Sleep Dentistry
Fear of going to the dentist is probably the number one cause of serious dental problems and even other health problems that stem from delayed dental care. Sleep dentistry, or sedation dentistry, can take the fear and anxiety out of dental care.
OAKTON, VA, September 04, 2009 /Dental News Articles/ -- Fear of going to the dentist is probably the number one cause of serious dental problems and even other health problems that stem from delayed dental care. Sleep dentistry, or sedation dentistry, can take the fear and anxiety out of dental care.
What do you mean by "Sleep Dentistry?"
The term "sleep dentistry" is used in reference to several different things. Most often, it actually refers to sedations dentistry, and that is what we will be discussing here. Sedation dentistry makes use of oral sedatives, so that you are very relaxed, but you will be semi-conscious and breathing on your own.
While the terms "sleep dentistry" and "sedation dentistry" are used interchangeably, sleep dentistry can also refer to dentistry performed under general anesthesia. Very few patients require such a drastic measure, but for some it can be the only way that they can undergo necessary dental procedures.
You may also have heard of sleep dentistry in the context of dental care to resolve sleep-related problems such as snoring and sleep apnea.
Benefits of sleep dentistry
Fear, anxiety, and pain associated with dental work can be purely psychological, caused by real physical limitations, or the result of bad past experiences with dental procedures. Sleep dentistry can help you overcome your fears and minimize or eliminate pain and discomfort.
The deep relaxation you experience during sleep dentistry will help the local anesthesia work more effectively. It allows you to have longer procedures or multiple procedures in one sitting. Your dentist can actually complete the work faster when you are relaxed.
Much of the pain and soreness that people experience after dental work is due to muscle tension during the procedure. Sleep dentistry prevents this tension, and eliminates that unnecessary pain.
Reshaping your feelings about dental care
One of the really beautiful things about sleep dentistry is that you will have little or no memory of the procedure. You come away from the experience with the positive feeling of improved dental health, but without the bad memory of a long, painful, or frightening visit.
Every time you have a good experience, or simply the absence of a bad experience, you will feel less fearful of your next visit.
Red Flags postponed until Nov. 1
Posted July 29, 2009
By Craig Palmer
Washington—The Federal Trade Commission announced another Red Flags enforcement delay to Nov. 1 "to assist small businesses" in understanding the regulation.
In an announcement posted on the FTC Web site , the commission said it will create a special Web link with materials offering "guidance and direction" for the "small and low-risk entities," including dentists and physicians, who have questioned the FTC's application of the Red Flags identity theft rules to their practices
Red Flags Rule enforcement delayed
Posted May 1, 2009
The Association will continue to challenge the Red Flags rule while the Federal Trade Commission delays enforcement until August 1, ADA President John S. Findley told members in an April 30 e-gram. The e-gram text is below and posted at www.ada.org. "The ADA’s vigorous efforts to reverse the FTC’s regulation, coupled with the nearly 11,000 e-mails [ADA members] sent to Congress, have had the desired effect," Dr. Findley said.
Dear Colleagues,
I am very pleased to inform you that the Federal Trade Commission has issued a 90-day delay in the enforcement of its Red Flags Rule, which would have gone into effect May 1. This delay will give the ADA more time to challenge its applicability to small health care providers such as dentists.
The ADA’s vigorous efforts to reverse the FTC’s regulation, coupled with the nearly 11,000 e-mails you sent to Congress, have had the desired effect. We are grateful to Congressman Mike Simpson (R-Idaho) and House Small Business Chair Rep. Nydia Velazquez (D-N.Y.), both of whom wrote to the FTC in support of our position.
The rule would require financial institutions and creditors to develop written plans to prevent and detect identity theft. FTC originally deemed dentists and physicians as creditors who are subject to the rule when they don't receive payment in full from their patients at the time of treatment.
The ADA believes that characterizing dentists as “creditors” in this context is incorrect, and our friends in Congress agree.
Rep. Simpson and nine other dentist and physician House members signed a letter to FTC Chairman Jon Leibowitz asserting that the agency’s interpretation of the authorizing law “goes beyond the intent of Congress and has failed to consider the financial burden this decision will have on dental and medical practices and those of other health care providers across the country.”
Rep. Velazquez also wrote to the FTC saying that the agency “has failed to meet the requirements” of the Regulatory Flexibility Act, which requires agencies to assure that small business entities are given an opportunity to participate in making rules that have a significant economic impact on them.
The FTC announced the delay in the rule’s enforcement on FTC.gov.
I wish to thank all of you who have helped with this effort. We will keep you apprised of developments.
Sincerely,
John S. Findley, D.D.S.
President
Zinc in Denture Creams Prompts Five Lawsuits
June 2nd, 2009
· It all began on June 4, 2008 with an article in Journal of Neurology entitled, “Denture Cream: An Unusual Source of Excess Zinc, Leading to Hypocupremia and Neurologic Disease.” Now, one year later, after some Good Morning America interviews prompted speedy popularity for the subject, the law firm of Bernstein Liebhard filed four lawsuits against GlaxoSmithKline in Pennsylvania, then one against SmithKline and Procter & Gamble in federal court.
A May 5, 2009 article at the TransWorldNews website contains a broken link to the Good Morning America interviews. It appears they have been taken down. On the GMA website, a page titled “Study Finds a Possible Link Between Denture Cream and Imbalance” features statements from SmithKline and Procter & Gamble, along with a link to the FDA website. There is no article.
Today, the ADA published an online article, “Case study prompts questions on denture creams.” The official statement from the ADA is that the Association is “…not aware of any reports of neurological problems resulting from use of a denture cream following the manufacturer’s instructions, nor indeed of any other reports of neurological or other health problems related to the use of denture cream products under any conditions.” ADA members have called the Association asking for guidance on what to tell patients about the denture cream issue. This prompted the release of today’s article.
The FDA has not issued a denture cream warning. You can, however, read a lawyer’s formal complaint, filed on behalf of his client, here. The FDA did release a statement in February 2008 about denture cleansers causing allergic reactions and the hazards of misusing the products. This is unrelated, though.
What is the problem at the root of the controversy and lawsuits?
The story, as you read it here, is based on the ADA article. Four denture patients who used two-plus tubes of denture cream per week were involved in a study. Keep in mind, denture cream manufacturers recommend that one tube should be consumed over 10 weeks. Over time, these patients had ingested or absorbed a significant amount of zinc from the denture creams. Zinc provides an odor block and bonding agent for denture creams.
Because these patients exhibited symptoms of hypocupremia (abnormally low copper levels) and neurological disease, the researchers surmised that the zinc caused the problems.
The website USLaw.com states, “Although GlaxoSmithKline claims the product is safe, several cases have been made against the denture cream manufacturers since 2005. According to one FDA report at least one patient was diagnosed with toxic encephalopathy and peripheral neuropathy as a result of using Poligrip denture cream and the case was deemed as medically serious by GlaxoSmithKline.”
ADA presents research results
Posted May 11, 2009
By Jennifer Garvin
Miami—The ADA presented or participated in more than 30 scientific presentations and informational sessions during the International Association for Dental Research's 87th General Session & Exhibition here April 1-4.
More than 3,200 scientific abstracts, including oral and poster presentations, were presented and some 5,200 professionals attended the meeting, which was also the site of the 38th annual meeting of the American Association for Dental Research and 33rd annual meeting of the Canadian Association for Dental Research.
During the meeting, the ADA Foundation Paffenbarger Research Center, located in Gaithersburg, Md., and part of the ADA Division of Science, presented the following:
- Quantifying Leakage of Dental Composites in Model Cavities;
- Synthesis and Characterization of Chlorhexidine Fluoride;
- Methods for the Measurement of Metals in Dental Porcelain;
- Determination of Fluoride Release Rate from Varnishes by Constant-CompositionTitration;
- Three-Body Wear of Remineralizing Cements;
- Effects of Silane Oligomers on Composite Properties;
- Effect of F:Ca:P Ratio on F Deposition by FCP Complex;
- Fluoride, Calcium, and Phosphate Deposition from Experimental Dental Prophylaxis;
- Unique Handling and Setting Properties of Dual-Paste Premixed CPC;
- Relationship of Strength and Hydroxyapatite Formation in Dual-Paste Premixed CPC;
- Porosity and Dissolution Rate of Mannitol Incorporated Calcium Phosphate Cement;
- Remineralization of Dentin Lesions from a Whisker-Reinforced, Resin-Based Composite;
- Remineralization of Natural Dentin Caries with One Experimental Composite Resin;
- Fluoride Concentration Required to Prevent Citric Acid Erosion of Enamel;
- In Vitro Remineralizing Efficacy of an Experimental ACP Composite;
- Assessing Fluoride Concentration and Leachability in Dental Varnishes.
PRC staff who presented research were Clifton M. Carey, Ph.D.; Dr. Sabine Dickens; Glenn Flaim; Kathleen Hoffman; Burton Schmuck; Ming S. Tung, Ph.D.; Jirun Sun, Ph.D.; Limin Sun, Ph.D.; Dr. Maria Cherng; Larry Chow, Ph.D.; Shozo Takagi, Ph.D.; Stan Frukhtbeyn; Dr. Bin Yang; and Justin O'Donnell.
Members of the ADA Division of Science in Chicago presented "Contrast-Transfer-Response of Manual and Auto-Focus Intraoral Cameras."
Chicago staff who contributed to the research of this presentation were Nikola Njegovan; Dr. John Kuehne; Spiro Megremis, Ph.D.; Hanu Batchu, Ph.D.; and Krishna Aravamudhan, BDS.
Additionally, Julie Frantsve-Hawley, Ph.D., gave a presentation about the ADA's new Evidence-Based Dentistry Web site at the meeting, and collaborated on the presentation, "Patient Attitudes on Screening/Monitoring of Medical Conditions by Dentists."
Tom Wall and Adriana Menezes of the ADA HPRC/Survey Center in Chicago presented, respectively:
'Fresh ideas' arrive with first-time visitors to leadership conference
Posted May 12, 2009
By Craig Palmer
Washington—Dr. Joshua Austin brings those "fresh ideas" the Washington Leadership Conference welcomes.
"Honored" to be asked by his local component society and "excited" to be on Capitol Hill talking to members of Congress about his profession, Dr. Austin was one of more than 100 first time attendees at the annual springtime WLC.
"The speakers we've had are just amazing," he said during a break in the May 11–13 conference. "And with the information we've been able to glean I've been very impressed."
To be sure, the American Dental Association leadership, members of Congress, political strategists and media pundits came to the WLC courting Dr. Austin, a general practice associate in San Antonio, Tex., looking to establish his own practice soon and planning to return for WLCs yet to come.
"We need your fresh ideas," said Dr. John S. Findley, ADA president, in welcoming more than 100 tripartite dentists, volunteers and staff to their first Washington Leadership Conference. "We need your experience," he told some 400 WLC veterans, many returning for a decade or more.
"I applaud you for being here today," said Rep. Mike Simpson (R-Idaho), one of two members of Congress who practiced dentistry and one of two congressional speakers who came to the WLC asking for professional advice on the issues of the day, health reform prominent among them.
"Your knowledge is highly important when you talk to members of Congress," Rep. Simpson said before returning to Capitol Hill to introduce a House resolution honoring dentistry and the American Dental Association on its 150th anniversary. "I appreciate your taking time to be here to educate my colleagues about what is important in the health care debate."
"I applaud your dedication to your patients," said Rep. Mike Ross (D-Ark.), lead sponsor with Reps. Simpson and Edolphus Towns (D-N.Y.) of the ADA-backed Essential Oral Health Care Act, a bill offering incentives to states to increase access to oral health care services through dental Medicaid programs.
"When you're meeting with your members of Congress, I urge you to share your perspective on what types of reform are needed," Rep. Ross said. "And ask them to cosponsor my bill, which is your bill, the Essential Oral Health Care Act."
The Washington Leadership Conference offers a two-way conversation, and many attendees arrange meetings with their members of Congress to discuss the issues. Dr. Austin was on his way to several such meetings himself.
Association expands online H1N1 flu virus resources
Posted May 7, 2009
By Jennifer Garvin
As part of its outreach effort on the ongoing outbreak of the H1N1 influenza virus infection (swine flu), the ADA has created a dental specific fact page for dentists and dental team members.
In addition to answering questions relating to patients who have flu-like symptoms, the page also contains links to the Centers for Disease Control and Prevention new guidelines for infection control in dental settings at www.cdc.gov/oralhealth/infectioncontrol/index.htm as well as the Occupational Safety and Health Administration's new tips for health providers in preparing for a pandemic.
OSHA's Frequently Asked Questions on Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers contains general information about OSHA's Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers (OSHA Publication 3328) and may be accessed at www.osha.gov/dsg/topics/pandemicflu/index.html .
Dentists seeking additional information concerning conditions by locality can get updated information about H1N1 by checking with their state and local health agency Web sites.
H1N1 flu is caused by type A strains of the influenza virus that are spread by exposure to coughing and sneezing from infected persons. As of May 7, there were 896 cases in 41 states in the United States.
Symptoms include fever greater than 100 degrees, chills, head and body aches, fatigue, cough, stuffy nose, sore throat, and nausea and vomiting. In some cases, the CDC is reporting resulting cases of pneumonia or respiratory illness.
Dentists may also call the ADA Division of Dental Practice at the toll-free number, Ext. 2622.
Placement Of Dental Implants Results In Minimal Bone Loss
Article Date: 13 May 2009 - 5:00 PDT
Dental implants are frequently used as a replacement for missing teeth in order to restore the patient's tooth function and appearance. Previous research demonstrates that the placement of a dental implant disrupts the host tissue in the area of the implant, so practitioners often focus their treatment planning to carefully maintain the patient's bone and gum tissue surrounding the implant. A recent study published in the Journal of Periodontology found that the majority of bone remodeling occurred in the time between the implant placement and final prosthesis placement.
Subsequently, little mean bone change was observed in the five years following the implant placement, independent of type of restoration or implant length. The study, conducted at the University of Texas Health Science Center at San Antonio, evaluated 596 dental implants placed in 192 patients over the age of 18. Patients were screened for adequate oral hygiene and bone volume. Exclusion criteria included heavy smoking, chewing tobacco use, drug abuse, and untreated periodontal disease, amongst others.
Study author Dr. David Cochran, DDS, PhD, Chair of the Department of Periodontics at the University of Texas Health Science Center at San Antonio, and President of the American Academy of Periodontology (AAP), believes that this study provides additional support for the use of dental implants to replace missing teeth. "As a periodontist, I am committed to saving my patients' natural dentition whenever possible. However, the results of this study help further indicate that a dental implant is an effective and dependable tooth replacement option. Since the patient's host tissue surrounding the dental implant largely remains unchanged in the five years following placement, the dental team can now focus on periodic assessment and treatment of other areas in the mouth as needed, and know that the implant is doing its job as a viable substitute solution."
Source:
Meg Dempsey
American Academy of Periodontology
Moving Closer To An Effective Treatment For Gum Disease In Smokers
Article Date: 12 May 2009 - 4:00 PDT
Scientists in the USA have discovered why smokers may be more prone to chronic gum disease (periodontitis). One of the bacteria responsible for this infection responds to cigarette smoke - changing its properties and the way it infects a smokers mouth.
The study published recently in the Society for Applied Microbiology journal Environmental Microbiology, showed that the bacterium Porphyromonas gingivalis adapts and changes its DNA and membrane proteins in response to cigarette smoke.
Several genes of P. gingivalis associated with its virulence (infectivity), detoxification, oxidative stress mechanisms and DNA repair are altered by exposure to cigarette smoke. As a result, the expression of a number of the proteins in the cell membrane is changed. This affects important characteristics of the bacterial cells themselves and how the immune system recognizes this pathogen.
This could explain why smokers are more likely to be resistant to treatment for periodontitis and are more susceptible to oral disease caused by infection with P. gingivalis.
Finding an effective treatment for smokers infected with P. gingivalis will be easier now that these changes in the bacterium's 'properties' have been identified.
University of Louisville researcher, Dr David Scott said: "It has long been known that smokers are more susceptible to periodontitis than are non-smokers. However, the reasons why are not so clear. Our study shows, for the first time, that components in cigarette smoke alter key characteristics of a major bacterial pathogen which, subsequently, changes how our immune system reacts to it. It may turn out that we need to develop alternate treatment plans for smokers and non-smokers".
Source:
Lucy Collister
Wiley-Blackwell
Dental Implants
Dental Implants Vs Bridges
When considering a dental implant vs bridges we must take the following considerations into account:
• Jaw Bone resorption - Treatment with a dental implant involves placing implants in areas where there are no teeth and by so doing, the bone area is stimulated again and this prevents long term bone loss in that area. If a bridge that connects 2 teeth is used instead of a dental implant, pressure is not applied on the jaw bone! Therefore the bone is not stimulated and begins to shrink away. Conclusion : dental implants preserve the underlying jawbone.
•Oral health - Dental implants do not affect your other healthy teeth, more of your own teeth are left intact. A bridge, on the other hand, may require the cutting down of healthy, adjacent teeth in order to support the bridge structure.
• Durability - a permanent solution to tooth loss is offered with a dental implant vs bridges , which have a life expectancy of only 10 years. Implants bond to the jaw bone and become part of it - this connection is as strong as a natural tooth root. Using a bridge relies on the side forces applied on the adjacent teeth and on the bridge's structure.
When using a bridge you support your structure on natural teeth that are still vulnerable to decay and other diseases, implants on the other hand cannot develop any diseases since they are made of titanium.
• Oral hygiene - Individual dental implants allow easier access between teeth, enabling everyday normal dental care. Flossing bridges is not an easy task and requires time and patience, making it a tiresome process. This fact eventually will give an advantage to the implants by enabling improved everyday oral hygiene.
• Esthetics - A dental implant vs. bridges looks good due to modern technology allowing dentists to achieve results that look exactly like natural teeth. When comparing between a dental implant vs bridges , the conclusion is clear! Dental implants always looks better than bridges.
• Treatment plan flexibility - Dental implants enable more flexibility in planning a treatment plan than bridges. As a matter of fact, in many cases only implants can be used and bridges are not an option! Example- when a few teeth are missing in the same site.
• Price - The price of a bridge is cheaper than a dental implant solution. But when thinking about the long run - you must realize that implants will be a cheaper option after all ! Because of the low durability of the bridges and complications that might occur, additional expenses await you down the road. Example - having to replace the bridge...
So.. after Checking out a dental implant vs bridges and taking all the considerations onto account - it is quite clear that the dental implant vs. bridges solution is preferable. Even though the initial price is higher, in the long run it is actually a cheaper alternative.
Sandy Khol
News on dental continuing ed courses and alternative medicine in denistry. Dental ce class in anthrax & bioterroism,viral hepatitis,alcohols,periodental care,tooth bleaching,tuberculosis,anatomy and street drugs and dentistry
(Our Partner) 360training - Acquires Assets of National Dental Network
and National Lab Network
Austin, Texas – May 18, 2009 - 360training today announced that it has acquired the trademarks, licensing rights and intellectual property assets of National Dental Network and National Lab Network, producers of dental industry training and educational videos. 360training assumes the assets free of liabilities and will take over sales, marketing and operations of the product line.
The product line features video programming using live-patient cases and clinician led instruction surrounding dentistry topics such as anatomy, endodontics/orthodontics, restorative, implants, oral surgery and periodontics. The DVD and web-based video products will be re-marketed through the former domain and brand names acquired through the purchase.
The asset acquisition will allow 360training to enhance its dentistry continuing education offerings with premium content and expanded delivery modes to include DVD and web-based streaming video. "360training expects to leverage our expertise and distribution network in the dental continuing education market to expand our customer capabilities for industry professionals," stated Ed Sattar, Chief Executive Officer of 360training. "We hope to carry on the quality in service and product excellence that had formerly been associated with the product line," added Sattar.
New Model For Investigating Tobacco/Oral Cancer Link
Developed By NYU College Of Dentistry, Penn State
Article Date: 15 May 2010 - 0:00 PDT
Although tobacco use is widely understood to be one of the leading causes of oral cancer, research on the prevention of tobacco-related oral cancer in experimental animals has traditionally been limited to examining the impact of synthetic carcinogens manufactured especially for cancer research, rather than on observing the effects of carcinogens that occur in tobacco smoke.
Now, a recently completed study conducted collaboratively by Dr. Joseph Guttenplan, a Professor of Basic Science & Craniofacial Biology at the NYU College of Dentistry, and Dr. Karam El-Bayoumy, a Professor of Biochemistry and Molecular Biology at Penn State University College of Medicine and Associate Director of Basic Research at the Penn State Cancer Institute, has shown that a powerful carcinogen in tobacco smoke can be used for oral cancer research in experimental animals, thus providing a new, more relevant research model with which to understand the initiation, progression, and, ultimately, the prevention of oral cancer. The two-year study was sponsored by the National Institute of Dental and Craniofacial Research, part of the NIH.
In a presentation at the 2010 annual meeting of the American Association for Cancer Research (AACR) in Washington, DC, Dr. Guttenplan said the findings could ultimately facilitate research aimed at identifying new approaches to oral cancer prevention.
Oral cancer is a devastating disease that can severely and permanently compromise one's ability to eat, drink, talk, and even kiss. In the United States, about 100 new cases of oral cancer occur each day, and approximately 7,000 people die annually from the disease. Worldwide, over 640,000 new cases of oral cancer occur annually. In addition to tobacco use, alcohol use and exposure to the HPV-16 virus (human papilloma virus version 16) are the leading causes of oral cancer.
The study described in Dr. Guttenplan's presentation examined the impact of injecting low, medium, and high doses of dibenzo[a,l]pyrene, a powerful carcinogen in tobacco, into the mouths of 104 mice. The researchers examined 24 of the mice for mutagenesis and 80 for carcinogenesis. After 38 weeks, all of the mice in the high-dose mutagenesis group developed excessive numbers of mutations in their oral tissue, and within one year, 31% of the high-dose carcinogenesis group displayed large tumors in their mouths.
"As a result of this study," said Dr. Guttenplan, "we now have a model that is significantly better than past models which relied on synthetic carcinogens. "We plan to use this new model in future studies to examine potential agents for cancer prevention."
Source:
Christopher James
New York University
AMERICAN DENTAL ASSOCIATION NEWS
ADA convenes Red Flags coalition
Posted June 8, 2009
By Craig Palmer
Washington—An ADA-convened coalition of 29 health care and business organizations urged Congress to exempt small health care practices from FTC's Red Flags Rule.
The coalition letter urges passage of legislation introduced during the ADA's May 11-13 Washington Leadership Conference by Rep. John Adler (D-N.J.) to provide an exclusion from Red Flags guidelines for health care practices with 20 or fewer employees.
New Jersey dental leaders attending the WLC went to Rep. Adler's Capitol Hill office May 12 to thank him directly for offering the bill, HR 2345 (ADA News Today May 18, WLC dentists recognize legislator's Red Flags advocacy). Within weeks, the legislation picked up 14 bipartisan cosponsors. It was referred to the House Committee on Financial Services.
The coalition letter offers "strong support" for the House bill and says, "We look forward to working with your offices in the weeks ahead to pass HR 2345 before August 1st, thereby reversing the negative impact this legislation would have on thousands of small health care providers nationwide." The Federal Trade Commission said that although the Red Flags Rule is final and effective it will delay enforcement until Aug. 1.
The letter is addressed to Rep. Adler and two initial cosponsors, dentist/Rep. Mike Simpson (R-Idaho) and physician/Rep. Paul Broun (R-Ga.).
Signing organizations include the Academy of General Dentistry, American Academy of Dermatology Association, American Academy of Family Physicians. American Academy of Neurology Professional Association, American Academy of Ophthalmology, American Academy of Oral & Maxillofacial Pathology, American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatric Dentistry, American Academy of Periodontology, American Association for Marriage and Family Therapy, American Association of Endodontists, American Association of Neurological Surgeons, American Association of Oral and Maxillofacial Surgeons, American Association of Orthodontists, American College of Prosthodontists, American College of Radiology, American College of Surgeons, American Dental Association, American Gastroenterological Association, American Optometric Association, American Physical Therapy Association, American Psychiatric Association, American Speech Language Hearing Association, American Urological Association, American Veterinary Medical Association, Congress of Neurological Surgeons, Hispanic Dental Association, National Dental Association and U.S. Chamber of Commerce.