JingRu Li, Farah Mirza, Melissa Nelson, Jessica Foster, Pejmon Amini, Umar Imtiaz, Marilyn Ward
{"title":"A Randomized, Parallel Design Study to Compare the Effects of Two Different Interdental Cleaning Modalities on Gingivitis and Plaque After a 4-Week Period of Home Use.","authors":"JingRu Li, Farah Mirza, Melissa Nelson, Jessica Foster, Pejmon Amini, Umar Imtiaz, Marilyn Ward","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study objective was to evaluate the effect of two different interdental oral cleaning modalities on gingivitis and plaque following a 4-week period of home use. This was a randomized, parallel, single-blinded study. Subjects were routine manual toothbrush (MTB) users with moderate to severe gingivitis, aged 18 to 65 years. Subjects were required at baseline to have a gingival bleeding score of ≥1 on at least 50 gingival sites per the Gingival Bleeding Index (GBI) and to have an overall plaque score of ≥0.6 per the Rustogi Modified Navy Plaque Index (RMNPI) following a 3- to 6-hour plaque accumulation period. Subjects were randomly assigned to one of three groups based on the oral care cleaning modalities: (1) NON group: MTB alone, (2) IDB group: MTB plus an interdental brush, or (3) MPF group: MTB plus a Philips® Sonicare® Power Flosser with the Quad Stream nozzle. All subjects used the MTB with fluoride toothpaste. Efficacy measures (Modified Gingival Index [MGI], GBI, and RMNPI) and safety were assessed at baseline, 2 weeks, and 4 weeks. The primary efficacy endpoint was the reduction in gingival inflammation from baseline to week 4 as measured by the MGI. A total of 189 subjects were randomized and 186 completed the study. The adjusted mean percent reduction in gingival inflammation from baseline to week 4 was 2.80% for the NON group, 11.32% for the IDB group, and 20.87% for the MPF group. The differences between the MPF group and the NON and IDB groups were statistically significant (.0001). In conclusion, use of the MTB with the Philips Sonicare Power Flosser showed statistically significant benefits compared to an MTB alone and an MTB used with an interdental brush in reducing gingival inflammation following 4 weeks of home use.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 Suppl 1","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089404","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":"Creating Behavior Change for Interdental Biofi lm Disruption: Oral Irrigation as a Solution to Increasing Patient Compliance.","authors":"Jennifer Carrie Howard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interdental cleaning is critical to maintaining oral health, preventing dental issues, and promoting overall well-being. However, many patients either struggle with consistently following recommended interdental care routines or have poor technique when complying with recommendations. Addressing this problem requires a multifaceted approach comprised of tailored patient education and patient-clinician partnership to provide both an effective interdental cleaning tool and an accessible method for the patient to implement the modified interdental habit into their routine. The aim of this article is to discuss the different modalities for interdental cleaning, how to assess patient candidacy for different interdental cleaning modalities, and behavior-change strategies to promote patient compliance to recommended interdental care.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 Suppl 1","pages":"2-5"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089418","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":"Intentional Replantation: No Longer a Last Resort for Saving a Natural Tooth.","authors":"Su-Min Lee, Michael Marmo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intentional replantation (IR) is the intentional extraction of a tooth followed by its replacement back into its socket for the purpose of performing a root-end surgery or other necessary repairs. The procedure may be considered a favorable alternative to conventional microsurgery, especially when surgical access is restricted due to specific anatomical challenges. With advancements in magnification, bioceramics, and instrumentation, IR has become a well-established, scientifically supported treatment modality and is cost-effective when compared to single-implant placement. This article discusses the rationale and indications for IR, describes treatment protocols, and reports on its outcomes.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 3","pages":"152-156"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068981","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}
Alessandro Luigi Rossi, Federico Guerri, Cristina Cattaneo, Federico Gaspare Pappalardo, Matteo Arcari, Luigi Tagliatesta
{"title":"Lateralization of the Inferior Alveolar Nerve in the Rehabilitation of Mandibular Atrophy: Case Report.","authors":"Alessandro Luigi Rossi, Federico Guerri, Cristina Cattaneo, Federico Gaspare Pappalardo, Matteo Arcari, Luigi Tagliatesta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lateralization of the inferior alveolar nerve, or LIAN procedure, may be a surgical consideration for implant-prosthetic rehabilitation in the edentulous mandibular posterior region. This technique can be advantageous in that it does not require a donor site and allows for the immediate placement of an implant, potentially leading to reduced morbidity, healing time, and costs. Although such risks as altered sensory nerve function and weakening of the mandibular body are associated with the LIAN procedure, it is a viable alternative to various regenerative techniques to rehabilitate a patient with an implant-supported fixed prosthesis.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 3","pages":"147-150"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068982","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":"Precision Matters: The Evolution of Impression Systems and Materials.","authors":"Macarena Rivera, Markus B Blatz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical success of indirect restorations is directly correlated with their specific anatomic shape and design as well as marginal accuracy and overall precision of fit. These factors require a precise impression of the preparation and, to the extent necessary and possible, other teeth and supporting hard and soft tissues.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 3","pages":"158-159"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068984","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":"In Vitro Comparison of the Area of Biofilm Removal by the Quad Stream Nozzle Versus a Traditional Oral Irrigator Standard Nozzle.","authors":"Bart Gottenbos, Anandh Balakrishnan, Farah Mirza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this in vitro study was to compare the area of oral biofilm removal by the Philips Sonicare Quad Stream (PSQS) nozzle (used on a Philips® Sonicare® Power Flosser) and a traditional oral irrigator with a standard nozzle (TOIS) when used per the directions for use (DFU) instructions for both devices.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 Suppl 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089383","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":"Diagnostic Complexities of Oral Squamous Cell Carcinoma.","authors":"Kevin Chung, David Dean, Jasmine Olson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prompt diagnosis of oral cancers is critical to increase survival rates. Treatment for oral squamous cell carcinoma (OSCC) and oropharyngeal squamous cell carcinoma (OPSCC) is mainly driven by cancer stage and may include surgery alone or surgery with adjuvant or neoadjuvant radiation, chemotherapy, and/or targeted therapy. This article describes a case of a patient who was referred by his general dentist to an oral medicine clinic for assessment of an exophytic lesion on the left lateral tongue. The case report discusses the differential diagnosis and treatment, examining critical elements in lesion assessment in the patient, who had a significant oral lesion history and who was ultimately diagnosed with OSCC. Highlighting various complexities that may arise in the diagnosis of OSCC, the article underscores the importance of surveillance, informed biopsy technique, and accurate interpretation of pathology reports to appropriately manage patients with potential oral malignancy.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 3","pages":"e1-e4"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068980","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":"In Vitro Biofilm Removal From Human Enamel Using a Philips® Sonicare® Power Flosser.","authors":"Bart Gottenbos, Wesley Suntjens, Sandra Hötzl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this in vitro study was to quantify the removal of dental biofilm from human enamel surfaces after treatment with the Philips® Sonicare® Power Flosser. Dental biofilms were grown from pooled human saliva on human enamel disks for 4 days, according to an established academic model.* The biofilms (n = 6) were treated with the Philips Sonicare Power Flosser for 3 seconds using the Quad Stream nozzle. To quantify the number of bacteria before treatment, the biofilm volume was measured using optical coherence tomography (OCT) and the bacterial cell density was determined from untreated control samples (n = 6) using confocal laser scanning microscopy (CLSM). After treatment the number of remaining bacteria were counted using CLSM. Additionally, scanning electron microscope (SEM) images were recorded. While before treatment 0.2-mm thick dense biofilms were present, after treatment only scattered groups of bacteria remained (Figure 1 through Figure 4). Quantitative analysis showed 99.96% removal for the Quad Stream nozzle. The Philips Sonicare Power Flosser oral irrigator with Quad Stream nozzle removed over 99.9% of the bacteria in this established laboratory model of dental biofilm.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 Suppl 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089382","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}
Douglas A Terry, John O Burgess, John M Powers, Markus B Blatz
{"title":"A Novel Concept for Developing a Precise and Predictable Post and Core Complex Using the Injectable Resin Technique.","authors":"Douglas A Terry, John O Burgess, John M Powers, Markus B Blatz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Post systems have long been used in the roots of teeth to retain dental restorations. The primary objectives of current post and core systems are to replace missing coronal tooth structure, retain the core, and provide sufficient retention and resistance form to the final restoration to restore original form and function. Many varieties of user-friendly post and core systems are available today for different endodontic, restorative, and esthetic requirements. The present article provides a history of post and core usage in dentistry, describes various systems and materials for this purpose, and discusses empirical data regarding fiber-reinforced post systems.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 3","pages":"128-134; quiz 135"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068978","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}
Bart Gottenbos, Anandh Balakrishnan, Loes van de Kamp-Peeters, Bart Keijser
{"title":"Power Flossing Removes Biofilm From Model Periodontal Pockets In Vitro and Shifts the Microbiome During Biofilm Regrowth.","authors":"Bart Gottenbos, Anandh Balakrishnan, Loes van de Kamp-Peeters, Bart Keijser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Philips® Sonicare® Power Flosser (PSPF) is highly effective in reducing gum disease. Next to effective supragingival cleaning, this may be partially driven by subgingival cleaning. This in vitro study aimed to assess the effectiveness of the PSPF in removing biofilm from a model periodontal pocket up to 6 mm deep and to investigate the taxonomic composition of biofilm regrown after use of the PSPF.</p>","PeriodicalId":72651,"journal":{"name":"Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)","volume":"45 Suppl 1","pages":"18-19"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089424","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}