Dentistry Commons^™

Screening For Sleep Apnea, Arthur Feigenbaum Dmd

The New York State Dental Journal

Dentists are urged to be alert to signs of sleep deprivation among their patients. They could be indications of obstructive sleep apnea, which, if left untreated, can lead to serious consequences.

The Managed Care Solution To The Dental Student Loan Crisis, Chester Gary Dds, Jd

The New York State Dental Journal

Enforceable cost control mechanisms can fix skyrocketing student loan debt.

Legal Odds And Ends, Lance Plunkett Jd, Llm

The New York State Dental Journal

New laws define job titles and responsibilities, set wages and protect health information.

Evaluating The Impact Of Providing Free Dental Treatment To Vulnerable Populations, Brendan Dowd Dds, Betsy Bray Rdh, Bs

The New York State Dental Journal

The Dental Demonstration Project was studied over a five-year period to evaluate how the impact from attended events and the follow up intervention influenced dental health home status of patients who attended. The report includes information gathered from 24 events that took place throughout New York State.

Amelogenesis Imperfecta: Case Series And Review Of The Literature, Andrew T. Moshman Dmd, Gwen Cohen-Brown Dds, Faaomp

The New York State Dental Journal

Amelogenesis imperfecta (AI) describes a group of genetic conditions affecting the thickness, microstructure, and degree of mineralization of the enamel. Correct diagnosis may be important for managing other serious medical conditions. AI patients are highly susceptible to caries, pain, tooth wear, and loss of the vertical dimension of occlusion, often requiring significant dental treatment throughout their life. Early diagnosis and timely preventative and restorative treatments are crucial to circumvent AI’s psychological, social, and functional sequalae. This case series highlights AI in a 19-year-old patient, with suggestions for further testing and monitoring of the condition.

N Y State Dent J November 2022

The New York State Dental Journal

In the November 2022 issue, the reader will find the following feature articles:

• Medications Associated with Oral Lichenoid Lesions: A Single-Site Retrospective Cohort Study
• Evaluating the Impact of Providing Free Dental Treatment to Vulnerable Populations
• Amelogenesis Imperfecta: Case Series and Review of the Literature

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Medications Associated With Oral Lichenoid Lesions: A Single-Site Retrospective Cohort Study, Debra K. Fischoff Dmd, Ms, Sara Sternbach Dds, Juliana Gomez Dds, Sonal S. Shah Dds

The New York State Dental Journal

BACKGROUND: The investigators aim to determine the frequency of systemic medications in patients with oral lichen planus or oral lichenoid lesions. METHODS: A retrospective study of lichenoid diagnoses in the New York University College of Dentistry Oral Medicine Clinic. Data obtained included patient demographics, prescription medications and pathologic diagnosis. Comparative analysis was performed. RESULTS: A total of 162 oral lichenoid lesion/oral lichen planus patients were identified: The most frequently found medications were anti-hypertensives, anti-hyperlipidemics followed by metformin, proton pump inhibitors and levothyroxine. CONCLUSION: The findings emphasize the importance of clinicians’ awareness of potential oral adverse reactions from certain medications.

Antihypertensive Drug-Induced Orofacial Angioedema: Case Reports, Daria Vasilyeva Dds, Ashley Houle Dds, Md, Louis Mandel Dds

The New York State Dental Journal

The antihypertensive medications, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers can cause orofacial angioedema (AE). Because the AE can result in serious complications, the dental practitioner must be prepared to make a prompt diagnosis.

Fraud, Hipaa And Telehealth, Lance Plunkett Jd, Llm

The New York State Dental Journal

Techonology is a wonderful thing, but it introduces all kinds of new considerations concerning the safe and legal conducft of the dental practice.

N Y State Dent J August-September 2022

The New York State Dental Journal

In the August-September 2022 issue, the reader will find the following feature articles:

• Maxillary Sinus Foreign Body From an Unusual Source: Provisional Prosthesis Material
• Antihypertensive Drug-induced Orofacial Angioedema: Case Reports
• An Overview of Maxillofacial Rehabilitation for the General Dentist

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

An Overview Of Maxillofacial Rehabilitation For The General Dentist, Vladimir Frias Dds, Ms

The New York State Dental Journal

The rehabilitation of the maxillofacial patient is mostly carried out in a multi-specialty treatment environment such as a comprehensive cancer center, where multiple specialists are available to treat the numerous concerns and complications that may occur. Many of these patients are seen by the maxillofacial prosthodontist at the same time as the other members of the team and maxillofacial rehabilitation can be treatment planned and performed expediently. Some patients, however, are treated without rehabilitation in mind and go years without appropriate referrals. A knowledge of the multiple types of prostheses available will allow the general practitioner to decide if a …

Don't Let The Technology Tail Wag The Clinical Judgment Dog, Chester Gary Dds, Jd

The New York State Dental Journal

Misuse of artificial intelligence will threaten dentists' professional autonomy and erode public trust in the dentist-patient relationship.

Maxillary Sinus Foreign Body From An Usual Source: Provisional Prosthesis Material, Daniel Sultan Dds, Md, Peter Balacky Dds, Peter Protzel Dds, Md

The New York State Dental Journal

Background: Antral foreign bodies disrupt normal sinus drainage and can lead to sinusitis and infection. These foreign bodies can arise from many sources including several unique to the dental setting. Case Description: Typical sources like displaced teeth, roots, and root canal filling materials would be iatrogenically introduced at the time of sinus violation. However, we report the unusual case of displaced provisional prosthesis material introduced via a small and almost invisible oroantral fistula several years following extraction. Practical Implications: light of this case, we emphasize the importance of the Valsalva test to diagnose oral antral fistulas following extractions and prior …

Medication-Related Osteonecrosis Of The Jaw: Important Clinical Considerations, Bard J. Levey Dds, Franklin Garcia-Godoy Ds, Ms, Phd

The New York State Dental Journal

Medication-related osteonecrosis of the jaw (MRONJ) is a challenging condition for dental practitioners. Despite the plethora of published literature on this topic, widespread clinical awareness and recognition is still not common as clinicians still do not recognize the common, early presentations of this disease. This has been shown in different studies conducted in different parts of the world.1-4 The present paper highlights the important clinical considerations for practitioners to evaluate.

N Y State Dent J June-July 2022

The New York State Dental Journal

In the June-July 2022 issue, the reader will find the following feature articles:

• The Challenges are Many, but There’s Reason for Optimism
• Medication-Related Osteonecrosis of the Jaw: Important Clinical Considerations
• Retained Third Molars Protect Against Fractures of Mandibular Condylar Region
• Patient Recall in the Informed-Consent Process
• Clinical Report on Restoration of Patient with Immediate Loaded Maxillary Restoration Supported by Zygomatic/Endosseous Implants and Mandibular Prothesis Utilizing Three-implant Solution

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Patient Recall In The Informed Consent Process, Natasha Bhalla Dds, Nishant Suneja Md, Sungyub Lew Md, Harry Dym Dds

The New York State Dental Journal

Introduction: Informed consent is extremely important in the practice of medicine. It is a frequently discussed topic in medical ethics. Research shows that patient often sign a consent form although do not understand the information that was presented to them. Research also shows that they do not recall the information that was provided to them. The authors attempt to determine how much information patients retain. Methods: This is a prospective, double blinded, pilot study of patients presenting to the Oral and Maxillofacial Surgery Outpatient Clinic of the Brooklyn Hospital Center (TBHC) for the extraction of wisdom teeth. The number of …

Retained Third Molars Protect Against Fractures Of The Mandibular Condylar Region, Jamie S. Luria Dds, J. H. Campbell Dds, Ms, Facs

The New York State Dental Journal

Purpose: Assess mandibular condylar/subcondylar and angle fracture patterns in the presence or absence of third molars. Patients and Methods: Retrospective cohort study of 234 patients with mandibular fractures. Odds ratios were calculated to determine relative risk of angle and condylar/subcondylar fractures when third molar teeth were present or absent. Results: Condylar/subcondylar fractures were twice as likely to be avoided if a third molar was present; angle fractures were twice as likely to occur with retained third molars. Conclusions: A twofold decrease occurs in the risk of condylar/subcondylar fracture if a third molar is present and a twofold increase occurs in …

The Truth About The Truth, Chester Gary Dds, Jd

The New York State Dental Journal

Dentists and patients must question the authority and motivation of purveyors of oral health information

Nysda Records Impressive Wins In Albany, Lance Plunkett Jd, Llm

The New York State Dental Journal

Legislatively speaking, it was a very good year for the New York State Dental Association.

Clinical Report On Restoration Of Patient With Immediate Loaded Maxillary Restoration Supported By Zygomatic/Endosseous Implants And Mandibular Prothesis Utilizing Three-Implant Solution, Frank J. Tuminelli Dmd, Facp, Jay Neugarten Dds, Md, Elphida G. Ayvazian Dmd

The New York State Dental Journal

This is a Case Report of a 72 y/ old patient that was wearing two removable prostheses, a maxillary complete denture and a mandibular complete denture retained by two implants and locator attachments. The patients’ medical condition is complicated, the patient is blind, has suffered from kidney failure and has a donated kidney. She also suffers from diabetes. The patient’s desires were to convert both prostheses to fixed restorations. The lack of maxillary osseous tissue required the use of skeletal anchorage outside the immediate oral cavity to retain a maxillary prostheses. The current placement of mandibular implants would not allow …

White Sponge Nevus: Case Report, David M. Walton Bs, Daria Vaislyeva Dds, Louis Mandel Dds

The New York State Dental Journal

White sponge nevus (WSN) is a rare autosomal dominant asymptomatic keratotic disorder. A case report is presented of a 28-year-old male with a long-standing asymptomatic and widespread oral mucous membrane keratosis. A diagnosis of WSN was made based on his clinical history, the characteristic appearance of the lesion, and the histopathology.

Diode Laser Assisted Abscission And Low Level Laser Therapy For The Treatment Of Mucocele –Literature Update And Case Report, Divya Khanna Bds, Mds, Nikita Dhingra Bds, Md, Rohit Yadav Bds, Mds

The New York State Dental Journal

Mucoceles are the quotidian, benign minor salivary gland lesions of the oral mucosa. They result from the accumulation of mucous secretion due to trauma or alteration of minor salivary glands. Clinically they are characterized by bluish, dome shaped, soft and fluctuant physiognomy with most frequent occurrence reported on the lower lip. Based on the histological features they are of two varieties mucous extravasation and retention cysts. Various treatment modalities including surgery, laser ablation, electrosurgery, marsupialization, cryosurgery, intra-lesional injections and corticosteroids have been reported in literature. In the present case, a mucosal preservation technique was used in conjunction with an 810nm …

Effects Of New York State’S Medicaid Orthodontic Policy Changes On Approved Orthodontic Treatment Complexity, June Harewood Dds, Ma, Ms, Karolina Kister Dmd, Phd, Lynn Tepper Phd, Edd, Hassan M. Khan Dmd, Mbe, Ms, Jing Chen Dds, Phd, Christine O'Hea Dmd, Msc, Thomas Hoopes, Sunil Wadhwa Dds, Phd

The New York State Dental Journal

The purpose of this study was to analyze how 2013 New York State Medicaid legislation that introduced HLD index affected orthodontic Medicaid treatment approval affected orthodontic Medicaid treatment approval. Eighty-six patients pre-2013 and eighty-six post-2013 were selected from a single academic center. The number of patients who auto-qualified post-2013 significantly increased (58 vs 39, p=0.006). For the patients who did not auto-qualify there was a significant increase (p=0.017) in HLD scores post-2013 (31.38) compared to pre-2013 (13.34). Fifty-one percent of the patients approved pre -2013 would not have qualified for coverage under the current policy.

N Y State Dent J April 2022

The New York State Dental Journal

In the April 2022 issue, the reader will find the following feature articles:

• Responding to Online Social Media Posts
• Diode Laser-Assisted Abscission and Low-Level Laser Therapy for Treatment of Mucocele Literature: Update and Case Report
• White Sponge Nevus
• Effects of New York State’s Medicaid Orthodontic Policy Changes on Approved Orthodontic Treatment Complexity

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

The Dental School Outside The Dental School's Shrinking Enrollment, Chester J. Gary Dds, Jd

The New York State Dental Journal

A dearth of Mentor-Associate relationships impairs new dentist professional development and threatens dentistry's privilege to self-regulate

Employment Law Madness, New York City Style, Lance Plunkett Jd, Llm

The New York State Dental Journal

The growing complexity of employment law

Treatment Of Peri-Implant Soft Tissue Deficiency Around A Narrow Diameter Implant With Subepithelial Connective Tissue Graft: A Case Report, Jaewon Kim Dds, Ms, Phd, Abhiram Maddi Dds Msc Phd

The New York State Dental Journal

Narrow diameter implants and mini-implants are preferred by dentists for restoration of missing teeth on narrow ridges. However, such implants are associated with long-term complications including soft tissue deficiencies. This case report describes a novel approach using a connective tissue graft to resolve peri-implant mucositis. A 66-year old male patient presented with inflammation and abscess in relation to a mini-implant, at the upper left incisor, on the facial aspect. Deficiencies of keratinized tissue and width of attached gingiva were observed. Surgical management was performed using subepithelial connective tissue. An 18-month follow up showed increased width of attached gingiva at the …

New York Continues Employment Law Rampage, Lance Plunkett Jd, Llm

The New York State Dental Journal

Newly enacted laws continue trend favoring employee rights. Dental practices on notice.

N Y State Dent J March 2022

The New York State Dental Journal

In the March 2022 issue, the reader will find the following feature articles:

• Orthognathic Surgery and Quality-of-Life Outcomes: Findings from a Hospital-Based Patient Satisfaction Survey
• Recommendations for Co-Prescription of Opioids and Naloxone in the Dental Office
• Papillon-LeFevre Syndrome: A Case Study of Two Siblings
• Treatment of Peri-implant Soft-tissue Deficiency around a Narrow Diameter Implant with Subepithelial Connective-tissue Graft: A Case Report
• Simple Lipoma Mimicking Oral Infiltrating Lipoma: Case Report

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

If Dentistry's Social Contract With America Could Talk, Chester Gary Dds, Jd

The New York State Dental Journal

Dentistry must make running the business of dental practices compatible with professional responsibility.