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Ada News - 08/07/2023, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

N Y State Dent J August-September 2023

The New York State Dental Journal

In the August-September 2023 issue, the reader will find the following feature articles:

• Iatrogenic Indirect Compression of the Inferior Alveolar Nerve by a Dental Implant
• Use of Dentoalveolar and Zygomatic Implants in Restoration of Maxillary Defect Following Fibula Free-flap Reconstruction Failure
• Flapless Approach to Dental Implant Surgery: To Use or Not to Use?

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.

New Dentist News (August 2023), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.

Enhancing Adherence To Best Practice Guidelines Related To Pressure Injury Prevention In The Operating Room At A Children's Hospital During Comprehensive Dental Procedures., Alyce Bailey Seaver

Doctor of Nursing Practice Papers

Background: 1,600,000 patients develop a hospital-acquired pressure injury every year, and 23% of these originate during surgery. Research has demonstrated that the incidence of hospital-acquired pressure injuries developing during surgery has risen over the past 5 years. This rise has been attributed to nurse circulators exhibiting poor knowledge regarding best practices for intraoperative patient positioning and intraoperative documentation that does not follow standards of care.

Purpose: This quality improvement project aimed to enhance circulator knowledge on best practices for intraoperative patient positioning and improve documentation of intraoperative patient positioning in the electronic medical record to comply with standards of …

Analysis Of Interprofessional Education Inclusion Within U.S. Dental Hygiene Programs’ Curricula, Jennifer M. Pacheco

Dental Hygiene ETDs

The purpose of this study was to collect information on the implementation of IPE activities within U.S. dental hygiene programs and whether program faculty are implementing these components into their program curricula. Furthermore, the study would identify which types of IPE activities were being conducted and if these activities met the CODA standards. An original survey was sent out to dental hygiene program directors and faculty. Results revealed both programs agreed that IPE is a significant component to include in hygiene curricula to better equip students as members of the healthcare team to deliver comprehensive care. IPE activities implemented were …

Immigrational Trauma: An Assessment Of Dental Phobia And Access To Care In Undocumented Individuals, Nora J. Vences Ortiz

Dental Hygiene ETDs

The purpose of this study is to assess immigrational trauma as it relates to dental phobia in accessing care from undocumented individuals. Immigrating from a country to the United States presents with unique challenges. These challenges include language barriers, traumatic experiences and cultural factors. These individuals also have perceived notions regarding their treatment with a physician or dentist as their immigration status may or may not be revealed during their care. If reported, they face deportation to their country of origin placing them in the danger they originally fled from. Survey data was collected using REDCap and distributed to students …

Examining The Effects Of Iron-Oxide Nanoparticles On Primary Gingival Keratinocytes For The Prevention Of Oral Disease, Jennifer C. Carranza

Dental Hygiene ETDs

Oral plaque biofilm has been identified as the primary contributor to dental conditions such as dental caries and periodontal disease that promotes a diverse and pervasive collection of microbial species to inhabit the oral cavity. Disrupting the plaque matrix early could help combat this global disease burden. This study evaluated the effect of IONPs on primary gingival keratinocytes.

Purpose: This study aimed to examine existing research regarding nanoparticles and determine if IONPs affect the PGK cell membranes with preliminary research to find the maximum lysis possible with PGK cells.

Methods: IONP core/shell syntheses were performed. Considering keratinocyte characteristics, examining data …

The Biomechanical Behaviour And Life Span Of A Three-Rooted Maxillary First Premolar With Different Access Cavity Designs: A Finite Element Analysis, Shehabeldin Mohamed Saber Prof.Dr., Nawar Nawar

Dentistry

Objective: The present study aimed to evaluate the influence of different access cavity designs on the biomechanical behaviour of a three-rooted maxillary first premolar using finite element analysis (FEA).

Methods: Three experimental FEA models were generated: the intact tooth (IT) model, the traditional access cavity (TAC) model, and the conservative access cavity (CAC) model. In both TAC and CAC models, root canals preparation was simulated as follows: the mesiobuccal and distobuccal canals with a final tip size of 30 and taper of 0.04 and the palatal canal with a final tip size of 35 and taper of 0.04. Cyclic loading …

Evaluation Of The Clinical And Radiographic Effectiveness Of Treating Peri-Implant Bone Defects With A New Biphasic Calcium Phosphate Bone Graft: A Prospective, Multicenter Randomized Controlled Trial, Jae-Hong Lee, Hyun-Wook An, Jae-Seung Im, Woo-Joo Kim, Dong-Won Lee, Jeong-Ho Yun

Faculty, Staff and Student Publications

PURPOSE: Biphasic calcium phosphate (BCP), a widely used biomaterial for bone regeneration, contains synthetic hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP), the ratio of which can be adjusted to modulate the rate of degradation. The aim of this study was to evaluate the clinical and radiographic benefits of reconstructing peri-implant bone defects with a newly developed BCP consisting of 40% β-TCP and 60% HA compared to demineralized bovine bone mineral (DBBM).

METHODS: This prospective, multicenter, parallel, single-blind randomized controlled trial was conducted at the periodontology departments of 3 different dental hospitals. Changes in clinical (defect width and height) and radiographic (augmented …

Navigating The Legal Landscape Of Mental Health In The Workplace: Insights For The Dental Practice, Gary Chamberlin Milr, Jd

The Journal of the Michigan Dental Association

Dealing with an employee’s mental health situation poses complex challenges for human resource professionals. Dental practices, typically run by busy dentists or administrative managers, often lack a human resource professional and the legal expertise needed to navigate the intricacies of employment laws pertaining to mental health disabilities. Moreover, mental health issues in the workplace are sensitive, private matters that intersect with disability and leave laws and are still associated with cultural stigmas despite evolving societal attitudes. This article provides specific scenarios that give insights into the legal issues when managing dental office employees with mental health conditions. Readers should address …

What Does Professionalism Mean To You? Part I, Michael G. Maihofer Dds

The Journal of the Michigan Dental Association

This commentary explores generational perspectives on professionalism in dentistry, focusing on how younger dentists perceive this concept. It highlights the changing dynamics in dentistry and questions whether professionalism remains relevant in a world where various practice models exist. Insights from young dentists shed light on their commitment to professionalism and its evolving definition, emphasizing the importance of caring for patients and maintaining high-quality care.

J Mich Dent Assoc August 2023

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on new dentist’s perceptions of professionalism.
• A feature on legal considerations when addressing employee wellness.
• A feature on the meaning of wellness by ADA Trustee Dr. Brett Kessler.
• Practice guidance on conducting a HIPAA security risk analysis.
• Commentary “The New Golden Age of Dentistry.”
• Editorial and regular department articles on MDA Foundation …

The Future Of Covenants Not To Compete, Lance Plunkett Jd, Llm

The New York State Dental Journal

Three-pronged attack may bring an end to longstanding legal tradition in New York State.

Flapless Approach To Dental Implant Surgery: To Use Or Not To Use?, Rebecca Skaf Dds, Kenneth Parrera Dds, Abhiram Maddi Dds, Msc, Phd

The New York State Dental Journal

Flapless approach to implant surgery is emerging as a viable alternative to traditional implant surgery, where a full thickness flap is raised and the alveolar bone is exposed for placement of dental implants. However, there are several disadvantages of the traditional approach including patient morbidity, bleeding and post-operative complications. With the advent of digital technologies such as cone beam computed tomography (CBCT) and 3D printing of surgical guides, flapless surgery has become desirable for implant placement, especially for general dentists. This manuscript discusses the benefits and risks of the flapless approach as compared to the traditional approach for dental implant …

Use Of Dentoalveolar And Zygomatic Implants In Restoration Of Maxillary Defect Following Fibula Free-Flap Reconstruction Failure, Paul Canallatos Dds, Ms, Thom Loree Md, Amanda Colebeck Dds, Ms, Maureen Sullivan Dds

The New York State Dental Journal

Oral cancer resections cause tissue defects which result in functional complications such as masticatory dysfunction, dysphagia, articulation and phonation issues. When the defect involves the maxillary arch, obturation is needed whether it be surgical or prosthetic. In cases where surgical procedures become ineffective, prosthetic options could be challenging. This is a case of a 78-year-old male developed the diagnosis of squamous cell carcinoma of the right alveolar ridge. The patient underwent partial maxillectomy and right neck dissection with fibula free-flap reconstruction of the maxillary arch. Despite a positive doppler reading, the fibula free-flap became non-vital seven days post-operatively. At the …

Compassion: It’S Needed Now More Than Ever, Michelle C. Dziurgot Dds

The Journal of the Michigan Dental Association

This editorial emphasizes the pressing need for compassion in a world of conflict and division. It underscores the importance of compassion in global crises, politics, family dynamics, and the dental profession. MDA Editor Michelle C. Dziurgot encourages unity and understanding, advocating for compassion as a vital force in bridging divides.

Iatrogenic Indirect Compression Of The Inferior Alveolar Nerve By A Dental Implant, Wesam T. Alsalman Dds, Mds, Saad Mulhi Alharbi Bds, Sbe, Haifa Alharbi Bds, Heba Alkhair Allah Bds, Marwan Abood Bds, Jbp, Abeer Hani Albattah Dds, Mds, Khalid Almas Bds

The New York State Dental Journal

Although there are multiple studies about direct injury to Inferior Alveolar Nerve (IAN) during dental procedures, however, data regarding compression phenomenon on the nerve is limited. The case report aims to review the topic of iatrogenic compression phenomenon of IAN following surgical placement of dental implant and to report a clinical case of compressed IAN with temporary loss of sensation following placement of dental implant in posterior mandible.

Exploring The Experiences Of Underrepresented Students Pursuing Health-Related Graduate Or Professional Programs, Alison Williams

Electronic Theses and Dissertations

For many years graduate and professional education programs for the health professions have sought to increase the diversity of their student body to include students from a wider variety of backgrounds. Increasing the diversity of healthcare providers is an essential component of addressing inequities in healthcare. However, despite initiatives to increase racial and ethnic diversity in the health professions, these professions remain largely White and female. Previous researchers have sought to identify the reasons that racial and ethnic minorities are underrepresented in healthcare, and the barriers to persistence and success. Little research exists explaining why men are underrepresented in the …

Dentistry Must Continue To "Get It" Or "Lose It", Chester Gary Dds, Jd

The New York State Dental Journal

Participants in all aspects of the dental profession must understand our unique roles to succeed as leaders in our joint mission to meet society's oral health needs.

Vaccination Intention And Uptake Within The Black Community In Appalachia, Jamey T. Brumbaugh, Kalo C. Sokoto, Casey D. Wright, Sarah E. Francis, Jaliyah Hubbard, Linda Alexander, Daniel W. Mcneil

School of Dentistry Faculty Research and Publications

Objective:

Black communities have disproportionately experienced adverse health effects from the COVID-19 pandemic while simultaneously having less vaccination access and decreased vaccine utilization. As such, predictors of vaccination uptake within Black communities are a public health imperative. Black Americans from socio-geographic regions associated with health inequities (e.g., Appalachia), including vaccination disparities, represent an intersection of racial, economic, and ethnic social identities. To better understand the preventive health needs of Black communities in Appalachia and elsewhere, this study examined psychosocial predictors of vaccination intention or behavior.

Method:

Adults (n = 336) identifying as Black or African American from West …

Hipaa Update: Conducting A Security Risk Analysis, Jennifer Cosey

The Journal of the Michigan Dental Association

The Health Insurance Portability and Accountability Act (HIPAA) Security Rule mandates periodic security risk analyses (SRA) to assess compliance. This analysis evaluates threats and vulnerabilities to electronic protected health information (EPHI) and considers all devices connected to a network. While the Security Rule is flexible, small organizations must still adhere to its standards. IT vendors and staff play a crucial role in implementing HIPAA safeguards. Threats and vulnerabilities must be identified to select appropriate safeguards for EPHI. These safeguards include administrative, physical, and technical measures. Addressable specifications should be implemented if reasonable, and documentation of decisions is essential. A Technical …

Dental Care Utilization Among U.S. Children Participating In Early Head Start Programs, Ahlam Ibraheem Joufi

Health Services Research Dissertations

Early childhood caries (ECC) remains one of the most common preventable diseases among children under the age of 6 years. Several national stakeholders recommend establishing a continuous collaboration of individuals involved with receiving oral health services (dental home) and routine dental care for the child by 12 months. Despite this recommendation, disparities exist among young, low-income children in preventive dental service utilization. The Early Head Start (EHS) program serves low-income children aged 0-3 years and their families and promotes oral health practices and service utilization within the program. This study aims to examine predictors of dental care utilization among children …

Impacts Of A Duf2207 Family Protein On Streptococcus Mutans Stress Tolerance Responses And Biofilm Formation, Xiaochang Huang, Camile G. Laird, Paul P. Riley, Zezhang Tom Wen

School of Dentistry Faculty Publications

Locus SMU.243 in Streptococcus mutans was annotated as a member of the DUF2207 family proteins highly conserved in all bacteria but with unknown function. To investigate its role in S. mutans physiology, a SMU.243-deficient mutant was constructed using allelic exchange mutagenesis, and the impacts of SMU.243 deletion on bacterial growth, stress tolerance response, and biofilm formation were analyzed. Compared to the wild-type UA159, S. mutans lacking SMU.243 displayed a reduced growth rate and a reduced overnight culture density (p < 0.01) when grown at low pH and in the presence of methyl viologen. Relative to the parent strain, the deficient mutant also had a reduced survival rate following incubation in a buffer of pH 2.8 (p < 0.01) and in a buffer containing hydrogen peroxide at 58 mM after 60 min (p < 0.001) and had a reduced capacity in biofilm formation especially in the presence of sucrose (p < 0.01). To study any ensuing functional/phenotypical links between SMU.243 and uppP, which is located immediately downstream of SMU.243 and encodes an undecaprenyl pyrophosphate phosphatase involved in recycling of carrier lipid undecaprenyl phosphate, a uppP deficient mutant was generated using allelic exchange mutagenesis. Unlike the SMU.243 mutant, deletion of uppP affected cell envelope biogenesis and caused major increases in susceptibility to bacitracin. In addition, two variant morphological mutants, one forming rough colonies and the other forming mucoid, smooth colonies, also emerged following the deletion of uppP. The results suggest that the SMU.243-encoded protein of the DUF2207 family in S. mutans plays an important role in stress tolerance response and biofilm formation, but unlike the downstream uppP, does not seem to be involved in cell envelope biogenesis, although the exact roles in S. mutans’ physiology awaits further investigation.

Dental Pulp Stem Cells And Current In Vivo Approaches To Study Dental Pulp Stem Cells In Pulp Injury And Regeneration, Dongwook Yang, Jea Giezl Niedo Solidum, Dongsu Park

Faculty, Staff and Students Publications

Dental pulp stem cells (DPSCs) have garnered significant interest in dental research for their unique characteristics and potential in tooth development and regeneration. While there were many studies to define their stem cell-like characteristics and osteogenic differentiation functions that are considered ideal candidates for regenerating damaged dental pulp tissue, how endogenous DPSCs respond to dental pulp injury and supply new dentin-forming cells has not been extensively investigated in vivo. Here, we review the recent progress in identity, function, and regulation of endogenous DPSCs and their clinical potential for pulp injury and regeneration. In addition, we discuss current advances in new …

Knowledge Acquisition Efficacy Of A Remote Flipped Classroom On Learning About Removable Partial Dentures, Yuka Inamochi, Eiko Yoshida Kohno, Junichiro Wada, Natsuko Murakami, Atsushi Takaichi, Yuki Arai, Takeshi Ueno, Kenji Fueki, Noriyuki Wakabayashi

Faculty, Staff and Student Publications

Purpose: Coronavirus disease 2019 has forced the use of remote education worldwide. In 2020, the authors conducted a fully digitized, remote flipped (RF) classroom focusing on removable partial dentures. This study aimed to evaluate the learning outcomes of the RF classroom and compare these with those of the on-site classroom.

Methods: The fourth-year dental students in 2017-2019 attended on-site flipped classroom (OF; n=70) or on-site lecture classroom (OL; n=67), and those in 2020 (n=58) attended the RF classroom. Lecture videos and text were provided online in the OF and RF groups, while only the text was given to the OL …

The Effect Of 980 Nm Diode Laser In Relieving The Periodontal Pocket Symptoms: A Clinical Study, Hareth A. Alrikabi, Lamyaa A. Saeed

Al-Ameed Journal for Medical Research and Health Sciences

Introduction: Periodontal Pockets are pathological spaces located between the teeth and the adjacent soft tissue. Some Periodontal pockets asymptomatic, while others My have significant symptoms. Patients with active periodontal pockets may feel pain, bleeding and swollen gingiva (adjacent to pocket). These symptoms appear because of a microbial invasion to this space and the accumulation of food debris. Objective: This study aims to explore the effect of diode lasers in relieving the symptoms of active periodontal pockets. Materials and methods: The method is based on irradiating the active periodontal pocket by using 980 nanometer diode laser and recording the condition of …

Improved Super-Elastic Ti-Ni Alloy Wire For The Treatment Of Skeletal Class Iii With Unilateral Buccally Positioned High Canine, Yi-Mien Cheng, Chih-Chieh Lin, Yu-Cheng Lo, Yuan-Hou Chen, Jian-Hong Yu

Taiwanese Journal of Orthodontics

A 20-year-old male adult came to the clinic with a chief complaint of poor dental alignment. Clinical examination had revealed Skeletal Class III with an upper right buccally positioned high canine, anterior crowding, midline deviation and both maxillary lateral incisors crossbite. Four bimaxillary premolars were extracted. Improved super-elastic Ti-Ni alloy wire (ISW, developed by Tokyo Medical and Dental University) leveling was performed to relieve the crowding and to correct the high canine and midline deviation. Intermaxillary elastics (IME) was applied for a better interdigitation. Treatment was completed within 29 months and a desirable occlusion was achieved.

Clear Aligner Treatment In An Adolescent Female With Hyperdivergent Growth Pattern Of The Mandible, Chih-Jan Chen, Yu-Ling Cheng, Yuen-Yung Tsang, Huei-Mei Tsai, Yi-Min Liu

Taiwanese Journal of Orthodontics

This study investigated the application of a clear aligner system in treatment of an adolescent Taiwanese female exhibiting a high mandibular plane angle, with a particular emphasis on the alignment of crowded upper anterior teeth. The treatment plan excluded tooth extraction and applied sequential distalization and transverse expansion across both dental arches instead. The alleviation of crowding and increased arch width was accomplished, while maintaining optimal vertical dimension control. The treatment yielded observable improvements in both oral function and aesthetic appearance

Bilateral Maxillary Canine Substitution With High Impaction In The Center Of Anterior Palate, Chien-Man Chang, Ying-Chen Chen, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

This case report described the treatment of a 16 y/o female who was referred for her bilateral maxillary impacted canines. Her chief complaint also involved lower crooked front teeth. She presented with skeletal Class I with orthodivergent facial pattern and dental Class II relationship. Clinical oral examination revealed two peg lateral incisors and two retained primary canines in the upper arch. The panoramic film showed two maxillary impacted canines near the center of palate. Before the orthodontic intervention, surgical exposure was conducted with open window technique. A transpalatal arch with 2 soldered hooks was inserted as anchorage for distal traction …

Surgical-Orthodontic Correction Of Skeletal Class Iii Anterior Open Bite With Facial Asymmetry, Hao-Hsiang Chang, Cheng-Hui Lin, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Class III anterior open bite (AOB) is characterized by mandibular downward movement with anteroposterior discrepancy and long face deformity. This often leads to esthetic and functional problem that decrease the Quality of Life in patients. Treatment decision of AOB is always challenging whether goes for camouflage therapy or orthognathic surgery. A 26-year-old female suffered from anterior open bite and facial asymmetry. The clinical and radiographic examination revealed skeletal Class III relationship with hyperdivergent facial type, facial asymmetry with chin deviation to right, and AOB of -5 mm overbite. The pre-surgical orthodontic treatment included partial anterior retraction of upper anterior teeth …