Dentistry Commons^™

Articulator Q3 2024

Metro Denver Dental Society Articulator Magazine

The magazine examines customer service and patient experience from different perspectives. Content includes:

• An editorial from the MDDS President, Dr. Susan Kutis, on pillars for a successful dental career
• A reflection from MDDS Co-Editor. Dr. Allen Vean, examining the basics of customer service
• A feature from Dr. Amanda Jozsa, focusing on nine steps to improving patient experience
• An update on non-compete agreements in Colorado
• An article with practical cybersecurity tips to protect yourself, your patient and the dental practice
• An article on ADA Commons - what it is and how it benefits member dentists

What's Your Cyber Protection Game Plan?, Paul Murphy

Metro Denver Dental Society Articulator Magazine

The article discusses offensive and defensive strategies for protection against cyberattacks and ransomware. Best practices detailed include engaging with credentialed experts, safeguarding against potential breaches through updated technology and vulnerability assessments and training staff to recognize and respond to threats.

Fact Sheet: Community Impact: School-Based Sealant Program, 2023-2024, Shawnda Schroeder

Indigenous Health Faculty Publications

The North Dakota Department of Health and Human Services Oral Health Program (OHP) has established a school-based dental sealant program (SEAL!ND) which has been providing dental sealants, fluoride varnish applications, oral health education, and dental screenings and referrals for students throughout North Dakota dating back to 2012. School-based sealant programs are a highly effective way to deliver preventive oral health services and dental sealants to children less likely to receive private dental care.

Fact Sheet: Dental Student Rotations At Community Health Centers In North Dakota: Increasing The Dental Workforce And Serving Community, Shawnda Schroeder

Indigenous Health Faculty Publications

North Dakota has no dental school. Recognizing the need to address dental workforce shortages, and barriers to recruiting new dental professionals to the state, the North Dakota Department of Health & Human Services Oral Health Program (OHP) and the North Dakota Area Health Education Center financially support dental rotations at three community health centers in North Dakota.

Fact Sheet: North Dakota Schools Welcome School-Based Dental Sealant Programs: 2023-2024 School Year, Shawnda Schroeder

Indigenous Health Faculty Publications

The North Dakota Department of Health & Human Services Oral Health Program (OHP) established a school-based dental sealant program (SEAL!ND) in 2012 which continues to provide dental sealants, fluoride varnish applications, oral health education, dental screenings, and referrals for students.

Antimicrobial Efficacy Of Different Intracanal Medicaments Used In Regenerative Endodontics Against A Mature Multi-Species Biofilm Model (An Ex-Vivo Study), Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Introduction: The aim of this study was to compare the efficacy of different antimicrobial agents, including Ciprofloxacin, Doxycycline, Clindamycin, Metronidazole, Amoxicillin and Clavulanate, Triple antibiotic paste (TAP) and Calcium hydroxide (CH), as intra-canal medications for regenerative endodontics against an aged, multispecies ex-vivo biofilm model.

Methods: A total of one hundred fifty single-rooted human teeth were used in this study. Fifteen teeth were used to monitor the formation and maturation of a multispecies biofilm model consisting of Enterococcus faecalis, Staphylococcus epidermidis and Candida albicans. After 21 days of incubation, the other one-hundred and thirty-five teeth were divided into 9 equal …

Evaluation Of The Quality Of Root Canal Obturation Using Resin And Silicon-Based Sealers: A Randomized Clinical Trial, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Aim: to assess and compare the quality of root canal obturation using AH Plus and GuttaFlow 2 in patients with symptomatic

irreversible pulpitis.

Materials and methods: This randomized clinical trial included 50 participants with mandibular molars diagnosed with

symptomatic irreversible pulpitis. Participants were randomly assigned to two groups: the AH Plus group (RBS) and the

GuttaFlow 2 group (SBS). Clinical procedures included local anesthesia, access cavity preparation under a surgical microscope,

rubber dam isolation, and root canal preparation using the ProTaper Gold system. For the RBS group, AH Plus sealer was used

with cold lateral condensation, while for the SBS …

U-M School Of Dentistry: Collaborating With Michigan’S Dentists To Move The Profession Always Forward, Jacques E. Nör Dds, Ms, Phd

The Journal of the Michigan Dental Association

Completing his first year as dean of the University of Michigan School of Dentistry Dr. Nor highlights the importance of community-based learning in dental education. Students gain valuable experience through rotations at various clinics across Michigan, including those serving underserved populations. The dean emphasizes the generosity of dentists who mentor students and the importance of the Oath of Aspiring Dentists. The Commission on Dental Accreditation completed its site visit at our school in March. Its findings identified numerous strengths during the formal review that American dental schools must complete every seven years. Demographic data on the incoming class of 2028 …

Does Reduced Taper Canal Preparation Increase The Load Capacity Of Endodontically Treated Teeth?, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Objectives: The aim of this in-vitro study is to assess and compare the load capacity of teeth with canals prepared using progressive taper versus regressive taper.

Methods: Twenty-seven extracted mandibular molars were categorized into three equal groups. The negative control group involved teeth that were accessed and restored with composite resin without canal preparation. The regressive canal preparation group used the TruNatomy file system, while the progressive canal preparation group employed the ProTaper Gold system. Subsequently, all samples underwent loading using a universal testing machine until tooth fracture occurred. The force required to fracture each tooth was recorded in Newton. …

Evaluation Of The Quality Of Root Canal Obturation Using Resin And Silicon-Based Sealers: A Randomized Clinical Trial, Kareem Darwish, Engy M. Kataia, Shehabeldin Saber

Dentistry

Aim: to assess and compare the quality of root canal obturation using AH Plus and GuttaFlow 2 in patients with symptomatic irreversible pulpitis. Materials and methods: This randomized clinical trial included 50 participants with mandibular molars diagnosed with symptomatic irreversible pulpitis. Participants were randomly assigned to two groups: the AH Plus group (RBS) and the GuttaFlow 2 group (SBS). Clinical procedures included local anesthesia, access cavity preparation under a surgical microscope, rubber dam isolation, and root canal preparation using the ProTaper Gold system. For the RBS group, AH Plus sealer was used with cold lateral condensation, while for the SBS …

Evaluation Of The Efficiency Of Passive Self-Ligating Versus Conventional Brackets In The Alignment Of Mandibular Crowded Teeth (A Comparative Study), Noha Ibrahim Abdelrahman Professor

Dentistry

Aim: Is to compare the efficiency of passive self-ligating versus conventional brackets in the alignment of crowded mandibular teeth. Materials and methods: A randomized clinical trial with Fifty participants visiting the clinic of the Orthodontic Department and fulfilling the eligibility criteria were enrolled in the study. Patients were randomly allocated to group A (Conventional brackets) or group B (Damon Q metal passive self-ligating brackets). The amount of mandibular crowding was assessed by Little’s irregularity index. Subjects in both groups were recalled for follow-up every four weeks till completion of alignment. Results: There was no significant difference in baseline irregularity in …

Systematically Assessing The Quality Of Dental Electronic Health Record Data For An Investigation Into Oral Health Care Disparities, Krishna Kumar Kookal, Muhammad F Walji, Ryan Brandon, Ferit Kivanc, Elizabeth Mertz, Aubri Kottek, Joanna Mullins, Shuang Liang, Larry E Jenson, Joel M White

Faculty, Staff and Student Publications

Objectives: This work describes the process by which the quality of electronic health care data for a public health study was determined. The objectives were to adapt, develop, and implement data quality assessments (DQAs) based on the National Institutes of Health Pragmatic Trials Collaboratory (NIHPTC) data quality framework within the three domains of completeness, accuracy, and consistency, for an investigation into oral health care disparities of a preventive care program.

Methods: Electronic health record data for eligible children in a dental accountable care organization of 30 offices, in Oregon, were extracted iteratively from January 1, 2014, through March 31, 2022. …

Deans Report Udm: The World Needs Titans -- Serving Our Community And Beyond, Mert N. Aksu Dds, Jd, Mhsa, Cert. Dph

The Journal of the Michigan Dental Association

Detroit Mercy's Dental School is experiencing increased popularity despite a growing number of dental schools nationwide. The school emphasizes a learner-centered approach, focusing on student development and clinical experience. Key changes to the curriculum include increased integration of biomedical sciences and case-based learning. Detroit Mercy's commitment to excellence, community service, and humanistic care sets it apart from other dental schools.

You Can Drive Cdt Code Changes: Essential Tips For Success, Frank J. Pokorny Ii, Mba, Facd(Hon)

The Journal of the Michigan Dental Association

The American Dental Association (ADA) Code on Dental Procedures and Nomenclature (CDT) undergoes annual updates to reflect evolving dental practices. Building on Mr. Pokorny's April 2024 article, "Dentistry’s CDT Code: Its Origins, Use, and Future," published in the Journal of the Michigan Dental Association1, this article examines the process for requesting changes to the CDT code set. Overseen by the ADA Council on Dental Benefit Programs’ Code Maintenance Committee (CMC), the process provides clear guidelines for submitting change requests. This paper outlines the types of permissible changes and the rationale behind them, offering dentists and other stakeholders the opportunity to …

J Mich Dent Assoc September 2024

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists. The September issue highlights Michigan's dental schools and provides practical information for dentists. Key Content:

• Cover Stories: Features written by the deans of the University of Detroit Mercy and the University of Michigan dental schools.
• CDT Code Revision: A guide on how to contribute to the revision of the Current Dental Terminology code.
• UP Dental Meeting: An overview of the upcoming Upper Peninsula …

The New Professional: Tips For Dealing With Unpleasant Patients, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article emphasizes the importance of managing unpleasant patients in dentistry through empathy, effective communication, and tailored care. Dentists should understand that patient anxiety often stems from fear or past trauma. Building trust through clear explanations, personalized comfort measures, and pain management is crucial. Techniques like guided imagery and gradual exposure can help reduce anxiety. Consistency in care and follow-up support strengthens patient relationships, making even the most challenging patients more comfortable and cooperative.

Customer Service Revisited, Allen Vean Dmd

Metro Denver Dental Society Articulator Magazine

MDDS Co-Editor, Dr. Allen Vean reflects on the importance of excellent customer service in dentistry. The article draws on personal experience and underscores the significance of patient retention, personal touches and creating a welcoming office environment.

Exploring Ada Commons: Discover What's New Across The Tripartite, Alisun Dekock

Metro Denver Dental Society Articulator Magazine

The article details ADA Commons, a new open-access database that offers searchable access to a wide range of dental publications and archival materials from ADA State and Local Associations. ADA Commons allows member dentists to explore, search and contribute to a growing collection of dentistry-related content.

A Problem-Solving Tool You Can Use, Michelle C. Dziurgot Dds

The Journal of the Michigan Dental Association

This month, the MDA Editor discusses a presentation from the summer board meeting that resulted in nostalgic recollection of the '90s hit "Whoomp! (There It Is)" and the evolution of her career from a dental student to managing a large practice. The article introduces the WOOP (Wish, Outcome, Obstacle, Plan) method, a problem-solving tool used to address challenges in patient scheduling due to a shortage of hygienists. By applying WOOP, the practice aims to prioritize reliable patients and manage appointments more effectively, ultimately reducing stress and improving workflow.

The Patient Experience: A Roadmap To Success, Amanda Jozsa Dds

Metro Denver Dental Society Articulator Magazine

This article outlines a ten-step system designed to enhance patient experience in the dental practice. The author emphasizes the importance of exceptional customer service, team collaboration and attention to detail in all steps of the patient journey. By focusing on the steps outlined the author believes dental practices can foster patient loyalty, reduce marketing costs, boost team morale and lead to practice growth and success.

Colorado Non-Compete Agreements For Dentists, Josh Austin

Metro Denver Dental Society Articulator Magazine

The article details the intricacies of Colorado's non-compete agreements and their validity as well as non-solicitation agreements. Income thresholds, penalties and consequences of non-compliance are also discussed.

The Burden Of Diagnostic Error In Dentistry: A Study On Periodontal Disease Misclassification, Bunmi Tokede, Alfa Yansane, Ryan Brandon, Guo-Hao Lin, Chun-Teh Lee, Joel White, Xiaoqian Jiang, Eric Lee, Alaa Alsaffar, Muhammad Walji, Elsbeth Kalenderian

Faculty, Staff and Student Publications

Background: Periodontal disease constitutes a widely prevalent category of non-communicable diseases and ranks among the top 10 causes of disability worldwide. Little however is known about diagnostic errors in dentistry. In this work, by retrospectively deploying an electronic health record (EHR)-based trigger tool, followed by gold standard manual review, we provide epidemiological estimates on the rate of diagnostic misclassification in dentistry through a periodontal use case.

Methods: An EHR-based trigger tool (a retrospective record review instrument that uses a list of triggers (or clues), i.e., data elements within the health record, to alert reviewers to the potential presence of a …

Dentistry And The Law: Hiring A Crna To Work In Your Practice, Daniel Schulte Jd

The Journal of the Michigan Dental Association

This column addresses whether a dental practice can hire a Certified Registered Nurse Anesthetist (CRNA) to administer anesthesia. A CRNA can be hired if the requirements of Michigan's MCL 333.17210 and the Michigan Administrative Code are met. The CRNA must have sufficient experience or advanced degrees and work collaboratively in a patient-centered care team. The dental office must have policies for immediate clinical response, and all involved personnel must be certified in basic cardiac life support. Additional rules apply depending on the sedation level provided.

A Visit To The U.P.: The 106th Annual Upper Peninsula Dental Meeting, Elizabeth Knudsen Dds

The Journal of the Michigan Dental Association

The Cloverland District Dental Society hosted its 106th annual meeting in Gladstone, Michigan. The event included continuing education, guest speakers, a business meeting, and social activities. The meeting also featured student involvement and discussions about rural dentistry. The next meeting will be held on Mackinac Island in June 2025.

Collagen: The Superior Material For Full-Thickness Oral Mucosa Tissue Engineering, Alexandra Gelin, Daniela S. Masson-Meyers, Fatemeh Amini, Keyvan Moharamzadeh, Lobat Tayebi

School of Dentistry Faculty Research and Publications

Background

Tissue engineering has significantly progressed in developing full-thickness oral mucosa constructs designed to replicate the natural oral mucosa. These constructs serve as valuable in vitro models for biocompatibility. testing and oral disease modeling and hold clinical potential for replacing damaged or lost oral soft tissue. However, one of the major challenges in tissue engineering of the oral mucosa is the identification of an appropriate scaffold with optimal porosity, interconnected porous networks, biodegradability, and biocompatibility. These characteristics facilitate cell migration, nutrient delivery, and vascularization. Various biomaterials have been investigated for constructing tissue-engineered oral mucosa models; collagen has demonstrated superior outcomes …

Identifying Primary Proximal Caries Lesions In Pediatric Patients From Bitewing Radiographs Using Artificial Intelligence, Cesar D. Gonzalez, Zaid Badr, H. Cem Güngör, Shengtong Han, Manal Hamdan

School of Dentistry Faculty Research and Publications

Purpose: To develop a no-code artificial intelligence (AI) model capable of identifying primary proximal surface caries using bitewings among pediatric patients.

Methods: One hundred bitewing radiographs acquired at pediatric dental clinics were anonymized and reviewed. The inclusion criteria encompassed bitewing radiographs of adequate diagnostic quality of primary and mixed-dentition stages. The exclusion criteria included artifacts related to sensors’ quality, positioning errors, and motion. Sixty-six bitewing radiographs were selected. Images were uploaded to LandingLens™, a no-code AI platform. A calibrated consensus panel determined the presence or absence of proximal caries lesions on all surfaces (using ground truth labeling). The radiographs were …

Incisal Trait Variations Between Javanese And Chinese-Indonesians In Surabaya, Rahmat Avianto, Sayf Muhammad Alaydrus, Myrtati Dyah Artaria, Yao-Fong Chen

Journal of Dentistry Indonesia

Human teeth are unique since one population’s dental pattern might differ from another. Such specific dental characteristics, such as the incisor, are observable in each dentition. Objective: his study analyzed the population differences in Javanese and Chinese-Indonesian populations through observations of the incisal traits, namely winging, shoveling, and double shoveling. Methods: 50 dental casts (76 Javanese samples and 74 Chinese- Indonesian samples) were obtained from Dr. Myrtati Dyah Artaria’s private collection, stored in the Faculty of Medicine, Universitas Airlangga. The traits were observed and scored using the Arizona State University Dental Anthropology System (ASUDAS) and analyzed statistically using crosstab …

Comparative Evaluation Of Tooth Enamel Surface Microhardness Exposed To Novel Modified Casein Phosphopeptide Amorphous Calcium Phosphate, Apf Gel And Gc Tooth Mousse, P Rahmath Meeral, Indumathy Pandiyan, Meignana Arumugham

Journal of Dentistry Indonesia

Objective: The acidic pH of remineralizing agents is beneficial in etching the enamel to facilitate increased remineralization. This study aims to modify the pH of Casein Phosphopeptide Amorphous Calcium phosphate to acidic and evaluate the enamel surface microhardness exposed to acidified CPP ACPF, acidulated phosphate fluoride (APF gel), and conventional CPP ACPF. Methods: The pH of conventional CPP ACPF (GC Tooth Mousse) is acidified. 24 tooth samples were assigned into three groups receiving as follows: Group 1 (n = 8) acidified CPP ACPF, Group 2 (n = 8) APF gel, and Group 3 (n = 8) CPP ACPF for four …

Esthetic Management Of Maxillary Anteriors With Complicated And Uncomplicated Fractures Using Different Fragment Reattachment Approaches, Lavanya A, Rajendra Kumar Tewari, Sharique Alam

Journal of Dentistry Indonesia

Appropriate management of anterior tooth fracture restores the function and aesthetics and provides a positive psychological impact for the patient. One of the most conservative approaches for such a restoration is reattachment; if a fracture fragment remains attached to the tooth and is available, as in young patients, immediate reporting helps preserve the vitality and long-term defense mechanism. Objective: This case report provides two cases with varied approaches for the management of complicated and uncomplicated crown fractures using reattachment procedures. Case report: During the clinical examination, the first case described the management of an uncomplicated fracture using the …

Resin-Build-Up As A Direct Monoblock Concept For Root Canal Dentin, Core, And Crown Restoration On Anterior Endodontically Treated Tooth, Citra Kusumasari, Takashi Hatayama, Junji Tagami, Yasushi Shimada Prof.

Journal of Dentistry Indonesia

The long-term clinical performance of restoration in endodontically treated teeth (ETT) is an essential yet complicated strategy to achieve it. A resin-build-up tooth with higher elastic moduli is a minimally invasive strategy to decrease the risk of catastrophic root fracture. Additionally, intracanal resin composite anchorage simplifies the restorative procedure and increases the bonding. Objective: This case report describes a resin-build-up tooth restoration using the direct monoblock concept to replace a failed metal post and core and porcelain fused to metal (PFM) crown on the maxillary right central incisor. Case report: A 50-year-old man attended a dental university hospital …