Thursday, August 17, 2017

Do You Want A Copy of George Washington's False Teeth?


Wednesday, August 16, 2017

Biomechanical behavior of titanium and zirconia frameworks for implant-supported full-arch fixed dental prosthesis



The biomechanical behavior of implant-supported titanium and zirconia full-arch fixed dental prosthesis (FAFDP) frameworks require further investigation.


Strains transferred by implant-supported titanium (Ti) and zirconia (Zr) FAFDP frameworks were analyzed.

Materials and Methods

Maxillary 14-unit FAFDPs supported by 6 implants and 12-unit FAFDPs supported by 4 implants were tested. One-piece frameworks were fabricated by computer-aided design/computer-aided manufacturing. Four groups were divided (n = 3): G1, Ti-6 implants; G2, Zr-6 implants; G3, Ti-4 implants; G4, Zr-4 implants. A 250 N single-point load was applied on the second premolar. A three-dimensional digital image correlation system recorded framework and maxilla model surface deformation.


The following strains (μS) averaged over the length of the second premolar were calculated: frameworks, G1 (321.82 ± 111.29), G2 (638.87 ± 108.64), G3 (377.77 ± 28.64), G4 (434.18 ± 132.21); model surface, G1 (473.99 ± 48.69), G2 (653.93 ± 45.26), G3 (1082.50 ± 71.14), G4 (1218.26 ± 230.37). Zirconia frameworks supported by 6 implants (G2) presented higher surface strains (P < .05). FAFDPs with titanium frameworks transferred significantly lower strains to the supporting maxilla when 6 implants were used (G1) (P < .05). Both framework materials transferred similar strains when supported by 4 implants (G3 and G4) (P > .05).


Zirconia frameworks supported by 6 implants showed higher strains. FAFDPs supported by 6 implants transferred less strains to the supporting maxilla, irrespective of framework material.

Tuesday, August 15, 2017

Comparison of periodontal evaluation by cone-beam computed tomography, and clinical and intraoral radiographic examinations

Oral Radiology
pp 1–11



Cone-beam computed tomography (CBCT) has been widely used in many fields of dentistry. However, little is known about the accuracy of CBCT for evaluation of periodontal status. The objective of this study was to compare and correlate periodontal assessments among CBCT, clinical attachment loss (CAL) measurement, and periapical (PA)/bitewing (BW) radiography.


Eighty patients (28 males, 52 females; age range, 19–84 years) from the University of Texas School of Dentistry at Houston were evaluated retrospectively. Measurements were taken on the central incisors, canines, and first molars of the right maxilla and left mandible. CAL was extracted from periodontal charts. The radiographic distance from the cementum–enamel junction (CEJ) to the alveolar crest was measured for tooth mesial and distal sites on PA/BW and CBCT images using MiPacs software and Anatomage Invivo software, respectively. One-way ANOVA and Pearson analysis were performed for statistical analyses.


The CEJ–crest distances for CBCT, PA/BW, and CAL were 2.56 ± 0.12, 2.04 ± 0.12, and 2.08 ± 0.17 mm (mean ± SD), respectively. CBCT exhibited larger values than the other two methods (p < 0.05). There were highly significant positive correlations among CBCT, PA/BW, and CAL measurements at all examined sites (p < 0.001). The Pearson correlation coefficient was higher for CBCT with CAL relative to PA/BW with CAL, but the difference was not significant (r = 0.64 and r = 0.55, respectively, p > 0.05).


This study validates the suitability of CBCT for periodontal assessment. Further studies are necessary to optimize the measurement methodology with CBCT.

Monday, August 14, 2017

Dentsply Sirona World 2017 selling out fast

Come and join me at this years SiroWorld! MJ
Sign up now to reserve your spot at the Ultimate Dental Meeting before it’s too late!

CHARLOTTE, N.C. (Aug. 8, 2017) – Only a limited number of registrations remain for Dentsply Sirona World in Las Vegas. With tracks including Business and Practice Management, CEREC®, Imaging, Restorative, Endodontic, Orthodontic and more, this educational festival is designed to provide the highest caliber of education to all dental practitioners, including General Practitioners and specialists.
Kicking off on Thursday, Sept. 14, and continuing through Saturday, Sept. 16, at The Venetian and The Palazzo, Dentsply Sirona World is the ultimate educational festival for dental professionals to gain comprehensive clinical and business content throughout the day and enjoy remarkable entertainment in the evening.
Registration to Dentsply Sirona World includes access to all General Sessions and Breakout Sessions, along with the social events- including the workout session with Beachbody Super Trainer Joel Freeman and the Evening of Espionage closing party at Tao Nightclub- and all of the celebrity entertainment like the exclusive concert by Grammy-winning band Imagine Dragons.
There are multiple registration types†, including doctor, staff/spouse/guest, technician, military and government, etc. Visit for a full list of registration options and pricing.

To register now, visit and sign up before it’s too late. For any event questions, please contact the help desk by email at or by phone at 844.462.7476.

Friday, August 11, 2017

Effect of conventional irrigation and photoactivated disinfection on Enterococcus faecalis in root canals: An in vitro study


Aims: A study was done to evaluate the antimicrobial efficacy of sodium hypochlorite (NaOCl) and photoactivated disinfection (PAD) on Enterococcus faecalis.
Settings and Design: Random sampling, in-vitro study.

Subjects and Methods: Access opening and biomechanical preparation were performed on fifty freshly extracted mandibular second premolars. The specimens were sterilized; 15 μm of E. faecalis was inoculated into each canal and incubated at 36°C for 24 h. Later, specimens were randomly divided into two groups of fifty each and following procedures was carried out: (i) conventional irrigation with 2.25% NaOCl (ii) PAD using diode laser, and toluidine blue photosensitizer. Samples were collected from each canal using sterile paper points which were deposited in brain heart infusion broth, and microbiological evaluation was carried out.

Statistical Analysis Used: Student's t-test was used to find the significant difference in the reduction of colony forming unit (CFU) between the groups.

Results: The mean CFUs of the two groups showed statistically significant difference (P = 0.001). Improved antibacterial efficacy was seen with PAD group compared to conventional NAOCL irrigation.

Conclusions: NaOCl alone was not effective in eliminating E. faecalis completely from the root canals. PAD compared to conventional irrigation showed the best results in removing E. faecalis from root canals.

Balakrishna N, Moogi P, Kumar G V, Prashanth B R, Shetty NK, Rao KR. Effect of conventional irrigation and photoactivated disinfection on Enterococcus faecalis in root canals: An in vitro study. J Conserv Dent 2017;20:125-8

Thursday, August 10, 2017

Is cone beam computed tomography accurate for post-operative evaluation of implants? an in vitro study



To evaluate the accuracy of CBCT images for bone/implant interface diagnosis in comparison to periapical radiographs.

Study Design

Titanium implants were inserted in 74 bovine rib blocks in intimate contact to the bone walls, and with a gap of 0.125 mm (simulating a failure in the osseointegration process). Periapical radiographs were taken with conventional film, and CBCT scans were acquired with i-CAT (0.2mm and 0.125mm voxel) and Kodak (0.2mm and 0.076mm voxel) units. Three examiners evaluated the images using a 5-point scale. Diagnostic accuracy was analyzed through sensitivity, specificity, and the area under the ROC curve (AUC) with 95% confidence intervals (CI). Intra- and inter-examiner agreements were analyzed through Kendall's concordance test.


Intra- and inter-examiner agreements showed satisfactory results. The greatest accuracy was observed with conventional radiographs (AUC = 0.963 / CI 95% = 0.891-0.993). I-CAT 0.125mm images showed good accuracy (AUC = 0.885 / CI 95% = 0.790-0.947), with no significant difference compared to conventional radiography. Kodak images had high specificity and low sensitivity, presenting more false-negative results.


Conventional radiographs showed the highest accuracy for bone/implant interface diagnosis. However, CBCT scans (i-CAT 0.125 mm voxel), if available or if performed for pre-surgical assessment of another implant site, may provide similar accuracy.

Wednesday, August 09, 2017

Manual tactile sensation, digital radiograph, and multidetector computed tomography: An in vitro study.

Dutta K, Desai PD, Das UK, Sarkar S. Comparative evaluation of three methods to measure working length - J Conserv Dent [serial online] 2017 [cited 2017 Aug 5];20:76-80. Available from:   




Aim: Compare the measurement of working length with three different methods manual tactile sensation, digital radiography and Mutidetector computed tomography(MDCT).

Materials and Method: 40 human premolar extracted for orthodontic purpose were selected. Teeth were store in sodium chloride (0.9%) during the study. Access cavity was prepared and canal patency was seen with no 10 file in each tooth. Manually no 15 K file was inserted from access cavity until the tip was visible at the foramen, a silicon stopper was adjusted to the corresponding buccal cusp tip and the root canal length was measured. After that in each tooth with no-15 K file inserted from access cavity with stop at tip of buccal cusp until tip appear at foramen and x-ray was taken with digital radiograph (RVG,Satelac) and canal length was measured. After that all teeth are mounted in wax block,MDCT scan was done and in the scan images of teeth, root canal length is measured from buccal cusp tip to root end. After taking measurement of working length with all three methods and the data was stastically analyzed with One Way Analysis of variance (ANOVA) followed by Turkey's Test.

Results: ANOVA and turkeys test showed that there was no significant difference in the measurements by the three procedures (p>0.05).

Conclusion: Working length measurement with MDCT scan and other two conventional methods does not show significant difference in measurement. Use of newer 3D imaging technique is useful in root canal treatment for measuring working length.

Tuesday, August 08, 2017

Clinical and radiographic comparison of biodentine, mineral trioxide aggregate and formocresol as pulpotomy agents in primary molars



To compare the clinical and radiographic success rates of three different pulpotomy agents in primary molars after 18 months.


The study was carried out with 51 primary molars of children aged 5–9 years old. The teeth were randomly assigned to the experimental or control groups. After coronal pulp removal and haemostasis, the remaining pulp tissue was covered with Biodentine® or mineral trioxide aggregate in the experimental groups. In the control group, formocresol was placed with a cotton pellet over the pulp tissue for 5 min and after removal the pulp tissue was covered with zinc oxide–eugenol (ZOE) paste. All teeth were immediately restored with reinforced ZOE base and resin modified glass-ionomer cement, and later with pre-formed metal crowns. Follow-up assessments were carried out after 3, 6, 12 and 18 months.


Forty-five teeth were available for follow up at the end of 18 months. All of the available teeth for mineral trioxide aggregate and Biodentine® were clinically successful, as were 73.3% of the FC group. Radiographic success rate for the formocresol group at 18 months follow up was 73.3, 100% for mineral trioxide aggregate and 86.6% for Biodentine® group.


Mineral Trioxide aggregate and Biodentine® showed more favourable results than formocresol.

Monday, August 07, 2017

The Intego Treatment Center: optimally designed for preventive care and ready for the future

As part of it commitment to better, safer, faster dentistry, Dentsply Sirona is pleased to present another unique integrated solution.  The Cavitron Ultrasonic Scaling System with Steri-Mate 360 is now fully integrated in the Intego Treatment Center.

York – General scaling and periodontal debridement applications are an integral service offered by dental practices. In order to help practitioners to best set up their treatment rooms, Dentsply Sirona has expanded its existing Treatment Centers product range with an integrated preventive care concept. The Cavitron built-in ultrasonic scaling system is now available with the Intego line of Treatment Centers for fast and effective removal of even the most tenacious deposits. The Intego and Intego Pro Ambidextrous models are available in the US and offer modern dental practice everything necessary for professional dental hygiene, dental aesthetics and dental care.

Flexibility through individually configurable equipment

Intego supports a variety of treatment concepts through two different variants: Intego TS is a traditional, over the patient delivery with hanging hoses. The dentist element has a wide range of movement and the adjustable tray holder makes for a convenient work environment. Intego CS is a continental delivery system with whip arms and offers the widest range of treatment positions around the oral cavity, whether working alone or as a team.
Intego is additionally configurable with special packages and practical equipment options. For optimal patient communication, the unit can be equipped with a 22-inch full-HD monitor, and an autofocus intraoral camera.

Integrated design ideal for hygiene procedures

Intego is an excellent choice for hygiene procedures. Configuration is ergonomically and functionally adapted to preventive care treatments thanks to features such as a double articulating headrest, external device connection, multifunctional syringe, maintenance-free electric motors, LED operating lights and, coming soon, the integration of Cavitron. The Intego Pro Ambidextrous model features an integrated infection prevention system and automated cleaning functions. Ergomotion provides a synchronized movement of the patient’s spine with no readjustment of the headrest. Changing from right-handed to left-handed operation can be easily done in 15 seconds between the treatments of patients. The Carl or Hugo stools are available as ergonomic add-ons.

Ready for the future thanks to innovative design and digital interfaces

Developed at the Dentsply Sirona Innovation Center in Bensheim, Germany, Intego Treatment Centers were created as high-quality and reliable units, designed for the technical requirements of the future. A network interface in the patient chair, and USB connections in the doctor's element enable digital updates as well as the use of additional applications. New system solutions can be accessed and controlled via the comprehensive user interface on the EasyTouch touchscreen.
The Intego Treatment Centers combine modern, award-winning design available in many color variations, with compact dimensions, and a holistic infection prevention concept. Intego is optimally equipped for every clinical need while also being optimally prepared for long-term use into the future.

Friday, August 04, 2017

Immediate implant placement into posterior sockets with or without buccal bone dehiscence defects: A retrospective cohort study



To evaluate bone reconstruction and soft tissue reactions at immediate implants placed into intact sockets and those with buccal bone dehiscence defects.


Fifty-nine internal connection implants from four different manufacturers were immediately placed in intact sockets(non-dehiscence group, n = 40), and in alveoli with buccal bone dehiscence defects: 1) Group 1(n =  N10), the defect depth measured 3–5 mm from the gingival margin. 2) Group 2(n = 9), the depth ranged from 5 mm to 7 mm. The surrounding bony voids were grafted with deproteinized bovine bone mineral (DBBM) particles. Cone beam computed tomography(CBCT) was performed immediately after surgery (T1), and at 6 months later(T2). Radiographs were taken at prosthesis placement and one year postloading(T3). Soft tissue parameters were measured at baseline (T0), prosthesis placement and T3.


No implants were lost during the observation period. For the dehiscence groups, the buccal bone plates were radiographically reconstructed to comparable horizontal and vertical bone volumes compared with the non-dehiscence group. Marginal bone loss occurred between the time of final restoration and 1-year postloading was not statistically different(P = 0.732) between groups. Soft tissue parameters did not reveal inferior results for the dehiscence groups.


Within the limitations of this study, flapless implant placement into compromised sockets in combination with DBBM grafting may be a viable technique to reconstitute the defected buccal bone plates due to space maintenance and primary socket closure provided by healing abutments and bone grafts.

Clinical significance

Immediate implants and DBBM grafting without using membranes may be indicated for sockets with buccal bone defects.

Thursday, August 03, 2017

Freehand Versus Guided Surgery: Factors Influencing Accuracy of Dental Implant Placement

Patient anatomy, practitioner experience, and surgical approach are all factors that influence implant accuracy. However, the relative importance of each factor is poorly understood. The present study aimed to identify which factors most critically determine implant accuracy to aid the practitioner in case selection for guided versus freehand surgery.

One practitioner's ideal implant angulation and position was compared with his achieved position radiographically for 450 implants placed using a conventional freehand method. The relative contribution of 11 demographic, anatomical, and surgical factors to the accuracy of implant placement was systematically quantified.

The most important predictors of angulation and position accuracy were the number of adjacent implants placed and the tooth-borne status of the site. Immediate placement also significantly increased position accuracy, whereas cases with narrow sites were significantly more accurate in angulation. Accuracy also improved with the practitioner's experience.

These results suggest tooth-borne, single-implant cases performed later in the practitioner's experience are most appropriate for freehand placement, whereas guided surgery should be considered to improve accuracy for multiple-implant cases in edentulous or partially edentulous sites.

Wednesday, August 02, 2017

Prevention of HPV-Related Oral Cancer by Dentists: Assessing the Opinion of Dutch Dental Students


The aim of this study is to assess dental students’ opinions of the dentists’ role in primary prevention of human papillomavirus (HPV)-related oral cancer using a cross-sectional web-based survey. A questionnaire, containing questions about knowledge of HPV and oral cancer, confidence in head and neck examination and role of the dentist in preventing HPV-related oral cancer, was sent to all students of the Academic Centre of Dentistry Amsterdam (n = 912). One hundred and twenty-six (n = 126) students completed the questionnaire. Significantly, more master students (75%) than bachelor students (54.3%) were aware that HPV is a causative factor for oral cancer. Master students had more knowledge of HPV than bachelor students, but knowledge about HPV vaccination was irrespective of the study phase. The majority of dental students agreed that it is important to discuss HPV vaccination with patients. Eighty-nine percent of the students think that more education about symptoms of oral cancer will increase screening for oral cancer. Development of a protocol for screening in dental practices was considered even more important. According to dental students, dentists should discuss HPV as a risk factor for oral cancer with patients. Future dentists are willing to be involved in both primary and secondary prevention of HPV-related oral cancer. Therefore, screening for oral cancer and education about HPV vaccination should be integral elements of the dental curriculum.

Tuesday, August 01, 2017

Chlorhexidine mouthwash as an anticaries agent: A systematic review

Quintessence Int 48 (2017), No. 7  (21.06.2017)

Page 585-591, doi:10.3290/j.qi.a38353, PubMed:28555200

To evaluate the effectiveness of chlorhexidine mouthwashes on the reduction of cariogenic bacteria on patients with moderate to high risk for dental caries.
Data Sources: A systematic review of the literature was performed using Cochrane Library, Embase, PubMed, Scopus and Web of Science. The search was limited to articles in English, Spanish, and Portuguese, published until January 2017. The research question was formulated following the PICO strategy. The risk of bias was evaluated using the guidelines of the Cochrane Handbook for Systematic Reviews of Interventions.

 All the authors found statistically significant differences in Streptococcus mutans levels during and after the use of a chlorhexidine mouthwash. Although the results are suggestive, there is a clear need for the development of new studies with higher quality and with longer follow-ups, in order to assess whether the results translate into less development of dental caries and, consequently, whether or not these products should be incorporated into prevention protocols.

Monday, July 31, 2017

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

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



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


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


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


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

Friday, July 28, 2017

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

Caries Res 2017;51:443-450


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

Thursday, July 27, 2017

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

Accepted manuscript online:



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


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


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


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

Wednesday, July 26, 2017

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

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

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

Tuesday, July 25, 2017

The future of digital dentistry

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

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

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

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

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

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

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

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

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

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

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

About Patti DiGangi:

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

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

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

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Friday, July 21, 2017

Will Bioceramics be the Future Root Canal Filling Materials?

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


Purpose of Review

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

Recent Findings

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


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