Dental Public Health and Education Commons^™

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.

Protect Your Patients And Yourself: The Complete And Honest Medical History, Mitchell Gardiner Dmd

The Journal of the Michigan Dental Association

This feature article emphasizes the critical role of obtaining a complete and honest medical history in dental practice. Reflecting on the evolution of clinicians' diligence since dental school, the article underscores the potential risks associated with inadequate medical histories. The legal and ethical responsibilities in gathering comprehensive patient information are highlighted, emphasizing the impact on patient well-being and the dentist's vulnerability to legal challenges. The complexities of patients' truthfulness, especially regarding sensitive topics, are discussed, urging clinicians to establish trust for accurate disclosures. The article concludes with practical recommendations, stressing the ongoing need for thorough medical history reviews and the …

Lower The Risk For Medical Emergencies, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

Clinicians focus on health and safety for our patients. The editorial highlights the importance of cultural competence in dentistry to mitigate the risk of medical emergencies. Reflecting on a recent CE program, Dr. Smiley underscores the need for proactive emergency preparedness, emphasizing detailed protocols and hands-on training. The article advocates for thorough patient screening, incorporating three questions presented by Dr. Mitchel Gardiner in an article in this month’s issue, addressing patient-specific health considerations and consulting with healthcare providers. The editorial concludes by stressing the significance of risk reduction through comprehensive assessments, team training, and preparedness.

News You Need: Reminder: What You Must Know About Antitrust Law, Dan Schulte Jd

The Journal of the Michigan Dental Association

This reminder emphasizes the critical importance for dentists, particularly members of organizations like the Michigan Dental Association, to understand antitrust laws and their implications. The U.S. Justice Department and Federal Trade Commission actively pursue antitrust violations among physicians and dentists. The article outlines key aspects of the Sherman Antitrust Act, emphasizing that joint activities among independent dentists that restrain competition may lead to violations. The concept of joint action and the restraint on competition are explored, with a focus on potential pitfalls, such as price-fixing and group boycotts. Dentists are urged to stay informed to avoid legal consequences.

Dentistry And The Law: Responding To Internet Criticism And Hipaa Considerations, Dan Schulte Jd

The Journal of the Michigan Dental Association

This Dentistry and the Law column addresses the challenge of responding to online criticism as a healthcare professional, particularly dentists. The question involves a patient posting false and damaging information online, leading to concerns about reputation and the desire to set the record straight. The response outlines the limitations imposed by HIPAA on using patient information for such purposes and explores the legal complexities in pursuing recourse. The column advises against responding directly to negative online posts, emphasizing proactive reputation management through online advertising and patient testimonials.

The Foundation For Dental Care: The Patient Interview And Dental/Medical Health History, Richard W. Panek Dds, George Georgiev Dds

The Journal of the Michigan Dental Association

This feature article emphasizes the pivotal role of patient interviews and medical history assessments in establishing the foundation for dental care. Delving into the essential components of a patient's medical history, the article underscores the significance of gathering comprehensive information, including medications, allergies, and lifestyle factors. The patient interview is explored as a dynamic process aimed at building rapport, understanding the chief complaint, and addressing potential health risks. The article navigates through various scenarios, from adapting questions for specific patient situations to handling challenging topics such as substance abuse and behavioral health issues. Ultimately, the integration of total medical assessment …

10-Minute Ebd: Preferred Analgesia For Orthodontic Tooth Movement: Acetaminophen Or Nsaids?, Ryan N. Mcgovern

The Journal of the Michigan Dental Association

This 10-Minute EBD column explores the choice between acetaminophen and NSAIDs for managing pain during orthodontic tooth movement. The author presents a scenario involving a patient's discomfort after archwire adjustment and delves into the impact of tooth movement on the periodontium. The PICO question focuses on the effectiveness of NSAIDs and acetaminophen in controlling discomfort without impeding tooth movement. The literature search reveals varying recommendations on analgesics, with some studies favoring acetaminophen. The evidence suggests that acetaminophen and short-term celecoxib are suitable choices for orthodontic analgesia. However, caution is advised in extrapolating findings from animal studies to human conditions.

Can Youtube Videos Be Helpful In Promoting Self-Performed Denture Hygiene?, Kubra Degirmenci, Serkan Saridag

Internet Journal of Allied Health Sciences and Practice

Purpose: The longevity and success of dentures depend on clinical factors and the appropriate application of various techniques as well as on patients’ denture hygiene. Recently, the Internet has become an attractive information source for individuals searching for answers to their questions on health-related subjects. The aim of this study was to evaluate the information provided by YouTube videos on denture hygiene and analyze their content in terms of scientific validity. Method: Various key words related to denture cleaning, hygiene, and care were used to search for videos on YouTube. Based on their scientific content, the included videos were classified …

Utilization Of Medi-Cal Dental Benefits, Beatrice Bautista

Annual Research Symposium

No abstract provided.

Developing A Dental Trauma-Anxiety Measure Comparing U.S. And International Care, Margaret Tajirian

Seaver College Research And Scholarly Achievement Symposium

Background

The aim of this study was to improve upon the Modified Dental Anxiety Scale (MDAS) by developing the empathy-based International-Modified Dental Anxiety Scale (I-MDAS). This measure was produced and utilized to compare the dental experiences and anxiety levels of international patients versus national patients in the United States.

Methods

The I-MDAS is composed of the International scale and the original MDAS scale. Of 465 participants, 41.3% comprised the national population and 58.7% comprised the international population. Information about demographics, past negative dental experiences, and current dental anxiety was collected.

Results

There was no significant difference in dental anxiety levels …

Influence Of Etching Methods On The Shear Bond Strength Of A Universal Adhesive System To Sound And Artificial Caries-Affected Dentin, Omnia M. Sami, Essam A. Naguib, Rasha H. Afifi, Shaymaa M. Nagi

Future Dental Journal

Abstract:

This study tested the effect of different etching methods on the bond strength of a universal adhesive system to caries-affected (CAD)and sound dentin. Methods: forty premolars were wet grinded to expose flat occlusal midcoronal dentin. Specimens were equally divided according to the substrate; sound and (CAD) by exposing to pH-cycling for 14 days. Each dentin substrate was bonded with Single Bond^TM universal adhesive applied either after no etching or etching of dentin, then resin composite was built up. Specimens were tested for shear bond strength (SBS). The data was analyzed by two-ways ANOVA. Results: Single Bond^TM universal …

Evaluation Of Remaining Dentin Thickness After Manual And Rotary Instrumentation In Primary Molars Using Cone Beam Computed Tomography. (An In-Vitro Study), Nada Ashraf Eldemery, Osama Elshehawy, Rania Abdulla Nasr, Mahmoud Mohammed Badr

Future Dental Journal

Aim: To compare the radicular dentin thickness before and after instrumentation by manual stainless-steel (K-files) versus rotary files (AF™ Baby File) at coronal, middle, and apical thirds using Cone Beam Computed Tomography (CBCT).

Materials and Methods: Forty roots of extracted mandibular primary molars were collected, and randomly and equally divided into 2 groups. Manual Group was prepared by K-files, and Rotary Group was prepared by rotary AF™ Baby File system. Samples were decapitated and stabilized in epoxy resin blocks. Samples were subjected to CBCT scan before and after instrumentation for radicular dentin thickness evaluation at 3 measuring points; apical, …

An Overlooked Epidemic: Pediatric Oral Health Concerns On The Rise In Rural Communities, Emma Verbrugge

Honors Program: Senior Projects (Public)

Pediatric oral health is a concern for many dentists and parents as they lay the foundation for long-term proper hygiene in children. Early childhood caries (ECC) is a disease of chronic tooth decay marked as the most common chronic disease of childhood in the world. Children living in rural areas are even more susceptible to this disease and thus significant attention is needed to curve these numbers. The consequences of ECC are much more than just cosmetic, but include heightened risk of gingivitis, periodontal disease, diabetes, cardiovascular disease, and much more. A foundational cause of poor dental hygiene lies with …

Penicillin Allergy Assessment And Medical Referral To Promote Antibiotic Stewardship, Elaine Bailey Pharmd, Mackenzie Connell, Marie Fluent Dds, Erinne Kennedy Dds, Mph, Mmsc

The Journal of the Michigan Dental Association

Antibiotic stewardship is an integral practice for the dental team to ensure a safe dental visit for patients. Now, with clinical practice guidelines and state toolkits, more dentists are aware of and actively practicing antibiotic stewardship. With the application of antibiotic stewardship practices, dentists are identifying the need for additional tools to enhance practice. For example, one need that has been identified is a tool for screening patients for true penicillin allergies. The Penicillin Allergy Assessment Tool (PAAT) is a decision-making tool that can be used chairside to screen patients who report an allergy to penicillin. After screening, dentists can …

Dentistry And The Law: Winning Your Case And Still Being Sanctioned, Dan Schulte Jd

The Journal of the Michigan Dental Association

This Dentistry and the Law column discusses a perplexing scenario where a dentist, despite winning a licensing case trial, faces sanctions imposed by the Disciplinary Subcommittee (DSC) of the Board of Dentistry. The article unveils the intricate process of disciplinary actions, from administrative complaints to administrative hearings, emphasizing the pivotal role of the DSC in determining sanctions. It clarifies that success in an administrative hearing doesn't guarantee a favorable outcome, as the DSC holds ultimate authority, subject to limited Court of Appeals review.

J Mich Dent Assoc March 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles 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 Feature: "Open Your Eyes to 3D Imaging"
• A Clinical Feature: "CBCT in Clinical Practice: Guidance for Best Practice"
• A Clinical Feature: "Penicillin Allergy and Medical Referral to Promote Antibiotic Stewardship"
• An Access Feature: "The 2025 Michigan State Oral Health Plan"
• A 10-Minute EBD: "Digital Scans or Conventional Impressions: Which Results in Better Crowns?"
• News you need: …

10-Minute Ebd: Digital Scans Or Conventional Impressions: Which Results In Better Crowns?, Laura Tsu Dds

The Journal of the Michigan Dental Association

This 10-Minute EBD column critically evaluates the outcomes of digital scans versus conventional impressions in fabricating single-unit crowns, focusing on factors such as marginal and internal fit. Employing a PICO question and a literature search pathway via PubMed, the analysis includes systematic reviews and meta-analyses. Findings suggest that crowns from digital scans generally exhibit clinically acceptable marginal and internal fit, often outperforming conventional impressions. However, heterogeneity in study samples and methodologies contributes to varied results. While digital scans meet the standard of care, ongoing research is essential for a comprehensive understanding of the evolving landscape in digital prosthodontics.

Open Your Eyes To 3d Imaging, Lea Al Matny Dds, Ms

The Journal of the Michigan Dental Association

This cover feature illuminates the transformative role of cone beam computed tomography (CBCT) in dental diagnostics and treatment planning. As CBCT evolves from specialized to commonplace usage, its impact on various dental specialties, including oral surgery, periodontics, orthodontics, and general dentistry, becomes apparent. The article underscores the necessity of understanding CBCT's fundamental concepts and emphasizes the importance of customized imaging protocols tailored to patients' needs. Comprehensive evaluation of CBCT scans reveals anatomical variations, aids in detecting periapical pathosis, visualizing root fractures, assessing external cervical root resorption, and contributes to airway analysis. Moreover, the article explores CBCT's expanding role beyond implant …

The 2025 Michigan State Oral Health Plan, Ellen Sugrue Hyman Jd

The Journal of the Michigan Dental Association

This feature article explores the 2025 Michigan State Oral Health Plan (SOHP), a comprehensive initiative developed by the Michigan Oral Health Coalition (MOHC) and a statewide coalition, including the Michigan Dental Association (MDA). With a focus on enhancing oral health for all Michigan residents, the SOHP prioritizes addressing economic and racial disparities. The plan, guided by three key goals—Increasing Awareness and Education, Dental-Health Integration, and Access and Infrastructure—aims to improve oral health outcomes. The article discusses the plan's development process, key findings highlighting existing disparities, workforce challenges, and the strategic implementation of the SOHP through collaborative efforts and workgroups.

Cbct In Clinical Practice, Tarunjeet Pabla Bds, Dmd, Ms, Dip. Abomr, Hugo C. Campos Dds, Dmd, Mds, Dip. Abomr, Aruna Ramesh Bds, Dmd, Ms, Dip. Abomr

The Journal of the Michigan Dental Association

This feature explores the integration of Cone Beam Computed Tomography (CBCT) into dental practice, offering guidelines for best practices. Introduced in 2001, CBCT revolutionized dental radiography, impacting various clinical areas. The article emphasizes the need for clinicians to comprehend CBCT technology, its benefits, and potential risks. It delves into CBCT imaging considerations, technical parameters (Field of View, Voxel Size, Spatial and Contrast Resolution), image viewing, artifacts, machine calibration, and service. Addressing radiation dose, risks, and protection, the article outlines decision-making for 2D vs. 3D imaging. It underscores the responsibility of interpreting CBCT images, legal considerations, return on investment, and the …