Something to think about !

ADA News 2012 Conference:

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Must See Video!

A very dramatic representation of the difference in strength between a PFM and a ful contour zirconia crown. Worth watching !

Bone-to-implant contact after maxillary sinus floor augmentation with Bio-Oss and autogenous bone in different ratios in mini pigs

Bone-to-implant contact after maxillary sinus floor augmentation with Bio-Oss and autogenous bone in different ratios in mini pigs:

Abstract

Objectives

The objective was to test the hypotheses: (i) no differences in bone-to-implant contact formation, and (ii) no differences between the use of autogenous mandibular or iliac bone grafts, when autogenous bone, Bio-Oss mixed with autogenous bone, or Bio-Oss is used as graft for the maxillary sinus floor augmentation.

Material and methods

Bilateral sinus floor augmentation was performed in 40 mini pigs with: (A) 100% autogenous bone, (B) 75% autogenous bone and 25% Bio-Oss, (C) 50% autogenous bone and 50% Bio-Oss, (D) 25% autogenous bone and 75% Bio-Oss, or (E) 100% Bio-Oss. Autogenous bone was harvested from the iliac crest or the mandible and the graft composition was selected at random and placed concomitant with the implant placement. The animals were euthanized 12 weeks after surgery. Bone-to-implant contact was estimated by stereological methods and summarized as median percentage with 95% confidence interval (CI). Bone-to-implant contact formation was evaluated by fluorochrome labelling and assessed by median odds ratios (OR) with 95% (CI).

Results

Median bone-to-implant contact was: (A) 42.9% (95% CI: 32.1–54.5%), (B) 37.8% (95% CI: 27.1–49.9%), (C) 43.9% (95% CI: 32.6–55.9%), (D) 30.2% (95% CI: 21.6–40.3%), and (E) 13.9% (95% CI: 11.4–16.9%). Bone-to-implant contact was significantly higher for A, B, C, D as compared to E (P < 0.0001). Bone-to-implant contact was not significantly influenced by the ratio of Bio-Oss and autogenous bone (P = 0.19) or the origin of the autogenous bone (P = 0.72). Fluorochrome labelling revealed extensive variation in bone-to-implant contact formation over time. The labelling at weeks 2–3 was significantly increased with A compared to E (OR = 8.1 CI: 5.0–13.1, P < 0.0001), whereas E showed a significantly increased labelling at weeks 8–9 compared to A (OR = 0.5 CI: 0.3–0.7, P = 0.0028).

Conclusions

The hypothesis of no differences in bone-to-implant contact between the various treatment modalities was rejected since the bone-to-implant contact was significantly increased with autogenous bone or Bio-Oss mixed with autogenous bone as compared to Bio-Oss. Early bone-to-implant contact formation was more advanced with autogenous bone. No differences between the use of mandibular or iliac bone grafts were observed since the bone-to-implant contact was not significantly influenced by the origin of the bone graft.

Significance of keratinized mucosa around dental implants: a prospective comparative study

Significance of keratinized mucosa around dental implants: a prospective comparative study:

Abstract

Objective

The aim of this investigation was to evaluate the significance of keratinized mucosa (KM) around dental implants both clinically and biochemically for 12 months.

Material and methods

Fifteen edentulous patients treated with implant-retained overdentures in edentulous mandible (four implants per patient). Based on the presence of keratinized mucosa on the buccal surfaces, implants were divided into two groups: Implants having minimal 2 mm of KM on their buccal surfaces and implants having no KM on their buccal surfaces. Thirty-six implants were included in the evaluations; 19 implants in 15 patients had minimal 2 mm of KM on their buccal surfaces and 17 implants in 15 patients had no KM on their buccal surfaces. Clinical measurements of Plaque Index, Gingival Index, probing depths, and Bleeding on Probing were performed and peri-implant crevicular fluid (PICF) were collected immediately before loading (baseline) and at 6th, 12th months after loading. Interleukin-1 beta (IL-1 β) and tumor necrosis factor-alpha (TNF-α) have been assessed in the crevicular fluid. Results were analyzed by repeated-measures of variance (ANOVA) and Wilcoxon signed rank tests.

Results

After 12 months of evaluation the results of ANOVA showed that implants with KM had lower levels of TNF-α total amounts than implants without KM (P < 0.05). Additionally, TNF-α total amounts were significantly higher at 12^th month compared to baseline for implants without KM (P < 0.05). Plaque index and Gingival index values were also found significantly higher for implants without KM (P < 0.05). For IL-1 β and PICF volume levels the differences between the implant groups were non significant, whereas the differences between the periods were significant. (P < 0.05) Additionally, both of the groups had higher levels of PII and BoP scores when compared to baseline (P < 0.05).

Conclusions

The results of this study showed that an adequate band of keratinized mucosa was related with less plaque accumulation and mucosal inflammation as well as pro-inflammatuar mediators, suggesting that it may be critical especially for plaque control and plaque associated mucosal lesions around dental implants.

These Silently Screaming Dental Mannequins Are What Nightmares Are Made Of [WTFriday]

These Silently Screaming Dental Mannequins Are What Nightmares Are Made Of [WTFriday]:

These synthetic heads don't need to be anywhere near the Uncanny Valley to be terrifying. Our friends at Oobject have assembled 12 of the creepiest prosthetic mouths in dentistry. More »

Graphene Nanosensor Monitors Bacteria in Your Mouth

Graphene Nanosensor Monitors Bacteria in Your Mouth:
A team of scientists from Tufts University and Princeton University have developed a wireless bacteria detection technology which can be interfaced with a number of surfaces, including biological substrates, such as the enamel of a tooth.  The researchers used graphene to achieve a very high degree of sensitivity. By printing the graphene onto water soluble silk, the sensor could then be easily transferred to biological surfaces. A patterned resonator coil design on the printed sensor acts as a passive antenna to enable power and wireless communication with the sensor.
Most recently, the researchers have demonstrated their sensor by attaching it to a tooth for monitoring of respiration and bacteria detection in saliva.Their findings have  been reported in the March 27 online edition of Nature Communications.
Read More

New Gel May Mean No More Dental Anesthesia Shots - Science News - redOrbit

This seems exciting. It would definitelymake treatment more acceptable to many of our patients !

New Gel May Mean No More Dental Anesthesia Shots - Science News - redOrbit:

Anesthetic gel made from a rare plant found deep in the Peruvian rainforest has been found to be so potent that it could potentially replace the uncomfortable anesthetic injections used prior to dental procedures — and provide a natural remedy for aching teeth, scientists say.

The remarkable painkilling properties of the Acmella oleracea plant, commonly referred to as Spilanthes Extract, have been used for centuries if not millennia by Incas to treat toothache, ulcers, abscesses and to even clean teeth.

Indigenous tribes revealed the secrets of the plant to Cambridge University researcher Dr. Françoise Barbira Freedman, who has spent more than 30 years visiting and living with the Keshwa Lamas tribe of Peru. Freedman said the plant could literally transform western dental practice.

Freedman became the first westerner to be accepted into the secretive society in 1975. During one of her trips to the rainforest, she suffered severe pain in her wisdom teeth. She was given the remedy by the tribe‘s medicine men and the pain subsided “immediately,” she said. more

Source: redOrbit (http://s.tt/17lS9)

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