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Subject IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Online Only Content Source Type: journals

Author IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Online Only Content Source Type: journals

Sorry Makes It BetterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When medical errors occur in the University of Michigan Health System, often the doctor will admit the mistake upfront and a lawyer may offer immediate compensation. Richard Boothman, a malpractice defense lawyer and the chief risk officer for the health system says the approach reflects common decency. It is also a wise business strategy. Malpractice claims against the University of Michigan system have fallen from 121 in 2001 to 61 in 2006, and open claims fell from 262 in 2001 to 83 in 2007. Time to process a claim is just 8 months rather than the previous 20 months. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Extracts Source Type: journals

Coaches' rolesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A significant number of collegiate athletes use spit tobacco (ST). Despite a National Collegiate Athletic Association (NCAA) regulation banning the use of ST in practice and competition and the known health hazards associated with ST, the use is widespread. Baseball players are more likely to use ST regularly, with an NCAA survey finding 42% of baseball players in college doing so. Coaches are in a position to influence their players concerning the use of ST, with the ability to take preventive steps, enforce rules against its use, and make referrals for treatment of addiction to ST. They are also role models for their pla...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Spit Tobacco Source Type: journals

General dentists treating nonapneic snoringEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Snoring is a significant problem both for the snorer and for the partner. Both suffer poor quality of sleep and reduced quality of life. In simple nonapneic snoring, loud snoring is present without any accompanying abnormal respiratory events, such as apnea or hypopnea. Various treatments have been used, including weight loss, alcohol restriction, sleep position training, oral appliances, nasal appliances, and pharyngeal surgery. Mandibular advancement appliances (MAAs) position the mandible so that the tongue and soft palate are drawn forward, maintaining the pharyngeal airway during sleep and reducing snoring. Good resul...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Sleep Apnea Source Type: journals

Lubricating to prevent wearEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With more and more older adults in the population and an increasing number of them retaining their natural teeth, dentists are being presented with extensive wear cases. In addition, younger patients are increasingly showing signs of wear in both their primary and their permanent teeth. Early detection and prevention before restorative methods are needed should be the focus of clinical management. Fluoride can protect tooth structure from severe erosion at pH levels down to 2.0, but is unable to protect enamel at pH 1.2. Enamel and dentin can be protected against toothbrush abrasion and erosion at a pH of 3.0, but attritio...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Remineralization Source Type: journals

Periodontitis and preterm birthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Studies to investigate a possible causal link between preterm delivery and periodontal disease in pregnant women have used epidemiological, microbiological, and interventional approaches. Most show a positive correlation between periodontitis and preterm delivery, but the evidence is not conclusive. An interventional design was used to investigate the possible beneficial effects of periodontal treatment during pregnancy, focusing on birth weight and time of delivery. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Periodontal Therapy Source Type: journals

Calcium and vitamin D supplementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The US Institute of Medicine's Food and Nutrition Board has recommended a total intake from diet and oral supplementation of 1200 mg/day calcium and 400 IU/day vitamin D for persons aged 51–70 years. Those older than 70 years of age are supposed to have 1200 mg calcium and 600 IU vitamin D each day. Based on the average intake figures, adult men and women in the United States need to consume at least 500 to 600 mg/day more of calcium each day just to meet their health needs. Even greater intakes of calcium and vitamin D are needed to offset the deficit condition adults are already experiencing. Calcium and vitamin D are ...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Periodontal Disease Source Type: journals

Which came first? Dental or systemic disease?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic noncommunicable diseases (CNCDs) cause about 60% of worldwide mortality. Systemic CNCDs include cardiovascular diseases, diabetes mellitus, some cancers, and dementia; dental CNCDs include dental caries, periodontal disease, some oral cancers, and leukoplakia. The relationship between systemic and dental CNCDs has been viewed in different ways and these influence preventive efforts. The two major schools of thought were evaluated (). (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral-systemic Linkages Source Type: journals

Oral health of oldest-oldEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The group of individuals aged more than 80 years (oldest-old) is growing faster than any other age group worldwide. Within 50 years the United Nations estimates that 20% of the world's elderly population will be of age more than 80 years. Oral health contributes to and is influenced by various biological, psychological, and social factors, but it is an integral part of overall health. The markers of oral health and their ability to predict subsequent survival in individuals of age more than 80 years were investigated. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral-systemic Linkages Source Type: journals

Screening for oral and pharyngeal cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Oral and pharyngeal cancer (OPC) has the highest rate of mortality and morbidity of any oral disease in the United States, with 34,400 new cases diagnosed and 7500 deaths from OPC each year. Rates and outcomes are affected by socioeconomic status and race, with African American men having especially devastating results. There is a widespread lack of awareness and knowledge about OPC and limited efforts to screen for it and optimize early OPC detection efforts. The characteristics and treatment-seeking behaviors of patients recently diagnosed with OPC were evaluated, with a focus on whether seeing an oral healthcare provide...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral Cancer Source Type: journals

Acidic beverages versus acquired pellicleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The most common cause for dental erosion in Western societies is dietary, specifically, the consumption of acidic beverages, including fruit juices, soft drinks, and sports drinks. These effects are related to pH, differential buffer concentration, undissociated acid concentration, amount of acidic fluid, mineral and protein components, ionic strength, chelating properties, and flow rate of the acidic beverages. Most investigations of dental erosion have focused on in vitro enamel samples. The oral cavity has two natural barriers to erosive mineral loss: saliva and the salivary pellicle. The pellicle is a proteinaceous la...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral Biology Source Type: journals

Endodontists placing implantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The published data supports endodontic treatment as an appropriate restoration for many teeth, but dentists frequently choose implant therapy based on the perceived predictability of osseointegration and long-term success rates. This course could change the scope of endodontic practice. The American Association of Endodontists has not published a position statement aligning implant placement under the scope of endodontic practice, although some endodontists are performing it. It is not clear whether most endodontists wish to include implant placement in their practice. Endodontists' opinions about whether implant placement...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Implants Source Type: journals

Single gutta-percha point fillingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Root canal obturation is designed to completely seal the root canal system three dimensionally so that bacterial infection will not recur. If microleakage between the root canal and the periapical tissues is inhibited, the flow of nutrients to any surviving microorganisms should be cut off and no toxic bacterial products should escape. Achieving a tight seal using gutta-percha can be difficult with the lateral condensation technique and runs the risk of fracturing the root should too much pressure be applied. Gutta-percha does not degrade with time, but sealers do, so the best technique should minimize the amount of sealer...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Endodontics Source Type: journals

Bisphenol A in dental materialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The news media have bombarded the public with reports of the toxic chemical bisphenol A (BPA) and how it leaches out of plastic linings of cans and plastic bottles into the environment. BPA contamination has been found in foods, beverages, baby's formula, and various pit-and-fissure dental sealants and composite restorations. BPA is linked to possible neurological and developmental effects in fetuses, infants, and children. To protect ourselves and future generations, it is important to understand BPA and what can be done to decrease exposure to its toxic effects. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Ecology Source Type: journals

Consumer products and oral traumaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pediatric traumatic dental injuries occur in the United States with a prevalence of 4.1%–58.6% and cost between $3 and $4 million each year. To craft effective preventive measures it is necessary to understand the epidemiology of these dental injuries. The most common mechanisms already identified include falls at home, motor vehicle crashes, bicycle-related injuries, sports, playground equipment injuries, and physical contact (being struck). An investigation looked for any association between specific consumer products and activities and pediatric dental injuries treated in hospital emergency departments across the Unit...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Trauma Source Type: journals

Restoration longevityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Most clinical assessments of new materials and techniques are performed as longitudinal trials and demonstrate the potential of the restorative materials under carefully controlled conditions with small groups of patients. Real-life dentistry may be better portrayed through cross-sectional studies that show how restoratives perform in general practice by numerous operators. The quality aspects of restoration placements and their longevity were investigated in Public Dental Health clinics in northern Sweden. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Materials Source Type: journals

Future of dental compositesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Resin-based dental materials offer the advantages of being esthetically pleasing, stable within the oral environment, relatively easy to handle, and set on demand with light curing. Disadvantages include polymerization shrinkage, potential failure at the resin-dentin interface and secondary caries, relatively high coefficient of thermal expansion, and relatively low wear resistance. Research has been done to eliminate these disadvantages and prepare for uses in the future. The developments include nanotechnology, antimicrobial properties, stimuli-responsive materials, self-repairing materials, and tissue-regenerating mater...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Materials Source Type: journals

Evidence-based dental practice plus comparative effectiveness researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new Federal Coordinating Council for Comparative Effectiveness Research has been created to manage government efforts to evaluate the comparative effectiveness research (CER) of drugs, devices, and medical and dental procedures. What CER is and how it relates to evidence-based dental practice (EBDP) were explained. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Comparative Effectiveness Research Source Type: journals

Chronic droolingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In salivary incontinence or drooling, the production of saliva is usually normal but the coordinated control mechanism for the orofacial and palatolingual muscles is disrupted. As a result, saliva pools in the anterior mouth and slips through the mouth. The drooling of healthy infants is normal, but this should cease at about age 18 months and is considered abnormal beyond age 4 years. Drooling can cause functional, social, psychological, and clinical effects, with breakdown of the perioral skin, infections, disturbances of speech and eating, and even aspiration-related and pulmonary problems. The assessment and treatment ...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Saliva Source Type: journals

Marginal overhangEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Overhanging restorations encourage accumulation of bacterial plaque and contribute to the development of local periodontitis. Overhang formation is related to the type of restoration material and matrix technique, with flowable materials leading to higher percentages of marginal overhangs in beveled cavities. More viscous materials are also associated with higher percentages of underfilled margins in beveled box-shaped cavities. Clinically, most approximal composite resin restorations have marginal overhang, depending on the anatomy of the restored tooth. Restorative dentistry aims to re-establish a tight proximal contact ...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Restorative Dentistry Source Type: journals

Preoperative occlusal matrixEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Resin composite materials offer the advantages of minimizing sound tooth structure removal for retention, providing good esthetics, reinforcing remaining tooth structure, and increased fracture resistance in restorations. Their drawbacks include the amount of time and skill needed to reestablish the patient's occlusal morphology. The preoperative occlusal matrix technique was developed to allow the final resin composite restoration to copy the original morphology and occlusion, require little or no finishing and polymerization, minimize the degree of flash at restorative margins, and provide an optimally polymerized occlus...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Restorative Dentistry Source Type: journals

Force, duration, and painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Orthodontic treatment produces pain according to 95% of the patients undergoing this therapy, especially during the first 7 days. Light forces have been used during orthodontic tooth movement in an attempt to control pain, but orthodontic force magnitude has not been causally linked to resulting discomfort. The optimal orthodontic force should produce a maximum rate of tooth movement while avoiding tissue damage or discomfort. Clinical studies have identified a wide range of initial forces, ranging from 20 to 200 cN, but few have noted biologically active tooth movement with a force of 20 cN. An investigation was designed ...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Orthodontics Source Type: journals

Mesioangular third molarsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Removal of mesioangular wisdom teeth that have partially or fully erupted used to be a routine procedure even if no disease was present. When these teeth are left in place, the risk of distal caries in a second molar is increased. However, the available evidence does not clearly support this procedure; hence, many third molars are being left in place. The prevalence of caries in wisdom teeth and second molars was investigated, noting whether caries is more likely with a certain angulation of the mesioangular third molar. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral Surgery Source Type: journals

Gingival recessionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In gingival recession the gingival margin is displaced away from the cementoenamel junction, exposing the root. This not only compromises the esthetics but may result in hypersensitivity and root caries. Multiple factors contribute to the development of gingival recession. Tooth brushing has been proposed as a contributing factor by causing gingival abrasions, but the evidence is inconclusive. Power toothbrushes (PTs) provide significant advantages for oral health with respect to plaque removal and reduced gingivitis over manual toothbrushes (MTs). However, it is possible that these devices, with their higher plaque-removi...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral Hygiene Source Type: journals

Numb earEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Local, distant, and systemic complications can occur after local anesthetic administration, although this procedure is considered safe overall. Distant complications occur when the local anesthetic affects nerves other than the target. The result is temporary paralysis of other nerves and the structures they innervate. Paralysis of the auriculotemporal nerve during an inferior alveolar nerve block was reported. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Local Anesthesia Source Type: journals

Posterior maxilla implantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Treatment of the posterior maxilla presents anatomic problems, particularly with long-term edentulous patients or those whose periodontally involved teeth were extracted previously. Poor quality bone, rare trabeculae, wide marrow spaces, reduced crestal height, and increased maxillary sinus volume are common. Traditional implants with machined surfaces for these areas must be at least 11 to 13 mm long and 3.75 to 4.00 mm in diameter, requiring more invasive surgical procedures to acquire sufficient bone for implant placement. Various procedures have been developed to address the particular challenges of the posterior maxil...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Implants Source Type: journals

Nd:YAG laser treatmentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dentinal hypersensitivity affects 14% to 30% of adults and can prove quite unpleasant for many persons when they eat, brush their teeth, or engage in other oral activities. The causation is currently described by the hydrodynamic theory, which states that the painful symptoms accompany outward fluid movements within the pulp–dentin complex. Widely opened dentinal tubules at the exposed dentin surfaces respond to thermal, mechanical, or chemical stimulation with pain. The exposure of the dentin can result from incorrect tooth brushing, gingival recession, occlusal disharmony, inappropriate diet, or other factors. Treatmen...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Hypersensitivity Source Type: journals

Prevalence in Bern, SwitzerlandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Halitosis, defined as an offensive odor in expired air, can result from intraoral or extraoral factors. Its prevalence has been difficult to pin down because studies differ in methodologies and outcome measures. Estimates from Japan and China range from 6%–34%. European studies are few, with prevalence often based on self-reported data or purportedly objective sources, such as organoleptic measurements, sulfide monitoring, gas chromatography, or the benzoyl-dl-arginine-α-naphthylamide (BANA) test. A questionnaire for self-reported findings, and organoleptic and volatile sulfur compounds (VSC) measures for objective clin...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Halitosis Source Type: journals

Patient selection and dismissalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dentists have an obligation to provide care for those who seek their services and a duty to promote the patient's welfare. The ethics involved in selecting and in dismissing a patient from a practice were outlined. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Ethics Source Type: journals

Porcelain veneers for severe discolorationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Before dentists begin to address tooth discoloration, they need to identify the cause and degree of the problem. Simple cases can be managed with conservative treatments, such as prophylaxis to remove external stains, bleaching, and microabrasion. With severe cases, porcelain veneer is an excellent option with good longevity. When insufficient enamel for bonding, caries, parafunctional habits, and uncontrolled dental disease are present, however, the use of veneers can be challenging. Complex cases require multidisciplinary planning to sequence treatment appropriately and achieve the patient's functional and esthetic goals...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Esthetics Source Type: journals

Soft-Core vs cold lateral compaction in vivoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cold lateral compaction is the most common method of filling root canals that is being taught and used in clinical practice. Gutta-percha is the obturation material used. The technique offers the advantages of low cost and ability to control the filling length. Its disadvantages include the spaces left between the gutta-percha cones when the canal preparation is poor, the condensation pressure is inadequate, or the tapers of the spreader, gutta-percha cone, and canal do not match; the length of the process; and the potential for exerting too much force, leading to root fracture. Thermoplasticized techniques were developed ...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Endodontics Source Type: journals

Conventional dentures for edentulous patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Improved esthetics, function, and speech are primary motivators for edentulous patients to seek treatment to replace their teeth. Although tissue-integrated prostheses offer remarkable results, some patients cannot take advantage of these methods because of treatment requirements or financial resources. Therefore the use of conventional denture treatment is the primary choice for edentulous patients. Success with dentures depends on care taken during diagnosis, treatment planning, and carrying out the procedures themselves and choosing patients who maintain positive and realistic expectations for the treatment. Problems wi...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Edentulism Source Type: journals

Denture replacement and salivary flowEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reduced salivary flow rate (SFR) among the elderly has been ascribed to age-related diseases and medication, but it also occurs in healthy subjects not taking medication. A little-studied factor that may contribute is reduced masticatory function. A positive correlation has been noted between SFR and maximal occlusal force. SFR increases within two days in patients receiving an initial set of complete dentures. Elderly denture patients were studied to determine if SFR changed after their complete dentures were replaced. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dry Mouth Source Type: journals

Self-etching adhesive bond strengthsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Modern dentin bonding systems are based on creation of a hybrid resin–reinforced layer for dentin adhesion. The dentin layer is partially demineralized to expose collagen fibrils, and the adhesive monomers are infiltrated in and around the remaining collagen and mineral. To support the collagen fibers, moisture is needed on the dentin surface. With bonded restorations, achieving the correct dentin moisture content relies on clinical judgment and is an unreliable process. The laboratory bond strengths that are achieved with moist bonding, using the current etch-and-rinse hydrophilic bonding systems, range from 17 to 24 MP...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Materials Source Type: journals

Cone-beam computed tomographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Three-dimensional imaging of the teeth and jaws can be accomplished using cone-beam computed tomography (CBCT) (). Although new to the field, this technology is becoming widely available and can be used for implant dentistry, endodontics, and oral surgery. The differences between conventional computed tomography (CT) and CBCT and their dental applications were examined. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Imaging Source Type: journals

Adjunctive cavity disinfectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Atraumatic Restorative Treatment (ART) approach was developed to enable practitioners in countries with limited oral health care systems to provide preventive and restorative dental care. It has also been shown to be cost-effective compared to traditional methods using amalgam and provides durable single-surface restorations in primary and permanent posterior teeth. Egypt has a particularly high prevalence and severity of dental caries among its younger population. The high number of caries is attributed to poor oral hygiene, minimal preventive care, financial barriers to the provision and receipt of care, poorly distr...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: ART Therapy Source Type: journals

Tell ‘Em What You Want!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As patients become more involved in their health care, the demand for access to health information has grown accordingly. Four of every 10 cancer patients look for cancer treatment information on the Internet. A study by Dr Stacy Gray and colleagues of the University of Pennsylvania Annenberg School assessed the relationship between information-seeking among 633 patients with colorectal cancer and the use of new treatments (bevacizumab and cetuximab) for the disease. Patients who sought information about possible treatments were 2.83 times more likely to know about these targeted therapies and 3.22 times more likely to rec...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Extracts Source Type: journals

Antibiotic prophylaxis guidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinical guidelines are useful and generally beneficial for providing appropriate patient care, but they must be based on evidence. Only then can health care professionals evaluate and understand the rationale for implementing these approaches in a clinical setting. The global misuse of antibiotics has increased the incidence of microbial resistance to the point where it has become a public health crisis. The guidelines for the use of prophylactic antibiotics for patients at risk for infective endocarditis who are undergoing dental procedures were developed collaboratively by the American Association of Orthopedic Surgeons...
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: The Big Picture Source Type: journals

Heartburn, Heart Attack—What to Do?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
You feel a sharp burning sensation near the breastbone or ribs—is it just heartburn or a heart attack? Many people pop an over-the-counter antacid and wait for the pain to go away. But even garden-variety heartburn can require a doctor to rule out heart problems, and patients with diagnosed heart disease can also have heartburn. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Extracts Source Type: journals

ReducingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The four “Rs” of eco-friendly dentistry are rethink, reduce, reuse, and recycle. After rethinking routines to eliminate waste and pollution; save money, energy, and water; incorporate high-tech solutions; and focus on wellness, we should address waste and pollution before they occur and employ appropriate techniques and educational strategies to reduce our adverse ecologic impact. Efficiencies to reduce waste and pollution, save water and energy, and educate patients will naturally also save money and may save time as well. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Eco-friendly Dentistry Source Type: journals

Selling dentistryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Traditional sales training presents the selling process as a series of strategies, gimmicks, or attempts to control behavior and persuade a potential buyer to say “yes.” For many dentists, the concept of selling is uncomfortable because they see it as a manipulative, dishonorable process. This attitude will be projected to patients in subtle ways, such as choice of words, body language, and overall approach. Changing this will require changing the dentist's basic belief system regarding selling. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Practice Source Type: journals

Bringing a new team member aboardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The dental team can be seen as a group of leaders who are working cohesively toward shared goals. The dentist sets the minimum standards for excellence in each position and views compromise as the first step down a slippery slope. The process of hiring a new team member involves defining the position and hiring the right person, orienting and training the person, and maintaining team empowerment. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Dental Practice Source Type: journals

General dentist choices of capitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Increasingly, dental care is being paid for through health maintenance organizations, preferred provider organizations, and capitation arrangements. Patients and employers choose to participate in these arrangements partly in response to dentists' willingness to participate. Patient satisfaction, self-reported oral health, quality of care, and cost of care can influence the client's choice of payment plan. The factors that influence dentists in choosing to participate in capitation arrangements were explored. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Capitation Source Type: journals

Bacterial prophylaxis for joint replacement patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In 2003 a revised statement was issued by the American Academy of Orthopaedic Surgeons and the American Dental Association concerning the use of antibiotic prophylaxis for patients who have undergone total joint replacement. A 2009 statement has now been issued by the American Academy of Orthopaedic Surgeons “as an educational tool based on the opinion of the authors.” (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Tags: Oral Medicine Source Type: journals

The role of practice-based research networks in improving clinical care: “The Dental PBRN” exampleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It can take many years before clinically important scientific evidence is incorporated into routine clinical practice. As a result, patients may receive health care that is not consistent with current scientific evidence, is not needed, or is even potentially harmful. Therefore, determining how best to move current evidence into regular practice is important, so as to ensure that it quickly reaches the patients for whom it is intended. Practice-based research networks (PBRNs) offer an opportune method to accomplish this. (Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Authors: Gregg H. Gilbert, The DPBRN Collaborative Group Tags: Commentary Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Dental Abstracts)
Source: Dental Abstracts - November 1, 2009 Category: Dentistry Source Type: journals

Acupuncture or not?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Acupuncture and simulated acupuncture both helped low back pain patients feel better. A Seattle study included 638 adults with low back pain who were randomly assigned to receive individualized acupuncture, standardized acupuncture, simulated acupuncture, or standard medical care. The acupuncture and simulated acupuncture treatments were given twice a week for 3 weeks, then weekly for 4 weeks. After 8 weeks the acupuncture and simulated acupuncture groups had significantly better dysfunction scores than the group receiving medical care. No difference was seen between the groups that had actual acupuncture, whether individu...
Source: Dental Abstracts - August 31, 2009 Category: Dentistry Tags: Extracts Source Type: journals