- Predictable and Practical Posterior Composites
- Baking Soda Dentifrices: Benefits for Oral Healt...
- Assessment of inappropriate antibiotic prescribi...
- Opioid prescribing and risk mitigation implement...
- Mission of Mercy patient characteristics and den...
- Influence of 2 caries-detecting devices on clini...
- Effect of an experimental desensitizing agent on...
Predictable and Practical Posterior Composites
This course discusses options for bulk fill composites that provides create quality restorations that are an aesthetic improvement, efficient, and affordable. The course include a live patient demonstration of the entire process from anesthesia through polishing. Also included is an article from the journal of Clinical Oral Investigations that reviews and analyses the performance of bulk-fill and conventional resin composite restorations in posterior teeth.
This course is sponsored by Bisco.
Baking Soda Dentifrices: Benefits for Oral Health
This program is based on a compilation of numerous reports based on research of the effects of sodium bicarbonate (baking soda) as a dentifrice ingredient. This program provides information of value to dental practitioners on the benefits of baking soda dentifrices on oral health. This information is applicable to our daily practice of dentistry in which the cornerstone of all our therapy is effective control of biofilm by our patients. This program summarizes the efficacy and safety of baking soda-containing dentifrices for a variety of uses. In reviewing the evidence presented, the following summary statements are appropriate:
- The low abrasivity of dentifrices containing baking soda makes them especially suited for safe daily use in oral hygiene regimens.
- Microbiological studies have shown that baking soda products have significant bactericidal activity against oral pathogens which explains benefits demonstrated in clinical studies on plaque biofilm and gingivitis reduction.
- Baking soda dentifrices favor patient compliance because they have stain reducing and whitening properties, a feature which motivates patients to brush as instructed by their oral care practitioner.
- Neutralization of plaque acids by baking soda supports caries reduction as well as facilitation of remineralization of incipient carious lesions.
This course is sponsored by Arm & Hammer.
Assessment of inappropriate antibiotic prescribing among a large cohort of general dentists in the United States
The purpose of this study was to assess dental antibiotic prescribing trends over time, to quantify the number and types of antibiotics dentists prescribe inappropriately, and to estimate the excess health care costs of inappropriate antibiotic prescribing with the use of a large cohort of general dentists in the United States. We used a quasi-Poisson regression model to analyze antibiotic prescriptions trends by general dentists between January 1, 2013, and December 31, 2015, with the use of data from Express Scripts Holding Company, a large pharmacy benefits manager. We evaluated antibiotic duration and appropriateness for general dentists. Appropriateness was evaluated by reviewing the antibiotic prescribed and the duration of the prescription.
Key Words. Antibiotics; dentistry; prophylaxis; treatment; epidemiology; public health.
Opioid prescribing and risk mitigation implementation in the management of acute pain
Minimal information exists regarding the consistency and correlates of dentists’ implementation of risk mitigation strategies when prescribing opioids, including risk screening, prescription drug monitoring program (PDMP) use, and patient education. The authors conducted a Web-based, cross-sectional survey among practicing dentist members of The National Dental Practice-Based Research Network. The authors used the survey to assess pain management prescribing practices and risk mitigation implementation. The authors linked survey data with network enrollment questionnaire data to include practitioner demographic and practice characteristics.
Key Words. Pain; patient education; prescriptions; drug.
Mission of Mercy patient characteristics and dental-related emergency department use
Although dental Mission of Mercy (MOM) events have existed for more than 2 decades and are held in more than 30 states, systematic data collection and reporting on patient characteristics, oral health care use patterns, and oral health care needs are lacking. The authors surveyed patients attending the 2016 Florida MOM, asking about their reasons for seeking oral health care, oral health care use, and dental-related emergency department (ED) use. The authors conducted descriptive and multivariable analyses of survey and patient registration data to describe patient characteristics and examine associations between patient characteristics, time to last dental visit, and ED use.
Key Words. Access to oral health care; emergency services; oral health; vulnerable populations; Mission of Mercy.
Influence of 2 caries-detecting devices on clinical decision making and lesion depth for suspicious occlusal lesions
A suspicious occlusal carious lesion (SOCL) can be defined as a lesion with no cavitation and no radiographic radiolucency but for which caries is suspected. The authors evaluated whether using a device changed the percentage of SOCLs that were opened surgically and, among those SOCLs that were opened, the proportion that had penetrated into dentin. Eighty-two dentists participated. In phase 1 of the study, dentists identified approximately 20 SOCLs, obtained patient consent, and recorded information about the lesion, treatment or treatments, and depth, if opened. Dentists were then randomly assigned into 1 of 3 groups: no device, DIAGNOdent (KaVo), and Spectra (Air Techniques). In phase 2, dentists enrolled approximately 20 additional patients and recorded the same phase 1 information while using the assigned device to help make their treatment decisions. A mixed-model logistic regression was used to determine any differences after randomization in the proportion of lesions opened and, if opened, the proportion of lesions that penetrated into dentin.
Key Words. Evidence-based dentistry; caries; dentin.
Effect of an experimental desensitizing agent on reduction of bleaching-induced tooth sensitivity
In this randomized study, split-mouth, triple-blind clinical trial, the authors evaluated the efficacy of a desensitizing gel that contained 5% potassium nitrate and 5% glutaraldehyde applied before in-office bleaching with 35% hydrogen peroxide (HP). Treatment with the desensitizing or placebo control gels was randomly assigned to one-half of the maxillary teeth of 42 patients in a split-mouth design. The desensitizing gels were applied and maintained in contact with the tooth enamel for 10 minutes, followed by 2 HP bleaching sessions separated by 1 week. The primary outcome variable was pain intensity assessed with a numeric rating scale and a visual analog scale. Color was evaluated by means of a digital spectrophotometer and a value-oriented shade guide.
Key Words. Tooth bleaching; dentin sensitivity; randomized controlled clinical trial; hydrogen peroxide.
About ADA CE Online
ADA’s Online CE platform provides trusted education to dental professionals at your convenience. Our ever-growing catalog of clinical, practice management, and personal development education offers peer-reviewed continuing education credits to fit your resources and schedule. Credits earned through this platform are maintained for all users in an online transcript that you can access when you need your verification letters.
The ADA is a CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.