Dentistry Commons^™

Effect Of Different Bevel Designs On Microleakage And Shear Bond Strength Of Class Iv Composite Restoration: A Laboratory Study, Hiran A. Qadir, Noha A. El-Wassefy, Asmaa M. Abdullah, Hamdi H. Hamama Associate Professor, Department Of Operative Dentistry, Faculty Of Dentistry, Mansoura University, Egypt

Mansoura Journal of Dentistry

Objective: This laboratory study was conducted to evaluate the effect of different bevel designs (2mm bevel, skirt bevel and scalloped bevel) on microleakage and shear bond strength of class IV composite restorations. Materials and Methods: Sixty extracted human permanent maxillary central incisors were selected and a standardized mesio-incisal fracture was created. Teeth were divided into 3 groups (n=20) according to different bevel designs (2mm bevel, skirt bevel and scalloped bevel). All prepared teeth were restored with nano hybrid composite (Filtek Z250, 3M ESPE, St. Paul, MN, USA). Half of specimens were used for microleakage test, specimens were received 3 layers …

New Dentist News (March 2022), 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.

N Y State Dent J March 2022

The New York State Dental Journal

In the March 2022 issue, the reader will find the following feature articles:

• Orthognathic Surgery and Quality-of-Life Outcomes: Findings from a Hospital-Based Patient Satisfaction Survey
• Recommendations for Co-Prescription of Opioids and Naloxone in the Dental Office
• Papillon-LeFevre Syndrome: A Case Study of Two Siblings
• Treatment of Peri-implant Soft-tissue Deficiency around a Narrow Diameter Implant with Subepithelial Connective-tissue Graft: A Case Report
• Simple Lipoma Mimicking Oral Infiltrating Lipoma: Case Report

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.

Identification Of A Novel Microdeletion Causative Of Nance-Horan Syndrome, Mariana Lopez Martinolich, Hope Northrup, Pedro Mancias, Paul Hillman, Kavya Rao, Kate Mowrey

Faculty, Staff and Student Publications

BACKGROUND: Nance-Horan syndrome (NHS) is a rare X-linked genetic disorder characterized by ophthalmologic and dental anomalies as well as dysmorphic facies. The clinical phenotype in males includes congenital cataracts, vision loss, microcornea, nystagmus, microphthalmia, glaucoma, screwdriver blade-shaped incisors, supernumerary maxillary incisors, diastema, delays, intellectual disability, and dysmorphic facies. With the evolution of array-CGH technology, a total of five kindreds with NHS have been reported in the medical literature with microdeletions encompassing the NHS gene rather than sequencing variants.

METHODS: The patient is a 19-year-old male born to non-consanguineous parents with a past medical history of bilateral congenital cataracts, nystagmus, poor …

Comparison Of Emla Cream Versus Mucosal Vibration Or Pre-Cooling Systems As Topical Anesthetic Agents In Children, Esraa M. Eissa, Ahmed H. Wahba, Salwa M. Awad

Mansoura Journal of Dentistry

Objective: Comparing EMLA cream versus mucosal vibration or pre-cooling systems as preanesthetic techniques to reduce pain associated with dental injection in children. Materials and Methods: Fifty children categorized as positive or definitely positive according to Frankl scale (behavior rating scale) and aged from 5-7 years were selected. They were indicated for bilateral inferior alveolar nerve block for dental treatment and selected from the pediatric dental clinic, Faculty of Dentistry, Mansoura University. Children were randomly divided into two equal groups, in which the injection site was prepared using mucosal vibration with electric tooth brush in group (A) and pre-cooling with iced …

Knowledge And Awareness Regarding Uses Of Extracted Natural Tooth In Clinical Practice, Momina Anis Motiwala, Shizrah Jamal, Karshma Devi, Rabia Ghafoor

Section of Dental-Oral Maxillofacial Surgery

Restoration of aesthetics is one the major patients’ concern in dentistry which may be disrupted due to tooth-loss secondary to trauma, or as part of orthodontic treatment or periodontal problem. A number of treatment options are available for the replacement of teeth, but they may be expensive, and time-consuming, involving artificial teeth. For immediate tooth replacement, patient’s own intentionally extracted or unintentionally avulsed tooth maybe used. The current narrative review was planned to discuss various techniques for the use of natural tooth pontic, which preserves the original contours, size and colour of the replaced tooth. Before using these teeth in …

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 …

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 …

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.

Evaluating The Effect Of The Protector Cap Technique For Castable Implant Abutments On Reverse Torque Values, Mohammed Alfaifi

Loma Linda University Electronic Theses, Dissertations & Projects

Statement of problem: The most common mechanical complication reported regarding the implant abutment is screw loosening attributed to masticatory forces and insufficient preload torque.

Purpose: The purpose of this study is to evaluate the differences in reverse torque value between UCLA abutments with no casting performed, UCLA abutments cast using a conventional manner, and UCLA abutment cast using protection caps and pegs.

Material and methods: Thirty implants with a standard diameter (4.3 mm) conical connection (NobelReplace Tapered Groovy 4.3 × 13 mm; Nobel Biocare) and thirty premachined 4.3 mm gold UCLA abutments (Branemark System™ Nobel Biocare, Inc) were used in …

Use Of The Deep Learning Approach To Measure Alveolar Bone Level, Chun-Teh Lee, Tanjida Kabir, Jiman Nelson, Sally Sheng, Hsiu-Wan Meng, Thomas E Van Dyke, Muhammad F Walji, Xiaoqian Jiang, Shayan Shams

Faculty, Staff and Student Publications

AIM: The goal was to use a deep convolutional neural network to measure the radiographic alveolar bone level to aid periodontal diagnosis.

MATERIALS AND METHODS: A deep learning (DL) model was developed by integrating three segmentation networks (bone area, tooth, cemento-enamel junction) and image analysis to measure the radiographic bone level and assign radiographic bone loss (RBL) stages. The percentage of RBL was calculated to determine the stage of RBL for each tooth. A provisional periodontal diagnosis was assigned using the 2018 periodontitis classification. RBL percentage, staging, and presumptive diagnosis were compared with the measurements and diagnoses made by the …

Diagnosis Of Dental Cracks By Digital Bitewing Imaging: A Laboratory Study, Safa A. Al-Shami, Bassant H. Mowafey, Hamdi H. Hamdan, Jilan M. Youssef

Mansoura Journal of Dentistry

Objective: The purpose of this study was to evaluate the diagnostic accuracy of using digital bitewing imaging technique for the diagnosis of dental cracks. Materials and Methods: In this study, 60 specimens of extracted human teeth were collected. Teeth were divided into two equal groups; control group and study group. Cracks were artificially created on the study group by repeated thermal cycling method using boiled water and liquid nitrogen. Then teeth were mixed in a random manner and then placed in a waxed arch block to simulate the human geometrical pattern in imaging. The roots of the teeth were embedded …

Effect Of Incorporation Of Bioactive Hydroxyapatite Nano-Rods In Self-Etch Adhesive On Microleakage, Nanoleakage Pattern And Elemental Analysis Of Resin/Dentin Interface, Samaher M. Taha, Hamdi H. Hammama, Salah H. Mahmoud

Mansoura Journal of Dentistry

Objective: To compare the effect of four types of adhesives immediately and after 6 months storage in artificial saliva followed by thermocycling (2000 cycle) on microleakage patterns, the nanoleakage pattern, and elemental analysis of adhesive interface. Materials and Methods: A total of 120 extracted sound human permanent molars were selected. And assigned into 4 groups according to adhesive types (one step-self-etch (1S-SE) adhesive, modified self-etch adhesive with hydroxyapatite nanorods (HA-NR), universal adhesive, resin-modified glass ionomer-based adhesive). Each group was further subdivided into two subgroups according to time of testing, (a) immediately evaluated, (b) was subjected to the 6 months storage …

Staff Matters: Is Our Practice Required To Mandate Employee Vaccination For Covid-19?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This Staff Matters Column addresses the confusion surrounding COVID-19 vaccination mandates for private dental practices. Following the U.S. Supreme Court's decision, the Centers for Medicare and Medicaid Services (CMS) vaccine mandate was upheld. However, the CMS rule, clarified through FAQs, applies to specific health care facilities accepting Medicare or Medicaid funding and does not include private dental practices. The article navigates the nuances of the CMS rule, emphasizing its impact on certain health care settings rather than private dental practices, offering clarity on vaccination requirements for dental professionals.

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.

If Dentistry's Social Contract With America Could Talk, Chester Gary Dds, Jd

The New York State Dental Journal

Dentistry must make running the business of dental practices compatible with professional responsibility.

New York Continues Employment Law Rampage, Lance Plunkett Jd, Llm

The New York State Dental Journal

Newly enacted laws continue trend favoring employee rights. Dental practices on notice.

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.

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 …

Treatment Of Peri-Implant Soft Tissue Deficiency Around A Narrow Diameter Implant With Subepithelial Connective Tissue Graft: A Case Report, Jaewon Kim Dds, Ms, Phd, Abhiram Maddi Dds Msc Phd

The New York State Dental Journal

Narrow diameter implants and mini-implants are preferred by dentists for restoration of missing teeth on narrow ridges. However, such implants are associated with long-term complications including soft tissue deficiencies. This case report describes a novel approach using a connective tissue graft to resolve peri-implant mucositis. A 66-year old male patient presented with inflammation and abscess in relation to a mini-implant, at the upper left incisor, on the facial aspect. Deficiencies of keratinized tissue and width of attached gingiva were observed. Surgical management was performed using subepithelial connective tissue. An 18-month follow up showed increased width of attached gingiva at the …