Ghoniem N, Vaidyanathan V, Zealand CM
… +6 more, Sushynski JM, Mettlach SM, Botero TM, Majewski RF, Boynton JR, Hu JC
J Mich Dent Assoc
· 2018 Apr · PMID 30636813
UNLABELLED: Mineral Trioxide Aggregate (MTA) has been used in many endodontic procedures with success. We hypothesized that MTA as a pulpotomy medicament elicits outcomes no different than that of the diluted formocresol...UNLABELLED: Mineral Trioxide Aggregate (MTA) has been used in many endodontic procedures with success. We hypothesized that MTA as a pulpotomy medicament elicits outcomes no different than that of the diluted formocresol (DFC). PURPOSE: The purpose of this study was to compare the outcomes of grey MTA and DFC in primary molar pulpotomies at a teaching institution and a pediatric dental practice. METHODS: At the teaching institution, 206 primary molars of 122 children were enrolled. At 48-months, 20 teeth treated with MTA and 25 teeth treated with DFC, were available for evaluation. At the private practice, dental records of 245 primary molars of 68 patients were available for evaluation. RESULTS: At 48 months, the results from both sites showed a radiographic success rate of 80 percent for DFC and 95 percent for MTA. The odds of radiographic failure were not affected by study sites. The Cox-regression analysis revealed that patient's age at the time of pulpotomy impacted the "hazard of exfoliation." Each year following the completion of DFC or MTA pulpotomy, there is a 4.6-times-more-likely chance for early exfoliation of the pulpotomized tooth. CONCLUSION: Grey MTA is an acceptable alternative for primary molar pulpotomies.
Currently, seven pharmaceutical products are approved by the United States Food and Drug Administration for smoking cessation. Five of these are nicotine replacement products. The remaining two are the non-nicotine conta...Currently, seven pharmaceutical products are approved by the United States Food and Drug Administration for smoking cessation. Five of these are nicotine replacement products. The remaining two are the non-nicotine containing medications varenicline and bupropion. This paper provides a summary of these smoking cessation pharmaceuticals for dental health professionals.
Syed AZ, Jadallah B, Uzcategui M
… +1 more, Shaik SM
J Mich Dent Assoc
· 2017 Apr · PMID 29989717
The Stafne bone defect, also known as the Stafne bone cyst, or Stafne bone cavity, is an asymptomatic, static depression of the lingual aspect of the mandible that often appears as a radiolucent area near the angle of th...The Stafne bone defect, also known as the Stafne bone cyst, or Stafne bone cavity, is an asymptomatic, static depression of the lingual aspect of the mandible that often appears as a radiolucent area near the angle of the mandible. It noted as an incidental finding during routine dental imaging. The purpose of this article is to present a case that was diagnosed as a Stafne bone defect using Cone Beam Computed Tomography (CBCT). This diagnosis is based on radiographic characteristics, which are described as a well-defined, round to ovoid radiolucent lesion in the lower left mandible, located below the inferior alveolar nerve canal and anterior to the angle of the mandible. Radiographic confirmation should preclude further surgical exploration.
In part two of this article, which began last month, Ted Schumann discusses contract issues to consider, including associate employment agreements, buy-in agreements, operating agreements, and buy-sell agreements. Plus -...In part two of this article, which began last month, Ted Schumann discusses contract issues to consider, including associate employment agreements, buy-in agreements, operating agreements, and buy-sell agreements. Plus - 10 things to avoid after the buy-in is concluded.
Vascular calcification occurs with aging, and several risk factors including diabetes, hyperlipidemia, and disorders of calcium metabolism have been identified. M6nckeberg medial sclerosis (MMS) is the most common varian...Vascular calcification occurs with aging, and several risk factors including diabetes, hyperlipidemia, and disorders of calcium metabolism have been identified. M6nckeberg medial sclerosis (MMS) is the most common variant of medial calcification. M6nckeberg sclerosis can lead to significant adverse cardiovascular outcomes such as arterial stiffness, increased pulse and left ventricular hypertrophy. Here we report two cases of MMS involving facial vasculature, diagnosed incidentally on radiographs during their routine dental evaluation. They appear as convoluted "railroad tracks" patterns of the facial artery calcification. We believe that a better understanding and identification of these calcifications can lead to appropriate patient follow-up with medical providers and interventions to reduce morbidity and mortality by potentially predicting possible cardiovascular events.