dentist

Prefabricated blood vessels may revolutionize root canals

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Root canals are used to save a tooth that has become infected or decayed, with over 15 million performed each year in the U.S.. However, this procedure can cause teeth to become to become brittle and susceptible to fracture over time. The procedure involves removing infected dental tissues and replacing them with synthetic biomaterials covered by a protective crown. Now researchers in Portland, Oregon, have developed a process by which they can engineer new blood vessels in teeth, creating better long-term outcomes. By removing the tooth’s blood and nerve supply it is without an biological response. Then can cause the tooth to be lost and a need of dentures or implants. The researchers used a 3D printing-inspired process, which was based on their previous work fabricating artificial capillaries, to create blood vessels in the lab. They placed a fiber mold made … Read more

Going to the Virtual Beach Improves Dental Experiences

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For patients at a dental practice in Devon, England, Virtual Reality encounters in the dental chair can result in demonstrably better experiences. A team of researchers at the Universities of Plymouth, Exeter and Birmingham worked with Torrington Dental Practice in Devon to find out whether virtual experiences could improve the patient’s experience during routine dental procedures such as teeth removal. Patients, who agreed to take part in the study were randomly allocated to one of three conditions: a) standard care , b) a virtual walk around Wembury beach in Devon or c) a walk around an anonymous virtual reality city. Results found that those who ‘walked’ around Wembury beach were less anxious, experienced less pain, and had more positive recollections of their treatment when compared to those in the standard care condition. These benefits were not found for those who walked … Read more

Bleeding After Dental Extractions in Patients on Warfarin

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An interesting article titled “Postoperative Bleeding Following Dental Extractions in Patients Anticoagulated With Warfarin” written by Anthony Febbo and et al. appears in the 2016 Journal or Oral and Maxilofacial Surgery (vol. 74, pp. 1518-1523). The article sought to explore the risk of bleeding in patients on warfarin after dental extraction. Warfarin is the most common anticoagulant used in Australia which can be used to prevent life-threatening thromboembolic events, such as stroke and deep vein thrombosis from occuring in patients at risk. Varying viewing points exisist as how to best handle these patients when a tooth or teeth need to be extracted. Some options include stopping the anticoagulant before extraction or continuing to use it while local hemostatic techniques are used. However ceasing the anticoagulant could be deadly so it is not generally used. The therapeutic effect of warfarin is … Read more

Filing Billing for Dentists to Help Patients

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An interesting article titled “You want me to do what?” written by Douglas Auld appears in the March 2016 issue of JADA. The article discusses a patient who has an an abscess on a mandibular right third molar which requires extraction. The treatment was done in December and the patient had already used their full benefits from their dental insurance for the year. So the patient suggested to the dentist to bill for the extraction in January and also suggested to file it as a surgical extraction and apply the difference to his balance. The article asks if it is ethical for dentists to do any of this. The article states that a dentist has a duty to communicate truthfully with third parties. It says “A dentist who submits a claim form to a third party reporting incorrect treatment dates for the purpose of … Read more

What Can a Surgeon Do to Prevent Opioid Abuse

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An interesting article titled “The Surgeon’s Roles in Stemming the Prescription Opioid Abuse Epidemic” written by James Hupp appears in the 2016 Journal of Oral and Maxilofacial Surgery (vol. 74, pp. 1291-1293). The article describes the current challenges oral and maxilofacial surgeons are facing when it comes to prescribing opioids. This is because regulators and politicians are getting involved due to their perception of an opioid abuse problem. He mentions that Congress is considering legislation to address prescription drug addiction problems. The author wants surgeons to remember that there are legitimate reasons for giving patients who have had oral surgery such as wisdom tooth extractions an opioid medication.  Pain that interferes with a patient’s usual routines, their ability to consume enough fluids and calories, or their ability to sleep often requires a narcotic until the pain subsidizes. As such these patients should be prescribed opioids … Read more