* E Cigarettes, Vaping and Chairside Education
The use of nicotine vaporizers (vaping) and e-cigarettes or is one of the newest trends in the adult population. Besides causing harm to the lungs, vaping can have adverse effects on the oral cavity. Despite its negative consequences, the use of these devices is on the rise. Many health care practices are noting an increase in the practice of vaping; however, some professionals may not feel comfortable broaching the subject of its negative effects with their patients. Understanding this issue and having the ability to discuss these issues with patients and their medical care professionals will assist in better health practices.
*Achieving Successful Proximal Contacts with Direct Composite
When planning a direct composite restoration in a tooth where the contact must be restored, the practitioner must decide on the best method to achieve an excellent proximal contact with proper morphology. In these instances, the correct composite resin must be selected, along with an appropriate matrix system. This course will demonstrate various clinical scenarios and the steps needed to restore common cavity preparations using direct composite resin and different matrix systems.
* The Modern Approaches to Fluoride: Applications for All Ages
Fluoride has demonstrated its use in assisting caries prevention in children. Over the years, it has evolved and has current modalities for adults as well. Fluoride options include systemic uptake via water and foods, and by topical applications such as gels, foams, varnishes, dentifrices, and mouth rinses. The highest levels of fluoride are stored on the tooth surface. Topical applications are most successful if they have a high fluoride release and fluoride uptake. Traditionally the tray method has been in use in dental offices since the 1940’s. More current application of fluoride includes a fluoride varnish method which uses a less amount of fluoride per application than the tray method. Varnish sets quickly and remains on the teeth releasing fluoride hours after it has been applied. Candidates for topical fluoride include patients with orthodontics, restorations, and exposed root surfaces, thus an adult population can benefit from fluoride. The use and ease of a fluoride varnish is a universal and modern approach to treating caries risk in children and adults.
Pediatric Crowns: From Stainless Steel to Zirconia
Although advances in preventative dentistry techniques; and community-fluoridated water as well as increased dental education have reduced the incidence of caries in children, early childhood caries is still highly prevalent in the U.S. and worldwide. When the carious lesion is too large to restore with a direct restoration, a preformed pediatric crown is indicated. Following the success of zirconia for adult teeth, primary teeth can now be restored with this material.
Strategies for Optimal Intraoral Digital Imaging Part 2: Radiation Safety and Protection Procedures, Intraoral Anatomical and Patient Management Strategies, and Troubleshooting Common Errors
Once it has been determined that radiographic images are necessary, it is the responsibility of the dentist to not only ensure that optimal images are obtained but also that they are acquired at the lowest possible dose of radiation. There are a variety of best practices that together can reduce exposure to the patient and the clinician alike. These practices are necessary components of the overall radiographic protocol for patient imaging.
The use of digital receptors can present challenges for clinicians and patients. Anatomical variations and patient comfort must be considered when taking intraoral images. Endodontic and pediatric imaging are examples of situations which demand optimal technical and patient management skills. Finally, recognizing common errors is important to their correction and ultimately to prevent recurrence.
Strategies for Optimal Intraoral Digital Imaging Part I: Intraoral Receptors, Techniques and Instrumentation
Radiographic examinations should be made only when the dentist has determined they are necessary for diagnostic and treatment purposes. Radiographic selection criteria have been published by the American Dental Association (ADA) to assist dentists in decision-making and justification of the prescription Once such a determination has been made, it is the responsibility of the dentist to ensure that optimal radiographic images are obtained at the lowest possible dose of radiation. Because radiographic procedures are delegated to dental hygienists and dental assistants, it is important that these radiographers have the knowledge, skill, and technical acumen to obtain optimal results. Increasingly, digital radiographic imaging is being used with two types of receptors: photostimulable phosphor plates and solid-state detectors.
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