Thursday, January 31, 2013

A six-year prospective randomized study of a nano-hybrid and a conventional hybrid resin composite in Class II restorations

Dental Materials
Volume 29, Issue 2 , Pages 191-198, February 2013

Abstract 

Objective

The objective of this 6 year prospective randomized equivalence trial was to evaluate the long-term clinical performance of a new nano-hybrid resin composite (RC) in Class II restorations in an intraindividual comparison with its well-established conventional hybrid RC predecessor.

Methods

Each of 52 participants received at least two, as similar as possible, Class II restorations. The cavities were chosen at random to be restored with an experimental nano-hybrid RC (Exite/Tetric EvoCeram (TEC); n=61) and a conventional hybrid RC (Exite/Tetric Ceram (TC); n=61). The restorations were evaluated with slightly modified USPHS criteria at baseline and then annually during 6 years.

Results

Two patient drop outs with 4 restorations (2TEC, 2TC) were registered during the follow-up. A prediction of the caries risk showed that 16 of the evaluated 52 patients were considered as high risk patients. Eight TEC (2 P, 6M) and 6 TC (2P, 4M) restorations failed during the 6 years. The main reason of failure was secondary caries (43%; including the failure fracture+secondary caries it increases to 57.1%). 63% of the recurrent caries lesions were found in high caries risk participants. The overall success rate at six years was 88.1%. No statistical significant difference was found in the overall survival rate between the two investigated RC.

Significance

The nano-hybrid RC showed good clinical performance during the 6 year evaluation, comparable to the well-established conventional hybrid RC.

Wednesday, January 30, 2013

For the strongest temporary crowns and bridges: Kettenbach adds Visalys® Temp to its portfolio




Huntington Beach, CA, January 21, 2013 – Dental products specialist Kettenbach LP (www.kettenbach.com) has introduced new Visalys® Temp. With this development, Kettenbach sets new materials standards for provisional crowns and bridges. Visalys® Temp ensures demonstrably stronger temporaries that are highly aesthetic and more fracture-resistant and manufactured without BPA. Scientific studies at the University of Erlangen and extensive user testing have confirmed these properties.

A dental laboratory needs one to four weeks to fabricate a permanent bridge or crown. Temporary crowns or bridges are made for this period so the patient is not impaired in terms of dental health or appearance. For these provisional solutions, stability and aesthetic result are top priorities for both patient and dentist.

Kettenbach’s new product Visalys® Temp is a two-component BPA free resin based on a multifunctional acrylic composite. It can be used to make highly aesthetic temporary crowns, partial crowns, bridges, inlays, onlays, and veneers including long-term provisionals. Now dentists can make provisional restorations with Visalys® Temp that are remarkably stable and fracture resistant due to its unique, new monomer structure.

Tests demonstrate a particularly strong, aesthetic and comfortable result
Scientific studies at the University of Erlangen, as well as extensive clinical practice tests, prove that Visalys® Temp has excellent mechanical properties in comparison with leading competitor products. The stability and fracture resistance of a crown and bridge material are defined by six main parameters: bending strength, impact strength, diametral tensile strength, elastic modulus, fatigue factor, and Barcol hardness. In an independent in vivo market study, dentists rated provisional restorations made of Visalys® Temp as being clearly more break-resistant than other manufacturers’ temporaries; 90 percent of those surveyed said they would switch to Visalys® Temp.

In addition, the material is easy-to-use and guarantees superior aesthetic results in addition to stability. The smooth surface ensures a pleasant feeling in the mouth and impedes plaque formation. Visalys® Temp can be precisely milled and minimizes dust formation. Its natural fluorescence and translucency are optimal for restorations of front teeth. Visalys® Temp also contains no bisphenol A, a substance suspected of impairing health.

The Visalys® Temp product line
Kettenbach 2013 Price List
Sku
Temp Materials
Description
13780US
Visalys Temp, A 1
1x50 ml, 15 mixing tips
13781US
Visalys Temp, A 2
1x50 ml, 15 mixing tips
13782US
Visalys Temp, A 3
1x50 ml, 15 mixing tips
13790US
Visalys Temp, A 3,5
1x50 ml, 15 mixing tips
13784US
Visalys Temp, B 1
1x50 ml, 15 mixing tips
13788US
Visalys Temp, BL
1x50 ml, 15 mixing tips
13793US
Intro, A2 + Dispenser
Apply fix 6 dispensing gun, 1x50 ml, 15 mixing tips
13789
Visalys Temp - Mixing Tips
50 mixing tips
17208
Applyfix 6
Dispensing gun


More information on Visalys® Temp at: www.kettenbach.com

About Kettenbach LP
Kettenbach LP is the exclusive U.S. distributor for Kettenbach GmbH & Co. KG located in Eschenburg, Germany. Founded by August Kettenbach in 1944, Kettenbach GmbH was created for the development and marketing of medical and dental products. Today, the company is one of the leading international producers of impression materials for dental use and is also known in other surgical areas of medicine. For more information about Kettenbach LP products, please call 877-KEBA(5322)-123 or visit www.kettenbach.com.

Tuesday, January 29, 2013

Internet Access Plan- PACE?


I was listening to a Podcast the other day and there was a discussion about Internet access. Now for me, Internet access is something I take for granted except when I don't have it. Recent examples are after Hurricane Sandy I lost both my house and office Internet service along with my primary cell phone service and data. At this point in time data is more important to me then telephone service. So what is PACE in regards to Internet Access.  Pace stands for

Primary 

Alternate

Contingency

Emergency 

 

So it got me to thinking, what is my PACE?

For me it is my primary Internet Providers

At Home:
P- Cablevison
A- iPad mini Hot Spot (Verizon) 4G
C- iPhone as a  Hot Spot  (Sprint) 3G
E- Activate old iPhone as a Hot Spot (AT&T) 3G

During the hurricane I did not have this protocol thought out. I lost my primary Internet and Sprint service disappeared across my entire county. So I was roaming on Verizon but frequently drove to places to try and get access.

At my Office
P- Comcast
A- Verizon DSL
C- iPad mini as a hot spot (Verizon) 4G
E- iPhone as a  Hot Spot  (Sprint) 3G

So think about your Internet access plan in the event of an emergency or service disruption.

What's Your PACE ?

Monday, January 28, 2013

Evaluation of marginal and internal fit of ceramic crown copings

Dental Materials
Volume 29, Issue 2 , Pages 174-180, February 2013

Abstract 

Objectives

(1) To measure the marginal and internal adaptation of different prosthetic crowns infrastructures (IS); (2) to analyze two types of methodologies (replica and weight technique) used to evaluate the adaptation of indirect restorations.

Methods

Ceramic IS were fabricated using CAD/CAM technology and slip-casting technique, and metal IS were produced by casting (n=10). For each experimental group, the adaptation was evaluated with the replica (RT) and the weight technique (WT), using an impression material (low viscosity silicon) to simulate the luting agent. Cross-sectional images of the silicon replica were obtained and analyzed with Image J software to measure the low viscosity silicon layer thickness at pre-determined points. The silicon layer was also weighted. Results were statistically analyzed with ANOVA and Tukey's test (α=0.05). Pearson correlation was used to analyze the relation between the two types of evaluation methods.

Results

All IS evaluated showed clinically acceptable internal and marginal adaptation. Metal IS showed the best adaptation, irrespective of the measuring technique (RT and WT). The IS produced by CAD–CAM showed greater gap values at the occlusal area than at other evaluated regions. The IS produced by the dental laboratory technician showed similar gap values at all evaluated regions. There is no correlation between RT and WT (p>0.05).

Significance

Different levels of adaptation were found for the different experimental groups and for the different evaluation methods. However, all IS evaluated showed clinically acceptable values of marginal and internal adaptation.

Friday, January 25, 2013

Eco-Dentistry First Ever Conference

 
Join Paul Feuerstein, John Flucke and I along with  others for the first Eco-Dentistry Association conference. We will be doing a panel discussion along with some high tech workshops. So come join us!
 
 
Ground-breaking event will focus on opportunities presented by high-tech, green, wellness based dentistry 

Berkeley, CA (January 22, 2013) The Eco-Dentistry Association® announces today that it will hold the industry’s first dental conference devoted exclusively to high-tech, environmentally sound dental practices.  The event will take place May 3 and 4, 2013, at the stunning, eco-friendly Robert Redford Conference Center in Sundance, Utah, part of the Sundance Resort. Continuing Education credits will be available and attendance is limited to the first 100 registrants.

The 2013 Green Dentistry Conference will showcase the information and products dental professionals need to create and maintain state-of-the-art green practices. “A” List dental speakers include Gary Takacs of Takacs Learning Center, who will share the essentials of branding and marketing a green dental practice, as well as dental technology gurus Marty Jablow, DMD, Paul Feuerstein, DMD, and John Flucke, DDS who will talk about how dental technologies reduce waste and save energy, and boost the practice bottom line.  With a generous sponsorship from US Bank, Bill Roth, noted sustainability author and speaker, will lead a break out group called “Green Builds Business.”

The conference will offer panel discussions on everything from building and financing a high-tech, green dental practice to creating a successful green hygiene program. Unique, small group, hands-on opportunities with dental technology such as lasers and CAD/CAM systems will also be available.

The 2013 Green Dentistry Conference will offer attendees something rarely found at dental conferences: promoting the overall health and wellbeing of the dental team. Optional morning yoga and meditation will be available for all attendees and there will be presentations focusing on the importance of work-life balance to support personal and professional success. 

On Sunday, May 5, attendees will have the option of hiking in the 6000 acres of pristine wilderness adjacent to the Sundance Resort, enjoying fly-fishing, golf or the spa.

Customizable sponsorship opportunities are available for companies offering green dental, green building, or wellness products and services. 

Discounted early bird registration opens Tuesday, January 22nd, 2013 at www.ecodentistry.org/?conference. Contact info@ecodentistry.org or call 510-841-1229 for additional details.



About the EDA
The EDA offers dental professionals’ practical tips on incorporating eco-friendly dental methods and practices, and offers the public access to dental professionals that share their values of wellness and environmental stewardship. The organization was co-founded by Dr. Fred Pockrass, a dentist, and his entrepreneur wife, Ina Pockrass, who together created the model for eco-friendly dentistry, and operate their own award-winning dental practice in Berkeley, California, the first in the country to be certified as a green business. They formed the organization to stimulate a movement in the dental industry to employ environmentally-sound practices, like reducing waste and pollution, saving energy, water and money, incorporating wellness-based methods and the best technological advances in dentistry.
More information can be found at www.ecodentistry.org


About Sundance Resort
The Sundance Resort has a rich history of environmental conservation and was created by long time conservationist Robert Redford. Nestled at the base of 12,000-foot Mt. Timpanogos, Sundance is a destination resort located on 6,000 acres of preserved wilderness. Sundance is dedicated to maintaining the balance of art, nature and community, and offers diverse mountain recreation experiences and encourages the cultivation of art and self-expression. Visit http://www.sundanceresort.com/ to learn more.

Henry Schein, Its Supplier Partners, And The Henry Schein Cares Foundation Disburse More Than $1 Million In Financial And Health Care Product Donations To 11 Relief Organizations In The Wake Of Hurricane Sandy


MELVILLE, N.Y., Jan. 22, 2013 /PRNewswire/ -- Henry Schein, Inc. (NASDAQ: HSIC), the world's largest provider of health care products and services to office-based dental, medical and animal health practitioners, today announced that the Company, its supplier partners and the Henry Schein Cares Foundation have fulfilled its commitment to contribute more than $1 million in financial donations and essential health care supplies to 11 relief organizations serving communities affected by Hurricane Sandy, which struck areas of the Northeastern United States on October 29. The Henry Schein Cares Foundation is a 501(c)(3) organization that carries out its mission through financial and health care product donations that support health care professionals and community-based programs focused on prevention, wellness, and treatment; disaster preparedness and relief; and capacity building of health institutions that provide training and care.  
"We are proud to support the extraordinary work of the 11 organizations receiving our financial support and donations of health care supplies to assist in recovery efforts for communities affected by Hurricane Sandy," said Stanley M. Bergman, Chairman and Chief Executive Officer for Henry Schein. "These donations, supported by the generosity of our Team Schein Members and supplier partners, exemplify the deep commitment to giving back to society that has been part of the character of Henry Schein since we were founded eight decades ago."
The Company donated essential health care and hygiene products to relief organizations serving communities affected by the storm. The donations were made through Henry Schein Cares, the Company's global corporate social responsibility program, in partnership with the Company's supplier partners. Recipients included AmeriCares, Direct Relief International and Heart to Heart International.
The Company's Henry Schein Hurricane Relief Fund, established through the Henry Schein Cares Foundation, provided a pathway for Team Schein Members and others who were interested in supporting relief efforts to contribute. Henry Schein matched all donations contributed to this fund by Team Schein Members. All proceeds of the Fund were applied directly and completely to support the relief efforts of the following local organizations: 
In addition, the Company held drives for Team Schein Members to donate goods at its headquarter offices located in Melville, N.Y.  In all, the Team Schein Member campaign collected more than 2,900 pounds of food, clothing, shoes, coats, linens, diapers and other personal items for Island Harvest and The Salvation Army. Henry Schein Cares also provided "Hurricane Sandy Cleaning Kits" (including gloves, masks, gauze, paper towels, drape sheets, trash bags and hand sanitizer) to Team Schein Members who needed assistance in their personal clean-up efforts. 
In addition to its support of community relief efforts, Henry Schein supported health professionals affected by the storm in a myriad of ways. The Company opened a disaster relief hotline for dentists, physicians, and veterinarians who experienced operational, logistical, or financial issues as a result of the storm. The Company offered a host of financial services to affected customers, and Henry Schein Professional Practice Transitions provided licensing assistance and other guidance to health care practitioners who wished to practice out of state or relocate. Lastly, Henry Schein held an expert-led symposium, in conjunction with leading health care professional associations, examining all aspects of practice recovery. The symposium, entitled "Recovery Empowerment Symposium: Emerging from the Storm," was held in New York City on November 16 and was open to all interested health care professionals.
In the past, Henry Schein Cares has responded to other disasters including the Colorado Wildfires in the United States in 2012; the earthquake and tsunami in Japan, earthquake in New Zealand, and flood in Australia in 2011; the earthquakes in Haiti, China, Chile in 2010; the flood in Pakistan in 2010; the cyclone in Myanmar and earthquake in China in 2008; Hurricanes Katrina and Rita on the U.S. Gulf Coast in 2005; the 2004 Asian tsunami; the 2005 earthquake in Pakistan; the conflict in Israel, Lebanon, and Palestine; and September 11.
About Henry Schein Cares and the Henry Schein Cares Foundation
Henry Schein Cares, Henry Schein's global corporate social responsibility program, stands on four pillars: engaging Team Schein Members to reach their potential, ensuring accountability by extending ethical business practices to all levels within Henry Schein, promoting environmental sustainability, and expanding access to health care for underserved and at-risk communities around the world. Health care activities supported by Henry Schein Cares focus on three main areas: advancing wellness, building capacity in the delivery of health care services, and assisting in emergency preparedness and relief. Firmly rooted in a deep commitment to social responsibility and the concept of enlightened self-interest championed by Benjamin Franklin, the philosophy behind Henry Schein Cares is a vision of "doing well by doing good." Through the work of Henry Schein Cares to enhance access to care for those in need, the Company believes that it is furthering its long-term success.
Established in 2008, Henry Schein Cares Foundation, Inc., a 501(c)(3) organization, works to foster, support, and promote dental, medical, and animal health by helping to increase access to care for communities around the world.
The Henry Schein Cares Foundation carries out its mission through financial and health care product donations that support health care professionals and community-based programs focused on prevention, wellness, and treatment; disaster preparedness and relief; and capacity building of health institutions that provide training and care. To learn more about the Henry Schein Cares Foundation, please visit: www.hscaresfoundation.org. The "Helping Health Happen Blog" is a platform for health care professionals to share their volunteer experiences delivering assistance to those in need globally. To read more about how Henry Schein Cares is making a difference, please visit our blog: http://helpinghealthhappen.org/.
About Henry Schein, Inc.  Henry Schein, Inc. is the world's largest provider of health care products and services to office-based dental, medical and animal health practitioners. The Company also serves dental laboratories, government and institutional health care clinics, and other alternate care sites. A Fortune 500® Company and a member of the NASDAQ 100® Index, Henry Schein employs more than 15,000 Team Schein Members and serves approximately 775,000 customers.
The Company offers a comprehensive selection of products and services, including value-added solutions for operating efficient practices and delivering high-quality care.  Henry Schein operates through a centralized and automated distribution network, with a selection of more than 90,000 national and Henry Schein private-brand products in stock, as well as more than 100,000 additional products available as special-order items. The Company also offers its customers exclusive, innovative technology solutions, including practice management software and e-commerce solutions, as well as a broad range of financial services.
Headquartered in Melville, N.Y., Henry Schein has operations or affiliates in 25 countries. The Company's sales reached a record $8.5 billion in 2011, and have grown at a compound annual rate of 18 percent since Henry Schein became a public company in 1995. For more information, visit the Henry Schein Web site at www.henryschein.com.

Thursday, January 24, 2013

Atlantic Precious Metal Refining Expands Online Presence in 2013



Refining Company Invites the Dental Industry to Get Acquainted with its Executives and Services through Newly Designed Website, Facebook, Twitter, and YouTube Presence

Pittsburgh, PA (January 17, 2013) – Atlantic Precious Metal Refining (Atlantic), a Pittsburgh-based precious metal refinery serving dental professionals worldwide, is pleased to start out 2013 by unveiling its redesigned corporate website and announcing the company’s official launch into social media via Facebook, Twitter, and YouTube.

The website is now updated with a fresh new look and includes intuitive navigation links and improved functionality. Some added features of the website include tips on efficient scrap recovery and collection, information to help dental professionals fully maximize their return on dental scrap materials, photos and videos of the actual refining process, and step-by-step instructions for properly collecting and shipping valuable precious metal scrap materials.

“A website is always a work in progress,” remarked Tom Mappin, VP of Operations for Atlantic, “but we felt a total overhaul was necessary because dental professionals are just not taking advantage of the many benefits that a refining service can provide. We wanted to make learning about precious metal refining and utilizing Atlantic’s services as easy as possible to help dental professionals discover the potential for hidden profits located in their operatories and laboratories. The new Atlantic site better showcases our unique company culture, quality-focused business philosophy, and valuable industry offerings for dental professionals looking to get the highest precious metal scrap lot returns in the industry.”

In addition to many new features, the website will continue to allow visitors to view literature and technical information, connect with an Atlantic representative in their geographic location, and easily contact Atlantic’s supportive customer service staff and technical experts. The redesigned website is intended to be a regular destination for clients, prospects, business partners, and journalists who are interested in the latest refinery news. For more information and a tour of the new website, please visit www.apmr.com.

Industry professionals can also now follow Atlantic on YouTube, Twitter and/or become a fan on Facebook. This will ensure they are receiving the most current information on the latest service offerings, industry news, and up-to-date promotions from Atlantic. Located at www.youtube.com/AtlanticPrecious, www.twitter.com/AtlanticSays, and
www.facebook.com/AtlanticSays, Atlantic’s three new social media sites continue to grow daily in scope of content and members. All sites should be utilized as valuable resources for individuals seeking “as-it-happens” information and insider conversation about the company’s latest news and events, as well as advanced insight into new technologies and services being developed.

“The goal in developing our social networking sites is to make our company news and promotions readily available to all who are interested in learning more about the refining industry and how our scrap processing can greatly profit your practice,” remarked Mappin. “We look forward to an interactive and personal experience with those who want to find out more about us and the industry in general.”

About Atlantic Precious Metal Refining

Atlantic Precious Metal Refining (Atlantic) is a Pittsburgh-based precious metal refinery owned and operated by a U.S. Air Force veteran and former dental laboratory technician. Proudly serving clients from across the U.S. and around the world for more than 25 years, Atlantic processes a variety of gold, silver, platinum, and palladium materials including: crowns, bridges, sprues, and casting buttons; bench, floor, and carpeting sweeps; dust collector bags, vacuum bags, and filters; flatware, jewelry, and more. For more information, please visit www.apmr.com.

Wednesday, January 23, 2013

All on Four® Fixed Implant Support Rehabilitation: A Masticatory Function Study

De Rossi, M., Santos, C. M., Migliorança, R. and Regalo, S. C. H. (2013), All on Four® Fixed Implant Support Rehabilitation: A Masticatory Function Study. Clinical Implant Dentistry and Related Research. doi: 10.1111/cid.12031

Abstract

Background

Fixed implant-supported prostheses according to All-on-Four® (Nobel Biocare, Goteborg, Sweden) principles have become an accepted treatment modality in totally edentulous patients, whereas the functional effect of this therapy is limited.

Purpose

The purpose of this study was to evaluate the muscular function of patients totally rehabilitated with All-on-Four.

Materials and Methods

This study evaluated 63 patients. Twenty-one patients were successfully rehabilitated with maxillary and mandibular All-on-Four (no dropout implants, satisfactory aesthetic and function demands prosthesis), 21 patients were dentate, and 21 were rehabilitated with double complete dentures. Electromyography was carried out during clenching, nonhabitual and habitual chewing, and rest. All values were standardized as percentage of a maximum voluntary contraction. Data were analyzed by ANOVA to compare groups and paired t-test was used for comparison between sides within each group.

Results

All groups presented symmetric muscular activity. The All-on-Four and dentate groups had a similar muscles surface electromyography (sEMG) contraction pattern, that is, a higher sEMG activity of masseter than temporalis muscles, differing (p ≤ .05) from those of denture group. Not one statistical difference was found between All-on-Four and dentate groups.

Conclusion

The muscular function similarity of All-on-Four and dentate patients shows that this treatment concept may be considered as a good option for oral rehabilitation in edentulous patients.

Tuesday, January 22, 2013

Shear bond strength of one-step self-etch adhesives to enamel: effect of acid pretreatment

Poggio, C., Scribante, A., Della Zoppa, F., Colombo, M., Beltrami, R. and Chiesa, M. (2013), Shear bond strength of one-step self-etch adhesives to enamel: effect of acid pretreatment. Dental Traumatology. doi: 10.1111/edt.12027

Abstract

Aim

The purposes of this study were to evaluate the effect of surface pretreatment with phosphoric acid on the enamel bond strength of four-one-step self-etch adhesives with different pH values.

Material and methods

One hundred bovine permanent mandibular incisors were used. The materials used in this study included four-one-step self-etch adhesives with different pH values: Adper Easy Bond Self-Etch Adhesive (ph = 0,8-1), Futurabond NR (ph = 1,4), G-aenial Bond (ph = 1,5), Clearfil3S Bond (ph = 2,7). One two-step self-etch adhesive (Clearfil SE Bond/ph = 0,8-1) was used as control. The teeth were assigned into two subgroups according to bonding procedure. In the first subgroup (n = 50), no pretreatment agent was applied. In the second subgroup (n = 50), etching was performed using 37% phosphoric acid for 30 s. After adhesive systems application, a nanohybrid composite resin was inserted into the enamel surface. The specimens were placed in a universal testing machine (Model 3343, Instron Corp., Canton, Mass., USA). After the testing procedure, the fractured surfaces were examined with an optical microscope at a magnification of 10× to determine failure modes. The adhesive remnant index (ARI) was used to assess the amount of adhesive left on the enamel surface.

Results

Descriptive statistics of the shear bond strength and frequency distribution of ARI scores were calculated.

Conclusions

Enamel pretreatment with phosphoric acid significantly increased bond strength values of all the adhesives tested. No significant differences in bond strength were detected among the four different one-step self-etch adhesives with different pH. Two-step self-etch adhesive showed the highest bond strength.

Monday, January 21, 2013

Comparison of caries detection methods using varying numbers of intra-oral digital photographs with visual examination for epidemiology in children

I use photography as part of every new patient exam and believe it is an excellent method for detecting caries. MJ

BMC Oral Health 2013, 13:6 doi:10.1186/1472-6831-13-

Background

This was a method comparison study. The aim of study was to compare caries information obtained from a full mouth visual examination using the method developed by the British Association for the Study of Community Dentistry (BASCD) for epidemiological surveys with caries data obtained from eight, six and four intra-oral digital photographs of index teeth in two groups of children aged 5 years and 10/11 years.

Methods

Five trained and calibrated examiners visually examined the whole mouth of 240 5-year-olds and 250 10-/11-year-olds using the BASCD method. The children also had intra-oral digital photographs taken of index teeth. The same 5 examiners assessed the intra-oral digital photographs (in groups of 8, 6 and 4 intra-oral photographs) for caries using the BASCD criteria; dmft/DMFT were used to compute Weighted Kappa Statistic as a measure of intra-examiner reliability and intra-class correlation coefficients as a measure of inter-examiner reliability for each method. A method comparison analysis was performed to determine the 95% limits of agreement for all five examiners, comparing the visual examination method with the photographic assessment method using 8, 6 and 4 intra-oral photographs.

Results

The intra-rater reliability for the visual examinations ranged from 0.81 to 0.94 in the 5-year-olds and 0.90 to 0.97 in the 10-/11-year-olds. Those for the photographic assessments in the 5-year-olds were for 8 intra-oral photographs, 0.86 to 0.94, for 6 intra-oral photographs, 0.85 to 0.98 and for 4 intra-oral photographs, 0.80 to 0.96; for the 10-/11-year-olds were for 8 intra-oral photographs 0.84 to 1.00, for 6 intra-oral photographs 0.82 to 1.00 and for 4 intra-oral photographs 0.72 to 0.98. The 95% limits of agreement were -1.997 to 1.967, -2.375 to 2.735 and -2.250 to 2.921 respectively for the 5-year-olds and -2.614 to 2.027, -2.179 to 3.887 and -2.594 to 2.163 respectively for the 10-/11-year-olds.

Conclusions

The photographic assessment method, particularly assessment of 8 intra-oral digital photographs is comparable to the visual examination method in the primary dentition. With the additional benefits of archiving, remote scoring, allowing multiple scorers to score images and enabling longitudinal analysis, the photographic assessment method may be used as an alternative caries detection method in the primary dentition in situations where the visual examination method may not be applicable such as when examiner blinding is required and in practice based randomised controlled trials (RCTs).

Saturday, January 19, 2013

nfluence of mouthguards on the physical performance of soccer players

Queiróz, A. F. V. R., de Brito Jr, R. B., Ramacciato, J. C., Motta, R. H. L. and Flório, F. M. (2013), Influence of mouthguards on the physical performance of soccer players. Dental Traumatology. doi: 10.1111/edt.12026

Abstract

Aim

To evaluate the influence of different types of mouthguard (MG) on physical performance of female soccer players.

Material and methods

The sample was composed of 25 female soccer players from ‘Guarani Futebol Clube’, age range 18–22 years. For data collection, two tests were performed: agility test (shuttle run) and aerobic capacity and VO2 (Cooper test), in addition to application of a perception questionnaire after wearing mouthguards during the tests.

Results

Data analysis showed that mouthguard type III presented better results in the VO2 and aerobic capacity tests (< 0.05). In relation to difficulties experienced when wearing MGs, there were no reports of pain, discomfort, or nausea. However, 100% of athletes affirmed that it was not possible to speak with MG type I, 80% (= 20) with type II, and no athlete found difficulty in speaking when wearing MG type III. Distractions were reported by 35% (= 6) only when athletes wore MG types I and II.

Conclusions

Among the three types evaluated, the customized MG (type III) presented better results in the athletes' physical performance evaluation, even taking into account physical tests performed without the use of mouthguards.

Friday, January 18, 2013

Implant and Prosthodontic Survival Rates with Implant Fixed Complete Dental Prostheses in the Edentulous Mandible after at Least 5 Years: A Systematic Review.

Papaspyridakos, P., Mokti, M., Chen, C.-J., Benic, G. I., Gallucci, G. O. and Chronopoulos, V. (2013), Implant and Prosthodontic Survival Rates with Implant Fixed Complete Dental Prostheses in the Edentulous Mandible after at Least 5 Years: A Systematic Review. Clinical Implant Dentistry and Related Research. doi: 10.1111/cid.12036

Abstract

Background

The treatment of mandibular edentulism with implant fixed complete dental prostheses (IFCDPs) is a routinely used treatment option.

Purpose

The study aims to report the implant and prosthodontic survival rates associated with IFCDPs for the edentulous mandible after an observation period of a minimum 5 years.

Materials and Methods

An electronic MEDLINE/PubMED search was conducted to identify randomized controlled clinical trials and prospective studies with IFCDPs for the edentulous mandible. Clinical studies with at least 5-year follow-up were selected. Pooled data were statistically analyzed and cumulative implant- and prosthesis survival rates were calculated by meta-analysis, regression, and chi-square statistics. Implant-related and prosthesis-related factors were identified and their impact on survival rates was assessed.

Results

Seventeen prospective studies, including 501 patients and 2,827 implants, were selected for meta-analysis. The majority of the implants (88.5% of all placed implants) had been placed in the interforaminal area. Cumulative implant survival rates for rough surface ranged from 98.42% (95% confidence interval [CI]: 97.98–98.86) (5 years) to 96.86% (95% CI: 96.00–97.73) (10 years); smooth surface implant survival rates ranged from 98.93% (95% CI: 98.38–99.49) (5 years) to 97.88% (95% CI: 96.78–98.98) (10 years). The prosthodontic survival rates for 1-piece IFCDPs ranged from 98.61% (95% CI: 97.80–99.43) (5 years) to 97.25% (95% CI: 95.66–98.86) (10 years).

Conclusion

Treatment with mandibular IFCDPs yields high implant and prosthodontic survival rates (more than 96% after 10 years). Rough surface implants exhibited cumulative survival rates similar to the smooth surface ones (p  > .05) in the edentulous mandible. The number of supporting implants and the antero-posterior implant distribution had no influence (p  > .05) on the implant survival rate. The prosthetic design and veneering material, the retention type, and the loading protocol (delayed, early, and immediate) had no influence (p > .05) on the prosthodontic survival rates.

Thursday, January 17, 2013

Identification of risk factors for fracture of veneering materials and screw loosening of implant-supported fixed partial dentures in partially edentulous cases

Noda, K., Arakawa, H., Maekawa, K., Hara, E. S., Yamazaki, S., Kimura-Ono, A., Sonoyama, W., Minakuchi, H., Matsuka, Y. and Kuboki, T. (2013), Identification of risk factors for fracture of veneering materials and screw loosening of implant-supported fixed partial dentures in partially edentulous cases. Journal of Oral Rehabilitation. doi: 10.1111/joor.12029

Summary

This retrospective study identified the risk factors for fracture of veneering materials and screw loosening of implant-supported fixed partial dentures in partially edentulous cases. The study group included a total of 182 patients who were installed 219 suprastructures at the Fixed Prosthodontic Clinic of Okayama University Dental Hospital between February 1990 and March 2005 and were subdivided in two subgroups: 120 patients (149 facing suprastructures) were included in the subgroup to investigate the risk factors of fracture of veneering materials, and 81 patients (92 suprastructures) were included in the subgroup to identify the risk factors of abutment screw loosening. Each patient was followed up from the day of suprastructure installation until March, 2005. A Cox proportional hazards regression model was used to identify the risk factors related to technical complications, and eight factors were regarded as candidate risk factors. Screw retention was the significant risk factor for fracture of veneering materials, whereas connection of suprastructures with natural tooth was the significant risk factor for screw loosening. It was suggested that screw retention was a significant risk factor for the fracture of veneering materials, and connection of suprastructures with natural tooth was a significant risk factor for screw loosening. Future studies, involving dynamic factors (e.g. bruxism) as predictors as well, are more helpful to discuss the risk factor of fracture of veneering materials and screw loosening.

Wednesday, January 16, 2013

Broadened Definition for Porcelain/Ceramic Materials in the CDT Code Takes Effect January 1, 2013


New classification means 3M™ ESPE™ Lava™ Ultimate Restorative will receive same reimbursement as other porcelain/ceramic materials

ST. PAUL, Minn. – January 11, 2013 – Effective January 1, 2013, 3M™ ESPE™ Lava™ Ultimate Restorative will fall under the CDT Code’s broadened definition of porcelain/ceramic materials thus allowing Lava Ultimate restorative to be classified as a porcelain/ceramic. This classification is solely to aid selection of the appropriate procedure code to achieve uniformity, consistency and specificity in accurately reporting dental treatment.
Lava Ultimate restorative is an innovative new material formulated from a blend of approximately 80 percent nanoceramic particles embedded in a highly-cured resin matrix using a proprietary 3M manufacturing process. When the material was originally launched, the ADA’s CDT Code nomenclature did not yet reflect the advances in material science that Lava Ultimate restorative represents, resulting in challenges with selecting the proper dental procedure code for insurance reimbursement. With the broadened definition for indirect porcelain/ceramic restorations, Lava Ultimate restorative will fall under any CDT code defined for ceramics, allowing for the same rate of reimbursement as other ceramic materials.
"With this change, effective January 1, 2013, we want to ensure that all dentists know about the broadened definition of porcelain/ceramics and what it means for their practice,” said John Stefanick, director of industry & professional relations, 3M ESPE. “This broadened definition of porcelain/ceramics in the CDT Code helps to make the benefits of advanced material science accessible to more patients.”
The insurance reimbursement enabled by the revised definition of porcelain/ceramic materials will make it even easier for dentists to take advantage of Lava Ultimate restorative’s unique functionality, providing restorations that are strong as well as kind to opposing dentition. The restorations can be repaired intraorally if necessary, and are backed by a 10-year warranty from 3M ESPE. With the ability to code Lava Ultimate restorative like other porcelain/ceramic materials for insurance reimbursement, beginning January 1, 2013, even more dentists and patients can experience the outstanding qualities of this material.  
For more information about Lava Ultimate restorative, visit www.3mespe.com/LavaUltimate.
The Current Dental Terminology (CDT) is the intellectual property of the American Dental Association and is protected by copyright.
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3M ESPE is a dental product manufacturer that markets more than 2,000 dental products and services. 3M ESPE dental products are designed to help dental professionals improve their patients' oral health care. The 3M Digital Oral Care Department, part of the 3M ESPE Division, aims to accelerate and strengthen 3M’s efforts to lead the digital transformation that is occurring in oral care. 3M Health Care, one of 3M’s six major business segments, provides world-class innovative products and services to help health care professionals improve the practice and delivery of patient care in medical, oral care, drug delivery and health information markets. For more information on the complete 3M ESPE line of dental products, visit the 3M ESPE website at http://www.3MESPE.com or call the 3M ESPE Technical Hotline at 1-800-634-2249. Products are available for purchase through authorized 3M ESPE distributors.

Tuesday, January 15, 2013

Validity, reliability, and reproducibility of linear measurements on digital models obtained from intraoral and cone-beam computed tomography scans of alginate impressions

American Journal of Orthodontics Dentofacial Orthopedics
Volume 143, Issue 1 , Pages 140-147, January 2013

Introduction

Digital 3-dimensional models are widely used for orthodontic diagnosis. The aim of this study was to assess the validity, reliability, and reproducibility of digital models obtained from the Lava Chairside Oral scanner (3M ESPE, Seefeld, Germany) and cone-beam computed tomography scans of alginate impressions for tooth-width measurements and the Bolton analysis.

Methods

A digital model, an intraoral scan, and a plaster model were made for each of 22 subjects. Tooth-width measurements on the digital model and the intraoral scan were compared with those on the corresponding plaster models (gold standard). Intraclass correlation coefficients were calculated to determine the interexaminer reliability of the measurements of each method. The anterior and overall Bolton ratios were calculated for each participant and for each method. The paired t test was used to determine the validity. The scanning time for the intraoral scanner was registered and analyzed.

Results

Tooth-width measurements of each tooth on the digital models and the intraoral scans did not differ significantly from those on the plaster models (P >0.05). The overall and anterior Bolton ratios from the 2 types of digital models differed significantly from the gold standard (P <0 .05=".05" 1.5="1.5" as="as" be="be" clinically="clinically" could="could" decreased="decreased" differences="differences" exceeded="exceeded" however="however" insignificant.="insignificant." intraoral="intraoral" mm="mm" never="never" number="number" of="of" p="p" performed.="performed." regarded="regarded" scanner="scanner" scanning="scanning" scans="scans" significantly="significantly" the="the" this="this" times="times" with="with">

Conclusions

Both intraoral scanning and cone-beam computed tomography scanning of alginate impressions are valid, reliable, and reproducible methods to obtain dental measurements for diagnostic purposes.

Monday, January 14, 2013

Do the smiles of the world's most influential individuals have common parameters?

Orce-Romero, A., Iglesias-Linares, A., Cantillo-Galindo, M., Yañez-Vico, R. M., Mendoza-Mendoza, A. and Solano-Reina, E. (2012), Do the smiles of the world's most influential individuals have common parameters? Journal of Oral Rehabilitation. doi: 10.1111/joor.12027

Summary

The aim of this study was to determine – on the basis of the most recent yearly listings – whether there were any common measurable variables associated with the smiles of the world's most influential people. A total of 168 subjects were selected from the lists of Time magazine's 100 most influential people during the period 2006–2010. Smiling frontal view photographs were obtained. Thirty-six variables for each subject were traced and measured using photogrammetric analysis to obtain qualitative and quantitative proportions and measurements. Differences with respect to gender, occupation and year of listing were tested to 95% significance, using the Student's t-test and the Kruskal–Wallis test. The chi-squared test was used for qualitative variables. Irrespective of gender or occupation, the similar quantifiable characteristics of the smiles of the most influential subjects were the following: vertical upper lip proportion, smile width, incisor exposure, buccal corridor ratio, smile symmetry index and intra-dental proportions (P > 0·05). Other qualitative standards were as follows: smile symmetry, the buccal corridors and smile arc, direction of occlusal cant and the degree of deviation between maxillary and facial midlines. Differences were found for gingival display and smile height parameters (P = 0·001). The smiles of the world's most influential people revealed common standards, regardless of occupation or gender, which may play a decisive role in the expressions of influential faces.

Saturday, January 12, 2013

Osteonecrosis associated with dental implants in patients undergoing bisphosphonate treatment.

Kwon T-G, Lee C-O, Park J-W, Choi S-Y, Rijal G, Shin H-I. Osteonecrosis associated with dental implants in patients undergoing bisphosphonate treatment. Clin. Oral Impl. Res. 00: 2012; 19.Abstract

Objectives

Bisphosphonate-related jaw necrosis (BRONJ) associated with dental implants is a rare but continuously reported complication. To verify clinical and pathological characteristics of BRONJ around dental implants, the present study analyzed clinical, radiographic and histopathological findings of these lesions.

Patients and methods

Nineteen patients were diagnosed with osteonecrosis of the jaw associated with dental implants and treated at our institute from 2008 to 2011. The patients' medical history, demographic features, radiographic, and histopathological findings along with information on bisphosphonates (BP) administration were analyzed.

Results

The majority of BRONJ patients associated with dental implants used oral BP for osteoporosis. The patients were divided into two groups: BP initiation before (n = 16) and after (n = 3) implant surgery. Only three patients (15.8%) could be regarded as “implant surgery-triggered” BRONJ. Many patients (n = 9) showed successful osteointegration after fixture installation to an average of 35 months (11–82 months) until the development of osteonecrosis. The histological features of the lesion showed that the necrotic bone with empty lacunae was infiltrated by inflammatory cells and bacterial colonies. Viable osteocytes were also observed in some areas of the bony specimens. Three types of bone destruction pattern were observed: (i) complete necrosis of the bone around the implant (frozen type), (ii) extensive osteolysis around the implant with or without sequestra (osteolytic type), and (iii) sequestration of bone with an implant maintaining direct implant–bone contact (en block sequestration type). These findings could be existed at the same lesions depending on the degree of local bone destruction and the severity of the infection.

Conclusion

These results and those of others suggested that already osseointegrated dental implants can also cause the osteonecrosis around the implant after BP administration. En block sequestration of bone with implant might be one of the characteristics of implant-related BRONJ, which is different from peri-implantitis-induced bone destruction. The possible role of microcracks in this type of bone destruction needs to be examined further.

Friday, January 11, 2013

Periodontitis and atherosclerosis: an observational study

Morado Pinho M, Faria-Almeida R, Azevedo E, Manso MC, MartinsL Periodontitis and atherosclerosis: an observational study. J Periodont Res 2012; doi: 10.1111/jre.12026. © 2012 John Wiley & Sons A/S

Background

Poor oral health has been related with cardiovascular diseases. Specifically, periodontitis has been implicated in the pathogenesis of atherosclerosis. Our aim was to evaluate the relationship between the degree of carotid atherosclerosis and severity of periodontitis in a patient cohort.

Methods

Fifty adult patients receiving carotid duplex scans in a cerebral hemodynamics lab were included in the study. Ultrasound protocol included measurement of carotid intima–media thickness (IMT), which is a marker of atherosclerosis, and characterization of any atherosclerotic plaques in the cervical common and internal carotid arteries. Patients were divided into two main groups: the test group had IMT ≥ 1 mm or the presence of any carotid atherosclerotic plaque, and the control group had IMT < 1 mm and absence of atherosclerotic plaques. Periodontal evaluation was performed in all the teeth and characterized according to the clinical attachment level, which between 1 mm and 2 mm was classified as slight, 3 mm and 4 mm as moderate and ≥5 mm as severe.

Results

The control group included 15 (30%), while the test group included 35 (70%) subjects. The most common diagnosis was severe periodontitis (40%); moderate and slight periodontitis were also frequent occurrences (32% and 28%, respectively). In the control group, 53.3% had slight, 33.3% had moderate and 13.3% had severe periodontitis. In the test group, those percentages were respectively 22.2%, 44.4% and 33.3%. Patients with atheroma plaque had the highest percentage of severe periodontitis (70.6%). More severe periodontitis was related to atherosclerosis (P = 0.007).

Conclusion

This study showed an association between periodontitis severity and carotid atherosclerosis, suggesting that periodontal disease might be a risk indicator for atherosclerotic disease.

Thursday, January 10, 2013

When your electronics go for a swim

Many of us have had our electronics go for an accidental swim. This of course voids the warranty and in many cases leaves us without the use of our device.

Here is a company that says it can product many of the devices with a special coating so it can go for a short dip. The cost is $60 for your cell phone and may just save your expensive device. There are waterproof cases for devices such as your iphone such as the LifeProof Black Waterproof iPhone 4 / 4S Case - LPIPH4CS02BL (Google Affiliate Ad) but this Liquipel gel would keep your iPhone protected from water without the added bulk of a case.



Go check out the Liquipel website for more information.

Wednesday, January 09, 2013

Oral health-related quality of life in patients with tooth wear. Journal of Oral Rehabilitation

Papagianni, C. E., van der Meulen, M. J., Naeije, M. and Lobbezoo, F. (2012), Oral health-related quality of life in patients with tooth wear. Journal of Oral Rehabilitation. doi: 10.1111/joor.12025

Summary

The aim of this study was to investigate the impact of tooth wear (TW) on patients' oral health-related quality of life. A total of 198 participants were included in the study. They belonged to the following four different diagnostic categories: 51 patients with TW, 46 patients with painful temporomandibular disorders (TMD), 43 complete denture wearers and 58 healthy controls. The Dutch version of the Oral Health Impact Profile (OHIP-NL) was used to assess the patients' oral health-related quality of life. The results of the study show that patients with TW have an impaired oral health-related quality of life compared with healthy controls (P < 0·001). Furthermore, the impact of TW and of edentulousness do not differ significantly, while both of these oral conditions seem to have a lower impact on quality of life compared with painful TMD (< 0·05). It was concluded that TW has a negative impact on patients' quality of life. This impact is comparable with that of edentulousness.

Tuesday, January 08, 2013

Athenahealth to acquire physician favorite mobile app Epocrates for $293M

Epocrates, a top mobile app among physicians, is joining athenahealth , a provider of Electronic Health Records (EHR) software and other online services to doctors and hospitals.
On Monday, athenahealth said it will pay $293 million for the mobile health company, which marks a 22 percent premium over Epocrates’ closing price on Jan. 4.
On a conference call with investors, analysts and journalists, athenahealth CEO and co-founder Jonathan Bush said that the company has long been looking for a way to gain awareness among physicians. In Epocrates, which says it reaches more than 330,000 doctors with its iOS, Android and BlackBerry apps, Bush said, “we believe we have found a breakthrough.”
“We have so much to give doctors,” Bush said. “And so few know who we are.”
Epocrates, which was founded in 1998, initially offered doctors a Palm Pilot-based free drug reference resource. When it transitioned to iOS, the app quickly became a hit, reaching 2,230 downloads per day, Bush said. Athena estimates that 90 percent of doctors are familiar with the app, with about half using it regularly.
Watertown, Mass.-based athenahealth was founded in 1997 and provides hospitals with cloud-based medical billing and patient records services.  Assuming the deal closes, athenahealth will look to Epocrates as a way to extend the company’s name recognition and give doctors a “light” entry point for the service, Bush said.  Beyond using the app for marketing, he said Epocrates will integrate with its electronic records service athenaClinicals so that doctors will be able look up Epocrates drug information straight from Athena’s software, initiate processing the prescription and complete other tasks.
Now, he said, Epocrates is like a “Yelp” for drugs, providing doctors with quick summaries on safety information, interactions and side effects. But, Bush said, in the future, it could be more like an interactive “OpenTable” for drugs, as well as other procedures.

Monday, January 07, 2013

STUDY FINDS EXCELLENT FIT OF RESTORATIONS FABRICATED BY E4D CHAIRSIDE SYSTEM


 Richardson, TX, January 2, 2013 – A recent study by faculty and students at the Medical University of South Carolina College of Dental Medicine found clinically acceptable marginal fits — regardless of the quality of the preparation  — with restorations fabricated with the E4D System. There was a statistically significant correlation between the marginal fit and the quality of the preparation, however. Walter Renne, DMD, et.al, reported on the study, which investigated the impact of deviations from the ideal preparation, in The Journal of Prosthetic Dentistry (November 2012)*.

The investigators used preparations placed in three categories (excellent, fair, or poor) and fabricated 75 ceramic crowns with the E4D Dentist system (D4D Technologies, Richardson, TX). They then examined the marginal gap values for each category. The results showed that the presence or absence of common preparation errors was a predictor of the quality of marginal fit.

Citing previous studies, the investigators state that “most authors agree that marginal openings of less than 120 µm are in the range of clinical acceptability with regard to longevity.” They go on to report that the mean marginal gap of the E4D fabricated crowns was significantly better in all categories: 38.5 µm for the excellent preparations, 58.3 µm for the fair preparations, and 90.1 µm for the poor preparations.

“Dr. Renne and his group have done a wonderful job of tying in the quality of the preparation to the ultimate fit of the restoration, as well as confirming the potential quality of chairside restorations produced with the E4D Dentist system,” said Gary Severance, DDS, Chief Marketing Officer of D4D Technologies. “Dental professionals using the E4D System (scan, design, mill) can be assured that they have a system that can produce great fitting restorations for their patients but at the same time know that the fundamentals of quality dentistry still prevail – better preparations lead to better restorations.”

Dr Severance added, “We continue to support the training and continuing education of dental students and professionals through our own educational programs at E4D University as well as with our leading edge E4D Compare adaptive learning technology that enables dental students and faculty to compare students’ preparations to the school’s ideal standard for learning and evaluation. Our initiatives along with those of the dental education community, such as this study that illuminates the importance of preparation design, make us confident that modern technology will empower informed dental professionals to achieve even higher standards of restorative care in the future.”

*The complete article, “Predicting Marginal Fit of CAD/CAM Crowns Based on the Presence or Absence of Common Preparation Errors,” by Walter Renne, DMD, Samuel T. McGill, DMD, Kaitlyn VanSickle Forshee, Michael R. DeFee, and Anthony S. Mennito, DMD, can be found in The Journal of Prosthetic Dentistry 2012;108:310-315.

About D4D Technologies

D4D Technologies is taking the dental profession to a higher level of productivity, patient comfort, and convenience with its E4D restorative systems.  E4D’s open platform and E4D Sky communication network enable dental professionals to choose a custom solution to fit their needs. E4D offers high-speed laser scanning technology to produce digital 3D impressions of teeth without powder. Intuitive DentaLogic™ software enables operators to easily customize restoration designs and send them wirelessly to the precision mill that uses the latest restorative materials to produce fine esthetic restorations.

D4D continues to expand the possibilities in dentistry with E4D Compass™ for restorative-driven implant solutions and E4D Compare™ adaptive learning technology for teaching institutions.



Saturday, January 05, 2013

ADA Scientific Study Finds Surgical Midlevel Providers Do Not Reduce Overall Rates of Dental Decay


A report published today in the Journal of the American Dental Association details a nearly year-long systematic review of scientific papers about the use of midlevel dental providers to perform such irreversible surgical procedures as restorations and extractions.

In addition to the report, entitled "A systematic review of oral health outcomes produced by dental teams incorporating mid-level providers," JADA also published commentaries by ADA President Dr. Robert Faiella and the study's principal author, Dr. J. Timothy Wright. The report and commentaries are available at the following links:
The analysis shows that the use of mid-level providers who provide surgical treatment does not result in reduced rates of dental caries in the population and that oral health disparities exist regardless of the provider workforce model.

The study's researchers followed the ADA systematic review process, adhering strictly to the Association's criteria for evidence-based dentistry. The workgroup called for "well-designed prospective cohort studies" to better evaluate the impact of midlevel providers on incidence and treatment of dental caries.

Friday, January 04, 2013

Obamacare's effect on your dental practice.

From the Academy of General Denistry

Medical Device Tax Regulations
On Dec. 5, 2012, the U.S. Department of the Treasury and the Internal Revenue Service (IRS) issued final regulations PDF on a new 2.3 percent medical device excise tax. Created by the Patient Protection and Affordable Care Act (PPACA) of 2010, the tax went into effect on Jan. 1, 2013. The IRS will tax manufacturers on the sales of certain devices MS Word, including dental cement and impression material. According to the Organized Dentistry Coalition, this tax will increase the cost of dental care in the U.S. by more than $160 million per year. The Academy of General Dentistry (AGD) continues to work with organized dentistry in attempts to repeal the excise tax, gain an exemption for dental devices, or delay enforcement.
Other Effects of the PPACA
The medical device excise tax isn’t the only way the PPACA could affect your practice. The House Committee on Small Business has released a guide to help small businesses, including dental practices, learn more about PPACA health care provisions that take effect in 2013 PDF and 2014 PDF.
The PPACA in 2013
Get a full timeline of PPACA updates. Updates effective Jan. 1, 2013, include new funding to state Medicaid programs that choose to cover preventive services at little or no cost, and a pilot program of “payment bundling,” which groups services associated with a medical event together for payment.
Upcoming Insurance Coverage Changes
The Centers for Medicare & Medicaid Services has issued an FAQ PDF about state insurance exchanges, which will become fully operational in January 2014. While each state has latitude in structuring its program, this information can help AGD members prepare for what’s to come. AGD members also should familiarize themselves with the proposed Essential Health Benefits guidelines, which outline the benefits insurers must offer in policies sold after 2014.
Dental Practice Compliance Reminders
The American Dental Association (ADA) and U.S. Food and Drug Administration recently updated their radiographic guidelines PDF. Additionally, the ADA’s CDT 2013 Dental Procedure Codes, which went into effect on Jan. 1, 2013, include 35 new codes, 37 revised codes, 12 deleted codes, and seven subcategory changes. The ADA also updated its claim form PDF in July 2012. There do not appear to be any updates yet to the Health Insurance Portability and Accountability Act or Occupational Safety and Health Administration requirements for 2013.
Contact Us
If you have any questions or comments about legislative issues or other advocacy matters, contact the AGD Advocacy Department at advocacy@agd.org. If you need personalized assistance with your practice, including dental insurance, employment, or patient issues, email practice@agd.org.

Thursday, January 03, 2013

Accidents Happen-Woman ends up with part of a dentist's drill in her LUNG after swallowing it during surgery

Dentists need to be constantly be aware of the danger of a patient aspirating something during a dental procedure. The standard of care here was followed and the patient did not swallow the drill head it was aspirated. Never take a chance send the patient to the ER or at the minimum and chest x-ray is in order.

Read the story by clicking here.

Wednesday, January 02, 2013

The Tooth Fairy- Malpractice???

sn-toothfairy.jpg
Credit: Clark Dunbar/Corbis

In a new article, four London doctors warn of a professional who is committing malpractice and getting away with it: the tooth fairy. They report on an 8-year-old boy who was sent to an allergist because of his epic runny nose. Regular old medical treatment didn't work, so the next step was a CT scan. The scan showed signs of inflammation in the sinuses. But it also revealed something more surprising: a tooth in his left ear canal. It turned out that 3 years before, the boy had woken up "extremely distressed" because the tooth fairy had taken the tooth from under his pillow and jammed it in his ear. His parents thought that was pretty unlikely, although the tooth had indeed gone missing. Two doctors that looked in his ear over the years failed to see anything—but the boy was right, it turned out. An ear, nose, and throat surgeon removed the tooth, the authors report in the often goofy Christmas issue of BMJ. "The patient decided to keep the tooth for posterity rather than taking the risk of attempting a further pecuniary reward," they write. They also point out that there are no standard operating procedures for the tooth fairy, and doctors should be on the lookout for his or her shoddy work.
See more ScienceShots.