Talk with and listen to your patients! You never know where the conversation will lead.

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A short story for today’s blog: Today a patient came in for his recall trip. He’s relatively new to the clinic … possibly a year. Super-nice guy – 27 years. We did some restorative treatment . He has … Continue reading

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A Guide to the Scientific Career: Virtues, Communication, Research and Academic Writing

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A succinct, easy-to-read Supply of essential Methods and skills for writing research papers and livelihood direction

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In order to be really successful in the long term professions, one must have outstanding communication skills and networking skills. Of equal importance is the ownership of adequate clinical expertise, in addition to a proficiency in conducting research and writing scientific papers. This unique and important book Offers medical students

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Terrified I might have a cavity because local anesthetic doesnt work

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Are there any other options that many insurances cover? Is there anything I could do? I've gotten laughing gas and also that didnt help.

submitted by /u/theeverymaam
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Well, it does work but not well enough. My entire mouth goes numb but my teeth-and that's with all the legal maximum amount that they can give me. No, I m not making this up. No, it's not the vibrations which freak me out. I've had 5 teeth drilled and one was without novacain (I was a dumb kid and it was my very first one). I've tried so hard to take decent care of my teeth but I am pretty convinced that I nevertheless developed a cavity. I've never had one feel me when I say I could feel it. They just get angry at me and I must suck it up and cope with some of the worst pain I've ever dealt with in my entire life. I cant do it. I'd rather lose tooth.

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The effect of repetitive firings on the color of an alumina ceramic system with varying ceramic shade and thickness

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Abstract

Goal

Veneering shade, veneering porcelain depth, and amount of firings should be carefully considered to acquire a suitable color match of the restorations that are definitive.
The L*a*b* worth of these specimens were influenced by the number of firings (3, 5, 7, or 9), veneering ceramic colors (A1 or A3) and veneering ceramic thicknesses (0.5, 1, or 1.5 mm). Significant interactions were current between the number of firings, veneering ceramic color, and veneering ceramic depth for L* (p < .001), respectively a* (de  < .001), along with b* (p < .001) values.

Conclusions

Sixty disc‐shaped specimens with two different veneering ceramic colors (A1 or A3), also using three distinct ceramic thicknesses (0.5, 1, 2 or 1.5 mm), were fabricated from an alumina‐based ceramic system. Multiple firings (5, 3, 7, or 9 firings) were conducted, and colour varies (ΔE
No color change was observed between 3rd and 9th firings.
00) were determined using a spectrophotometer. Repeated‐measures ANOVA were used to analyze the data.

Results

The colour of all‐ceramic restorations is among the main criteria to achieve esthetical success. Things like condensation techniques thickness, fire temperature, and numbers can influence the last colour of restoration. The purpose of the study was to investigate the colour changes in alumina‐based ceramic method based on ceramic color and thickness during the multiple firings.

Materials and Methods

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Injectable local anaesthetic agents for dental anaesthesia

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Evidence-Based Dentistry, Published online: 28 June 2019; doi:10.1038/s41432-019-0021-x
Injectable local anaesthetic agents for dental anaesthesia

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Recipe Perfect Beef Wellington or Boeuf en Croute ( Puff Pastry Wrapped Beef Tenderloin with Morel-Black Chanterelle & Porcini-Shiitake Mushroom Duxelle, Prosciutto & Foie Gras Stuffing)

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Beef Wellington, an extremely luxurious dish made in between the batter and the meat there s a layer of foie gras or goose liver, duxelle or sauteed sliced lettuce sliced of prosciutto. Perfectly cooked beef Wellington is outside scrumptious. Steak … Read

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What causes a bad smell in the nose?

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Reasons for a bad smell in the nose include sinusitis, mouth or tooth diseases, and certain foods and drinks. Learn more about what may cause a bad smell in the nose, and everything to do about that .

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The prevalence and severity of root surface caries across Australian generations

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Abstract

Background

Even the”failure of success” theory predicts as subsequent generations of older adults maintain more teeth, these additional teeth will undergo more oral disease like root surface caries. The concept compared to root surface caries hasn’t been analyzed in a cross‐generational research. This study aims to compare root surface caries throughout centuries of South Australian elderly adults to check the concept and explore threat signs for root surface caries.

Methods

Conclusions

The present generation of South Australian elderly adults has considerably lower RDS (PR [95% CI] = 0.65 [0.47‐0.89]; MR [95% CI] = 0.51 [0.35‐0.73]) and RDFS (PR [95% CI] = 0.84 [0.71‐0.99]; MR [95% CI] = 0.76 [0.65‐0.90]) compared to preceding generation. The RFS in the previous and present generation was comparable. Gingival recession, irregular brushing, dental seeing to get a problem and smoking have been the indications for RDS, whilst era, gingival recession, tooth brushing frequency, and time since last dental visit and motive of seeing were the indicators for RFS or RDFS.

Results

These results don’t support that the”failure of success” theory concerning root surface caries among South Australian older adults. Despite the greater number of teeth kept, the current generation of elderly adults has significantly less root surface caries compared to the former generation. Behavioural factors remain the indicators of root caries across the generations.
Statistics were from the baseline of 2 South Australian studies separated by 22 decades. In both studies, stratified random samples of individuals aged 60+ years out of Adelaide and Mount Gambier were also recruited. Dental examinations were conducted by trained and calibrated dentists. One of the dental examiners from the prior study was that the gold standard examiner in the second study. Risk indicators contained behavioural elements, clinical oral conditions, sociodemographic and socioeconomic standing. Root surface caries was assessed because untreated root surface caries (root vented surfaces [RDS]), treated root surface caries (root stuffed surfaces [RFS]) and treated or untreated root surface caries (root canal and filled surfaces [RDFS]) and has been introduced as the incidence and summed count. Multivariable models for Poisson and negative binomial distributions were used to estimate incidence ratios (PR) and mean ratios (MR), respectively, and their 95% confidence intervals (95% CI).

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Horizontal ridge augmentation using GBR with a native collagen membrane and 1:1 ratio of particulate xenograft and autologous bone: A 3‐year after final loading prospective clinical study

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Abstract

Wallpaper

Aim

Eighteen patients received 55 implants. No patient dropped‐out. No augmentation and prosthetic failures and no complications were listed. Super imposition of pre and 7‐month postoperative CBCT scans showed a typical flat bone gain from 5.03 ±2.15 mm (95% CI: 4.13‐5.92 mm). After 3 decades, mean MBL has been 1.15 ±0.28 mm (95% CI 0.84‐1.22 mm). The PI has been 11.6%, also BOP was 5.2 percent.
To clinically and radiographically assess bone regeneration of severe horizontal bone flaws with 3 decades of follow‐up.

Results

This study was designed as a single cohort, prospective clinical investigation. Patients using horizontal bone width of 4 mm or less in the posterior mandible or maxilla were treated using resorbable collagen membranes and a 1:1 mixture of anorganic bovine bone (ABB) and autogenous bone. Implants were inserted and loaded 7 months afterwards.
Within the limitations of the current study, elevated implant survival rate and high average bone augmentation seem to validate using collagen resorbable membranes using a 1:1 mixture of particulate ABB along with autogenous bone to its reconstruction of Cawood‐Howell class IV alveolar ridge atrophies.
Cawood‐Howell class IV atrophies, also called”knife‐edge” ridges, signify a severe horizontal flaw, making the placement of routine implants tough.

Conclusion

Materials and Techniques

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Histological and histomorphometric analysis of bone tissue after guided bone regeneration with non‐resorbable membranes vs resorbable membranes and titanium mesh

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Abstract

Background

Materials and Techniques

Guided bone regeneration (GBR) permits to achieve vertical ridge augmentation whether with nonresorbable membranes or resorbable membranes using Ti‐mesh, but until now no research are published comparing histological and histomorphometrical results of those two procedures.

Conclusions

Results

Forty partially edentulous patients took vertical bone regeneration to place implants in the anterior mandible: 20 patients had been randomly assigned to group A (Ti‐PTFE); while 20 patients to band B (Collagen plus Ti‐mesh). For both groups, graft material has been a 50:50 mixture of autogenous bone and bone allograft. After 9 months, tissue biopsies have been taken out of augmented sites (regenerated bone ROI‐1; native bone ROI‐2) and experienced to histological and histomorphometric analysis. Ar), and soft tissue (St.Ar) were quantified; measurements of perimeters were calculated also. ROI‐1 values were compared to ROI‐2 in the two classes.
Twenty‐five samples were collected and examined consecutively: 13 in class A and 12 in class B. The mean B.Ar, Mat.Ar, and also St.Ar were 39.7%, 8.6%, and 52.1% in group A; comparable results were obtained in category B, with mean values of 42.1%, 9.6%, and 48.3 percent, respectively. No significant statistically differences were detected. Differences were observed between ROI‐1 and ROI‐2 in both category. Finally, bone structure index of ROI‐1 and ROI‐2 showed statistical differences.
The preliminary results of this study imply that GBR with nonresorbable membranes along with Ti‐mesh using resorbable membranes in conjunction with autogenous bone and bone allograft supply similar histological and histomorphometric results.

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