Paul Gregory, James Lea, Christopher Walinski, Denise Terese-Koch, Timothy Hottel, Dan Fields, Christopher Rodriguez
{"title":"Comparison of Laser Versus Rotary Instrumentation- A Case Study.","authors":"Paul Gregory, James Lea, Christopher Walinski, Denise Terese-Koch, Timothy Hottel, Dan Fields, Christopher Rodriguez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of an erbium laser to treat carious teeth has proven to have several advantages when compared to rotary instruments. The clinician is able to remove a minimal amount of tooth structure, thus minimizing the risk of pulpal exposure. The extremely short pulses of erbium lasers combined with an aerosolized water spray have been shown to cool the pulp as opposed to rotary instruments which may create heat that could lead to a pulpitis. Bonding to the lased surfaces is improved because the smear layer is removed, bleeding is controlled, and the lased tooth surface appears etched with open dentinal tubules. The laser also provides a bactericidal effect and the need for local anesthetics is eliminated or reduced. The use of the erbium laser to prepare cavity preparations can be done as quickly, or oftentimes more quickly, than using a rotary instruments. In addition, patients appreciate the absence of the high speed drill noise and vibration.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36601513","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":"Admissions at the University of Tennessee College of Dentistry Part 1: Trend in Applications 1977-2015.","authors":"J Stansill Iii Covington","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the first in a series of commentaries related to admission to The University of Tennessee College of Dentistry. Admission to dental school in the current climate is exceedingly competitive-much more so than at any time in history. The purpose of the paper is to examine over thirty-five years of class size and total applications to the University of Tennessee College of Dentistry to gauge competition for admission today versus any time in the past thirty-five years.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"50-53"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36561250","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":"Tennessee Dental Establishments: 2007-2012 Economic Survey.","authors":"H Barry Waldman, Misha Garey, Rick Rader","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To document the evolving economies of dental establishments in the State of Tennessee during a period of significant growth of the number of establishments before and after the \"Great Recession.\"</p><p><strong>Method: </strong>Published results from the five-year economic surveys by the U.S. Census Bureau on business receipts and salaries of employees (including dentists) for the State of Tennessee and its counties were used to construct a review of these developments.</p><p><strong>Results: </strong>Between 2007 and 2012, there were continued increases in average current dollar business receipts and employee salaries. However, in terms of standard dollars, removing the effects of inflation: 1) business receipts increased in 19 counties but decreased in 37 counties; 2) employee salaries increased in 13 counties but decreased in 30 counties.</p><p><strong>Conclusions: </strong>Results are in line with the reports by the ADA Health Policy Institute, which indicate that nationally the percentage of dentists who report they are not busy enough has increased and dentists' earnings are stagnating. The need is to expand the delivery of care to underserved populations, including the poor, individuals with disabilities, minorities and new immigrant populations, for whom oral health services may not be a priority commodity.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36601515","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}
William A Mallard, William N Deuring, Barrv M Owens, Jeffrey G Phebus, David E Umsted
{"title":"Provisional Replacement of Anterior Teeth: A Review of Clinical Techniques and Case Report in a Dental School Training Experience.","authors":"William A Mallard, William N Deuring, Barrv M Owens, Jeffrey G Phebus, David E Umsted","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Upon the premature loss of permanent anterior teeth from unanticipated trauma or by ongoing patient neglect requiring surgery, patient requisites of functional and esthetic considerations must be addressed. Interim management can be achieved through the use of several diverse fixed and/or removable treatment modalities. The purposes of this report are to provide a review of traditional and unconventional techniques for interim replacement of missing anterior teeth and to present a clinical report demonstrating the fabrication of a removable, thermoplastic (vacuum-formed) EssixTM prosthesis, utilizing composite resin as the surrogate material of choice for the absent teeth. This measure proved to be an immediate, esthetic, and transitional treatment solution prior to a permanent resolution for the patient's long-term dental requirements.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36601517","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":"Antibiotic Therapy in the Treatment of Odontogenic Infections-An Evolving Landscape.","authors":"Larry Weeda, Michael J Backer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Odontogenic infections continue to be the most common reason for people to seek dental care. Antibiotic therapy, combined with appropriate surgical intervention has been the mainstay in treating dental infections for many years. Availability of new antimicrobial agents and reports of decreased efficacy in commonly used antibiotics warrant continued study to assure that the most effective agents are utilized. This paper presents a brief summary of the bacterial populations associated with odontogenic infection and their antibiotic resistance mechanisms. Information from a number of studies, including our own data, concerning antibiotic resistance and efficacy are presented. This paper may provide the practitioner with additional information as a guide for appropriate antibiotic use in odontogenic infections.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"13-17"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36601514","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}
Daranee Versluis-Tantbirojn, James S Simon, Janet Harrison
{"title":"We May Have Done Something Right: Composite Restorations at the College of Dentistry, University of Tennessee Health Science Center.","authors":"Daranee Versluis-Tantbirojn, James S Simon, Janet Harrison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The success of composite restorations requires meticulous clinical technique in addition to reliable restorative materials and armamentarium. Early failure of restorations is undesirable and are usually replaced at no cost to patients. A metaanalysis study reported a mean annual failure rate of 1.46% for posterior composite restorations. At the University of Tennessee Health Science Center College of Dentistry (UTHSC CoD) predoctoral clinic the percentage of posterior composite restorations replaced within 12 months, retrieved from 2007-2014 electronic chart 'redo' records, was on average 0.58%. Several factors may have contributed to the quality of composite restorations placed by novice clinicians with modest experience. Student doctors are educated about composite placement in preclinical courses and then work under close supervision during their clinical training. This article describes restorative techniques for composites and the rationales taught at the UTHSC CoD Department of Restorative Dentistry. The objective is to share the information, which can be adopted or modified by general practitioners in daily practice.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36601520","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":"What is Missing for Stem Cell-Based Therapies in Dentistry.","authors":"George T J Huang, Franklin Garcia-Godoy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There have been significant advancements in regenerative dentistry demonstrated in large animal studies, particularly in the areas of endodontics and periodontics. By using dental stem cells, pulp tissues can be regenerated in empty root canal space, and periodontal pockets can be regenerated to its normal state. To further test its clinical applications and perhaps to provide such patient care service if proven safe and successful, a facility called good manufacturing practice where stem cells are processed is needed. However, such facilities are rare.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36560372","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}
Holland Maness, Stefan A Hottel, Terry Trojan, Timothy L Hottel
{"title":"A Novel Protocol to Evaluate Hard and Soft Tissue Relationships in Three Dimensions without the Use of Additional Radiographic Studies.","authors":"Holland Maness, Stefan A Hottel, Terry Trojan, Timothy L Hottel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The evaluation of hard and soft tissue relationships is an important part of the study of facial morphology, craniofacial development and orthodontic treatment and outcomes. Historically, this evaluation has occurred in two dimensions. The purpose of this study was to develop a protocol to study the relationships of hard and soft tissues in three dimensions without the use of additional radiation.</p><p><strong>Materials and methods: </strong>Stereo photogrammetric images created by the 3dMDTM Face system and models digitized using the Motion View scanner were utilized. Using a previous lateral cephalometric image from the orthodontic records appointment, these hard tissue and soft tissue images were integrated.</p><p><strong>Results: </strong>The integration of all data sets was accomplished with an average error rate of less than .05mm. A method was developed, thus allowing measurement of soft tissue thicknesses and changes over treatment time in relation to the underlying dentition.</p><p><strong>Conclusions: </strong>Evaluation of hard and soft tissue relationship in three dimensions can be accomplished without the use of additional radiographic studies.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 2","pages":"45-49"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36601516","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}
Adam C Goddard, Jeffrey H Brooks, Robert H Lewis, Paul S Lewis
{"title":"Treatment for Recurrent Odontogenic Keratocysts.","authors":"Adam C Goddard, Jeffrey H Brooks, Robert H Lewis, Paul S Lewis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Controversy remains in understanding both the development and treatment for the odontogenic keratocyst (OKC). With recent changes in nomenclature recognizing the odontogenic keratocyst as a benign tumor, the debate over the proper course of treatment to limit recurrence and morbidity will continue. This study presents two cases where conservative treatment failed to prevent recurrence and each patient underwent resection of aggressive, multicystic OKCs to provide the best chance for definitive care without recurrence and limited morbidity.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36553780","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":"Introduction to Clinical Practice in Dentistry: Transitioning from Pre-clinical to Clinical Student Doctors at The University of Tennessee Health Science Center College of Dentistry.","authors":"Ashanti Braxton, Daranee Versluis-Tantbirojn, Waletha Wasson, Janet Harrison, Layne Levy, Colette Stewart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Matriculation from the pre-clinical setting to the clinical environment is a tremendous accomplishment and exemplifies the student's perseverance in learning the fundamental concepts necessary for success in the clinical application of dentistry. In an effort to maximize its educational philosophy for the teaching program, the University of Tennessee's College of Dentistry has implemented Introduction to Clinical Practice I and II within the dental curriculum. Introduction to Clinical Practice I and II are designed to help the dental students effectively and smoothly transition to the clinical setting from the classroom and pre-clinical setting. This article describes the university's efforts and continuous improvements within the pre-clinical dental curriculum for advancing students to the clinics. The purpose of this article is to provide helpful information to other dental educational institutions on how to assist their pre-clinical dental students in transitioning to clinical student-doctors.</p>","PeriodicalId":76685,"journal":{"name":"The Journal of the Tennessee Dental Association","volume":"96 1","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36553782","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}