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May 13, 2010

Boy dies, Botox, Needle less Anaesthesia, Oral Health is the Key, Composite Shade Match


Operation clean-up-President dissolves top medical body
President Pratibha Patil on Saturday gave her assent to an ordinance dissolving scam-tainted Medical Council of India (MCI) and replace it with a seven-member panel of eminent doctors.

The panel will be in charge till the next one year, Health Secretary Sujatha Rao said.

The President signed the ordinance dissolving the MCI General Council, official sources in the Rashtrapati Bhavan said. The ordinance has also been notified by the Union Law Ministry.

The Government has said it would bring in a new law for the formation of an overarching body to regulate medical education in the country. MORE HERE

Boy Dies During Dental Treatment In Virginia
Authorities are investigating the death of a 6-year-old boy who underwent treatment at Virginia Commonwealth University’s dental clinic.

Crystal Lewis said her son, Jacobi Hill, went into cardiac arrest Tuesday after undergoing anesthesia while having caps put on several teeth. He was pronounced dead a short time later at VCU Medical Center. The state medical examiner’s office says an autopsy is scheduled for Thursday.

Lewis says Jacobi had asthma but no other known health problems. She says a pediatrician examined him Monday and concluded he was fine to have the dental procedure. MORE HERE

Dental Botox gains popularity
As state dental boards around the U.S. struggle with how to regulate Botox injections, some dentists are forging ahead and establishing a lucrative new sideline in the process.

“We are creating a new category in dentistry,” said Louis Malcmacher, D.D.S., president of the American Academy of Facial Esthetics, who teaches dentists how to use Botox. Nearly 10% of dentists now use Botox, Dr. Malcmacher said, and demand to learn how to administer it is exploding. Dr. Malcmacher expects to teach about 60 two-day seminars on Botox this year, three times as many as last year. MORE HERE

See pic of Botox smiles HERE

Needle Less Dental Anesthesia and Reversal of Anesthesia
Modern dentistry has eliminated much of the “ouch!” from getting a shot of local anesthetic. Now a new discovery may replace the needle used to give local anesthetic in the dentist’s chair for many procedures. Scientists are reporting evidence that a common local anesthetic, when administered to the nose as nose drops or a nasal spray, travels through the main nerve in the face and collects in high concentrations in the teeth, jaw, and structures of the mouth. LINK HERE

Prolonged soft tissue analgesia can be present for up to 5 hours after injection. A recent study revealed that as much as 88% of the public was interested in a product that would reverse the lingering “numbness.” A new product, OraVerse®, from Novalar Pharmaceuticals (http://www.novalar.com), was recently introduced. Its active ingredient is phentolamine mesylate, a vasodilator that has been shown to help patients recover from soft tissue numbness about twice as fast as normal when used with popular dental anesthetics. MORE HERE

NEW Website by Nobel Biocare for Dentists

Nobel Biocare has launched its new website for dental professionals. The new site boasts a new structure, improved functionality and usability, all new content, including an industry-leading resource library, and it focuses on an interactive and intuitive user experience.  You may visit the new website at www.nobelbiocare.com/dental

Colgate® Sensitive Pro-Relief™ Desensitizing Paste with Pro-Argin™ Technology

Colgate-Palmolive, the world leader in oral care, introduced a major advance in the treatment of dentin hypersensitivity. During the Pacific Dental Conference in Vancouver, Colgate presented Colgate® Sensitive Pro-Relief™ desensitizing paste with Pro-Argin™ technology. MORE HERE

Predicting HIV from Oral Lesions ?

Attendees presenting for treatment of acute illness at primary health care facilities in South Africa were assessed to determine the prevalence of human immunodeficiency virus (HIV) infection and the predictability of group I oral lesions (GOLs) for HIV infection.

A total of 522 attendees were examined and the HIV prevalence was 40%. None of them were taking antiretroviral drugs. GOLs were diagnosed in 53% of HIV patients, with pseudomembranous and erythematous candidiasis being the most common (38% and 24%, respectively). The average odds and likelihood ratios for multiple lesions were high (32 and 30, respectively) and showed a strong correlation between GOLs and a positive HIV status.

The prevalence of HIV (40%) and GOLs (53%) was high. GOLs were useful markers of HIV infection, with multiple lesions being highly predictive of HIV infection. LINK HERE

Pregnant women beware of oral bacteria
Researchers from Case Western Reserve University have warned that even healthy expecting women can be at risk for pregnancy problems caused by oral bacteria.

They have begun to understand how and which bacteria from the 700 species living in the mouth are responsible for the increasing numbers of preterm and stillbirths.

Yiping Han, from the department of periodontics in the School of Dental Medicine, led the study that found several new bacteria originating in the mouth travel through the blood to cause an inflammatory reaction in the placenta and eventually cause a range of health issues from miscarriages to stillbirths.  MORE HERE

Treatment of Gum Disease May Lower Blood Sugar Levels in Type 2 Diabetes
A study to be published in the latest issue of The Cochrane Library and led by researchers at the University of Edinburgh and supported by colleagues at the Peninsula Dental School, the University of Ottawa and UCL Eastman Dental Institute, suggests that the treatment of serious gum (periodontal) disease in diabetics with Type 2 diabetes may lower their blood sugar levels.
The research team analysed randomised controlled trials of people with Type 1 and Type 2 diabetes who had also been diagnosed with periodontal disease. The team looked at 690 papers and included seven studies in the review that fulfilled pre-specified criteria for inclusion. MORE HERE

Resin composites don’t match well with Vita shade guide
Good shade matching is tricky enough with porcelain. But a good shade match with composite materials can be an even bigger challenge.

A new study has found that composite shades do not match well to the Vita shade guide tabs (Vident), even when the layering technique is used (Journal of Esthetic and Restorative Dentistry, April 2010, Vol. 22:2, pp. 114-124).
The researchers found a poor color match when comparing the composite enamel shades of all brands with the Vita shades with no dentin backing, especially with the white backing. When the dentin shades were layered by the enamel shades to simulate the layering technique, some of the composites had a closer match to the Vita shades.

It is suggested that, although the process can be time-consuming, clinicians can create custom shade tabs out of the composite they are using. But most dentists, except cosmetic dentists, may not want to invest that time, Dr. Snyder said. MORE

Rampant Corruption in Medical Bodies
Kalraj Mishra (BJP) said rampant corruption in medical education was forcing students to cough up Rs. 35 lakh-50 lakh for a seat. For a postgraduate seat, it was Rs.70 lakh-Rs.1 crore.

Karan Singh (Congress) said the MCI standards had deteriorated in the last few years, leading to creation of sub-standard doctors.
Jayanthi Natarajan (Congress) demanded exemplary action against MCI members and asked the Centre to bring out a list of colleges inspected by the MCI teams.
Replying to a calling attention motion in the Rajya Sabha, Mr. Azad said: “I have already referred this case to the Law Ministry…I am awaiting its response. Whatever the Law Ministry suggests, I will go with it.” MORE HERE

Ketan Desai Resigns from MCI,

Protest from Medicos against unethical Man, Signature campaign launched

Senior officials said both ministries (Edu and Health) are strictly toeing the prime minister’s line against corruption. “The PM has asked all ministries to take prompt action against graft complaints. The prime minister’s office is also monitoring complaints,” said a senior officer in HRD. Officials also hinted that more crackdowns are expected in other regulatory bodies. LINK HERE

Bill to regulate clinics passed in Parliament
The Lok Sabha on Monday- 3May, passed the Clinical Establishments Bill to regulate private hospitals and clinics across the country. “It would also ensure that no clinic runs unless it has been duly registered in accordance with the prescribed procedure,” Union Health and Family Welfare Minister Ghulam Nabi Azad said.
The Bill envisages the setting up of a National Council for Clinical Establishments and State councils to regulate the medical facilities.

The State councils will be responsible for compiling and updating the State register of clinical establishments and sending monthly returns in digital format for updating the national register.

A State government will set up district authorities for registration of health units, with the collector and district health officer as members. MORE

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