Dentistry Commons^™

Turning The Page On The Past, Maurice L. Edwards Dmd

The New York State Dental Journal

Maurice L. Edwards, D.M.D., NYSDA’s 144th President, is committed to making a fresh start for the Association and its members.

Good Faith Estimates And The No Surprises Act, Stuart L. Segelnick Dds, Ms

The New York State Dental Journal

Federal law requires dentists to be up front with self-pay patients about the cost of their treatment. Surprises may lead to penalties.

The No Surprises Act (NSA) went into effect on Jan. 1, 2022. This is a federal law that applies to all health-care providers, including dentists. The law gives certain rights to patients to help protect them from receiving surprise medical bills. These surprises usually occur when a person has no control over who treats them, such as during an emergency or when they are treated unknowingly by an out-of-network provider.

To Thine Own Self Be True

The New York State Dental Journal

THE NYSDA DIVERSITY and Inclusion Task Force, charged with acknowledging and promoting the disparate components of the Association’s membership, joins in the national observance of June as Pride Month. Designated in 1999, Pride Month commemorates the contributions to life and culture made by lesbian, gay, bisexual, transgender and queer people. Among those celebrating and being celebrated this month is NYSDA member Alison Rascon, D.D.S., M.S.

Assessment Of Patient Knowledge And Awareness Of Prosthodontics For Student And Patient Education And Communication, Mijin Choi D.D.S., M.S., M.B.A., Facp, Tejal Gohil B.D.S., Cristina Osorio D.D.S., Hannah Jeong, Thomas S. Giugliano D.D.S.

The New York State Dental Journal

This study evaluates patient understanding of the scope of prosthodontic treatments. Utilizing an 11-question survey, 149 patients at a postgraduate prosthodontic clinic were queried. Data analysis included frequency summaries, cross-tabulations and Pearson Chi-square tests. Results showed 68.4% of respondents knew about the role of prosthodontists. Their main concerns were improving chewing (43.9%) and smile (42.6%), varying by age. While many recognized prosthodontists’ scope, cosmetic and complex dental treatments were less well known as prosthodontic specialties. This highlights a gap in patient awareness regarding the full range of prosthodontic services.

Orofacial Manifestations Of Highly Active Antiretroviral Therapy (Haart) And Pre-Exposure Prophylaxis (Prep): Implications For Dental Care And Guidelines For Management, Alec Donelian, Yuedi Yu, Ezzard Rolle Dds, Alison Newgard Dds

The New York State Dental Journal

HAART and PrEP have demonstrated reduction of HIV-related mortality and HIV infection, respectively. A range of orofacial side effects has been associated with both HAART and PrEP. As PrEP usage has increased, there has also been an increase in sexually transmitted infections that have orofacial symptoms. As oral health-care providers, it is important that we recognize these orofacial side effects and symptoms. Further, we offer clinical recommendations for dental professionals treating patients who are on either HAART or PrEP and their associated risk factors.

What To Know About Release Of Information, Authorization, And Records Requests, Jennifer Cosey

The Journal of the Michigan Dental Association

This article clarifies HIPAA regulations regarding the disclosure of protected health information (PHI). It distinguishes between a "Right of Access" request, where a patient directly seeks their own record (no authorization needed), and an "Authorization," which is required for disclosures beyond treatment, payment, or health care operations, or to third parties for ongoing access. The author details activities permissible without authorization, such as coordination of care, billing, and quality improvement. Specific examples are provided for situations requiring authorization, like disclosing PHI to attorneys or for marketing. The article also outlines seven essential elements for a HIPAA-compliant authorization form

The Back Page: Commentary: Going Non-Par: My Perspective, And 10 Lessons I’Ve Learned, Robert Antolak Dds

The Journal of the Michigan Dental Association

Dr. Robert Antolak shares his experience and ten lessons from transitioning his dental practice to a non-participating (non-par) status with insurance in January 2025, driven by declining reimbursements and the need to prioritize patient care. He highlights the unfairness of lower PPO reimbursements for newer dentists. Key lessons include securing a trusted coach, early patient communication, building a financial safety net, ensuring full team buy-in, committing with faith, tightening billing systems, frequent patient reminders, advocating for patients, creating an in-office payment plan (not percentage discounts), and clearly articulating the "why". Though revenue initially dropped, he anticipates full recovery, aiming to …

Impact Of The Adjunctive Use Of Omega-3 In Periodontitispatients With Diabetes On Local And Systemic Chemerin Levels:A Randomized Clinical Trial, Dalia Ghalwash, Ahmed M. Ammar, Ayman El-Gawish, Ahmed Hamdy

Dentistry

Aims: The present study aspired to evaluate the impact of the adjunctive use of omega-3 with nonsurgical periodontal therapy onclinical parameters as well as local and systemic chemerin levels as a marker of cardiovascular disease risk in periodontitis patientswith diabetes.Methods: This randomized clinical trial was performed on thirty periodontitis patients with type II diabetes divided into two equalgroups, both treated by nonsurgical periodontal treatment with the adjunctive use of daily 1000 mg Omega-3FAs in group I onlyfor 6 months. Patients were reexamined after 2 weeks (baseline), 3, and 6 months for recording the clinical parameters as follows:plaque index (PI), gingival …

Quality Of Life Outcomes Following Total Temporomandibular Joint Replacement: A Systematic Review Of Long-Term Efficacy, Functional Improvements, And Complication Rates Across Prosthesis Types, Luis Eduardo Almeida, Samuel Zammuto, Louis G. Mercuri

School of Dentistry Faculty Research and Publications

Introduction:

Total temporomandibular joint replacement (TMJR) is a well-established surgical solution for patients with severe TMJ disorders. It aims to relieve chronic pain, restore jaw mobility, and significantly enhance quality of life. This systematic review evaluates QoL outcomes following TMJR, analyzes complication profiles, compares custom versus stock prostheses, explores pediatric applications, and highlights technological innovations shaping the future of TMJ reconstruction.

Methods:

A systematic search of PubMed, Embase, and the Cochrane Library was conducted throughout April 2025 in accordance with PRISMA 2020 guidelines. Sixty-four studies were included, comprising 2387 patients. Results: Primary outcomes assessed were QoL improvement, pain reduction, and …

Knowledge And Awareness Of The Link Between Periodontitis And Systemic Diseases Among Iraqi Medical Doctors, Hadeel Mohammed Abbood

Maaen Journal for Medical Sciences

Periodontitis has been shown to be a risk factor for systemic diseases, particularly diabetes mellites, and cardiovascular diseases. Hence, the medical practitioners should have sufficient knowledge regarding the link between periodontal disease and different systemic diseases and the adverse effect of periodontal diseases on the outcomes and prognosis of systemic diseases. The aim was to determine the extent of awareness of internal medicine specialists and general medical practitioners regarding the association between periodontal diseases and systemic diseases. Electronic questionnaire were disseminated among Iraqi medical doctors. These questionnaires were composed of general questions about the doctors, awareness of periodontal diseases. And …

Voclosporin‐Induced Gingival Enlargement: A Case Report, Dimitris N. Tatakis

Faculty Scholarship

The gingiva (gums) is often a site in the mouth where changes or reactions can occur in response to certain systemic medications. Some drugs, particularly those used to treat autoimmune conditions or following organ transplants, can cause the gums to grow excessively, a condition known as drug-induced gingival enlargement (also known as gingival overgrowth). In this report, we document the case of a 27-year-old woman with lupus nephritis who developed gingival enlargement after starting a medication called voclosporin. This drug is a newer treatment option for lupus nephritis, but until now had not been linked to gingival enlargement. The patient …

A Case Of Class Iii Malocclusion With Obstructive Sleep Apnea Treated By Orthodontic Treatment Combined Two-Jaw Orthognathic Surgery, Chao-Yu Lu, Yu-Feng Chen, Yu-Chuan Tseng

Taiwanese Journal of Orthodontics

This case report presents a successful treatment outcome of a 24-year-old male patient who was diagnosed with moderate type of obstructive sleep apnea (OSA) (AHI, 22.8). Cephalometric analysis demonstrates skeletal Class III jaw relation with mandibular prognathism, hyperdivergent facial pattern, Angle’s Class III malocclusion, and anterior cross-bite. Treatment intervention included orthodontic treatment combined with two-jaw orthognathic surgery and genioglossus advancement (GGA). In total treatment period of 14 months, the patient was satisfied with not only the improvement of facial profile and occlusion, but also his sleep quality.

Orthodontic Management Of Angle Class I Malocclusion With Unilateral Mandibular First Molar Loss And Generalized Gingival Recession, Ming-Che Wu, Hsin-Yi Lo, Ming-Ju Lee

Taiwanese Journal of Orthodontics

This case report presents the treatment of Angle Class I malocclusion in a 28-year-old female patient with a missing right mandibular first molar and generalized gingival recession. The treatment plan involved whole-arch distalization in the upper dentition, relief of crowding under the condition of pre-existing gingival recession, space closure of the right mandibular first molar area, with substitution of teeth 47 and 48 for better final occlusion. Anchorage strategies included sequential distalization of upper buccal segment with the aid of temporary anchorage devices before anterior alignment. The closure of the right mandibular first molar space was achieved with uprighting and …

Moving A Maxillary Incisor Across The Midline For Substitution Of Contralateral Missing Incisor In A Multiple Anterior Teeth Missing Patient, Ling-Yu Huang, Chun-Liang Kuo, Chun-Hsiu Yang, Ting-Wei Liu

Taiwanese Journal of Orthodontics

Loss of permanent maxillary incisor causes a significant esthetic problem, and there are various treatment options for rehabilitation. Moving the contralateral tooth across the facial midline for substitution of missing tooth is a possible treatment alternative for closing the maxillary anterior space.

This report presents an unusual treatment for a bimaxillary protrusion patient who typically requires premolar extraction to improve the convex profile. However, due to multiple missing anterior teeth, the left maxillary central incisor was moved across the facial midline to substitute the absent contralateral tooth, resulting in an improved profile after treatment.

The case was an 18-year-old female …

Establishment Of Cephalometric Norms Using Tetragon Analysis In Nepali Adults With Normal Skeletal Relationship, Rashmi Bhattarai, Rabindra Man Shrestha, Jyoti Dhakal

Taiwanese Journal of Orthodontics

Introduction: Cephalometric analysis is a cornerstone in orthodontic diagnosis and treatment planning, enabling precise evaluation of craniofacial structures. Among the various methods, Tetragon analysis offers a unique visual approach to evaluate the maxillo-mandibular relationship. This is based on two geometric constructs, the tetragon representing the maxillo-dento-mandibular complex and the trigon, a complimentary triangle situated above it. Considering the significant genetic and environmental variations in craniofacial development, cephalometric norms established for one population may not be applicable to others.

Objective: This study aimed to establish normative cephalometric values for Tetragon analysis among Nepali adults with normal skeletal relationships.

Materials and Methods: …

Comparative Evaluation Of Trueness And Precision Of Intraoral Scanners For Maxillary Casts In Cleft Lip And Palate: A 3d Study, Rattiya Chuacharoen, Prajak Jariyapongpaiboon, Kaviya Kanokpongsak

Taiwanese Journal of Orthodontics

Objectives: The purpose of this study was to compare the trueness and precision of 5 different intraoral scanning devices in maxillary cleft lip and palate (CLP) models. Material and Methods: One complete unilateral and one complete bilateral CLP model were each scanned by TRIOS E4, a laboratory scanner, and recorded in a standard tessellation language (STL) file as a reference scan. These models were then scanned using five different intraoral machines: TRIOS 4; Straumann Virtuo Vivo; Medit i500; Aoralscan 3; and Panda P2. Each CLP model was scanned 10 times, and the files were saved as test scans. …

The Status Of Fluoridation

West Michigan District Dental Society Bulletin

The future of community water fluoridation is uncertain amid legal action and federal leadership changes. Fluoridation is still recommended by the federal government, with new research following those recommendations affirming previous findings of safety and efficacy, however dentists remain central to public education and advocacy. A link to updated resources from the MDA is included.

Clinical Corner: Pearls From Local Dentists

West Michigan District Dental Society Bulletin

"Clinical Corner" is a section of the WMDDS Bulletin where local dentists share clinical pearls for fellow practitioners.

Topics for this inaugural edition include correcting deep bites, troubleshooting implant complications, and an option for improving extractions.

Wmdds Bulletin Spring 2025

West Michigan District Dental Society Bulletin

In the Spring 2025 issue, the reader will find the following feature articles:

• Advocacy Avenue: "The Status of Fluoridation"
• "WMDDS at the MDA Annual Session"
• "The Shrinking Stack: A Shift Toward Digital in Dental Publications"
• A NEW and highly requested section, Clinical Corner! Each Bulletin will feature 2-4 pearls of clinical wisdom from local dentists and specialists.

Also included are your monthly tripartite update, news from West Michigan counties, the President's Message and Editor's Letter.

Revealing The Role Of Saccharibacteria (Tm7) In The Oral Cavity And Its Potential Applications In Fighting Gum Disease, Tyrese Ostin-Bordeaux

PSU McNair Scholars Online Journal

This study explores the physiology of TM7, a mysterious microbe, in preventing gum disease. A literature review of 42 articles examines TM7's interactions with other microbes, deeming the microbe's behavior could help modulate pathogenic bacteria in the oral cavity as a probiotic.