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A UNION OF DIGITAL TECHNOLOGY WITH CUSTOMIZED HANDS ON ESTHETICS

Chapter by: Apltauer, James J; Oen, Kay T; Estafan, Denise; Wolff, Mark S
in: 5TH INTERNATIONAL CONFERENCE OF EDUCATION, RESEARCH AND INNOVATION (ICERI 2012) by Chova, LG; Martinez, AL; Torres, IC [Eds]
pp. 3071-3073
ISBN: 978-84-616-0763-1
CID: 2648152

Effect of an 8.0% arginine and calcium carbonate desensitizing toothpaste on shear dentin bond strength

Canares, G; Salgado, T; Pines, M S; Wolff, M S
OBJECTIVE: The objective of this study was to determine the effect of an 8.0% arginine and calcium carbonate desensitizing toothpaste (Colgate Sensitive Pro-Relief) on shear bond strength of composites to bovine incisor dentin. METHODS: Bovine incisors were sectioned and prepared into 27 dentin specimens. The experimental group had 13 specimens treated for 10 sessions of two-minute brushing with an 8.0% arginine and calcium carbonate desensitizing toothpaste, followed by a 30-second agitated water wash. The control group had 14 specimens treated with flour of pumice only. Each specimen was dried, etched with 35% phosphoric acid for 15 seconds, and washed clean. A bonding agent was applied and polymerized. A 2.38 mm diameter column of Filtek Supreme A2 was bonded to the surface and polymerized as per manufacturer's instructions. Specimens were stored in water for at least 48 hours, subjected to a shear force at a crosshead speed of 0.5 mm/minute on an Instron mechanical testing device, and force at failure was recorded. A one-sided t-test was used to evaluate significant differences among the groups as measured by mean shear strength. RESULTS: Mean shear force was 19.6 +/- 9.4 (SD) for the experimental group and 15.4 +/- 6.0 for the control group with p = 0.0291. CONCLUSION: No significant differences were found for bond strength to dentin treated with an 8.0% arginine and calcium carbonate desensitizing toothpaste or pumice. Dentists can still achieve optimal dentin bonding results if a patient is using Colgate Sensitive Pro-Relief to manage dentin hypersensitivity.
PMID: 22779220
ISSN: 0895-8831
CID: 171572

Changing the face and practice of dentistry: a 10-year plan

Young, Douglas; Ricks, Charles S; Featherstone, John D B; Fontana, Margherita; Fournier, Susan M; Geiermann, Steven P; Hurlbutt, Michelle; Kutsch, V Kim; Loftus, Rolande; Luther, John R; Novy, Brian B; Wolff, Mark S; Wong, Allen
Jan. 7 through 9, 2011, the California Dental Association Foundation hosted a symposium on caries management by risk assessment in which a diverse range of stakeholders from across the nation gathered to discuss current and future status of CAMBRA. The consensus of the group was to develop a national strategic plan for CAMBRA implementation which will chart the course to improve the standard in caries disease management within the next decade. This paper represents the initial start of this living document.
PMID: 22132587
ISSN: 1043-2256
CID: 671062

Translating the caries management paradigm into practice: challenges and opportunities

Fontana, Margherita; Wolff, Mark
In an era of evidence-based care, the question of how much evidence is needed to implement changes into practice becomes central to dentistry's recognition that dental caries management must change to a focus on risk-based, patient-centered disease management rather than just restorative care. This article reviews some of the opportunities, needs, and challenges involved in the adoption and implementation of caries management strategies into everyday clinical practice.
PMID: 22132581
ISSN: 1043-2256
CID: 808632

Nonfluoride caries-preventive agents: executive summary of evidence-based clinical recommendations [Guideline]

Rethman, Michael P; Beltran-Aguilar, Eugenio D; Billings, Ronald J; Hujoel, Philippe P; Katz, Barry P; Milgrom, Peter; Sohn, Woosung; Stamm, John W; Watson, Gene; Wolff, Mark; Wright, J Tim; Zero, Domenick; Aravamudhan, Krishna; Frantsve-Hawley, Julie; Meyer, Daniel M
BACKGROUND: In this article, the authors present evidence-based clinical recommendations regarding the use of nonfluoride caries preventive agents. The recommendations were developed by an expert panel convened by the American Dental Association (ADA)Council on Scientific Affairs. The panel addressed several questions regarding the efficacy of nonfluoride agents in reducing the incidence of caries and arresting or reversing the progression of caries. TYPES OF STUDIES REVIEWED: A panel of experts convened by the ADA Council on Scientific Affairs, in collaboration with ADA Division of Science staff, conducted a MEDLINE search to identify all randomized and nonrandomized clinical studies regarding the use of non fluoride caries-preventive agents. RESULTS: The panel reviewed evidence from 50 randomized controlled trials and 15 nonrandomized studies to assess the efficacy of various nonfluoride caries-preventive agents. CLINICAL IMPLICATIONS: The panel concluded that certain nonfluoride agents may provide some benefit as adjunctive therapies in children and adults at higher risk of developing caries. These recommendations are presented as a resource for dentists to consider in the clinical decision-making process. As part of the evidence based approach to care, these clinical recommendations should be integrated with the practitioner's professional judgment and the patient's needs and preferences.
PMID: 21987836
ISSN: 0002-8177
CID: 157742

Technological advances in caries diagnosis

Rochlen, Glenn K; Wolff, Mark S
Understanding the nature of the caries lesion, disease activity, and the patient's caries risk are all used in determining the nature of dental care to be delivered. An examination should include a health and social history and clinical examination using appropriate technologies. This allows proper assessment and suggests a logical management intervention. Minimally invasive dentistry is a concept based on an assessment of a patient's caries risk and the application of the current therapies to prevent, control, and treat the disease. The history of the dental examination and the variety of current technologies are discussed
PMID: 21726682
ISSN: 1558-0512
CID: 155319

Tobacco-use treatment in dental practice: How Healthy People 2020 aligns federal policy with the evidence

Shelley, Donna; Jannat-Khah, Deanna; Wolff, Mark
PMID: 21628678
ISSN: 1943-4723
CID: 155298

Implementing tobacco use treatment guidelines in public health dental clinics in New York City

Shelley, Donna; Anno, Jaime; Tseng, Tuo-Yen; Calip, Greg; Wedeles, John; Lloyd, Madeleine; Wolff, Mark S
In this study we evaluated the effect of a multicomponent intervention to implement the Public Health Service (PHS) guideline Treating Tobacco Use and Dependence in six randomly selected dental clinics in New York University's College of Dentistry. The main outcome measure-provider adherence to tobacco use treatment guidelines-was assessed by auditing a random selection of patient charts pre (698) and post (641) intervention. The intervention components included a chart reminder and referral system, free nicotine replacement therapy (NRT), and provider training and feedback. The results showed that rates of screening for tobacco use did not change between pre and post test chart audits. However, providers were significantly more likely to offer advice (28.4 percent pre, 49 percent post), assess readiness to quit (17.8 percent pre, 29.9 percent post), and offer assistance (6.5 percent pre and 15.6 percent post) in the post test period. Increases in NRT distribution were associated with booster training sessions but declined in the time periods between those trainings. Research is needed to further define sustainable strategies for implementing tobacco use treatment in dental clinics. The results of this study suggest the feasibility and effectiveness of using a tailored multicomponent approach to implement tobacco use treatment guidelines in dental clinics.
PMID: 21460273
ISSN: 0022-0337
CID: 156295

Smile design and treatment planning with the help of a comprehensive esthetic evaluation form

Calamia, John R; Levine, Jonathan B; Lipp, Mitchell; Cisneros, George; Wolff, Mark S
Even if a clinician possesses basic knowledge in esthetic dentistry and clinical skills, many cases presenting in modern dental practices simply cannot be restored to both the clinician's and the patient's expectations without incorporating the perspectives and assistance of several dental disciplines. Besides listening carefully to chief complaints, clinicians must also be able to evaluate the patient's physical, biologic, and esthetic needs. This article demonstrates the use of a smile evaluation form designed at New York University that assists in developing esthetic treatment plans that might incorporate any and all dental specialties in a simple and organized fashion
PMID: 21473988
ISSN: 1558-0512
CID: 155265

Esthetic and cosmetic dentistry for modern dental practice: update 2011. Preface

Calamia, John R; Trushkowsky, Richard D; Wolff, Mark S
PMID: 21473987
ISSN: 1558-0512
CID: 155264