Dr. Rick Newhart Updates
ANNOUNCEMENTS:
The Mid-Ohio Valley Dental Mission of Mercy is set for July 31 and August 1,
2009. More
dental volunteers are needed
to help to serve the less
fortunate in dental need at WVUP. Dentists may choose from participating in
triage, anesthesia, extractions or restorative dentistry. All materials will
be provided for this event.
About 50 additional
dentists are needed for this event!
Please contact Dr. Newhart’s office or use a copy of the enclosed form to
help register for this event.
Dr.
Gordon McCarthy in Marietta has placed a new CAT scan machine in his office
to evaluate the alveolar process, including wisdom teeth, oral pathology and
assist in implant planning. If you have a patient you feel could benefit
from a CAT scan, the cost is approximately $300.00. Please call Dr. McCarthy
to obtain referral pads for this new service at 740.373.0233.
IS THAT LEAD IN YOUR BRIDGE?
US
Senator Sherrod Brown has called on the Food and Drug Administration to
investigate lead contaminated crowns from labs that outsource their
products. Reportedly two out of 3 products from Cleveland dental labs that
were tested had dangerous levels of lead. Brown may introduce specific
legislation to protect consumer safety as dental labs outsource their work
to China. Is your bridge American made?
WRONG LASER, BAD RESULT!
Lopez reports on the
effects of scaling and root planing with an Er:YAG laser for treatment of
chronic periodontitis. This 30-day study used 21 subjects with pockets of
5-9mm in a split-mouth, randomly assigned group involving scaling and root
planing, with and without the laser only and no treatment. After 30 days,
Lopez found that clinical attachment gained was significant only for the
scaling and root planing group. Gingival recession increased for those
patients treated with the Er: YAG laser only and scaling and root planing
with the laser as an
adjunctive treatment.
Dr. Newhart uses an Nd: Yag laser, not and Er: YAG laser. Dr. Newhart
feels this study shows that the Er: YAG is not the laser for
periodontal therapy.
Lopez, J. Periodontology 2008; 79: 1158-1167.
MORE FAT PLEASE!
Haddad in Saudi Arabia, reported the use of a pedicled buccal fat pad and
the root coverage of a severe recession defect in a 19-year-old female
patient. The patient had undergone two previous surgical guided tissue
regenerations, which had failed and resulted in 8mm of gingival recession on
the molar tooth in question. The author used a novel approach through the
vestibule to use the syssarchosis fat localized in the corpus (central body)
of the buccal fat pad facial to the molar teeth. The incision involved blunt
dissection through the bucconator muscle to access the fat pad. The fat
pad was then pulled, after the 2mm incision, and sutured to the facial
surfaces of the teeth. A beautiful result and a mean gain of gingiva of
approximately 8mm was noted. Dr. Newhart is very excited about this buccal
fat pad technique and would like to see other studies involving this
procedure.
Haddad. J. Periodontology 2008; 79: 1271-1279.
GOOD BISPHOSPHONATES?
Cufetti MD, DDS
studied the localized clinical application of third generation
bisphosphonates and implant surgery for a 53-year-old non-smoking patient.
Two implants were placed in the posterior maxilla with one implant being
treated with a modified bisphosphonate solution. The osteotomy was also
irrigated with a modified solution. The implants were removed after
approximately two months. The results showed that the bisphosphonate treated
implant had nearly twice as much bone contact than the non-bisphosphonate
implant (approximately 40% vs. 18% coverage). The authors state that
localized application of bisphosphonates in implant dentistry may, in fact
achieve better bone to implant contact than without using those drugs. Dr.
Newhart feels additional human histology studies are essential here due to
the trabecular variation in implant sites.
International Journal of Periodontics and Restorative Dentistry 2009; 29:
31-39.
ULTRASHORT IS SATISFACTORY
Deporter reports on a retrospective, multi-center case series with 5mm long
centered porous surface implants using 26 implants in 20 subjects to replace
maxillary and mandibular molar and premolar teeth. The implants were part of
bridgework, cantilevers or used individually. Results after a healing period
of 1-8 years: 0 mandibular implants failed and 2 maxillary implants failed,
giving a failure rate of 7.7%. One of the implants failed in a smoker and
the other implant failed in a combination sinus elevation technique. The
authors suggest more studies should be conducted using the 5mm long implant
as means to avoid expensive bone grafting.
Dr. Newhart, currently
uses this 5mm long implant in his practice
and has been very pleased with the results of this 5mm long implant reducing
the need for expensive bone grafting.
If you feel any of your
patients would benefit from this procedure, please have them call Dr.
Newhart’s office for a free implant screening evaluation.
Thank
you for your continued referral of
dental implant and periodontal patients!
Please visit our website at:
thegumdr.com
Dr. Richard Newhart, Periodontist
Dental Implant Placement
1308 Market Street
Parkersburg, WV 26101
(304) 422-4867
Dr. Newhart’s periodontal update is a
scientific, referenced literature and research review and newsletter. Dr.
Newhart is not claiming to perform, endorse, or achieve the results of every
surgical technique or procedure published in this newsletter.
Dr. Newhart is a licensed periodontal
specialist, who has achieved significant post-doctoral implant and
periodontal education & training.
A merry heart doeth good like medicine.
Proverbs 17:22
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