Small Diameter Implants and Single Visit Endodontics

Smaller Diameter Implants hold the key to future?

WALTHAM, Mass., Feb. 25

The US market for small-diameter implants expanded more than 30% in 2007,according
to Millennium Research Group

Small diameter (less than or equal to 3.0 mm)dental implants are becoming
increasingly popular in the US. Revenues for these implants are growing at a faster
rate than those of regular-diameter(> 3.0 mm) dental implants.

US market for small-diameter dental implants grew more than 30% in
2007, generating over $20 million in revenues. The increasing number of
general practitioners (GPs) incorporating dental implants into their list
of services has contributed significantly to the rising sales of
small-diameter dental implants.

"Patients often prefer the small-diameter to large-diameter dental
implants because they involve less surgical time and are a more
cost-effective option," says Chris Shutsa, Senior Analyst at Millennium
Research Group. "Moreover, small-diameter dental implants usually require
fewer steps to place and can be placed noninvasively, making them a simpler
solution for a clinician new to implantology."

  Although currently only a few manufacturers offer small-diameter dental
implants approved by the Food and Drug Administration (FDA) for long-term
use, more competitors will enter this market over the next five years.

Single visit Endo saves you/patient, time and money

90% of all endo in USA is done in single visit.This high quality research
(randomized trial) by Penesis et al is published in JOE March 2008 issue. Several
studies have clearly shown that single visit root canal treatment should be the goal,
to learn more about single visit endodontics click here

The choice of one-visit versus two-visit root canal therapy for necrotic teeth with apical periodontitis is a source of current debate. The primary objective of this randomized controlled clinical trial was to compare radiographic evidence of periapical healing after root canal therapy completed in one visit or two visits with an interim calcium hydroxide/chlorhexidine paste dressing. Ninety-seven patients met the inclusion criteria and consented to participate in this study. Patients were randomly assigned to either the one-visit or two-visit group, and root canal therapy was performed with a standardized protocol. Patients in the two-visit group received an intracanal dressing of calcium hydroxide/chlorhexidine paste. Sixty-three patients, 33 in the one-visit group and 30 in the two-visit group, were evaluated at 12 months. The primary outcome measure was change in apical bone density by using the periapical index (PAI). Secondary outcome measures were proportion of teeth healed or improved in each group. Both groups exhibited equally favorable periapical healing at 12 months, with no statistically significant differences between groups.

In conclusion, 12 months after initial nonsurgical root canal therapy on necrotic teeth with apical periodontitis, there was no significant difference in radiographic evidence of periapical healing between onevisit
therapy and two-visit therapy with an interim calcium hydroxide/ chlorhexidine paste dressing.

Eat Yogurt to keep your Gums healthy
BEIJING, Feb. 28- Eating yogurt and other foods laden with lactic acid may keep your gums from receding and teeth from falling out, Japanese researchers report.

Dr. Yoshihiro Shimazaki and colleagues found that consuming yogurt and lactic acid drinks was significantly associated with better periodontal health. Shimazaki's team assessed the severity of periodontal disease in 942 men and women, aged 40 to 79 years, and their intake of milk, cheese, and lactic acid foods.

They found that people with generalized (more advanced) periodontal disease had a lower intake of lactic acid foods than people with localized (less advanced) periodontal disease.

Compared with individuals reporting no lactic acid food intake, those eating 55 grams or more of yogurt (half an 6-ounce carton) or lactic acid drinks a day had significantly fewer markers of severe periodontal disease. This study is published in journal of Periodontology.

Esthetic, Implants and Rubber dam

Oh, I do not use rubber dam:

One of my father’s FAVORITE EXPRESSIONS is “If we step back far enough, anything can look OK. But on closer examination, the truth emerges.” (Dr Mounce). Do you know how to use rubber dam, are you using regularly and for certain cases ( learn rubber dam hands on at ICDR ). Do you think you are justified in doing endo without rubber dam. Download this interesting paper to read on this issue.

Use of computer in Esthetic dentistry:

Can computers aid us with our aesthetic and cosmetic dentistry? Remember
dentistry is becoming increasingly dependent upon computers to run
various parts of our practice, but there has until now only been minimal
involvement in the clinical use of computers. The area of aesthetic and
cosmetic dentistry has been virtually ignored by the introduction of
software packages. But before discussing the possible role of computer
technology in aesthetic and cosmetic dentistry it is essential to understand
the basic concepts and facts of aesthetics. To download full article CLICK HERE

Preserving extraction socket for Implant placement:

After dental extraction, a well-characterized process of wound healing occurs that may result in loss of ridge dimensions, compromising ideal implant replacement. The greater the available bone, the larger the implant width and length that can be used, resulting in better cervical esthetics, prognosis, and ease of oral hygiene procedures. Socket preservation procedures at the time of tooth extraction improve the prognosis regarding maintenance of the width and height of remaining bone. Grafting at the time of extraction takes advantage of the regional acceleratory phenomenon that is induced by the trauma of extraction leading to a reduced healing time. To read details of the whole method click on this link.

Lasers and Microimplants in orthodontics

Lasers now are gaining popularity in orthodontic patients. To learn about different types of lasers and their application you can read very useful info on this link http://www.dental-resources.com/dental-lasers.html

Diode lasers are now increasingly being used for frenectomies, gingivoplasty, exposure of impacted teeth and routine disinfection after oral prophylaxis. Beauty of laser is that the procedure is fast and bloodless and makes bonding of attachments fast and easy. To see videos of clinical procedures and power points CLICK HERE.

In a interesting study published in Feb 2008 issue of Angle orthodontists on lasers it was found that CO2 lasers helped ortho patients. Study found that Significant pain reductions were observed with laser treatment from immediately after insertion of separators through day 4, but no differences from the nonirradiated control side were noted thereafter. No significant difference was noted in the amount of tooth movement between the irradiated and nonirradiated group. Full Paper HERE

Call it Microimplant screw anchorage, Skeletal achorage (SAS) or Temporary Anchorage devices (TAD), name does not matter, but it sure has revolutionised orthodontic treatment and opened treatment possibilities and modalities that did not exist so far. Many cases that we refused can now be taken up for treatment. One particular area which is fascinating is intrusion of molars in open bite cases. You can learn a lot and see different cases here

Start using Microimplants today and you will enjoy doing your ortho. email icdr@hotmail.com for more or if you have any questions or if you want to learn hands on.

Dairy products promote perio health
Consumers have long known that including dairy in their diets can help maintain healthy bones and even help promote weight loss. However, a recent study published in the January issue of the Journal of Periodontology, the official publication of the American Academy of Periodontology (AAP), demonstrated that routine intake of dairy products may also help promote periodontal health. More HERE

Keeping writing and sending your feedback.

Botox and Antibiotics in Dentistry

Botox is injected to remove wrinkles from face. I have read that some dental clinic also offer this service in their clinic. To learn more about botox CLICK HERE.

There is an interesting article published in Feb 2008 issue of American Journal of orthodontics and DO about use of BOTOX in cases of upper short lip. Effects of botox treatment last only about 4 months. They concluded: BTX-A injections for the neuromuscular correction of gummy smiles caused by hyperfunctional upper lip elevator muscles was effective and statistically superior to baseline smiles, although the effect is transitory.
Full abstract is here.

But now FDA has issued warning on use of BOTOX and similar products, read on:

The popular anti-wrinkle drug Botox and a competitor have been linked to dangerous botulism symptoms in some users, cases so bad that a few children given the drugs for muscle spasms have died, the government warned Friday 8 Feb, 2008.

The U.S. Food and Drug Administration's warning includes Botox, a wrinkle-specific version called Botox Cosmetic, and its competitor, Myobloc, drugs that all use botulinum toxin to block nerve impulses, causing them to relax. Full news here.

For learning state of art Rotary endo click here,
To attend a training in USA call 91 94481 91202

Antibiotics before Dental procedures are not needed in most patients:

According to new guidelines, far fewer people need preventive antibiotics before dental procedures than previously recommended, according to the February issue of Mayo Clinic Women's HealthSource.

The use of preventive antibiotics for people with certain heart conditions stemmed from worries about endocarditis. That condition is an infection of the thin membrane that lines the chambers and valves inside the heart, called the endocardium. Endocarditis occurs when bacteria or germs from another part of the body, such as the mouth, enter the bloodstream and travel to the heart and attach to abnormal heart valves or damaged heart tissue.

"Preventive antibiotics before dental work are now recommended only for people who, if they develop endocarditis, are more likely to die or have serious complications," says Walter Wilson, M.D., an infectious diseases specialist at Mayo Clinic. Dr. Wilson headed the AHA committee that recently revised the guidelines.

Preventive antibiotics are no longer recommended for many people who have common heart conditions such as mitral valve prolapse or rheumatic heart disease. Before their next dental visit, patients who have taken preventive antibiotics should check with a doctor or dentist to discuss the guideline changes and determine if the medication is necessary.