Method to Reduce Dental Implant Failure

Fifteen million Americans have crown or bridge replacements and three million have dental implants. Dental implants can be successful for many patients; however, five to 10 per cent of all dental implants fail. The reasons for this failure are mechanical problems, poor connection to the implanted bones, infection or rejection. When failure occurs the dental implant needs to be removed. The main reason for dental implant failure is periimplantitis. This destructive inflammatory process affects the soft and hard tissues surrounding dental implants. When pathogenic microbes in the mouth and oral cavity develop into biofilms, periimplantitis develop on dental implants. A research team from the School of Biological Sciences, Peninsula Schools of Medicine and Dentistry and the School of Engineering at the University of Plymouth, have joined forces to develop and evaluate the effectiveness of a new nanocoating for dental implants … Read more

Shared decision making in cases of conflicted evidence

An interesting article titled “When clinical evidence is conflicted, who decides how to proceed? An opportunity for shared decision making,” appears in the October 2015 issue of JADA (vol. 146 issue 10, pp. 713-714) and written by Arthur H. Friedlander and et al. The article discusses the concept of shared decision making “…particularly necessary in dentistry at this juncture, given recommendations but inconclusive data available to support abandoning the provision of prophylactic antibiotics to patients with total joint prostheses.” I have previously talked about shared medical decision making in the blog post The Well Informed Patient The article talks about how historically patients were expected to consent to the recommendations of their doctors without much discussion. However, since this is not enough to be legally and ethically correct shared decision making can be used which is a “…collaborative process encouraging patients … Read more

Preserving Research Funding in Dentistry

An interesting article titled “The vital role of research funding in preserving the oral health of the public and the dental profession,” appears as a guest editorial in the June 2015, issue of JADA and written by Maxine Feinber and et. al. The article discusses how it is critical that investments in dental, oral, and craniofacial research continue in the United States to help improve the nations oral health. The article states “…oral diseases persist on a scale that is poorly understood and wholly unacceptable… 3.9 billion people had oral conditions, with untreated dental caries in permanent teeth the most prevalent disease, affecting 35% of the world’s population….1 in 5 Americans is afflicted with dental caries…” The article says that around 4% of health care spending in the U.S. is for dental services. Even so we know little about oral disease and … Read more

Are Dentists Not Busy Enough?

An interesting article titled “Solving dentistry’s ‘busyness’ problem” appears in the August 2015 edition of JADA and written by Marko Vujicic. The author states that nationally (U.S.) around 1 in 3 dentists say they are not busy enough. This differs by state and whether or not the dentist accepts Medicaid. The author states that the number of working age adults who have seen a dentist within 12 months has been declining over the past 10 years. In addition, inflation adjusted dental spending has been flat for several years. So the demand for dentistry is declining. The author also states that the number of dentists has increased over the last 10 years. So decreasing demand and increasing supply creates a problem for dentistry. Even so the author feels that dentist utilization by seniors will increase over the coming years and dentist utilization … Read more

Can Dentistry Learn from the National Basketball Association (NBA)?

An interesting article titled “What the ADA can learn from the NBA” appears in the July 2015 issue of JADA by Marko Vujicic. The article discusses how the National Basketball Association (NBA) implemented some changes that are relevant to health care workers. What the NBA did was start reviewing and evaluating all referee decisions during the last 2 minutes of any close games. The NBA wanted to be more transparent, more accountable, and show that most calls by a referee are correct. The NBA publicly discloses the results of their review of the calls of any close games. No longer do they wait until controversy causes them to act and instead are proactive instead of reactive. The author of the article feels “…that the underlying trends toward increased transparency, accountability, data-driven metrics, and emphasis on quality and outcomes that drove the NBA’s decision are precisely the … Read more