Wednesday, October 29, 2014

CE Course Review: Optimizing Root Canal Cleaning and Disinfection, Sponsored by Dentsply

Summary of information covered:
-The use of newer NiTi rotary root canal instruments enables the clinician to provide ideal shapes for further cleaning and disinfection

-One of the most important attributes of NaOCL is tissue dissolution

-Chlorhexidine is designed to both disrupt biofilms and dissolve necrotic tissues

-The purpose of a surfactant is to reduce surface tension

-Using NaOCl following the use of EDTA may enhance dentin erosion

-Bacterial kill with QMix 2in1 has been identified to be no less than 99%

-Killed bacteria that may remain in residual tissue debris may be a problem if left in the root canal

-QMix 2in1 should be used in the properly shaped root canal for 60-90 seconds

Tuesday, October 28, 2014

Case: 30 yo male with "hole in my tooth"

30 year old male came into the office with chief complaint of "I have a hole on the right side of my mouth. I was eating food and felt something crunchy. It's been like this for two weeks. I haven't been to work for two days, I can't sleep at night and it's sensitive to hot and cold. I take Advil but that isn't helping"

Radiograph revels large carious lesion extending to the pulp. Restorability is questionable. Patient has no dental insurance. He wanted it taken out.

After 2 carpules of 2% lido 1:100,000 epi and careful luxation, the molar came out in one piece.
One fear of mine is the tooth fracturing into pieces. Digging is no fun.

Another shot of the molar with no flash.

A pano was taken to verify. Looks good!

Lexus Ranks #1 On Annual Consumer Reports Reliability Rankings

Consumer reports ranks reliability and consistency each year. Lexus takes the crown again and is ranked higher than average. Rivals like Audi and BMW take fifth and fourteenth, respectively.

Brands that gained the most were Lincoln, Hyundai and Kia. Brands that fell the most were Infiniti, Mercedes-Benz and GMC.

The Lexus IS350 Sedan took first place in the Luxury Compact Cars category.

The CT200h & ES300h took first and second place in Hybrid/Electric Cars. The CT200h was ranked first overall for 'Most Reliable Vehicle' in the study.

The LS460, ES350 and GS350 took first, second and fourth in the Luxury Midsized/Large Cars. Finally the RX350, RX450h and GX460 took the first three in Luxury Midsized Large SUVs.

[Read more on their Road Report of The Most and Least Reliable Cars You Can Buy]

Monday, October 13, 2014

Just Paid Off My Second Student Loan (SallieMae) In Full!

The second Stafford Loan from SallieMae that I had to loan out for Graduate School (Masters Program) has been paid off in full! Time to hit the next loan!

Took about five months to pay off $9k on this loan (as with the first loan) while making on-time payments for all the other loans. 

Sunday, October 5, 2014

Doing Cardio Alone Will Not Make You Lose Weight

Check out this amazing two year transformation. She barely does cardio, only as a warm up.

I love her tip for women:
"Go to the gym with men or at least workout like men. Don't just go on a treadmill for hours and wonder why you still look the same"

Saturday, October 4, 2014

Let's End The 'Dentists Have A High Suicide Rate' Myth Now

According to American Psychological Association, after analyzing death certificates:

"..found statistically significant elevated rates for suicide for: white male physicians, black male guards (supervisors, crossing guards, police, protective service occupations) and white female painters, sculptors, craft-artists and artist printmakers"

There is inconclusive evidence that dentists have high suicide rates. Let's put that to rest now. Thanks.


Monday, September 29, 2014

5/3/1 Big But Boring - Cycle 3

CytoSport Settlement Fund

I use to drink CytoSport Monster Milk by the case from 2012 to 2013. Turns out there was a settlement: Delacruz v CytoSport Settlement Fund, I filled out the form and everything thinking it would just take a few minutes out of my time and I didn't really have anything to lose.

To my surprise I got a check for $32.10 in the mail from the Settlement Fund!

Tuesday, September 23, 2014

10 Facts About Smoking And Dentistry

1. Filtek Z250 demonstrated lower solubility behavior. Filtek Z250 is a microfilmed resin.
2. Hollywood Original Blend demonstrated an elevated level of tar (10mg)
3. Cigarette byproducts may be observed in composite resin and dental structures
4. Tobacco smoke may alter the physical properties of resin-based materials
5. Arsenic, Cadmium and Lead were all found in composite resin exposed to cigarette smoke
6. Resistance of dissolution in composite resin can be contributed to higher levels of monomer conversion
7. Cigarette smoke affects the water sorption and solubility of dental composites which can lead to a greater polymer degradation and may decrease the durability of restorative procedures
8. Restorative dental composite restorations exhibit decreased water solubility and great durability with an increase in monomer conversion
9. Water sorption was significantly increased in all composites after cigarette smoke exposure
10. There is scientific evidence that tobacco causes a change in color to dental composite restorations.

Read the full article here.

Friday, September 19, 2014

15 Facts About Tea And Dentistry

1. The Chinese started drinking tea in the 3rd millennium BCE
2. Chinese tea is derived from Camellia sinensis
3. Green tea is steamed at extremely high temperatures
4. Black tea is withered in sunlight for up to 18 hours
5. Oolong tea is bruised in bamboo baskets
6. White tea undergoes no processing or fermentation
7. Green tea has epigallocatechin-3-gallate (EGCG) as its principle bioactive antioxidant
8. The function of antioxidant catechins is to donate electrons to reduce the reactive oxygen species (ROS)
9. The cardiovascular benefits of tea include inhibiting platelet aggregation, promoting vasodilation and preventing oxidant injury
10. When tea is consumed, the polyphenols are absorbed modified. Some polyphenols can not pass through the blood brain barrier (BBB)
11. A number of new studies have suggested that the compounds found in green tea may be helpful in treating patients with Alzheimer's disease and other forms of dementia
12. A recent study reported that treatment with EGCG can trigger apoptosis in prostate cancer cells and reduce the risk of other cancers
13. Consumption of green tea protects smokers against arteriosclerosis
14. Green and Oolong tea reduce the risk for dental caries
15. The fluoride content of black tea has been shown to be as high as 6.5 ppm. The high fluoride content could put patients at risk for skeletal fluorosis and developmental tooth defects.

The full article can be found here.