Protaper myth bused, Lady in USA dies of perio infection
Severe perio infection kills a women in USA
A Michigan woman with severe periodontitis died this month because the state eliminated adult dental Medicaid benefits, according to the director of a chain of clinics that attempted to arrange her treatment.
When a physician detected her blood infection in early July, he recommended that all her teeth be extracted. The dental clinic scheduled this treatment at a local hospital, but the hospital postponed the procedure because she had mild pneumonia that prevented the use of general anesthesia.
By the time she recovered from the pneumonia, the state had eliminated dental services and the hospital would not put her under general anesthesia because the cost -- which it estimated at $4,500 to $6,000 -- would not be reimbursed by the state, Dr. Veryser said.
"Our hospital coordinator tried to come up with Medicaid reasons to force the hand of Medicaid," but the Medicaid office wouldn't budge, he said. More
According to this paper published in oct 2009 issue of IEJ, it concludes:
In 92% and 96% of teeth the difference between the maximum and the minimum diameter of
all foramina was less than or equal to 0.20 and 0.25 mm, respectively. Therefore, four to five instrument sizes larger than the first binding file would have been necessary to shape the minor apical foramen of more than 95% of the teeth included in this study to make them round.
The unpredictable nature of the position of the apical constriction with respect to the radiographic apex further strengthens the need of using electronic foramen locators rather than relying on radiographs for canal length determination. Download full paper
White wine could result in dental erosion
Consuming white wine on a frequent basis could be more harmful for dental health than red wine, finds a German study.
The findings of the study reported in the journal Nutrition Research are expected to counter the beliefs of all those who think that red wine causes more harm.
The study suggests that white wines, such as chardonnay and pinot grigio, are more likely to cause damage to the protective layer of the teeth called tooth enamel than red wine like rioja and merlot.
Prolonged Thumb Sucking In Infants May Lead To Speech Impediments
Using a pacifier for too long may be detrimental to your child's speech. Research published in the open access journal BMC Pediatrics suggests that the use of bottles, pacifiers and other sucking behaviors apart from breast-feeding may increase the risk of subsequent speech disorders in young children.
"These results suggest extended use of sucking outside of breast-feeding may have detrimental effects on speech development in young children," according to Barbosa. This finding is particularly relevant, as use of bottles and pacifiers has increased dramatically over the last few decades. More
The objective of this study was to compare glass fibre reinforced (GFR) with multistranded bonded orthodontic retainers in terms of success rate and periodontal implications.
GFR retainers showed unacceptably high failure rates in comparison with multistranded retainers (51 versus 12 per cent). The most significant periodontal conditions were found in patients with GFR retainers with no significant differences between the GFR500 and the GFR1000 group for any parameter at any time point. Subjects without retainers showed significantly lower levels of gingival inflammation and plaque accumulation when compared with patients in any retainer group.
Multistranded retainers should remain the gold standard for orthodontic retention, although periodontal complications are common. The use of GFR retainers should be discouraged in daily practice.
Doctors and healthcare professionals should prescribe sugar-free liquid medicines or medicines in tablet form if possible. If the medicine is only available in a sugar-containing liquid formulation, advice should be given to the child's parents and carers.
Dr Carter added weight to this argument, saying: ‘Patients and practitioners need to have a greater awareness of the risks of sugar containing medications particularly when these are taken regularly for chronic conditions and to look for sugar-free alternatives.' More HERE
Risk factors for the development of Enamel defects
Oral Disease, oct 2009
Subjects and methods: Children between 4 and 5 years of age (n = 102) were classified into: Group 1) 52 low birth weight (<2500 g); Group 2) 50 normal birth weight (≥2500 g). Medical history, prenatal and neonatal variables were collected. Enamel defects were evaluated with the modified Developmental Defects of Enamel Index.
Results: The prevalence of hypoplasia and average number of affected teeth were significantly higher in group 1 than in group 2 (59.6%vs 16% and 1.6 vs 0.3 respectively). Low gestational age was linked to a higher prevalence of hypoplastic (P = 0.027) and combined defects (P = 0.001). Children with neonatal risk factors (low Apgar scores, parenteral nutrition, orotracheal intubation, mechanical ventilation and acidosis) developed defects more frequently (P < 0.05). Defects were symmetrically distributed in children who were not intubated; in those who required intubation they concentrated on the left maxillary teeth (P < 0.05). Smoking during pregnancy, young maternal age and multiple birth were significantly associated to developmental defects.
Conclusions: The prevalence of enamel defects in primary dentition is significantly influenced by birth weight, gestational age and several systemic factors. Orotracheal intubation probably plays an important role as a result of laryngoscope trauma on the maxilla.
Daily chewing gum exercise for stabilizing the vertical occlusion
Journal of Oral Rehabilitation, 10/23/09
We investigated the effects of a chewing gum exercise program on occlusal conditions and evaluated compliance of subjects. Thirty-five healthy adult volunteers (26 males and nine females) were asked to chew gum for 10–15 min before or after three meals daily for four weeks. Occlusal conditions were recorded as occlusal parameters, such as occlusal contact area, occlusal contact force, and pressure using dental prescale films. These parameters were evaluated by an Occluzer before the exercise period commenced, after four weeks of exercise, and then one month after the end of the exercise period. These parameters were statistically compared using one-way ANOVA. We found that: (i) after four weeks of exercise, anterior and posterior occlusal contact areas and forces were significantly (P < 0·05) increased and the increments were significantly (P < 0·05) higher in the anterior occlusal contact area and force than in the posterior occlusal contact area and force, (ii) the anteroposterior ratio of occlusal contact area and force increased, but not markedly, (iii) increased parameters had significantly (P < 0·05) decreased within one month after the end of the four-week exercise period, (iv) most participants did not complain for discomfort or stress during the exercise. The chewing gum exercise program could increase occlusal contact area and force and also move the anteroposterior occlusal balance forward. Patient compliance with the exercise is likely high enough to keep them exercising.
Is your Cellphone provider over billing you
Cell phone carriers are notorious for slapping consumers with fees and unexpected charges. But if you look carefully at what you're paying for and figure out what you need, you can keep your monthly bill down. MORE
Banding video
Bonding video
you will need to download both files and and view them.
A Michigan woman with severe periodontitis died this month because the state eliminated adult dental Medicaid benefits, according to the director of a chain of clinics that attempted to arrange her treatment.
When a physician detected her blood infection in early July, he recommended that all her teeth be extracted. The dental clinic scheduled this treatment at a local hospital, but the hospital postponed the procedure because she had mild pneumonia that prevented the use of general anesthesia.
By the time she recovered from the pneumonia, the state had eliminated dental services and the hospital would not put her under general anesthesia because the cost -- which it estimated at $4,500 to $6,000 -- would not be reimbursed by the state, Dr. Veryser said.
"Our hospital coordinator tried to come up with Medicaid reasons to force the hand of Medicaid," but the Medicaid office wouldn't budge, he said. More
Protaper Myth busted
For long profile and similar tapered rotary systems have been propagating that apical sizes can be finished with 15-25 size. This study clearly demonstrates that unless you clean apex with at least a size 45, you may not remove all infected debris leading to much higher risk of failure.According to this paper published in oct 2009 issue of IEJ, it concludes:
In 92% and 96% of teeth the difference between the maximum and the minimum diameter of
all foramina was less than or equal to 0.20 and 0.25 mm, respectively. Therefore, four to five instrument sizes larger than the first binding file would have been necessary to shape the minor apical foramen of more than 95% of the teeth included in this study to make them round.
The unpredictable nature of the position of the apical constriction with respect to the radiographic apex further strengthens the need of using electronic foramen locators rather than relying on radiographs for canal length determination. Download full paper
White wine could result in dental erosion
Consuming white wine on a frequent basis could be more harmful for dental health than red wine, finds a German study.
The findings of the study reported in the journal Nutrition Research are expected to counter the beliefs of all those who think that red wine causes more harm.
The study suggests that white wines, such as chardonnay and pinot grigio, are more likely to cause damage to the protective layer of the teeth called tooth enamel than red wine like rioja and merlot.
Prolonged Thumb Sucking In Infants May Lead To Speech Impediments
Using a pacifier for too long may be detrimental to your child's speech. Research published in the open access journal BMC Pediatrics suggests that the use of bottles, pacifiers and other sucking behaviors apart from breast-feeding may increase the risk of subsequent speech disorders in young children.
"These results suggest extended use of sucking outside of breast-feeding may have detrimental effects on speech development in young children," according to Barbosa. This finding is particularly relevant, as use of bottles and pacifiers has increased dramatically over the last few decades. More
Which Retainer is better ? Glass fibre or Multistrand
EJO oct 2009The objective of this study was to compare glass fibre reinforced (GFR) with multistranded bonded orthodontic retainers in terms of success rate and periodontal implications.
GFR retainers showed unacceptably high failure rates in comparison with multistranded retainers (51 versus 12 per cent). The most significant periodontal conditions were found in patients with GFR retainers with no significant differences between the GFR500 and the GFR1000 group for any parameter at any time point. Subjects without retainers showed significantly lower levels of gingival inflammation and plaque accumulation when compared with patients in any retainer group.
Multistranded retainers should remain the gold standard for orthodontic retention, although periodontal complications are common. The use of GFR retainers should be discouraged in daily practice.
Sugary medicines harm kids teeth
Nigel Carter, chief executive of the British Dental Health Foundation (BDHF) is alerting health professionals and the public on the decaying effects following a report by specialists at a Dublin hospital.Doctors and healthcare professionals should prescribe sugar-free liquid medicines or medicines in tablet form if possible. If the medicine is only available in a sugar-containing liquid formulation, advice should be given to the child's parents and carers.
Dr Carter added weight to this argument, saying: ‘Patients and practitioners need to have a greater awareness of the risks of sugar containing medications particularly when these are taken regularly for chronic conditions and to look for sugar-free alternatives.' More HERE
Risk factors for the development of Enamel defects
Oral Disease, oct 2009
Subjects and methods: Children between 4 and 5 years of age (n = 102) were classified into: Group 1) 52 low birth weight (<2500 g); Group 2) 50 normal birth weight (≥2500 g). Medical history, prenatal and neonatal variables were collected. Enamel defects were evaluated with the modified Developmental Defects of Enamel Index.
Results: The prevalence of hypoplasia and average number of affected teeth were significantly higher in group 1 than in group 2 (59.6%vs 16% and 1.6 vs 0.3 respectively). Low gestational age was linked to a higher prevalence of hypoplastic (P = 0.027) and combined defects (P = 0.001). Children with neonatal risk factors (low Apgar scores, parenteral nutrition, orotracheal intubation, mechanical ventilation and acidosis) developed defects more frequently (P < 0.05). Defects were symmetrically distributed in children who were not intubated; in those who required intubation they concentrated on the left maxillary teeth (P < 0.05). Smoking during pregnancy, young maternal age and multiple birth were significantly associated to developmental defects.
Conclusions: The prevalence of enamel defects in primary dentition is significantly influenced by birth weight, gestational age and several systemic factors. Orotracheal intubation probably plays an important role as a result of laryngoscope trauma on the maxilla.
Daily chewing gum exercise for stabilizing the vertical occlusion
Journal of Oral Rehabilitation, 10/23/09
We investigated the effects of a chewing gum exercise program on occlusal conditions and evaluated compliance of subjects. Thirty-five healthy adult volunteers (26 males and nine females) were asked to chew gum for 10–15 min before or after three meals daily for four weeks. Occlusal conditions were recorded as occlusal parameters, such as occlusal contact area, occlusal contact force, and pressure using dental prescale films. These parameters were evaluated by an Occluzer before the exercise period commenced, after four weeks of exercise, and then one month after the end of the exercise period. These parameters were statistically compared using one-way ANOVA. We found that: (i) after four weeks of exercise, anterior and posterior occlusal contact areas and forces were significantly (P < 0·05) increased and the increments were significantly (P < 0·05) higher in the anterior occlusal contact area and force than in the posterior occlusal contact area and force, (ii) the anteroposterior ratio of occlusal contact area and force increased, but not markedly, (iii) increased parameters had significantly (P < 0·05) decreased within one month after the end of the four-week exercise period, (iv) most participants did not complain for discomfort or stress during the exercise. The chewing gum exercise program could increase occlusal contact area and force and also move the anteroposterior occlusal balance forward. Patient compliance with the exercise is likely high enough to keep them exercising.
Is your Cellphone provider over billing you
Cell phone carriers are notorious for slapping consumers with fees and unexpected charges. But if you look carefully at what you're paying for and figure out what you need, you can keep your monthly bill down. MORE
Banding and Bonding videos
For those of you who want to see videos of banding and bonding you can view them here and make your clinical ortho more perfect, click on links below to download and view videosBanding video
Bonding video
you will need to download both files and and view them.
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