Impants, Orthodontics update and More
Plasma Dental Probe destroys oral bacteria
Biofilms are responsible for many hard-to-fight infections in the mouth and elsewhere. But in the study, biofilms cultivated in the root canal of extracted human teeth were easily destroyed with the plasma dental probe, as evidenced by scanning electron microscope images of near-pristine tooth surfaces after plasma treatment.
Though it looks like a tiny purple blowtorch, a pencil-sized plume of plasma on the tip of a small probe remains at room temperature as it swiftly dismantles tough bacterial colonies deep inside a human tooth. But it's not another futuristic product of George Lucas' imagination. It's the exciting work of USC School of Dentistry and Viterbi School of Engineering researchers looking for new ways to safely fight tenacious biofilm infections in patients – and it could revolutionize many facets of medicine. More HERE
Play computer game to learn Dental implant Techniques
A realistic computer game will soon be used to help dental students worldwide learn and reinforce dental implant procedures.
The implant simulation game uses multiple patients and clinical scenarios that can be randomly selected, letting students interact with virtul patients by asking about their medical history, examining them and arriving at a diagnosis. Like humans, the virtual patients have different personalities, and students must tailor treatment based on the mental, physical and emotional needs of the individual. More Here
New Method of treatment for Class II malocclusion
Throughout the years, various treatment modalities have been presented for the treatment of Class II Division 1 malocclusions. The goal of this paper is to present a treatment approach that involves the extraction of the maxillary first molars followed by use of fixed appliances with low-friction brackets. This treatment approach has proven to be an efficient treatment modality for Class II Division 1 malocclusions, especially with noncompliant patients. World J Orthod 2009;10:41–48.
MIA-assisted orthodontic treatment works great in patients with periodontal disease: World J Orthod 2009;10:49–56.
In contemporary dental care, an increasing number of adult patients with periodontal disease are seeking orthodontic treatment. Achieving optimal results in such adult patients is difficult because decreased posterior tooth anchorage is risky. This case report demonstrates the use of miniscrew implant anchorage (MIA) in a Chinese male 21 years 5 months of age with maxillary and mandibular anterior dental spacing, bimaxillary protrusion, and severe bone loss caused by periodontal disease. Prior to orthodontic treatment, the patient underwent treatment to control his periodontitis. The patient was treated with 0.022-in straight-wire orthodontic appliances. After 17 months of active orthodontic treatment, the patient had healthier periodontal tissue with increased bone support, as well as improved facial esthetics and a functional occlusion. The results demonstrate that MIA is useful in enhancing anchorage in patients with bone loss associated with severe periodontal disease.
Comprehensive review on use of Lasers in Orthodontics CLICK Here
New Design Implant better and has less marginal bone Loss
Clinical Oral Implants Research, Published Online: 7 Jun 2009
Objectives: An intra-individual controlled clinical trial was conducted to evaluate and compare the amount of marginal bone loss (MBL) found around implants of a comparable design, with or without retention grooves (microthreads) or polished necks, during the early stages of healing.
Materials and methods: Forty-eight (48) patients with missing mandibular posterior teeth were treated with two commercially available implants of the same brand (MIS): one with microthreads (S-model) and the other with a polished neck (L-model). MBL around each implant was measured on follow-up radiograms taken 4 months after placement (exposure and crown cementation), and 6 and 12 months after loading.
Results: Forty-six (46) patients completed the study, making 46 implant pairs available for statistical analysis. None of the implants failed to integrate. All the implants displayed some extent of bone loss throughout the follow-up period. At each time point (exposure, 6 and 12 months after loading), the S-model implants displayed statistically significant lower amounts of bone loss (0.22 vs. 0.76, 0.57 vs. 1.22 and 0.9 vs. 1.5 mm, respectively). Other than the type of the implant, no correlation was found between MBL and the implant stability values (PerioTest), dimensions, site of insertion or any of the other collected variables.
Conclusions: Implants with a roughened neck surface and microthreads are more resistant to MBL during the first phases of healing, as compared with implants with a polished neck.
Comparison of Internal hex v/s external hex in dental implants
Clinical Implant Dentistry and Related Research,Published Online: 12 May 2009
Purpose: The purpose of this study was to evaluate stress transfer patterns between implant–tooth-connected prostheses comparing rigid and semirigid connectors and internal and external hexagon implants.
Materials and Methods: Two models were made of photoelastic resin PL-2, with an internal hexagon implant of 4.00 × 13 mm and another with an external hexagon implant of 4.00 × 13 mm. Three denture designs were fabricated for each implant model, incorporating one type of connection in each one to connect implants and teeth: 1) welded rigid connection; 2) semirigid connection; and 3) rigid connection with occlusal screw. The models were placed in the polariscope, and 100-N axial forces were applied on fixed points on the occlusal surface of the dentures.
Results: There was a trend toward less intensity in the stresses on the semirigid connection and solid rigid connection in the model with the external hexagon; among the three types of connections in the model with the internal hexagon implant, the semirigid connection was the most unfavorable one; in the tooth–implant association, it is preferable to use the external hexagon implant.
Conclusions: The internal hexagon implant establishes a greater depth of hexagon retention and an increase in the level of denture stability in comparison with the implant with the external hexagon. However, this greater stability of the internal hexagon generated greater stresses in the abutment structures. Therefore, when this association is necessary, it is preferable to use the external hexagon implant.
Gastric Reflux is a Significant Causative Factor of Tooth Erosion
Journal of Dental Research, Vol. 88, No. 5, 422-426 (2009)
Dental erosion is caused by dietary or gastric acid. This study aimed to examine the location and severity of tooth erosion with respect to causative factors, and to determine whether the clinical pattern of erosion reflected the dominant etiological factor. The study involved 249 Icelandic individuals and included: a detailed medical history; clinical oral examination; salivary sampling, and analysis for flow rate, pH, and buffering capacity. Reflux was assessed in 91 individuals by gastroscopy, esophageal manometry, and 24-hour esophageal-pH monitoring. Reflux symptoms were reported by 36.5% individuals. Manometry results were abnormal in 8% of study participants, abnormal esophageal pH in 17.7%, and a pathological 24-hour pH recording in 21.3%. 3.6% were positive for Helicobacter pylori. Normal salivary flow was found in 92%, but low salivary buffering (10.4%) was associated with erosion into dentin (P < style="font-weight: bold;">Significant associations were found between erosion and diagnosed reflux disease (OR 2.772; P < style="color: rgb(255, 0, 0);">
Over Half Of People With Rheumatoid Arthritis Have Periodontitis
Over half (56%) of people with rheumatoid arthritis (RA) also have periodontitis (a chronic inflammatory disease of the gum and surrounding ligaments and bones that hold the teeth in place), displaying fewer teeth than healthy matched controls, high prevalence of oral sites presenting dental plaque and advanced attachment loss (the extent of periodontal support that has been destroyed around a tooth) (chi square p<0.05), style="font-weight: bold;">with RA who did not exhibit periodontitis (r=0.84, p<0.05; r="0.78," style="font-weight: bold;">significant improvement in periodontal status was seen in 20 (80%) of the 25 participants (mean age 41.5+3.7 years; mean disease duration 7.2+4.8 years), suggesting that the biological therapy may also be able to modulate the inflammatory process in the periodontium (the tissues investing and supporting the teeth, including the cementum, periodontal ligament, alveolar bone, and gingival / gums). Moderate to Severe Periodontitis may be a Risk Factor for Developing RA in Non-Smokers. More HERE
Biofilms are responsible for many hard-to-fight infections in the mouth and elsewhere. But in the study, biofilms cultivated in the root canal of extracted human teeth were easily destroyed with the plasma dental probe, as evidenced by scanning electron microscope images of near-pristine tooth surfaces after plasma treatment.
Though it looks like a tiny purple blowtorch, a pencil-sized plume of plasma on the tip of a small probe remains at room temperature as it swiftly dismantles tough bacterial colonies deep inside a human tooth. But it's not another futuristic product of George Lucas' imagination. It's the exciting work of USC School of Dentistry and Viterbi School of Engineering researchers looking for new ways to safely fight tenacious biofilm infections in patients – and it could revolutionize many facets of medicine. More HERE
Play computer game to learn Dental implant Techniques
A realistic computer game will soon be used to help dental students worldwide learn and reinforce dental implant procedures.
The implant simulation game uses multiple patients and clinical scenarios that can be randomly selected, letting students interact with virtul patients by asking about their medical history, examining them and arriving at a diagnosis. Like humans, the virtual patients have different personalities, and students must tailor treatment based on the mental, physical and emotional needs of the individual. More Here
New Method of treatment for Class II malocclusion
Throughout the years, various treatment modalities have been presented for the treatment of Class II Division 1 malocclusions. The goal of this paper is to present a treatment approach that involves the extraction of the maxillary first molars followed by use of fixed appliances with low-friction brackets. This treatment approach has proven to be an efficient treatment modality for Class II Division 1 malocclusions, especially with noncompliant patients. World J Orthod 2009;10:41–48.
MIA-assisted orthodontic treatment works great in patients with periodontal disease: World J Orthod 2009;10:49–56.
In contemporary dental care, an increasing number of adult patients with periodontal disease are seeking orthodontic treatment. Achieving optimal results in such adult patients is difficult because decreased posterior tooth anchorage is risky. This case report demonstrates the use of miniscrew implant anchorage (MIA) in a Chinese male 21 years 5 months of age with maxillary and mandibular anterior dental spacing, bimaxillary protrusion, and severe bone loss caused by periodontal disease. Prior to orthodontic treatment, the patient underwent treatment to control his periodontitis. The patient was treated with 0.022-in straight-wire orthodontic appliances. After 17 months of active orthodontic treatment, the patient had healthier periodontal tissue with increased bone support, as well as improved facial esthetics and a functional occlusion. The results demonstrate that MIA is useful in enhancing anchorage in patients with bone loss associated with severe periodontal disease.
Comprehensive review on use of Lasers in Orthodontics CLICK Here
New Design Implant better and has less marginal bone Loss
Clinical Oral Implants Research, Published Online: 7 Jun 2009
Objectives: An intra-individual controlled clinical trial was conducted to evaluate and compare the amount of marginal bone loss (MBL) found around implants of a comparable design, with or without retention grooves (microthreads) or polished necks, during the early stages of healing.
Materials and methods: Forty-eight (48) patients with missing mandibular posterior teeth were treated with two commercially available implants of the same brand (MIS): one with microthreads (S-model) and the other with a polished neck (L-model). MBL around each implant was measured on follow-up radiograms taken 4 months after placement (exposure and crown cementation), and 6 and 12 months after loading.
Results: Forty-six (46) patients completed the study, making 46 implant pairs available for statistical analysis. None of the implants failed to integrate. All the implants displayed some extent of bone loss throughout the follow-up period. At each time point (exposure, 6 and 12 months after loading), the S-model implants displayed statistically significant lower amounts of bone loss (0.22 vs. 0.76, 0.57 vs. 1.22 and 0.9 vs. 1.5 mm, respectively). Other than the type of the implant, no correlation was found between MBL and the implant stability values (PerioTest), dimensions, site of insertion or any of the other collected variables.
Conclusions: Implants with a roughened neck surface and microthreads are more resistant to MBL during the first phases of healing, as compared with implants with a polished neck.
Comparison of Internal hex v/s external hex in dental implants
Clinical Implant Dentistry and Related Research,Published Online: 12 May 2009
Purpose: The purpose of this study was to evaluate stress transfer patterns between implant–tooth-connected prostheses comparing rigid and semirigid connectors and internal and external hexagon implants.
Materials and Methods: Two models were made of photoelastic resin PL-2, with an internal hexagon implant of 4.00 × 13 mm and another with an external hexagon implant of 4.00 × 13 mm. Three denture designs were fabricated for each implant model, incorporating one type of connection in each one to connect implants and teeth: 1) welded rigid connection; 2) semirigid connection; and 3) rigid connection with occlusal screw. The models were placed in the polariscope, and 100-N axial forces were applied on fixed points on the occlusal surface of the dentures.
Results: There was a trend toward less intensity in the stresses on the semirigid connection and solid rigid connection in the model with the external hexagon; among the three types of connections in the model with the internal hexagon implant, the semirigid connection was the most unfavorable one; in the tooth–implant association, it is preferable to use the external hexagon implant.
Conclusions: The internal hexagon implant establishes a greater depth of hexagon retention and an increase in the level of denture stability in comparison with the implant with the external hexagon. However, this greater stability of the internal hexagon generated greater stresses in the abutment structures. Therefore, when this association is necessary, it is preferable to use the external hexagon implant.
Gastric Reflux is a Significant Causative Factor of Tooth Erosion
Journal of Dental Research, Vol. 88, No. 5, 422-426 (2009)
Dental erosion is caused by dietary or gastric acid. This study aimed to examine the location and severity of tooth erosion with respect to causative factors, and to determine whether the clinical pattern of erosion reflected the dominant etiological factor. The study involved 249 Icelandic individuals and included: a detailed medical history; clinical oral examination; salivary sampling, and analysis for flow rate, pH, and buffering capacity. Reflux was assessed in 91 individuals by gastroscopy, esophageal manometry, and 24-hour esophageal-pH monitoring. Reflux symptoms were reported by 36.5% individuals. Manometry results were abnormal in 8% of study participants, abnormal esophageal pH in 17.7%, and a pathological 24-hour pH recording in 21.3%. 3.6% were positive for Helicobacter pylori. Normal salivary flow was found in 92%, but low salivary buffering (10.4%) was associated with erosion into dentin (P < style="font-weight: bold;">Significant associations were found between erosion and diagnosed reflux disease (OR 2.772; P < style="color: rgb(255, 0, 0);">
Over Half Of People With Rheumatoid Arthritis Have Periodontitis
Over half (56%) of people with rheumatoid arthritis (RA) also have periodontitis (a chronic inflammatory disease of the gum and surrounding ligaments and bones that hold the teeth in place), displaying fewer teeth than healthy matched controls, high prevalence of oral sites presenting dental plaque and advanced attachment loss (the extent of periodontal support that has been destroyed around a tooth) (chi square p<0.05), style="font-weight: bold;">with RA who did not exhibit periodontitis (r=0.84, p<0.05; r="0.78," style="font-weight: bold;">significant improvement in periodontal status was seen in 20 (80%) of the 25 participants (mean age 41.5+3.7 years; mean disease duration 7.2+4.8 years), suggesting that the biological therapy may also be able to modulate the inflammatory process in the periodontium (the tissues investing and supporting the teeth, including the cementum, periodontal ligament, alveolar bone, and gingival / gums). Moderate to Severe Periodontitis may be a Risk Factor for Developing RA in Non-Smokers. More HERE
posted by Healthmantra at
7:57 PM
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