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Financial Stress Doubles Gum Disease Risk

High levels of financial stress and poor coping abilities increase twofold the likelihood of developing periodontal (gum) disease, according to a study in the Journal of Periodontology. After accounting for other risk factors – such as age, gender, smoking, poor dental care and diabetes – those who reported high levels of financial strain and poor coping behaviors had higher levels of attachment loss and dental bone loss (signs of periodontal disease) than those with low levels of financial strain.


"Financial strain is a long-term, constant pressure," said Dr. Robert Genco, chair of the Oral Biology Department at The State University of New York at Buffalo, who carried out the studies with the periodontal
research group at Buffalo and behavioral scientist Dr. Lisa Tedesco of
the University of Michigan. "Our studies indicate that this
ever-present stress and a lack of adequate coping skills could lead to
altered habits, such as reduced oral hygiene or teeth grinding, as well as salivary changes and a weakening of the body's ability to fight infection."


However, people who dealt with their financial strain in an active and practical way (problem-focused) rather than with avoidance techniques (emotion-focused) had no more risk of severe periodontal
disease than those without money problems.

Financial Stress

The good news is that many of the risk factors for periodontal disease, such as poor oral hygiene and infrequent professional care, can be controlled with minimal personal time and financial resources. Eliminating periodontal disease also eliminates a risk factor for heart disease, respiratory disease, and diabetes complications, it is especially important for people to do what they can to protect their oral health.

Genco and his colleagues are following more than 1,400 people between the ages of 25 and 74 in the ongoing study, which is one of the first to examine the relationship of periodontal disease to stress, distress
and coping in a large population.

Gum Disease

Psychological tests were given to identify and weigh the causes of stress (children, spouse, financial strain, single life and work stress) in participants' daily lives and to measure the ability to cope
with stress. To measure financial strain, study participants answered
nine questions, including:

  • At the present time, are you able to afford a home that is large enough?
  • Do you have difficulty in meeting monthly payments of your family bills?
  • How often is it that you don't have enough money to afford the kind of food, clothing, medical care, or leisure activities you and your family need or want?

Further studies are needed to help establish the time course of stress in respect to the onset and progression of periodontal disease and the mechanisms that explain the association. Intervention studies also are needed to determine the extent to which controlling stress
will influence periodontal disease and its treatment.


For more information contact Dr. Todd Welch with West Tennessee Periodontics and Dental Implants in Jackson, TN at www.wtnperioblog.com
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Tooth Hypersensitivity in Hispanic Community

Preview of “Dentin Hypersensitivity in the Hispanic Community”.pdf

This article was interesting enough indeed to share! Teeth and their relation to culture and ethnicity always have intrigued me. Just as I notice more black line stain present in the asian population (in our practice), perhaps this may shed light on the hispanic community.

The issue become WHY? Does it point to the foods they eat, thus over time making their teeth more prone to sensitivity? The article mentions whitening. I have to wonder if they actually do tend to whiten their teeth as opposed to other ethnicities? What do you find in your practice?

Genetics certainly may predispose a group to certain characteristics. Further studies will find this over time. In the meantime, just a finding such as this is very interesting and one to follow.



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The benefits of fluoridated water for the prevention of tooth decay in children have been well-documented for decades. An interesting new study also suggests that use of fluoride as a child is related to a lower incidence of tooth loss in the adult years. In an article appearing in the October issue of the American Journal of Public Health, Matthew Neidell reports a strong relationship between fluoride levels in a resident's county at the time of their birth with tooth loss as an adult. "Your fluoridation exposure at birth is affecting your tooth loss in your 40s and 50s, regardless of what your fluoridation exposure was like when you were 20 and 30 years old," said Neidell, a health policy professor at the Mailman School of Public Health at Columbia University. Dr. Neidell combined data from a recent Centers for Disease Control and Prevention community health study and a water census to see the impact of drinking fluoridated water in the 1950s and 1960s on tooth loss in the 1990s.
The researchers write that respondents who did not live in the same county their entire lives received differing amounts of fluoride in their water, which complicated study findings. The study, which focused on tooth loss as an indication of overall oral health, could not adjust for factors such as use of toothpaste, which also provides a dose of fluoride.
The American Dental Association, which has supported fluoridation of community water since 1950, says scientists continue to show adding the mineral to water is safe and aids tooth health. One 2007 study of Kaiser Permanente HMO members found that adults benefited from community fluoridation more than children. A study of Medicaid dental patients in Louisiana, which showed that for every $1 invested in water fluoridation, the state saw $38 in reduced dental costs.
The use of fluoride is still controversial for some people. Yet, this is another study which suggests that early fluoride use has long term benefits.

Comments are welcome!

Source: Science Daily
Photo Credit: CrossFit Oakland


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New treatment for tooth hypersensitivity

A brand new way of given patients a way of treating hypersensitivity in teeth looks to have been discovered.


Not only does it treat hypersensitivity in teeth Untied States researchers have discovered it also stops bacteria from causing more destruction.


A detailed study that took place in a New York University showed that a special formula of zinc ions and fluoride mixed with a matrix of calcium phosphate actually reverses the process of damage inflicted on teeth by Streptococcus mutans.


As well as preventing tooth hypersensitivity the mixture closed a large majority of tubules helping prevent streptococcus mutans attacking the teeth as aggressive as it would without the treatment.


It was at this years International Association of Dental Research in Barca Spain that the discovery was revealed to the dental health world.


Contained in Streptococcus mutans for around twenty four hours the samples of dentin where compared.

One group of samples received no treatment what so ever whilst one group of samples had been treated in the formulative concoction of fluoride calcium phosphate and zinc for eight minutes.

The astonishing findings where revealed as expected the samples without the fluoride/calcium phosphate/zinc treatment showed signs of the bacteria multiplying.

Whilst the sample that had the fluoride/calcium phosphate/zinc treatment It was found that the group with the fluoride/calcium phosphate/zinc formulation treatment did not have as many open tubules compared to the untreated samples.

The next step will be to find a way to implement these formulas whether that be adding these concoctions to toothpaste or treatments when patients visit dentists one thing for sure is that if it is as good as we think it could be it could bring down the costs of dental insurance plans as dental treatments become less frequent.
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Chew On This, Six Dental Myths Debunked.mht

This article derived from the latest news in dentistry, is a break from the norm news. It takes a look at certain myths, mainly by the public, pertaining to oral health. For us we may know these facts, but many whom are not in the field who be surprised at these myths de-bunked!

We always need to be aware of oral health, but sugar is not always the culprit itself when it comes to tooth decay. The amount of time is key. We stress this daily with the children in our practice as part of a recall visit reminder. The frequency of sugar in the mouth is crucial. This also points to another of the myths being false, the age of patients. Some associate decay with small children, but as they get into teenage years soft drinks are on the rise in their diet. The frequent "drenching" of the mouth in this sugary, carbohydrate-packed liqid, changes the PH in the mouth. This , of course, leads to the breeding ground of decay. That then leads us into adulthood and coming to the elderly stage of life. This is also a myth.......that the elderly have a lower decay rate. They often times loose perio health which exposes teeth and make sthem susceptible.

These are just a few of the myths that come up. Reminding ourselves, as dental professionals, that people need to know these facts and myths to be better educated throughout life.

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Dental Tourism in Romania

One of the key parts of our business we intend to grow over the next five years is the dental tourist.

This week we have started to see a solid start to our marketing initiative with a patient flying in from Italy to do some dental work the patient deemed essential to his well being mentally and physically.

The patient contacted our dental practice last week explaining what he felt was needed to be done after consulting a dentist locally where he resides. We discussed via email and eventually by telephone what was required. I explained to him inwriting what we would require before we could treat him.

We required from the patient:

1 x Panoramic X-Ray

1 x Local dental advice

1 x Blood Analysis proof of no blood related diseases

1 x medical practitioner declaring the patient of good health and no ongoing medical conditions including heart, circulation or blood problems

1 x list of current medications being taken

The patient emailed all the required documentation so we could make sure all the possible problems could be coped with should the need arise.

Our suggestion for the patient was the following:

2 x Implants

5 x Amalgam Replacements

1 x root canal

1 x extraction

General Cleaning and gum treatment

We organised several hotels for the patient to choose from and we also organised the transfers for the patient while he was here.

Once we had agreed all with the patient he booked his flight in for a lunchtime arrival and a following evening departure.

When the patient arrived the first thing we did was to have x-rays done locally followed by our first consult where we confirmed the work that would be required and commenced immediately on the removal of the amalgam to be replaced with suitable more aesthetically pleasingfillings.

This work was able to be completed in a timely fashion but we found that one of the potential filling replacements might be unwise as the amount used was quite large so we decided to leave for later in the procedure list so the patient could decide.

After this we undertook the root canal which was fairly straightforward and was completed quickly.

As we completed the first stage of the works that had been planned the patient took a break for 90 minutes to go for some fresh air and a rest at his hotel.

Part two of the procedures was the placement of two implants in the lower jaw. We prepared for the implant surgery in the approved fashion as required by local law with all wearing surgical clean suits to minimise the risks of infection while completing the implant procedure.

The implants procedure went smoothly, as we all know this is not always the case but we were confident having examined the patients initial x-rays and x-rays done locally we had a strong jaw to work with and good bone density, so we were able to place the to implants withlittle difficulty or procedural problems.

After the finishing of the implant placements the patient was dispatched to the hotel to rest and recover from a long day in the chair and the surgical procedures he had undergone that day. The patient was also given 7 days of antibiotics to minimise any risk of post surgicalinfection. The patient was also supplied with several contact numbersshould he have any discomfort during the night.

The patient was picked up in the morning and returned to the surgery for the final procedure which was the extraction. This was relatively quick and simple as the tooth was in poor shape. Once the extraction was done we placed Bios Bone which will need 6-9 months to bed into theextraction point so the patient can consider an implant to replace theextracted tooth.

The patient was then kept under observation for the rest of the day with hourly checks to make sure the work that had been completed was settling in with no discomfort to the patient. Once I was satisfied that the work completed had been successful from the patients point of viewand myself the patient was signed out and returned to the airport to flyhome.

I then breathed a deep sigh of relief.

Dental Tourism is going to grow but it is also very stressful as a dentist to be involved with supplying this service as unlike traditional patients where you have time to organise work and stage it over a period of time dental tourists are usually on a strict schedule an theyare looking for cost effective and timely procedures. This particularcase went smoothly from both mine and the patients point of view but youcan also have terrible problems when the patient expects too much orthey don't realise you can only put the mouth through so much stressbefore you over exert the healing capabilities of the mouth.

Educating the patients on what is possible and what is impossible is one of the key elements to providing a successful dental tourism offer to international patients. Managing expectation prior to their arrival is how you stop issues arising.

One of the key factors for dental tourists is savings to the patient. This is the highest motivation for dental tourists.



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NYU dental researchers have found the first long-term evidence that periodontal (gum) disease may increase the risk of cognitive dysfunction associated with Alzheimer's disease in healthy individuals as well as in those who already are cognitively impaired. The NYU study offers fresh evidence that gum inflammation may contribute to brain inflammation, neurodegeneration, and Alzheimer's disease. The research team, led by Dr. Angela Kamer, Assistant Professor of Periodontology & Implant Dentistry, examined 20 years of data that support the hypothesis of a possible causal link between periodontal disease and Alzheimer's disease. "The research suggests that cognitively normal subjects with periodontal inflammation are at an increased risk of lower cognitive function compared to cognitively normal subjects with little or no periodontal inflammation," Dr. Kamer said. Dr. Kamer's study, conducted in collaboration with Dr. Douglas E. Morse, Associate Professor of Epidemiology & Health Promotion at NYU College of Dentistry, and a team of researchers in Denmark, builds upon a 2008 study by Dr. Kamer which found that subjects with Alzheimer's disease had a significantly higher level of antibodies and inflammatory molecules associated with periodontal disease in their plasma compared to healthy people.

This is just another example of the important link between dental and periodontal diseases and general medical health. Your comments are appreciated.

Source: Science Daily

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BEYOND THE OPERATORY!
A Workshop to Explore Non-Clinical Careers in Dentistry
August 27-28th, New York City
Considering a change in direction?

Interested in exploring non-clinical opportunities in dentistry?

Have you worked in a dental practice and now want to venture out into the business side of the industry?
Dentistry is a DYNAMIC industry, and there are many opportunities out there you either may not be aware of or are not sure how to break into!

You are not limited to private practice and being “stuck” in an office or operatory!

If you’ve ever thought “what if…,” it’s not too late!

This is the WORKSHOP for YOU!!!

Here’s what you’ll learn at BEYOND THE OPERATORY

· Explore details on each of the areas and options available to you

· Determine your strengths and interests

· What is most in demand now and the future of the industry

· Develop your game plan




Whether you are interested in…


· Speaking

· Sales

· Consulting

· Publishing

…we will cover it!



If you have been thinking about…

· Working in a corporate/executive role with a dental company

· Starting your own consulting or practice management business

· Becoming an educator, trainer, or writer (and getting paid for it)



…we will discuss it!
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Sleep Apnea

I recieve many requsts on billing for Sleep and TMD. The biggest difference is diagnosis, dental providers are not able to diagnosis sleep. Attend my sleep billing programs to understand the process of billing for medical treatment. Our changes in billing will become more medical as we move into the next year so lets begin the process now.

www.links2success.biz has my programs listed. My phone is 914-450-2906

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Gel Replacing the Drill ?!

http://www.cbs19.tv/global/story.asp?s=12891500I was first introduced to this "idea" through word of mouth in the dental community. The thought of a gel actyally replacing a drill is of course extremely appealing. Yet, so many things to cosider, of course.The article attached also includes a video news clip on the finding, which was tested on mice. Caries seemed to be eliminated, or disappeared! In which case, if possible on humans, what would this mean for the dental office visit? Would the public simply use the gel and no need for dental health professionals at all??? Ahhh!
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Dental Website Photo Shoot

You need some original pictures on your website. Where to start? There's so much... team photos, office photos, patient gallery pictures... This article will give you a play-by-play, as well as tips and suggestions for planning, and executing, a great dental practice photo shoot. You could end up with photos to use not only on your website, but for print, blogs, and portraits in your dental office. Check it out here: http://wp.me/pZ0jr-5i.Questions? Email info@moderndentalmarketing.com or call MDPM at 940-395-5115.
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This workshop will provide participants with American Heart Association ACLS® Certification and provide a full day of emergency airway management techniques. Course consists of didactic lectures, intensive imaging, discussion and hands -on workshop with the world's most realistic airway mannequins and patient simulators.

Audience: This course is appropriate for physicians, dentists, nurses and all allied health and dental professionals who are involved in the administration of sedation & analgesia.

Objectives: At the conclusion of this program , participants should be able to:

1. Recognize and initiate early management of peri-arrest conditions that may result in cardiac arrest or complicate resuscitation outcome;

2. Manage cardiac or respiratory arrest until return of spontaneous circulation and respiration, termination of resuscitation or transfer of care;

3. Recognize other life threatening clinical situations and provide effective initial care and transfer to reduce disability and death;

4. Describe & demonstrate a variety of techniques for maintaining oxygenation;

5. Recognition and anticipation of difficult airways

Devices: Mask ventilation, LMA and King LT rescue Ventilation, AirTraq Opitical Laryngoscope

Direct Laryngoscopy, Malleable Stylets, and Bougies (tube introducers)

Faculty:American Heart Association® Certified ACLS Instructors & Richard Levitan, MD

About: Dr. Levitan has published approximately 30 peer-reviewed articles on emergency airway management and is the author of 2 textbooks. He serves on the Editorial Board of Annals of Emergency Medicine, and is a reviewer for numerous emergency medicine and anesthesia journals. He has been a design consultant and investigator for many airway device manufacturers. He has given approximately 350 lectures on airway management worldwide, and for almost ten years has run a monthly hands-on cadaver-based airway workshop. He is currently an Associate Professor in Emergency Medicine at Thomas Jefferson Medical College in Philadelphia.

Date:October 9 & 10, 2010 8:00 am - 5:00 pm. Breakfast & lunch provided.

Location: Houston Marriott South at Hobby Airport 9100 Gulf Freeway Houston, TX 77017

Fees: $995.00 Physicians & Dentists $ 475.00 Nurses & Auxiliary staff

Seating is limited, pre-registration is required.

Registration can be completed online by clicking here

Or by phone at 888-581-4448 x 2

For more information on this course or other services we offer please visit www.SedationConsulting.com

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Saliva Implants for Patients ?!

New Research Explores Relief For Xerostomia Cancer Patients.pdf

This is quite interesting news in dentistry. The article explains the effects of radiation on cancer patients and more so the effect on the mouth of a cancer patient.

Dry mouth is extreme in many patients. As we know, the presence of saliva is crucial to the health of a mouth. The amazing thought of an actual saliva implant is a wondeful idea, in theory. In any event, if the procedure was relatively non-invasive, it could provide much relief for cancer patients and those caring for them.
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Blogs for Dentists

Sweltering Summer Promotion: Sign up for the MDPM custom blogging service, which includes 8 posts per month, and get your first 4 blogs for free! That's one month of twice-a-week, optimized blog posts for $100. What a deal! Email moderndentalmarketing@gmail.com with subject line "summer promo."
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Community Promotions for the Dental Office

Just posted 5 ideas for great community events you can host at your office. The premise of the article is, while online marketing is essential for any business today, dentists should not forget the importance of building a name for their practice within the community. It's a fine balance, but well worth the effort!

Check out the article here.
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Tray Bleaching To Improve The Oral Health Of The Elderly, Special-Needs Patients.pdf
In this attached article we look at bleaching teeth in a different light.

Still, bleaching poses questions in long term use and side effects over time. Though these questions lume, more information rises. But oral health for the elderly and special-needs patients? Like any other news, more testing is called for, but the news is promising to say the least.

The article points out that dentists have long used carbamide peroxide for whitening teeth, and adds that it also removes plaque, kills bacteria, and elevates the mouths pH levels...which results in fewer cavities.

This would pose as a great advantage for those patients otherwise compromised in keeping their teeth clean. For that reason alone, it make be worth while to take a closer look at this advantage for some. Caregivers make want to take note and hospital personel as well.

Still yet is to be known about the long term side effects. Do they outweigh these findings?
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I will make myself available, to ANY Dentist on ANY topic, for a FREE 20' Consultation. If I don’t provide you with an acceptable answer to your question(s), I will find them for you, ALSO at no charge...NO hidden agenda, NO hair brain new products for you to try, NO selling insurance, No Condos in Cabo, NO Ponzi schemes, NO investment advice, No real estate deals, No political discussions, NO attempt to convert you to any religion or splinter organization, No ‘nuttin’!ABSOLUTELY NO STRINGS.Why am I doing this?? Simple; I have reenergized my Consulting Firm... ‘Dynamic Practices!’The best way I know to get the word out, is to provide a service that is valued. If we don’t continue beyond the free consultation, I will be just as delighted (well maybe not just as delighted), since I have made a new contact. (I WILL NOT under any circumstances use your name, information, etc. for ANY reason, this interaction is between YOU and I.Ethical Private Consultations, just like the old days. My word is my bond!!A boy from ‘da Bronx’ …..Don’t lie.Thanks in advance for your support, Arnie Albert. 615-545-4478. arnie.albert@comcast.netPS >> I would be happy to send you my career summary to validate my experiences and substantiate my knowledge base.
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Bioluminescence - Have you used it?

ATP-Driven Bioluminescence Is A Useful Tool At The Dentist's Office For Predicting Children At High Risk For Tooth Decay.pdf

I took particular interest in this news due to my Pediatric background. I was surprised to learn of Bioluminescence via the internet and not my rep, honestly ! However, I wonder if this technique will become main stream?

The technique detects and links ATP to streptococci and total numbers of bacteria. Caries risk is then addressed based on the tests findings. This approach can then be used to test mouth rinses, special toothpastes, ect.

Personally, I feel this would be a great tool available. To actually test a child patient after a last 6 month recall visit, after being prescribed a caries control toothpaste. Also if a patient used a recommended mouth rinse, whether it be an over-the-counter product, or an in-office application to take home, it would be most helpful to have a tool in doing so. Especially since in Pediatrics, this is most of the efforts of prevention that we strive for. Early routines, bacteria control in the mouth, and good oral hygiene habits are key for children.

Whether you work with children in your office or not...what do you think !?!
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We are happy to announce our

new course in Orthodontic Mini Implants. As
you know, orthodontic screws are the latest in treatment mechanics.
This method will reduce the strain on anchorage and also provide new
areas form which force can be applied, thus introducing new and
interesting biomechanical possibilities. We are also offering the NeoAnchor Plus,
titanium alloy orthodontic implant kits at attractive discounts for the
participants. NeoAnchor Plus is a South Korean research product and is
available at very economical prices only to the participants of this
course. You can see the details at the site

http://drravikumar.in/miniscrew.html

For more about Orthodontics Courses, Please contact us at

orthocourse@drravikumar.in

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A technique pioneered in the Tissue Engineering and Regenerative Medicine Laboratory of Dr. Jeremy Mao, the Edward V. Zegarelli Professor of Dental Medicine at Columbia University Medical Center, can orchestrate stem cells to migrate to a three-dimensional scaffold infused with growth factor, holding the translational potential to yield an anatomically correct tooth in as soon as nine weeks once implanted.

People who have lost some or all of their adult teeth typically look to dentures, or, more recently, dental implants to improve a toothless appearance that can have a host of unsettling psycho-social ramifications. Despite being the preferred treatment for missing teeth nowadays, dental implants can sometimes fail and develop other problems.

An animal-model study has shown that by homing stem cells to a scaffold made of natural materials and integrated in surrounding tissue, there is no need to use harvested stem cell lines, or create an environment outside of the body (e.g., a Petri dish) where the tooth is grown and then implanted once it has matured. The tooth instead can be grown “orthotopically,” or in the socket where the tooth will integrate with surrounding tissue in ways that are impossible with hard metals or other materials.

"These findings represent the first report of regeneration of anatomically shaped tooth-like structures in vivo, and by cell homing without cell delivery,” Dr. Mao and his colleagues say in the paper. "The potency of cell homing is substantiated not only by cell recruitment into scaffold microchannels, but also by the regeneration of periodontal ligaments and newly formed alveolar bone."

The work of Dr. Mao and his laboratory, however, holds manifold promise: a more natural process, faster recovery times and a harnessing of the body’s own potential to re-grow tissue that will not give out and could ultimately last the patient’s lifetime.

“A key consideration in tooth regeneration is finding a cost-effective approach that can translate into therapies for patients who cannot afford or who aren’t good candidates for dental implants,” Dr. Mao says. “Cell-homing-based tooth regeneration may provide a tangible pathway toward clinical translation.”

This study is published in the most recent Journal of Dental Research, the top-rated, peer-reviewed scientific journal dedicated to the dissemination of new knowledge and information on all sciences relevant to dentistry, the oral cavity and associated structures in health and disease.

Comments are appreciated!

Source: Columbia University Medical Center

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