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Dental Clinics of North America

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https://www.readbyqxmd.com/read/27912822/endodontics-at-the-verge-of-new-era-driven-by-biological-innovation
#1
EDITORIAL
Mo K Kang
No abstract text is available yet for this article.
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912821/clinical-and-molecular-perspectives-of-reparative-dentin-formation-lessons-learned-from-pulp-capping-materials-and-the-emerging-roles-of-calcium
#2
REVIEW
Minju Song, Bo Yu, Sol Kim, Marc Hayashi, Colby Smith, Suhjin Sohn, Euiseong Kim, James Lim, Richard G Stevenson, Reuben H Kim
The long-term use of calcium hydroxide and the recent increase in the use of hydraulic calcium-silicate cements as direct pulp-capping materials provide important clues in terms of how reparative dentin may be induced to form a "biological seal" to protect the underlying pulp tissues. In this review article, we discuss clinical and molecular perspectives of reparative dentin formation based on evidence learned from the use of these pulp-capping materials. We also discuss the emerging role of calcium as an odontoinductive component in these pulp-capping materials...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912820/modern-endodontic-microsurgery-concepts-a-clinical-update
#3
REVIEW
Spyros Floratos, Syngcuk Kim
Increased use of the surgical operating microscope in endodontic surgery has elucidated many shortcomings of previous techniques and along with microsurgical instruments and new more biologically acceptable root-end filling materials has started the new microsurgical era in surgical endodontics. Endodontic microsurgery is a minimally invasive technique that results in less postoperative pain and edema and faster wound healing. It offers a significantly higher success rate than traditional apical surgery technique...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912819/endodontic-treatment-outcomes
#4
REVIEW
Nadia Chugal, Sanjay M Mallya, Bill Kahler, Louis M Lin
The primary goal of conventional endodontic treatment is prevention and/or elimination of apical periodontitis for both mature permanent teeth and immature teeth with an open apex. Besides these goals, the objectives of endodontic treatment of immature teeth include preservation of pulp vitality and often further root maturation. Robust criteria for outcome assessment are an essential determinant for any measure of treatment success for both mature and immature teeth.
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912818/contemporary-root-canal-preparation-innovations-in-biomechanics
#5
REVIEW
Ove Andreas Peters, Maria Guiomar de Azevedo Bahia, Erika Sales Joviano Pereira
Root canal preparation must serve the goals of supporting debridement while exerting the least amount of structural damage. Toward those goals, several recent trends for innovation are noted: some changes in instrument design, several of them substantial, whereas others are rather discrete. In vitro testing is ongoing and, because of the lack of consistent methodology, gives only some guidelines for clinical use. Lastly, clinical outcome data are lacking for many current instruments; therefore, it is not clear if improvements in flexibility and resistance to fatigue will translate to better outcomes...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912817/molecular-mechanisms-of-apical-periodontitis-emerging-role-of-epigenetic-regulators
#6
REVIEW
Shebli Mehrazarin, Abdullah Alshaikh, Mo K Kang
Conventional root canal therapies yield high success rates. The treatment outcomes are negatively affected by the presence of apical periodontitis (AP), which reflects active root canal infection and inflammatory responses. Also, cross-sectional studies revealed surprisingly high prevalence of AP in the general population, especially in those with prior endodontic treatments. Hence, AP is an ongoing disease entity in endodontics that needs further understanding of the pathogenesis and disease progression. The current Chapter will discuss the basic mechanisms of AP with emphasis on emerging role of epigenetic regulators in regulation of inflammatory mediators...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912816/mesenchymal-stem-cells-and-their-role-in-dental-medicine
#7
REVIEW
Xueli Mao, Yao Liu, Chider Chen, Songtao Shi
Mesenchymal stem cells (MSCs) have been discovered in almost every organ and tissue. MSCs are a heterogeneous population of cells with the capacity to self-renew and show multilineage differentiation. MSCs possess immunomodulatory properties by regulating multiple types of immune cells. They are emerging as a promising therapeutic agent, and have been widely used for cell-based tissue regeneration and immune therapies. A further understanding of the biological characteristics of MSCs is a prerequisite to develop more efficient MSC-based therapies...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912815/regenerative-endodontics-by-cell-homing
#8
REVIEW
Ling He, Juan Zhong, Qimei Gong, Bin Cheng, Sahng G Kim, Junqi Ling, Jeremy J Mao
Apical revascularization (AR) and platelet-rich plasma have been used to restore dental pulp vitality in infected immature permanent teeth. Two regenerative therapies are cell transplantation and cell homing. This article updates and benchmarks these therapies with cell homing. A case report concluded that AR increased root length; however, quantitative and statistical assessments disproved this. Regenerative endodontic therapies require prospective clinical trials demonstrating safety and efficacy. These therapies are intrinsically susceptible to procedural and patient variations...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912814/biological-molecules-for-the-regeneration-of-the-pulp-dentin-complex
#9
REVIEW
Sahng G Kim
Regenerative endodontic treatment has yielded excellent clinical outcomes, but only several animal studies have shown the robust regeneration of the pulp-dentin complex. The biological molecules, if properly delivered, can enkindle regeneration of dental pulp and dentin rather than repair with tissues of periodontal origin. This review details the biological significance of regenerating the pulp-dentin complex, the effects of biological cues in pulp regeneration, and the delivery strategies of biological molecules to enhance the outcomes of regenerative endodontic therapy...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912813/regenerative-endodontic-procedures-clinical-outcomes
#10
REVIEW
Anibal Diogenes, Nikita B Ruparel
Immature teeth are at risk for pulp necrosis, resulting in arrested root development and poor long-term prognosis. There is growing evidence that regenerative endodontic procedures promote desirable clinical outcomes. Despite significant advances in the field of regenerative endodontics and acceptable clinical outcomes, current evidence suggests that the tissues formed following currently used procedures do not completely recapitulate the former pulp-dentin complex. Further research is needed to identify prognostic factors and predictors of successful outcomes and to develop different treatment strategies to better predictably achieve all identified clinical outcomes, while favoring tissue formation that more closely resembles the pulp-dentin complex...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27912812/endodontic-microbiology-and-pathobiology-current-state-of-knowledge
#11
REVIEW
Ashraf F Fouad
Newer research tools and basic science knowledge base have allowed the exploration of endodontic diseases in the pulp and periapical tissues in novel ways. The use of next generation sequencing, bioinformatics analyses, genome-wide association studies, to name just a few of these innovations, has allowed the identification of hundreds of microorganisms and of host response factors. This review addresses recent advances in endodontic microbiology and the host response and discusses the potential for future innovations in this area...
January 2017: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671965/the-alphabet-soup-of-interprofessional-education-and-collaborative-practice-acronyms-with-dental-seasoning
#12
EDITORIAL
Linda M Kaste, Leslie R Halpern
No abstract text is available yet for this article.
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671964/integrating-oral-health-and-primary-care-federal-initiatives-to-drive-systems-change
#13
REVIEW
Capt Renée W Joskow
This article describes federal programs, initiatives, and partnerships that have the demonstrated potential to initiate and institutionalize interprofessional practice that includes oral health providers as integral to the provider team. A discussion of landmark documents and reports, the role of legislation and statutory authority, and the influence of federal program priorities towards a national movement to increase access to care to bridge the chasms between the medical health care system, dental delivery system, and oral health is presented...
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671963/genetics-the-future-is-now-with-interprofessional-collaboration
#14
REVIEW
Debra S Regier, Thomas C Hart
With the growing complexity of health care, interprofessional communication and collaboration are essential to optimize the care of dental patients, including consideration of genetics. A dental case exemplifies the challenges and benefits of an interprofessional approach to managing pediatric patients with oligodontia and a family history of colon cancer. The interprofessional team includes dental, genetic, nutritional, and surgical experts.
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671962/policy-development-fosters-collaborative-practice-the-example-of-the-minamata-convention-on-mercury
#15
REVIEW
Daniel M Meyer, Linda M Kaste, Kathy M Lituri, Scott Tomar, Christopher H Fox, Poul Erik Petersen
This article provides an example of interprofessional collaboration for policy development regarding environmental global health vis-à-vis the Minamata Convention on Mercury. It presents an overview of mercury and mercury-related environmental health issues; public policy processes and stakeholders; and specifics including organized dentistry's efforts to create global policy to restrict environmental contamination by mercury. Dentistry must participate in interprofessional collaborations and build on such experiences to be optimally placed for ongoing interprofessional policy development...
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671961/the-evolving-role-of-dental-responders-on-interprofessional-emergency-response-teams
#16
REVIEW
Michael D Colvard, Benjamin J Vesper, Linda M Kaste, Jeremy L Hirst, David E Peters, James James, Rodrigo Villalobos, E John Wipfler
Disaster and pandemic response events require an interprofessional team of health care responders to organize and work together in high-pressure, time-critical situations. Civilian oral health care professionals have traditionally been limited to forensic identification of human remains. However, after the bombing of the Twin Towers in New York, federal agencies realized that dentists can play significant roles in disaster and immunization response, especially on interprofessional responder teams. Several states have begun to incorporate dentists into the first responder community...
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671960/addressing-health-disparities-via-coordination-of-care-and-interprofessional-education-lesbian-gay-bisexual-and-transgender-health-and-oral-health-care
#17
REVIEW
Stefanie Russell, Frederick More
Lesbian, gay, bisexual, and transgender (LGBT) persons are a diverse group, but they share a common need for competent, accessible health care, dispensed without intolerance and with an understanding of their unique health needs. Dental practitioners need to understanding that LGBT persons have distinctive health (and oral health) needs. This article reviews the literature on oral and overall health of LGBT persons in the United States, and discusses ways in which dentists can improve the health care they provide to this vulnerable population, including how interprofessional education and collaborative practice may help to reduce oral health disparities within this group...
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671959/oral-health-and-interprofessional-collaborative-practice-examples-of-the-team-approach-to-geriatric-care
#18
REVIEW
Laura B Kaufman, Michelle M Henshaw, Blase P Brown, Joseph M Calabrese
Oral health for the older adult patient is vital for function, comfort, and communication and is a critical component of overall health. Oral diseases such as dental caries, periodontal disease, and oral cancer may lead to pain, functional limitations, and decreased quality of life. Optimal oral health outcomes are often owing to effective interprofessional collaboration between and among health care providers, in conjunction with patient family members and caregivers. This article highlights 2 cases illustrating how interprofessional team dynamics can affect patient outcomes...
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671958/interprofessional-collaborative-practice-an-oral-health-paradigm-for-women
#19
REVIEW
Cherae Farmer-Dixon, Machelle Fleming Thompson, Daphne Young, Stephanie McClure, Leslie R Halpern
Interprofessional collaborative practice (IPC) is paramount to the future of oral health education. As such, it is critical that today's health care education continues to expand its curriculum to promote oral health as an essential component in the IPC approach to women's health. This article explores models that can be implemented using an IPC framework to foster better approaches in the delivery of care to female patients.
October 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27671957/interprofessional-collaboration-in-improving-oral-health-for-special-populations
#20
REVIEW
Paul Glassman, Maureen Harrington, Maysa Namakian, Paul Subar
People with complex medical, physical, and psychological conditions are among the most underserved groups in receiving dental care and consequently have the most significant oral health disparities of any group. The traditional dental care delivery system is not able to deliver adequate services to these people with "special needs" for a variety of reasons. New systems of care are evolving that better serve the needs of these groups by using interprofessional teams to reach these individuals and integrate oral health services into social, educational, and general health systems...
October 2016: Dental Clinics of North America
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