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Mineral Trioxide Aggregate may be the most effective direct pulp capping material

Journal of Evidence Based Dental Practice

Journal of Evidence Based Dental Practice


Selection Criteria:

This systematic review compared the effects of multiple pulp capping materials on hard tissue formation. A total of 51 citations were identified and published between August 1, 2000 and December 21, 2017 using the PubMed, Cochrane, Embase, and Summon databases. After exclusion criteria were applied by 2 of the authors and discrepancies mediated by a third author, 27 articles were included in the systematic review and the meta-analyses were conducted on 22 studies. Inclusion criteria were permanent teeth with mechanical exposures undergoing pulp therapy, use of commercially available materials for pulp capping, use of calcium hydroxide (CH) as a control material, histologic evaluations performed on extracted teeth, reported outcome as dentin bridge formation, and a minimum follow-up of 30 days.

Key Study Factor:

Of the 27 studies included in the systematic review, 20 were controlled clinical trials and 7 were randomized clinical trials (RCTs). The meta-analysis included a total of 190 teeth that used mineral trioxide aggregate (MTA) compared to 142 teeth that used CH and then 161 teeth that used a bonding agent versus 93 that used CH.

Main Outcome Measure

The main positive outcome measure was histological observation of a completely formed dentin bridge a minimum of 30 days after performing pulp capping treatment. A negative outcome was considered a histological result showing anything less than a complete dentin bridge formation beyond the minimum 30-day postoperative healing period.

Main Results

The study evaluated 3 different materials in 2 separate analyses of each material’s ability to form dentinal bridges after mechanical pulp exposures. Using MTA resulted in a higher rate of dentinal bridge formation versus CH. The odds ratio (OR) of dentinal bridge formation with MTA versus CH was 2.45 (95% confidence interval [CI], 1.39 to 4.29; P =.002). Compared against CH, bonding agents yielded fewer positive outcomes of dentinal bridge formation. The OR of the bonding agent−induced dentinal bridge versus CH was 0.02 (95% CI, 0.01 to 0.05; P < .001).


MTA was more effective than CH at hard-tissue barrier formation, and MTA had better effects than CH in capping mechanical pulp exposures. The use of a bonding agent as a pulp capping material produced inferior results compared to CH. More RCTs with larger sample sizes should be conducted to further strengthen these conclusions, and future studies should also test the quality of dentinal bridges formed, not only the positive or negative presence.
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Carestream Dental Announces New Partner Program for Independent Software Vendors

Carestream Dental is seeking to partner with independent software vendors that share its mission of transforming dentistry, simplifying technology and changing lives. The new Carestream Dental Partner Program invites outside vendors to submit their solutions for integration with Carestream Dental’s care management platform, CS OrthoTrac, CS PracticeWorks, CS SoftDent and CS WinOMS practice management solutions.
“As a digital technology company, we’re always looking for new software features that improve practice workflow,” Satish Hemachandran, global general manager, practice management software, Carestream Dental, said. “By partnering with specialized independent software vendors, we create new capabilities and introduce additional value to our mutual customers, with solutions that are secure and have been properly integrated to work as intended.”
With the new Carestream Dental Partner Program, third-party vendors now have a more direct way to submit their software modules to be reviewed and approved by Carestream Dental. These modules may include patient engagement, revenue cycle management, data and analytics and even clinical functionality.
Most important, the new program ensures consistency and quality across Carestream Dental’s third-party software add-ons. Once approved and properly integrated, Carestream Dental Partners will receive a seal to display on their websites to both proudly acknowledge their partnership with Carestream Dental. Carestream Dental invites vendors to submit their solutions here.
To learn more about Carestream Dental’s partner program, visit booth #500 at CDA South, May 16-18, in Anaheim, Calif. You can also call 800.944.6365 or visit carestreamdental.comto learn more about any of Carestream Dental’s innovative solutions.
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ePayments Secure Automatically Handles Payments for More Efficient Revenue Cycle Management

The upcoming major release of CS SoftDent v18 now includes ePayments Secure, the new efficient way to securely process payments. This customized dental solution efficiently automates the nightly settlement process for office managers by eliminating the time-consuming rekeying of information, balancing payments and remembering to close in the evenings. Instead, payments are posted and batched automatically to the patient ledger.
Not only does ePayments Secure help office staff manage their daily tasks more efficiently, patients benefit from the convenience, too. ePayments Secure lets practices accept all the latest payment methods, such as chip debit/credit cards, Apple, Google and Samsung Pay. Practices can add Online Pay directly their websites, so customers can to pay anywhere and anytime for even more flexibility.
“Patients expect a certain level of ease and convenience during the checkout process,” Satish Hemachandran, general manager, practice management solutions, Carestream Dental, said. “ePayments Secure lets practices deliver that premium experience, with the added peace of mind for office managers that every swipe, dip or tap of a card throughout the day is being posted automatically to the ledger.”
For increased data security, payment information captured with ePayments Secure is tokenized and stored offsite, reducing payment card industry (PCI) risk. SoftDent v18 is included in users’ software maintenance plan enabling their practices to take advantage of the latest improvements. Current software users can sign up for priority installation here.
Practices seeking even more effective revenue cycle management can integrate CS SoftDent v18 with eClaims and Automated Statements. Or, they can take their software to the cloud with CS SoftDent Cloud for easy access to practice management software from any computer with an internet connection.
To learn more about ePayments Secure visit Carestream Dental in booth #500 at the CDA South, May 16-18, in Anaheim, Calif. You can also call 800.944.6365 or visit carestreamdental.comto learn more about any of Carestream Dental’s innovative solutions.
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Research and Education Learning curve of intraoral scanning by prosthodontic residents

The Journal of Prosthetic Dentistry

Available online 10 May 2019

The Journal of Prosthetic Dentistry


Statement of problem

The use of intraoral scanning (IOS) to replace conventional impressions has become popular. However, the learning time required to use these devices effectively is unknown.


The purpose of this in vitro study was to investigate the learning rate, plateau, and difficulty level over repetitive IOS among prosthodontic residents.

Material and methods

Twenty participants with no experience of IOS were recruited. Maxillary and mandibular typodont casts were attached to a manikin head. Participants received training on the IOS device (Omnicam; Dentsply Sirona) and performed maxillary, mandibular, and buccal IOS for 9 trials. The time required for scanning (ST) and the perception of difficulty were recorded. The percentage ratio of time for each trial to the best performance was calculated. A nonlinear regression model was used to estimate the learning plateau and rate.


The findings for maxillary, mandibular, buccal, and total IOS were as follows: ST: 106 ±40 seconds (69 ±24%), 96 ±34 seconds (68 ±22%), 74 ±31 seconds (65 ±22%), and 276 ±88 seconds (72 ±20%); learning plateau: 83.40%, 80.60%, 74.30%, and 85.10%; learning rate: 5.37, 5.01, 3.81, and 4.98. With repetition of the trials, the difficulty level decreased from 6 to 4.


The repetitive use of IOS showed a learning phase of 5 trials to achieve competence of 80% of their best performance. The scanning time and difficulty level decreased with the repetitive use of IOS.
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Results of complex rehabilitation patients with temporomandibular joint disease and parafunction of masticatory muscles.

Stomatologija. 2018;20(4):130-138.



Definition of the effective and appropriate essential use of myogymnastic exercises and orthopedic methods of posture correction in the complex rehabilitation of patients with TMJ pathology and parafunction of the masticatory muscles.


In the study, 63 patients (11 men and 52 women) aged from 20 to 67, with the middle age 31±2.3 were treated, 43 of them had TMJ disease. In 51 patients, parafunctions of masticatory muscles were diagnosed. The treatment was carried out with the help of uncoupling the dentition rows of the splint, made after the TENS-therapy; used medicamentation treatment, using an individual plan for myogymnastic exercises and individual insoles for correction the posture.


Total effectiveness of the treatment is shown as the average of the findings. Analysis of treatment dynamics was due to only those data the results of which after treatment in the control and main groups were different. Treatment effectiveness of the main group in comparison with the control one is as follows – periodontal vessels dopplerography – 16.22%, tonus of the right chewing muscle – 11.45%, right temporal muscle tone – 4.8%, the number of hours per a day in case of increased tone of the chewing muscles – 12.9%, mouth opening amplitude – 17.1%. Thus, total treatment effectiveness in the main group was 12.49±2.18% higher than in the control group.


Results of complex rehabilitation, including myorelaxation procedures, medicamentation treatment, splint therapy, an individual plan of myogymnastic exercises for chewing muscles, and correction of posture using individual insoles showed its effectiveness more than 12.49±2.18% in comparison with traditional methods of treatment.

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MouthWatch CEO Brant Herman Speaking on Teledentistry Opportunities in Private Practice During CDA Presents in Anaheim

Metuchen, NJ – May 9, 2019 – Brant Herman, the CEO and founder of MouthWatch, LLC a leader in innovative teledentistry solutions, digital case presentation tools and intraoral imaging devices, will be a featured speaker during CDA Presents in Anaheim. MouthWatch will also be exhibiting in booth #2323.
During the lecture, entitled “Teledentistry Opportunities in Private Practice” Herman will provide a brief background on teledentistry technology and legislation, focusing on how the landscape has changed to create exciting opportunities for private practices, ranging from solo practitioners to groups practices. The learning objectives are as follow: 
1.    Explore the teledentistry technology currently available.
2.    Discuss a range of private practice opportunities incorporating teledentistry.
3.    Understand how teledentistry can augment their current practice model.
The lecture is being held on Friday, May 17th, from 12:00 PM – 1:00 PM in the Spot Hall C, in the Anaheim Convention Center.  According to Herman, “The technology of teledentistry is not exclusive to public health programs, DSOs and consumer-direct clear aligner companies. It can be easily adopted and afforded by private dental practices seeking new ways to grow their businesses.”
During his lecture, Herman will review examples of how his company’s all-in-one teledentistry platform, TeleDent™ 2.0 can be used successfully in a variety of scenarios, including:
·       GP/Specialist Referrals & Clinical Collaboration
·       DSO Access to Specialists Rotating in Different Locations
·       Medical-Dental Collaboration
·       Innovative Dental Hygiene Business Models
·       Public Health / Private Practice Hybrids
·       Pop-Up Dental Clinics
Teledentistry technology is now within reach of the average dental practice to improve the patient experience, simplify workflow and provide easier communication amongst internal and external care team, all of which contribute to the ability to seize upon new business opportunities that previously didn’t exist.”
For more information about MouthWatch, visit, call 877-544-4342 or send an email to
About MouthWatch, LLC: 
Headquartered in Metuchen, New Jersey, MouthWatch, LLC is a leader in leader in innovative teledentistry solutions, digital case presentation tools and intraoral imaging devices. The company is dedicated to finding new ways to constantly improve the dental health experience for both patient and provider.
The founders and management team of MouthWatch have relevant backgrounds and successful track records in dentistry, consumer products and communications. Since 2012, this team has pioneered the integration of digital imagery and communications technology in the field of dentistry. Their cumulative experience makes it possible for the company to take the lead in introducing the benefits of telemedicine to the world of dentistry.
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