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Treat the Whole Person

Understand everything that impacts your patients’ oral health, including sleep, diabetes and HPV. View all courses.

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  • Influence of 2 caries-detecting devices on clini...
  • Effect of an experimental desensitizing agent on...
  • Opioid prescribing practices from 2010 through 2...
  • Outbreak of bacterial endocarditis associated wi...
  • Understanding patients’ oral health information ...
  • Periodontal status of current methamphetamine us...
  • Digital versus conventional impressions for full...


Influence of 2 caries-detecting devices on clinical decision making and lesion depth for suspicious occlusal lesions

April 2018
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.


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Effect of an experimental desensitizing agent on reduction of bleaching-induced tooth sensitivity

April 2018
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.


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Opioid prescribing practices from 2010 through 2015 among dentists in the United States

April 2018
Dentists wrote 6.4% of all opioid prescriptions in the United States in 2012. The purpose of this study was to examine opioid prescription rates, dosage of opioids prescribed, type of opioid drug prescribed, and type of dental visit at which dentists prescribe opioids. The authors used the 2010 through 2015 Truven Health Marketscan Research databases and the Prescription Drug Monitoring Program (PDMP) Training and Technical Assistance Center conversion data set. The authors conducted descriptive analyses for days’ supply, quantity prescribed, and daily morphine milligram equivalent dose.

Key Words. Opioids; prescriptions; dentists.


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Outbreak of bacterial endocarditis associated with an oral surgery practice

March 2018
In October and November 2014, the New Jersey Department of Health received reports of 3 patients who developed Enterococcus faecalis endocarditis after undergoing surgical procedures at the same oral surgery practice in New Jersey. Bacterial endocarditis is an uncommon but lifethreatening condition; 3 patients with enterococcal endocarditis associated with a single oral surgery practice is unusual. An investigation was initiated because of the potential ongoing public health risk. Public health officials conducted retrospective surveillance to identify additional patients with endocarditis associated with the practice. They interviewed patients using a standardized questionnaire. An investigative public health team inspected the office environment, interviewed staff, and reviewed medical records.

Key Words. Endocarditis; Enterococcus faecalis; health careeassociated outbreak; infection control; injection safety.


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Understanding patients’ oral health information needs

March 2018
Patient engagement through web-based patient health portals (PHP) can offer important benefits to patients and provider organizations by improving both quality and access to care. The authors studied the most relevant, patient-identified, oral health information available in the PHP to inform their assessment of patient-centered care. The authors distributed a 17-question, paper-based survey to patients aged 18 through 80 years in the waiting rooms of 8 dental centers in Wisconsin. Descriptive statistics, along with differences in percentages by sex, age group, and metropolitan status were reported using the c2 and Wilcoxon rank sum test.

Key Words. Patient-centered care; electronic health records; patient portals; surveys and questionnaires; oral health.


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Periodontal status of current methamphetamine users

March 2018
Methamphetamine (MA) use is associated with extensive dental caries. The purpose of this study was to determine the prevalence and severity of periodontal disease in a convenience sample of MA users. In this cross-sectional survey, MA users were recruited with a combination of snowball sampling and street outreach techniques. Three dentists, trained and calibrated to the oral assessments used in the National Health and Nutrition Survey, measured and recorded the participants’ attachment loss, probing depth, and gingival recession. Concomitant interviews elicited psychological, substance use, medication, and dietary habits associated with MA use.

Key Words. Epidemiology; dental public health; methamphetamine; periodontitis.


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Digital versus conventional impressions for full-coverage restorations

February 2018
The primary objective of this systematic review was to investigate the survival of full-coverage restorations fabricated by using digital impressions (DIs) versus that of those fabricated by using conventional impressions. The authors also compared secondary outcomes of marginal and internal fit and occlusal and interproximal contacts. The authors conducted a systematic literature search in multiple databases to identify clinical trials with no restrictions by publication type, date, or language. The authors assessed study-level risk of bias and outcome-level strength of evidence. The authors performed a meta-analysis by using a random-effects model.

Key Words. Crowns survival; CAD-CAM; marginal adaptation; internal fit; systematic review; meta-analysis.


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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.

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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.