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Treatment Options for Pre-eruptive Intracoronal Resorption of Permanent Teeth: A Report of Two Cases
No full textPre-eruptive intracoronal resorption (PEIR) is a condition found in 2% to 8% of cases, initially seen as a radiolucent area beneath the dentino-enamel junction in unerupted teeth. This case series highlights pre-eruptive intracoronal resorption (PEIR) diagnosis and diverse management approaches for two presentations: one with symptomatic maxillary second molar PEIR and another with incidentally discovered mandibular second molar PEIR. Often confused with traditional dental caries due to its radiolucent appearance, it was previously termed “pre-eruptive” caries. Differentiating between “progressive” and nonprogressive” forms is crucial. Treatment options depend on radiographic extent, lesion progression and clinical symptoms
Wax On, Wax Off - Polishing Toward an Exceptional Staff
No full textThis article features a monthly column from the Macomb Dental Society\u27s editor, Dr. Michael Saba
The Evolving Landscape of Dentistry: Embracing Connection and Growth
No full textThis article features a monthly column from the Macomb Dental Society Executive Director, Dr. Christopher Gorecki
Kids in Need of Dentistry (KIND) Announces New Executive Director
No full textThis article introduces Ms. Colleen Lampron as the new Executive Director of Kids in Need of Dentistry (KIND). She brings 25+ years of experience in oral health and public health. Her leadership is set to advance KIND’s mission of delivering quality dental care to children across Colorado
Endorsed Program News
No full textThis Month\u27s news from MDA Endorsed Programs advises early-career dentists on how to navigate real estate challenges during a practice transition. It cautions against relying on generic market comparisons, making emotional decisions, or bypassing expert real estate coordinators. It recommends working with dental-specific real estate advisors like Bridge Commercial Realty to ensure fair valuations and smooth transactions. Additional endorsed services are highlighted, including cyber insurance (Coalition Active), PPO negotiation, reputation management, and cost-saving credit card processing
NODA News April 2005
No full textNew Orleans Dental Association (NODA) News includes regular columns with regional news impacting the New Orleans membership including: columns from the President and Executive Director, feature articles relating to the field of dentistry, association events and upcoming activities, component news, continuing education opportunities, and classifieds
What to Know about Release of Information, Authorization, and Records Requests
No full textThis article clarifies HIPAA regulations regarding the disclosure of protected health information (PHI). It distinguishes between a Right of Access request, where a patient directly seeks their own record (no authorization needed), and an Authorization, which is required for disclosures beyond treatment, payment, or health care operations, or to third parties for ongoing access. The author details activities permissible without authorization, such as coordination of care, billing, and quality improvement. Specific examples are provided for situations requiring authorization, like disclosing PHI to attorneys or for marketing. The article also outlines seven essential elements for a HIPAA-compliant authorization for
Staff Matters: Why Are Our Employees Leaving? And How Do We Keep Them?
No full textThe article addresses the challenges of staff attrition in dental practices, emphasizing its costly impact and the need to understand its causes. Common reasons for attrition include low compensation, high workloads, poor management practices, and lack of career development opportunities. Solutions involve gathering feedback through exit interviews, improving salaries and benefits, balancing workloads, enhancing management styles, and offering career growth. Proactive measures can help retain staff and create a stable, supportive work environment
General Dentists’ Education, Knowledge, Attitudes and Behavior Concerning the Effects of Pregnant Patients’ Oral Health on Pregnancy Outcomes: A National Survey
No full textObjectives: Since 1996, substantial evidence showed that pregnant patients’ oral health and pregnancy outcomes are related. The objectives were to assess general dentists’ education, knowledge, and behavior related to treating pregnant patients and how COVID-19 changed behavior related to these patients’ treatment.
Methods: 2,500 surveys were mailed to general dentists who were members of the American Dental Association; 96 letters were undeliverable and 253 surveys were completed (Response rate: 10.52%).
Results: 50.2% agreed/strongly agreed that they were well-educated in dental school about treating pregnant patients. Only 34% were satisfied with this education. The majority knew that periodontal disease was associated with preterm delivery (71.8%) and low birth weight (69.3%), and that pregnant patients can safely undergo basic dental treatment (90%), root canal treatment (90.5%), and tooth extractions (82.8%). The majority delivered fillings (78.4%), periodontal treatment (69.2%), and root canal therapy (66.2%) to pregnant patients. Nearly all dentists (94%) delivered routine examinations and cleanings, and discussed the importance of oral health during pregnancy (91.6%); 38.6% were concerned about legal risks, and 38.6% believed there were no guidelines for treating pregnant patients. The COVID-19 pandemic did not change treatment patterns for the majority of respondents. The better their dental school education was, the more knowledge they had about treating pregnant patients (r=0.19; p\u3c0.001) and the more likely they were to deliver this care (r=0.30; p\u3c0.001).
Conclusions: Increased dental school and continuing education about the effects of pregnant patients’ oral health on pregnancy outcomes is needed to improve much-needed related knowledge and professional behavior
Pathological Changes in Soft Tissues Associated with Radiographically Normal Impacted Teeth: A Critical Update and Meta-analysis
No full textThe purpose of the study was to conduct a retrospective analysis of histopathological diagnosis of all pericoronal tissues associated with impacted teeth and to correlate it with a hypothetical classification of pericoronal follicular space to improve our clinical management of treating impacted teeth. Materials and Method. The study was carried out in the Department of Oral and Maxillofacial Pathology at Sri Guru Ram Das Institute of Dental Sciences, Amritsar. Data revealed that during a 12-year period, 1,268 patients reported with a pericoronal follicular space associated with the crown of an unerupted tooth, which was subsequently submitted for histopathological evaluation. Panoramic and periapical radiographs were available in all cases. The study group comprised 593 subjects having a pericoronal radiolucency \u3c 7 mm associated with at least one impacted tooth. In order to establish comparisons, PFs were arbitrarily divided into three groups according to pericoronal space width: Group A ≤ 1.5mm; Group B\u3e 1.5 mm to 4 mm; and Group C\u3e 4 mm to 7 mm. Patients’ ages ranged from 12 to 63 years. A PubMed, Medline meta-analysis was also searched for previous such work and was tabulated. Results. In the present study, 56.49% of the specimens, that is 335 out of 593 follicular samples, with radiolucency \u3c7mm had undergone various pathological changes. Histologic diagnosis of the pathological changes associated with the impacted teeth showed a strong distribution of dentigerous cyst (n=287), followed by odontogenic keratocyst (n=27) and ameloblastoma (n=15), respectively. Lesions such as odontogenic myxoma, odontogenic fibroma and calcifying odontogenic cyst were also sparsely documented. Dentigerous cyst was frequently diagnosed in the 18- 30-year age group, with the mean age of 23.1 years. Other cysts and tumors diagnosed had a mean age of 30.6 years. Conclusion. Cystic changes may develop in both clinically and radiographically asymptomatic impacted teeth. The data from this study cannot justify the complement removal of all asymptomatic impacted teeth but suggests that there is a risk of pathologic changes, particularly in the second to third decade of life