This Week in Perio
May. 1, 2013

The truth about brushing
The New York Times
Q: Why don't we use hot water to brush our teeth?
A: There may be some reasons not to use hot or warm water, said Richard H. Price, a spokesman for the American Dental Association, but he added, "If I can get someone to brush their teeth, I don't care what the water temperature is, as long as they don't scald themselves."More

16 worst places for your health
Prevention
Store owners aren't the only ones concerned with finding the perfect spot in which to situate their stuff. Researchers in a wide variety of fields know that how you organize your environment — from where you stand in fitness class to the place you choose to store your meds — has a surprising effect on everything from your weight to your chances of staying well. In other words, when it comes to how you feel, it's not just what you do, it's where you do it.More

Teeth-whitening rules take a bite out of business
The Wall Street Journal
When special interests use government power to limit competition, that is not just a stain on representative government. Now it's also leaving a stain on teeth. According to a new study by the Institute for Justice, licensed dentists across the country have been lobbying successfully for government-imposed restrictions that create a lucrative monopoly on the field of teeth whitening. Dozens of states have now passed laws, or applied existing ones, to shut out entrepreneurs and thus raise the cost of acquiring a brighter smile.More

Health tip: Signs of periodontal disease
HealthDay News via U.S. News & World Report
Gum disease, also called periodontal disease, is an infection of the tissues that surround the teeth. Potential risk factors include poor dental hygiene, smoking or chewing tobacco, and your family history of the disease.More

Gum disease treatments
Dental Health Magazine
Gum disease is a condition that affects millions of Americans. If not treated properly, the disease can lead to permanent tooth loss. Find out about the different types of treatments available.More

Dental care spending levels off in United States
Medscape
Overall spending on dental care has remained flat in Spending on dental care has flattened in recent years, despite unmet need, according to a report by the American Dental Association. Adjusting for inflation, dental spending increased by 3.9 percent per year from 1990 to 2002, but the increase slowed to 1.8 percent between 2002 and 2008 and declined at a rate of 0.3 percent from 2008 to 2011, the ADA researchers found. (May require free registration to view article.)More

Survey: Gender gap wider in top-paying jobs
United Press International
The balance of genders among top professions leans heavily toward men but women are making strides forward, U.S. employment firm CareerBuilder said. "While employers have made strides in equalizing compensation for both genders, historical gaps are still present in some organizations today," Rosemary Haefner, vice president of Human Resources at CareerBuilder said in a statement.More

Study: Nitrous oxide doesn't up surgical risks
DrBicuspid.com
Giving nitrous oxide as part of general anesthesia for noncardiac surgery doesn't increase the rate of complications and death, and might even decrease the risk of such events, according to a pair of studies in Anesthesia & Analgesia. But an accompanying series of editorials points out some important limitations of the two studies, which can't completely overcome previous concerns about the safety of using nitrous oxide as a surgical anesthetic. (May require free registration to view article.)More

The wrong way to restore an implant
Surgical Restorative
Dr. Chris Salierno writes, "A new patient presents to my office with a chief complaint: 'My implant crown fell off yesterday.' She's a 72-year-old woman with noncontributory medical history. She states the implant in tooth position No. 11 was placed 'a few years ago and never felt right.'" More

NBI shows promise in oral cancer detection
DrBicuspid.com
Endoscopic narrow-band imaging is more effective than broadband white light imaging in detecting high-grade dysplasia and carcinomatous lesions in oral leukoplakia, according to a new study in the International Journal of Oral & Maxillofacial Surgery. For the study, a team of researchers from Taiwan investigated the clinical efficacy of using BWL to observe morphologic appearance, NBI to observe intraepithelial microvasculature, and both to detection high-grade dysplasia and carcinoma in oral leukoplakia. (May require free registration view article.)More

Surgeon general endorses fluoridation
American Dental Association
U.S. Surgeon General Dr. Regina Benjamin officially endorsed community water fluoridation as "one of the most effective choices communities can make to prevent health problems while actually improving the oral health of their citizens." Benjamin made her endorsement via a letter read at the opening ceremony at the National Oral Health Conference in Huntsville, Ala.More

Illinois issues regulations on how dentists can participate in Groupon
American Dental Association via DentistryIQ
Illinois is the latest state to issue regulations on how healthcare providers, including dentists, can participate in social couponing websites without violating unethical fee-splitting laws.More

Kentucky students learn to manage oral-systemic problems as team
American Dental Association
Interdisciplinary team-building is underway at the University of Louisville in Kentucky. A new educational initiative will have nursing and dental students collaborate to better identify and manage systemic diseases such as diabetes and cardiovascular disease.More

Tulsa dentist's patients test positive for blood-borne diseases
Yahoo News
When the unsanitary practices in the dental offices of Dr. W. Scott Harrington first came to light in March, it was as a result of one of the dentist's patients having tested positive for the blood-borne diseases HIV and hepatitis C in the absence of other risk factors.More

A new tool in the fight against peri-implant disease
Surgical Restorative
Peri-implant disease has been defined as an inflammatory process affecting the hard and/or soft tissues surrounding an implant in function. Peri-implant diseases can be broken down further into two entities: peri-implant mucositis and peri-implantitis.More

New patient phone calls can make or break your dental practice
DentistryIQ
Do you ever wonder how you can take your new patient experience to the next level? Do potential new patients call your office, but don't schedule appointments? Do you wish you could help them decide to schedule? Because new patients are the "lifeblood of your practice," the first contact with your office must be a home run every single time. This initial phone call lays the foundation for people's relationship with you and your dental team, as well for their future case acceptance.More

When email is part of the doctor's treatment
The Wall Street Journal
The questions come at all hours, popping up on Dr. Mark Seigel's personal email account: Can I dye my hair? Is it safe to drink red raspberry leaf tea? When will the nausea stop? Dr. Seigel, an OB-GYN with offices in the Maryland suburbs of Washington, D.C., answers them all. "There are some patients who are kind of like frequent fliers," he said. "I might get 20 emails from the same person. I know they have fears and I'm mindful of that."More

How dentists can deliver bad news with sensitivity, support
DrBicuspid.com
Dental professionals need to ensure that they deliver bad news to patients in a sensitive and supportive way, according to a new study in the Journal of the American Dental Association. Using communication to address potential concerns related to diagnosis will help ensure that the patient understands the importance of compliance with further testing and referrals. However, breaking bad news is a difficult task, for which most dental care practitioners often have received little or no education, the study authors noted. (May require free registration to view article.)More