This document discusses the history and need for anesthesiology as a specialty in dentistry. Some key points:
- Dentistry pioneered the use of anesthesia but still faces criticism over pain management. Advanced techniques exist but are underutilized.
- The American Dental Society of Anesthesiology (ADSA) was formed in 1953 to promote anesthesia education and establish a specialty, facing resistance from dental organizations.
- While oral and maxillofacial surgery (OMS) has developed safe anesthesia models, a full specialty is still needed given ongoing media attacks and questions about dentistry's competence. Patient demand for advanced pain control options like conscious sedation has grown tremendously.
- The
This document discusses two endodontic case studies and references related to dental emergencies and endodontics. Case 1 focuses on diagnosing sources of patient problems such as thermal sensitivity in necrotic or treated teeth and identifying commonly missed canals, especially in maxillary first molars. Case 2 examines another endodontic case study. The document provides references for additional information on clinical cases in pediatric dentistry and problem-based learning in endodontics.
This document outlines the benefits of becoming dentally self-sufficient through an Oramedics program. It highlights case studies that show the effectiveness of prevention and education approaches, with patients reducing plaque and harmful bacteria in their mouths. The benefits include freedom from dental disease and its costs through a natural care approach. Organized dentistry doubts patients' ability to care for their own oral health, but thousands of case histories from Oramedics practices demonstrate otherwise.
Osteopathic medicine began in the United States with DOs believing in manipulation to positively affect physiology. While early DOs had varying scopes of practice, today all DOs have equal practice rights to MDs. To become a DO requires an undergraduate degree, high MCAT scores, medical school acceptance and training which includes rotations in specialties and primary care. Osteopathic medical schools have grown from 5 private schools in the late 19th century to 25 schools today, with some publicly funded to address physician shortages. International osteopathic education has also advanced through organizations aiming to increase standards and recognition.
Osteopathic medicine began in the United States with DOs believing in manipulation to positively affect physiology. While early DOs had varying scopes of practice, today all DOs have equal practice rights to MDs. To become a DO requires an undergraduate degree, high MCAT scores, medical school acceptance and training which includes rotations in specialties and primary care. Osteopathic medical schools have grown from 5 private schools in the late 19th/early 20th century to 25 schools today, with some publicly funded to address physician shortages.
The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
The document provides information about a textbook of orthodontics, including details about its publisher, copyright information, contributors, and contents. It begins with front matter such as a notice, cataloging information, and contributor list. The contents section outlines the book's 6 main sections covering topics such as growth and development, diagnosis, appliances, treatment considerations, other aspects of treatment, and orthodontics as adjunct treatment.
This document discusses two endodontic case studies and references related to dental emergencies and endodontics. Case 1 focuses on diagnosing sources of patient problems such as thermal sensitivity in necrotic or treated teeth and identifying commonly missed canals, especially in maxillary first molars. Case 2 examines another endodontic case study. The document provides references for additional information on clinical cases in pediatric dentistry and problem-based learning in endodontics.
This document outlines the benefits of becoming dentally self-sufficient through an Oramedics program. It highlights case studies that show the effectiveness of prevention and education approaches, with patients reducing plaque and harmful bacteria in their mouths. The benefits include freedom from dental disease and its costs through a natural care approach. Organized dentistry doubts patients' ability to care for their own oral health, but thousands of case histories from Oramedics practices demonstrate otherwise.
Osteopathic medicine began in the United States with DOs believing in manipulation to positively affect physiology. While early DOs had varying scopes of practice, today all DOs have equal practice rights to MDs. To become a DO requires an undergraduate degree, high MCAT scores, medical school acceptance and training which includes rotations in specialties and primary care. Osteopathic medical schools have grown from 5 private schools in the late 19th century to 25 schools today, with some publicly funded to address physician shortages. International osteopathic education has also advanced through organizations aiming to increase standards and recognition.
Osteopathic medicine began in the United States with DOs believing in manipulation to positively affect physiology. While early DOs had varying scopes of practice, today all DOs have equal practice rights to MDs. To become a DO requires an undergraduate degree, high MCAT scores, medical school acceptance and training which includes rotations in specialties and primary care. Osteopathic medical schools have grown from 5 private schools in the late 19th/early 20th century to 25 schools today, with some publicly funded to address physician shortages.
The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
The document provides information about a textbook of orthodontics, including details about its publisher, copyright information, contributors, and contents. It begins with front matter such as a notice, cataloging information, and contributor list. The contents section outlines the book's 6 main sections covering topics such as growth and development, diagnosis, appliances, treatment considerations, other aspects of treatment, and orthodontics as adjunct treatment.
The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
ASA's Central Line Podcast Addresses Key Issues in the FieldAarohi Ambardekar
The recipient of a doctor of osteopathic medicine degree from Touro University College of Osteopathic Medicine, Dr. Aarohi Ambardekar has worked as a physician anesthesiologist at Southern Maryland Anesthesia Associates since 2005. Dr. Aarohi Ambardekar holds membership with the American Society of Anesthesiologists (ASA).
Established in 1905, the ASA advocates for the advancement of anesthesiology and provides its members with a wealth of educational resources, including podcasts such as ACE, Residents in a Room, and Central Line. Edited by Dr. Adam Striker, Central Line is official monthly podcast series that features in-depth conversations with leaders in patient safety, diversity, and other topics related to anesthesiology.
The most recent Central Line episode, recorded in August 2020, features a discussion on race, gender, and unconscious bias with ASA Committee on Professional Diversity chair Dr. Crystal Wright. The episode before that coincided with Pain Awareness Month and featured guest Dr. Dave Dickerson, who discussed a range of topics, from COVID-19 to the use of opioids in patient treatment. Past episodes include "Brain Health Revisited," "COVID-19 Town Hall," and "Health Care Leadership."
The document provides a history of dentistry from ancient times to modern day. It discusses key figures and their contributions, including:
- Hesi-Re, considered the earliest recorded dentist from ancient Egypt in 3000 BC.
- Pierre Fauchard, referred to as the founder of modern dentistry in the 1700s for organizing dental knowledge and developing procedures.
- The establishment of the first dental school in 1840 by Horace Hayden and Chapin Harris, founding the modern dental profession.
- The roles of various dental professionals that make up the modern dental team, including dentists, dental specialists, dental assistants, dental hygienists, and dental lab technicians.
Linda DeVore, the chair of the Department of Dental Hygiene at the Dental School, passed away in February after a battle with pancreatic cancer. Over 400 people attended her memorial service, including former faculty, colleagues from around the world, and current and former students dating back to 1978. Ms. DeVore had an illustrious career as a dental hygiene educator, joining the faculty in 1976 after receiving her degree from the Dental School. She moved up the ranks to professor and department chair, keeping her program running at a high level of quality and efficiency. She was praised for her steady leadership and competence in all of her roles at the Dental School.
Dr. Nigel Saynor will be speaking at the Westin Edina Galleria on March 2, 2010. DENTSPLY is now a sponsor of DentalXP.com, where videos of speaker presentations from DENTSPLY events can be viewed for free. A new product called PerioDerm, an acellular dermal tissue matrix, is now available from DENTSPLY. Educational events on the new ANKYLOS C/X implant system will be held in March and May featuring speakers like Dr. Barry Goldenberg and Dr. Paul Weigl. Studies are cited showing the effects of cleaning procedures on bone grafts and bacterial colonization of the fixture-abutment interface. Special offers are
This document discusses the career path of dentistry. It provides a brief history of dentistry from its origins in medieval Germany and France to modern developments like water fluoridation. The author notes that while dentistry has long faced perceptions that it is less difficult than medicine, it actually requires similar long hours and hard work. Employment of dentists is expected to grow substantially in coming years due to an aging population seeking dental care. The author believes they are well-suited for a career in dentistry due to their artistic, detail-oriented, and stress-management skills developed through athletics. Their goal is to open their own practice and provide patients with perfect smiles.
Diagnosis & Treatment Planning In Complete denture By Dr Anmol Asghar FOR BDS...MuhammadAnmolAsghar
This document discusses diagnosis and treatment planning for complete dentures. It covers evaluating the patient's medical and dental history, performing a clinical examination, taking radiographs, developing a treatment plan, and providing adjunctive care and prosthodontic treatment. Key aspects of diagnosis include assessing the patient's mental attitude, residual ridge, oral cancer risk factors, saliva production, bony undercuts and redundant tissue. The treatment plan considers options like implant or soft tissue supported dentures.
This book provides a comprehensive review of bruxism. It is divided into three sections. The first section covers bruxism diagnosis, sleep physiology, etiological theories, and bruxism in children. The second section examines the effects of bruxism on components of the masticatory system like teeth, periodontal ligament, temporomandibular joints, muscles and its relationship to pain. Special emphasis is placed on tooth wear and differentiating causes. The third section is devoted to the treatment of bruxism. Contributors are experts in their fields and chapters are based on scientific evidence to benefit dental students, practitioners and specialists.
This document provides an introduction and overview of the textbook "Diagnosis and Management of Oral Lesions and Conditions: A Resource Handbook for the Clinician". The textbook was edited by Drs. Cesar Migliorati and Fotinos Panagakos and aims to provide dental professionals with a concise reference on diagnosing and managing common oral lesions and conditions. It is divided into 12 chapters covering topics such as normal oral findings, benign and malignant lesions, infections, pre-cancer, dry mouth conditions, and oral health recommendations. The textbook was developed with support from Colgate-Palmolive to assist students, educators, and practitioners.
This document discusses a study that assessed awareness and knowledge of forensic odontology among dental professionals in India. The study found that most participants (93.5%) had studied forensic odontology basics in undergraduate studies. However, around 78.4% were unaware of preserving dental records for future forensic needs. While 75.3% understood signs of child abuse and 56.3% could document bite marks, most (77.9%) did not know that dentists can be expert witnesses. The study concludes there is a general lack of forensic odontology knowledge and practice among Indian dental practitioners.
This document provides an introduction to guidelines published by the International Association of Dental Traumatology (IADT) for managing traumatic dental injuries (TDIs). It summarizes that TDIs frequently occur in children and young adults, with luxation injuries and crown fractures being the most common types in primary and permanent teeth respectively. The guidelines aim to provide information for immediate care of TDIs and recognize that subsequent specialist treatment may be needed. They are based on an extensive literature review from 1996-2019 and expert consensus where evidence was limited. The guidelines emphasize the importance of proper diagnosis, treatment, and follow-up to achieve favorable outcomes for injured teeth.
This document summarizes the history of research into temporomandibular disorders (TMD) and how the field has moved from a dentally-focused model to a medically-focused model over the past 40 years. It describes early research at the University of Illinois that conducted controlled clinical trials of various TMD treatments and found high placebo response rates. This challenged the traditional view of TMD as caused by occlusal issues and suggested psychological factors play a role. Later research explored the psychophysiology of TMD and supported reclassifying it as a musculoskeletal pain condition. While knowledge has advanced, some dentists still favor invasive occlusal treatments over evidence-based conservative care. Overall, the field has made significant progress
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medica...Cecilia Young 楊幽幽
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medical Students and Practitioners
Cecilia Young*
Independent Researcher, Hong Kong
*Corresponding Author: Cecilia Young, Independent Researcher, Hong Kong.
Received: May 29, 2018 ; Published: June 21, 2018
This document provides information on a case study of an interdisciplinary treatment approach for a patient with severe obstructive sleep apnea (OSA). The patient presented with dentofacial concerns and a history of severe OSA, high blood pressure, prostate cancer, and developing diabetes. An interdisciplinary dental/medical team treated the patient's conditions with orthodontics, surgically assisted mandibular expansion to create an implant site, and maxillary and mandibular advancement surgery. This resulted in significant improvement of the patient's OSA, blood pressure, blood sugar levels, and quality of sleep according to follow-up tests. The case demonstrates how an interdisciplinary approach can effectively treat complex medical and dental conditions.
Dental phobia is an intense fear of dental treatment that causes some people to avoid routine care for years. Dental anxiety is a lesser feeling of uneasiness about appointments. The document discusses evaluating patients' levels of anxiety using scales. It also provides strategies for treating phobic patients, such as using sedation, focusing on non-dental concerns, setting achievable treatment goals, and addressing fears of pain, failure and costs. Successfully treating highly anxious patients requires an empathetic approach and sometimes psychological support in addition to dental care.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 19TH PUBLICATION - IJOHMR
This document discusses the history and considerations around extraction versus non-extraction orthodontic treatment. It notes that views on extractions have changed over time, from rarely being done to becoming common in the 1960s and then declining since the 1990s. Key factors in the extraction decision are stability of results and esthetics. Extraction may allow for better alignment but can result in narrower dental arches and smiles. Non-extraction through arch expansion risks instability but can provide better esthetics with wider smiles. The optimal choice depends on the individual case and a balance of these prioritizing stability and esthetics.
This document outlines the objectives, methods, and process for diagnosing and developing a treatment plan for periodontal disease. It discusses taking a thorough medical and dental history from the patient, performing an oral examination including dental radiographs and photos, examining the teeth and implants, and making an assessment to determine a diagnosis and prognosis. This informs the phases and components of the customized treatment plan.
Curriculum Vitae of prosthodontist Howard M. Steinberg, DMD, MDS. A summary of his background, education, training, research, publications, certifications, lectures and professional affiliations.
The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
ASA's Central Line Podcast Addresses Key Issues in the FieldAarohi Ambardekar
The recipient of a doctor of osteopathic medicine degree from Touro University College of Osteopathic Medicine, Dr. Aarohi Ambardekar has worked as a physician anesthesiologist at Southern Maryland Anesthesia Associates since 2005. Dr. Aarohi Ambardekar holds membership with the American Society of Anesthesiologists (ASA).
Established in 1905, the ASA advocates for the advancement of anesthesiology and provides its members with a wealth of educational resources, including podcasts such as ACE, Residents in a Room, and Central Line. Edited by Dr. Adam Striker, Central Line is official monthly podcast series that features in-depth conversations with leaders in patient safety, diversity, and other topics related to anesthesiology.
The most recent Central Line episode, recorded in August 2020, features a discussion on race, gender, and unconscious bias with ASA Committee on Professional Diversity chair Dr. Crystal Wright. The episode before that coincided with Pain Awareness Month and featured guest Dr. Dave Dickerson, who discussed a range of topics, from COVID-19 to the use of opioids in patient treatment. Past episodes include "Brain Health Revisited," "COVID-19 Town Hall," and "Health Care Leadership."
The document provides a history of dentistry from ancient times to modern day. It discusses key figures and their contributions, including:
- Hesi-Re, considered the earliest recorded dentist from ancient Egypt in 3000 BC.
- Pierre Fauchard, referred to as the founder of modern dentistry in the 1700s for organizing dental knowledge and developing procedures.
- The establishment of the first dental school in 1840 by Horace Hayden and Chapin Harris, founding the modern dental profession.
- The roles of various dental professionals that make up the modern dental team, including dentists, dental specialists, dental assistants, dental hygienists, and dental lab technicians.
Linda DeVore, the chair of the Department of Dental Hygiene at the Dental School, passed away in February after a battle with pancreatic cancer. Over 400 people attended her memorial service, including former faculty, colleagues from around the world, and current and former students dating back to 1978. Ms. DeVore had an illustrious career as a dental hygiene educator, joining the faculty in 1976 after receiving her degree from the Dental School. She moved up the ranks to professor and department chair, keeping her program running at a high level of quality and efficiency. She was praised for her steady leadership and competence in all of her roles at the Dental School.
Dr. Nigel Saynor will be speaking at the Westin Edina Galleria on March 2, 2010. DENTSPLY is now a sponsor of DentalXP.com, where videos of speaker presentations from DENTSPLY events can be viewed for free. A new product called PerioDerm, an acellular dermal tissue matrix, is now available from DENTSPLY. Educational events on the new ANKYLOS C/X implant system will be held in March and May featuring speakers like Dr. Barry Goldenberg and Dr. Paul Weigl. Studies are cited showing the effects of cleaning procedures on bone grafts and bacterial colonization of the fixture-abutment interface. Special offers are
This document discusses the career path of dentistry. It provides a brief history of dentistry from its origins in medieval Germany and France to modern developments like water fluoridation. The author notes that while dentistry has long faced perceptions that it is less difficult than medicine, it actually requires similar long hours and hard work. Employment of dentists is expected to grow substantially in coming years due to an aging population seeking dental care. The author believes they are well-suited for a career in dentistry due to their artistic, detail-oriented, and stress-management skills developed through athletics. Their goal is to open their own practice and provide patients with perfect smiles.
Diagnosis & Treatment Planning In Complete denture By Dr Anmol Asghar FOR BDS...MuhammadAnmolAsghar
This document discusses diagnosis and treatment planning for complete dentures. It covers evaluating the patient's medical and dental history, performing a clinical examination, taking radiographs, developing a treatment plan, and providing adjunctive care and prosthodontic treatment. Key aspects of diagnosis include assessing the patient's mental attitude, residual ridge, oral cancer risk factors, saliva production, bony undercuts and redundant tissue. The treatment plan considers options like implant or soft tissue supported dentures.
This book provides a comprehensive review of bruxism. It is divided into three sections. The first section covers bruxism diagnosis, sleep physiology, etiological theories, and bruxism in children. The second section examines the effects of bruxism on components of the masticatory system like teeth, periodontal ligament, temporomandibular joints, muscles and its relationship to pain. Special emphasis is placed on tooth wear and differentiating causes. The third section is devoted to the treatment of bruxism. Contributors are experts in their fields and chapters are based on scientific evidence to benefit dental students, practitioners and specialists.
This document provides an introduction and overview of the textbook "Diagnosis and Management of Oral Lesions and Conditions: A Resource Handbook for the Clinician". The textbook was edited by Drs. Cesar Migliorati and Fotinos Panagakos and aims to provide dental professionals with a concise reference on diagnosing and managing common oral lesions and conditions. It is divided into 12 chapters covering topics such as normal oral findings, benign and malignant lesions, infections, pre-cancer, dry mouth conditions, and oral health recommendations. The textbook was developed with support from Colgate-Palmolive to assist students, educators, and practitioners.
This document discusses a study that assessed awareness and knowledge of forensic odontology among dental professionals in India. The study found that most participants (93.5%) had studied forensic odontology basics in undergraduate studies. However, around 78.4% were unaware of preserving dental records for future forensic needs. While 75.3% understood signs of child abuse and 56.3% could document bite marks, most (77.9%) did not know that dentists can be expert witnesses. The study concludes there is a general lack of forensic odontology knowledge and practice among Indian dental practitioners.
This document provides an introduction to guidelines published by the International Association of Dental Traumatology (IADT) for managing traumatic dental injuries (TDIs). It summarizes that TDIs frequently occur in children and young adults, with luxation injuries and crown fractures being the most common types in primary and permanent teeth respectively. The guidelines aim to provide information for immediate care of TDIs and recognize that subsequent specialist treatment may be needed. They are based on an extensive literature review from 1996-2019 and expert consensus where evidence was limited. The guidelines emphasize the importance of proper diagnosis, treatment, and follow-up to achieve favorable outcomes for injured teeth.
This document summarizes the history of research into temporomandibular disorders (TMD) and how the field has moved from a dentally-focused model to a medically-focused model over the past 40 years. It describes early research at the University of Illinois that conducted controlled clinical trials of various TMD treatments and found high placebo response rates. This challenged the traditional view of TMD as caused by occlusal issues and suggested psychological factors play a role. Later research explored the psychophysiology of TMD and supported reclassifying it as a musculoskeletal pain condition. While knowledge has advanced, some dentists still favor invasive occlusal treatments over evidence-based conservative care. Overall, the field has made significant progress
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medica...Cecilia Young 楊幽幽
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medical Students and Practitioners
Cecilia Young*
Independent Researcher, Hong Kong
*Corresponding Author: Cecilia Young, Independent Researcher, Hong Kong.
Received: May 29, 2018 ; Published: June 21, 2018
This document provides information on a case study of an interdisciplinary treatment approach for a patient with severe obstructive sleep apnea (OSA). The patient presented with dentofacial concerns and a history of severe OSA, high blood pressure, prostate cancer, and developing diabetes. An interdisciplinary dental/medical team treated the patient's conditions with orthodontics, surgically assisted mandibular expansion to create an implant site, and maxillary and mandibular advancement surgery. This resulted in significant improvement of the patient's OSA, blood pressure, blood sugar levels, and quality of sleep according to follow-up tests. The case demonstrates how an interdisciplinary approach can effectively treat complex medical and dental conditions.
Dental phobia is an intense fear of dental treatment that causes some people to avoid routine care for years. Dental anxiety is a lesser feeling of uneasiness about appointments. The document discusses evaluating patients' levels of anxiety using scales. It also provides strategies for treating phobic patients, such as using sedation, focusing on non-dental concerns, setting achievable treatment goals, and addressing fears of pain, failure and costs. Successfully treating highly anxious patients requires an empathetic approach and sometimes psychological support in addition to dental care.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 19TH PUBLICATION - IJOHMR
This document discusses the history and considerations around extraction versus non-extraction orthodontic treatment. It notes that views on extractions have changed over time, from rarely being done to becoming common in the 1960s and then declining since the 1990s. Key factors in the extraction decision are stability of results and esthetics. Extraction may allow for better alignment but can result in narrower dental arches and smiles. Non-extraction through arch expansion risks instability but can provide better esthetics with wider smiles. The optimal choice depends on the individual case and a balance of these prioritizing stability and esthetics.
This document outlines the objectives, methods, and process for diagnosing and developing a treatment plan for periodontal disease. It discusses taking a thorough medical and dental history from the patient, performing an oral examination including dental radiographs and photos, examining the teeth and implants, and making an assessment to determine a diagnosis and prognosis. This informs the phases and components of the customized treatment plan.
Curriculum Vitae of prosthodontist Howard M. Steinberg, DMD, MDS. A summary of his background, education, training, research, publications, certifications, lectures and professional affiliations.
1. NDA Journal Editor’s Message NDA Journal • Volume 14, Issue 2 • Summer 2012
Dear 2012 American Dental Association
House of Delegates By Daniel L. Orr II, DDS, MS (anesth), PhD, JD, MD
I
n 1985, the American Dental Society of Anesthesiology proceed cautiously, but does dentistry’s gift to the world,
(ADSA) Past President and Oral and Maxillofacial enthusiastically accepted and developed elsewhere, really
Surgeon (OMS) Norman Trieger quoted findings from the need more scrutiny before dentistry itself fully incorporates it?
National Institute of Dental Research in his paper The Even veterinary medicine has a specialty in anesthesiology.
Specialty of Anesthesiology in Dentistry, “It is one of history’s We all love our pets, but do animals deserve more anesthesia
ironies that the dental profession continues to bear the onus expertise than humans?
of pain in many people’s minds when, in fact, it was the dental Dentist anesthesiologists have greatly profited all the health
profession that pioneered the development and use of the first professions, even if for only a relatively small number of
effective anesthetics.”1 fortuitous dental patients at the end of the day. Beginning in
Many dentists are weary of the profession being the genesis the 1970s, students at the University of Southern California
of ubiquitous comedy skits. Audiences routinely roar visceral School of Dentistry learned advanced pain control techniques
approval about the “funny” aspects of others dealing with the from new professor and dentist anesthesiologist (DA) Stanley
anxiety, pain, and suffering popularly associated with Malamed. We did not realize how fortunate we were to have
dentistry. As reported in the Journal of the American Dental someone so uniquely qualified to teach control of anxiety and
Association, humorists from Mark Twain to W.C. Fields, to pain. In the decades since, even Malamed’s local anesthesia
Bob Hope and Bill Cosby, to Steve Martin and even an continuing education courses have drawn standing-room only
animated Nemo, have dental material ready to go prn.2 audiences, evidencing that dentists are generally not taught
Relatively few practicing dentists avail themselves of advanced other than the most basic levels of pain control in dental school.
techniques that render even the most challenging patient’s Primary purposes of the nascent ADSA, supported by
anxiety, pain, and suffering a nonissue. preeminent OMS members such as future AAOMS Presidents
One hundred years ago, Edgar “Painless” Parker was the Harry Seldin, Fred Henny, Edward Thompson, Daniel Lynch,
target of organized dentistry’s criticism, in part, for his Daniel Laskin, and William Wallace, included fostering much
then-controversial advocacy for the routine administration of greater numbers of quality anesthesia education opportunities
local anesthesia. According to Parker, a main reason patients at both undergraduate and the graduate levels. Vol. 1, No. 1 of
avoided the dentist was fear of pain.3 The Centers for Disease the ADSA News emphatically mentioned the establishment of
Control and Prevention, the U.S. Surgeon General, the ADA, a specialty to advance these purposes…three times in the first
and others, have confirmed Parker’s opinion that millions three paragraphs. Today, a significant majority of dental
upon millions of potential patients fearfully avoid dentistry.4-6 schools still do not have dedicated DA professors.
2012 research continues to document that: “…dental The motivation for the establishment of the ADSA and a
anxiety…should never be downplayed.”7 specialty in 1953 is informative. Dentistry was then, as it is
In 1983, ADSA founding member and OMS Morgan now, under constant scrutiny, and cyclical attack, with regard
Allison recalled the work required to establish the ADSA to the provision of anesthesia. For instance, in 1983 serious
with a “…cautious American Dental Association, disinterested misinformation about anesthesiology in dentistry was
American Association of Dental Schools, an antagonistic promulgated by two 20/20 programs, resulting in a wave of
American Association of Oral Surgery, and an aloof and significantly more unwarranted patient anxiety across the
condescending American Society of Anesthesiologists country. Dentistry has always needed articulate
(ASA).”8 Some things never change, and anesthesia in anesthesiology trained spokespersons to respond to such
dentistry has not progressed as it has in other professions. diatribe. 20/20 investigators and much of the lay public were
With regard to the ADA, certainly at times it is good to surprised that anesthesiology was not deemed important
enough by the ADA to be a specialty (even the National
Dr. Orr is professor and director of OMS and Advanced Pain Institutes of Health had recommended specialty status in
Control at The University of Nevada Las Vegas School of 1972).9 Until 1950, dentists trained in anesthesiology were
Dental Medicine. He is a diplomate of The American Board of accepted as unrestricted members of the ASA, thus providing
Oral and Maxillofacial Surgery, The American Dental Board the profession a recognized forum from which to opine.10, 11
of Anesthesiology, The National Dental Board of
Anesthesiology, and The American Board of Legal Medicine.
When the ASA affiliation was rescinded, planning for another
He is editor of the Nevada Dental Association Journal and authoritative society, the ADSA, had to begin immediately so
vice president of the American Association of Dental Editors. that dentistry’s interests were effectively proffered from a bona
He can be reached at editornda@nvda.org or 702-383-3711. fide anesthesia entity. Continues
2. Continued
Today, dentistry needs an anesthesia specialty more than In 1997 the specialty application failed by only five votes in
ever. For the most part, U.S. dentistry has been fortunate to the ADA House of Delegates. In 1999 the House approved
survive sensational media assaults and, sadly, regular criticism four of five criteria but, narrowly, not the requirement of
from sister professions. As but two examples, the American “need and demand.” One year later our patients (and now
Association of Nurse Anesthetists actually questioned nearly 20,000 DOCS graduates and millions of doses of
dentistry’s competence in the administration of N2O/O2.12 DOCS protocol anxiolysis), began to vividly demonstrate
Further, the Ohio component of the ASA sponsored legislation their disagreement with the ADA House’s determination of
that would have prohibited any dentist from administering no need or demand for more anesthesia options.
N2O/O2 without a second dentist monitoring the patient.13 Since there is an obvious need and demand by our patients,
Since 2000, the not-so surprising growth of groups such as why isn’t anesthesiology a specialty in dentistry already?
the Dental Organization for Conscious Sedation (DOCS) has Anesthesia history often graphically demonstrates positive
clearly demonstrated the overwhelming need and demand for and not-so-positive aspects of basic human nature. At its very
advanced pain control in dentistry. inception, Horace Wells felt anesthesia should be as accessible
OMS has effectively developed and defended its own as the air we breathe, while William Morton sought to restrict
singularly successful office-based team anesthesia model. access to anesthesia, patenting his “invention” (ether
Anesthesia in OMS is well-founded, safe, and universally fragranced with perfume). I do not wish to offend, but in my
appreciated by dentistry’s patients. Anesthesia in dentistry, opinion anesthesiology is not a dental specialty because of
including any future specialty, will stand to a degree on the historical selfishness, economic and otherwise, on the part of
shoulders of the OMS archetype. For this reason at least, organized dentistry at several levels.
those who practice the OMS paradigm should be qualified as It is tragically incongruous, in fact inconceivable, that
sub-specialists, if you will, without the standard requirement ethical health professionals would argue against increasing
of two or more years of anesthesiology residency training. In the qualitative and quantitative ability to relieve pain and
1977, ADSA President and OMS Daniel Laskin’s support for suffering, yet that is exactly what organized dentistry has
the specialty effort was based in part on the logical inclusion done for decades.
of OMS within the specialty’s structure.14 While comedians mockingly remind the public of the
But, anesthesia in dentistry needs to be much more than the anxiety, pain, and suffering persistently associated with
safe administration of local anesthesia, N2O/O2, p.o. Rx’s, or dentistry, perhaps in 2012 the ADA will determine to no
the OMS office-based niche in order to meet the demands of longer facilitate the jokes. Dentistry developed as a recognized
an ever-more sophisticated and complex patient population. profession in large part because of its anesthesia pioneers.20 It
Dentistry introduced safe, reproducible, anesthesia to the is time for dentistry to begin to seriously develop the art it
world in 1844. Dentists have provided innumerable bestowed on mankind two centuries ago by creating a
anesthetics in even the most challenging circumstances such specialty of anesthesiology. ◆
as the theaters of the Civil War, World Wars I and II, Korea,
and Vietnam.15, 16 Dentists have directed cardiac anesthesia Reprinted by the NDAJ with permission from the American Association of Dental
units and chaired anesthesia residencies. When President Editors. Please contact AADE Newsletter Editor Dr. Mike Nash for PDF, text of
Grover Cleveland needed surgery, dentist Ferdinand editorial, and cover photograph. (mikejanenash@bellsouth.net)
Hasbrouck was chosen to administer the anesthetic.17
I vividly recall a day in 1975, while a resident in References
anesthesiology at the University of Utah, our faculty’s excited
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anesthesiology will bring.19