ADA Commons (American Dental Association)
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Arteriovenous Malformation Presenting as a Disfigured and Throbbing Face: Case Report
Maxillofacial arteriovenous malformations (AVMs) are a rare condition in which arteries and veins are in continuity without a capillary bed in between, which poses a significant risk of severe bleeding. Intraosseous AVMs can lead to cortical bone expansion and facial deformity. Dental procedures may result in life-threatening bleeding risk if this condition is not recognized. This report describes a patient experiencing pain in the lower right side of the mouth, along with a taste of blood in the mornings and a tingling sensation in the chin and lower lip. The patient had a history of uncontrolled bleeding following a dental extraction at an adjacent site. Examination demonstrated a non-fluctuant facial enlargement, with pulsation on extraoral palpation of the mandible and buccal and lingual vestibules intraorally. CT angiogram confirmed an intraosseous AVM with multiple feeder vessels. The patient underwent preoperative embolization to minimize intraoperative bleeding followed by a hemimandibulectomy and a fibula free-flap reconstruction
An Intractable Problem: Creative solutions are needed to solve the dental hygienist shortage in New York State
The dental workforce shortage is well documented. Whether it is dental assistants or dental hygienists, it hasn’t been easy finding good help. The ADA and California Dental Association recommend offering higher salaries, flexible and lighter schedules, health insurance, paid holidays and vacations, retirement funds, paying for continuing education, better dental office culture and growth opportunities. Providing these benefits and adjusting your dental practice may very well lead to success in hiring, but could be detrimental to your business. Maybe it’s time we look far outside the box for solutions
President\u27s Message
Monthly update from Dr. Greg Guerra, D.D.S. with details of recent events, upcoming activities and news from the association
Going Non-Par: What Are Your Options?; With sidebar: One Dentist’s Experience with Going Non-Par
The article discusses the considerations for dental practices contemplating dropping insurance participation (going non-par). It emphasizes the importance of analyzing practice objectives, patient demographics, competition, and financial policies before making this decision. The transition to non-par status can impact patient relationships and requires a strong financial and collection policy. Ultimately, the decision should be based on a thorough understanding of the practice and its goals.
The sidebar presents supplementary content and includes a call for MDA members to share their experiences with non-participation in insurance plans and features Dr. Greg Maxson\u27s personal account of going non-par. Dr. Maxson emphasizes that the decision should align with a dentist\u27s values and practice goals. He chose non-participation to enable a slower pace with fewer patients but deeper relationships. He highlights three key considerations: self-awareness about practice values, having a strong front desk team prepared to manage the transition, and differentiating oneself through specialized services to remain competitive when patients inevitably leave
RETIRED DENTISTS – AN UNTAPPED POOL OF VOLUNTEERS
The article advocates for retired dentists to volunteer by simplifying the process of obtaining a volunteer license, highlighting the untapped potential of this group to serve underserved populations
THIS IS THE FACE OF A SURVIVOR
The article highlights the impact of the Virginia Dental Association Foundation\u27s Donated Dental Services program, showcasing the transformative dental care provided to low-income individuals, particularly through the story of a cancer survivor named Pamela
Dentists Beyond the Chair: Caitlynn Haas, DDS, Holland, MI
Dentists Beyond the Chair focuses on the out of office interests and lifestyles of West Michigan dentists. This article features Dr. Caitlynn Haas: a Holland, MI dentist and fitness center owner
The Evidence Behind the Risk of Fluoride Use
This article explores the evidence behind the safety of community water fluoridation. The authors establish that no clear link to lower IQ has been proven at U.S. levels (0.7 ppm). Major health organizations, including the ADA and WHO, continue to support fluoridation as safe and effective for preventing tooth decay
Getting Help When the Going Gets Tough
In her editorial, Dr. Dziurgot emphasizes the importance of emotional support and mental health resources for dentists. She shares her own experiences of turning to family in tough times and offers practical alternatives for those without such support. Strategies include journaling, creative expression, and seeking professional counseling through programs like the MDA Member Assistance Program and ADA Talkspace. She encourages open dialogue and mutual support within the dental community