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Alabama education’s new low

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by Trish Walraven

Alabama’s reputation in dentistry has recently been elevated to EPIC FAIL status.

According to today’s news at DrBicuspid.com, dental students at the University of Alabama at Birmingham (UAB) are deficient in their education. They’re playing video games at the retirement homes instead of doing dentistry, unless you count “brushing someone’s teeth” as doing dentistry. A whole lot of other allegations are being raised as well, but I thought this one especially was worth a hoot and a holler.

SPANK!

Take that, Alabama! This little slap will teach you not to hand out licenses to dental professionals without requiring students to take a national board exam first. Or even go to college first. Hey, does this mean that a dentist from Alabama will only be able to get work as a dental assistant in all the other states, like licensed dentists from other countries, until they pass the OTHER states’ board exams? The good news is that now that there’s a bunch of eyes on the situation brewing at this dental college, maybe there will be a tasty intervention coming. Remember, the first step in recovery is admitting that you have a problem.

Get the whole story here at Dr. Bicuspid (you may need to subscribe first). And if you’re from Alabama, sorry for the smack. Does it help you forgive me a little if I say I loved Alabama in Forrest Gump?

Light with no shadow, like today’s groundhog

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by Trish Walraven

Did you really want to see that last pair of centrals in crisp detail? I mean, down to every last craze line and coffee stain?

If not, you’re probably one of those people that like shadows, you’ll want to go back down in your burrow and sleep through the next few months. Nothing uncomfortable or awkward for you, thank you. Please leave now – bye! – because the information below will only lead to spending money on things that you don’t care about.

Are they gone yet? Good. Now we can talk about this shadow business. Do you remember when you first started using loupes, how they made you sit up taller, take notice of things you never saw before, and how it is now that you cannot imagine working without them?

About a month ago I hooked a tiny little light onto my loupes in hopes that it would keep my back straighter. I didn’t really expect any more than that. At first it was nice, the light was whiter and just about the same intensity as the incandescent overhead light. Hmm. Then I realized that I had the power turned all the way down on the battery pack. What happened when I began dialing the light up was nothing short of a knee-trembling-Thank-You-Jesus epiphany moment. THE SHADOWS WERE GONE! I didn’t know that there were shadows in people’s mouths before. I didn’t realize that the shadows were extremely annoying in people’s mouths. I didn’t know that you could visualize the distal of tooth numbers 1 and 16 in full spectrum light and see down into that 4 mm pocket that never gets cleaned and scoop out that little yellow goo like a miner panning ankle-deep in a river of gold.

When you have a light attached to your glasses, it always spotlights your focus point exactly. It goes where you go (ouch! just don’t look your patient in the eye through your loupes). It helps you save time because you’re not always reaching up and adjusting the handle of the overhead light. And patients like it when they don’t feel like they’re in an interrogation session. It’s so free and breezy above the chair without all that equipment hanging over their heads.

Now that I’m using a headlamp it really is like a whole new world opened up to my eyes. It’s like the first time I started using loupes all over again. It’s like. Well it’s like something I should have done forever ago. The only two things that were holding me back until now were comfort and cost. I didn’t want to pay over $600 for what is essentially a flashlight. And I didn’t want it to be inconvenient to wear.

After evaluating just about everything offered at the dental meeting booths, one choice has ultimately claimed its place as my new pet: the LumaDent. Don Ton, DDS is the CEO of LumaDent, Inc. and he packs a great story about how his company got started from a DIY project, so I couldn’t resist supporting his business. Okay, I could have resisted if his product was no good, but in my opinion it is the best dental headlight available, for many reasons:

The Price. It is extremely reasonable for a niche market like dentistry. If you find it’s hard to swallow, geez, build it yourself. You’ll still need a battery pack, which you can purchase a la carte from LumaDent.

The Package. Totally turnkey. You get a rechargeable battery pack, a charger, a hip holster, a mount made especially for your type of existing frame, an orange filter, and all sorts of things to help you control your wires. If you have problems along the way, Dr. Don will make it right until you are happy.

The Promise. You hope that it will be comfortable. At 5 grams and a lens no larger than the size of a dime, the LumaDent weighs almost nothing. The headlight is only noticeable because of the wires. If you’re patient and work with the wires to learn how to wear them, they will be no more difficult to put on and take off than a tie. And as I stated before, the quality of the light is exceptional.

If you’re getting the idea that I was somehow coerced into this endorsement with money or discounted product that’s not the case here. I simply love my loupe light, I love juxtapositioning Punxsutawney Phil with shadowless dentistry and I hope to inspire you to see the way you practice in a whole new….

 

…way. Ha. You thought I was going to say light.

 

Plugging amalgam in a sinking ship

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Tomorrow the an FDA panel will “probe cavity fillings” (that’s really the title of this segment shown on CBS this evening):
http://www.cbsnews.com/stories/2010/12/14/eveningnews/main7150398.shtml

Once again the media is out to sensationalize the debate by conjuring up images of daily vomiting, years of sinus congestion, and children who can’t go an hour without a seizure or two. And once again, it is mercury that is the alleged culprit.

If it really were as bad as it appears for the few people that are willing to testify before the panel, don’t you think that there would be a significantly larger population of people affected by mercury poisoning?

Four years ago, a panel decided that further study was necessary to understand whether amalgams give off more vapors when being placed or removed versus the amount of mercury vapor produced with chewing and brushing.

Maybe they were on to something there! What the FDA should do is launch a study of mercury levels in the blood, urine, and body tissues of the dentists who regularly place and remove amalgams, correlating symptoms described by those afflicted with mercury toxicity with the dentists in the study. If those symptoms are consistent in the dentists who have high levels of mercury, then go from there to decide whether amalgams are truly a problem.

The ADA stands behind the science. And until it is refuted, they are doing the right thing by not wavering on their position.

 

UPDATE – December 20th, 2010

Last week, an advisory panel to the US Food and Drug Administration (FDA) convened a professional panel review to again look at the safety issues associated with mercury amalgam in dentistry. A group of scientists and dental and medical professionals, lead by the International Academy of Oral Medicine and Toxicology (IAOMT), had called for FDA to reconsider its July 2009 “no risk” classification of mercury fillings. The FDA panel concluded that there are no huge scientific flaws in the agency’s 2009 finding that mercury-based dental fillings are safe for adults and children aged 6 years and older. The panel, however, recommended that the FDA look at more data, including the latest data, on the possible health risks dental amalgam poses to pregnant women and their fetuses and to young children, particularly nursing infants whose mothers have these fillings. The panel also said the FDA should consider adding warnings for these groups to the material’s product instructions.
 The ADA commended the panel’s call for continued research while offering support for the FDA’s current amalgam regulation. The panel’s call for more scientific data acknowledged concerns of dental amalgam opponents who link mercury exposure to dozens of diseases ranging from autism to Alzheimer’s disease.

Hunka Hunka Burnin’ Handpiece

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Now this is just sad. It seems as though a perfect storm of poorly-maintained handpieces, numb lips, and inattentive dentists has come together in a flurry of reports that patients are getting burned at the dental office.

Really burned, not like they’re getting ripped off burned. First, second, and third degree burns. The Food and Drug Administration (FDA) is so concerned, they’ve even created a letter for you to send to your handpiece manufacturer, since they’re not naming names as to whose products are heating up the most.

Most of the manufacturers already received this letter last month in response to the FDA’s new safety alert. In the meantime, they are recommending that clinicians:

  • Are vigilant about maintaining electric dental handpieces and electric oral bone-cutting handpieces according to the manufacturer’s instructions.
  • Verify with the manufacturer the appropriate routine service interval for your dental practice, based on the actual use of your electric dental handpieces or electric intraoral bone-cutting handpieces.
  • Train personnel to properly clean and maintain the electric dental handpieces or electric intraoral bone-cutting handpieces.
  • Develop a method for tracking maintenance and routine service for each dental handpiece or electric intraoral bone-cutting handpiece.
  • Examine the electric dental handpiece attachments and electric intraoral bone-cutting handpiece attachments prior to use. Do not use worn drills or burs.
  • Do not use poorly maintained electric dental handpieces or electric intraoral bone-cutting handpieces.
  • Report overheating to the manufacturer.

Elvis would have been ashamed that his song title had been so poorly used to get your attention in this article.

So make sure that its presence is not in vain.

Anesthesia buffering: Onpharma’s Onset

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After all the buzz in the past two years about a new type of carpule that also starts with an “O,” you may think you’ve seen this product before. In one sense it’s similar: it must be used in conjunction with your regular anesthetic instead of as an anesthesia alternative.  What’s more exciting is that this just may change the way we prepare syringes for every single patient from now on.

Onset™ is the name of a new buffering agent created by Onpharma™ Inc. that will be available as soon as the final FDA review is complete. If you can answer yes to these questions, read on:

  • Do you want to eliminate the sting that can be caused by the acidity of local anesthetic?


  • Would you like to be able to give an injection and go to work immediately?


  • Are you interested in a product that will help you get your patients profoundly numb, even when infection is present?


  • What about tissue necrosis? Would you like to prevent it if possible?

[Read more…]

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