Boston Dentist Educates Consumers via Podcasts About Oral Health and Cosmetic Dentistry
Successful Smiles podcasts, produced by Boston cosmetic dentist Dr. Helaine Smith, available at no charge from iTunes
Helaine Smith, DMD, recently made available a series of podcasts regarding oral health and cosmetic dentistry. Titled "Successful Smiles," the complimentary podcasts can be downloaded at http://www.helainesmithdmd.blogspot.com/ or via the Apple iTunes store under the "Health" category.
The first three of a series of planned broadcasts, the informative podcasts cover topics such as bad breath and its causes, frequently asked questions about cosmetic dentistry, and the questions people should ask dentists when considering veneers. Future broadcasts include the relationship between sex and oral health, dental care for the elderly, and the different methods of tooth whitening available.
A firm believer in educating the public about the issues surrounding oral health and the dental industry in general, Dr. Smith's podcasts are an extension of her e-newsletter and Website where consumers can learn about procedures such as teeth whitening and dental implants.
"The dental industry has changed dramatically in the last ten years or so," said Dr. Smith. "Due to the Internet, people are online researching dentists and cosmetic techniques well in advance of making an appointment. In addition, you now have dental offices located in strip malls and dental professionals advertising on radio and TV and writing blogs."
"Cosmetic dentistry has gone mainstream," she adds, "which means more people are considering procedures, such as veneers, that they wouldn't have thought of fifteen years ago. My goal with these podcasts is to educate consumers and help them make knowledgeable decisions when choosing cosmetic dentistry providers and/or procedures."
Each "Successful Smiles" podcast is approximately three to six minutes long and is available as an MP3 audio file. Each file is easily downloaded to an MP3 device or computer. For more details about each podcast, see Dr. Smith's blog at http://www.helainesmithdmd.blogspot.com/
About Dr. Helaine Smith
Dr. Smith, a Boston, Massachusetts cosmetic dentist, has combined a dedication to patient care, volunteerism, and business acumen since beginning her dentistry career in 1991. She is a Fellow in the Academy of General Dentistry and a Las Vegas Institute graduate, and she recently completed an executive MBA program at Suffolk University.
In May 2006, Dr. Smith's practice was named first runner-up in the prestigious Cosmetic Practice of the Year Award competition, sponsored by Levin Group, Ascend Media, and Philips Oral Healthcare. For more information about her practice visit: http://www.helainesmithdmd.com
Thursday, June 28, 2007
Tuesday, June 26, 2007
Disease Transmission in Dental Water
Researchers, microbiologists, dental professionals and organizations have known for decades about potential risks and concerns of disease transmission caused by dental water containing high levels of bacteria and biofilm. As health professionals became more aware of diseases such as HIV/AIDS, tuberculosis/respiratory infections, hepatitis, bacterial endocarditis, legionnaires disease and pseudomonas-related diseases in immune-compromised patients, more CDC recommendations were issued and are now referred to as standard precautions. Still with all these precautions and the ability to measure the bacterial levels, lethal drug-resistant strains continue to spread around the country and are frequently reported in national news. A few months ago a hepatitis B transmission between two patients in one dental office was reported (The Journal of Infectious Diseases 2007; 195:1311- 1314). The route of transmission is still under investigation.
In order to reduce patient risk of disease transmission due to shared dental water, the CDC issued guidelines in December 2003 (see http://www.aquasept.com/, go to The Library, Links and Downloads page and review pages 28, 29, 30, and 46 of the PDF version of the CDC Guidelines). These guidelines specify the use of sterile irrigation fluids during any invasive procedure where tissue penetration is likely to occur. To comply with CDC Guideline, the dental professional can install an AquaSept(TM) Independent Water Delivery System. This system provides for the sterile delivery of irrigation fluids through a sterilized container, sterilized fluid delivery line and the sterilized dental handpiece. This allows the dental professional to provide each patient with separate, sterile dental water and practice the best possible dental water infection control standards for the benefit of the patient and all associates in the dental office.
There is a potential time bomb lurking in current dental office water systems. The current design of all built-in water systems is the bi-directional flow of fluid. While the largest portion of fluid is expelled out the end of the handpiece, friction causes a "passive retraction" of microscopic particles from the patient's mouth, through the dental instrument, up the water line and into the water reservoir. (See the "Biofilm" section of http://www.aquasept.com/). The continued use of the same water line and water reservoir among a group of patients results in cross contamination of the dental water among patients. The AquaSept(TM) Independent Water Delivery System prevents and protects patients from such cross contamination.
To quote a prominent dental professional with years of private practice and dental university experience: "In the 21st Century, the danger of infectious disease is heightened because of 1) the emergence of more dangerous microbes that defy medical treatment and can lead to a fatality, 2) a rise in patients who are immuno-compromised due to other conditions, and are therefore much more susceptible to disease with fatal consequences and 3) a rise in antibiotic-resistant strains." Robert Hasel, D.D.S.
In order to reduce patient risk of disease transmission due to shared dental water, the CDC issued guidelines in December 2003 (see http://www.aquasept.com/, go to The Library, Links and Downloads page and review pages 28, 29, 30, and 46 of the PDF version of the CDC Guidelines). These guidelines specify the use of sterile irrigation fluids during any invasive procedure where tissue penetration is likely to occur. To comply with CDC Guideline, the dental professional can install an AquaSept(TM) Independent Water Delivery System. This system provides for the sterile delivery of irrigation fluids through a sterilized container, sterilized fluid delivery line and the sterilized dental handpiece. This allows the dental professional to provide each patient with separate, sterile dental water and practice the best possible dental water infection control standards for the benefit of the patient and all associates in the dental office.
There is a potential time bomb lurking in current dental office water systems. The current design of all built-in water systems is the bi-directional flow of fluid. While the largest portion of fluid is expelled out the end of the handpiece, friction causes a "passive retraction" of microscopic particles from the patient's mouth, through the dental instrument, up the water line and into the water reservoir. (See the "Biofilm" section of http://www.aquasept.com/). The continued use of the same water line and water reservoir among a group of patients results in cross contamination of the dental water among patients. The AquaSept(TM) Independent Water Delivery System prevents and protects patients from such cross contamination.
To quote a prominent dental professional with years of private practice and dental university experience: "In the 21st Century, the danger of infectious disease is heightened because of 1) the emergence of more dangerous microbes that defy medical treatment and can lead to a fatality, 2) a rise in patients who are immuno-compromised due to other conditions, and are therefore much more susceptible to disease with fatal consequences and 3) a rise in antibiotic-resistant strains." Robert Hasel, D.D.S.
Tooth Decay Among Preschool Children Rising
Oral Health Improving for Most Americans, But Tooth Decay Among Preschool Children on the Rise
Americans of all ages continue to experience improvements in their oral health. However, tooth decay in primary (baby) teeth increased among children aged 2 to 5 years, according to a report released today by the Centers for Disease Control and Prevention (CDC).
Based on data from CDC's National Center for Health Statistics, the report, "Trends in Oral Health Status-United States, 1988-1994 and 1999-2004," represents the most comprehensive assessment of oral health data available for the U.S. population to date.
Tooth decay in primary (baby) teeth of children aged 2 to 5 years increased from 24 percent to 28 percent between 1988-1994 and 1999-2004.
The report noted significant improvements in several areas. The prevalence of tooth decay in permanent teeth decreased for children, teens and adults. And more than one-third (38 percent) of children and teens aged 12 to 19 years had dental sealants, a plastic coating applied to teeth that protects against decay.
The report noted several racial/ethnic disparities. Thirty-one percent of Mexican American children aged 6 to 11 years had experienced decay in their permanent teeth, compared to 19 percent of non-Hispanic white children.
"This report shows that while we are continuing to make strides in prevention of tooth decay, this disease clearly remains a problem for some racial and ethnic groups, many of whom have more treated and untreated tooth decay compared to other groups," said Dr. Bruce A. Dye, a dentist and the report's lead author.
There were also disparities along economic lines. Three times as many children aged 6-11 (12 percent) from families with incomes below the federal poverty line had untreated tooth decay, compared with children from families with incomes above the poverty line (4 percent).
"Although preventive measures, such as dental sealants, have been widely available for years, we need to focus our efforts on reaching children living in poverty who stand to benefit the most from them," says Dr. William R. Maas, a dentist and director, of CDC's Division of Oral Health. "This report challenges us to increase our efforts to reach those most in need with effective preventive measures, and to provide guidance and health education to others, for instance, smokers whose oral health can greatly benefit from quitting."
Other findings of the report include:
The prevalence of tooth decay in the permanent teeth of youths aged 6 to 11 years decreased from approximately 25 percent to 21 percent, and among adolescents aged 12 to 19 years decreased from 68 percent to 59 percent.
The use of dental sealants increased from 22 percent to 30 percent among youths aged 6 to 11 years and from 18 percent to 38 percent among adolescents aged 12 to 19 years.
Moderate and severe periodontitis (gum disease) decreased from 10 percent to 5 percent among adults aged 20 to 64 years, and from 27 percent to 17 percent for seniors aged 65 years and older.
Among seniors aged 65 years and older, the percentage with complete tooth loss (edentulism) decreased from 34 percent to 27 percent.
Among adults aged 20 to 64 years, 60 percent reported having a dental visit in the past year during 1999-2004, compared with 66 percent reporting a visit in the past year during the previous survey (1988-1994).
Americans of all ages continue to experience improvements in their oral health. However, tooth decay in primary (baby) teeth increased among children aged 2 to 5 years, according to a report released today by the Centers for Disease Control and Prevention (CDC).
Based on data from CDC's National Center for Health Statistics, the report, "Trends in Oral Health Status-United States, 1988-1994 and 1999-2004," represents the most comprehensive assessment of oral health data available for the U.S. population to date.
Tooth decay in primary (baby) teeth of children aged 2 to 5 years increased from 24 percent to 28 percent between 1988-1994 and 1999-2004.
The report noted significant improvements in several areas. The prevalence of tooth decay in permanent teeth decreased for children, teens and adults. And more than one-third (38 percent) of children and teens aged 12 to 19 years had dental sealants, a plastic coating applied to teeth that protects against decay.
The report noted several racial/ethnic disparities. Thirty-one percent of Mexican American children aged 6 to 11 years had experienced decay in their permanent teeth, compared to 19 percent of non-Hispanic white children.
"This report shows that while we are continuing to make strides in prevention of tooth decay, this disease clearly remains a problem for some racial and ethnic groups, many of whom have more treated and untreated tooth decay compared to other groups," said Dr. Bruce A. Dye, a dentist and the report's lead author.
There were also disparities along economic lines. Three times as many children aged 6-11 (12 percent) from families with incomes below the federal poverty line had untreated tooth decay, compared with children from families with incomes above the poverty line (4 percent).
"Although preventive measures, such as dental sealants, have been widely available for years, we need to focus our efforts on reaching children living in poverty who stand to benefit the most from them," says Dr. William R. Maas, a dentist and director, of CDC's Division of Oral Health. "This report challenges us to increase our efforts to reach those most in need with effective preventive measures, and to provide guidance and health education to others, for instance, smokers whose oral health can greatly benefit from quitting."
Other findings of the report include:
The prevalence of tooth decay in the permanent teeth of youths aged 6 to 11 years decreased from approximately 25 percent to 21 percent, and among adolescents aged 12 to 19 years decreased from 68 percent to 59 percent.
The use of dental sealants increased from 22 percent to 30 percent among youths aged 6 to 11 years and from 18 percent to 38 percent among adolescents aged 12 to 19 years.
Moderate and severe periodontitis (gum disease) decreased from 10 percent to 5 percent among adults aged 20 to 64 years, and from 27 percent to 17 percent for seniors aged 65 years and older.
Among seniors aged 65 years and older, the percentage with complete tooth loss (edentulism) decreased from 34 percent to 27 percent.
Among adults aged 20 to 64 years, 60 percent reported having a dental visit in the past year during 1999-2004, compared with 66 percent reporting a visit in the past year during the previous survey (1988-1994).
Monday, June 25, 2007
A woman’s mouth has a lot to say
Women advised to speak up and talk to their dentists
A woman’s mouth has a lot to say, even when it’s not talking. Things that alter the female body, such as prescription medications to help prevent diseases such as osteoporosis or depression, diabetes, or a vitamin deficiency, can affect a woman’s oral health, according to John Svirsky, DDS, MED, who will lead a discussion titled “Drugs I Have Known and Loved for Diseases That We Catch” during the 55th annual meeting of the Academy of General Dentistry (AGD) in San Diego, June 27 – July 1, 2007.
New Test Determines if Osteoporosis Treatment Drug May Cause Jawbone to Die.
Breast cancer patients, individuals at risk for osteoporosis, and individuals undergoing certain types of bone cancer therapies often take drugs that contain bisphosphonates. Bisphosphonates may place patients at risk for developing osteonecrosis of the jaws, which is irreversible damage in which the jaw bone rots away.
Bisphosphonates are a family of drugs administered orally or intravenously and are used to prevent and treat osteoporosis, multiple myeloma, Paget’s disease (bone cancers), and bone metastasis from other cancers. These drugs can bond to bone surfaces and prevent osteoclasts (cells that breakdown bone) from doing their job. According to Dr. Svirsky, adverse affects from oral bisphosphonates will not show up until three years after the treatment starts, and after that time, the chance of developing osteonecrosis is still low. However, the incidence of developing complications while taking bisphosphonates intravenously is much higher.
During his course, Dr. Svirsky will teach dentists how this drug can affect oral health. For example, healthy bones constantly rebuild themselves but since the jawbones have rapid cell turnover, they can fail to heal properly in patients taking any of the bisphosphonate drugs. These drugs linger in the bone indefinitely and may upset the cell balance in how the jaws regenerate and remove unhealthy bone.
In addition, there is a new screening tool now available that can help patients who have been taking an oral bisphosphonate for more than three years to determine if they are at risk of developing osteonecrosis of the jaw. It is a laboratory test called the CTX (C-Telopeptide) which measures the osteoclastic activity. If the results come back above 150 pg/ml, then it is deemed safe to proceed with a tooth extraction or oral surgery.
“Patients need to tell their dentist if they take bisphosphonates or if they are going to begin bisphosphonate therapy,” says Dr. Svirsky. “Osteonecrosis of the jaw due to bisphosphonate use is low in people without dental problems. If you are going to go on this therapy to treat cancer or to treat osteoporosis, you may want to get your mouth evaluated by your doctor and your dentist as well as get dental work completed before starting treatment. They can treat problematic teeth prior to the start of therapy,” says Dr. Svirsky.
To help reduce the risk for osteonecrosis of the jaw and to help maintain a healthy mouth, Dr. Svirsky advises women should inform their general dentist or specialist if they are taking bisphosphonates; check and adjust removable dentures; obtain routine dental cleanings and opt for root canal therapy over extractions when possible.
Mouth on Fire" Burning Mouth Syndrome
Burning Mouth Syndrome (BMS) is a common, but complex problem that causes patients to experience a burning or scalding pain on the lips and tongue (and sometimes throughout the mouth). Many patients have described the feeling as “scalding.” Other symptoms include dry mouth, bitter or metallic tastes and other taste alterations. There are often no visible signs of irritation.
According to Dr. Svirsky, xerostomia (also known as dry mouth) can be a cause of BMS. Dry mouth can be caused by an increase in over-the-counter and prescription medications, such as anti-diuertic, anti-anxiety, anti-depressant and anti-histamine. Systemic problems may also be a culprit.
Patients with BMS often say that the pain is gradual and spontaneous, intensifying as the day moves along. It can affect a person’s ability to fall asleep. The discomfort and restlessness associated with BMS may cause mood changes, irritability, anxiety and depression. The cause of the syndrome may be caused by the onset of menopause to vitamin deficiencies.
"Dentists diagnose BMS by ruling out systemic problems, such as diabetes, anemia or a vitamin deficiency," says Dr. Svirsky. In some cases, BMS may be caused by the ingredients in toothpaste, such as triclosan found in tartar-control toothpastes, which cause the mouth’s delicate tissues to turn red and become irritated and in some cases, slough off.
Treatment for BMS depends on the patient and the cause. If the cause is related to the oral cavity and no diagnosis can be pinpointed, the dentist may prescribe medicine that promote the flow of saliva, or advise the patient to drink more fluids or avoid oral health products that contain the ingredient sodium laurel sulfate.Down in the mouth?
Women advised to speak up and talk to their dentists
A woman’s mouth has a lot to say, even when it’s not talking. Things that alter the female body, such as prescription medications to help prevent diseases such as osteoporosis or depression, diabetes, or a vitamin deficiency, can affect a woman’s oral health, according to John Svirsky, DDS, MED, who will lead a discussion titled “Drugs I Have Known and Loved for Diseases That We Catch” during the 55th annual meeting of the Academy of General Dentistry (AGD) in San Diego, June 27 – July 1, 2007.
New Test Determines if Osteoporosis Treatment Drug May Cause Jawbone to Die.
Breast cancer patients, individuals at risk for osteoporosis, and individuals undergoing certain types of bone cancer therapies often take drugs that contain bisphosphonates. Bisphosphonates may place patients at risk for developing osteonecrosis of the jaws, which is irreversible damage in which the jaw bone rots away.
Bisphosphonates are a family of drugs administered orally or intravenously and are used to prevent and treat osteoporosis, multiple myeloma, Paget’s disease (bone cancers), and bone metastasis from other cancers. These drugs can bond to bone surfaces and prevent osteoclasts (cells that breakdown bone) from doing their job. According to Dr. Svirsky, adverse affects from oral bisphosphonates will not show up until three years after the treatment starts, and after that time, the chance of developing osteonecrosis is still low. However, the incidence of developing complications while taking bisphosphonates intravenously is much higher.
During his course, Dr. Svirsky will teach dentists how this drug can affect oral health. For example, healthy bones constantly rebuild themselves but since the jawbones have rapid cell turnover, they can fail to heal properly in patients taking any of the bisphosphonate drugs. These drugs linger in the bone indefinitely and may upset the cell balance in how the jaws regenerate and remove unhealthy bone.
In addition, there is a new screening tool now available that can help patients who have been taking an oral bisphosphonate for more than three years to determine if they are at risk of developing osteonecrosis of the jaw. It is a laboratory test called the CTX (C-Telopeptide) which measures the osteoclastic activity. If the results come back above 150 pg/ml, then it is deemed safe to proceed with a tooth extraction or oral surgery.
“Patients need to tell their dentist if they take bisphosphonates or if they are going to begin bisphosphonate therapy,” says Dr. Svirsky. “Osteonecrosis of the jaw due to bisphosphonate use is low in people without dental problems. If you are going to go on this therapy to treat cancer or to treat osteoporosis, you may want to get your mouth evaluated by your doctor and your dentist as well as get dental work completed before starting treatment. They can treat problematic teeth prior to the start of therapy,” says Dr. Svirsky.
To help reduce the risk for osteonecrosis of the jaw and to help maintain a healthy mouth, Dr. Svirsky advises women should inform their general dentist or specialist if they are taking bisphosphonates; check and adjust removable dentures; obtain routine dental cleanings and opt for root canal therapy over extractions when possible.
Mouth on Fire" Burning Mouth Syndrome
Burning Mouth Syndrome (BMS) is a common, but complex problem that causes patients to experience a burning or scalding pain on the lips and tongue (and sometimes throughout the mouth). Many patients have described the feeling as “scalding.” Other symptoms include dry mouth, bitter or metallic tastes and other taste alterations. There are often no visible signs of irritation.
According to Dr. Svirsky, xerostomia (also known as dry mouth) can be a cause of BMS. Dry mouth can be caused by an increase in over-the-counter and prescription medications, such as anti-diuertic, anti-anxiety, anti-depressant and anti-histamine. Systemic problems may also be a culprit.
Patients with BMS often say that the pain is gradual and spontaneous, intensifying as the day moves along. It can affect a person’s ability to fall asleep. The discomfort and restlessness associated with BMS may cause mood changes, irritability, anxiety and depression. The cause of the syndrome may be caused by the onset of menopause to vitamin deficiencies.
"Dentists diagnose BMS by ruling out systemic problems, such as diabetes, anemia or a vitamin deficiency," says Dr. Svirsky. In some cases, BMS may be caused by the ingredients in toothpaste, such as triclosan found in tartar-control toothpastes, which cause the mouth’s delicate tissues to turn red and become irritated and in some cases, slough off.
Treatment for BMS depends on the patient and the cause. If the cause is related to the oral cavity and no diagnosis can be pinpointed, the dentist may prescribe medicine that promote the flow of saliva, or advise the patient to drink more fluids or avoid oral health products that contain the ingredient sodium laurel sulfate.
A woman’s mouth has a lot to say, even when it’s not talking. Things that alter the female body, such as prescription medications to help prevent diseases such as osteoporosis or depression, diabetes, or a vitamin deficiency, can affect a woman’s oral health, according to John Svirsky, DDS, MED, who will lead a discussion titled “Drugs I Have Known and Loved for Diseases That We Catch” during the 55th annual meeting of the Academy of General Dentistry (AGD) in San Diego, June 27 – July 1, 2007.
New Test Determines if Osteoporosis Treatment Drug May Cause Jawbone to Die.
Breast cancer patients, individuals at risk for osteoporosis, and individuals undergoing certain types of bone cancer therapies often take drugs that contain bisphosphonates. Bisphosphonates may place patients at risk for developing osteonecrosis of the jaws, which is irreversible damage in which the jaw bone rots away.
Bisphosphonates are a family of drugs administered orally or intravenously and are used to prevent and treat osteoporosis, multiple myeloma, Paget’s disease (bone cancers), and bone metastasis from other cancers. These drugs can bond to bone surfaces and prevent osteoclasts (cells that breakdown bone) from doing their job. According to Dr. Svirsky, adverse affects from oral bisphosphonates will not show up until three years after the treatment starts, and after that time, the chance of developing osteonecrosis is still low. However, the incidence of developing complications while taking bisphosphonates intravenously is much higher.
During his course, Dr. Svirsky will teach dentists how this drug can affect oral health. For example, healthy bones constantly rebuild themselves but since the jawbones have rapid cell turnover, they can fail to heal properly in patients taking any of the bisphosphonate drugs. These drugs linger in the bone indefinitely and may upset the cell balance in how the jaws regenerate and remove unhealthy bone.
In addition, there is a new screening tool now available that can help patients who have been taking an oral bisphosphonate for more than three years to determine if they are at risk of developing osteonecrosis of the jaw. It is a laboratory test called the CTX (C-Telopeptide) which measures the osteoclastic activity. If the results come back above 150 pg/ml, then it is deemed safe to proceed with a tooth extraction or oral surgery.
“Patients need to tell their dentist if they take bisphosphonates or if they are going to begin bisphosphonate therapy,” says Dr. Svirsky. “Osteonecrosis of the jaw due to bisphosphonate use is low in people without dental problems. If you are going to go on this therapy to treat cancer or to treat osteoporosis, you may want to get your mouth evaluated by your doctor and your dentist as well as get dental work completed before starting treatment. They can treat problematic teeth prior to the start of therapy,” says Dr. Svirsky.
To help reduce the risk for osteonecrosis of the jaw and to help maintain a healthy mouth, Dr. Svirsky advises women should inform their general dentist or specialist if they are taking bisphosphonates; check and adjust removable dentures; obtain routine dental cleanings and opt for root canal therapy over extractions when possible.
Mouth on Fire" Burning Mouth Syndrome
Burning Mouth Syndrome (BMS) is a common, but complex problem that causes patients to experience a burning or scalding pain on the lips and tongue (and sometimes throughout the mouth). Many patients have described the feeling as “scalding.” Other symptoms include dry mouth, bitter or metallic tastes and other taste alterations. There are often no visible signs of irritation.
According to Dr. Svirsky, xerostomia (also known as dry mouth) can be a cause of BMS. Dry mouth can be caused by an increase in over-the-counter and prescription medications, such as anti-diuertic, anti-anxiety, anti-depressant and anti-histamine. Systemic problems may also be a culprit.
Patients with BMS often say that the pain is gradual and spontaneous, intensifying as the day moves along. It can affect a person’s ability to fall asleep. The discomfort and restlessness associated with BMS may cause mood changes, irritability, anxiety and depression. The cause of the syndrome may be caused by the onset of menopause to vitamin deficiencies.
"Dentists diagnose BMS by ruling out systemic problems, such as diabetes, anemia or a vitamin deficiency," says Dr. Svirsky. In some cases, BMS may be caused by the ingredients in toothpaste, such as triclosan found in tartar-control toothpastes, which cause the mouth’s delicate tissues to turn red and become irritated and in some cases, slough off.
Treatment for BMS depends on the patient and the cause. If the cause is related to the oral cavity and no diagnosis can be pinpointed, the dentist may prescribe medicine that promote the flow of saliva, or advise the patient to drink more fluids or avoid oral health products that contain the ingredient sodium laurel sulfate.Down in the mouth?
Women advised to speak up and talk to their dentists
A woman’s mouth has a lot to say, even when it’s not talking. Things that alter the female body, such as prescription medications to help prevent diseases such as osteoporosis or depression, diabetes, or a vitamin deficiency, can affect a woman’s oral health, according to John Svirsky, DDS, MED, who will lead a discussion titled “Drugs I Have Known and Loved for Diseases That We Catch” during the 55th annual meeting of the Academy of General Dentistry (AGD) in San Diego, June 27 – July 1, 2007.
New Test Determines if Osteoporosis Treatment Drug May Cause Jawbone to Die.
Breast cancer patients, individuals at risk for osteoporosis, and individuals undergoing certain types of bone cancer therapies often take drugs that contain bisphosphonates. Bisphosphonates may place patients at risk for developing osteonecrosis of the jaws, which is irreversible damage in which the jaw bone rots away.
Bisphosphonates are a family of drugs administered orally or intravenously and are used to prevent and treat osteoporosis, multiple myeloma, Paget’s disease (bone cancers), and bone metastasis from other cancers. These drugs can bond to bone surfaces and prevent osteoclasts (cells that breakdown bone) from doing their job. According to Dr. Svirsky, adverse affects from oral bisphosphonates will not show up until three years after the treatment starts, and after that time, the chance of developing osteonecrosis is still low. However, the incidence of developing complications while taking bisphosphonates intravenously is much higher.
During his course, Dr. Svirsky will teach dentists how this drug can affect oral health. For example, healthy bones constantly rebuild themselves but since the jawbones have rapid cell turnover, they can fail to heal properly in patients taking any of the bisphosphonate drugs. These drugs linger in the bone indefinitely and may upset the cell balance in how the jaws regenerate and remove unhealthy bone.
In addition, there is a new screening tool now available that can help patients who have been taking an oral bisphosphonate for more than three years to determine if they are at risk of developing osteonecrosis of the jaw. It is a laboratory test called the CTX (C-Telopeptide) which measures the osteoclastic activity. If the results come back above 150 pg/ml, then it is deemed safe to proceed with a tooth extraction or oral surgery.
“Patients need to tell their dentist if they take bisphosphonates or if they are going to begin bisphosphonate therapy,” says Dr. Svirsky. “Osteonecrosis of the jaw due to bisphosphonate use is low in people without dental problems. If you are going to go on this therapy to treat cancer or to treat osteoporosis, you may want to get your mouth evaluated by your doctor and your dentist as well as get dental work completed before starting treatment. They can treat problematic teeth prior to the start of therapy,” says Dr. Svirsky.
To help reduce the risk for osteonecrosis of the jaw and to help maintain a healthy mouth, Dr. Svirsky advises women should inform their general dentist or specialist if they are taking bisphosphonates; check and adjust removable dentures; obtain routine dental cleanings and opt for root canal therapy over extractions when possible.
Mouth on Fire" Burning Mouth Syndrome
Burning Mouth Syndrome (BMS) is a common, but complex problem that causes patients to experience a burning or scalding pain on the lips and tongue (and sometimes throughout the mouth). Many patients have described the feeling as “scalding.” Other symptoms include dry mouth, bitter or metallic tastes and other taste alterations. There are often no visible signs of irritation.
According to Dr. Svirsky, xerostomia (also known as dry mouth) can be a cause of BMS. Dry mouth can be caused by an increase in over-the-counter and prescription medications, such as anti-diuertic, anti-anxiety, anti-depressant and anti-histamine. Systemic problems may also be a culprit.
Patients with BMS often say that the pain is gradual and spontaneous, intensifying as the day moves along. It can affect a person’s ability to fall asleep. The discomfort and restlessness associated with BMS may cause mood changes, irritability, anxiety and depression. The cause of the syndrome may be caused by the onset of menopause to vitamin deficiencies.
"Dentists diagnose BMS by ruling out systemic problems, such as diabetes, anemia or a vitamin deficiency," says Dr. Svirsky. In some cases, BMS may be caused by the ingredients in toothpaste, such as triclosan found in tartar-control toothpastes, which cause the mouth’s delicate tissues to turn red and become irritated and in some cases, slough off.
Treatment for BMS depends on the patient and the cause. If the cause is related to the oral cavity and no diagnosis can be pinpointed, the dentist may prescribe medicine that promote the flow of saliva, or advise the patient to drink more fluids or avoid oral health products that contain the ingredient sodium laurel sulfate.
Acidic foods could lead to destroyed enamel
Improper consumption of acidic foods could lead to destroyed enamel
Expert shares ways to prevent and manage tooth erosion
Fruit, yogurt, citric and soft drinks, may seem like harmless snacks and beverages, but improper consumption and overuse may lead to devastating and permanent damage to teeth. It’s known as tooth erosion, the break down of tooth structure caused by the effect of acid on the teeth that leads to decay. According to David Bartlett, BDS, PhD, who will lead a discussion at the Academy of General Dentistry’s 55th annual meeting in San Diego, June 27-July 1, 2007, titled, “Acid Erosion-Why is it Important to My Patients"”, “Early diagnosis and prevention of the effects of tooth erosion are fundamental to keeping teeth healthy for life.”
“Sipping or holding acidic drinks in the mouth before swallowing increases the risk of erosion on dental enamel,” says Dr. Bartlett. Dental enamel is the thin, outer layer of hard tissue that helps maintain the tooth's structure and shape while protecting it from decay.
Soft drinks, which contain acids, break the tooth surfaces. These acids also damage tooth enamel over time by dissolving the mineral structure of teeth, thinning the teeth. Eventually, because of repeated exposure to acid, the tooth’s enamel will lose its shape and color and as the damage progresses; the underlying dentin, (which is the tissue that makes up the core of each tooth), becomes exposed causing the teeth to look yellow.
To prevent tooth erosion, Dr. Bartlett advises patients who eat or drink an acidic food or beverage to wait at least 20 minutes before brushing the teeth so as not to destroy the weakened enamel. He also suggests eating acidic foods within five minutes, instead of snacking on them throughout the day, and eating these foods just during meal times in order to minimize the amount of time the acid is on the teeth.
Also, frequently consuming and continual snacking of foods with a low pH (potential of hydrogen) value, such as fruit juices, pickles, fresh fruit, yogurt, honey and raisins can lead to irreversible dental erosion. It is important to also beware of habits such as lemon-sucking and swishing soda in the mouth. Doing this extends the amount of time that enamel and dentin are exposed to the acids and can increase the structural damage. But eating fruit as part of a balanced diet is good. Dr Bartlett says, “It’s not what you eat and drink that is important its how you consume acidic food”.
Dr. Bartlett also encourages patients to talk to their dentist about the use of dentin bonding to help prevent tooth erosion, a procedure he will share with attendees during his course at the AGD’s annual meeting. Dentin bonding is when the dentist paints a very thin layer (about the thickness of plastic cling film) which is painted on the surfaces of teeth showing signs of erosion. “Together, with dietary advice and daily desensitizing toothpaste, the aim is to prevent and treat early or moderate signs of erosion on the teeth,” says Dr. Bartlett. Early signs of tooth erosion consist of dentin hypersensitivity. In other words, if hot or cold foods and beverages cause pain or sensitivity this is an indication of tooth erosion. Dentists may also recommend daily use of an OTC fluoridated anti-hypersensitivity toothpaste with a neutral pH to help re-harden softened tooth enamel.
Expert shares ways to prevent and manage tooth erosion
Fruit, yogurt, citric and soft drinks, may seem like harmless snacks and beverages, but improper consumption and overuse may lead to devastating and permanent damage to teeth. It’s known as tooth erosion, the break down of tooth structure caused by the effect of acid on the teeth that leads to decay. According to David Bartlett, BDS, PhD, who will lead a discussion at the Academy of General Dentistry’s 55th annual meeting in San Diego, June 27-July 1, 2007, titled, “Acid Erosion-Why is it Important to My Patients"”, “Early diagnosis and prevention of the effects of tooth erosion are fundamental to keeping teeth healthy for life.”
“Sipping or holding acidic drinks in the mouth before swallowing increases the risk of erosion on dental enamel,” says Dr. Bartlett. Dental enamel is the thin, outer layer of hard tissue that helps maintain the tooth's structure and shape while protecting it from decay.
Soft drinks, which contain acids, break the tooth surfaces. These acids also damage tooth enamel over time by dissolving the mineral structure of teeth, thinning the teeth. Eventually, because of repeated exposure to acid, the tooth’s enamel will lose its shape and color and as the damage progresses; the underlying dentin, (which is the tissue that makes up the core of each tooth), becomes exposed causing the teeth to look yellow.
To prevent tooth erosion, Dr. Bartlett advises patients who eat or drink an acidic food or beverage to wait at least 20 minutes before brushing the teeth so as not to destroy the weakened enamel. He also suggests eating acidic foods within five minutes, instead of snacking on them throughout the day, and eating these foods just during meal times in order to minimize the amount of time the acid is on the teeth.
Also, frequently consuming and continual snacking of foods with a low pH (potential of hydrogen) value, such as fruit juices, pickles, fresh fruit, yogurt, honey and raisins can lead to irreversible dental erosion. It is important to also beware of habits such as lemon-sucking and swishing soda in the mouth. Doing this extends the amount of time that enamel and dentin are exposed to the acids and can increase the structural damage. But eating fruit as part of a balanced diet is good. Dr Bartlett says, “It’s not what you eat and drink that is important its how you consume acidic food”.
Dr. Bartlett also encourages patients to talk to their dentist about the use of dentin bonding to help prevent tooth erosion, a procedure he will share with attendees during his course at the AGD’s annual meeting. Dentin bonding is when the dentist paints a very thin layer (about the thickness of plastic cling film) which is painted on the surfaces of teeth showing signs of erosion. “Together, with dietary advice and daily desensitizing toothpaste, the aim is to prevent and treat early or moderate signs of erosion on the teeth,” says Dr. Bartlett. Early signs of tooth erosion consist of dentin hypersensitivity. In other words, if hot or cold foods and beverages cause pain or sensitivity this is an indication of tooth erosion. Dentists may also recommend daily use of an OTC fluoridated anti-hypersensitivity toothpaste with a neutral pH to help re-harden softened tooth enamel.
Friday, June 22, 2007
Patients With Heart Conditions Get New Benefit
Expanded Coverage Available to Groups May Help Patients Avoid Deadly Heart Infections
Delta Dental of Michigan, Ohio, Indiana, and Tennessee (Delta Dental), one of the nation’s largest dental benefits providers, announced today the availability of expanded group coverage for patients with certain heart conditions to help them avoid infective endocarditis, a deadly heart infection. Delta Dental is the first dental benefits carrier in the United States to offer such coverage.
The announcement comes on the heels of new guidelines from the American Heart Association (AHA) recommending that only patients whose heart disease places them at the highest risk for infective endocarditis receive antibiotics as a preventive measure prior to dental treatment. This is a major change from previous recommendations, which called for premedication for a much larger group of patients with heart conditions. Instead, the AHA concluded that an increased emphasis should be placed on maintaining good oral health, citing that the cumulative exposure to bacteria from routine daily activities during one year may be as high as 5.6 million times greater than the exposure resulting from one tooth extraction. Infective endocarditis occurs when bacteria, often from the mouth, enters the bloodstream and attacks the lining of the heart.
An extensive analysis of treatment data conducted by Delta Dental’s Research and Data Institute played a key role in helping the AHA develop its new guidelines.
Specifically, the benefit increases the frequency of dental or periodontal cleanings to four annually (versus the traditional two) for individuals with heart conditions that place them at high or moderate risk for developing infective endocarditis. The benefit was developed to help at-risk individuals better maintain their oral health to reduce bacteria levels in the mouth in an effort to lower their risk for infective endocarditis. The conditions include:
A history of infective endocarditis
Certain congenital heart defects such as having one ventricle instead of the normal two
Individuals with artificial heart valves
Heart valve defects caused by acquired conditions like rheumatic heart disease
Hypertropic cardiomyopathy, which causes abnormal thickening of the heart muscle
Individuals with pulmonary shunts or conduits
Mitral valve prolapse with regurgitation (blood leakage)
“After a thorough review of the scientific research, and in consultation with the American Heart Association, we have decided to offer these evidence-based benefits to improve the overall health of individuals with certain heart conditions,” said Dr. Jed Jacobson, senior vice president and chief science officer of Delta Dental of Michigan, Ohio, Indiana, and Tennessee. “The additional dental or periodontal cleanings should help these patients avoid potentially deadly heart infections.”
The benefit is being offered to Delta Dental group customers as part of the company’s evidence-based benefits for high-risk medical patients.
Delta Dental was a pioneer in using evidence-based research to evolve dental plan designs beginning in the mid-1980s. In 2004, the company became the first to cover the cost of the OralCDx brush biopsy test for the early detection of oral cancer. Last year, the company introduced enhanced benefits for diabetics and pregnant women with gum disease, for those experiencing kidney failure or who are undergoing dialysis, and for those with suppressed immune systems due to chemotherapy and/or radiation treatment, HIV infection, organ transplant, and/or stem cell (bone marrow) transplant.
The affiliated Delta Dental companies of Michigan, Ohio, Indiana, and Tennessee collectively are one of the largest dental plan administrators in the nation. In 2006, the enterprise paid out more than $1.7 billion for dental care for more than 6.2 million enrollees. Offices are located in Okemos and Farmington Hills, Mich.; Columbus and Cleveland, Ohio; Indianapolis and Greenwood, Ind; and, Nashville, Knoxville, and Memphis, Tenn.
Delta Dental of Michigan, Ohio, Indiana, and Tennessee (Delta Dental), one of the nation’s largest dental benefits providers, announced today the availability of expanded group coverage for patients with certain heart conditions to help them avoid infective endocarditis, a deadly heart infection. Delta Dental is the first dental benefits carrier in the United States to offer such coverage.
The announcement comes on the heels of new guidelines from the American Heart Association (AHA) recommending that only patients whose heart disease places them at the highest risk for infective endocarditis receive antibiotics as a preventive measure prior to dental treatment. This is a major change from previous recommendations, which called for premedication for a much larger group of patients with heart conditions. Instead, the AHA concluded that an increased emphasis should be placed on maintaining good oral health, citing that the cumulative exposure to bacteria from routine daily activities during one year may be as high as 5.6 million times greater than the exposure resulting from one tooth extraction. Infective endocarditis occurs when bacteria, often from the mouth, enters the bloodstream and attacks the lining of the heart.
An extensive analysis of treatment data conducted by Delta Dental’s Research and Data Institute played a key role in helping the AHA develop its new guidelines.
Specifically, the benefit increases the frequency of dental or periodontal cleanings to four annually (versus the traditional two) for individuals with heart conditions that place them at high or moderate risk for developing infective endocarditis. The benefit was developed to help at-risk individuals better maintain their oral health to reduce bacteria levels in the mouth in an effort to lower their risk for infective endocarditis. The conditions include:
A history of infective endocarditis
Certain congenital heart defects such as having one ventricle instead of the normal two
Individuals with artificial heart valves
Heart valve defects caused by acquired conditions like rheumatic heart disease
Hypertropic cardiomyopathy, which causes abnormal thickening of the heart muscle
Individuals with pulmonary shunts or conduits
Mitral valve prolapse with regurgitation (blood leakage)
“After a thorough review of the scientific research, and in consultation with the American Heart Association, we have decided to offer these evidence-based benefits to improve the overall health of individuals with certain heart conditions,” said Dr. Jed Jacobson, senior vice president and chief science officer of Delta Dental of Michigan, Ohio, Indiana, and Tennessee. “The additional dental or periodontal cleanings should help these patients avoid potentially deadly heart infections.”
The benefit is being offered to Delta Dental group customers as part of the company’s evidence-based benefits for high-risk medical patients.
Delta Dental was a pioneer in using evidence-based research to evolve dental plan designs beginning in the mid-1980s. In 2004, the company became the first to cover the cost of the OralCDx brush biopsy test for the early detection of oral cancer. Last year, the company introduced enhanced benefits for diabetics and pregnant women with gum disease, for those experiencing kidney failure or who are undergoing dialysis, and for those with suppressed immune systems due to chemotherapy and/or radiation treatment, HIV infection, organ transplant, and/or stem cell (bone marrow) transplant.
The affiliated Delta Dental companies of Michigan, Ohio, Indiana, and Tennessee collectively are one of the largest dental plan administrators in the nation. In 2006, the enterprise paid out more than $1.7 billion for dental care for more than 6.2 million enrollees. Offices are located in Okemos and Farmington Hills, Mich.; Columbus and Cleveland, Ohio; Indianapolis and Greenwood, Ind; and, Nashville, Knoxville, and Memphis, Tenn.
The Journal of Dental Research is #1
The Journal of Dental Research (JDR), the official publication of the International & American Associations for Dental Research (IADR/AADR), remains the number one published journal in the "Dentistry, Oral Surgery & Medicine" category, with an increased Scientific Impact Factor (SIF) of 3.475, according to the new 2006 SIF rankings released yesterday by the Journal Citation Reports (JCR). In addition, Critical Reviews in Oral Biology & Medicine, which has been featured in the JDR since January 2005, received a 2006 SIF of 6.000, based on 2004 citations.
"This is a tremendous testament to the dedication of Editor-in-Chief Anthony Smith, the associate editors and full editorial board, the IADR/AADR Central Office publications department, and, most importantly, to the submitting authors," said AADR President Marc Heft.
The SIF is a measure of the frequency with which the average article in a journal has been cited in a particular year. The Impact Factor helps to evaluate a journal's relative importance, especially when compared with others in the same field.
"The dental, oral, and craniofacial research community continues to submit its most important breakthroughs to the Journal of Dental Research," added IADR President Deborah Greenspan.
The Impact Factor was developed in the mid-sixties by Eugene Garfield, of the Institute for Scientific Information (ISI, Philadelphia, Pa.). It is based on the premise that the more often the articles in a particular journal are referenced by other articles, the greater the "impact" that journal has in its field. The Impact Factor is calculated by ISI on an annual basis, and is available only through ISI's JCR.
The Journal of Dental Research (JDR) is the official publication of the International & American Associations for Dental Research (IADR/AADR), and continues to hold the top SIF ranking of all dental journals worldwide. The IADR is a non-profit organization with more than 11,000 individual members worldwide, dedicated to: (1) advancing research and increasing knowledge to improve oral health, (2) supporting the oral health research community, and (3) facilitating the communication and application of research findings for the improvement of oral health worldwide. The AADR is the largest Division of the IADR, with more than 4,000 members in the United States.
To learn more about the IADR/AADR, visit http://www.dentalresearch.org/. International Association for Dental Research
"This is a tremendous testament to the dedication of Editor-in-Chief Anthony Smith, the associate editors and full editorial board, the IADR/AADR Central Office publications department, and, most importantly, to the submitting authors," said AADR President Marc Heft.
The SIF is a measure of the frequency with which the average article in a journal has been cited in a particular year. The Impact Factor helps to evaluate a journal's relative importance, especially when compared with others in the same field.
"The dental, oral, and craniofacial research community continues to submit its most important breakthroughs to the Journal of Dental Research," added IADR President Deborah Greenspan.
The Impact Factor was developed in the mid-sixties by Eugene Garfield, of the Institute for Scientific Information (ISI, Philadelphia, Pa.). It is based on the premise that the more often the articles in a particular journal are referenced by other articles, the greater the "impact" that journal has in its field. The Impact Factor is calculated by ISI on an annual basis, and is available only through ISI's JCR.
The Journal of Dental Research (JDR) is the official publication of the International & American Associations for Dental Research (IADR/AADR), and continues to hold the top SIF ranking of all dental journals worldwide. The IADR is a non-profit organization with more than 11,000 individual members worldwide, dedicated to: (1) advancing research and increasing knowledge to improve oral health, (2) supporting the oral health research community, and (3) facilitating the communication and application of research findings for the improvement of oral health worldwide. The AADR is the largest Division of the IADR, with more than 4,000 members in the United States.
To learn more about the IADR/AADR, visit http://www.dentalresearch.org/. International Association for Dental Research
Thursday, June 21, 2007
WSJ Article, 'Did I Really Have a Root Canal?'
In an article on the front page of the Personal Journal section in The Wall Street Journal, the newspaper details the growing popularity of sedation dentistry, a safe, effective method of treating patients who are anxious about dental visits or are uncomfortable in the dentist's chair.
The Journal article extensively quotes Dr. Michael Silverman, president and founder of the Dental Organization for Conscious Sedation (DOCS), the world's leading educator of dentists who offer what is widely known as sedation dentistry.
"This will come as great news to the 85 million Americans who the Journal notes avoid the dentist out of dread," says Dr. Silverman, who personally has treated more than 2,750 previously reluctant patients.
DOCS advises consumers interested in locating a DOCS-trained sedation dentist in their area to visit www.SedationCare.com . The web site also provides more information on why DOCS-trained dentists are the world's #1 provider of this anxiety-free treatment.
Dentists who would like to attend an upcoming DOCS course so that they too can answer their patients' requests for oral sedation should visit www.DOCSeducation.com or phone: 1-877-325-3627.
"Many patients and dentists say the (oral sedation) technique is invaluable," The Wall Street Journal wrote. Indeed, oral conscious sedation has made safe dentistry accessible to great numbers of patients who previously went without dental care.
But Dr. Silverman echoes the other experts in the Journal story who say that not just any dentist should be offering patients sedation dentistry. "At DOCS, we train our dentists to meet and exceed standards set by the American Dental Association and state dental boards," he says. "Make sure that your dentist has received proper training such as DOCS programs."
DOCS-trained dentists have safely and effectively treated more than one million previously anxious adult patients in the United States and Canada and thousands of new patients receive treatment each month, Dr. Silverman says.
The core drug used by DOCS-trained dentists is triazolam, which a leading expert told The Wall Street Journal is "a very safe drug," DOCS notes. "Patient safety is our number one mission," Dr. Silverman says.
"There is no longer a need to avoid the dentist because you are fearful or anxious," Dr. Silverman adds. "As the Journal article makes very clear, it is time that patients bid adieu to their dental fears once and for all."
The Journal article extensively quotes Dr. Michael Silverman, president and founder of the Dental Organization for Conscious Sedation (DOCS), the world's leading educator of dentists who offer what is widely known as sedation dentistry.
"This will come as great news to the 85 million Americans who the Journal notes avoid the dentist out of dread," says Dr. Silverman, who personally has treated more than 2,750 previously reluctant patients.
DOCS advises consumers interested in locating a DOCS-trained sedation dentist in their area to visit www.SedationCare.com . The web site also provides more information on why DOCS-trained dentists are the world's #1 provider of this anxiety-free treatment.
Dentists who would like to attend an upcoming DOCS course so that they too can answer their patients' requests for oral sedation should visit www.DOCSeducation.com or phone: 1-877-325-3627.
"Many patients and dentists say the (oral sedation) technique is invaluable," The Wall Street Journal wrote. Indeed, oral conscious sedation has made safe dentistry accessible to great numbers of patients who previously went without dental care.
But Dr. Silverman echoes the other experts in the Journal story who say that not just any dentist should be offering patients sedation dentistry. "At DOCS, we train our dentists to meet and exceed standards set by the American Dental Association and state dental boards," he says. "Make sure that your dentist has received proper training such as DOCS programs."
DOCS-trained dentists have safely and effectively treated more than one million previously anxious adult patients in the United States and Canada and thousands of new patients receive treatment each month, Dr. Silverman says.
The core drug used by DOCS-trained dentists is triazolam, which a leading expert told The Wall Street Journal is "a very safe drug," DOCS notes. "Patient safety is our number one mission," Dr. Silverman says.
"There is no longer a need to avoid the dentist because you are fearful or anxious," Dr. Silverman adds. "As the Journal article makes very clear, it is time that patients bid adieu to their dental fears once and for all."
Phoenix Dentist Now Offering Porcelain Crowns
Dr. Louis Visser, a Phoenix Dentist is now offering porcelain crowns for people who want a more natural-looking smile that feels and looks great.
Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of teeth. Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability. With porcelain crowns, Dr. Visser is making teeth stronger and improving the appearance of smiles by covering teeth that are discolored or badly shaped to give clients the smile they have always wanted.
Benefits to Porcelain Crowns:
* Porcelain crowns are used to completely cover a weakened, broken down, or endodontically treated tooth above the gum line to protect it.
* Porcelain crowns are colored and shaped to match your own teeth, and can look and feel almost exactly like a natural tooth.
* Today’s dental crowns are created to reflect light much in the same way your natural teeth do, giving your smile a natural, healthy look.
In addition, Visser Family Dentistry also offers the following services to individuals and families in the Phoenix & Scottsdale Arizona area.
For more information about porcelain crowns, visit: http://www.visserfamilydentistry.com/porcelain-crowns.html
Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of teeth. Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability. With porcelain crowns, Dr. Visser is making teeth stronger and improving the appearance of smiles by covering teeth that are discolored or badly shaped to give clients the smile they have always wanted.
Benefits to Porcelain Crowns:
* Porcelain crowns are used to completely cover a weakened, broken down, or endodontically treated tooth above the gum line to protect it.
* Porcelain crowns are colored and shaped to match your own teeth, and can look and feel almost exactly like a natural tooth.
* Today’s dental crowns are created to reflect light much in the same way your natural teeth do, giving your smile a natural, healthy look.
In addition, Visser Family Dentistry also offers the following services to individuals and families in the Phoenix & Scottsdale Arizona area.
For more information about porcelain crowns, visit: http://www.visserfamilydentistry.com/porcelain-crowns.html
Tuesday, June 19, 2007
Dental Practice Brokerage Firm Changes Name
Professional Transitions has formally changed its name to ADS Florida, LLC. The company has long been associated with ADS (American Dental Sales) and, in an effort to bring more brand identity to ADS, the 25 affiliated dental practice transition specialists throughout America will now incorporate ADS into their company name.
Hy Smith, president of ADS Florida and former president of American Dental Sales, said, “As original members of ADS, we have grown and evolved into the most trusted and respected dental brokerage/consulting company in Florida and the time has come to identify with our other affiliate members as a national organization. As such, we are able to combine our efforts to bring to our clients the best financing products with exclusive relationships with Bank of America, General Electric Finance and Wells Fargo, the largest dental financial institutions in the country. We are able to market our clients’ practices in Dental Economics, on our own web site www.ADSflorida.com and our national web site www.ADStransitions.com.”
About ADS Florida
ADS Florida has been in business for thirty five years and has never had a transaction fail because of analyses or transaction structure. The company is in a very exclusive group of consultants and brokers nationally that qualify for and carry errors and omissions insurance.
ADS Florida has been affiliated with the Pride Institute for the past ten years and has provided knowledge and expertise in appraising dental practices, assisting in complex associateship/partnership structuring and providing guidance in exit strategy decisions.
Hy Smith has taught transition strategies at Marquette, Indiana University and University of the Pacific dental schools as well as monthly seminars throughout the country to dentists seeking solutions to transition issues.
ADS Florida principals include H. M (Hy) Smith, MBA; Stuart M. Auerbach, D.D.S.; Paul Rang, D.M.D., JD; Gregory Auerbach, MBA; Donald Elsman, D.D.S and his wife Melody Elsman, RDH.
Hy Smith, president of ADS Florida and former president of American Dental Sales, said, “As original members of ADS, we have grown and evolved into the most trusted and respected dental brokerage/consulting company in Florida and the time has come to identify with our other affiliate members as a national organization. As such, we are able to combine our efforts to bring to our clients the best financing products with exclusive relationships with Bank of America, General Electric Finance and Wells Fargo, the largest dental financial institutions in the country. We are able to market our clients’ practices in Dental Economics, on our own web site www.ADSflorida.com and our national web site www.ADStransitions.com.”
About ADS Florida
ADS Florida has been in business for thirty five years and has never had a transaction fail because of analyses or transaction structure. The company is in a very exclusive group of consultants and brokers nationally that qualify for and carry errors and omissions insurance.
ADS Florida has been affiliated with the Pride Institute for the past ten years and has provided knowledge and expertise in appraising dental practices, assisting in complex associateship/partnership structuring and providing guidance in exit strategy decisions.
Hy Smith has taught transition strategies at Marquette, Indiana University and University of the Pacific dental schools as well as monthly seminars throughout the country to dentists seeking solutions to transition issues.
ADS Florida principals include H. M (Hy) Smith, MBA; Stuart M. Auerbach, D.D.S.; Paul Rang, D.M.D., JD; Gregory Auerbach, MBA; Donald Elsman, D.D.S and his wife Melody Elsman, RDH.
Monday, June 18, 2007
Dental Costs & Wait Times Will Rise Dramatically?
Coalition Says Dental Costs and Wait Times Will Rise Dramatically in North Carolina
Many North Carolina residents will find themselves paying significantly more for routine dental care and waiting longer for appointments if proposed regulatory changes by the North Carolina State Board of Dental Examiners (NCSBDE) are approved, according to TEAM 1500, a non-profit coalition that aims to ensure equal access to health care for all Americans.
NCSBDE will hold a public hearing on its proposals this Saturday, June 16 at 10:00 a.m. at the board’s offices: 507 Airport Blvd., Suite 105, in Morrisville. TEAM 1500 strongly encourages patients and health care professionals to attend and express their opposition.
Specifically, NCSBDE is pushing changes that would drastically raise the educational requirements for North Carolina dentists who cater to the most fearful and anxious patients. If the changes are adopted, these patients will have to make the hard choice of paying significantly more for the same dental care they currently receive or doing without dental checkups altogether.
“Job number one for members of the North Carolina Board is to protect patient safety,” says Dean Rotbart, director of TEAM 1500. “But by setting the bar so high to receive care, the board is making dental care less available to those who need it most and thereby actually compromising patient safety.”
Rotbart notes that the kind of anti-anxiety dentistry that the Board intends to further regulate has proved extremely safe and effective in North Carolina and throughout the nation relying on far less restrictive guidelines. “The system is not broken – yet,” Rotbart says. “If the NCSBDE adopts the new proposals, North Carolinians will face a true dental care crisis.”
In particular, TEAM 1500 says that the biggest losers in North Carolina will be the poor, elderly and handicapped who already find it difficult to get adequate care. “Rather than look for ways to accommodate the neediest patients, the Board’s proposals will further disenfranchise them.”
Many North Carolina residents will find themselves paying significantly more for routine dental care and waiting longer for appointments if proposed regulatory changes by the North Carolina State Board of Dental Examiners (NCSBDE) are approved, according to TEAM 1500, a non-profit coalition that aims to ensure equal access to health care for all Americans.
NCSBDE will hold a public hearing on its proposals this Saturday, June 16 at 10:00 a.m. at the board’s offices: 507 Airport Blvd., Suite 105, in Morrisville. TEAM 1500 strongly encourages patients and health care professionals to attend and express their opposition.
Specifically, NCSBDE is pushing changes that would drastically raise the educational requirements for North Carolina dentists who cater to the most fearful and anxious patients. If the changes are adopted, these patients will have to make the hard choice of paying significantly more for the same dental care they currently receive or doing without dental checkups altogether.
“Job number one for members of the North Carolina Board is to protect patient safety,” says Dean Rotbart, director of TEAM 1500. “But by setting the bar so high to receive care, the board is making dental care less available to those who need it most and thereby actually compromising patient safety.”
Rotbart notes that the kind of anti-anxiety dentistry that the Board intends to further regulate has proved extremely safe and effective in North Carolina and throughout the nation relying on far less restrictive guidelines. “The system is not broken – yet,” Rotbart says. “If the NCSBDE adopts the new proposals, North Carolinians will face a true dental care crisis.”
In particular, TEAM 1500 says that the biggest losers in North Carolina will be the poor, elderly and handicapped who already find it difficult to get adequate care. “Rather than look for ways to accommodate the neediest patients, the Board’s proposals will further disenfranchise them.”
Wednesday, June 13, 2007
Ohio Dentist Loan Repayment Awards $200K
Four dentists have recently been named as the recipients of awards through the Ohio Dentist Loan Repayment Program (ODLRP), for their dedication to the oral health care needs of Ohioan
The ODLRP was established in 2003 with the passage of Ohio's Dental Care Improvement Act, Senate Bill 51 of the 125th General Assembly. The Ohio Dental Association was the driving force behind adoption if the act which, through the ODLRP, awards newly graduated dentists with financial assistance in return for their service in designated dental health professional shortage areas. The ODLRP is aimed at improving access to dental care, which has been cited by the Ohio Department of Health as the number one unmet health care need in Ohio.
This year's award recipients are: — Dr. Kyle Hensley, an ODA member serving at the Dayton Pediatric Clinic in Dayton. — Dr. Brian Morris, an ODA member serving at the Holzer Dental Health Partners in Jackson. — Dr. Abrar Abdul-Latif, a second year recipient serving at the Dental Center of Northwest Ohio in Toledo. — Dr. Michael Stubblefield, a second year recipient serving at the Toledo-Lucas County Health Department in Toledo.
A recent dental school graduate has also received ODLRP funding contingent upon receiving his dentist licensure. Because a contract has not yet been signed, the Ohio Department of Health is unable to release the graduate's name and information at this time.
A total of $200,000 was awarded to the recipients: $120,000 from ODLRP funds, $60,000 from the Bureau of Health Professions Fund and $20,000 from the Heath Priorities Trust Fund.
The program is administered by the Ohio Department of Health and is funded from a surcharge on dentists' licensure renewals collected every two years. The program is also funded through the state's Bureau of Health Professions (BHPr) and the Health Priorities Trust Fund. Award recipients are required to provide dental services for at least one year, at a minimum of 40 hours per week without regard to a patient's ability or inability to pay.
The Ohio Dental Association serves over 5,400 members — approximately 80 percent of the state's licensed dentists — through programs, services and member benefits. In addition, the ODA reaches out to consumers, educators, health professionals and others through education, advocacy and public service programs.
For more information or to schedule an interview with a dentist participating in ODLRP contact the Marketing and Communications manager at the Ohio Dental Association at (614) 486-2700 or emily@oda.org.
The ODLRP was established in 2003 with the passage of Ohio's Dental Care Improvement Act, Senate Bill 51 of the 125th General Assembly. The Ohio Dental Association was the driving force behind adoption if the act which, through the ODLRP, awards newly graduated dentists with financial assistance in return for their service in designated dental health professional shortage areas. The ODLRP is aimed at improving access to dental care, which has been cited by the Ohio Department of Health as the number one unmet health care need in Ohio.
This year's award recipients are: — Dr. Kyle Hensley, an ODA member serving at the Dayton Pediatric Clinic in Dayton. — Dr. Brian Morris, an ODA member serving at the Holzer Dental Health Partners in Jackson. — Dr. Abrar Abdul-Latif, a second year recipient serving at the Dental Center of Northwest Ohio in Toledo. — Dr. Michael Stubblefield, a second year recipient serving at the Toledo-Lucas County Health Department in Toledo.
A recent dental school graduate has also received ODLRP funding contingent upon receiving his dentist licensure. Because a contract has not yet been signed, the Ohio Department of Health is unable to release the graduate's name and information at this time.
A total of $200,000 was awarded to the recipients: $120,000 from ODLRP funds, $60,000 from the Bureau of Health Professions Fund and $20,000 from the Heath Priorities Trust Fund.
The program is administered by the Ohio Department of Health and is funded from a surcharge on dentists' licensure renewals collected every two years. The program is also funded through the state's Bureau of Health Professions (BHPr) and the Health Priorities Trust Fund. Award recipients are required to provide dental services for at least one year, at a minimum of 40 hours per week without regard to a patient's ability or inability to pay.
The Ohio Dental Association serves over 5,400 members — approximately 80 percent of the state's licensed dentists — through programs, services and member benefits. In addition, the ODA reaches out to consumers, educators, health professionals and others through education, advocacy and public service programs.
For more information or to schedule an interview with a dentist participating in ODLRP contact the Marketing and Communications manager at the Ohio Dental Association at (614) 486-2700 or emily@oda.org.
Tuesday, June 12, 2007
Periodontal diseases are blind to age
2 studies suggest that periodontal diseases should be a concern to women of all ages
Two new studies in the June issue of the Journal of Periodontology (JOP) suggest that periodontal diseases are a threat to women of all ages due to hormonal fluctuations that occur at various stages of their lives.
One study looked at 50 women who were between the ages of 20 to 35 with varying forms of periodontitis. The study found that women who currently were taking oral contraceptive pills had more gingival bleeding upon probing and deeper periodontal pockets (signs of periodontitis) than those who were not taking oral contraceptive pills.
“Younger women often think that periodontal disease is a condition associated with old age,” explained study author Brian Mullally, PhD. “Our study shows that it is very possible for younger women to experience periodontal disease. It is important for women to alert their dental practitioners of any medications they are taking, such as oral contraceptive pills, because it is possible that their oral health may be affected. It might also be prudent where possible for young women to ensure that their periodontal health has been checked before commencing oral contraceptive therapy.”
Another study in this month’s issue of the JOP examined 1,256 postmenopausal women and looked for a potential association between periodontal bacteria and bone loss in the oral cavity. The study results showed that women with periodontal bacteria in their mouths were also more likely to have bone loss in the oral cavity, which can lead to tooth loss if not treated.
“Our study’s findings are important for postmenopausal women because they suggest that good periodontal health is extremely important in the postmenopausal years,” said study author Renee Brennan, PhD. “We found that oral bone loss was associated with presence of oral bacteria. In fact, 62% of the women in our study had at least one species of subgingival bacteria present, and the women with these bacteria had more evidence of oral bone loss. Interestingly, women who had a Body Mass Index in the overweight range were much more likely to have oral bone loss associated with presence of oral bacteria. Oral bone loss has been associated with osteoporosis in this group as well. This association has been difficult to study because many risk factors for periodontal disease and osteoporosis, including smoking, age, medications, and overall general health are similar. It should be noted that our study was limited in that it included a relatively healthy group of mostly Caucasian women and that future studies are needed to determine the effects of periodontal bacteria on bone loss in other groups of postmenopausal women.”
“Taking care of your teeth and gums is a lifelong commitment,” explained Preston D. Miller, Jr., DDS, President of the American Academy of Periodontology. “Women should pay special attention to their oral health as they enter different stages of their lives because additional periodontal care may be needed during different points such as the reproductive years or menopause. Knowing your ‘pocket size’ depth can be a good way for women to keep track of their periodontal health; periodontal pockets of one to two millimeters with no bleeding are not a concern but pockets of three and four millimeters may need a more in depth cleaning called scaling and root planing.”
Two new studies in the June issue of the Journal of Periodontology (JOP) suggest that periodontal diseases are a threat to women of all ages due to hormonal fluctuations that occur at various stages of their lives.
One study looked at 50 women who were between the ages of 20 to 35 with varying forms of periodontitis. The study found that women who currently were taking oral contraceptive pills had more gingival bleeding upon probing and deeper periodontal pockets (signs of periodontitis) than those who were not taking oral contraceptive pills.
“Younger women often think that periodontal disease is a condition associated with old age,” explained study author Brian Mullally, PhD. “Our study shows that it is very possible for younger women to experience periodontal disease. It is important for women to alert their dental practitioners of any medications they are taking, such as oral contraceptive pills, because it is possible that their oral health may be affected. It might also be prudent where possible for young women to ensure that their periodontal health has been checked before commencing oral contraceptive therapy.”
Another study in this month’s issue of the JOP examined 1,256 postmenopausal women and looked for a potential association between periodontal bacteria and bone loss in the oral cavity. The study results showed that women with periodontal bacteria in their mouths were also more likely to have bone loss in the oral cavity, which can lead to tooth loss if not treated.
“Our study’s findings are important for postmenopausal women because they suggest that good periodontal health is extremely important in the postmenopausal years,” said study author Renee Brennan, PhD. “We found that oral bone loss was associated with presence of oral bacteria. In fact, 62% of the women in our study had at least one species of subgingival bacteria present, and the women with these bacteria had more evidence of oral bone loss. Interestingly, women who had a Body Mass Index in the overweight range were much more likely to have oral bone loss associated with presence of oral bacteria. Oral bone loss has been associated with osteoporosis in this group as well. This association has been difficult to study because many risk factors for periodontal disease and osteoporosis, including smoking, age, medications, and overall general health are similar. It should be noted that our study was limited in that it included a relatively healthy group of mostly Caucasian women and that future studies are needed to determine the effects of periodontal bacteria on bone loss in other groups of postmenopausal women.”
“Taking care of your teeth and gums is a lifelong commitment,” explained Preston D. Miller, Jr., DDS, President of the American Academy of Periodontology. “Women should pay special attention to their oral health as they enter different stages of their lives because additional periodontal care may be needed during different points such as the reproductive years or menopause. Knowing your ‘pocket size’ depth can be a good way for women to keep track of their periodontal health; periodontal pockets of one to two millimeters with no bleeding are not a concern but pockets of three and four millimeters may need a more in depth cleaning called scaling and root planing.”
Monday, June 11, 2007
Nanotechnology: buzz word in dental implants
Millennium Research Group (MRG) has conducted a detailed analysis of the US dental implant market in its US Markets for Dental Implants 2007 report. The analysis reveals that nanotechnology is creating a new buzz in the dental implant market. More specifically, many prominent dental implant manufacturers are incorporating nanotechnology into their dental implant surface designs because the technology is purported to cut healing time in half and improve osseointegration.
Leading dental implant manufacturers that have incorporated such technology into their dental implants include 3i and Bicon, both of which have branded their nanotechnology-based dental implant surfaces as "NanoTite", Astra Tech with its OsseoSpeed, and Straumann with its SLActive. According to MRG's US Dental Implant Marketrack, Straumann's SLActive dental implants have been well adopted in the US; however, the results of a survey of a statistically significant number of dentists performing dental implants in the US indicates that many dentists do not associate SLActive with nanotechnology. These results, highlighted in the US Markets for Dental Implants 2007 report, indicate that most respondents identified 3i as the nanotechnology-based dental implant surface manufacturer with which they were most familiar.
"Nanotechnology-based dental implant surfaces represent a new generation of surface treatments. Clinical data suggests that these new surfaces can benefit patients by improving the time it takes for osseointegration to occur," says Melicent Lavers, Manager of dental research at MRG. "These new dental implants are, however, priced at a premium and it is unclear whether or not dentists are passing on the additional cost to patients."
Leading dental implant manufacturers that have incorporated such technology into their dental implants include 3i and Bicon, both of which have branded their nanotechnology-based dental implant surfaces as "NanoTite", Astra Tech with its OsseoSpeed, and Straumann with its SLActive. According to MRG's US Dental Implant Marketrack, Straumann's SLActive dental implants have been well adopted in the US; however, the results of a survey of a statistically significant number of dentists performing dental implants in the US indicates that many dentists do not associate SLActive with nanotechnology. These results, highlighted in the US Markets for Dental Implants 2007 report, indicate that most respondents identified 3i as the nanotechnology-based dental implant surface manufacturer with which they were most familiar.
"Nanotechnology-based dental implant surfaces represent a new generation of surface treatments. Clinical data suggests that these new surfaces can benefit patients by improving the time it takes for osseointegration to occur," says Melicent Lavers, Manager of dental research at MRG. "These new dental implants are, however, priced at a premium and it is unclear whether or not dentists are passing on the additional cost to patients."
Mini-Implants
Dr. Joseph Santelli of the Center for Progressive Dentistry, a state-of-the-art dental spa in Duxbury, MA has recently announced a new Speaker’s Bureau to educate the public about cosmetic and restorative Mini-Implants.
Dr. Santelli is certified in mini-implant technology and he has made them his specialty. He is the only mini-implant provider in the area who does mini-implants as well as the follow up restoration.
In addition to serving as a professional speaker for mini-implant technology, Dr. Santelli offers complimentary one-hour presentations about mini-implants to special groups (30 people maximum) such as Councils on Aging, retirement and assisted living communities, libraries and non-profit organizations. His most recent lecture was held in early June at Pine Hills in Plymouth.
“Although mini-implant technology has been around for a little while, there aren’t many dentists who hold certification in mini-implant technology, so for most of the general public, it is the first time they have heard about it,” explained Dr. Santelli, who is a member of the International Association of Mini Dental Implants. He continued, “This technology is terrific. Essentially, a patient could walk into our dental spa wearing a denture and walk out with a full mouth of teeth, thanks to the innovation of mini-implants.”
Mini-implants are one-third the size of conventional implants, half the cost and they provide patients with the highest level of security in tooth replacement with regard to day to day activities such as speaking and eating. The entire procedure is all done by hand without drilling, surgery or sutures and is completed in one to two appointments.
Joseph Santelli, DDS, PC at the Center for Progressive Dentistry
The Center for Progressive Dentistry is an innovative dental spa that concentrates on cosmetic, restorative and general dentistry. The practice’s mission is to provide patients with the smile of their dreams, while emphasizing patient comfort in a “spa-like” atmosphere. In addition to mini-implants, the Center for Progressive Dentistry’s full range of cosmetic dentistry services include veneers, whitening and more.
Since comfort is of the utmost importance at the upscale practice; a plush, calm and soothing environment is a must for patients. Wand anesthetic is used, so patients do not feel a sting when it is administered. The dental chair has a massage feature and patients may choose to have a gentle massage during their treatment. At the conclusion of each appointment, patients are able to relax in a massage chair in the Recovery Spa, which is complete with dim lighting, soft music, candles and a waterfall feature.
Joseph Santelli, DDS, PC, a member of the American Academy of Cosmetic Dentistry (AACD) and the International Association of Mini Dental Implants, has been providing cosmetic and general dentistry to patients throughout the South Shore for more than 30 years.
The Center for Progressive Dentistry is located at 33 Enterprise Street, Suite 9 in Duxbury, Mass. For more information, visit www.centerforprogressivedentistry.com
Dr. Santelli is certified in mini-implant technology and he has made them his specialty. He is the only mini-implant provider in the area who does mini-implants as well as the follow up restoration.
In addition to serving as a professional speaker for mini-implant technology, Dr. Santelli offers complimentary one-hour presentations about mini-implants to special groups (30 people maximum) such as Councils on Aging, retirement and assisted living communities, libraries and non-profit organizations. His most recent lecture was held in early June at Pine Hills in Plymouth.
“Although mini-implant technology has been around for a little while, there aren’t many dentists who hold certification in mini-implant technology, so for most of the general public, it is the first time they have heard about it,” explained Dr. Santelli, who is a member of the International Association of Mini Dental Implants. He continued, “This technology is terrific. Essentially, a patient could walk into our dental spa wearing a denture and walk out with a full mouth of teeth, thanks to the innovation of mini-implants.”
Mini-implants are one-third the size of conventional implants, half the cost and they provide patients with the highest level of security in tooth replacement with regard to day to day activities such as speaking and eating. The entire procedure is all done by hand without drilling, surgery or sutures and is completed in one to two appointments.
Joseph Santelli, DDS, PC at the Center for Progressive Dentistry
The Center for Progressive Dentistry is an innovative dental spa that concentrates on cosmetic, restorative and general dentistry. The practice’s mission is to provide patients with the smile of their dreams, while emphasizing patient comfort in a “spa-like” atmosphere. In addition to mini-implants, the Center for Progressive Dentistry’s full range of cosmetic dentistry services include veneers, whitening and more.
Since comfort is of the utmost importance at the upscale practice; a plush, calm and soothing environment is a must for patients. Wand anesthetic is used, so patients do not feel a sting when it is administered. The dental chair has a massage feature and patients may choose to have a gentle massage during their treatment. At the conclusion of each appointment, patients are able to relax in a massage chair in the Recovery Spa, which is complete with dim lighting, soft music, candles and a waterfall feature.
Joseph Santelli, DDS, PC, a member of the American Academy of Cosmetic Dentistry (AACD) and the International Association of Mini Dental Implants, has been providing cosmetic and general dentistry to patients throughout the South Shore for more than 30 years.
The Center for Progressive Dentistry is located at 33 Enterprise Street, Suite 9 in Duxbury, Mass. For more information, visit www.centerforprogressivedentistry.com
Friday, June 8, 2007
Avoid Toothpaste From China
FDA Advises Consumers to Avoid Toothpaste From China Containing Harmful Chemical
The U.S. Food and Drug Administration (FDA) today warned consumers to avoid using tubes of toothpaste labeled as made in China, and issued an import alert to prevent toothpaste containing the poisonous chemical diethylene glycol (DEG) from entering the United States.
DEG is used in antifreeze and as a solvent.
Consumers should examine toothpaste products for labeling that says the product is made in China. Out of an abundance of caution, FDA suggests that consumers throw away toothpaste with that labeling. FDA is concerned that these products may contain "diethylene glycol," also known as "diglycol" or "diglycol stearate."
FDA is not aware of any U.S. reports of poisonings from toothpaste containing DEG. However, the agency is concerned about potential risks from chronic exposure to DEG and exposure to DEG in certain populations, such as children and individuals with kidney or liver disease. DEG in toothpaste has a low but meaningful risk of toxicity and injury to these populations. Toothpaste is not intended to be swallowed, but FDA is concerned about unintentional swallowing or ingestion of toothpaste containing DEG.
FDA has identified the following brands of toothpaste from China that contain DEG and are included in the import alert: Cooldent Fluoride; Cooldent Spearmint; Cooldent ICE; Dr. Cool, Everfresh Toothpaste; Superdent Toothpaste; Clean Rite Toothpaste; Oralmax Extreme; Oral Bright Fresh Spearmint Flavor; Bright Max Peppermint Flavor; ShiR Fresh Mint Fluoride Paste; DentaPro; DentaKleen; and DentaKleen Junior. Manufacturers of these products are: Goldcredit International Enterprises Limited; Goldcredit International Trading Company Limited; and Suzhou City Jinmao Daily Chemicals Company Limited. The products typically are sold at low-cost, “bargain” retail outlets.
Based on reports of contaminated toothpaste from China found in several countries, including Panama, FDA increased its scrutiny and began sampling toothpaste and other dental products manufactured in China that were imported into the United States.
FDA inspectors identified and detained one shipment of toothpaste at the U.S. border, containing about 3 percent DEG by weight. In addition, FDA inspectors found and tested toothpaste products from China located at a distribution center and a retail store. The highest level found was between 3-4 percent by weight. The product at the retail store was not labeled as containing DEG but was found to contain the substance.
DEG poisoning is an important public safety issue. The agency is aware of reports of patient deaths and injuries in other countries over the past several years from ingesting DEG-contaminated pharmaceutical preparations, such as cough syrups and acetaminophen syrup. FDA recently issued a guidance document to urge U.S. pharmaceutical manufacturers to be vigilant in assuring that glycerin, a sweetener commonly used worldwide in liquid over-the-counter and prescription drug products, is not contaminated with DEG.
FDA continues to investigate this problem. If FDA identifies other brands of toothpaste products containing DEG, FDA will take appropriate actions, including adding products and their manufacturers to the import alert to prevent them from entering the United States.
The U.S. Food and Drug Administration (FDA) today warned consumers to avoid using tubes of toothpaste labeled as made in China, and issued an import alert to prevent toothpaste containing the poisonous chemical diethylene glycol (DEG) from entering the United States.
DEG is used in antifreeze and as a solvent.
Consumers should examine toothpaste products for labeling that says the product is made in China. Out of an abundance of caution, FDA suggests that consumers throw away toothpaste with that labeling. FDA is concerned that these products may contain "diethylene glycol," also known as "diglycol" or "diglycol stearate."
FDA is not aware of any U.S. reports of poisonings from toothpaste containing DEG. However, the agency is concerned about potential risks from chronic exposure to DEG and exposure to DEG in certain populations, such as children and individuals with kidney or liver disease. DEG in toothpaste has a low but meaningful risk of toxicity and injury to these populations. Toothpaste is not intended to be swallowed, but FDA is concerned about unintentional swallowing or ingestion of toothpaste containing DEG.
FDA has identified the following brands of toothpaste from China that contain DEG and are included in the import alert: Cooldent Fluoride; Cooldent Spearmint; Cooldent ICE; Dr. Cool, Everfresh Toothpaste; Superdent Toothpaste; Clean Rite Toothpaste; Oralmax Extreme; Oral Bright Fresh Spearmint Flavor; Bright Max Peppermint Flavor; ShiR Fresh Mint Fluoride Paste; DentaPro; DentaKleen; and DentaKleen Junior. Manufacturers of these products are: Goldcredit International Enterprises Limited; Goldcredit International Trading Company Limited; and Suzhou City Jinmao Daily Chemicals Company Limited. The products typically are sold at low-cost, “bargain” retail outlets.
Based on reports of contaminated toothpaste from China found in several countries, including Panama, FDA increased its scrutiny and began sampling toothpaste and other dental products manufactured in China that were imported into the United States.
FDA inspectors identified and detained one shipment of toothpaste at the U.S. border, containing about 3 percent DEG by weight. In addition, FDA inspectors found and tested toothpaste products from China located at a distribution center and a retail store. The highest level found was between 3-4 percent by weight. The product at the retail store was not labeled as containing DEG but was found to contain the substance.
DEG poisoning is an important public safety issue. The agency is aware of reports of patient deaths and injuries in other countries over the past several years from ingesting DEG-contaminated pharmaceutical preparations, such as cough syrups and acetaminophen syrup. FDA recently issued a guidance document to urge U.S. pharmaceutical manufacturers to be vigilant in assuring that glycerin, a sweetener commonly used worldwide in liquid over-the-counter and prescription drug products, is not contaminated with DEG.
FDA continues to investigate this problem. If FDA identifies other brands of toothpaste products containing DEG, FDA will take appropriate actions, including adding products and their manufacturers to the import alert to prevent them from entering the United States.
Tuesday, June 5, 2007
Half of General Dentists Placing Dental Implants
Approximately half of general dentists are placing dental implants. In a recent dental consulting survey conducted by TheWealthyDentist.com, each dentist was asked if they place implants themselves. Fifty-three percent of the general dentists in the poll indicated that they do dental implant placement themselves. The remaining 47% of general dentists refer patients to a specialist.
Not surprisingly, dental specialists had a very different profile than general dentists. Four out of five specialists responding to this poll place dental implants, as opposed to only one out of two general dentists. Those who do not place implants are endodontists, prosthodontists, and pediatric dentists.
Dental implants are a permanent solution to lost teeth. Rather than a removable denture, patients are given titanium implants. Because of its ability to bond with bone, titanium is an ideal material for surgical implants. An artificial tooth is then placed over the implant. In the past several decades, dental implants have exploded in popularity, offering a more natural tooth replacement than any other current dental technique.
Many general dentists are more than happy to accept straightforward implant patients, but refer out the more difficult cases. As a Florida general dentist said, "I place implants myself, but only in ideal situations." Another agreed, saying, "I offer implants. It depends on the complexity of the case; some are sent to a specialist."
Some questioned the ability of general dentists to properly place implants, A North Carolina general dentist explained his humility thusly: "I have neither the experience nor knowledge of anatomy that would allow me to feel comfortable placing implants." A Florida general dentist questioned the wisdom of a single practitioner offering too many services. "Like they say: if you try to be a jack of all trades, you will be a master of none. I am fortunate to have one of the best implant specialists in the entire country in my backyard. I never have to worry about improper or sloppy placement like I get from other 'professionals.'"
A number of dentists were left unimpressed by the performance of some specialists. "After referring to specialists for the last few years and getting back poor work (acentric, too facially inclined, off the center of the ridge, non-ossiointegrated), I thought: How much worse can I do?" commented a Georgia general dentist. "Now I offer implants. For practice doing sinus lifts I'll get a couple of sheep or pig heads."
From a patient's perspective, generalists who offer dental implants can be convenient. A general dental practice in Minnesota has been pleased with the results. "After going to training in January and February, we started placing implants right away. Patients love that we can do the whole process from beginning to end."
More and more general dentists are interested in getting into the business of offering implants. "I refer implant patients to a specialist, but I am seriously considering placing them in some of the more straightforward cases," commented a California general dentist. A dentist from Greece agreed: "I'm taking a course in implantology, so soon I will offer them myself."
Restorations are quite another matter. "I restore implants and I refer placements out," said a Massachusetts general dentist. A Tennessee prosthodontist agreed, saying, "I restore but do not place implants."
A few dentists criticized specialists and the perception of them as more qualified to place dental implants than general dentists. "Every general dentist who can extract a tooth can do most implant surgeries," opined an Oregon dentist. "I feel that oral surgeons really do not want you to know how easy it is to do. All dentists owe it to themselves and to their patients. I restore 75% more implants now because I am placing my own. The acceptance was astonishing."
Many general dentists are proud of the success they have had with dental implants. "I've been placing implants since 1984. I did an internship in implants at Midwest Implant Institute. In twenty years, I have only ever lost one dental implant due to implant non-integration," proclaimed a Michigan general dentist. A Virginia dentist agreed, saying, "Most implants are well within the abilities of GPs. The expertise comes in knowing which ones to refer out."
The need for referrals helps to foster a healthy relationship between general dentists and specialists (at least in some cases). "We do the prosthetic portion of the process; we do not do the surgical placement of the implant," explained a New Hampshire general dentist. A Pennsylvania doctor was in a similar situation: "I use mini-implants in office where and when I'm able. I refer out traditional implants." A New York dentist described his process: "I have a specialist come to my office. I do the restorative portion myself." One Virginia prosthodontist is lucky enough to have in-house assistance: "I pick and choose. Those patients who need a more complex treatment are referred to our in-house oral surgeon or periodontists."
"Those of you who aren't in the industry might not know how passionate dentists can be about dental implants," said The Wealthy Dentist founder and dental management consultant Jim Du Molin. "Implants have been one of the most significant developments in dental care over the last century. The only problem is, it's still not entirely clear who is (and who should be) placing them. This is so often the issue: improving access to health care without compromising the quality of care patients receive."
For additional information on this and other Wealthy Dentist surveys, as well as more dentist comments, visit www.thewealthydentist.com/survey.
Not surprisingly, dental specialists had a very different profile than general dentists. Four out of five specialists responding to this poll place dental implants, as opposed to only one out of two general dentists. Those who do not place implants are endodontists, prosthodontists, and pediatric dentists.
Dental implants are a permanent solution to lost teeth. Rather than a removable denture, patients are given titanium implants. Because of its ability to bond with bone, titanium is an ideal material for surgical implants. An artificial tooth is then placed over the implant. In the past several decades, dental implants have exploded in popularity, offering a more natural tooth replacement than any other current dental technique.
Many general dentists are more than happy to accept straightforward implant patients, but refer out the more difficult cases. As a Florida general dentist said, "I place implants myself, but only in ideal situations." Another agreed, saying, "I offer implants. It depends on the complexity of the case; some are sent to a specialist."
Some questioned the ability of general dentists to properly place implants, A North Carolina general dentist explained his humility thusly: "I have neither the experience nor knowledge of anatomy that would allow me to feel comfortable placing implants." A Florida general dentist questioned the wisdom of a single practitioner offering too many services. "Like they say: if you try to be a jack of all trades, you will be a master of none. I am fortunate to have one of the best implant specialists in the entire country in my backyard. I never have to worry about improper or sloppy placement like I get from other 'professionals.'"
A number of dentists were left unimpressed by the performance of some specialists. "After referring to specialists for the last few years and getting back poor work (acentric, too facially inclined, off the center of the ridge, non-ossiointegrated), I thought: How much worse can I do?" commented a Georgia general dentist. "Now I offer implants. For practice doing sinus lifts I'll get a couple of sheep or pig heads."
From a patient's perspective, generalists who offer dental implants can be convenient. A general dental practice in Minnesota has been pleased with the results. "After going to training in January and February, we started placing implants right away. Patients love that we can do the whole process from beginning to end."
More and more general dentists are interested in getting into the business of offering implants. "I refer implant patients to a specialist, but I am seriously considering placing them in some of the more straightforward cases," commented a California general dentist. A dentist from Greece agreed: "I'm taking a course in implantology, so soon I will offer them myself."
Restorations are quite another matter. "I restore implants and I refer placements out," said a Massachusetts general dentist. A Tennessee prosthodontist agreed, saying, "I restore but do not place implants."
A few dentists criticized specialists and the perception of them as more qualified to place dental implants than general dentists. "Every general dentist who can extract a tooth can do most implant surgeries," opined an Oregon dentist. "I feel that oral surgeons really do not want you to know how easy it is to do. All dentists owe it to themselves and to their patients. I restore 75% more implants now because I am placing my own. The acceptance was astonishing."
Many general dentists are proud of the success they have had with dental implants. "I've been placing implants since 1984. I did an internship in implants at Midwest Implant Institute. In twenty years, I have only ever lost one dental implant due to implant non-integration," proclaimed a Michigan general dentist. A Virginia dentist agreed, saying, "Most implants are well within the abilities of GPs. The expertise comes in knowing which ones to refer out."
The need for referrals helps to foster a healthy relationship between general dentists and specialists (at least in some cases). "We do the prosthetic portion of the process; we do not do the surgical placement of the implant," explained a New Hampshire general dentist. A Pennsylvania doctor was in a similar situation: "I use mini-implants in office where and when I'm able. I refer out traditional implants." A New York dentist described his process: "I have a specialist come to my office. I do the restorative portion myself." One Virginia prosthodontist is lucky enough to have in-house assistance: "I pick and choose. Those patients who need a more complex treatment are referred to our in-house oral surgeon or periodontists."
"Those of you who aren't in the industry might not know how passionate dentists can be about dental implants," said The Wealthy Dentist founder and dental management consultant Jim Du Molin. "Implants have been one of the most significant developments in dental care over the last century. The only problem is, it's still not entirely clear who is (and who should be) placing them. This is so often the issue: improving access to health care without compromising the quality of care patients receive."
For additional information on this and other Wealthy Dentist surveys, as well as more dentist comments, visit www.thewealthydentist.com/survey.
Friday, June 1, 2007
Oral Health Benefits Of Antimicrobial Mouthrinse
American Dental Association Offers New Advice On The Oral Health Benefits Of ADA-Accepted Antimicrobial Mouthrinse
The American Dental Association (ADA) today announced new advice to consumers about good oral health habits. For the first time, the ADA will now supplement its recommendations with the message that the use of ADA-Accepted antimicrobial mouthrinse helps prevent and reduce plaque and gingivitis. The long-standing ADA recommendations for good oral hygiene include brushing, flossing, a healthy diet and visiting the dentist.
LISTERINE® Antiseptic, the only ADA-Accepted, nationally branded, over-the-counter antimicrobial mouthrinse, has been proven to help prevent and reduce plaque and gingivitis in more than 30 clinical studies. Gingivitis, which affects more than half of all adult Americans at some point in their lives, is an inflammation of the gums caused by the build up of plaque along the gum line.
The ADA continues to recommend that people brush twice a day with an ADA-Accepted fluoride toothpaste; clean between their teeth with an ADA-Accepted floss or ADA-Accepted interdental cleaner; eat a balanced diet and limit between meal snacks; and visit their dentist regularly for professional cleanings and oral examinations. In addition, the ADA now advises:
Use of an ADA-Accepted antimicrobial mouthrinse or toothpaste helps prevent and reduce plaque and gingivitis
Use of an ADA-Accepted fluoride mouthrinse helps prevent and reduce tooth decay.
"The ADA’s recognition of the importance of antimicrobial mouthrinses reinforces the idea that brushing and flossing alone may not always be enough to prevent the build up of plaque that can lead to the gum disease gingivitis, which many adult Americans have, and don’t even realize it," says Lori Kumar, PhD, Vice President, Oral Care Research and Development, McNEIL-PPC, Inc., makers of LISTERINE® Antiseptic mouthwash. "Adding LISTERINE® Antiseptic to a routine of brushing and flossing has been shown to reduce up to 52 percent more plaque and up to 21 percent more gingivitis than brushing and flossing alone."
Rinsing Removes Harmful Bacteria that Brushes and Floss May Miss
Plaque, a soft, sticky film of bacteria, is directly responsible for the development of gingivitis, an early and reversible form of gum disease. Left untreated, gingivitis can lead to more advanced gum disease, also called periodontitis, which can lead to tooth loss, and may be linked to health problems elsewhere in the body.
Twice-daily brushing and once-daily flossing, which the ADA continues to stress, can be effective at removing plaque from the tooth surfaces – but the teeth represent only about 25 percent of the surface area inside the mouth. An antimicrobial mouthrinse reaches the whole mouth, killing germs in "reservoirs" where plaque bacteria survive. Adding an antimicrobial mouthrinse to a routine of brushing and flossing could be particularly beneficial to those who are older or physically impaired and may not have the dexterity to brush and floss effectively.
New Advice Consistent With Established Research
"The ADA’s emphasis on the value of antimicrobial mouthrinses is consistent with the existing scientific research which has firmly established the role bacteria play in the development of gum disease and the effectiveness of antimicrobial mouthrinses in combating those bacteria," said Dr. Sebastian G. Ciancio, Distinguished Service Professor & Chair, Department of Periodontics & Endodontics, University of Buffalo SUNY School of Dental Medicine.
In addition to affirming the benefits of ADA-Accepted antimicrobial mouth rinses, the ADA also highlighted the use of ADA-Accepted antimicrobial toothpastes to help combat plaque, and the use of ADA-Accepted fluoride mouth rinses to help prevent tooth decay. All three health messages are complementary to the association’s previously existing guidelines.
The American Dental Association (ADA) today announced new advice to consumers about good oral health habits. For the first time, the ADA will now supplement its recommendations with the message that the use of ADA-Accepted antimicrobial mouthrinse helps prevent and reduce plaque and gingivitis. The long-standing ADA recommendations for good oral hygiene include brushing, flossing, a healthy diet and visiting the dentist.
LISTERINE® Antiseptic, the only ADA-Accepted, nationally branded, over-the-counter antimicrobial mouthrinse, has been proven to help prevent and reduce plaque and gingivitis in more than 30 clinical studies. Gingivitis, which affects more than half of all adult Americans at some point in their lives, is an inflammation of the gums caused by the build up of plaque along the gum line.
The ADA continues to recommend that people brush twice a day with an ADA-Accepted fluoride toothpaste; clean between their teeth with an ADA-Accepted floss or ADA-Accepted interdental cleaner; eat a balanced diet and limit between meal snacks; and visit their dentist regularly for professional cleanings and oral examinations. In addition, the ADA now advises:
Use of an ADA-Accepted antimicrobial mouthrinse or toothpaste helps prevent and reduce plaque and gingivitis
Use of an ADA-Accepted fluoride mouthrinse helps prevent and reduce tooth decay.
"The ADA’s recognition of the importance of antimicrobial mouthrinses reinforces the idea that brushing and flossing alone may not always be enough to prevent the build up of plaque that can lead to the gum disease gingivitis, which many adult Americans have, and don’t even realize it," says Lori Kumar, PhD, Vice President, Oral Care Research and Development, McNEIL-PPC, Inc., makers of LISTERINE® Antiseptic mouthwash. "Adding LISTERINE® Antiseptic to a routine of brushing and flossing has been shown to reduce up to 52 percent more plaque and up to 21 percent more gingivitis than brushing and flossing alone."
Rinsing Removes Harmful Bacteria that Brushes and Floss May Miss
Plaque, a soft, sticky film of bacteria, is directly responsible for the development of gingivitis, an early and reversible form of gum disease. Left untreated, gingivitis can lead to more advanced gum disease, also called periodontitis, which can lead to tooth loss, and may be linked to health problems elsewhere in the body.
Twice-daily brushing and once-daily flossing, which the ADA continues to stress, can be effective at removing plaque from the tooth surfaces – but the teeth represent only about 25 percent of the surface area inside the mouth. An antimicrobial mouthrinse reaches the whole mouth, killing germs in "reservoirs" where plaque bacteria survive. Adding an antimicrobial mouthrinse to a routine of brushing and flossing could be particularly beneficial to those who are older or physically impaired and may not have the dexterity to brush and floss effectively.
New Advice Consistent With Established Research
"The ADA’s emphasis on the value of antimicrobial mouthrinses is consistent with the existing scientific research which has firmly established the role bacteria play in the development of gum disease and the effectiveness of antimicrobial mouthrinses in combating those bacteria," said Dr. Sebastian G. Ciancio, Distinguished Service Professor & Chair, Department of Periodontics & Endodontics, University of Buffalo SUNY School of Dental Medicine.
In addition to affirming the benefits of ADA-Accepted antimicrobial mouth rinses, the ADA also highlighted the use of ADA-Accepted antimicrobial toothpastes to help combat plaque, and the use of ADA-Accepted fluoride mouth rinses to help prevent tooth decay. All three health messages are complementary to the association’s previously existing guidelines.
Dental Device Can Prevent Migraines
More than 28 million Americans suffer from migraine headaches but there may be new hope for them.
Some think headaches are tension or sinus-related but doctors said there is a chance your headaches are migraines.
There is now a device approved by the Federal Drug Administration to treat the problem.
It's called an NTI Tension Suppression Device, which is typically worn to bed. The hard plastic mouthpiece fits only on the front four teeth and prevents movement.
Most dentist offices can make it in under an hour.
"I had had migraines for several years and we couldn't pinpoint what was causing them," Kristen Queen, a migraine sufferer, said.
Queen said the dental device fitted to her mouth calmed her aching head when medications couldn't.
In clinical trials reviewed by the FDA, 82 percent of migraine sufferers had a 77 percent reduction in migraines within the first eight weeks.
"We can cut down on the number of migraine headaches, the frequency and severity of the migraine headaches," Dr. Greg Ellis,
a dentist, said...
More than 28 million Americans suffer from migraine headaches but there may be new hope for them.
Some think headaches are tension or sinus-related but doctors said there is a chance your headaches are migraines.
There is now a device approved by the Federal Drug Administration to treat the problem.
It's called an NTI Tension Suppression Device, which is typically worn to bed. The hard plastic mouthpiece fits only on the front four teeth and prevents movement.
Most dentist offices can make it in under an hour.
"I had had migraines for several years and we couldn't pinpoint what was causing them," Kristen Queen, a migraine sufferer, said.
Queen said the dental device fitted to her mouth calmed her aching head when medications couldn't.
In clinical trials reviewed by the FDA, 82 percent of migraine sufferers had a 77 percent reduction in migraines within the first eight weeks.
"We can cut down on the number of migraine headaches, the frequency and severity of the migraine headaches," Dr. Greg Ellis, a dentist, said…
To see full article:
http://www.nbc10.com/health/13421532/detail.html
Some think headaches are tension or sinus-related but doctors said there is a chance your headaches are migraines.
There is now a device approved by the Federal Drug Administration to treat the problem.
It's called an NTI Tension Suppression Device, which is typically worn to bed. The hard plastic mouthpiece fits only on the front four teeth and prevents movement.
Most dentist offices can make it in under an hour.
"I had had migraines for several years and we couldn't pinpoint what was causing them," Kristen Queen, a migraine sufferer, said.
Queen said the dental device fitted to her mouth calmed her aching head when medications couldn't.
In clinical trials reviewed by the FDA, 82 percent of migraine sufferers had a 77 percent reduction in migraines within the first eight weeks.
"We can cut down on the number of migraine headaches, the frequency and severity of the migraine headaches," Dr. Greg Ellis,
a dentist, said...
More than 28 million Americans suffer from migraine headaches but there may be new hope for them.
Some think headaches are tension or sinus-related but doctors said there is a chance your headaches are migraines.
There is now a device approved by the Federal Drug Administration to treat the problem.
It's called an NTI Tension Suppression Device, which is typically worn to bed. The hard plastic mouthpiece fits only on the front four teeth and prevents movement.
Most dentist offices can make it in under an hour.
"I had had migraines for several years and we couldn't pinpoint what was causing them," Kristen Queen, a migraine sufferer, said.
Queen said the dental device fitted to her mouth calmed her aching head when medications couldn't.
In clinical trials reviewed by the FDA, 82 percent of migraine sufferers had a 77 percent reduction in migraines within the first eight weeks.
"We can cut down on the number of migraine headaches, the frequency and severity of the migraine headaches," Dr. Greg Ellis, a dentist, said…
To see full article:
http://www.nbc10.com/health/13421532/detail.html
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