The New York state dental journal最新文献

The presence of a peg lateral incisor is an example of an autosomal dominant genetic condition that is often associated with several other dental abnormalities, including tooth agenesis. It can occur either unilaterally or bilaterally. Individuals with peg lateral incisors often present with an associated midline diastema, as well as other anterior diastemas. The esthetic restoration of a peg lateral incisor can become a transformative event for an adolescent female patient. This article describes a combined orthodontic and restorative approach to the management of this condition, using a direct composite veneer without tooth reduction. This most conservative and minimally invasive treatment is especially appropriate inthe adolescent patient. Final esthetic results are optimized by this combined interdisciplinary approach. By planning for the resultant space mesial and distal to the peg lateral incisor, composite resin can be veneered directly over the tooth to provide excellent esthetics. Other treatment options can be considered in adulthood, if necessary.

This study evaluated the incidence of TMDs and their relationship to psychological factors in children ages 6 to 12 years who sought dental treatment at the Ponta Grossa State University. Following ethics committee approval and informed consent, 75 children were included in the study. Exclusion criteria were craniofacial malformations, history of orthodontic treatment and maxillary fractures. TMD severity was classified, using the Fonseca anamnesis index questionnaire, as “no TMD” (control) and “mild,” “moderate” and “severe.” Parents completed the Child BehaviorChecklist, which measures behavior problems and competencies. Data were analyzed using the Chi-square test (a=0.01). Regardless of gender, 40 children had internalizing problems (with TMD, n=32; without TMD, n=8). Children presenting internalizing problems and TMD were classified as having mild (n=23), moderate (n=8) and severe TMD (n=1). Thirty-one children interviewed had externalizing problems (with TMD, n=24;without TMD, n=7). Children presenting externalizing problems and TMD were classified as having mild (n=18), moderate (n=5) and severe TMD (n=1). In addition, 36 children had behavior problems (with TMD, n=26; without TMD, n=10), of whom 19 children had mild, 6 children had moderate and 1 child had severe TMD. Psychological problems were related to TMD in Brazilian children ages 6 to 12.

The authors examined a 55-year-old female who had received eight intravenous infusions of a potent bisphosphonate (BP) for metastatic bone disease. A mandibular extraction was subsequently performed. At presentation, infection with suppuration and sequestrum formation were observed in the area of extraction. Both the oncologist and dental practitioner must be made aware that when BPs are going to be administered, dental care should be performed in a timely fashion. Prophylactic measures must be taken by the dentist if dental surgery is required for a patient who has received BP.

In 2003, New York State enacted legislation that allowed graduating dentists to undertake a one-year postgraduate residency in place of a licensure exam. In 2007, it became mandated throughout the state. This was a paradigm shift for the dental community, and overall opinions varied widely on the topic. On one side, proponents of a board exam claim that the point of dental school is to produce competent practitioners and weed out those who would be dangerous to the practice of dentistry. Contrarily, proponents of residency see the need for further evaluation and assessment of practitioners in order to even understand their levels of competence. In the current residency model of licensure, it is up to attending dentists and residency directors to deem the dentists ready to practice. At this point, there is no standard way of assessing residents, nor are there any guidelines as to what should be used to assess prospective dentists. This puts a lot of responsibility on specific directors to decide what is appropriate in their own situation. The purpose of this survey was to collect and assess residency directors' perspectives on the current licensure model of a residency. The survey response rate was 57% of all residency directors in New York State. The results show how the biggest stakeholders view their role in licensure, what levels of assessment they use and what improvements they would choose to utilize if available.

New CDC document makes it easier to implement and follow infection control practices.

Cervicofacial emphysema (CE) is a rare but potentially serious condition that can arise iatrogenically from dental or surgical procedures. Dental handpieces with fore-exhaust can inject air into tissues at pressures at or greater than 30 psi. Since 1963, there have been approximately 100 case reports in the literature of iatrogenic CE from routine dental procedures. Prompt recognition and treatment are essential; however, many general practitioners may only be familiar with CE from their dental school curriculum. A case of unusually severe cervicofacial emphysema with concomitant pneumomediastinum is presented, along with a discussion and review of management principles for the general dentist. It is our hope that refamiliarization with this condition will give the general dentist an appreciation for and recognition of signs of CE, thereby being the first. link in a chain of successful treatment.

Titanium root form dental implants are among the major advances modern dentistry can offer patients. Occasionally, in spite of all precautions and best operator intentions, implants are inadvertently placed in positions that do not permit their use for high-quality esthetic dental restorations. Salvaging these implants to permit their use is a challenge for practitioners. Such a situation came to our attention in 2012 after two anterior implants placed in 2009 were found to be in unusable positions. A plan to remove the implants, regraft the area and-after a considerable waiting period-replace the implants in a more "proper" position was considered. Instead, by combining oral/maxillofacial surgical techniques developed for reconstruction of severe dentofacial deformities with newer clinical and laboratory techniques for crown fabrication, the problem was corrected for the patient with a minimum of lost time. And an esthetically pleasing result that more than satisfied our patient was achieved.