Dentistry Commons^™

As The Legislative Year Comes To A Close, Lance Plunkett Jd, Llm

The New York State Dental Journal

Latest legal developments provide good news/bad news scenario.

Dentistry's Report Card, Chester Gary Dds, Jd

The New York State Dental Journal

Organized dentistry’s declining membership and limited effectiveness in collectively acting in society’s best interests require remediation.

Comparing Design Thinking And Operations Management In Dental Education, Ellen Lee Dds, Brian Chin Mba, Ningshu Lyu, Yueqi Gao, Yutong Fan, Bryan Gu, Kevin Kim

The New York State Dental Journal

There are different ways of solving problems. Two methods are using design thinking and operations management. The objective is to give an overview of what each of these methods are and describe how they may be useful in dentistry and dental education.

Diagnosis And Management Of Nasopalatine Duct Cyst: A Report Of Two Cases And Literature Review, Feiyi Sun Dds, Harry Dym Dds

The New York State Dental Journal

The nasopalatine duct cyst (NPDC) is one of the most common non-odontogenic, non-neoplastic developmental cysts. It arises from the epithelial remnants of the nasopalatine duct within the incisive canal and crosses the midline of the anterior maxilla. Most cases are asymptomatic and either are discovered by chance on radiographs or present as a soft tissue swelling, pain, or drainage in the palate. The present study describes the diagnosis and surgical management of two NPDC cases at the Department of Oral and Maxillofacial Surgery at the Brooklyn Hospital Center.

Cultural Gingival Tattoo Diagnosis And Origins: A Case Report, Austin J. Shackelford Dmd, Carleigh R. Canterbury Dds, Scott M. Peters Dds

The New York State Dental Journal

Background: Cultural gingival tattooing is the practice of placing pigmented material into the maxillary anterior gingiva as a means of aesthetic enhancement, medicinal therapy, or assimilation in some African and Middle Eastern nations.

Case Description: This is a report of a 47-year-old female from Senegal who presented with cultural gingival tattooing for cosmetic purposes. The patient’s maxillary facial gingiva displayed a gradient of blue-grey-black pigment that extended from the right maxillary second molar to the left maxillary second molar.

Clinical Relevance: There are many systemic and local causes of pigmentation in the oral cavity, many of which require laboratory testing …

Evaluating Repeated Dental Emergency Visits Related To Third Molar Pathologies In An Urgent Dental Care Center, Armando U. Rivera Dds, Linda Rasubala Dds, Phd, Gilbert H. Schulenberg Dds, Changyong Feng Phd, Hans Malmstrom Dds, Yan-Fang Ren Dds, Mph, Phd

The New York State Dental Journal

Individuals with symptomatic third molar pathologies frequently seek dental care at emergency departments or urgent dental care centers. This is becoming a dental public health problem, when repeated dental emergency appointments are sought for treatment of symptomatic contralateral wisdom teeth. Body: We designed a retrospective review study of adults 18 years and older with an initial dental emergency visit related to third molar pathology at a single dental urgent care center, at the University of Rochester. Conclusion: A sub-optimal oral health is a predictor for future emergency dental visits, due to pathology of remaining third molars.

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.

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.

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.

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.

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.

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.

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 …

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 …

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.

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.

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.

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.

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

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 …

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 …

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

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.

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 …

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.