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Journal of the Tennessee Dental Association

J Stansill Iii Covington
This is the first in a series of commentaries related to admission to The University of Tennessee College of Dentistry. Admission to dental school in the current climate is exceedingly competitive-much more so than at any time in history. The purpose of the paper is to examine over thirty-five years of class size and total applications to the University of Tennessee College of Dentistry to gauge competition for admission today versus any time in the past thirty-five years.
October 2016: Journal of the Tennessee Dental Association
Holland Maness, Stefan A Hottel, Terry Trojan, Timothy L Hottel
OBJECTIVE: The evaluation of hard and soft tissue relationships is an important part of the study of facial morphology, craniofacial development and orthodontic treatment and outcomes. Historically, this evaluation has occurred in two dimensions. The purpose of this study was to develop a protocol to study the relationships of hard and soft tissues in three dimensions without the use of additional radiation. MATERIALS AND METHODS: Stereo photogrammetric images created by the 3dMDTM Face system and models digitized using the Motion View scanner were utilized...
October 2016: Journal of the Tennessee Dental Association
H Barry Waldman, Misha Garey, Rick Rader
OBJECTIVE: To document the evolving economies of dental establishments in the State of Tennessee during a period of significant growth of the number of establishments before and after the "Great Recession." METHOD: Published results from the five-year economic surveys by the U.S. Census Bureau on business receipts and salaries of employees (including dentists) for the State of Tennessee and its counties were used to construct a review of these developments...
October 2016: Journal of the Tennessee Dental Association
William A Mallard, William N Deuring, Barrv M Owens, Jeffrey G Phebus, David E Umsted
Upon the premature loss of permanent anterior teeth from unanticipated trauma or by ongoing patient neglect requiring surgery, patient requisites of functional and esthetic considerations must be addressed. Interim management can be achieved through the use of several diverse fixed and/or removable treatment modalities. The purposes of this report are to provide a review of traditional and unconventional techniques for interim replacement of missing anterior teeth and to present a clinical report demonstrating the fabrication of a removable, thermoplastic (vacuum-formed) EssixTM prosthesis, utilizing composite resin as the surrogate material of choice for the absent teeth...
October 2016: Journal of the Tennessee Dental Association
Daranee Versluis-Tantbirojn, James S Simon, Janet Harrison
The success of composite restorations requires meticulous clinical technique in addition to reliable restorative materials and armamentarium. Early failure of restorations is undesirable and are usually replaced at no cost to patients. A metaanalysis study reported a mean annual failure rate of 1.46% for posterior composite restorations. At the University of Tennessee Health Science Center College of Dentistry (UTHSC CoD) predoctoral clinic the percentage of posterior composite restorations replaced within 12 months, retrieved from 2007-2014 electronic chart 'redo' records, was on average 0...
October 2016: Journal of the Tennessee Dental Association
Paul Gregory, James Lea, Christopher Walinski, Denise Terese-Koch, Timothy Hottel, Dan Fields, Christopher Rodriguez
The use of an erbium laser to treat carious teeth has proven to have several advantages when compared to rotary instruments. The clinician is able to remove a minimal amount of tooth structure, thus minimizing the risk of pulpal exposure. The extremely short pulses of erbium lasers combined with an aerosolized water spray have been shown to cool the pulp as opposed to rotary instruments which may create heat that could lead to a pulpitis. Bonding to the lased surfaces is improved because the smear layer is removed, bleeding is controlled, and the lased tooth surface appears etched with open dentinal tubules...
October 2016: Journal of the Tennessee Dental Association
Larry Weeda, Michael J Backer
Odontogenic infections continue to be the most common reason for people to seek dental care. Antibiotic therapy, combined with appropriate surgical intervention has been the mainstay in treating dental infections for many years. Availability of new antimicrobial agents and reports of decreased efficacy in commonly used antibiotics warrant continued study to assure that the most effective agents are utilized. This paper presents a brief summary of the bacterial populations associated with odontogenic infection and their antibiotic resistance mechanisms...
October 2016: Journal of the Tennessee Dental Association
George T J Huang, Franklin Garcia-Godoy
There have been significant advancements in regenerative dentistry demonstrated in large animal studies, particularly in the areas of endodontics and periodontics. By using dental stem cells, pulp tissues can be regenerated in empty root canal space, and periodontal pockets can be regenerated to its normal state. To further test its clinical applications and perhaps to provide such patient care service if proven safe and successful, a facility called good manufacturing practice where stem cells are processed is needed...
October 2016: Journal of the Tennessee Dental Association
Cimara Fortes Ferreira, Elisa Oderich, Luis L Boff, Claudia A M Volpato
Applying the biomimetic principles, maximum preservation of the sound tooth structure may be achieved by means of adhesive restorations. Due to bonding, it is possible to conduct minimally invasive esthetic procedures with laminate veneers assuring a high mechanical resistance of the tooth/restoration bond. A clinical case of adhesive restorations is presented using the bonding protocol respecting the diversity of each product's commercial brands and manufacturer's recommendations.
April 2016: Journal of the Tennessee Dental Association
Ashanti Braxton, Daranee Versluis-Tantbirojn, Waletha Wasson, Janet Harrison, Layne Levy, Colette Stewart
Matriculation from the pre-clinical setting to the clinical environment is a tremendous accomplishment and exemplifies the student's perseverance in learning the fundamental concepts necessary for success in the clinical application of dentistry. In an effort to maximize its educational philosophy for the teaching program, the University of Tennessee's College of Dentistry has implemented Introduction to Clinical Practice I and II within the dental curriculum. Introduction to Clinical Practice I and II are designed to help the dental students effectively and smoothly transition to the clinical setting from the classroom and pre-clinical setting...
April 2016: Journal of the Tennessee Dental Association
Tom Korioth, James D Lea, James Simon, Michael McBride
Restorative dentistry is experiencing a significant shift towards a rising usage of tougher all-ceramic materials. This trend must be incorporated into existing fixed prosthodontics academic curricula through the integration of lithium disilicate and zirconium oxide crown preparation guidelines. In addition, crown fabrication techniques have also evolved for these newer materials through digitization of preparations and impressions and their computer-assisted manufacturing. This article reviews current crown preparation and cementation guidelines while describing the teaching program in fixed prosthodontics at the University of Tennessee Health Sciences College of Dentistry...
April 2016: Journal of the Tennessee Dental Association
Claire E Worthy, O Lee Wilson, John W Hudson
This case reports the concurrence of gemination and fusion affecting the maxillary central incisors of a twelve-year-old patient and the collaboration of the pediatric dentist, endodontist, orthodontist and oral and maxillofacial surgeon. Developmental dental anomalies can occur in both primary and permanent dentitions as a result of conjoining defects. Double teeth, or cases of gemination or fusion, are not exceedingly rare, but the presence of both anomalies in a single patient is a rarity. Gemination is the division of a single tooth bud, resulting in a large single tooth with a bifid crown and common root and root canal...
April 2016: Journal of the Tennessee Dental Association
Adam C Goddard, Jeffrey H Brooks, Robert H Lewis, Paul S Lewis
Controversy remains in understanding both the development and treatment for the odontogenic keratocyst (OKC). With recent changes in nomenclature recognizing the odontogenic keratocyst as a benign tumor, the debate over the proper course of treatment to limit recurrence and morbidity will continue. This study presents two cases where conservative treatment failed to prevent recurrence and each patient underwent resection of aggressive, multicystic OKCs to provide the best chance for definitive care without recurrence and limited morbidity...
April 2016: Journal of the Tennessee Dental Association
Barry M Owens, Slaven, Jeffrey G Phebus, James C Ragain
OBJECTIVES: To quantify the depth of cure (DOC) of a composite resin system using two different testing criteria. METHOD AND MATERIALS: The DOC testing employed two different experimental protocol: 1) Forty-eight previously extracted human molars were randomly assigned to four groups of twelve each (n = 12): Group 1 SonicFill composite resin system, shade A1; Group 2 SonicFill, shade A3; Group 3 Herculite Ultra composite resin, shade A1; Group 4 Herculite Ultra, shade A3...
October 2015: Journal of the Tennessee Dental Association
Rania Livada, Jacob Shiloah, Timothy L Hottel
AIM: To illustrate the reversibility of "pathologic tooth migration" in several patients that were managed by periodontal therapy alone, along with a review of the relevant literature. BACKGROUND: Pathologic tooth migration (PTM) is a common phenomenon among patients seeking dental care. Different etiologic factors have been implicated in PTM: loss of periodontal support, occlusal interferences, posterior bite collapse, and various oral habits such as: lip biting, tongue thrusting, and playing wind instruments...
October 2015: Journal of the Tennessee Dental Association
Janet L Harrison, James F Simon, Mojdeh Dehghan
The UT College of Dentistry has been one of the leaders in the introduction of the CAD/CAM delivery of dentistry to the dental students. The integration of technology into a dental school curriculum requires a change in thinking and a modification of the curriculum in order to introduce it to the present day students This article updates the integration of the CEREC system into the UT Dental School curriculum, discussing the changes in equipment and teaching techniques since the last article in 2012.
October 2015: Journal of the Tennessee Dental Association
Ryan Z Roberts, Paul Campbell Erwin
OBJECTIVES: Children in poverty have limited access to oral healthcare. One approach to reduce such health inequities is to expand the involvement of primary care physicians in the provision of oral healthcare. The purpose of this study was to assess pediatricians' knowledge, attitudes, and professional experiences regarding oral health in children, and to determine their willingness to incorporate preventive dental education and procedures into their practices. METHODS: We conducted a survey of pediatricians in Tennessee to assess their knowledge, attitudes, and professional experiences regarding oral health, and to determine their willingness to incorporate preventive dental education and procedures into their practices...
October 2015: Journal of the Tennessee Dental Association
Sanjay Karunagaran, Jonathon Egbert, Andrew Johnson, Sony C Markose
Over recent years Dentistry has evolved, and as such, we have been able to make strides in restoring edentulous patients with dental implants. Recently, the specialty of Prosthodontics, in addition to the prosthetic rehabilitation of complex dental patients with fixed, removable, implant, and cosmetic dental needs, has begun to shift into the surgical realm of patient treatment. This report outlines a minimally invasive technique for sinus floor elevation, on the controlled use of drills and osteotomes, while simultaneously placing implants through a guided protocol...
October 2015: Journal of the Tennessee Dental Association
Rania Livada, Wes Shelton, Paul S Bland, Jacob Shiloal
AIM: To illustrate the negative effect of calcium channel blocker (CCB) drugs on the gingival tissues and the reversibility of these lesions. CASE DESCRIPTION: The authors examined a forty-eight year-old male patient with drug-induced gingival enlargement associated with diltiazem, a CCB drug. Prior to initiating the proposed periodontal treatment, the patient was advised to consult his physician, for a possible switch to a different anti-hypertensive drug. The patient returned to the clinic three months later with a significant regression of the gingival overgrowth, which was induced by the patient ceasing the prescribed regimen without medical consultation or periodontal intervention...
October 2015: Journal of the Tennessee Dental Association
James Lea, Michael McBride, Timothy L Hottel
Dental education is an ever evolving process due to continual advancements in patient treatment. This article provides the reader with a look into an educational process that affords the student with better clinical experience without an increase in clinical training hours. When a comprehensive care model of education is introduced into a traditional care setting, the comparison of procedures completed with the previous 5 years results indicate an increase in the number of amalgam and composite restorations placed of 26% and an increase in crowns placed of 32...
April 2015: Journal of the Tennessee Dental Association
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