Medicine and Health Sciences Commons^™

Effects Of A Mandatory Covid-19 Testing Policy On No-Show Rates For Aerosol Generating Procedures, Ramin Kashani Dds, Natesha Kumar Dds, Sheena Nandi Dds, Mph, Courtney H. Chinn Dds, Mph

The New York State Dental Journal

Purpose: To determine the impact of a mandatory COVID-19 testing policy on visit no- show rates. Methods: We conducted a retrospective chart review at Bellevue Hospital’s Pediatric Dental Clinic, comparing no-show rates and dental work completed before and during this policy. Results: We assessed a total of 812 scheduled appointments. After the policy, we found no statistical difference between no-show rates, more quadrants of dental work completed per visit (P<0.001), and shorter interval times between appointments (P<0.001). Conclusion: The policy did not increase visit no-show rates. We also found more treatment completed in a shorter timeframe.

A Sorry Situation, Chester J. Gary Dds, Jd

The New York State Dental Journal

Doing the right thing and apologizing to a patient for an adverse treatment outcome can, but shouldn't, increase a dentist's liability.

Managing Medicaid Managed Care, Lance Plunkett Jd, Llm

The New York State Dental Journal

There is a system in place to ensure Medicaid managed care organizations operate properly. How effective these controls are is a different issue.

Heterotopic Bone Formation After Tmj Surgery — A Literature Review, Sumir Gandhi Dds, Mds, Robert S. Glickman Dmd

The New York State Dental Journal

Background: Heterotrophic ossification (HO) is defined as the formation of lamellar bone in soft tissues where normally bone does not exist. It is a rehabilitative disease which can be associated with any joint in the body; however, its pathogenesis and management in the temporomandibular joint (TMJ) is infrequently mentioned in the literature.

Types of studies reviewed: The authors searched various articles which included systematic reviews, meta-analyses, randomized clinical trials, Cohort studies, case reports and literature review on heterotopic bone formation and treatment in PubMed, Google Scholar and Scopus.

Results: Identification of patients who are classified as high risk for the …

Rural Oral Health Access Disparities In New York State, Renae Williams Atkinson Dmd, Ms, Stacy Mcilduff Cfre, Hayward Derek Horton Phd

The New York State Dental Journal

Disparities in access to dental care for those whose primary/only dental insurance is Medicaid is a known issue. The infamous case of 12-year-old Deamonte Driver from Maryland brought this great need for access to private dental care through Medicaid to the fore. Yet, to this date, there has been no resource to address this great need.

Dentists accepting Medicaid fall into two categories: those who practice in federally qualified health centers (FQHC), and those who practice privately. FQHCs are known anecdotally to have long waitlists, delaying access to needed care (as in the case of Driver). This is compounded by …

N Y State Dent J August-September 2024

The New York State Dental Journal

In the August-September 2024 issue, the reader will find the following feature articles:

• Success of Implant Placement in Patients with Human Immunodeficiency Virus
• Effects of Mandatory COVID-19 Testing Policy on No-Show Rates for Aerosol-Generating Procedures
• Heterotopic Bone Formation after TMJ Surgery
• Rural Oral Health Access Disparities in New York State

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.

Eating Disorders And Oral Health: A Dental Professional's Role, Bree Zhang

The New York State Dental Journal

Eating disorders are more common than we think, affecting 9% of the world's population and increasing in prevalence each year. Research shows early intervention provides a greater chance of recovery. Dentists must be cognizant of signs their patients may be engaged in harmful eating behavior and be prepared to intervene.

Success Of Implants In Patients With Human Immunodeficiency Virus, Osman Khan, Kathryn Gauch, Alison Newgard Dds, Ezzard Rolle Dds

The New York State Dental Journal

With the development of effective antiviral medication, patients with human immunodeficiency virus (HIV) are living longer, with fewer comorbidities. Because HIV is a chronic disease, patients are looking for long-term solutions to dental care. As dental providers, it is important that we treat patients to the standard of care. Currently, implants are the standard of care for treating edentulous areas. Dental providers may be hesitant to recommend implants in patients with complex medical conditions like HIV. However, research has shown that if a patient with HIV is well-controlled, dental implant success is the same as with a healthy non-HIV infected …

Clinical Pharmacology Of Cannabis Relevant To Dentistry, Fran M. Gengo Pharmd, Pcp

The New York State Dental Journal

Cannabis is no longer an illicit drug but rather a drug whose use has dramatically increased because its recreational use is largely legal, and its use in medicine has demonstrated efficacy in the treatment of many difficult to treat disorders including chronic pain, spasticity, and several cancer related problems to name but a few.

This change represents several new challenges for dentists. Chronic cannabis use can increase the prevalence and severity of periodontal disease and dental caries. Cannabis also has been shown to alter the clinical pharmacokinetics and the magnitude of the clinical actions of many pharmacologic agents frequently used …

New State Laws Provide Further Protections For Patients And Employees, Lance Plunkett Jd, Llm

The New York State Dental Journal

FTG weighs in with final Noncompete Rule. Dentists would be well advised to pay attention to new employment rules as they apply to practices of all sizes.

Dentist And Dental Hygienist Compact License Portability Without Federal Control, Chester Gary Dds, Jd

The New York State Dental Journal

State governments and licensing agencies, dental education and organized dentistry must partner to attain dental and dental hygiene license portability through an interstate agreement.

An Unusual Presentation Of Langerhans Cell Histiocytosis: Case Report And Review Of The Literature, Aaron E. Yancoskie, Ghazeleh Peiravani Dds, Jordana S. Rothernberg Dds, Anthony S. Alessi Dmd, Md, Heather Z. Fugazy Dds

The New York State Dental Journal

Langerhans cell histiocytosis (LCH) is a destructive process that may involve both hard and soft tissues. While rare, it has a predilection for the oral and maxillofacial region. LCH occurs across the age range, yet is often diagnosed in the pediatric population. The dentigerous cyst (DC) is the most common developmental odontogenic cyst. It typically presents in young adult patients as a solitary lesion associated with impacted third molars. Here we present a case of LCH occurring in the wall of a DC in a 12-year-old male.

Managing Perforating Internal Root Resorption Non-Surgically: A Report Of 2 Cases And A Review Of The Literature, Joseph C. Stern Dds

The New York State Dental Journal

Aim: To describe the use of bioceramics in the non-surgical treatment of perforating internal root resorption.

Summary: Confusion over the subject of root resorption seems ubiquitous in the general dental community. Because of the several subheadings such as internal, external cervical, and apical, and because of a variety of causes for each, such as trauma, pressure, infection, inflammation, and systemic, the confusion can be understandable. It seems that this confusion arises primarily from the nomenclature describing the location and etiology of root resorption. This case report deals with perforating internal root resorption (IRR), its causes, diagnosis, and successful nonsurgical treatment, …

N Y State Dent J June-July 2024

The New York State Dental Journal

In the June-July 2024 issue, the reader will find the following feature articles:

• “Managing Perforating Internal Root Resorption Nonsurgically”
• “Clinical Pharmacology of Cannabis Relevant to Dentistry”
• “An Unusual Presentation of Langerhans Cell Histiocytosis"
• and “The Welcome Mat is Out”, a Perspectives article on encouraging new dentists to become engaged in organized dentistry.

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

The Welcome Mat Is Out, Robert Margolin Dds

The New York State Dental Journal

The author relates his own positive experience in encouraging new dentists to become engaged in organized dentistry.

Sepsis Is Serious. Recognize The Signs, Stuart L. Segelnick Dds, Ms, Cde

The New York State Dental Journal

Untreated or poorly managed periodontal disease, caries, endodontic and dental alveolar lesions can lead to sepsis. Case reports published in dental literature highlight the morbidity and mortality of dental disease complications.

Peripheral Ameloblastoma: Case Report And Literature Review, Anna Cappell Cooper Ba, Daria Vasilyeva Dds, Khanh Trinh Dmd, Elizabeth Philipone Dmd

The New York State Dental Journal

Peripheral ameloblastoma is a benign, painless, and slow-growing odontogenic tumor, which commonly affects gingival soft tissues or edentulous alveolar areas. Peripheral ameloblastoma is typically found during the 5th to 7th decades of life, with a mean patient age of 52 years, and exhibits a male predilection. Histopathology features are consistent with those of conventional ameloblastoma. The treatment of choice is conservative surgical excision with minimal disease-free margins and appropriate follow-up.

Challenges And Implications Of Mandated Reporting To Child Welfare In Dentistry, Katheryn Goldman Dmd, Mph, Phd, Daniel Pollack Msw, Jd

The New York State Dental Journal

Dentists are mandated reporters and are at the forefront of screening for child welfare referrals. The laws and systems surrounding reporting practice leave dentists working in pediatric settings with the responsibility of making a quick judgment about child maltreatment, with limited information, and sometimes limited training. Increased interdisciplinary collaboration and education on child welfare is necessary to better prepare and support dentists for practice with children who may present with suspected child maltreatment.

Everyone Deserves A Dental Home, Loren C. Baim Dds

The New York State Dental Journal

With knowledge and preparation, dental practices should be able to accommodate the growing population of people on the autism spectrum.

N Y State Dent J April 2024

The New York State Dental Journal

In the April 2024 issue, the reader will find the following feature articles:

• “Challenges and Implications of Mandated Reporting to Child Welfare in Dentistry”
• “Guiding our Implants: Using Dynamic Surgical Guidance to Maximize Predictability”
• “Peripheral Ameloblastoma”, a case report and literature review
• and “Everyone Deserves a Dental Home”, a Perspectives article on meeting the dental needs of autistic people

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

Workers' Rights Front And Center, Lance Plunkett Jd, Llm

The New York State Dental Journal

New York City takes lead in codifying employee rights and employer obligations.

Guiding Our Implants: Using Dynamic Surgical Guidance To Maximize Predictability, Shane Endres Dds, Ma, Ryan Schure Dds, Msc, Frcd

The New York State Dental Journal

Dynamic surgical guidance (DSG) is a recent advance in implant dentistry, used in an effort to maximize the efficiency and predictability of implant surgeries. A study, conducted by Navigate Surgical Technologies using the Inliant system, was undertaken in Toronto, Canada to analyze the success and accuracy of this technology. Twenty-three implants placed in twenty-two subjects were examined. The results showed that implant placement using Inliant was extremely accurate when compared to the pre-surgical plan. Additionally, there were no significant errors or deviations in implant placement. The study concluded with the Food and Drug Administration of the United States granting safety …

Sulfamethoxazole-Trimethoprim Induced Thrombocytopenia: A Report Of Two Cases And A Literature Review, Leigh Griffin Dds, Michael Graffeo Dds, Jay Sher Dds, Paul D. Freedman Dds, Renée F. Reich

The New York State Dental Journal

Sulfamethoxazole- trimethoprim (ST) is a sulfonamide derivative antibiotic that interferes with bacterial folic acid synthesis and growth by blocking dihydrofolic acid formation from para-aminobenzoic acid. One of the potential side effects of sulfamethoxazole-trimethoprim is thrombocytopenia. Thrombocytopenia is a blood disorder characterized by a decreased number of circulating platelets. We present two cases of ST induced thrombocytopenia where the oral manifestations were the first indication of the low platelet count leading to life saving interventions. Our aim is to educate dentists about the oral manifestations of thrombocytopenia and its association with ST as their examination may be instrumental in directing treatment.

Dentists And Oral Surgeons Beware: Some Suggested Ibuprofen-Based Pain Regimens May Result In Severe Adverse Outcomes In Older Persons, Arthur H. Friedlander Dmd, Ida K. Friedlander Rn, Rsn, Ms, Soraya De A. Berti-Couto Dds, Phd, Paulo H. Couto-Souza Dds, Phd

The New York State Dental Journal

The origins of the current “opioid epidemic” sweeping America with its consequent overdose related deaths has resulted in numerous publications accusing the dental profession of excessively prescribing narcotic analgesics leading to the initial addictive episode. These allusions have prompted the national organization representing New York States’ almost 600 oral and maxillofacial surgeons to develop and promulgate in its official journal , a position paper detailing a non-narcotic pain management regimen to alleviate post operative discomfort. However, their pronouncement suggests prescribing a maximum daily dosage of ibuprofen which has previously been documented as causing myocardial infarction and stroke in vulnerable older …

Squamous Odontogenic Tumor: A Case Report, Sara Endo Dds, Timothy Chang Dds, Daria Vasilyeva Dds, Scott M. Peters Dds

The New York State Dental Journal

Squamous odontogenic tumors (SOT) are slow-growing, benign, rare intraosseous neoplasms. SOT are typically found in the premolar-canine region of the maxilla and the molar region of the mandible. These lesions have no gender predilection and show peak occurrence in the third decade of life.

New Laws In The New Year, Lance Plunkett Jd, Llm

The New York State Dental Journal

Dentists impacted by changes to child abuse and beneficial ownership reporting laws.

N Y State Dent J March 2024

The New York State Dental Journal

In the March 2024 issue, the reader will find the following feature articles:

• Sulfamethoxazole-trimethoprim-Induced Thrombocytopenia
• Dentists and Oral Surgeons, Beware
• Squamous Odontogenic Tumor

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.

Don't Let A Short-Term Illness Knock You Out, Stuart L. Segelnick Dds, Ms, Cde

The New York State Dental Journal

Today, we better understand the ethical dilemma of working while sick, which can bring an increased risk to the health of our employees and patients and affect the dentist's decision-making capacity. But an illness that causes the dentist to stay at home and not function can have a devastating effect on the practice.

All Golden Parachutes That Glitter Are Not Gold, Chester J. Gary Dds, Jd

The New York State Dental Journal

Dental practice owners who pull the ripcord of their retirement parachute in selling their practices to private equity-funded companies must protect themselves from personal risk and dentistry from threats to its status as a profession.

Diagnostic Detail: Understanding The Impact Of Tooth Rotation In Correcting Mucogingival Defects, Trevor Simmonds Dds, Stephanie M. Chu Dmd, Mike Roig Dmd, Kristian T. Poventud Dmd

The New York State Dental Journal

Introduction: The subepithelial connective tissue graft (S-CTG) is the gold standard in achieving root coverage but is not without limitations. The Acellular Dermal Matrix (ADM) is an alternative source that can compensate for the S-CTG’s limitations. Body: Severe recession type 1 (RT1) defects were treated with a combined approach of autogenous and allogeneic soft tissue grafting, optimizing the benefits of both types of materials, in order to achieve maximum root coverage (MRC). Conclusion: Identifying the anatomical limitations of gingival recession as it relates to tooth rotation and its impact on vascular supply will best prepare both the clinician and patient …