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Dental India newsletter dated 15th April 2007 -  10th year of online in Feb 2007


Biomet Introduces NanoTite Dental Implant Technology
Medtronic Receives Approval To Market INFUSE Bone Graft For Certain Oral Maxillofacial And Dental Regenerative Applications
GlaxoSmithKline Introduces New Aquafresh White Trays
Invibio's PEEK-OPTIMA Polymer Provides A Platform For Dentanium's New Line Of Non-Metallic And Non-Ceramic Biomaterials For Oral Dental Applications
Invibio provider of biomaterial solutions to the medical device market, recently announced its PEEK-OPTIMA polymer will serve as the platform for a new generation of non-metallic and non-ceramic biomaterials from Dentanium Technologies AG for use in oral applications including crowns, bridges, implants and attachments...

J Am Dent Assoc, Vol 138, No 4, 458-474
FOR IMMEDIATE RELEASE:
April 10, 2007
 
SMALL BACTERIA – BIG IMPACT
Two studies look at the possible connection periodontal bacteria may have with other systemic conditions
 
CHICAGO – Two new studies in the Journal of Periodontology explore the possible link between periodontal bacteria and
coronary artery disease as well as periodontal bacteria and preeclampsia.  These studies found that periodontal bacteria,
which are often invisible to the naked eye, may account for big effects on general health conditions.
 
Periodontal bacteria have often been thought to play a role in many of the possible connections between oral health and
overall health.  Two of the studies in this month’s issue of the JOP further the understanding of these potential
connections.  One study looked at patients who had been diagnosed with coronary artery disease and examined the bacteria
found in their arteries.  They were able to identify periodontal pathogens in the coronary and internal mammary arteries
in 9 out of 15 of the patients examined. 
 
A second study looked at women who had suffered from preeclampsia during their pregnancy, a condition characterized by an
abrupt rise in blood pressure that affects about 5% of pregnancies.   The study found that 50% of the placentas from women
with preeclampsia were positive for one or more periodontal pathogens.  This was compared to just 14.3% in the control
group.  Both of these studies support the concept that periodontal organisms might be associated with the development of
other systemic conditions such as coronary artery disease and preeclampsia.
 
“These studies are just a few in the growing body of evidence on the mouth-body connection.  More research is needed to
fully understand how periodontal bacteria travels from the mouth to other parts of the body as well as the exact role it
has in the development of these systemic diseases,” said Preston D. Miller, Jr., D.D.S., and president of the American
Academy of Periodontology.  “In the meantime it is important for physicians, dental professionals and patients alike to
monitor the research in this area as it continues to grow so they can better work together to achieve the highest levels
of overall health.”
 
To find out if you are at risk for periodontal diseases please visit the AAP’s Web site at
http://www.perio.org/consumer/4a.html and take a free risk assessment test.  For a referral to a periodontist and a copy
of the free brochures titled Periodontal Diseases: What You Need to Know please visit www.perio.org or call toll-free
800/FLOSS-EM (800.356-7736).
 
CONTACT INFORMATION:
 
Kerry Gutshall
The American Academy of Periodontology
Phone:  312.573.3243
Fax:  312.573.3234
http://www.perio.org

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A Fluid Filtration Comparison of Gutta-Percha Versus Activ GP, A New Root Canal Obturation System
G. S. Russell, P. Mines, M. J. Apicella, M. Sweet U. S. Army Dental Activity, Fort Bragg, NC
 
The purpose of this study was to compare the sealing ability of gutta-percha and AH-Plus versus the ActiV GP obturation
system.  The ActiV GP obturation sytem was recently introduced and incorporates glass ionomer into the gutta-percha points
and is used in conjunction with ActiV GP glass ionomer sealer.  Forty eight anterior teeth were decoronated and prepared
using a crown down technique with Profile ISO series rotary files to size 50 / 0.06 taper.  The teeth were randomly divided
into two groups of 20 teeth each, with the remaining teeth serving as controls.  Prior to obturation the smear layer was
removed using a 1 minute soak with 17 5 EDTA and a 10 minute soak with 5.25% NaOCL. Group 1 was obturated with glass ionomer and AH Plus sealer, using warm vertical continuous wave of condensation technique.  Group 2 was obturated with the ActiV GP obturation sytem according to the manufacturer's recommendations.  All teeth were stored in 100% humidity at 37 degrees for 10 days allowing sealer to set before testing.  Leakage was measured using a fluid filtration method.  Using Mann-Whitney U test(p< 0.05) and under the conditions of this study there was no statistically significant difference  in leakage between Activ GP obturation system and gutta-percha and AH Plus Sealer.

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Dent Traumatol. 2005 Feb;21(1):42-5.  
Effect of electrophoretically activated calcium hydroxide on bacterial viability in dentinal tubules--in vitro.
Tsesis I, Zukerman O, Weiss EI, Fuss Z.
Department of Endodontology,
The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel Aviv, Israel.
 
To evaluate the ability of electrophoretically activated calcium hydroxide (CH) to eliminate bacteria in dentinal tubules.
In an in vitro model of dentinal tubule infection, 18 cylindrical root specimens prepared from freshly extracted bovine
teeth were used. After removal of the smear layer, intracanal dentinal tubules were infected with Enterococcus faecalis for
21 days. In 12 specimens, CH paste was placed in the root canals for 7 days. In six of these, an electrophoretic current (10
mA per 10 min), using two electrodes, was applied after placing the medicament in the canal. Powder dentin samples obtained from within the canal lumina using ISO 025, 027, 029, 031 and 033 burs were examined for the presence of vital bacteria by inoculating agar plates and counting colony forming units. anova with repeated measures was used to analyze results. A significant difference was found between experimental groups and the positive control group. CH and electrophoretically activated CH significantly (P < 0.001) reduced bacterial viabilities in dentinal tubules to a depth of 200 microm. Treatment with electrophoresis was significantly (P <0.001) more effective than pure CH in depths of 200-500 microm. Specimens treated with electrophoretically activated CH showed no viable bacteria in dentinal tubules to a depth of 500 microm from the root canal space within 7 days. The time required for treatment of pulpal infection root resorption may be decreased, thus minimizing the risk of coronal fractures in young patients with traumatized teeth.
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