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Category Archives: dental techniques

Delta Dental encouraging a healthy smile throughout month

04 Monday Feb 2019

Posted by landisrefining in dental techniques, dentist, health and wellness, oral health

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childrens dental care, childrens dental health month, dental health, kids health

February is Children’s Dental Health Month
Photo by Di Lewis on Pexels.com

February is National Children’s Dental Health Month — the perfect time to emphasize the importance of establishing good oral health habits at an early age to prevent tooth decay.

Although preventable, tooth decay is the most common chronic childhood disease, according to the U.S. Surgeon General. Tooth decay can develop any time after the first tooth comes in, starting around 6 months of age. Establishing good dental habits in early childhood is essential for preventing or lessening the impact of tooth decay while ensuring a lifetime of good oral health. This month, we encourage parents to help their kids develop healthy routines including visiting the dentist regularly, brushing their teeth twice a day and flossing once a day.

Reducing the global burden of poor oral health through school-based programmes | International Journal of Epidemiology | Oxford Academic

31 Friday Aug 2018

Posted by landisrefining in dental techniques, health and wellness, oral health

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Photo by Peace Alberto Iteriteka on Pexels.com

Globally, dental caries and gingivitis negatively impact upon the health and quality of life of countless children.1,2 Caries is the commonest preventable infectious disease affecting children worldwide.3 The causal agent, Streptococcus mutans, thrives in an acidic environment where sugar is available.4 Bacteria are trapped in deposits of plaque on the gum line and cause gum inflammation and chronic periodontal disease.

…

Factors predisposing children to this health burden include poverty, poor nutrition and a lack of knowledge about the relevance of oral health and how to clean their teeth as a preventive measure. Those from disadvantaged populations suffer disproportionally, yet much of the pathology and…

Read more via Reducing the global burden of poor oral health through school-based programmes | International Journal of Epidemiology | Oxford Academic

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Oral care probiotics research on rise – Korea Biomedical Review

19 Tuesday Jun 2018

Posted by landisrefining in dental techniques, dentist, health and wellness, oral health

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landis refining, dental industry, dental healthDomestic microbiome firms such as Bifido are entering the oral care probiotics market following growing interest in the hundreds of microorganisms that live in the mouth and affect general health.

Research and commercialization of beneficial bacteria in the human body are in full swing due to the interest in human microbiomes. Markets and Markets, a market research company, estimate the global microbiome market to reach $500 million by 2022 and $900 million by 2025.

Although gut microbiomes research has been the most prominent, there has been growing interest in oral lactobacillus that protects the health of the mouth from oral diseases such as dental caries, gingivitis, and chronic periodontitis.

The World Health Organization raised concerns that non-infectious diseases or diseases that occur without pathogen infection are closely related to gum disease and that harmful bacteria in the mouth affect general health.

Both industrialists and consumers have since become increasingly interested in creating healthy oral microbial ecosystems.

“Oral care probiotics is the most active field of commercialization of microbiome research following intestinal microorganisms. With the recent interest in the microbiome industry, the sales growth of oral lactobacillus products is expected to increase further,” a Bifido official said.

Bifido is a Korean microbiome firm known as the provider of probiotics such as ProsLab and BioGaia. The firm has also been developing a rheumatoid arthritis therapy with Catholic University Seoul St. Mary’s Hospital since 2017.

Bifido is leading the commercialization of human microbiome products, having successfully cultivated CMU strains through technology developed from studying microorganisms for 30 years, cultivating egg culture bacteria, and commercializing products.

Along with the development of patented human-derived Bifidobacteria BGN4 and BORI and commercialization of intestinal probiotics, Bifido is now expanding into the oral lactobacillus market to create oral probiotics such as Bifidus Denti for inflammatory diseases of the mouth and bad breath, the company said.

It had reportedly led the market by commercializing a CMU strain for oral health. Weissella cibaria strain CMU, a representative oral care probiotic, is a patented oral lactic acid bacterium that is effective in suppressing bad breath.

via Oral care probiotics research on rise – Korea Biomedical Review

Arizona law creates dental therapists to handle fillings, extractions and crowns | Local news | tucson.com

18 Friday May 2018

Posted by landisrefining in business practices, dental techniques, health and wellness, oral health

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Arizona, crowns, dental practices, dental therapists, extractions, filings

children at dentist, landis refiningDental therapists — a midlevel provider similar to a physician assistant or nurse practitioner — will be a new, licensed profession in Arizona.

Arizona is the seventh U.S. state to allow dental therapy as a profession, said Kristen Mizzi Angelone, dental campaign manager for Pew Charitable Trusts.

 

Under the law signed Wednesday by Gov. Doug Ducey, dental therapists will be allowed to practice only in certain settings — tribal settings, federally qualified health centers and other nonprofit community health centers treating low-income patients. The law will take effect Aug. 3.

Dental therapy is seen by supporters as a way of addressing Arizona’s oral health needs because therapists will be able to perform a limited scope of procedures such as fillings, extractions and crowns at a lower cost.

Members of the Tohono O’odham Nation southwest of Tucson were among the most vocal supporters of the legislation, as they see it as offering a career path for tribal members to remain on the reservation without spending as much money as it costs to go to dental school. Tribal members have also indicated interest in setting up dental therapy coursework at Tohono O’odham Community College.

While Arizona tribes may hire federally certified dental therapists from out of state once the new law takes effect in August, it’s expected to be several years before Arizona schools start graduating dental therapists.

The original dental therapy bill was sponsored by Sen. Nancy Barto, a Republican from Phoenix who has long said adding dental therapists is a “free market solution” to meeting oral health needs in the state.

“Dental therapists are a proven workforce model that will increase affordable care options without creating new, burdensome regulations,” Barto said.

 

Read more via Arizona law creates dental therapists to handle fillings, extractions and crowns | Local news | tucson.com

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Tech and insurance go hand in hand when it comes to dental innovation

17 Thursday May 2018

Posted by landisrefining in business practices, dental techniques, health and wellness

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New Technology allows Doctors to focus on Patients

When it comes to dental health, companies seem to more and more see consumer technology and insurance as natural partners. Beam Dental, which started out in the smart toothbrush space but expanded a few years ago into dental insurance, raised $22.5 million today. At the same time, quip, a smart toothbrush company that raised $10 million last year, acquired dental health plan Afora, in a move that mirrors Beam’s pivot.

“With over 100 million Americans without any dental coverage at all, and many with coverage that doesn’t incentivize making the most of your covered preventative care, we feel it is essential to offer an alternative that can help more people visit the dentist more often, for less,” Simon Enever, CEO and cofounder of quip, said in a statement. “Bringing Afora into quip Labs allows us to accelerate this project towards our mission of supporting our members through all aspects of their oral care routine, from the products they use everyday, to the professionals they visit every six months”.

quip offers its own ADA-approved electric toothbrush for $25, a subscription service that sends replacement heads every three months for $5 per shipment, and an online platform called Dental Connect. The platform helps dentists who sign up to remind patients about regular check-ups and reward them for coming in with free brushes.

via Tech and insurance go hand in hand when it comes to dental innovation | MobiHealthNews

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Simplified and Predictable Aesthetic Adhesive Cementation of Indirect Restorations | Dentistry Today

30 Friday Mar 2018

Posted by landisrefining in dental techniques, dentist, health and wellness, oral health

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Choosing an appropriate adhesive resin cement for definitive cementation of indirect restorations can be challenging for patients requiring restorative treatment. Ideal bond strength is necessary to ensure functional treatment durability. Likewise, cement shade stability is also important for long-term aesthetics; the color of adhesive resin cements affects how the shade of tooth substrates interacts with the optical properties of restorative materials and also affects shade matching with adjacent restorations or natural teeth.

To simplify durable and aesthetic cementation of indirect restorations, a universal dual-cure adhesive resin cement system can be used (G-CEM LinkForce [GC America]). G-CEM LinkForce is a 3-component system for predictably and securely placing ceramic, resin, and metal-based inlay, onlay, crown, and bridge restorations. Ideal when adhesive bonding is required to ensure adequate strength of stacked feldspathic ceramic, pressed leucite ceramic, and/or lithium disilicate restorations (eg, GC Initial LiSi Press High Density Micronization (HDM) high-strength pressable lithium disilicate), it is also beneficial when a lack of retention form prevents mechanical retention—as with partial coverage, inlay, onlay, or veneer restorations—regardless of restorative material.

The G-CEM LinkForce self-cure mode is advantageous in situations in which restorations are thick, opaque, or located in areas that cannot confidently be thoroughly light cured. It is also indicated for the cementation of metal, ceramic, and fiber posts, as well as cast post and cores. Its universal application also includes permanent cementation of crowns and bridges on implant abutments.

Figure 1. View of the intaglio surface of the full cast gold crown for tooth No. 31 prior to micro air abrasion/etching. Figure 2. View of the intaglio surface of the full cast gold crown after micro air abrasion.
Figure 3. To begin loading cement into the crown, the nozzle was placed at the base. Figure 4. Using the nozzle to paint the internal walls of the restoration with cement, the cement was introduced into the crown.
Figure 5. Postoperative view of the crown restoration following cementation, with excess cement removed and ready for full function.

Unlike other dual- and self-cure cements that color shift over time, G-CEM LinkForce remains color stable, exhibits tooth-like fluorescence, and is available in corresponding try-in pastes. This allows dentists and patients to accurately preview aesthetics before permanent cementation.
The G-CEM LinkForce system includes (1) G-CEM LinkForce Resin Cement; (2) G-Multi Primer for stable chemical adhesion, coupling between adhesive-treated and restoration surfaces; (3) G-Premio BOND universal adhesive bonding agent for self-etch, selective-etch, and/or total-etch adhesive bonding; and (4) G-Premio BOND Dual Cure Activator for achieving high bond strengths when self-curing is required.

In the case of a 71-year-old male patient, G-CEM LinkForce was ideal for cementing a full-cast gold crown restoration to treat tooth No. 31. Prior to delivery, the intaglio surface of the restoration was properly prepared chairside with micro air abrasion (Etchmaster [Groman]).

At the cementation appointment, the provisional restoration was removed and the preparation thoroughly cleaned. The definitive restoration was tried in. After confirming patient approval, the restoration was removed and dried. G-Multi Primer was applied to the intaglio surface of the restoration and dried with an air syringe.

Meticulous isolation was established, the preparation was rinsed and dried, and then the preparation was selectively etched and dried. When light-curing, G-Premio BOND is applied, allowed to set for 10 seconds, air dried for 5 seconds, and light cured for 10 seconds. When using dual-cure mode, G-Premio Bond and DCA are applied in a 1:1 ratio, allowed to set for 20 seconds, and air dried for 5 seconds.

G-CEM LinkForce in Shade A2 was extruded directly into the restoration, which was immediately seated onto the preparation while maintaining pressure. The cement was tack cured for 2 to 4 seconds to facilitate easier, atraumatic cleanup by allowing for easy peeling off of the excess. The restoration was then light cured from each surface/margin for 20 seconds. Overall, using G-CEM LinkForce contributed to a more comfortable patient experience during a simplified cementation appointment while simultaneously ensuring a secure, aesthetically predictable restoration.

Choosing an appropriate adhesive resin cement for definitive cementation of indirect restorations can be challenging for patients requiring restorative treatment. Ideal bond strength is necessary to ensure functional treatment durability. Likewise, cement shade stability is also important for long-term aesthetics; the color of adhesive resin cements affects how the shade of tooth substrates interacts with the optical properties of restorative materials and also affects shade matching with adjacent restorations or natural teeth.

To simplify durable and aesthetic cementation of indirect restorations, a universal dual-cure adhesive resin cement system can be used (G-CEM LinkForce [GC America]). G-CEM LinkForce is a 3-component system for predictably and securely placing ceramic, resin, and metal-based inlay, onlay, crown, and bridge restorations. Ideal when adhesive bonding is required to ensure adequate strength of stacked feldspathic ceramic, pressed leucite ceramic, and/or lithium disilicate restorations (eg, GC Initial LiSi Press High Density Micronization (HDM) high-strength pressable lithium disilicate), it is also beneficial when a lack of retention form prevents mechanical retention—as with partial coverage, inlay, onlay, or veneer restorations—regardless of restorative material.

The G-CEM LinkForce self-cure mode is advantageous in situations in which restorations are thick, opaque, or located in areas that cannot confidently be thoroughly light cured. It is also indicated for the cementation of metal, ceramic, and fiber posts, as well as cast post and cores. Its universal application also includes permanent cementation of crowns and bridges on implant abutments.

Figure 1. View of the intaglio surface of the full cast gold crown for tooth No. 31 prior to micro air abrasion/etching. Figure 2. View of the intaglio surface of the full cast gold crown after micro air abrasion.
Figure 3. To begin loading cement into the crown, the nozzle was placed at the base. Figure 4. Using the nozzle to paint the internal walls of the restoration with cement, the cement was introduced into the crown.
Figure 5. Postoperative view of the crown restoration following cementation, with excess cement removed and ready for full function.

Unlike other dual- and self-cure cements that color shift over time, G-CEM LinkForce remains color stable, exhibits tooth-like fluorescence, and is available in corresponding try-in pastes. This allows dentists and patients to accurately preview aesthetics before permanent cementation.
The G-CEM LinkForce system includes (1) G-CEM LinkForce Resin Cement; (2) G-Multi Primer for stable chemical adhesion, coupling between adhesive-treated and restoration surfaces; (3) G-Premio BOND universal adhesive bonding agent for self-etch, selective-etch, and/or total-etch adhesive bonding; and (4) G-Premio BOND Dual Cure Activator for achieving high bond strengths when self-curing is required.

In the case of a 71-year-old male patient, G-CEM LinkForce was ideal for cementing a full-cast gold crown restoration to treat tooth No. 31. Prior to delivery, the intaglio surface of the restoration was properly prepared chairside with micro air abrasion (Etchmaster [Groman]).

At the cementation appointment, the provisional restoration was removed and the preparation thoroughly cleaned. The definitive restoration was tried in. After confirming patient approval, the restoration was removed and dried. G-Multi Primer was applied to the intaglio surface of the restoration and dried with an air syringe.

Meticulous isolation was established, the preparation was rinsed and dried, and then the preparation was selectively etched and dried. When light-curing, G-Premio BOND is applied, allowed to set for 10 seconds, air dried for 5 seconds, and light cured for 10 seconds. When using dual-cure mode, G-Premio Bond and DCA are applied in a 1:1 ratio, allowed to set for 20 seconds, and air dried for 5 seconds.

G-CEM LinkForce in Shade A2 was extruded directly into the restoration, which was immediately seated onto the preparation while maintaining pressure. The cement was tack cured for 2 to 4 seconds to facilitate easier, atraumatic cleanup by allowing for easy peeling off of the excess. The restoration was then light cured from each surface/margin for 20 seconds. Overall, using G-CEM LinkForce contributed to a more comfortable patient experience during a simplified cementation appointment while simultaneously ensuring a secure, aesthetically predictable restoration.

via Simplified and Predictable Aesthetic Adhesive Cementation of Indirect Restorations | Dentistry Today

Seven Keys to Preventing More Patients from Dying from Dental Sedation

16 Friday Mar 2018

Posted by landisrefining in dental techniques, dentist, health and wellness, oral health

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kid at dentistThe number of patients—and, particularly, children—who have been injured or killed by dental sedation indicates that there are gaps in the standard of medical care being used during these procedures. Here are just some of the cases that we know about:

  • 6-year-old Caleb Sears stopped breathing after receiving several different kinds of intravenous anesthetics during a tooth extraction.
  • 5-year-old Amber Athwal suffered brain damage after receiving general anesthesia to extract some of her teeth.
  • 17-year-old Sydney Gallegher died nearly a week after she suffered cardiac arrest after having her wisdom teeth pulled.

An investigation by the local ABC affiliate in Austin, Texas, identified at least 85 patients in Texas who died shortly following dental procedures from 2010 to 2015.

We offer seven keys to preventing more patients—especially children—from dying from dental sedation.

The Dentist Should Not Be the Anesthesia Provider and Monitor

In many of the fatalities following sedation for dental procedures, the same person was performing the dental procedure and monitoring the patient. As the American Academy of Pediatric Dentistry (AAPD) “Guideline for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures” states:

“The use of moderate sedation shall include the provision of a person, in addition to the practitioner, whose responsibility is to monitor appropriate physiologic parameters and to assist in any supportive or resuscitation measures, if required.”

Clinicians Should Be Trained to Recognize Respiratory Compromise and Be Able to Intervene Appropriately

The AAPD guideline, which applies not just to dental procedures but to sedation for all procedures, notes that children under the age of 6 years (and especially those under the age of 6 months) are particularly likely to suffer adverse events during sedation. It emphasizes that there is a very narrow margin in children between the intended level of sedation and much deeper sedation or anesthesia.

Therefore, the practitioner must be trained in moderate sedation and have the skills to rescue patients from such deeper levels. This would include the skills needed to:

  • Rescue a child with apnea, laryngospasm, and/or airway obstruction
  • Open the airway
  • Suction secretions
  • Provide continuous positive airway pressure
  • Perform successful bag-valve-mask ventilation
  • Insert an oral airway, a nasopharyngeal airway, or a laryngeal mask airway (LMA)
  • Perform tracheal intubation

The guideline notes that these skills are likely best maintained with frequent simulation and team training for the management of rare events. Without appropriate and trained personnel attending to the sedated dental patient—­and, particularly, children, as noted in the AAPD guideline—the safety of the patient is at risk.

Patients Should Be Monitored for Adequacy of Ventilation with Capnography

The updated AAPD guideline emphasizes the role of capnography in appropriate physiologic monitoring:

“A competent individual shall observe the patient continuously. Monitoring shall include all parameters described for moderate sedation. Vital signs, including heart rate, respiratory rate, blood pressure, oxygen saturation, and expired carbon dioxide, must be documented at least every 5 minutes in a time-based record. Capnography should be used for almost all deeply sedated children because of the increased risk of airway/ventilation compromise. Capnography may not be feasible if the patient is agitated or uncooperative during the initial phases of sedation or during certain procedures, such as bronchoscopy or repair of facial lacerations, and this circumstance should be documented. For uncooperative children, the capnography monitor may be placed once the child becomes sedated. Note that if supplemental oxygen is administered, the capnograph may underestimate the true expired carbon dioxide value; of more importance than the numeric reading of exhaled carbon dioxide is the assurance of continuous respiratory gas exchange (ie, continuous waveform). Capnography is particularly useful for patients who are difficult to observe (eg, during MRI or in a darkened room).”

Do Not Delay in Calling 911

In analyzing 78 cases of mishandled sedation or anesthesia, the Blue Ribbon Panel on Dental Sedation/Anesthesia of the Texas State Board of Dental Examiners found that, of the factors contributing to dental sedation incidents, the most common was that “the provider was slow to activate EMS [emergency medical services].”

Sure, the practitioner may be embarrassed over having allowed an adverse event to occur. However, any embarrassment is preferable to the death of the patient. We cannot stress this point enough. Do not delay in calling 911.

Practice, Practice, Practice

We must emphasize that every person in the dental practice, including clerical and front office staff, has a responsibility in an emergency. The only way to prepare all for such emergencies is to practice or perform drills. Since many dental practices employ part-time employees, that means drills must be performed on multiple occasions so all employees are familiar with their roles in emergencies.

In discussing factors that might have helped avoid the death of Joan Rivers, Kenneth P. Rothfield, MD, MBA, chairman of the Department of Anesthesiology at Saint Agnes Hospital in Baltimore and a member of the board of advisors of the Physician-Patient Alliance for Health and Safety, probably said it best when he told the Washington Post, “Unless you have drilled for it, and trained for it, it can be hard to pull off.”

Be Prepared

Being prepared is a key to managing adverse events and taking steps to avoid patient deaths. We recommend two related tools to be prepared: pre-procedure huddles (briefings) and post-procedure debriefings. These meetings offer the opportunity to both plan for contingencies ahead of time and to analyze things that might have been done better after a procedure.

We also encourage the use of checklists as a reminder of the key steps to be followed. The American Dental Society of Anesthesiology provides a Safety Checklist for Office-Based Procedural Sedation/Anesthesia (see the figure). This checklist has broken down key considerations along the continuum of care: procedure room setup, pre-operative encounter, post-operative recovery, and records.

Restraints Should Only Be Used With Extreme Caution

Dentists sometimes use a papoose board when treating pediatric patients. Papoose boards restrain the patient from interfering with the dental procedure and may have contributed to the adverse outcomes in several cases. The AAPD guideline provides the following cautions to using papoose boards or other restraining devices:

“Immobilization devices, such as papoose boards, must be applied in such a way as to avoid airway obstruction or chest restriction. The child’s head position and respiratory excursions should be checked frequently to ensure airway patency. If an immobilization device is used, a hand or foot should be kept exposed, and the child should never be left unattended. If sedating medications are administered in conjunction with an immobilization device, monitoring must be used at a level consistent with the level of sedation achieved.”

Conclusion

Although we cannot say for certain whether these seven keys would have saved the lives of Caleb, Amber, and Sydney, we do know that the application of a higher standard of care, in accordance with AAPD recommendations, might indeed save the life of another patient.

Dr. Truax of the Truax Group is board-certified in neurology and internal medicine. A clinician and educator with more than 20 years of experience in medical administration, he has been involved in patient safety for more than 25 years. He was trained at Johns Hopkins Hospital and Massachusetts General Hospital. And, he was a clinical association professor of neurology at the SUNY Buffalo School of Medicine. He can be reached at btruax@patientsafetysolutions.com.

Mr. Wong is the founder and executive director of the Physician-Patient Alliance for Health & Safety. A graduate of Johns Hopkins University and a former practicing attorney, he is a recognized healthcare and patient safety expert. Also, he is a founding member of the American Board of Patient Safety and a member of the editorial board of the Journal for Patient Compliance. He can be reached at mwong@ppahs.org.

Related Articles

Pediatric Sedation Safety Guidelines Get Updated

Dental Offices Need Emergency Preparedness Standards

Try Communication, Not Sedation, in Pediatric Dentistry

Read more via Seven Keys to Preventing More Patients from Dying from Dental Sedation | Dentistry Today

 

 

A Mini Dental Implant Alternative to All-on-Four

16 Friday Jun 2017

Posted by landisrefining in dental techniques

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All on 4® implant and zirconia bridge

photo courtesy of Max Arocha DMD

INTRODUCTION
Aesthetic dentistry has evolved throughout the past few decades, specifically in the field of implantology. Patients are preferring endosseous procedures to traditional dentures and other removable prostheses to increase stability and comfort, and to decrease pain.1 Conventional implants require several procedures involving multiple appointments and upwards of a year until completion; although some newer techniques promote a faster completion time. The “All-on-4” technique is an immediate conventional implant procedure in which 4 large-diameter implants (2 in the anterior and 2 in the posterior) are inserted at a 45° angle to take advantage of the available bone and to reduce the need for bone augmentation and/or sinus lift.2

According to Nobel Biocare’s All-on-4 treatment concept manual, a minimum of 5.0 mm in bone width and 8.0 mm in bone height is necessary to begin the procedure.3 (All-On-4 is a registered patent owned by Nobel Biocare developed together with Paulo Malo, DDS, PhD, at the MALO CLINIC.) Though the All-on-4 technique claims to eliminate the need for bone augmentations and sinus lifts, these procedures cannot always be eliminated if the bone quantity does not meet the requirements due to the large diameter of a conventional implant.1-2,4 While the All-on-4 technique offers acceptable support with 4 implants, the endosseous procedure is still invasive and time consuming compared to the immediate and early loading procedures used with mini dental implants.

Read more via A Mini Dental Implant Alternative to All-on-Four | Dentistry Today

Three Impression Material Classifications

02 Friday Jun 2017

Posted by landisrefining in dental techniques

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0317_Simos_02

photo courtesy of Dentistry Today

It is said that a first impression is everything, and this is especially true in the field of dentistry. The art and science of taking an excellent impression plays a critical role in the restorative process. Without a stable and accurate replica of the patient’s dentition and surrounding soft-tissue landmarks, creating an accurate and well-fitting dental prosthesis or lab-fabricated restoration is virtually impossible. Impression materials provide a straightforward and reliable method of producing the negative likeness of a patient’s tooth structure and surrounding soft-tissue landmarks needed to finalize a prosthesis or indirect restoration.

One major problem is that most dentists rely on only one impression material to address all clinical needs. Clinicians may be better served to stock more than one type of impression material to accommodate a variety of clinical situations.

This article will discuss the 3 most common classifications of impression materials: polyether (PE), vinyl polysiloxane (VPS), and a hybrid material called vinyl polyether siloxane (VPES). In addition, 3 mini case reports will be presented, focusing on the impression to give the clinician an understanding of the rationale that may be used when choosing the best impression material from different types of materials in various clinical situations. This article will assist the clinician in making optimal impression material choices…

Read more via Three Impression Material Classifications: A Comparison | Dentistry Today

There’s More to Oral Cancer Risks Than Alcohol and Tobacco | Dentistry Today

28 Friday Apr 2017

Posted by landisrefining in dental techniques, dentist, oral health

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fruit heartApril is Oral Cancer Awareness Month, and dentistrytoday.com will be celebrating the event with blogs, news stories, and other features all spotlighting the disease. #OralCancerAwareness 

Think back to the “dark days” of dental school. Somewhere buried in the curriculum of prosthodontics, restorative, orthodontics, and periodontics, there was some mention of oral pathology. Apparently, since you would be spending your career looking into the mouths of your patients, you needed some instruction on the inspection and diagnosis of a variety of lesions of the oral cavity.

During your coursework you undoubtedly learned about leukoplakia and erythroplakia, as well as the possibility that some of these lesions might progress to oral cavity squamous cell carcinoma (OCSCC). You were taught that any ulcer that did not heal, erythroplakia, or suspicious appearing leukoplakia warranted a biopsy to rule out an early cancer.

– via There’s More to Oral Cancer Risks Than Alcohol and Tobacco | Dentistry Today

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