Tuesday, November 21, 2017

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

Original Article

Abstract

Objectives

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

Materials and methods

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

Results

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

Conclusion

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

Clinical relevance

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

Monday, November 20, 2017

Academy of Laser Dentistry Hosts Three Educational Sessions at GNYDM



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

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

The ALD-hosted courses are as follows:

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

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

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

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

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

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

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

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

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

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

Friday, November 17, 2017

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



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

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

ABOUT DENTSPLY SIRONA:
Dentsply Sirona is the world’s largest manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. As The Dental Solutions Company TM, Dentsply Sirona’s products provide innovative, high- quality and effective solutions to advance patient care and deliver better, safer and faster dentistry. Dentsply Sirona’s global headquarters is located in York, Pennsylvania, and the international headquarters is based in Salzburg, Austria. The company’s shares are listed in the United States on NASDAQ under the symbol XRAY. Visit www.dentsplysirona.com for more information about Dentsply Sirona and its products.
between the aforementioned dates are eligible for an upgrade to the CEREC MC XL Practice Lab Milling Unit within 24 months of ownership*.
To learn more, visit www.cerecforeveryone.com or contact your local Dentsply Sirona representative.
*To qualify for the MC XL Practice Lab upgrade, customer must take delivery, be invoiced and unit must be installed by June 1, 2018. Additionally, customer must pay the difference in MSRP of CEREC MC and CEREC MC XL Practice Lab established at time of original purchase. The upgrade offer is only available within 24 months of original purchase of CEREC MC. Must be a U.S. practicing dentist. This promotion cannot be combined with any other offer, and specifically does not include the SpeedFire furnace or the Consumables Bundle valued at $5,000. Dentsply Sirona reserves the right to discontinue program at any time without notice. Other terms and conditions may apply.

Thursday, November 16, 2017

TAUB to launch STELLAR DC Acrylic at GNYDM

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

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

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

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

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

Wednesday, November 15, 2017

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



Introduction

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

Methods

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

Results

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

Conclusions

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

Tuesday, November 14, 2017

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

Original Article

Abstract

Objectives

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

Materials and methods

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

Results

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

Conclusion

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

Clinical relevance

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

Monday, November 13, 2017

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




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

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

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

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

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

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

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

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

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

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

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