Thursday, October 31, 2013

Tru-Align Rectangular Collimator

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First of all Happy Halloween!
Along the lines of this fun holiday, what could be scarier than something you cannot see that has the potential to sneak up on you and do you harm?
Intrigued?  Good!  What I'm talking about in this post, is radiation & a new way to harness it for good while decreasing its ability to do harm.
X-rays are a phenomenal thing.  They allow us to see parts of the human body clearly that we would not be able to see otherwise.  They save lives, they decrease pain, they improve quality of life.  They are a lot like fire.  Used properly and judiciously, they are a great benefit to anyone who comes in contact with them.  Used in a cavalier manner and danger or health risks can result.
Dentistry has come a long way in radiation safety.  Digital systems can cut exposures up to 90% and our ability to perform enhancements on the digital images once stored in software mens more data is discerned with fewer exposures needed.
Now comes a device called Tru-Align.  The system attaches to the x-ray head in the dental office and changes the system from a round head to a rectangular one.  The concept of rectangular collimation alone has been proven to greatly decrease scatter & exposure to patients, but now the Tru-Align system also functions as an alignment device to help make sure the proper image is taken the FIRST time, thus decreasing retakes.  It will work with both Rinn and Flow adapters to make sure the images are spot-on.
We've been using the Tru-Align in the practice for several months now and have had great success with it.  Patients greatly appreciate our efforts to ensure their safety and minimal exposure and I'm thrilled with the images.
After our testing, we give this device our highest recommendation.

Wednesday, October 30, 2013

American Academy of Pediatrics Offers Guidance on Managing Children & Adolescents' Media Use

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One of the things we're all facing now, is the aspect of our children with gadgets.  How do we manage that?  What are the proper parameters and guidelines we need to set?
Thankfully, the American Academy of Pediatrics has created a plan that is designed to help parents with these decisions.  Read on for their position statement:
American Academy of Pediatrics offers guidance on managing children’s and adolescents’ media use

ORLANDO, Fla. -- From TV to smart phones to social media, the lives of U.S. children and families are dominated by 24/7 media exposure. Despite this, many children and teens have few rules around their media use. According to a revised policy statement by the American Academy of Pediatrics (AAP), “Children, Adolescents and the Media,” released Oct. 28 at the AAP National Conference & Exhibition in Orlando, the digital age is the ideal time to change the way we address media use.   

While media by itself is not the leading cause of any health problem in the U.S., it can contribute to numerous health risks. At the same time, kids can learn many positive things from pro-social media.  

“A healthy approach to children’s media use should both minimize potential health risks and foster appropriate and positive media use—in other words, it should promote a healthy ‘media diet’,” said Marjorie Hogan, MD, FAAP, co-author of the AAP policy. “Parents, educators and pediatricians should participate in media education, which means teaching children and adolescents how to make good choices in their media consumption .” 

Dr. Hogan will describe the recommendations in the policy statement in a news briefing at 9:30 a.m. ET Oct. 28 at the Orange County Convention Center in Orlando.  Reporters wishing to cover the briefing should first check in at the press room, W203B, for media credentials. The policy statement will be published online Oct. 28 in Pediatrics and will be included in the November 2013 issue of the journal. The policy statement replaces one issued in 2001.   

The AAP advocates for better and more research about how media affects youth. Excessive media use has been associated with obesity, lack of sleep, school problems, aggression and other behavior issues. A recent study shows that the average 8- to 10-year-old spends nearly 8 hours a day with different media, and older children and teens spend more than 11 hours per day. Kids who have a TV in their bedroom spend more time with media. About 75 percent of 12- to 17-year-olds own cell phones, and nearly all teenagers use text messaging.   

The amount of time spent with screens is one issue, and content is another. On the positive side, pro-social media not only can help children and teens learn facts, but it can also help teach empathy, racial and ethnic tolerance, and a whole range of interpersonal skills. 

Pediatricians care about what kids are viewing, how much time they are spending with media, and privacy and safety issues with the Internet.   

“For nearly three decades, the AAP has expressed concerns about the amount of time that children and teen-agers spend with media, and about some of the content they are viewing,” said Victor Strasburger, MD, FAAP, co-author of the report. “The digital age has only made these issues more pressing.”   

The AAP policy statement offers recommendations for parents and pediatricians, including:

For Parents: 

  • Parents can model effective “media diets” to help their children learn to be selective and healthy in what they consume. Take an active role in children’s media education by co-viewing programs with them and discussing values.   
  • Make a media use plan, including mealtime and bedtime curfews for media devices. Screens should be kept out of kids’ bedrooms.   
  • Limit entertainment screen time to less than one or two hours per day; in children under 2, discourage screen media exposure. 

For Pediatricians: 

  • Pediatricians should ask two questions at the well-child visit: How much time is the child spending with media? Is there a television and/or Internet-connected device in the child’s bedroom? Take a more detailed media history with children or teens at risk for obesity, aggression, tobacco or substance use, or school problems.  
  • Work with schools to encourage media education; encourage innovative use of technology to help students learn; and to have rules about what content may be accessed on devices in the classroom.
  • Challenge the entertainment industry to create positive content for children and teens, and advocate for strong rules about how products are marketed to youth.   
  • As the media landscape continues to evolve at a rapid pace, the AAP calls for a federal report on what is known about the media’s effects on youth and what research needs to be conducted. The AAP calls for an ongoing mechanism to fund research about media’s effects.  

Editor’s Note: More information and recommendations from the AAP about the effects of media on youth may be found in additional AAP statements, available in the media kit on children and media.

More information for parents on creating a family media use plan is available on 

- See more at:

Tuesday, October 29, 2013

Self-Report Questions May Help Predict Periodontitis

Study confirms validity, reliability of self-report data in determining periodontal disease prevalence in US adult population


Chicago, IL – October 28, 2013 – The use of self-report questions may help predict the prevalence of periodontitis in US adults, according to the Centers for Disease Control and Prevention (CDC) and the American Academy of Periodontology (AAP). A clinical research report recently published in the Journal of Dental Research found that self-reported measures performed well in forecasting periodontitis in a representative sample of the US adult population. 


The study utilized eight questions developed by the CDC and AAP that address gum health and treatment history, loose teeth, bone loss around teeth, teeth not “looking right”, and use of dental floss and mouthwash. Responses were obtained during the in-home interview component of the 2009-2010 National Health and Nutrition Examination Survey (NHANES).Response rates were very high, at greater than 95 percent, suggesting that adults responded well to the questions in the survey.


Researchers then compared the self-report data against clinically classified periodontitis assessed during the Full Mouth Periodontal Examination (FMPE) Protocol used in the 2009-2010 NHANES to gauge predictive performance. Statistical analysis indicated that the self-report data on gum health and treatment, bone loss and use of dental floss was found to be effective in predicting periodontitis prevalence.


“Over half of US adults have some form of periodontal disease, which makes periodontitis a significant public health issue. The ability to conduct valid and reliable periodontal disease research that demands fewer resources allows us to better understand community-specific disease trends and essentially provide better, more personalized treatment for patients,” explains Stuart J. Froum, DDS, President of the American Academy of Periodontology and Director of Clinical Research in the Department of Periodontics and Implant Dentistry at New York University Dental Center. 


The American Academy of Periodontology supports the study’s findings that while clinical data remain the preferred measure for surveillance of periodontitis, self-reported measures offer an effective alternative for expanding population-based public health research of periodontitis in the US adult population. Due to good performance and cost-effectiveness, the self-reported models provide a viable alternative to clinical periodontal measures in population surveys where the latter may be impractical or cost-prohibitive. In the future, existing interview-based surveys at the local, state and national levels can serve as platforms for self-report-based surveillance of periodontitis.


To view the study abstract, visit


About the American Academy of Periodontology:

The American Academy of Periodontology (AAP) is the professional organization for periodontists – specialists in the prevention, diagnosis, and treatment of diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontists are also dentistry’s experts in the treatment of oral inflammation. They receive three additional years of specialized training following dental school, and periodontics is one of the nine dental specialties recognized by the American Dental Association. The AAP has 8,300 members world-wide.

Monday, October 28, 2013

The World is Going Photo - Twitter & Instagram Big on Youth Who are Losing Interest in Facebook

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Interesting news comes our way from data gleaned by Piper Jaffray recently.
It seems <gasp> that Facebook is losing interest with teens & that they prefer Twitter.
The semi-annual Piper Jaffray "Taking Stock With Teens" report that was conducted recently discovered that 26% of those surveyed called Twitter the "most important" social networking site.  The survey determined that Facebook was at 23%, which seems pretty close, until you realize that 12 months ago Facebook was 42% and 6 months ago it was 33%.  That appears to be falling like a rock in my book.  Remember also, that today's teens are the young adult demographic of tomorrow and it would appear that a fickle public is not as enamored of Facebook as it used to be...
However, there is another thing to consider that is *good* for Facebook.  Seems that Facebook owned Instagram scored 23% which is up from 12% a year ago.  Experts are predicting that in another year or so, Instagram will pass both other services and be the most popular.
With everyone taking and sharing photos on an almost never ending basis, it sure makes sense to me.  I've personally never seen the huge infatuation with Facebook, but it is the go to site for many adults that I know.  It just looks like it won't be staying that way.  Then again, what child ever wants exactly what their parents have & use?

Friday, October 25, 2013

Ritter Dental USA’s Zero% Interest Financing Program Makes Equipment Buying Hassle-Free and More Affordable



Dentist-Friendly Program Debuts at the 2013 ADA Annual Session - Applies Towards the Purchase of Ritter Dental Units, Chairs and Compressors


San Antonio, TX – October 24, 2013 – Ritter Dental USA, a leading dental equipment manufacturer with a 125-year legacy of innovation, quality and reliability is launching its Zero% Interest Financing Program at this year’s annual ADA Session in New Orleans. 


The innovative program, will debut at booth #1345, and was designed to make equipment purchases more affordable for qualified buyers, while streamlining the entire equipment buying process.


According to Ritter Dental USA CEO Fred Battah, “We’re implementing our Zero% Interest Financing Program because the high interest rates and hidden fees of financial institutions are making it difficult for dentists to build new offices or expand or upgrade their existing practices.”


Under the terms of the program, qualified buyers who put 50% down on the purchase of a complete Ritter dental unit, patient treatment chair or compressor can finance the balance of that purchase with 12 equal, interest-free payments.


“It’s a very straight forward program with minimal paperwork,” explains Battah. “It’s 

Also a great way to take advantage of the Section 179 IRS tax credit before the end of the year.”


Applications for Ritter’s Zero% Interest Financing Program will be available at booth #1345 during the ADA Annual Session in New Orleans and at every stop during the 125-city Ritter Road Show which is currently underway and displaying the latest Ritter innovations in dental equipment, implants, and instruments. Visit for the latest schedule and locations.  


Interested parties who can’t attend the ADA annual session or any of the scheduled Ritter Road Show events can request a Ritter Zero% Interest Financing Program application and complete program details at For more details about Ritter Dental USA’s product lines, visit, call toll-free 855-807-8111, or send an inquiry to


About Ritter Dental USA

Based in San Antonio, Texas, Ritter Dental USA is the sister company of Ritter Concept GmbH, which is headquartered in Germany and designs and manufactures, world-class dental equipment that includes complete dental units chairs, stools, operatory lights, compressors, instruments, and implants. For more details visit Follow Ritter Dental USA on Facebook, Twitter, LinkedIn, YouTube and Google+.

Thursday, October 24, 2013

Public and Permanent

Recently I attended a talk (truly not a lecture, but a talk) given by Richard Guerry.  

Richard is the Executive Director of IROC2 (Institute for Responsible Online and Cell-Phone Communication) and he has devoted himself to the cause of teaching coursed on "Digital Consciousness".  

His idea is brilliant and basic all at the same time.  We are given digital tools with incredible abilities, but no one teaches us the intelligent way to use them.  Oh sure, we can all get a smart phone or tablet and figure out, pretty quickly, how to use it.  The problem is that we don't know how to use it *wisely*.  We've all seen stories of celebrities getting their phones hacked with embarrassing photos then being immediately distributed across the Internet.  Or we've seen stories of people who lose a job or aren't hired for a job due to embarrassing Facebook postings or the like.

So Richard teaches a concept of "Public and Permanent", reminding everyone in attendance that you need to approach the use of digital tools with the idea that whatever you put out there will be public and will never go away.  Once you have that mindset and understanding, the risks are much easier to avoid.

Here's a great example.  One of the most popular photo sharing sites currently is Snapchat.  The idea is you can share a photo to your group of friends and it only exists for 10 seconds then it is deleted from their device.  Because of that safety net, many are sending pics of questionable taste.  However, most users do not realize that the Terms of Service they agree to when signing up states that the photos remain on the company servers.  What happens if one of your photos ever gets loose on the Internet?  If you exercise judgement to start with, you don't even need to worry about it.

That's just one small example, but Richard does a great job of articulating the whole concept.  If you get a chance to hear one of his presentations, I highly advise it.  Even as someone who writes a column called "Technology Evangelist" I gleaned some good info.  Enough, in fact, that I'm recommending the program.

If, however, you can't get to see him, you can head on over to Amazon and download his book for your Kindle or Kindle App.  It's available for $9.95 and well worth the read.  I also think it's worth mentioning that the IROC2 webs tie has tons of useful info.  Richard spends a lot of his time lecturing to kids and parents to help both groups understand and accomplish reasonable electronic privacy goals.  So if you are a parent, there are good tools there to help.

Take a look.  I think you'll get some good info to help either yourself, your family, or both.

Wednesday, October 23, 2013

Apple Event Rundown

So briefly, here's an update on what Apple announced yesterday for iPads.  Just thought I'd do this so that I could gloat at least a little...

The new full size iPad is now the iPad Air.  The company's Senior Vice President of Worldwide Marketing, Phil Schiller said "it's so new in so many ways, it deserves a new name."  Makes sense to me.

Here are the specs:

  • 20% thinner
  • Bezel around the display is 43% thinner
  • Weight: 1 pound which is *mucho* lighter than the previous 1.4 pounds
  • 54 bit A7 processor which should let it run about 2 times faster than previous iPads - that's serious speed

It should be available on November 1 just in time, of course, for the holiday season.  Going to get in line now?

Tuesday, October 22, 2013

A Rumor Rundown for the Apple iPad Announcements Today

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The latest hardware from Apple will be announced today.  As always there are tons of rumors out there regarding features, looks, you name it.  I've put together a few of things that I think we are likely to see.  However, I'm covering myself by stating right here this is all speculation!  :-)
It looks like there will be updates to both the full size iPad and the iPad Mini.
The full size version is rumored to have looks similar to the mini: thinner, rounded edges, maybe a smaller screen bezel.
I've also seen rumors of the cameras being improved both in the front and the back of the devices.
Processor upgrades are almost always a sure thing.  This time out the 64-bit A7 processor is a good bet as it's available & it will make the device faster.
I've also seen several reports that the new devcies will have the fingerprint sensor called TouchID.  Not positive about this one, but they *are* on the new iPhones.
There is also a rumor that the Mini might get a better retina display.
As with all things Apple, they've kept a very tight lid on all of this so who knows if any of these things will actually be available?  Usually I get a couple of these right, but you never know...

Monday, October 21, 2013

Darby Dental Supply Celebrates 65 Year Anniversary



Dental Distributor Giant Marks Milestone with Plans for 

Company-Wide Expansion and Numerous New Product Offerings  


Jericho, NY (October 18, 2013) – Darby Dental Supply, LLC, the largest all-telesales 

national distributor of dental merchandise, is celebrating its 65th year in business. The company is marking this important milestone with immediate plans for expansion at its Long Island operation and offering even more Darby-branded products in the near future with a number of private label launches expected to take place in early 2014.  


The company contributes much of its long-running success to a winning mixture of a unique all-telesales model while providing dental professionals with the best product brands available on the market. Moreover, honoring a “one customer at a time” philosophy for more than six decades has established Darby Dental Supply as one of the largest, most trusted dental distributors in the nation.  


“We are as committed today as we were 65 years ago to establishing new industry standards for providing unsurpassed customer service and quality products to the dental industry and profession,” remarked Liz Meyers, Vice President Marketing & Purchasing for Darby Dental Supply. “We are extremely proud of Darby’s rich and growing history that has served dental professionals for so many years. Darby was founded on the principles of exceeding customer expectations of quality and delivery, and our customers can expect us to adhere to these principles during the next 65 years.”


Due to the company’s on-going success and the related plans for further expansion, Darby will be adding 55 new internal positions over the next six months at its Long Island headquarters. In addition to its development on the East Coast, the company has also expanded its West Coast operation, recently creating additional employment opportunities in the immediate area by hiring over 30 new employees and expanding its hours of operation. 


Moreover, while its history stretches back more than half a century, Darby is looking towards further building the company name with a continuous launch of Darby-branded products in the upcoming year.  


Over the last 65 years, Darby’s product offerings have grown immensely and the company is continuously refining its standards of both customer and community service: 

  • ¬1947 – Brooklyn, New York – Darby opens its doors for business with one mail-order catalogue and a total of nine employees.
  • ¬1962 – A 2nd generation of the founding family enters the business and broadens Darby’s offerings to include medical, dental and pharmaceutical items.
  • ¬1974 – Customer-demand generates a call for high-quality, low cost alternative products. The Darby team answers by introducing the first Darby-branded line of products.  
  • ¬1975 – Darby hires the industries’ firsttelesales representatives.
  • ¬1983 – A 3rd generation of family enters the business and diversifies the company to include vitamin, health and beauty products.
  • ¬1994 – Darby opens its Reno, Nevada office distribution centerfor greater national reach.
  • ¬1999 – Darby opens its Memphis, Tennessee distribution centerand introduces FREE 1-2 day shipping nationwide.
  • ¬2005 – Darby moves to its current headquarters in Jericho, New York.
  • ¬2011 – Darby goes green as a4th generation of family enters the business and introduces environment-friendly solutions.
  • ¬2012 – Darby’s “think globally, act locally” philosophy is tested during Superstorm Sandy. The company donates truckloads of supplies and hundreds of employee hours to help neighbors rebuild.
  • ¬2013 – Darby celebrates its 65th year in business and looks forward to future success. 



Family-owned and operated for over three generations, Darby has been a staple among the dental industry as well as the Long Island community and they plan to continue that tradition for future generations to come. Year after year, Darby Dental Supply is listed among Newsday’s Top 100 Private Companies on Long Island, and the company has received numerous accolades throughout the years for providing superior service to the dental industry.     


For more information about all Darby services and products, please visit  


About Darby Dental Supply, LLC


For over 65 years, family owned and operated Darby Dental Supply, LLC has been breaking new ground as the largest all-telesales national distributor of dental merchandise to office-based practitioners in the United States. Through strategic distribution points, the company fulfills over one million shipments per year from leading manufacturers of dental products and equipment.


Darby is committed to providing superior value to the dental professional. All Darby Personal Account Managers have successfully completed a comprehensive regimen of product training and have instant access to their clients’ purchase histories and preferences. Alerting them to manufacturer specials, exclusive offers and even processing product rebates on their behalf, Darby reps work with their clients as strategic partners in helping to reduce fixed costs, save money and continue to grow their business. Honoring a “one customer at a time” philosophy for more than six decades has established Darby Dental Supply as one of the largest, most trusted dental distributors in the nation. For more information, visit

Friday, October 18, 2013

Post Removal & Endo ReTx

Today's  post is going to deal with a clinical case and a bit of technology I used to get the best result possible.  The above radiograph shows tooth #20 (FDI 35).  The patient presented with pain isolated to this tooth.  Percussion tests were positive for this tooth & no other teeth in the quadrant.  The radiograph shows a diffuse periapical radiolucency.  All radiographs for this case were taken with Gendex GXDP-700 intraoral sensors.
The challenge in this case was 2 fold.  First I didn't know what the filling material consisted of.  On occasion with endo retreats I've run into some unusual materials that are difficult to remove.  Second, and perhaps most importantly, the presence of a threaded metal post.  The removal of posts can be challenging in many cases and, unfortunately, it's difficult to tell the difficulty until you start the procedure.
I've been doing a lot of cases lately with the P5 Newton piezo unit from Acteon and not just endo either.  However, since this case deals with endo, I'll stick with that exclusively for this post (no pun intended).
The tip I chose for this case (sorry no photo) has a concave end that fits over the top of the post.  My first step here was to remove the crown using a standard "slot technique".  Once the crown was out of the way, I used an electric handpiece running very slowly with a SS White Great White cross cut bur to remove the amalgam buildup and expose the post.  With the post fully exposed and access achieved, I put the concave endo tip on top of the post and applied gentle pressure while I activated the P5 Newton unit.  Copious water spray was used to prevent overheating of the post and water removes heat 25 times faster than air.
Watching under magnification (Orascoptic 4.8x for this case although I also have an operating microscope) the post began to slowly "unscrew" from the canal.  After about 2-3 minutes of applying the tip to the post it had unthreaded to the point that it was now clearly mobile.  At that point, I engaged the post with Stieglitz forceps and unthreaded the post the rest of the way out of the tooth.
After post removal, the canal was probed with Caulk hand files to help determine the material used to obturate.  The material felt slightly tacky when probed and I proceeded to use a #2 Gates Glidden drill and noticed shavings of what appeared to be gutta percha.  I placed eucalyptus oil into the canal as a solvent to soften the material and removed the remaining gutta percha with Ultradent Tilos Niti shaping files in the Ultradent reciprocating handpiece.
Once the canal was cleaned, canal length was determined using the Sybron Endo Elements Apex Locator.  An apical stop was created and Ultradent ChlorCid V (sodium hypochlorite) was used for a 10 minute application.  The Chlorcid V was removed with a vigorous air/water rinse, the canal was vacuumed with the Ultradent  capillary tip, and then Consepsis (chlorhexidine) was scrubbed into the canal and then removed with the capillary tip.  At this point, calcium hydroxide was placed into the canal and the canal was closed.  An acrylic temporary crown was fabricated & the patient was dismissed.
At the second appointment the calcium hydroxide was removed with citric acid and a Caulk size 25 hand file in a Sybron M4 safety handpiece.
A trial cone placement was done using a Real Seal (Resilon) 30 .06 taper cone.  A cone placement radiograph was taken knowing the cone was long but that good apical tug-back was achieved.
The apical length was again gauged with the apex locator and the cone was cut at the proper apical length to ensure apical seal due to tug-back.  
The canal was vacuumed with the capillary tip, EDTA was scrubbed into the canal and vacuumed with the capillary tip.  Once the canal was dried, Consepsis was scrubbed into the canal and the capillary tip was again used, but the canal was left moist to ensure a moist bond surface.  
Obturation was accomplished for this case using the Real Seal (Resilon) cone fitted earlier and sealed using Real Seal dual cure sealer.  Warm vertical condensation and Real Seal back fill was accomplished using the Sybron Elements Obturation Unit.  Real Seal is a synthetic endodontic filing material that creates bonded obturation.   The sealer is a dual cure self etching sealer which bonds to the tooth structure and the Real Seal bonds to the sealer.  Since it is bonded obturation, every effort is made to leave the canal system moist so as to accomplish a well bonded resin system.
I was pleased with the final result and the patient reports no pain or indications of problems since the first appointment.  This was a case made much easier through the use of multiple technologies including bonded obturation.  While endodontic retreatments are never easy, the technologies employed here definitely made the case less stressful for all involved and helped to provide a good clinical result.

Thursday, October 17, 2013

Acetaminophen: Drug Safety Communication - Association with Risk of Serious Skin Reactions

I received this info from a Doc Alert which is part of the alerts section found in the ePocrates drug database system. Anytime I find information like this that has a benefit to either doctors, patients, or both... I will always try to post it here.

While it has many wonderful properties, acetaminophen should be viewed as a drug. That means that, plain and simple, it has many benefits but can also cause problems and the user should be aware of as many problems/side effects as possible. Read on for the latest from the FDA...

Information sourced from FDA:

Acetaminophen: Drug Safety Communication - Association with Risk of Serious Skin Reactions

ISSUE: FDA notified healthcare professionals and patients that acetaminophen has been associated with a risk of rare but serious skin reactions. Acetaminophen is a common active ingredient to treat pain and reduce fever; it is included in many prescription and over-the-counter (OTC) products. These skin reactions, known as Stevens-Johnson Syndrome (SJS), toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP), can be fatal. These reactions can occur with first-time use of acetaminophen or at any time while it is being taken. Other drugs used to treat fever and pain/body aches (e.g., non-steroidal anti-inflammatory drugs, or NSAIDS, such as ibuprofen and naproxen) also carry the risk of causing serious skin reactions, which is already described in the warnings section of their drug labels.

BACKGROUND: This new information resulted from the Agency’s review of the FDA Adverse Event Reporting System (FAERS) database and the medical literature to evaluate cases of serious skin reactions associated with acetaminophen (see Data Summary at link below). It is difficult to determine how frequently serious skin reactions occur with acetaminophen, due to the widespread use of the drug, differences in usage among individuals (e.g., occasional vs. long-term use), and the long period of time that the drug has been on the market; however it is likely that these events (i.e., SJS, TEN, and AGEP) occur rarely.

RECOMMENDATIONS: Health care professionals should be aware of this rare risk and consider acetaminophen, along with other drugs already known to have such an association, when assessing patients with potentially drug-induced skin reactions. Any patient who develops a skin rash or reaction while using acetaminophen or any other pain reliever/fever reducer should stop the drug and seek medical attention right away. Anyone who has experienced a serious skin reaction with acetaminophen should not take the drug again and should contact their health care professional to discuss alternative pain relievers/fever reducers.

FDA will require that a warning be added to the labels of prescription drug products containing acetaminophen to address the risk of serious skin reactions. FDA will also request that manufacturers add a warning about serious skin reactions to the product labels of OTC acetaminophen drug products marketed under a new drug application and will encourage manufacturers of drug products marketed under the OTC monograph [to] do the same.

Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:
Complete and submit the report Online:
Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178
[8/01/2013 - Consumer Update - FDA]

[8/01/2013 - Drug Safety Communication - FDA]

U.S. Food and Drug Administration

The above message comes from FDA, who is solely responsible for its content.

You have received this email because you requested follow-up information to an Epocrates DocAlert® Message. For more information about DocAlert® Messages, please click here.

Best wishes,
The Epocrates Team
1100 Park Place, #300
San Mateo, CA 94403

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Wednesday, October 16, 2013

Sesame Communications Launches New Partnership with Healthgrades to Advance the Way Dentists Build their Practices

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Sesame has been an industry leader in dental circles dealing with Social Media for some time now.

I was pleased to get their recent press release.  I think it bears reading...


SEATTLE, WA – October 15, 2013 – Sesame Communications, the leading provider of patient engagement management solutions for dentistry, today announced a strategic partnership with Healthgrades, the leading online resource that helps consumers search, compare and connect with physicians, healthcare providers and hospitals. This partnership will provide dental practitioners with premium access to millions of prospective patients searching for dental services. In the past year alone, consumers conducted more than 20 million searches seeking local dental care providers on the site from all across the United States.

The partnership between Sesame and Healthgrades will provide dental providers using Dental Sesame or Ortho Sesame with Healthgrades Enhanced Profile Services that will enable and feature online appointment requests (directly into the physician workflow provided by Sesame), preferred profile placement on local searches and publication of verified, quantitative practice reviews on

“New patient acquisition has long been regarded as a core component of building and maintaining a successful practice within dentistry,” said Diana P. Friedman, Chief Executive Officer of Sesame Communications. “Healthgrades Enhanced Profile Services, integrated with Sesame services, provides dental professionals with unparalleled access to new patients who are searching for and making appointments with dental providers for dental services. We are excited to be working with Healthgrades, the world’s leading online resource for helping prospective patients find and connect with dental practices within their local community.”

“Our new relationship with Sesame Communications is consistent with our long-standing commitment to make healthcare more transparent and give consumers the information they need to make more informed decisions about their healthcare providers,” said Andrea Pearson, EVP and GM, Consumer Products.

Today Healthgrades Enhanced Profile Services are only available through authorized partners. Healthgrades has partnered with Sesame to launch the solution to dentistry and is the only company offering Healthgrades Enhanced Profile Services at the 154th Annual Session of the American Dental Association (ADA), October 31 – November 3, 2013 in New Orleans, Louisiana.

“A Healthgrades Enhanced Profile Service from Sesame is a game changer for dentistry,” said Dr. Lou Shuman, President of Pride Institute, the premier dental practice management consulting group serving the dental profession since 1974. “Now dental care providers will be armed with an online service to instantly convert highly qualified visitors into new patient appointments.”

Healthgrades Enhanced Profile Services Availability Sesame is currently pre-selling Healthgrades Enhanced Profile Services, integrated with Sesame services, prior to the official launch at the ADA meeting on October 31, 2013. To secure your Healthgrades Enhanced Profile today, call Sesame at 888-263-3159 or request more information by sending an email to

About Sesame Communications Sesame Communications helps dental and orthodontic practices harness the power of the Internet to accelerate new patient acquisition, build patient loyalty and transform the patient experience. The company supports thousands of practices in their efforts to grow and thrive in the digital age. The Sesame 24-7 Patient Engagement Management system provides an end-to-end, HIPAA-compliant suite of solutions tailored to the unique and specific needs of dentistry. An Inc. 500|5000 and Deloitte Technology Fast 500™ company, Sesame is recognized as one of the fastest growing technology companies in the United States. For more information about Sesame, visit or call 877.633.5193.

Media Contact: Chris Bethell Sesame Communications Vice President of Marketing

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Tuesday, October 15, 2013

American Dental Association Meeting & Pride Technology Fair - Sneak Peek

In the second video we shot this past Saturday afternoon, Dental Products Report's Group Editorial Director, Kevin Henry, and I discuss the upcoming American Dental Association Meeting and the Pride Technology Fair that is part of the meeting.
Take a look to see what pressing technology I will be browsing for!
Also, you'll get an inside scoop on why I so dearly love being part or the  Pride Technology Fair.
This year's ADA meeting will bell held in New Orleans and Halloween will be celebrated while we're there!  Check out the video to see what Kevin and I will be doing, and then make sure to check out the Dental Products Report website to get up to the second info on what's going on in The Big Easy!
Enjoy & Laissez les bons temps rouler!!!

Monday, October 14, 2013

Dental Products Report Upcoming Article - An October Sneak Peek!


In our continuing effort to bring more information to our readers, Dental Products Report is now offering "Sneak Peeks" of our upcoming issues.

The October issue has been ready to go for quite a while now, in fact, many of you will be receiving your issue this week.

However, we know many of you will be wondering what is covered, what topics will we be dealign with in-depth, etc.

Well… wonder no more!  The Group Editorial Director, Kevin Henry, and I discuss my article for the October issue in this 8 minute video shot this past Saturday.

I'll give you one guess as to w which game I gave up watching to do this video…  :-)

Saturday, October 12, 2013




American Academy of Periodontology

Suite 800 • 737 N. Michigan Avenue • Chicago, Illinois 60611-6660

(312) 787-5518 • Fax (312) 787-3670 •


For Immediate Release



Award Recipients Recognized for Contributions to Periodontology


CHICAGO—(October 9, 2013)—The American Academy of Periodontology (AAP) awarded excellence in the field of periodontology at its 99th Annual Meeting, held September 28 to October 1, 2013 in Philadelphia, Pennsylvania. 


“It is an honor to recognize the valuable achievements in periodontics accomplished by my colleagues,” said AAP President, Dr. Stuart Froum. “The advancements made by these talented individuals should inspire dental professionals around the world to treat periodontal disease more effectively and efficiently. Their work stands as a testament of their commitment to the field of periodontics.” 


Individual Awards


Gold Medal Award: 

Founded in 1967, the Gold Medal Award is the highest honor bestowed by the AAP and is sponsored by Sunstar Americas, Inc. This year, the American Academy of Periodontology presents the Gold Medal Award to Dr. Louis F. Rose. An active contributor to the field of periodontics and the AAP for many years, Dr. Rose became a Diplomate of the American Board of Periodontology (ABP) in 1980. He obtained his dental degree from Temple University, his certificate in periodontics from the University of Pennsylvania School of Dental Medicine, and his medical degree from the Medical College of Pennsylvania (Drexel University School of Medicine). Beyond his academic credentials, he maintains a successful practice in Philadelphia, specializing in periodontics and implant dentistry. He is also clinical professor of periodontics at the University of Pennsylvania School of Dental Medicine.
Dr. Rose has authored textbooks for dentists and physicians, and is a regular contributor to periodontal literature. He has served as Editor-in Chief of the Compendium of Continuing Education in Dentistry since 2008. Dr. Rose was director of the American Board of Periodontology from 2005 to 2011. Hailed by his peers as an excellent leader, he has served as an example to younger practitioners entering the field through his numerous contributions as an author and educator. Dr. Rose received an AAP Special Citation in 2000, and also numerous awards in the field of dentistry and medicine.


Master Clinician Award: 

This year, the AAP honors Dr. Stephen S. Wallace with the Master Clinician Award, sponsored by Hu-Friedy. In 1967, Dr. Wallace earned his dental degree from the New York University (NYU) College of Dentistry in 1967 and his certificate in periodontics from the Boston University School of Dentistry in 1971. He served as a clinical associate professor at the NYU Department of Implant Dentistry for nearly 20 years, and is currently employed at Columbia University as a clinical associate professor. Called a “consummate teacher” by his peers, Dr. Wallace provides courses through his private practice to help colleagues who wish to improve their skills in implant dentistry. A practicing clinician for over 42 years,
Dr. Wallace is considered an authority on bone regeneration, sinus elevation and dental implants. He has published over 30 papers andgiven more than 1,000 presentations on subjects related to implantology. Dr. Wallace’s experience as a clinician has continued to benefit his peers within the AAP, where he has shared his expertise through lectures on sinus surgery at Annual Meetings, and served as a reviewer for the Journal of Periodontology. He is also a past president of the Connecticut Society of Periodontists.

Distinguished Service Award: 

This year, Dr. Henry Greenwell is honored with the Distinguished Service Award. After obtaining his dental degree from the University of Louisville School of Dentistry in 1977,
Dr. Greenwell earned his certificate in periodontics from Case Western Reserve University in 1982. Dr. Greenwell has been an active contributor to the AAP for over 30 years, serving as Editor-in-Chief of Periodontal Literature Reviews and as a frequent participant in the scientific programs at AAP Annual Meetings. Dr. Greenwell has also worked closely with the American Board of Periodontology throughout his career, becoming a Diplomate in 1996, serving as a director from 2005 to 2011, and as co-chairman in 2011. His most notable recent contribution to the Academy is his service as commissioner for periodontics on the Commission on Dental Accreditation. Dr. Greenwell has worked tirelessly to usher AAP’s revised accreditation standards, which will become effective on January 1, 2014, through a comprehensive multi-year review process. 

Distinguished Scientist Award: 

Dr. David L. Cochran is recognized with the AAP’s Distinguished Scientist Award, sponsored by Procter & Gamble Professional Oral Health. Dr. Cochran earned his DDS, MS, and PhD in biochemistry from the Medical College of Virginia and his certificate in periodontics from the Harvard School of Dental Medicine, where he also obtained a second master’s degree in oral biology. Since becoming an AAP member in 1985, Dr. Cochran has contributed to the discipline as a scholar, educator and leader within the Academy. He became a Diplomate of the American Board of Periodontology in 1989. Dr. Cochran has authored two books, 12 book chapters, and over 100 publications on dentistry, periodontology and osseointegration. An active basic science and clinical researcher, he has been honored numerous times, both at the national and international level. He is currently chairman of the Department of Periodontics at the University of Texas Health Science Center in San Antonio, a post he has held since 1992. He formerly served as the director of Postgraduate Periodontics at the Medical College of Virginia. Beyond his contributions as a scientist and educator, Dr. Cochran served as President of the AAP in 2008 and President of the Academy of Osseointegration in 2011. Dr. Cochran received the R. Earl Robinson Periodontal Regeneration Award in 1997 and 2001, an AAP Special Citation in 1999, the AAP Foundation E. BudTarrson Research Award in Oral Plastic Surgery in 2005, and the William J. Gies Periodontology Award in 2007.

Outstanding Periodontal Educator Award: 

The AAP honors Dr. Terry D. Rees with the Outstanding Periodontal Educator Award. Dr. Rees has spent more than 40 years teaching and practicing periodontics. Dr. Rees received his dental degree from the University of Tennessee College of Dentistry in 1957 and his certificate in periodontics and MSD from the Baylor University College of Dentistry in 1968. A member since 1967, Dr. Rees was honored with an AAP Fellowship in 2001. He has also served on the AAP Foundation Board of Directors since 2010. Dr. Rees became a Diplomate of the American Board of Periodontology in 1975, and served as director and chair of the ABP. A professor and director of the Stomatology Center at the Baylor College of Dentistry since 1984, he has been a mentor to undergraduate and graduate students as well as faculty. He currently serves on the editorial Boards of the Journal of Periodontology and the Compendium of Continuing Education. Along with many awards and commendations from his service in the U.S. Army, Dr. Rees received the American Dental Association’s William J. Gies Periodontology Award, and was recognized in 2012 by the California Society of Periodontists for his outstanding contributions to periodontics and his commitment to the highest professional standards of dentistry. Dr. Rees has presented over 375 continuing education lectures and courses, authored 9 books and monographs and 33 book chapters, and published nearly 100 articles in peer-reviewed journals.

Outstanding Periodontal Educator (posthumously): 

Dr. Robert S. Schoor is being honored for his decades of service to the countless students and professionals he trained and influenced throughout his tenure as a periodontist. Earning his DDS from Temple University and his periodontal certificate from Columbia University, Dr. Schoor made educating others the focus of his career. He was the director of the NYU College of Dentistry’s Advanced Education Program in Periodontics for 21 years and a former chairman of the Department of Periodontics at the Temple University School of Dentistry. Teaching for over 40 years, Dr. Schoor has been praised by his colleagues as a dedicated educator who cared deeply for his students and patients. He was honored with the Mentor Award for Advanced Education in Periodontics from the NYU College of Dentistry and the Irwin Scopp Fellowship Award by the Northeastern Society of Periodontists, which he served on as president in 1995. A Diplomate of the ABP, he served as their chairman from 2006 to 2007. Dr. Schoor served as AAP president in 1999 and was a long-time reviewer for the Journal of Periodontology. Dr. Schoor passed away in November 2012 and is fondly remembered by the Academy for his contributions to periodontal education and his service to organized dentistry.


Honorary Membership: 

Dr. Isao Ishikawa is being awarded an Honorary Membership of the AAP for his notable contributions to periodontics and for the significant role he has played in enhancing the Academy’s relationship with its Japanese colleagues. Dr. Ishikawa received his dental degree from Tokyo Medical and Dental University in 1965 and a PhD in 1971. He became an international member of the AAP in 1988. He has served on the faculty of the Tokyo Medical and Dental University for 42 years, including chairing the Section of Periodontology. Named Editor Emeritus of the Journal of Periodontal Research, he also serves on five other editorial boards. Dr. Ishikawa has published over 200 articles and book chapters contributing to the basic science of periodontics. Lauded as an authority on the role of lasers in periodontics, regenerative therapy and tissue engineering, he has been internationally recognized for his outstanding accomplishments in periodontal education and research. Dr. Ishikawa is a past president of the Japanese Society of Periodontology and the International Society for Lasers in Dentistry and a former Secretary General. Currently, he is an advisor to the Asian Pacific Society of Periodontology. Dr. Ishikawa has devoted his career to preparing residents to treat periodontal disease, encouraging them to develop periodontal curricula at other institutions. 


Special Citations:

Special Citations are awarded to individuals who have contributed to the Academy in a noteworthy manner and are sponsored by Johnson & Johnson Health Care Products.

The Task Force on Peri-Implantitis is recognized for their efforts to develop a white paper evaluating implant health and diagnosis of implant conditions. This strategic initiative, commissioned by the Board of Trustees, is of critical importance to AAP members and the general dental community. The authors worked tirelessly under limited time constraints to produce this paper, which was published as an Academy Report in the Journal of Periodontology. Task Force members include Paul Rosen, Donald Clem, David Cochran, Stuart Froum and Bradley McAllister.


Research and Literature Awards


William J. Gies:  

The William J. Gies Award is sponsored by the American Dental Education Association and is presented to a nominee who has made significant contributions to the periodontal literature and the advancement of dental education. This year, the Academy recognizes Dr. Thomas W. Oates. A member of the AAP since 1989, Dr. Oates serves as a consultant for the Commission on Dental Accreditation and is a member of the American Dental Association National Boards Test Construction Committee. His research interests include cell biology, growth factors, regeneration, wound healing and implantology. His recent efforts have been directed toward interactions of oral and systemic health, specifically understanding the implications of diabetes mellitus on implant therapy, and have resulted in 27 publications over the past five years. In the course of his career, Dr. Oates has published several book chapters, numerous articles in peer-reviewed journals, and dozens of abstracts and editorials. He is also a peer reviewer for many scientific journals. Dr. Oates is currently a professor and vice chair in the Department of Periodontics at the University of Texas Health Science Center at San Antonio, where he is also an assistant dean for clinical research.

Clinical Research Award:

This award is presented to a recent outstanding scientific published article with direct clinical relevance in periodontics and is sponsored by Quintessence Publishing. The AAP recognizes the authors Beck JD, Douglass GL, Dye BA, Eke P, Genco RJ, Page RC, Thornton-Evans G, and Wei L. for their paper titled “Prevalence of Periodontitis in Adults in the United States: 2009 and 2010” Published in the Journal of Dental Research

R. Earl Robinson Regeneration Award:

This award is presented to a recent outstanding scientific published article on periodontal regeneration in the basic or clinical sciences and is sponsored by the AAP Foundation. The AAP recognizes authorsGraziani F, Gennai S, Cei S, Cairo F, Baggiani A, Miccoli M, Gabriele M, and Tonetti M for their paper titled “Clinical Performance of Access Flap Surgery in the Treatment of the Intrabony Defect. A Systematic Review and Meta-Analysis of Randomized Clinical Trials”published in the Journal of Clinical Research.  

About the AAP

The American Academy of Periodontology (AAP) is an 8,400-member professional organization for periodontists – specialists in the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontists are also dentistry’s experts in the treatment of oral inflammation and receive three additional years of specialized training following dental school. Periodontics is one of the nine dental specialties recognized by the American Dental Association.


Media Contact: 

Meg Dempsey  American Academy of Periodontology  (312) 573-3242


# # #

Friday, October 11, 2013


We in health care and dentistry in general have done a good job of protecting patient privacy.  Since the implementation of HIPPA legislation we've payed close attention to keeping our patient data safe and secure.  Recently (September 23, 2013) the United States Department of Health and Human Services put into effect some modifications to the HIPPA rules.
To that end I've moved my electronic communications regarding patient data to the Aspida Enterprise system.  I've been beta testing the service for a few months now and have been extremely impressed.  The system automatically encrypts any email that has the word "secure" in the subject.  How easy is that?  If you are looking for a way to make your email communication secure, this is what you've been looking for.  This is highly recommended!!!

The company sent me a press release on Wednesday and it is placed here in its entirety.  Chances are you haven't heard about Aspida… yet.  So give a read and see why I'm so passionate about it!

Company’s new products help dental practices align their technology with HIPAA regulations

CHARLOTTE, N.C. Aspida, a provider of compliance security products and services exclusively for dental practices, is pleased to announce the launch of three new products Aspida Enterprise, Aspida Wall and Aspida Mail. The products meet and exceed the Health Insurance Portability & Accountability Act (HIPAA) rules and will help to strengthen the privacy and security measures at dental practices across the country.

The company’s announcement coincides well with the Department of Health and Human Services’ latest modifications to the nation’s HIPAA rules, which strive to better enhance and safeguard patient privacy and health information. The new laws went into effect September 23, 2013.

“Our new Aspida products will help dental practices achieve HIPAA compliance a requirement within the industry,” said Jimmy Georgiou, president and founder of Aspida, LLC. “When our clients invest in Aspida, they are not only purchasing a quality product, but they also are gaining peace of mind. That’s because every detail of our products was created with a dental practice’s specific technological needs in mind.”

The company’s new security package includes the following products:

Aspida Enterprise

Aspida Enterprise is a comprehensive solution for protecting and managing a dental practice’s technology and data systems. Compatible with virtually any network, this HIPAA-compliant management system boasts a managed firewall to protect user’s data, encrypted email to safeguard and preserve digital messages, remote access, cloud backup storage and much more.

Aspida Wall

Aspida’s globally managed firewall appliance provides control, accessibility and security to today’s dental practices. Capable of protecting an organization’s applications and data across both wired and wireless networks, the tool features HIPAA-compliant protection, perimeter security of the entire network, secure remote access, secure wireless access for guests or patients and more.

Aspida Mail

Dental practices must have HIPAA-compliant encrypted e-mail and Aspida Mail “delivers.” Extremely affordable and simple, Aspida Mail offers encrypted email for up to 20 accounts, boasts best-in-class protection against spam and malware, works with any Web browser, archives and stores emails for 6 years and more.

Aspida’s new HIPAA-compliant security and compliance software products are supported by Aspida’s quality support engineers, who are capable of addressing each practice’s current and future compliance needs; a Network Operation Center that provides live customer service; and a 24/7 monitoring service.

To learn more about Aspida or their products and services, visit


Launched in 2013, Aspida is quickly establishing itself as an industry leader in providing compliance security products and services exclusively for dental practices. It is recognized for its ability to provide complete solutions for every dental practice’s technological needs, thus empowering its clientele to focus on patient care. Aspida is as sister company of SolutionStart, which was founded in 2000 and began as a network technology provider with an emphasis on customer support. Within a short time, the company identified a technology shortcoming in dental practices. Today, SolutionStart strives to develop better network solutions for the dental industry and is recognized as the Southeast’s premier technology provider for the dental industry.