography of the carotid artery was performed at baseline and at various time points after periodontal treatment, as was evaluation of inflammatory markers involved in the atherogenic process and surrogate markers of cardiovascular risk and carotid IMT.

Inflammation biomarkers were abnormally increased at baseline, and periodontal treatment resulted in a significant reduction in the total oral bacterial load that was associated with a significant amelioration of inflammation biomarkers and adhesion and activation proteins, the researchers explain.


Notably, IMT was significantly diminished after treatment. The reduction was observed as early as six months after treatment, persisted throughout the study period, and could be detected in multiple sites along the carotid axis.

Changes in Carotid IMT, by Site, From Baseline and After Treatment
Site of carotid IMT measurement (median) At baseline (mm) 6 months after treatment (mm) 12 months after treatment (mm) p (12 months vs baseline)
At carotid bifurcation 0.55 0.40 0.45 0.01
1 cm from carotid bifurcation 0.49 0.38 0.37 <0.001
2 cm from carotid bifurcation 0.50 0.42 0.39 0.001

In conclusion, Clerici said that if their follow-up studies are successful, the take-home message will be: "By taking good care of your teeth and gums, you can not only prevent the development of atherosclerosis, you can also reduce your risk of developing cardiovascular disease."

Tonetti agrees: "Randomized trials are needed, since periodontitis is highly prevalent but easily preventable and treatable. If the relationship were indeed causal, better oral health could greatly contribute to the prevention of atherosclerosis in the population."

1. Piconi S, Trabattoni D, Luraghi C et al. Treatment of periodontal disease results in improvements in endothelial dysfunction and reduction of the carotid intima-media thickness. FASEB J 2008; DOI: 10.1096/fj.08-119578. Available at http://www.fasebj.org/.Abstract

Saturday, December 20, 2008

HENRY SCHEIN ANNOUNCES RELEASE OF DENTRIX G4

New version of Company’s leading practice management system

driven by customer feedback and suggestions



MELVILLE, N.Y., December 17, 2008 --Henry Schein, Inc. (NASDAQ: HSIC), the largest distributor of healthcare products and services in the combined North American and European markets, today announced the release of DENTRIX G4, the latest upgrade to its market leading practice management software system. DENTRIX is the most widely used practice management system for dental professionals and is currently used by 26,000 practices in the United States.

“Practitioners will greatly benefit from the numerous enhancements to our system, which reflect a year of designing and testing based on customer feedback and our leading technology expertise,” said Kevin Bunker, Vice-President and General Manager of Henry Schein’s Practice Solutions division. “We believe that our customers are our best resource for input in helping us to develop the most effective practice management tools to help the doctor improve efficiency and focus more on patient care and satisfaction.”

There are many time saving, productivity enhancements in the new version of DENTRIX G4, including:

* Family Alerts: A practice can now choose to apply an alert to the patient’s entire family or to specific family members, so only one alert is created. Other time-saving features include custom alert note tem­plates and the ability to insert alert datelines and creation dates.
* Default Payment Allocations and Payments: The practice can set a default payment allocation to either the guarantor’s provider or a split payment option, allowing this task to be completed

quicker than ever before. And for faster searching, the practice can now search for specific payments by check number, amount, date, insurance carrier, or guarantor, and a report of the results can be printed.

· Billing Statements and Insurance Claims: Administrators can now specify whether to send billing statements to batch and print at anytime or electronically, as well as send insurance claims electronically by default and receive a real-time notice when submitting real-time electronic claims.

* Personal Preference Customization: Create and manage custom procedure button sets for the Tooth Chart as well as personal preferences that will appear on any computer in the network.
* Quick Access to Training Resources: Customers subscribed to a customer service plan now have one-click access to41 different topics that are perfect for new staff that may need basic training at www.dentrix.com and access the online knowledgebase for technical assistance 24/7.



DENTRIX G4 will be automatically shipped to customers subscribed to a customer service plan. Unlimited, toll-free technical support, upgrades, electronic backup, a basic Website, access to knowledgebase resources, online training courses, discounts, and more are included with the DENTRIX customer service plan. Practices that are not subscribed to a customer service plan can call 1-800-DENTRIX to learn how they can upgrade.

Friday, December 19, 2008

Baby born with 8 teeth and new mama and daddy couldn't be prouder

Read the story about the natal teeth. Pretty interesting. It happens in every 2-3 thousands births. Video too at the link.

Natal Teeth Baby

Thursday, December 18, 2008

Good Articles On Electrronic Medical Records

Here is a web site with a number of good articles on EHR and EMR's (electronic health and medical records). The article in the link talks about the fear of placing your data online and why it is unfounded. we bank online, submit taxes online etc.

Go check out The Double Standard for Web-Based EMRs

Wednesday, December 17, 2008

Detection of oral bacteria in cardiovascular specimens

Oral Microbiology and Immunology
Volume 24 Issue 1, Pages 64 - 68

Published Online: 12 Dec 2008

ABSTRACT

Background/aims: Oral bacteria, including cariogenic and periodontal pathogens, are thought to be etiological factors in the development of cardiovascular diseases. To define this relationship, we analyzed the distribution of oral bacterial species in cardiovascular specimens.

Method: Following acceptance into the study, 203 consecutive patients were analyzed, from whom 82 aortic valve specimens, 35 mitral valve specimens, and 86 aortic aneurysmal wall specimens, of which 16 contained aneurysmal thrombus tissues, were obtained. In addition, a total of 58 dental plaque specimens were collected from the same group of patients who underwent heart valve replacement or removal of aortic aneurysms. Bacterial DNA was extracted from both cardiovascular tissues and dental plaque in those cases and then species-specific polymerase chain reaction assays were used to analyze the occurrences of six oral streptococcal and six periodontal bacterial species.

Results: Streptococcus mutans was the most frequently detected species in the cardiovascular specimens, followed by Aggregatibacter actinomycetemcomitans. As for dental plaque specimens from patients who underwent cardiovascular operations, most of the tested periodontitis-related species as well as oral streptococci were detected at high frequencies. Furthermore, the positive rate of S. mutans in cardiovascular specimens from patients whose dental plaque specimens were also positive for S. mutans was 78%, which was significantly higher than any other tested species when the same analysis was performed.

Conclusion: Our results suggest that specific oral bacterial species, such as S. mutans and A. actinomycetemcomitans, are related to bacteremia and may be etiologic factors for the development of cardiovascular diseases.

Tuesday, December 16, 2008

British Dental Association Reaction To Announcement Of Independent Review Of Dentistry

The BDA has greeted today's announcement that the Department of Health has commissioned an independent review of NHS dentistry as a step forward in addressing the significant problems facing NHS dentists and patients. The review was announced today by Secretary of State for Health, Alan Johnson.

Responding to the announcement, BDA Executive Board Chair Susie Sanderson said: "The BDA is pleased to see the long overdue announcement of a review of NHS dentistry in England. The announcement recognises the significant problems patients and dentists face and places the Department of Health on a path to addressing those problems.

"The group will need to think carefully about the challenges NHS dentistry faces, tackling the issues identified by the Health Select Committee, the profession and patient groups, and striving for the real changes necessary to achieve the goals set out for it."

The review group will be led by Professor Jimmy Steele and is expected to publish its report next spring. Further details are available here.

The British Dental Association (BDA) is the professional association for dentists in the UK. It represents 23,000 dentists working in general practice, in community and hospital settings, in academia and research, and in the armed forces, and includes dental students.

Monday, December 15, 2008

Digital Printer facilitates prescription printing

TROY SecureRx Revolutionizes Prescription Printing

CMS compliant prescriptions on plain paper

COSTA MESA, Calif., Dec. 2 /-- TROY Group, Inc. (Pink Sheets: TROY), a worldwide leader in secure on-demand printing solutions, announces the first digital printer for printing the federally mandated security features onto plain laser bond paper. The TROY SecureRx printer allows healthcare providers to significantly reduce the cost of printing prescriptions while complying with the security regulations established by the Center for Medicare and Medicaid Services (CMS).

The fully configured TROY 3005 SecureRx printer uses the HP LaserJet P3005 printer as its foundation and provides customers 35 pages per minute print speed. Ideal for printing prescriptions and patient discharge documents, the TROY SecureRx printer can be used to print any other documents in hospitals, ambulatory facilities, and clinical environments. Healthcare providers can choose from a fully configured TROY SecureRx printer or purchase a TROY SecureRx firmware module to upgrade existing HP P3005 LaserJet printers.

This printer was developed to help hospitals comply with the new regulations that went into effect on October 1, 2008 requiring prescriptions be issued with copy-evident, erasure-evident and anti-counterfeit security features, to be eligible for CMS reimbursement. The TROY SecureRx printing solution includes HP-authorized security enhancements from TROY providing on-demand printable features that meet and exceed all three of the security features required by CMS.

TROY security enhancements include the new TROY copy prevention pantograph technology, patents pending, as well as TROY customizable micro-print font which helps to address the need for copy-evident features. TROYmark(TM), variable print watermark, is an industry recognized feature that provides the erasure-evident feature. A warning indicator, which is built into each prescription, provides the anti-counterfeit security features required by CMS.

"Healthcare providers have told to us that the TROY SecureRx printer is an investment which is easy to justify," states Larry Landtiser, Senior Vice President and General Manager of TROY Group, Inc. "The TROY SecureRx printer eliminates the need for expensive prescription paper, dedicated prescription printers, and the labor intensive costs associated with chain of custody management of prescription forms, and companies are able to see a return on their investment within months of purchasing."

For an even higher level of security and prevention against alteration of prescriptions, TROY recommends using TROY Security Toner, an anti-fraud technology which forces a bright red stain to appear if chemical alteration is attempted. This addition to the SecureRx solution provides the benefits of chemically sensitive paper at a fraction of the cost.

The TROY 3005 SecureRx printer is the first in the series of TROY SecureRx solutions to be introduced. To complete the solution, TROY provides full software integration support to any Electronic Medical Record (EMR) system. To learn more about the CMS requirements or the TROY SecureRx solution please visit our website at http://www.troygroup.com/healthcare.

Sunday, December 14, 2008

Long-Term Marginal Bone Loss Around Single Dental Implants Affected by Current and Past Smoking Habits.

Implant Dentistry. 17(4):422-429, December 2008.
Levin, Liran DMD *+; Hertzberg, Ran DMD ++; Har-Nes, Shahar DMD [S]; Schwartz-Arad, Devorah DMD, PhD [//]

Abstract:
Purpose: To compare the long-term marginal implant bone loss, survival, and radiographic success of single dental implants among current, past smokers, and nonsmokers.

Participants and Methods: The study was based on a consecutive cohort of patients who received single implants between 2 adjacent natural teeth. Only implants with 5 or more years follow-up were considered with no less than 3 follow-up radiographs at different time points with at least 1 year interval between radiographs. All radiographs were analyzed for changes in marginal bone loss.

Results: The study consisted of 64 patients, ranging in age from 18 to 78 (mean, 45 years) with a total of 64 single implants. Average follow-up time was 6.14 years (range, 5-14). Success rate was 93.75%; 4 implant failed. Two of the failures were due to mechanical neck brake and 2 resulted from peri-implantitis and bone loss. Survival rates were not related to smoking habits. The mean marginal bone loss measured for all implants was 0.145 mm during the first year, 0.07 mm per year during years 1 throughout 5 and 0.026 mm per year from the sixth year till the end of follow-up. Current smokers demonstrated higher marginal bone loss during all time intervals than former smokers and both demonstrated higher marginal bone loss during all time intervals than nonsmokers.

Conclusion: Our results reaffirm the relation between smoking and peri-implant bone loss. Former smokers still demonstrated an increase in marginal bone loss as compared with nonsmokers. There was no difference in implant survival in relation to smoking habits.

Saturday, December 13, 2008

World Clinical Laser Institute Symposium Postponed

The World Clinical Laser Institute and its Platinum Sponsors Biolase Technology and Henry Schein Dental understand that these challenging times are affecting every sector of the economy, including many practices. We have heard from a number of you that the cost of attending a Super Symposium in added expense and time away from your practices would be a hardship at this time.
After extensive deliberation, the WCLI Executive Board has made the difficult decision to postpone the Super Symposium previously announced for January. We know this comes as a disappointment - the Super Symposium is, after all, the highlight of the year in laser education. That very fact weighed most heavily in the decision to delay it until a time when the greatest number of members possible would be able to attend and benefit from it.
Like every economic downturn, this one too will come to an end before long. The current uncertainty however means that we will have to wait until that turnaround is in sight before determining a new date for the Super Symposium. We will continue assessing economic conditions in expectation of that time. We thank you for your patience in awaiting announcement of a new Super Symposium date, especially WCLI faculty who have been working so hard on their presentations in anticipation of sharing them with you.
We will be contacting those of you who have already registered for the January event to arrange a refund of your tuition. Meanwhile, in order to make sure that you have an opportunity to keep up with the latest in laser dentistry, we will expand our lineup of regional one-day WCLI Symposiums in 2009 - more information on those events will be coming soon.
The World Clinical Laser Institute continues to be the largest and strongest laser education organization, thanks to your continuing support.
Best regards,

William E. Brown
Executive Director

Friday, December 12, 2008

How About A Dental Bailout

Since everyone else in the US is going to Congress asking for money maybe we dentist's should also. We won't ask for much, how about one billion dollars. Split that between the 150,000 or so dentists and we all get...

$6,666.66 to take care of the unemployed.

I doubt we will get it but no harm in asking.

All this bailout stuff is a joke.

Thursday, December 11, 2008

Google Books

If you have not looked there is a section of Google called Google Books.
Most books are public domain and can be downloaded. There are old magazines and other interesting reading material. Type in dental in your search and see what comes up.

Wednesday, December 10, 2008

Coronal displacement of cementum in impacted teeth: As age marker

At the last summer Olympics there were disputes about the age of some athletes. This study shows a way of helping to determine the age of a person.

From the Journal of Forensic and Legal Medicine Volume 16, Issue 1, Pages 5-6 (January 2009)

Balwant Rai, BDS (Editor in Chief Internet Journal of Dental Science)
Abstract

Dental cementum is a vital tissue that demonstrates continuous apposition throughout the life of a tooth. This study was conducted on 130 impacted mandibular third molars extracted from healthy patients, aged between 18 and 38 years. The buccolingual ground sections were prepared and the distance between the edges of enamel and cementum were measured with micrometer attached to a light microscope. A significant correlation (r=0.56) between age and coronal displacement of cementum in impacted teeth was calculated and a regression equation was derived for age determination.

Tuesday, December 09, 2008

Man's toothache leads to death

Yes, we all know this can happen. Here is another story of the fear of dental care costing someone their life.

Read the article

Monday, December 08, 2008

Win Xp Now Costs More From Dell

Win Xp Now Costs More From Dell

Since very few are recommending running your dental office software on Vista, the recommendation was to have Windows XP SP3 installed by Dell. The cost to downgrade the operating system was $99. It now costs $150. Probably better off installing Windows XP yourself. If you don't think you can handle it think abut purchasing your hardware from a local PC shop.

Sunday, December 07, 2008

An All-you-need-to-know Guide For Dentists Who Want To Work In Europe

The Council of European Dentists (CED) has just published a comprehensive guide on the training and work requirements for dentists and other dental professionals who want to practise in other EU member states.

The latest edition of the EU Manual of Dental Practice describes the legal and ethical regulations, dental training requirements, oral health systems and the organisation of dental practice in 32 European (EU and EEA) countries, including Croatia, which is due to join the EU next year.

The practising arrangements, the regulatory frameworks and systems within which dentists work in the respective countries are compared. There is also country specific information on the dental specialities that are recognised, along with details of where such training is available and duration.

The guide also contains information on other dental care professionals, with a list of those which are recognised, their training, the procedures they are allowed to carry out, and the rules within which they can legally practise.

Commenting on the new guide, the main author of the Manual, Dr Anthony S Kravitz said:

"There has been considerable interest from dentists and government officials about the organisation of dentistry in the EU and we believe this guide addresses all the professional issues that dentists need to take on board to make the move to practise in another country as hassle-free as possible."

1. The CED was established in the early 1960s. With an office in Brussels, it represents the dental associations in the EU and EEA.

2. The CED's primary task has been to assist the European Commission (EC) to develop the Dental Directives since 1975. The committee and member associations work closely with the European institutions and are consulted by the EC on health matters. http://www.eudental.eu/

3. This edition of the Manual is 406 pages long and is published by the CED in English. Editions in French and German may be available at a later date. The Manual will initially be published on the internet and downloadable free from:

http://www.eudental.eu/index.php?ID=2746

It is also available from the British Dental Association's website.

4. The members of the CED are the dental associations of the 27 countries of the EU, 3 countries of the EEA, Croatia and Switzerland. The Manual contains dental demographic and practice information about all these countries.

5. Dr Anthony S Kravitz OBE and managing author Professor Elizabeth T Treasure are based in the Dental Public Health Unit at the Cardiff Dental School.

6. The 2008 edition also contains (for the first time) information about tooth whitening, ionising radiation rules and hazardous waste regulations, as well as data on caries levels (in children), edentulousness and fluoridation.

7. The British Dental Association (BDA) is the professional association for dentists in the UK. It represents over 20,000 dentists working in general practice, in community and hospital settings, in academia and research, and in the armed forces. It is a member of the Council of European Dentists.

Friday, December 05, 2008

A clinical study on the effects of cordless and conventional retraction techniques on the gingival and periodontal health.

Al Hamad KQ, Azar WZ, Alwaeli HA, Said KN.
J Clin Periodontol. 2008 Dec;35(12):1053-8.

Aim: To investigate the influence of two cordless techniques on the periodontium in comparison with conventional cords. Material and Methods: Dental students (n=60) with healthy gingival conditions were recruited - an expanding poly vinyl siloxane material (Magic Foam Cord((R))), a paste-like material (Expasyl((R))), and a conventional retraction cord (Ultrapak((R))) were applied on the buccal aspects of three premolars of each subject. Probing depth, clinical attachment level, gingival index (GI), plaque index, mobility, bleeding, and sensitivity were assessed at baseline, and at 1 and 7 days after application. Data were analysed using Kruskal-Wallis and Mann-Whittney tests (alpha=0.05). Results: The periodontal parameters were not statistically significant among the groups at all time intervals except for the GI, which was increased for all groups after 1 day. The highest was in Expasyl (p=0.011). After 7 days, the GI returned to a non-significant level compared with baseline except for Expasyl, which was still significant (p=0.044). Expasyl induced sensitivity in four subjects. Bleeding was only induced by Ultrapak in 28.3% and 26.7% during and after retraction, respectively. Conclusions: All techniques caused a temporary gingival inflammation; the greatest was in Expasyl, which also showed slower recovery. Cordless techniques did not induce bleeding during or after retraction.

Wednesday, December 03, 2008

Tuesday, December 02, 2008

There was one thing new- LLT Laser


Technology 4 Medicine has released the Oralase, there Low Level Laser Therapy (LLLT) devices for both intra and extra oral use. The FDA cleared MedX Oralase portable laser is a drug free solution to eliminate pain and accelerate soft and hard tissue repair. This is great for speeding would healing and TMJ.

Read more on the Technology 4 Medicine web site.

Monday, December 01, 2008

Is your organization looking for free CE?

If you organization is looking for a free CE course this maybe for you. This is a one day only offer. Dental Technology Solutions (that's Paul Feuerstein, John Flucke and I) www.dentlatechnologysolutions.com is looking to do a a free lecture.

That's no cost to your organization. Here are the strings.

1. Has to be Friday March 13, 2009
2. Location needs to be in the Southwest or Western United States (easy PM flight to Phoenix)
3. You need to have a minimum of 30 dentists attending and supply the room and AV.

If your organization is interested please contact me through the DTS web site as soon as possible. The first organization to schedule and return the contract gets it.

Sunday, November 30, 2008

Back From The Greater NY Dental Meeting

I went in for my annual pilgrimage to the the Javits Center for the Greater NY Dental Meeting. It is a very large meeting. Well the first thing to report about is there is nothing new to report. That's right! This is not a big meeting for new stuff but usually there is something. I was told of a few products getting ready for future release. So I expect to be writing about some very exciting things come the end of February and the Chicago Mid Winter meeting. Otherwise it was the usual end of year wheeling and dealing as manufacturers try to close out the 4th quarter on the up swing.

So my dental meetings for 2008 come to a close. One more lecture to do next month and that will be all until 2009. Not to worry blog posts don't take lots of time off even during the holidays.

Friday, November 28, 2008

Bad Breath Linked To Bacteria That Cause Stomach Ulcer And Cancer

Nao Suzuki, Masahiro Yoneda, Toru Naito, Tomoyuki Iwamoto, Yousuke Masuo, Kazuhiko Yamada, Kazuhiro Hisama, Ichizo Okada and Takao Hirofuji
J Med Microbiol 57 (2008), 1553-1559; DOI: 10.1099/jmm.0.2008/003715-0

Helicobacter pylori infection, which causes peptic ulcers and gastric cancer, is considered a possible cause of halitosis. Recently, the oral cavity was identified as a possible H. pylori reservoir, particularly in the presence of periodontal disease, which is a cause of halitosis. The purpose of this study was to evaluate by PCR the prevalence of oral H. pylori in the saliva of subjects complaining of halitosis. Samples were obtained from 326 non-dyspeptic subjects, comprising 251 subjects with actual malodour and 75 subjects without halitosis. DNA was extracted from the samples, and the presence of H. pylori and periodontopathic bacteria including Porphyromonas gingivalis, Treponema denticola and Prevotella intermedia was examined by PCR. H. pylori was detected in 21 (6.4 %) of 326 samples. The methyl mercaptan concentration and periodontal parameters including tooth mobility, periodontal pocket depth (PPD) and occult blood in the saliva were significantly greater in the H. pylori-positive subjects. Each of the periodontopathic bacteria was also detected at a significantly higher frequency in the H. pylori-positive subjects. Among those patients with a PPD of ≥5 mm and a tongue coating score of ≤2, no difference was observed in oral malodour levels between the H. pylori-positive and -negative subjects. However, the presence of occult blood in the saliva and the prevalence of Prevotella intermedia were significantly greater in the H. pylori-positive subjects. H. pylori was detected in 16 (15.7 %) of 102 subjects with periodontitis, suggesting that progression of periodontal pocket and inflammation may favour colonization by this species and that H. pylori infection may be indirectly associated with oral pathological halitosis following periodontitis.

New Dentalcast Episodes

Go to DentalCast.net for the updated video podcasts.

Thursday, November 27, 2008

Just A Reminder

Happy Thanksgiving begins today!
Gobble Gobble.
Everyone have a happy and safe Thanksgiving weekend. The Greater NY Meeting is this weekend. Hopefully updates along the way.
Marty

Wednesday, November 26, 2008

Japan scientists eye made-to-order bones


Read the entire article at Yahoo News

TOKYO (AFP) – Japanese hospitals are running a clinical trial on the world's first custom-made bones which would fit neatly into patients' skulls and eventually give way to real bones.

If successful, the Japanese method could open the way for doctors to create new bones within hours of an accident so long as the patient has electronic data on file.

Doctors usually mend defective bones by transplanting real bones or ceramic substitutes. The Japanese implants use a powder of calcium phosphate, the substance that makes up real bones.

The new implants are called CT Bone as they are crafted using the patient's computer tomography (CT) data, a form of medical imaging.

It can match the complicated structures of the jaw, cheek and other parts of the skull down to one millimetre (0.039 of an inch), a level significant enough to make a difference in human faces, researchers told AFP.

"It can also be replaced by your own bone, which wasn't possible before" with conventional sintered ceramic bones, said Tsuyoshi Takato, an orthopedic surgeon and professor at the University of Tokyo's Graduate School of Medicine.

The implants are currently limited to use in the skull because, unlike limbs, they do not have to carry the body weight.

Tuesday, November 25, 2008

DENTSPLY International Enters Partnership Arrangement With ZHERMACK SpA

YORK, Pa. and BADIA POLESINE, Italy, Nov. 24, 2008 (GLOBE NEWSWIRE) -- DENTSPLY International Inc. (Nasdaq:XRAY) announced today that it has entered into a definitive agreement with the shareholders of ZHERMACK SpA to acquire a majority interest in the Company. Based in Badia Polesine, Italy, ZHERMACK SpA, a producer of dental materials for the global market, sells products in over 100 countries, with an emphasis on markets in Europe, Latin America, Asia and the Commonwealth of Independent States. As part of this agreement, the two founders will retain significant ownership and continue to manage the business.

ZHERMACK SpA has invested significantly in its operations with state-of-the-art and highly vertically integrated manufacturing capabilities, and manufacturing sites in both Italy and Poland. This partnership provides synergy opportunities with DENTSPLY's current businesses, particularly in manufacturing, research and development, and market expansion.

"We are very pleased to enter this partnership and to work closely with the two entrepreneurs who built the ZHERMACK business. Both have been in the dental industry for over 30 years and have demonstrated their passion and commitment to the profession. The ZHERMACK Company is a very good fit with DENTSPLY's culture and business model, and we look forward to working together to generate future growth for both businesses," said Bret W. Wise, DENTSPLY's Chairman, CEO, and President.

Tiziano Busin, ZHERMACK's president and founder, stated, "We are very happy to be partnering with DENTSPLY and look forward to working together to link the manufacturing capabilities of the two companies. We believe that our polymer-based expertise can contribute to DENTSPLY's R&D efforts, and as partners, we can continue developing innovative products for the dental profession."

Vittorio Mora, ZERMACK's co-founder, also commented, "Over the years, we have had the opportunity to get to know the DENTSPLY team, and are very excited to be able to partner with the largest dental consumable manufacturer in the world. We believe that ZHERMACK's portfolio and presence in specific markets nicely complements DENTSPLY's current organization and product offerings."

DENTSPLY designs, develops, manufactures and markets a broad range of products for the dental market. The Company believes that it is the world's leading manufacturer and distributor of dental prosthetics, precious metal dental alloys, dental ceramics, endodontic instruments and materials, prophylaxis paste, dental sealants, ultrasonic scalers, and crown and bridge materials; the leading United States manufacturer and distributor of dental handpieces, dental x-ray film holders, film mounts and bone substitute/grafting materials; and a leading worldwide manufacturer or distributor of dental implants, impression materials, orthodontic appliances, dental cutting instruments, infection control products, and dental injectable anesthetics. The Company distributes its dental products in over 120 countries under some of the most well-established brand names in the industry.

DENTSPLY is committed to the development of innovative, high quality, cost-effective new products for the dental market.

Monday, November 24, 2008

Root Canal or Dental Implant?

Dental Professionals and Patients Should Strive to Preserve Natural Teeth Before Considering Implants

CHICAGO, IL, November 13, 2008 – A new study addresses the growing controversy among dental health professionals regarding the best course of treatment when evaluating between a root canal or dental implant procedure. Researchers evaluated the success and failure rates of teeth treated with a root canal (endodontically treated teeth) or extracted and replaced with a dental implant. While the findings concluded that the success rate of each treatment was similar, the data showed that significantly more dental implants required additional treatment or surgical intervention after the procedure compared to endodontically treated teeth (12.4 percent vs. 1.3 percent, respectively).

“Many dental professionals today are faced with the dilemma of whether root canal treatment or dental implants are the best option for their patients,” said lead investigator James Porter Hannahan, D.M.D., of the University of Alabama at Birmingham, Birmingham, Ala. “While the success of both procedures is similar, saving the natural tooth through a root canal rarely requires follow-up treatment and generally lasts a lifetime; implants, on the other hand, have more postoperative complications and higher long-term failure rates.”

Research has shown that poor oral health and tooth loss may lead to serious medical conditions, such as heart disease, stroke, diabetes and even certain types of cancer. Given this connection, taking the right steps to prevent tooth loss can be important for maintaining better overall health.

“Considering these results in light of the growing body of evidence on the impact of oral health on overall health, it is imperative for dental professionals to partner with endodontists who have advanced training in examining whether a natural tooth can be saved through root canal treatment,” said Dr. Louis Rossman, an endodontist and president of the American Association of Endodontists, the dentists who specialize in root canals. “While implants may be an appropriate solution for people with missing teeth, endodontic treatment should be the first choice for restoring a compromised tooth.”

Because of the increasing popularity of dental implants, patients may not realize the long-term implications of the procedure or that root canals may be healthier and less complicated in the long-run. Dental professionals should ensure they explain to patients the differences between each procedure.

Dental implants require extracting the tooth followed by multiple surgeries to insert a metal post in the jaw and affix a porcelain crown to the post. These surgeries often can take three or more visits over the course of several months to complete and can be time-intensive and costly. During root canal treatment, the source of tooth pain – an inflamed pulp – is removed and the inside of the tooth is then cleaned, filled and sealed. Today, most root canals can be completed in one visit and are virtually painless. In fact, root canals restore and save an average of 17 million teeth each year.

When considering treatment options, the AAE emphasizes that decisions must be based on factors other than outcome, such as case complexity or the patient’s individual health and preferences. To assist dental professionals and their patients in determining the most appropriate treatment, the AAE has formal guidance on treatment planning, which includes evaluating various risk factors and other implications associated with root canal and implant treatment. Risk factors can include smoking, bone quality and estrogen levels – for example, women with lower estrogen levels may encounter more treatment failures with implants.

Additional Study Information
Based on inclusion criteria, study investigators evaluated patient charts of 129 dental implants for an average of 36 months (range, 15-57 months) and of 143 endodontically treated teeth for an average 22 months (range, 18-59 months). Implant data were collected from a periodontic group practice and root canal data were collected from an endodontic group practice. Researchers placed each procedure into one of three categories: success, uncertain and failure. Success was defined as radiographic evidence that the implant or treated tooth was still present in the mouth and there were no signs or symptoms requiring intervention during the follow-up treatment period. Failures were defined as the removal of the implant or tooth.

Investigators found two failures of the 129 dental implants for a success rate of 98.4 percent. They also found only one failure of the 143 endodontic treatments for a success rate of 99.3 percent. These results were not statistically significant (P=.56) with the Fisher exact test, a statistical significance test. However, 12.4 percent of the dental implants required additional surgical procedures, whereas only 1.4 percent of the endodontically treated teeth required additional surgery, which was statistically significant (P=.0003).

This study is published in the November issue of the Journal of Endodontics, the official journal of the AAE. These data were collected as part of a larger project comparing implant and endodontic outcomes and is funded by the AAE Foundation.

Sunday, November 23, 2008

Friday, November 21, 2008

Video filming

John Flucke and I are shooting some videos for an excting new project. More about this project in the near future.

Wednesday, November 19, 2008

Joint Symposium on the Utilization of Light-Based Technology in Dentistry

The FDA and the Academy of Laser Dentistry Hosting a
Joint Symposium on the Utilization of Light-Based Technology in Dentistry

Silver Spring, MD – November 19, 2008 – The Food and Drug Administration and the Academy of Laser Dentistry are hosting a joint symposium on the uses of lasers and other light-based technologies in dentistry. The symposium will take place on Monday, December 8th, in Building 2, Room 2047 of the FDA facility in Silver Spring, Maryland.

Specifically, the symposium will provide an overview on the impact that light-based technologies are having on dentistry, including how lasers and light-based technologies interact with oral tissues, the impact they presently have in the practice of dentistry and other healthcare professions, and the future potential of these technologies. The presenters will be some of the most respected thought leaders in their respective fields, and will include practicing clinicians, academicians, and researchers from around the country.

The series presentations will start by reviewing what has happened over the nearly fifty years since the laser was developed in 1960. Discussions will include the science, research, and utilization of lasers and light-based technologies, their present roles, and the potential for additional applications in the future by dentists, dental hygienists, and other oral healthcare providers.

In addition, research and applications for hard and soft tissues of the oral cavity and related head and neck structures will be presented, including the use of lasers and light-based technologies in surgical, preventive, diagnostic, and potential healing applications.


The tentative agenda is as follows:

I. Introduction & Overview

• 8:00 am – 8:15 am: Welcome and Introductions; The Roles and Missions of the ALD and the FDA
Moderators: Ronald W. Waynant, Ph.D., Senior Optical Engineer, FDA/CDRH and Donald Coluzzi, D.D.S., Editor in Chief, The Journal of Laser Dentistry; Past President of the Academy of Laser Dentistry

• 8:15 am – 8:45 am: An Overview and History of the Impact of Light-Based Technologies in Dentistry
Presented by Terry D. Meyers, D.D.S.

II. Light-Based Technology Utilization in Dental Treatment

• 8:45 am – 9:00 am: Soft Tissue Interactions and Applications
Presented by Michael Swick, D.M.D., Member, Board of Directors of the Academy of Laser Dentistry

• 9:00 am – 9:30 am: Hard Tissue Interactions and Applications
Presented by Donald Coluzzi, D.D.S. or Michael Swick, D.M.D.

• 9:30 am – 10:00 am: Break

• 10:00 am – 10:30 am: Preventive Applications
Presented by Peter Rechmann, D.M.D., President of the Academy of Laser Dentistry; Professor and Director of Clinical Research, University of California, San Francisco

• 10:30 am – 11:00 am: The Utilization of Light-Based Technologies in the Practice of Dental Hygiene
Presented by Angie Mott, R.D.H., Member, Board of Directors of the Academy of Laser Dentistry

III. The Role of Light-Based Diagnostic Technologies

• 11:00 am – 11:30 am: Tissue Fluorescence (Autofluorescence)
Presented by Scott D. Benjamin, D.D.S., Vice-Chair of the Education Committee of the Academy of Laser Dentistry; Working Group Chairman, ADA Standards Committee on Dental Products for Dental Lasers



• 11:30 am – 12:00 noon: Optical Coherent Tomography
Presenter: Craig Gimbel, D.D.S., Past President of the Academy of Laser Dentistry

• 12:00 noon – 1:00 pm: Lunch (on your own)

IV. The Use of Low-Level Laser Therapy / Photobiomodulation in Oral Health

• 1:00 pm – 1:30 pm: Mechanisms of Low-Level Light Therapy
Presenter: Michael Hamblin, Ph.D., Associate Professor, Harvard Medical School; Principal Investigator, Wellman Center for Photomedicine at Massachusetts General Hospital

• 1:30 pm – 2:00 pm: Light Modulates DNA, RNA and Protein Expression in the Nervous System
Presenter: Juanita J. Anders, Ph.D., Professor, Department of Anatomy, Physiology, and Genetics, Uniformed Services University of the Health Sciences

• 2:00 pm – 2:45 pm: Research on the use of LLLT to Assist in Wound Healing & Research on the use of LLLT for the Reduction of Dentinal Sensitivity
Presenter: Praveen R. Arany, B.D.S, M.D.S., Harvard School of Dental Medicine

• 2:45 pm – 3:15 pm: Research on the use of LLLT in Bone Rejuvenation of the Mandible
Presenter: Jerry Bouquot, D.D.S., M.S.D., Professor & Chair, Department of Diagnostic Sciences, University of Texas, Dental Branch at Houston

• 3:15 pm – 3:30 pm: Break

• 3:30 pm – 4:15 pm: FDA’s Research and Perspective on Light-Based Technology Utilization in Oral Health
Presenter: Ronald Waynant, Ph.D.

• 4:15 pm – 5:00 pm: Open Forum Discussion: “The Future and Where Do We Go From Here?”
Moderator: Don Coluzzi, D.D.S.

This one-day symposium in being jointly sponsored by the FDA and the Academy of Laser Dentistry (ALD) at the FDA facility in Silver Spring, MD (Washington, DC area) at



no cost to the attendees. Registration and 8 hours of continuing education credit are being provided by the ALD. To register, visit www.laserdentistry.org. Please register by December 1, 2008, as space is limited. If continuing education credits are desired, please designate it on the registration form. For additional information, contact Dr. Scott Benjamin (meeting coordinator for the ALD) at info@DentalAIM.com.

Tuesday, November 18, 2008

Dentists' knowledge and implementation of the 2007 American Heart Association guidelines

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Dec;106(6):e16-9.

Dentists' knowledge and implementation of the 2007 American Heart Association guidelines for prevention of infective endocarditis.

Zadik Y, Findler M, Livne S, Levin L, Elad S; American Heart Association.

Department of Oral Medicine, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel. yzadik@gmail.com

OBJECTIVES: Our aim was to evaluate the knowledge and implementations of the 2007 American Heart Association guidelines for the prevention of infective endocarditis (IE) among practicing Israeli dentists, 12 months after their publication. STUDY DESIGN: A total of 118 dentists completed a questionnaire regarding required antibiotic prophylaxis for 10 specific cardiac patient subtypes before invasive dental treatment, prophylactic need in at-risk patients for IE in 10 dental procedures, and prophylactic regimen for nonallergic patients. RESULTS: Correct answer response for cardiac conditions was 81.3% (highest failure: mitral valve prolapse [MVP] with regurgitation). There was a consensus among the participants regarding antibiotic regimen for high-risk patients during several dental procedures, such as intraoral radiography, tooth extraction, and periodontal surgery, but a controversy for other procedures. The procedures of disagreement were endodontic treatment, tooth preparation with oral impressions, and restoration of class II caries lesion. Correct antimicrobial agent, dose, and timing were prescribed by 99%, 93.8%, and 100% of the respondents, respectively. CONCLUSIONS: Relatively high level of knowledge of the new guidelines was found among dentists, reflecting both familiarity of the practitioners with the guidelines and acceptance of guidelines. Prophylactic need is ambiguous during restorative, endodontic and prosthetic procedures. Educational resources should emphasize these guidelines, specifically the reduced risk level for MVP with regurgitation patients.

Monday, November 17, 2008

Bleach kills bacteria, but how?

Clean results: U-M researchers learn how bleach kills bacteria

ANN ARBOR, Mich.—Developed more than 200 years ago and found in households around the world, chlorine bleach is among the most widely used disinfectants, yet scientists never have understood exactly how the familiar product kills bacteria.

New research from the University of Michigan, however, reveals key details in the process by which bleach works its antimicrobial magic.

In a study published in the Nov. 14 issue of the journal Cell, a team led by molecular biologist Ursula Jakob describes a mechanism by which hypochlorite, the active ingredient of household bleach, attacks essential bacterial proteins, ultimately killing the bugs.

"As so often happens in science, we did not set out to address this question," said Jakob, an associate professor of molecular, cellular and developmental biology. "But when we stumbled on the answer midway through a different project, we were all very excited."

Jakob and her team were studying a bacterial protein known as heat shock protein 33 (Hsp33), which is classified as a molecular chaperone. The main job of chaperones is to protect proteins from unfavorable interactions, a function that's particularly important when cells are under conditions of stress, such as the high temperatures that result from fever.

"At high temperatures, proteins begin to lose their three-dimensional molecular structure and start to clump together and form large, insoluble aggregates, just like when you boil an egg," said lead author Jeannette Winter, who was a postdoctoral fellow in Jakob's lab. And like eggs, which once boiled never turn liquid again, aggregated proteins usually remain insoluble, and the stressed cells eventually die.

Jakob and her research team figured out that bleach and high temperatures have very similar effects on proteins. Just like heat, the hypochlorite in bleach causes proteins to lose their structure and form large aggregates.

"Many of the proteins that hypochlorite attacks are essential for bacterial growth, so inactivating those proteins likely kills the bacteria," said second author Marianne Ilbert, a postdoctoral fellow in Jakob's lab.

These findings are not only important for understanding how bleach keeps our kitchen countertops sanitary, but they may lead to insights into how we fight off bacterial infections. Our own immune cells produce significant amounts of hypochlorite as a first line of defense to kill invading microorganisms. Unfortunately, hypochlorite damages not just bacterial cells, but ours as well. It is the uncontrolled production of hypochlorite acid that is thought to cause tissue damage at sites of chronic inflammation.

How did studying the protein Hsp33 lead to the bleach discovery? The researchers learned that hypochlorite, rather than damaging Hsp33 as it does most proteins, actually revs up the molecular chaperone. When bacteria encounter the disinfectant, Hsp33 jumps into action to protect bacterial proteins against bleach-induced aggregation.

"With Hsp33, bacteria have evolved a very clever system that directly senses the insult, responds to it and increases the bacteria's resistance to bleach," Jakob said.


http://www.ns.umich.edu/htdocs/releases/story.php?id=6829

Sunday, November 16, 2008

2008 CDC Guidelines On Sterilization and Disinfection

The Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 has been posted at http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Disinfection_Nov_2008.pdf
The guideline will also be published in the MMWR at a later date.
-----------------------------------------------------

Dental Instruments
Scientific articles and increased publicity about the potential for transmitting infectious agents in dentistry have focused attention on dental instruments as possible agents for pathogen transmission207, 208. The American Dental Association recommends that surgical and other instruments that normally penetrate soft tissue or bone (e.g., extraction forceps, scalpel blades, bone chisels, periodontal scalers, and surgical burs) be classified as critical devices that should be sterilized after each use or discarded. Instruments not intended to penetrate oral soft tissues or bone (e.g., amalgam condensers, and air/water syringes) but that could contact oral tissues are classified as semicritical, but sterilization after each use is recommended if the instruments are heat-tolerant 43, 209. If a semicritical item is heat–sensitive, it should, at a minimum, be processed with high-level disinfection 43, 210. Handpieces can be contaminated internally with patient material and should be heat sterilized after each patient. Handpieces that cannot be heat sterilized should not be used. 211 Methods of sterilization that can be used for critical or semicritical dental instruments and materials that are heat-stable include steam under pressure (autoclave), chemical (formaldehyde) vapor, and dry heat (e.g., 320ºF for 2 hours). Dental professionals most commonly use the steam sterilizer 212. All three sterilization procedures can damage some dental instruments, including steam-sterilized hand pieces 213. Heat-tolerant alternatives are available for most clinical dental applications and are preferred43.
CDC has divided noncritical surfaces in dental offices into clinical contact and housekeeping surfaces43. Clinical contact surfaces are surfaces that might be touched frequently with gloved hands during patient care or that might become contaminated with blood or other potentially infectious material and subsequently contact instruments, hands, gloves, or devices (e.g., light handles, switches, dental X-ray equipment, chair-side computers). Barrier protective coverings (e.g., clear plastic wraps) can be used for these surfaces, particularly those that are difficult to clean (e.g., light handles, chair switches). The coverings should be changed when visibly soiled or damaged and routinely (e.g., between patients). Protected surfaces should be disinfected at the end of each day or if contamination is evident. If not barrier-protected, these surfaces should be disinfected between patients with an intermediate-disinfectant (i.e., EPA-registered hospital disinfectant with tuberculocidal claim) or low-level disinfectant (i.e., EPA-registered hospital disinfectant with an HBV and HIV label claim) 43, 214, 215.
Most housekeeping surfaces need to be cleaned only with a detergent and water or an EPA-registered hospital disinfectant, depending of the nature of the surface and the type and degree of contamination. When housekeeping surfaces are visibly contaminated by blood or body substances, however, prompt removal and surface disinfection is a sound infection control practice and required by the Occupational Safety and Health Administration (OSHA) 43, 214.
Several studies have demonstrated variability among dental practices while trying to meet these recommendations216, 217. For example, 68% of respondents believed they were sterilizing their instruments but did not use appropriate chemical sterilants or exposure times and 49% of respondents did not challenge autoclaves with biological indicators216. Other investigators using biologic indicators have found a high proportion (15%–65%) of positive spore tests after assessing the efficacy of sterilizers used in dental offices. In one study of Minnesota dental offices, operator error, rather than mechanical malfunction218, caused 87% of sterilization failures. Common factors in the improper use of sterilizers include chamber overload, low temperature setting, inadequate exposure time, failure to preheat the sterilizer, and interruption of the cycle.
Mail-return sterilization monitoring services use spore strips to test sterilizers in dental clinics, but delay caused by mailing to the test laboratory could potentially cause false-negatives results. Studies revealed, however, that the post-sterilization time and temperature after a 7-day delay had no influence on the test results219. Delays (7 days at 27ºC and 37ºC, 3-day mail delay) did not cause any predictable pattern of inaccurate spore tests 220.

Saturday, November 15, 2008

Risky Business: The Choking Game

Here is some information for all dentists and parents alike. I was unaware of this type of activity. Now maybe we can help prevent a tragedy for someone. MJ



Risky Business: The Choking Game

Teens experiment with attitudes, appearances, and behaviors. While most of it is harmless, some experiments can have tragic results.

One experiment that backfires involves young people trying to get high by choking themselves or their friends. Teens—usually in middle school and early high school—try it alone or with others. They do it for the perceived high that occurs as oxygen rushes back to the brain—putting the player at high risk for nerve damage, even death.

Sound dangerous?

It is.

The challenge of losing consciousness and reviving is known by many names, including: pass-out, tingling, blackout, choking game, suffocation roulette, and other names in different areas of the country.

Read all about it with other links at the SAMHASA web site

Friday, November 14, 2008

Dentrix G4 is coming soon!

I have heard that the beta for G4 is wrapped up so expect to see Dentrix G4 in the first and second quarter of 2009. If you have not upgraded to G2 or G3 its time to get a move on. Dentrix usually only supports the previous two versions of the software, so support for version 11 may be going away. My office is currently on G3 and we are not having any problems. So in this calendar year we did the G2 and G3 upgrades and went chartless. Yes there are minor issues such as the speed at which the chart and treatment planner load but these are not big enough problems to mitigate the huge benefits. So if you need to upgrade some of that legacy hardware and take the plunge into the upgrades. If you do upgrade to G3 make sure you get the component upgrades from the Dentrix web site.

Thursday, November 13, 2008

Eye-Fi Unveils the 4GB Eye-Fi Anniversary Edition


I talk about these Sd cards in my lectures. They work well for getting pictures into the computer via Wi-Fi. MJ

Eye-Fi Celebrates First Anniversary with 4GB Limited Edition
Anniversary Card and the Win of Popular Science's Best of What's New Award

MOUNTAIN VIEW, Calif., Nov. 12 /PRNewswire/ -- Today Eye-Fi Inc.
(http://www.eye.fi) announced a new, limited edition card -- the Eye-Fi
Anniversary Edition -- to celebrate the one-year anniversary of its first
wireless SD memory card for digital cameras. Eye-Fi also announced it has
been chosen as one of Popular Science's 2008 "Best of What's New" award
recipients.

"For the past year, we've been reinventing the way people save and
share their digital memories," said Jef Holove, CEO of Eye-Fi. "From
automatic uploading to geotagging to sharing on the go, we've aimed to help
everyday photographers save their memories more often, share them more
quickly, and add more context to their collections."

Available immediately, the new Eye-Fi Anniversary Edition doubles
storage capacity to 4GB and features faster memory speeds. Coupled with the
recently announced wireless performance upgrade, the Anniversary Edition is
designed to meet the needs of the demanding photo enthusiast. Like the
Eye-Fi Share, the Anniversary Edition wirelessly sends photos from a
digital camera to a computer and to one of more than 25 online photo
sharing sites.

The card comes in Eye-Fi's celebrated, original slide-out package and
is available only at Costco.com for $99 to club members, or on http://www.eye.fi
for $129, while supplies last. The card can be upgraded post purchase to
include additional features, such as automatic geotagging and hotspot
access.

Since the Eye-Fi card launched one year ago, millions of photos have
been uploaded to the Web, and users report that they upload and share
photos with family and friends more frequently.

"With the introduction of the digital camera, the photography industry
faced a real challenge - photos trapped on cameras that were never shared
or printed because of the work involved," said Alan Bullock, associate
director of InfoTrends. "The industry needs pioneers like Eye-Fi who
recognize the bottlenecks and build innovative solutions that move the
market forward."

Over the past year, Eye-Fi has given more and more people the ability
to effortlessly share their digital memories and offered a rich, meaningful
experience for users. Eye-Fi has:



-- Helped Take Geotagging Mainstream: Geotagging is a fast growing trend,
and through a partnership with Skyhook Wireless, Eye-Fi has automated
the process to make it easier and more compelling for all consumers.
Using the Wi-Fi embedded in its cards, Eye-Fi uses Wi-Fi positioning to
determine where an image was captured and adds a geographic tag to each
photo.
-- Pioneered Uploads-on-the-Go to the Top Photo Sharing Destinations: Now
users can upload photos away from home at more than 10,000 Wayport
hotspots with their Eye-Fi cards - even without a computer.
-- Introduced the "Eye-Fi Connected" Program: Eye-Fi has launched
the "Eye-Fi Connected" program to help other manufacturers tap
into the benefits of Eye-Fi's wireless photo sharing ecosystem.
Nikon has released two Eye-Fi connected cameras, the Nikon D60 and D90,
both optimized for Eye-Fi cards. Lexar introduced the co-branded
Shoot-n-Sync Wi-Fi(R) Memory Card that uses Eye-Fi's patent-pending
technology and online service.
-- Integrated Social Networking: Eye-Fi announced integration with Twitter
and the availability of RSS feeds so users can notify their networks in
real time about recent photo uploads, and photos can be viewed
instantly.
-- International Expansion: Due to high demand, Eye-Fi plans to expand into
Japan and Canada by the end of the year. Now more people worldwide will
have the ability to enjoy the benefits of Eye-Fi's products and
services.
Also announced today, the Eye-Fi Explore card was chosen as one of
Popular Science's "Best of What's New Award" recipients in the gadgets
category. Each year since 1987, the editors of Popular Science review
thousands of products in search of the top 100 technology innovations of
the year. To win, a product or technology must represent a significant step
forward in its category.

Eye-Fi's family of products include the Eye-Fi Home, Share, Anniversary
Edition and Explore cards with MSRPs ranging from $79-$129 USD. Eye-Fi
cards can be purchased at Apple Retail Stores, Best Buy, Circuit City and
Ritz Camera Center locations nationwide, and at major online retailers such
as Amazon.com, Walmart.com and Costco.com. Eye-Fi has garnered numerous
awards, including PC World's "The 100 Best Products of 2008" and Yahoo!
Tech's "Last Gadget Standing 2008." For more information, please visit
http://www.eye.fi.

About Eye-Fi

Founded in 2005, the company is dedicated to building products and
services that help consumers navigate, nurture and share their visual
memories. Eye-Fi's patent-pending technology works with Wi-Fi networks to
automatically send photos from a digital camera to online, in-home and
retail destinations. Headquartered in Mountain View, Calif., the company's
investors include LMS Capital, Opus Capital, Shasta Ventures and TransLink
Capital. More information is available at http://www.eye.fi.

Wednesday, November 12, 2008

The family who saved £27,000 as dental tourists in Hungary

That's over US$40K. I hope every thing goes well for this family but as usual you have to be cautious when doing dental tourism.

Read the whole account on the Daily Mail site.

Tuesday, November 11, 2008

Dentistry: Are Dentists Ready for Unionization?

Disappointed by the American Dental Association, half of dentists say they are ready to unionize, finds a recent survey by The Wealthy Dentist. Of course, many support the ADA and think a dentists' union would be disastrous.

San Francisco, CA, November 11, 2008 --(PR.com)-- Half of dentists are ready for the profession to unionize, reveals a recent survey by dental marketing and dental practice management resource The Wealthy Dentist. Feeling trapped by dental insurance and abandoned by the American Dental Association, many dentists are ready for an organized dental union.

"You have got to be kidding me," said a Missouri prosthodontist. "Ever heard of the ADA?" Other dentists supported the dental association. "We have the ADA. If you want something done, put the pressure on them. The ADA is a very effective weapon on many fronts," declared a Florida dentist.

But others were sorely disappointed by the ADA. "The ADA can't get us national licensing," complained a New Jersey dentist. "The wimps running the dental societies certainly don't help when it comes to the insurers," said a New York dentist.

Dentists are often conservative, and many were turned off by the idea of a union. "What good would it do?" asked a California dentist. "Unionization would mean giving up each dentist's independence. Union workers have to abide by union rules instead of making their own policy and treatment decisions. If a dentist doesn't want to deal with insurance, he doesn't have to. It's entirely voluntary."

Dental insurance is one of the most important reasons dentists would join a union. "The insurance companies take far too much advantage of the dental industry, and do pretty much whatever they feel like knowing full well that organized dentistry, such as it is right now, doesn't have much in the way of clout to put up a fight against them," said a California dentist. Exclaimed another, "We should bring a class action lawsuit on those insurance companies!"

But not everyone hates dental insurance. "Insurance is God's gift to dentistry!" raved a dental consultant. "Without it, there would be a lot less dentistry getting done."

One dentist was so enthusiastic about the idea that he immediately volunteered to organize a dental union. "I got ripped off from all insurers: HMOs, PPOs, Medicaid, private insurers," he complained. "Put me in your organization and I will have 90% of dentists in our Union. I will travel the country. The time to fight back is now! Never give up! Let's fight!"

A Rhode Island periodontist suggested an alternative. "I'm not keen about unionization, but the best way would be for individual groups to form 'pods' under a single tax ID number. A group of almost 100 MDs in our state has been very successful with this, and it had an impact on an insurance company when the group threatened to pull out."

"Hey, is Dr. Hoffa looking for a new project?" joked Jim Du Molin, dental patient marketing guru and founder of dental management resource The Wealthy Dentist. "I must say, these results really surprise me. I know there's a lot of frustration with the ADA, but I wouldn't have expected dentists to say that unionization is the answer!"

Sunday, November 09, 2008

CEREC Optispray for Fast and Accurate Digital Impressions and Quality CAD/CAM Restorations


CHARLOTTE, NC – October 29, 2008 – Sirona Dental Systems, LLC (Nasdaq: SIRO), the company that pioneered digital impressions more than 20 years ago and the world’s leading producer of dental CAD/CAM systems, recently introduced CEREC® Optispray, an advanced contrast medium in a convenient spray canister to enable easier and more precise optical impressions and, ultimately, the most esthetic and functional CAD/CAM-produced dental restorations possible.

“The use of a contrast medium has been providing CEREC users with highly accurate digital impressions that require a minimal number of scans for more than 20 years,” said Sirona Dental Systems, LLC USA President, Michael Augins. “Optispray simplifies this proven process and takes it to the next level.”

According to Dr. Sameer Puri of Tarzana, CA, “Eliminating the need for compressed air lines and clog-prone nozzles to deliver the contrast medium is a major breakthrough. Because the CEREC user is untethered, maneuverability is greatly improved for more accurate impressions – even for the most hard-to-reach posterior areas.”

Optispray was specially developed by Sirona’s in-house R&D department for use with the CEREC dental CAD/CAM system, and provides the following unique benefits:

• Consistency – Consistently easy, fast, and accurate application.

• Precision – Thanks to its thin, homogeneous contrast layer, Optispray delivers superior digital
impression results

• Ergonomic – Spray head can be turned or angled to the desired position, depending on application (mandible/maxilla).

• Patient Experience – Patients will appreciate Optispray’s pleasant spearmint scent and taste.


Preliminary reviews of Optispray have been very positive. According to Dr. Adamo Notarantonio of Huntington, NY, “As a CEREC owner, I have used all of the powdering devices on the market and I can honestly say, Optispray gives me the most consistent images, and is by far the easiest to use as well."

CEREC Optispray comes in 50ml canisters, including two application nozzles, has a two-year shelf life and is available exclusively through Patterson Dental Supply. For more information, call your local Patterson sales representative or visit www.cereconline.com.

Saturday, November 08, 2008

Friday, November 07, 2008

3M ESPE Z100™ and Filtek™ Z250 Restoratives Receive Excellent Clinical Ratings


3M ESPE Z100™ and Filtek™ Z250 Restoratives Receive Excellent Clinical Ratings From The Dental Advisor

Restoratives offer long-lasting esthetics and minimal wear, proven through clinical history

ST. PAUL, Minn. – (Nov. 6, 2008) – 3M ESPE is proud to announce that both 3M™ ESPE™ Z100™ Restorative and 3M™ ESPE™ Filtek™ Z250 Universal Restorative have received excellent (+ + + + +) clinical ratings from The Dental Advisor, the highest achievable rating from this esteemed research- and educational-focused group.
Z100 restorative, an all-purpose, light cured composite with zirconia filler particles, was reviewed at 15 years and given a 96 percent clinical rating. To review Z100 restorative, almost 130 restorations that were placed in 1992-1993 were recently recalled. After 15 years, more than 80 percent of restorations exhibited no fracture or chipping, and while less than 20 percent showed some minor chipping, none of the restorations had required replacement. Evaluators from The Dental Advisor noted, “The wear resistance at 15 years was excellent, and in most cases wear was almost undetectable.” Additionally, very little shade change took place over the 15-year-period, with more than 70 percent of the restorations exhibiting excellent shade match.
Overall, evaluators believed that Z100 performed “exceptionally well over the 15-year monitoring period in both the anterior and posterior regions,” and, “The clinical performance of Z100 during this period met or exceeded all expectations.” Evaluators concluded: “Even though many new composites have since been introduced, Z100 has proven itself to be in a class of its own.”
Filtek Z250 universal restorative, a direct universal composite for anterior and posterior use, was reviewed at nine years and given a + + + + + rating. To review Filtek Z250 universal restorative, more than 560 restorations were recalled and evaluated. Results showed that almost 95 percent of restorations showed no chips or fractures. Additionally, 98 percent were rated very good to excellent in terms of esthetics, with restorations remaining smooth with stable color. The Dental Advisor evaluators stated, “The appearance of these restorations has rated consistently high for the past nine years.”
Nearly 90 percent of the restorations possessed no marginal discoloration at recall. Evaluators noted, “While staining at the margins can be predicted to increase over time, the ratings in this category have remained stable.” Evaluators also affirmed that “[Z250] is performing well not only in the anterior region, but also under occlusal load in posterior Class I and Class II situations,” and conclude, “It is an excellent choice for durable, esthetic restorations in anterior and posterior teeth.”
Ratings from The Dental Advisor were given in the clinical categories of resistance to fracture, esthetics, wear resistance, and resistance to marginal discoloration.
For more information visit www.3MESPE.com/filtek or call 1-800-634-2249.

Thursday, November 06, 2008

Panasonic Announces the Toughbook H1 Mobile Clinical Assistant



Here is a video of the new Toughbook made for medical use. Watch the video and check out the spec along with the $2800 cost.

Specs:

* Genuine Windows Vista® Business with Service Pack 1 (with Windows XP Tablet downgrade option)
* Intel® Atom™ processor (1.86GHz) Z540 with 533MHz FSB, 512KB L2 cache
* 1GB standard RAM configuration
* 80 GB 1.8-inch shock mounted hard drive
* 10.4” XGA sunlight viewable 500 NIT Dual Touch LCD screen (1024 x 768 resolution), InPlay Technologies digitizer
* Anti-reflective screen treatment
* Integrated 2.0 megapixel auto-focus camera with dual LED lights
* Fingerprint scanner
* Contactless smartcard reader
* RFID reader
* Fully rugged
o MIL-STD-810F and IP54 compliant
o 3 foot drop approved
o Magnesium alloy chassis
o Sealed all-weather design
o Rain-, spill-, dust- and vibration-resistant
* Intel® WiFi Link 5100 802.11a/b/g/draft-n
* Bluetooth® v2.0 + EDR
* Integrated docking connector
* Integrated options:

o Optional integrated WWAN / Gobi™-enabled mobile broadband (EV-DO and HSPA)

o Global position system (GPS) receiver
o 2D barcode reader (also reads 1D barcodes)
* 6 hour battery life
* Twin Hot-swappable batteries
* 3.4 lbs (with batteries)
* 10.4” (W) x 10.6” (H) x 1.3” - 2.3” (D)

Tuesday, November 04, 2008

Lighthouse Plz


Lighthouse PLZ (say "please") is an Internet-based suite of tools that integrates with and extends your existing practice management system. I currently use this service with Dentrix in my office to completely outsource my recare system. It can be used with practically any practice management software. For one low monthly price, PLZ offers a broad array of services that enables a higher level of productivity with less work.

Lighthouse Plz

* Combines e-mail, cell phone text messaging, and traditional postcards to ensure you reach all of your patients
* Uses a sophisticated schedule for contacting (and if necessary, re-contacting) patients based on carefully designed intervals to achieve the appropriate result (i.e., a confirmed appointment, a scheduled prophy appointment)
* Enables complete customization of your messages how they look, what they say, when they're sent, even if theyre sent

PLZ Messaging is 100-percent automated, so you reap the benefits of better communication, while your team is freed from spending hours making phone calls and printing and mailing reminders.

Check out more on the Lighthouse Plz web site and also check out Club Lighthouse a practice management group that comes with the service.

Monday, November 03, 2008

iPager


Here was another new communication device. Its called iPager. It is a small belt style pager that is used within your office. It costs $1200 for 5 pagers. No more chasing doctors or searching for employees. Just page them. More information is on the iPager web site.

Sunday, November 02, 2008

eBite Oral Illuminator



Here was something else I saw at the ADA that was interesting. Its called eBite and is a cheek and lip retractor and illuminator all in one. The unit is battery powered and can be autoclaved. It is realtively inexpensive at $250.

Go to the Dentazon web site to learn more.

Saturday, November 01, 2008

Mobile CT Imaging


If you are looking to do cone beam scans but cannot justify the price just for your office consider a mobile CT setup. I got a chance to sit in the van at CDA. It contains a New Tom CBCT set inside the van.

You can learn more at Mobile CT Imaging or the New Tom Web Site

Friday, October 31, 2008

G-Cem Self Adhesive Resin Luting Cement


Here is something else new from the ADA convention. I have gotten a chance to use the new G-Cem Self Adhesive Resin Luting Cement. It comes in both capsules and automix syringes. I have used the automix syringes. The material is very easy to dispense and more importantly just as easy to clean up! It will work in both moist and dry environments and I have not had one patient complain of sensitivity. Plus it releases the highest amount of fluoride of any self adhesive cement!

Go check out more at the GC America website

Thursday, October 30, 2008

From ADA-Pelton Crane Helios 3000



Well I finally am getting some time to discuss some products I saw at both the CDA and ADA conventions

Usually you won't find much new in over the patient lighting. Well there is something new. Pelton Crane has released the Helios 3000 LED Operating Light. The light consists of 4 different colored LEDS (red, green, blue and amber). It has 2 settings one for 5000°K and the other for 4200°K. This is perfect for shade matching. You can verify the shade at both setting by simple hitting a switch on the controller. With the touch of another switch you can eliminate the blue color and inhibit the setting of composite. It has a maximum output of 48 watts and uses 70% less energy then a standard halogen bulb. It should only cost about $10 a year to run this light.

So if your looking for a new patient light go check out the Pelton Crane Web Site.

Wednesday, October 29, 2008

Artificial Joints Not at Risk for Infection After Dental Work

Artificial Joints Not at Risk for Infection After Dental Work
By Michael Smith, North American Correspondent, MedPage Today

Published: October 27, 2008
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco


WASHINGTON, Oct. 27 -- Contrary to common wisdom and accepted practice, there is no point in giving prophylactic antibiotics before dental procedures to ward off infection in prosthetic joints, a researcher said here.
Action Points


Explain to interested patients that antibiotic prophylaxis is often given to people with artificial joints who are undergoing dental work.


Note that this study suggests the procedure has no effect.


Note that this study was published as an abstract and presented in poster form at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.
Both the American Dental Association and the American Academy of Orthopaedic Surgeons urge such prophylaxis, but the suggestion is based only on expert opinion, said Elie Berbari, M.D., of the Mayo Clinic, in Rochester, Minn.
Yet in a single-center prospective case-control study, there was no evidence that antibiotics had any effect on the risk of infection in artificial joints, Dr. Berbari said at the Interscience Conference on Antimicrobial Agents and Chemotherapy, held jointly with the Infectious Diseases Society of America meeting.
The result is not as conclusive as a randomized clinical trial, Dr. Berbari said, but such a study is unlikely to be conducted because of cost. "This is the best evidence we have," he said.
Dr. Berbari and colleagues studied 339 patients admitted to their hospital from December 2001 through April 2006 with infection in a total knee or total hip arthroplasty.
Controls were 339 patients, also with artificial joints, but without infection, he said.
The researchers collected data on demographic factors and potential risk factors, as well as obtaining data on dental procedures -- from each patient's dentist and doctor -- for the two years before the infection.
Dental procedures were classed as either low- or high-risk. Low-risk procedures included such things as restorative dentistry or fluoride treatment, while high-risk procedures included periodontal treatment or extractions.
The mean age of the cases was 69.5 years and they had had their artificial joints for 15.5 months on average. In comparison, controls had an average age of 71.4 and they had had their joints for an average of 49.9 months.
Several factors were significant risk factors for infection, including diabetes, prior arthroplasty, and compromised immunity, but antibiotic prophylaxis before dental procedures had no effect, the researchers found.
Specifically:
For low-risk procedures, 41 cases and 65 controls did not have antibiotics, for an odds ratio of 0.6, with a 95% confidence interval of 0.4 to 1.1.
Also for low-risk procedures, 59 cases and 87 controls had antibiotics, for an odds ratio of 0.8, with a 95% confidence interval of 0.5 to 1.2.
For high-risk procedures, 33 cases and 49 controls didn't have antibiotics, while 95 and 148 did, for odds ratios of 0.8 and 0.7 respectively.
As in the low-risk procedures, both 95% confidence intervals crossed unity, so the result was not significant.
Dr. Berbari said the notion of antibiotic prophylaxis before dental work in patients with artificial joints "should be re-evaluated."
He noted that the number of artificial joints implanted yearly in the U.S. is projected to rise to about four million by 2030.
Unneeded antibiotic prophylaxis for those people "is going to be a big issue," he said, especially with the rise of antibiotic resistance.
The study comes as some authorities are suggesting fewer uses of antibiotics, according to Lindsay Grayson, M.D., of the Austin Hospital in Melbourne, Australia, who was not part of the study.
In endocarditis, for instance, new guidelines suggest that antibiotics should be used less often, especially for dental procedures, said Dr. Grayson, a member of the program committee for the joint meeting. (See: Endocarditis Prevention Dropped from Endoscopy Guidelines)
"They're a little contentious, because everyone is used to giving antibiotics, he said, "and most of us have erred on the side of prophylaxis."
The Mayo study isn't definitive, but "you would need a massive number of patients" to get a solid answer in a randomized trial, he said.
Dr. Berbari did not report any external sources of support or any conflicts.


Primary source: ICAAC-IDSA Meeting
Source reference:
Berbari E, et al "Prosthetic Joint Infection (PJI) Due to Dental Procedures" ICAAC-IDSA 2008; Abstract K-551.

Monday, October 27, 2008

Clean Machine, World's Lowest-Cost Solution for PC and Mac Support,


FAR HILLS, NJ--(Marketwire - October 24, 2008) - Clean Machine Inc., a global provider of remotely administered PC security and performance management services, has teamed with Amazon.com to make its highly customized PC Concierge service -- a preventative service to protect computers from common performance and security issues -- available for purchase on Amazon.com.

Clean Machine's unique and highly efficient model for service delivery is the lowest-cost, quickest, safest and easiest way to keep computers running fast and safely. New and current PC, Mac® and peripherals owners can purchase the service on Amazon.com for $119.99 annually to receive relief from the adware, spyware, viruses and other performance and security problems that continually plague PC users.

Clean Machine software comes on a USB drive that is shipped to customers, and allows consumers, small businesses and other computer users to proactively prevent malfunctions from occurring to their PC or Mac. Customers also receive unlimited repairs, advice and helpful tips from their own personal technician. Clean Machine has the most advanced security in the industry. It includes strict privacy policies to assure consumers that their information is safe and secure, and a five-part security program that is backed by AIG.

"As the leader in online retailing and consumer electronics, we are very pleased that Clean Machine services will now be available to Amazon.com customers," said Larry Gordon, Clean Machine CEO. "We want to enhance the online shopping experience and other computing experiences for Amazon.com's millions of customers as much as possible. Clean Machine was founded because the average home-based and small business PC user is looking for simplicity, performance and value. In these tough times, computer owners don't want to pay up to $250 and sometimes more to get their computer fixed. Clean Machine provides a much lower-cost alternative while offering substantially more service and better value."

The highly-trained Clean Machine PC Concierge uses the most advanced software and tools to remotely:

-- Scan Macs and PCs for viruses and spyware
-- Remove offending programs
-- Enhance Mac and PC security, speed and performance
-- Optimize hardware and software performance
-- Fix problems and offer personalized advice
-- Provide a detailed report and improvements recommendations
-- Six times per year customized preventive maintenance
-- Overnight service


The result is a frustration-free experience and a protected, high-performing computer.

"Many of the services Clean Machine offers are the kind of standard checks that all of us probably should be doing on a regular basis but don't," said Kurt Scherf, vice president and principal analyst with Parks Associates. "In addition to checking for and eliminating malware, running disk defragmentation and ensuring the proper configuration of applications such as Windows Firewall™, Clean Machine also provides important customer assurance features. Features such as the detailed activity log that shows exactly what services were performed by the PC Concierge, and providing clearly defined security and privacy practices (including carrying significant liability insurance) are critical components to building consumer confidence in the effectiveness and safety of remote support providers."

About Clean Machine

Clean Machine Inc. is a NJ-based and incorporated company that helps consumers and small business owners easily manage and protect their computing environments safely and cost effectively. The company is has a unique, powerful and inexpensive PC concierge service. Specifically, each customer is assigned a highly-trained tech concierge who remotely examines their computer system on a scheduled and very secure basis. The PC concierge will immediately fix software-based problems and prevent new threats to the customer's computing environment including offensive pop-ups, browser redirects and slow performance, and then provides a detailed report. Clean Machine's proprietary Radar™ technology (Remote Access Detection Audit and Repair) allows its expert technicians to remotely resolve any problems, eliminating the need for customers to go through the frustrating process of speaking with a tech support expert, and still having to do the work themselves. In other words, the Clean Machine PC concierges do it all. For more information on Clean Machine please visit http://www.pccleanmachine.com