Dentist Asked to Pay 40,000 for Extracting Wrong Tooth
LUCKNOW: Your tooth is precious and hence the dentist cannot afford to take their job lightly. An order to this effect was passed by the district consumer protection forum, Lucknow, recently. The forum took cognizance of a woman's plight who approached a dentist with a toothache but got her healthy tooth extracted instead. The judgment was passed in a case - Sushila Srivastava versus Dr Ikhlaq Khan, on December 11. The forum observed that the dentist in question did not perform his job carefully because of which the woman petitioner had to undergo physical and mental agony. The consumer forum took cognizance of the complaint and served a notice to the other party (dentist). The forum passed an ex-parte decision in the case. The dentist was directed to pay compensation of Rs 40,000 to the complainant in 30 days time failing which he will have to pay 9% interest till the time compensation is paid. Besides, he will also have to pay Rs 1,000 as litigation cost to the complainant. Full Report here
Fighting Gum Disease With Gene Therapy
Scientists at the University of Michigan have shown that gene therapy can be used to successfully stop the development of periodontal disease, the leading cause of tooth loss in adults.
The findings will be published online Dec 11 in advance of print publication in Gene Therapy.
Using gene transfer to treat life threatening conditions is not new, but the U-M group is the first known to use the gene delivery approach to show potential in treating chronic conditions such as periodontal disease, said William Giannobile, professor at the U-M School of Dentistry and principal investigator on the study. For more CLICK HERE
The Use of Intraosseous Anesthesia among Endodontists
The purpose of this study was to investigate the use of supplemental intraosseous (IO) anesthesia among endodontists.Data from 833 respondents were collected with a response rate of 33%. It was discovered that 94.77% of the respondents used some form of IO anesthesia, with the periodontal ligament injection (PDL) being the most commonly administered (49.78%). Symptomatic irreversible pulpitis is the pulpal diagnosis for which respondents most often use some form of IO anesthesia (61.99%), and 2% lidocaine with epinephrine 1:100,000 is the most common anesthetic solution used in IO anesthesia (37.62%). Although more than half of the respondents use some form of IO anesthesia more than twice a week, newer IO anesthesia delivery systems such as Stabident (Fairfax Dental, San Francisco, CA) and X-Tip (Dentsply International, Johnson City, TN) are used less often than the PDL injection. Full PAPER
Current Trends in Endodontic Practice
The current clinical practice of endodontics includes the utilization of a variety of new technological advances and materials. The last comprehensive survey that compared treatment modalities used in endodontic practices was conducted in 1990. The purpose of the current survey was to determine the frequency with which these new endodontic technologies and materials are being used in endodontic practices today.
An e-mail questionnaire was sent to the 636 active diplomates of the American Board of Endodontics with current e-mail addresses. Two hundred thirty-two diplomates responded for a response rate of 35%. Calcium hydroxide was found to be the most frequently used intracanal medicament for all cases diagnosed with necrotic pulps. Ibuprofen was the most frequently prescribed medication for pain, and penicillin was the most frequently prescribed antibiotic when an active infection was present. Eighty-two percent of the respondents are still incorporating hand files in some fashion during the cleansing and shaping phase of treatment. Lateral condensation and continuous wave were the most common methods used for obturation. Digital radiography was reported as being used by 72.5% of the respondents, whereas 45.3% reported using the microscope greater than 75% of the patient treatment. Ultrasonics was used by 97.8% of the respondents. It appears from the results that new endodontic technology is currently being used in the endodontic offices of those who responded to the survey. Full PAPER
Old paradigm for orthodontic tooth movement, Does it still hold good ? Probably NOT
Concept of Optimal force is a myth, higher force levels do not improve tooth movement.
Orthodontic literature is dominated by the pressure-tension theory with regard to the tissue reaction following mechanical loading of teeth. The present article discusses the reaction of the alveolar bone to the perturbation generated by different orthodontic force levels. Orthodontists generally relate the pressure zone to resorption and the tension zone to apposition.
Conversely, orthopedic surgeons know that unloading generates a negative balance of the ongoing bone remodeling and that loading will result in a positive balance leading to increased bone density. Research based on histological analysis of monkey teeth, which were loaded with different force levels, demonstrated that direct resorption could be a response to a relatively lower force level. Undermining resorption, on the other hand, is a repair mechanism attempting to remove the alveolar bone underlying the ischemic periodontal ligament (PDL). From Sem ortho Dec 2007 issue.
Oral Cancer Patients Could Be Diagnosed Earlier, Study Suggests
Worldwide, more than 500,000 new cases of cancer of the mouth are diagnosed each year. The majority of these cancers are found too late, causing many people to die within five years of finding out they have cancer. There exists much information addressing issues related to the patient who has undergone surgery or chemotherapy but little information related to early diagnosis and referral.
A new article in the Journal of Prosthodontics describes the epidemiology of oral cancer and the diagnostic tools currently available to prosthodontists to ensure that their patients are diagnosed at the earliest possible time.
Although the need for prosthodontics was expected to decline with the promotion of preventive measures, it is actually increasing with the aging population. The highest risk of developing oral cancer is in adults over 40 who use both tobacco and alcohol. However, these cancers can develop in anyone, so annual prosthodontist visits are increasingly important.
The majority of oral, head and neck cancer are initially diagnosed in a late stage, which has a five year prognosis of less than 50 percent. If these tumors are found in their earliest stage, the five year prognosis is 95 percent. Full NEWS
LUCKNOW: Your tooth is precious and hence the dentist cannot afford to take their job lightly. An order to this effect was passed by the district consumer protection forum, Lucknow, recently. The forum took cognizance of a woman's plight who approached a dentist with a toothache but got her healthy tooth extracted instead. The judgment was passed in a case - Sushila Srivastava versus Dr Ikhlaq Khan, on December 11. The forum observed that the dentist in question did not perform his job carefully because of which the woman petitioner had to undergo physical and mental agony. The consumer forum took cognizance of the complaint and served a notice to the other party (dentist). The forum passed an ex-parte decision in the case. The dentist was directed to pay compensation of Rs 40,000 to the complainant in 30 days time failing which he will have to pay 9% interest till the time compensation is paid. Besides, he will also have to pay Rs 1,000 as litigation cost to the complainant. Full Report here
Fighting Gum Disease With Gene Therapy
Scientists at the University of Michigan have shown that gene therapy can be used to successfully stop the development of periodontal disease, the leading cause of tooth loss in adults.
The findings will be published online Dec 11 in advance of print publication in Gene Therapy.
Using gene transfer to treat life threatening conditions is not new, but the U-M group is the first known to use the gene delivery approach to show potential in treating chronic conditions such as periodontal disease, said William Giannobile, professor at the U-M School of Dentistry and principal investigator on the study. For more CLICK HERE
The Use of Intraosseous Anesthesia among Endodontists
The purpose of this study was to investigate the use of supplemental intraosseous (IO) anesthesia among endodontists.Data from 833 respondents were collected with a response rate of 33%. It was discovered that 94.77% of the respondents used some form of IO anesthesia, with the periodontal ligament injection (PDL) being the most commonly administered (49.78%). Symptomatic irreversible pulpitis is the pulpal diagnosis for which respondents most often use some form of IO anesthesia (61.99%), and 2% lidocaine with epinephrine 1:100,000 is the most common anesthetic solution used in IO anesthesia (37.62%). Although more than half of the respondents use some form of IO anesthesia more than twice a week, newer IO anesthesia delivery systems such as Stabident (Fairfax Dental, San Francisco, CA) and X-Tip (Dentsply International, Johnson City, TN) are used less often than the PDL injection. Full PAPER
Current Trends in Endodontic Practice
The current clinical practice of endodontics includes the utilization of a variety of new technological advances and materials. The last comprehensive survey that compared treatment modalities used in endodontic practices was conducted in 1990. The purpose of the current survey was to determine the frequency with which these new endodontic technologies and materials are being used in endodontic practices today.
An e-mail questionnaire was sent to the 636 active diplomates of the American Board of Endodontics with current e-mail addresses. Two hundred thirty-two diplomates responded for a response rate of 35%. Calcium hydroxide was found to be the most frequently used intracanal medicament for all cases diagnosed with necrotic pulps. Ibuprofen was the most frequently prescribed medication for pain, and penicillin was the most frequently prescribed antibiotic when an active infection was present. Eighty-two percent of the respondents are still incorporating hand files in some fashion during the cleansing and shaping phase of treatment. Lateral condensation and continuous wave were the most common methods used for obturation. Digital radiography was reported as being used by 72.5% of the respondents, whereas 45.3% reported using the microscope greater than 75% of the patient treatment. Ultrasonics was used by 97.8% of the respondents. It appears from the results that new endodontic technology is currently being used in the endodontic offices of those who responded to the survey. Full PAPER
Old paradigm for orthodontic tooth movement, Does it still hold good ? Probably NOT
Concept of Optimal force is a myth, higher force levels do not improve tooth movement.
Orthodontic literature is dominated by the pressure-tension theory with regard to the tissue reaction following mechanical loading of teeth. The present article discusses the reaction of the alveolar bone to the perturbation generated by different orthodontic force levels. Orthodontists generally relate the pressure zone to resorption and the tension zone to apposition.
Conversely, orthopedic surgeons know that unloading generates a negative balance of the ongoing bone remodeling and that loading will result in a positive balance leading to increased bone density. Research based on histological analysis of monkey teeth, which were loaded with different force levels, demonstrated that direct resorption could be a response to a relatively lower force level. Undermining resorption, on the other hand, is a repair mechanism attempting to remove the alveolar bone underlying the ischemic periodontal ligament (PDL). From Sem ortho Dec 2007 issue.
Oral Cancer Patients Could Be Diagnosed Earlier, Study Suggests
Worldwide, more than 500,000 new cases of cancer of the mouth are diagnosed each year. The majority of these cancers are found too late, causing many people to die within five years of finding out they have cancer. There exists much information addressing issues related to the patient who has undergone surgery or chemotherapy but little information related to early diagnosis and referral.
A new article in the Journal of Prosthodontics describes the epidemiology of oral cancer and the diagnostic tools currently available to prosthodontists to ensure that their patients are diagnosed at the earliest possible time.
Although the need for prosthodontics was expected to decline with the promotion of preventive measures, it is actually increasing with the aging population. The highest risk of developing oral cancer is in adults over 40 who use both tobacco and alcohol. However, these cancers can develop in anyone, so annual prosthodontist visits are increasingly important.
The majority of oral, head and neck cancer are initially diagnosed in a late stage, which has a five year prognosis of less than 50 percent. If these tumors are found in their earliest stage, the five year prognosis is 95 percent. Full NEWS
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