{"title":"Dental Management of Patients Undergoing Head and Neck Cancer Treatment.","authors":"Syed Salim Abdul-Wasay, Aviv Ouanounou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients undergoing head and neck cancer treatment are prone to various orofacial complications, including immunosuppression, osteonecrosis of the jaw, mucositis, post-radiation caries, and xerostomia. Dental management can play a pivotal role in mitigating oral complications before, during, and after cancer treatment. This article identifies the most common neoplasms found in the head and neck region and their basic treatments as well as the sequalae of these treatments and the dental management of them.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 2","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resin Composite Restorations: Innovations and Technology Continue to Drive Success.","authors":"Macarena Rivera, Nikolaos Stefanos Kampanas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current tendency towards \"minimally invasive dentistry,\" driven in part by a growing demand for overall esthetics, has established resin composites as the preferred material for anterior and posterior tooth restorations. Contemporary dentistry cannot be performed without resin-based restorative materials, light-curing units, and sectional matrix band systems.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 2","pages":"94-95"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Root Amputation/Root Resection: An Efficient, Effective Means to Save a Multirooted Tooth.","authors":"Garrett Guess, Sam Kratchman, Bekir Karabucak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Root amputation, or root resection, is a surgical procedure that can be used to remove a compromised root of a multirooted tooth, allowing the tooth to remain functional and disease-free. This technique offers an alternative to extraction with favorable long-term survival rates. Root resection involves removing the affected root, reshaping the tooth for cleansability, and, usually, restoring the underside of the tooth to prevent recurrent decay. Root resection provides patients a long-term solution with fewer surgical interventions and potential complications than implant therapy.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 2","pages":"72-76"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Cracking\" the Code on Nitrous Oxide Safety in the Dental Setting.","authors":"Mark Donaldson, Jason H Goodchild","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nitrous oxide-oxygen sedation is typically regarded as the safest in-office inhalational sedation method dentists can employ when treating patients with dental fear and/or anxiety. Despite a considerable inherent margin of safety with nitrous oxide-oxygen administration as a means to provide analgesia and anxiolysis in the dental office, concerns among staff workers about potential harm from environmental exposure over time have led to efforts to mitigate occupational exposure. Concerns over nitrous oxide's high global warming potential have also emerged. Recent advancements in catalytic cracking technology present a promising solution for alleviating these concerns by converting exhaled nitrous oxide into harmless nitrogen and oxygen. This article discusses the effectiveness of this technology in clinical settings, highlighting its potential to significantly reduce ambient nitrous oxide levels. By integrating these innovations, oral healthcare providers can enhance safety protocols for staff while addressing environmental challenges associated with nitrous oxide emissions, reinforcing the need for sustainable practices in anesthesia management.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 1","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Systematic Approach to Altering Occlusal Vertical Dimension in a Patient With Functional and Esthetic Concerns.","authors":"Andrew Sweet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case involves the successful treatment of a patient who experienced repeated restorative failures due to an undiagnosed occlusal problem. Multiple unsuccessful attempts had been made in the past to restore the patient's mandibular incisors with direct composites, and she had become increasingly frustrated with having missing and broken anterior teeth. After a thorough records review and clinical examination were performed, an occlusal issue was diagnosed. A Kois deprogrammer was used to confirm the occlusal problem and locate a therapeutic treatment position for transitional bonding prior to placement of the final restorations. This article underscores the significance of comprehensive diagnosis and treatment planning to effectively address functional and cosmetic concerns.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 1","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practical Strategies to Increase Dental Practice Production.","authors":"Roger P Levin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In today's challenging work climate, with staffing shortages, high overhead costs, and stagnant insurance reimbursements, many dental practices may find it difficult to increase practice production. This article explores effective strategies for increasing dental practice production in the face of current industry demands. It highlights the importance of implementing foundational practice management systems to enhance performance and profitability. Key strategies discussed include expanding the patient base through proactive reactivation efforts, improving case acceptance with systematic approaches, and utilizing hygienists more effectively to maximize productivity. Additionally, the article emphasizes the significance of reducing no-shows and last-minute cancellations, which can cost practices millions of dollars in lost revenue. By recognizing opportunities that are within their control, dentists can increase production and profitability over time, leading to greater financial stability and independence even in a difficult economic environment.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 1","pages":"21-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Othman Shibly, John C Chao, Jasim M Albandar, Nehal Almehmadi, Mohanad Al-Sabbagh
{"title":"Treatment of Gingival Recession Using the Pinhole Surgical Technique With Collagen Membrane Vs Coronally Advanced Flap Technique With Connective Tissue Graft: A Split-Mouth Randomized Clinical Trial.","authors":"Othman Shibly, John C Chao, Jasim M Albandar, Nehal Almehmadi, Mohanad Al-Sabbagh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present investigation aimed to compare the treatment of gingival recession defects using either a coronally advanced flap technique and connective tissue graft (CAF + CTG) or the pinhole surgical technique and collagen membrane (PST + CM). Thirty-six subjects with bilateral gingival recession defects were included in the study. Each subject received both treatments, ie, CAF + CTG (n = 36) and PST + CM (n = 36), and completed a 1-year follow-up. Clinical and patient-centered assessments were performed, and intra- and intergroup differences were analyzed. At the 1-year follow-up, the mean recession reduction for CAF + CTG and PST + CM was, respectively, 1.98 mm ± 0.74 mm and 1.97 mm ± 1 mm (P = .53), and the mean percentage of root coverage was 65.4% ± 24.6% and 63.6% ± 24.5%, respectively (P = .72). Both groups presented significant gain of attachment level, with no significant differences between the groups (P = .9). The CAF + CTG group presented a statistically significant improvement in the width of keratinized tissue after 1 year, from 2.38 mm ± 1.5 mm to 2.61 mm ± 1.07 mm (P = .002). There was no significant difference when patient-centered outcomes were compared. Within the limits of the present study, the authors conclude that both CAF + CTG and PST + CM can successfully be used to treat gingival recession with no significant difference in efficacy between the two methods.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 1","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unintended Orthodontic Movements With Long-Term Fixed Retainers.","authors":"Frank Celenza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After completion of orthodontic treatment, retaining the orthodontic outcome is crucial. There are, however, a number of liabilities associated with long-term fixed retainers. This article describes unintended movements associated with some designs of fixed lingual retainers and suggests alternative designs while also identifying corrective measures that may be taken for reparative treatment. The article highlights inadvertent side effects of specific designs that need to be recognized and presents design options that may be more appropriate depending on the nature of the case.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Soft-Tissue Dental Lasers: An Industry Update for Practitioners.","authors":"Peter Vitruk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The dental laser has been a revolutionary addition to the clinician's armamentarium, providing dentists a precise, minimally invasive means of addressing an array of oral conditions. This article provides an industry update on soft-tissue dental lasers.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"46 1","pages":"42-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sean Lee, Yiming Li, Luis R Mateo, Guofeng Xu, Carl P Myers, Divino Rajah, Nicky Li, Yun-Po Zhang
{"title":"A 6-Month Randomized Controlled Trial to Measure the Efficacy of a Stannous Fluoride Toothpaste Stabilized With Nitrate and Phosphates (SNaP) on Dental Plaque and Gingivitis.","authors":"Sean Lee, Yiming Li, Luis R Mateo, Guofeng Xu, Carl P Myers, Divino Rajah, Nicky Li, Yun-Po Zhang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The objective of this randomized controlled trial was the comparison of a stannous fluoride (SnF2) dentifrice stabilized with nitrate and phosphates (test) to a regular fluoride dentifrice (negative control) for the control of plaque and gingivitis over 6 months.</p><p><strong>Methods: </strong>A total of 80 adult participants were enrolled in this study that was conducted in Loma Linda, California. After randomization and blinding of study personnel and patients, enrolled participants were provided instructions for the use of their assigned dentifrice. At three visits (0, 3, and 6 months), various gingival and plaque indices were collected to determine the clinical efficacy of the SnF2 stabilized dentifrice. These results were compared with the results of the negative control dentifrice.</p><p><strong>Results: </strong>A total of 77 participants completed the study. The test dentifrice demonstrated statistically significant reductions versus baseline in all plaque and gingivitis indices after 3 and 6 months of product use. The negative control dentifrice demonstrated significant reductions versus baseline in all plaque indices, but not gingivitis indices, after 3 months of product use and in all plaque and gingivitis indices after 6 months of product use, with the exception of the interproximal gingivitis index, which did not reach statistical significance. The test SnF2 dentifrice showed statistically significant reductions in all plaque and gingivitis indices compared to baseline and with the negative control dentifrice (P less than .001) after 3 months and 6 months of product use.</p><p><strong>Conclusions: </strong>The results of this clinical trial showed statistically significantly improved clinical outcomes for reduction of gingival inflammation and improvement in plaque control over 6 months when using a new SnF2 dentifrice stabilized with nitrate and phosphates as compared to the results from a regular fluoride dentifrice.</p><p><strong>Practical implications: </strong>This newly formulated SnF2 dentifrice may be of benefit to patients who need help controlling plaque biofilm and in reducing gingivitis, leading to an improvement in overall oral health.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 Suppl 3","pages":"21-29"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}