Treat the Whole Person
Understand everything that impacts your patients’ oral health, including sleep, diabetes and HPV. View all courses.
- Clinical Complications In Fixed Prosthodontics: ...
- All-Ceramic and Metal-Ceramic Restorations for O...
- Clinical Complications In Fixed Prosthodontics: ...
- Clinical Complications In Fixed Prosthodontics: ...
- Clinical Complications In Fixed Prosthodontics: ...
- Clinical Complications In Fixed Prosthodontics: ...
- All-Ceramic and Metal-Ceramic Restorations for O...

Clinical Complications In Fixed Prosthodontics: Causes, Prevention, and Management, Part 3
The most common clinical complications associated with resin bonded prostheses are identified along with methods of minimizing or preventing them. Methods of managing the complications are described when they do occur.
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All-Ceramic and Metal-Ceramic Restorations for Optimal Esthetics Part 1
Metal-ceramic crowns have been widely and successfully used to many decades but today there are more all-ceramic restorations being placed. This presentation will compare the two types of restorations based on the factors most important to dentists and their patients.
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Clinical Complications In Fixed Prosthodontics: Causes, Prevention, and Management, Part 2
The most common clinical complications associated with all-ceramic crowns are identified along with methods of minimizing or preventing them. Methods of managing the complications are described when they do occur.
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Clinical Complications In Fixed Prosthodontics: Causes, Prevention, and Management, Part 4
Soft tissue complications present biologic problems that can lead to bone and implant loss and this presentation will discuss the factors that cause such problems occur and how they could have been minimized or avoided.
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Clinical Complications In Fixed Prosthodontics: Causes, Prevention, and Management, Part 5
A large number of mechanical complications have been reported in the dental literature that could have been prevented through proper planning and design. This presentation will review the complications and discuss how to avoid unfavorable loading.
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Clinical Complications In Fixed Prosthodontics: Causes, Prevention, and Management, Part 1
The most common clinical complications associated with metal-ceramic and all-metal restorations are identified along with methods of minimizing or preventing them. Methods of managing the complications are described when they do occur.
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All-Ceramic and Metal-Ceramic Restorations for Optimal Esthetics Part 2
There are a number of factors that must be determined both during diagnosis and during treatment to provide optimal success with all-ceramic crowns. This presentation will describe these factors that optimize success.
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- 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...
- Opioid prescribing practices from 2010 through 2...
- Outbreak of bacterial endocarditis associated wi...

Assessment of inappropriate antibiotic prescribing among a large cohort of general dentists in the United States
May 2018
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.
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Opioid prescribing and risk mitigation implementation in the management of acute pain
May 2018
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.
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Mission of Mercy patient characteristics and dental-related emergency department use
May 2018
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.
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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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- Intrapocket topical anesthetic versus injected a...
- Baking Soda Dentifrices and Oral Health - Nov 20...
- Impression evaluation and laboratory use for sin...
- The relationship between education debt and care...
- The association between diabetes mellitus, sugar...
- Trends in dental caries in children and adolesce...
- Surface characteristics and lesion depth and act...

Intrapocket topical anesthetic versus injected anesthetic for pain control during scaling and root planing in adult patients
November 2017
In this systematic review and metaanalysis, the authors evaluated the pain
during scaling and root planing with use of topical anesthetic versus that with
the use of injected anesthetic in adult patients. The authors searched 6
databases for randomized clinical trials in which the investigators compared the
clinical effectiveness of intrapocket and injectable anesthetics. The primary
outcome was the risk of developing pain or intensity of pain. Quality assessment
followed the guidelines from the Cochrane Collaboration’s risk-of-bias tool. The
authors performed meta-analyses on studies considered at low and unclear risk of
bias.
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Baking Soda Dentifrices and Oral Health - Nov 2017 Supplement
November 2017
This six article annual JADA supplement explores the
benefits of baking soda and oral health. This supplement has been sponsored by
Church & Dwight Co., Inc. All content has been peer reviewed by the
designated editors of The Journal of the American Dental Association (JADA). The
opinions or views expressed in this supplement are those of the authors, and do
not necessarily reflect the opinions or views of The Journal, Church &
Dwight Co., Inc., or those of the American Dental Association.
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Impression evaluation and laboratory use for single-unit crowns
November 2017
Objectives were to determine the likelihood that a clinician accepts an
impression for a single-unit crown and document crown remake rates. The authors
developed a questionnaire that asked dentists about techniques used to fabricate
single-unit crowns. The authors showed dentists photographs of 4 impressions and
asked them to accept or reject each impression. The authors correlated answers
with dentist and practice characteristics. Other questions pertained to
laboratory use and crown remake rates.
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The relationship between education debt and career choices in professional programs
November 2017
The authors examined the relationship between education debt and career
choice, particularly dentists’ decisions to specialize, participate in public
health insurance programs, and join dental management service organizations
(DMSOs). The authors used data from the American Dental Association 2015 office
database, which contains dentist demographic information and identifies dentists
who participate in public health insurance programs for pediatric dental care
services. The authors merged this database with the 2002-2015 American Dental
Association Survey of Dental Graduates, which contains information about
education debt, to assess the relationship between education debt and career
choices. The authors used probit and multinomial logit models to determine the
relationships among education debt, demographic characteristics, and dentist
career choices.
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The association between diabetes mellitus, sugar-sweetened beverages, and tooth loss in adults
July 2017
Sugar-sweetened beverages (SSBs) are dietary sources of
sugar that are factors in caries development and tooth loss. Dietary sugar also
is linked to diabetes mellitus (DM). There is limited research related to SSBs
and tooth loss in people with DM. The authors investigated the association
between SSBs and tooth loss as it related to the presence or absence of DM. The
authors used a cross-sectional design with data reported by adults (18 years and
older) who responded to the 2012 Behavior Risk Factor Surveillance System
questionnaire, which was used in 18 states (N =
95,897; 14,043 who had
DM and 81,854 who did not have DM). The
authors conducted c2 and logistic regression analyses to determine associations
related to DM status.
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Trends in dental caries in children and adolescents according to poverty status in the United States from 1999 through 2004 and from 2011 through 2014
August 2017
Except for a small increase in caries prevalence in young
children from 1999 through 2004, the prevalence of pediatric caries in the
United States has remained consistent for the past 3 decades. The authors used
data from the National Health and Nutrition Examination Survey (NHANES) (from
1999 through 2004 and from 2011 through 2014) to ascertain changes in caries
prevalence in youth aged 2 to 19 years. The authors evaluated changes in the
prevalence of caries experience, untreated caries, and severe caries (3 or more
teeth with untreated caries) in the primary, mixed, and permanent dentition
according to poverty status.
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Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions
December 2017
A lesion on an
occlusal tooth surface with no cavitation and no radiographic radiolucency but
in which caries is suspected owing to surface roughness, opacities, or staining
can be defined as a suspicious occlusal carious lesion (SOCL). The authors’
objective was to quantify the characteristics of SOCLs and their relationship to
lesion depth and activity after these lesions were opened surgically.
Ninety-three dentists participated in the study. When a consenting patient had
an SOCL, information was recorded about the tooth, lesion, treatment provided,
and, if the SOCL was opened surgically, its lesion depth. The Rao-Scott
cluster-adjusted c2 test was used to evaluate associations between lesion depth
and color, roughness, patient risk, and luster.
Key Words. Evidence-based dentistry; carious lesions; dentin.
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