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April 6, 2011

Dental X ray auction, Student death, Implantitis, Stem cell, Endo pain, Gum infection more dangerous than BP


Dental Council president message
DCI now has 2 dental college principals at the helm of affairs. Dr. Dibyendu Mazumdar (MDS cons/endo), president is the Principal of Dr. R.Ahmed Dental College & Hospital, Kolkata and Dr Mahesh Varma (MDS prostho) is Principal, Maulana Azad Institute of Dental Sciences, New Delhi.  To see new president’s message CLICK HERE
Official notification has been sent to all concerned, SEE CIRCULAR HERE
Funnily though in the cc marked on page 2 the Secretary IDA address is mentioned as in  COIMBATORE

Student dies mysteriously in govt dental college
A 21-year-old student of Government Dental College, Pradnya Shiwade, died in mysterious circumstances on Saturday night.
Her body was found in a bathroom at the dental hospital around midnight. According to the post-mortem report, she suffered respiratory failure, which doctors suspect might have been caused by overexertion or a flush of excitement. MORE HERE

MCI also makes CME requirement to renew registration
Medical Council of India (MCI) is all set to send doctors back to lecture halls, failing which they would lose their license to practice.
According to the new rules, which will be announced on Tuesday, MCI is planning to make it mandatory for all doctors to attend 30 hours of continuing medical education (CME) every five years. If they fail to attend CME, their registration to practice would be suspended. TIMESLINK

Dental X rays of Queen withdrawn from auction
Dental X-rays of the Queen’s family have been withdrawn from auction at the request of the Royal Household.
The 18 images of Elizabeth II’s teeth, together with those of her mother and father, King George VI, were taken between 1942 and 1946.
The X-rays were found in a house in Leatherhead, Surrey, UK  and were due to go for auction on Wednesday. BBC NEWS

Gum disease more harmful than diabetes & Blood pressure
New research suggests that gum disease carries a higher risk of causing a stroke than diabetes, and its impact is nearly the equivalent of high blood pressure as a major cause of strokes.
High blood pressure (hypertension) and diabetes (diabetes mellitus) are widely recognised as major risks contributing to non-fatal strokes (ischemic strokes).
New research indicates people are twice as likely to suffer a non-fatal stroke as a result of gum disease compared to diabetes.
The data also suggests its impact is equivalent to people with high blood pressure.
The research, presented at the 89th International Association for Dental Research (IADR) General Session in San Diego last month.
Dr Nigel Carter, chief executive of the British Dental Health Foundation, said: ‘Obesity, alcohol abuse, poor diet and smoking are generally well-known risk factors that can cause strokes. Less well-known are the risks caused by gum disease. NEWSLINK
New device improves early detection of peri-implantitis
A team of Canadian researchers is developing a diagnostic tool they say can enhance the early detection and monitoring of peri-implant inflammation and thereby reduce the number of implant failures (Journal of Periodontal Research, April, 2011).

“There is a 7% to 20% chance that an implant will cause inflammation, and this is a destructive, infectious disease that affects hard and soft tissue around the implant. But existing diagnostic methods cannot predict disease activity or progression.
Tissue oxygenation at peri-implantitis sites was significantly decreased (p < 0.05) when compared with that at healthy sites, which was largely due to an increase in deoxyhemoglobin and a decrease in oxyhemoglobin at the peri-implantitis sites compared with the mucositis and healthy sites.These alterations can be detected around diseased peri-implant sites by optical spectroscopy, and this method may be considered an alternative and feasible approach for the monitoring and diagnosis of peri-implant diseases. LINK

Use of an Intranasal Analgesic in Endodontic Pain JOE April 2011
Intranasal (IN) delivery takes advantage of a large surface area of mucosal tissue for rapid absorption. The purpose of this study was to evaluate the efficacy of IN ketorolac for endodontic pain.
IN ketorolac alone or with endodontic treatment showed significantly better pain relief compared with IN placebo spray alone or with endodontic treatment at 30 minutes after the first or second intranasal dose and at 4 hours after the first intranasal dose (P = .03).
These results suggest that IN ketorolac may provide a novel and efficacious method for pain relief in endodontic pain patients.

Pain Prevalence and Severity before, during, and after Root Canal Treatment JOE April 2011
Anticipation and experience of root canal associated pain is a major source of fear for patients and a very important concern of dentists. Pretreatment, treatment, and posttreatment pain is anticipated, experienced, remembered, and shared by patients.
Pretreatment root canal–associated pain prevalence was high but dropped moderately within 1 day and substantially to minimal levels in 7 days. Pretreatment root canal–associated pain severity was moderate, dropped substantially within 1 day of treatment, and continued to drop to minimal levels in 7 days. Supplemental anesthesia was often required.

Endodontic Failures ?
There are two types of endodontics: Fully infected or partly infected (non lesion). The failure rate of infected (lesion) cases is at least three times higher than non-infected (non-lesion) cases. Non-biofilm cases are more like a deep pulp cap. Biofilm/fully infected cases, on the other hand, are fraught with peril. Therefore, good endodontics performed on pulpitic (non-lesion, non-infected) cases with good restorative work should be 98% successful. Contrast that with the outcomes of poor endodontics combined with poor restorative work on a mix of lesion and non-lesion cases, where the failure rate is nearly 50%.
Unless you have high levels of skills Necrotic cases should be referred to an endodontist, it would be in best interest of patient.

Stem cell research has implications for tooth repair
Scientists from King’s College London have uncovered the first genetic evidence that shows cells found on the surface of blood vessels can act as stem cells to assist in both organ growth and tissue repair.
‘This is the first time perivascular cells have been shown to differentiate into specialised cells during a natural tissue repair process.
The study, funded by the Medical Research Council, is published in the journal, Proceedings of the National Academy of Sciences (PNAS).
Up until now it has not been possible to show that a blood vessel cell can transform into a different cell in vivo, but this study shows for the first time that they can in fact act as stem cells in this way.
The experiment showed that perivascular cells act as stem cells and differentiate into specialised cells when needed. The team found that when a tooth is damaged, specific new tooth cells – odontoblasts – are made by these perivascular cells to regenerate the tooth. LINK

Why Teens more prone for depression
Adolescents who spend more time listening to music are far more likely to have major depressive disorder, while young people who spend more time reading books are far less likely to have such a diagnosis, according to a University of Pittsburgh School of Medicine study published in the April edition of the journal Archives of Pediatric and Adolescent Medicine.
The findings add to the growing body of research linking emotional health to media exposure.   MORE HERE

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