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2015 Articles


 


Dental disease patterns in methamphetamine users
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 12/01/2015
/education/ViewCourse.aspx?id=154|40601
Description:

December 2015
The authors used a large community sample of methamphetamine (MA) users to verify the patterns and severity of dental disease and establish a hierarchy of caries susceptibility by tooth type and tooth surface. Using a stratified sampling approach, 571 MA users received comprehensive oral examinations and psychosocial assessments. Three calibrated dentists characterized dental and periodontal disease by using National Health and Nutrition Examination Survey protocols. The authors also collected data on substance use history and other attributes linked to dental disease.

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Mobile health application for remote oral cancer surveillance
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 12/01/2015
/education/ViewCourse.aspx?id=155|34037
Description:

December 2015
To determine the effectiveness of a mobile phone–based remote oral cancer surveillance program (Oncogrid) connecting primary care dental practitioners and frontline health care workers (FHW) with oral cancer specialists. The study population (N = 3,440) included a targeted cohort (n = 2,000) and an opportunistic cohort (n = 1,440) screened by FHW and dental professionals, respectively. The authors compared the screening efficacy in both groups, with specialist diagnosis considered the reference standard. The outcomes measured were lesion detection and capture of interpretable images of the oral cavity.

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Repair or replacement of restorations
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 12/01/2015
/education/ViewCourse.aspx?id=156|34038
Description:

December 2015
A prospective cohort study that included dentists in The National Dental Practice-Based Research Network was conducted to quantify 12-month failures of restorations that were repaired or replaced at baseline. The study tested the hypothesis that no significant differences exist in failure percentages between repaired and replaced restorations after 12 months. It also tested the hypothesis that certain dentist, patient, and restoration characteristics are significantly associated with the incidence of restoration failure. Dentists recorded data for 50 or more consecutive defective restorations. The restorations that were either repaired or replaced were recalled after 12 months and characterized for developing defects.

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Antiplatelet therapy and exodontia
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 11/01/2015
/education/ViewCourse.aspx?id=151|34031
Description:

November 2015
This is a review of the management considerations regarding exodontia for patients taking antithrombotic medications that affect platelet function or aggregation. The authors reviewed the literature, focusing on the indications and mechanisms of antiplatelet therapy and the perioperative management of patients taking these agents who require exodontia or other dentoalveolar surgery.

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The effect of education debt on dentists’ career decisions
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 11/01/2015
/education/ViewCourse.aspx?id=153|34035
Description:

November 2015
The purpose of the study was to determine whether there is an association between the amount of education debt on completing dental school (initial debt) and certain career decisions. The authors surveyed 1,842 practicing dentists who completed dental school between 1996 and 2011 to ascertain their initial education debt, the balance on their debt in 2013, and a variety of specialization and practice decisions made during their careers. Data also included demographic characteristics and parental income and education levels.

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Mandibular molar protraction as an alternative treatment for edentulous spaces
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 11/01/2015
/education/ViewCourse.aspx?id=152|34034
Description:

November 2015
The authors conducted a retrospective cohort study to investigate external apical root resorption (EARR) and alveolar bone loss (ABL) after protraction of the mandibular molars by using miniscrews. The authors protracted 51 mandibular molars in 37 adults into an edentulous area by using sliding mechanics with a lever arm or a miniscrew-supported root spring. The authors measured root length and alveolar bone height on panoramic radiographs and corrected according to the crown length registration method. The authors measured the amounts of crown movement (CM) and root movement (RM) on the superimposed lateral cephalometric radiographs along the mandibular occlusal plane. The authors used a linear mixed model to determine the risk factors for EARR and ABL.

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Prevalence of pain in the orofacial regions in patients visiting general dentists
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 10/01/2015
/education/ViewCourse.aspx?id=148|34039
Description:

October 2015
This study aimed to measure prevalence of pain in the orofacial regions and determine association with demographics, treatment history, and oral health conditions in dental patients visiting clinics in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT) research network. Data were recorded in a survey with systematic random sampling of patients (n = 1,668, 18 to 93 years old, 56% female) visiting 100 general dentists in the Northwest PRECEDENT research network. Prevalence ratios (PR) of orofacial pain by each variable were estimated by generalized estimating equations for Poisson regression.

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Risk of lingual plate perforation for virtual immediate implant placement in the posterior mandible
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 10/01/2015
/education/ViewCourse.aspx?id=149|34032
Description:

October 2015
This study sought to determine which factors are correlated to a higher risk of lingual plate perforation (LPP) when placing a virtual implant in the area of the anticipated extraction site of the posterior mandible. Computed tomographic images of 300 patients (1,279 teeth) were analyzed in regard to the shape of the mandible (convergent, parallel, or undercut type), dimensional parameters of lingual concavity (angle, height, depth) and its relation to the inferior alveolar canal (zones A, B, C), distance from root apex to inferior alveolar canal, and probability of LPP. The odds ratio of variables was determined by multiple logistic regression modeling.

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Tensile bond strength of different universal adhesive systems to lithium disilicate ceramic
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 10/01/2015
/education/ViewCourse.aspx?id=150|34033
Description:

October 2015
Today, many adhesive systems with different coupling agents for tooth structures and restorative materials are available. The purpose of this in vitro study was to evaluate the tensile bond strength (TBS) of different universal adhesive systems to etched lithium disilicate ceramic. The authors etched and bonded 96 disk-like lithium disilicate ceramic specimens (IPS e.max CAD, Ivoclar Vivadent) with 4 different adhesive bonding systems to Plexiglas tubes filled with a composite resin. The authors stored the specimens in water at 37C for 3 days without thermal cycling or for 30 or 150 days with 7,500 or 37,500 thermal cycles between 5C and 55C, respectively. Then, all specimens underwent TBS testing. The authors performed statistical analysis by using Kruskal-Wallis and Wilcoxon tests with a Bonferroni-Holm correction for multiple testing.

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A practical approach to evidence-based dentistry: IX
Member Price: $5.00
CE Credit(s): 1
Retail Price: $40.00
Course Created on: 09/01/2015
/education/ViewCourse.aspx?id=145|34028
Description:

September 2015
In everyday practice, dentists face clinical decisions for which they need to consider both treatment consequences (that is, benefits and harms) and costs. Economic analysis is a study design in which investigators evaluate and compare the costs and consequences of different treatment alternatives within a defined period. A critical appraisal of such studies includes an assessment of the risk of bias, results, and applicability of the study. The authors provide the concepts and guidelines that dentists can apply to critically appraise economic analyses.

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