100 Million Prescription Opioids Go Unused Each Year Following Wisdom Teeth Removal

Posted on September 26, 2016

PHILADELPHIA – More than half of opioids prescribed to patients following surgical tooth extraction – such as the removal of impacted wisdom teeth – were left unused by patients in a new study from researchers at the University of Pennsylvania’s Perelman School of Medicine and School of Dental Medicine. The authors say the surplus is troubling given the ongoing opioid epidemic and evidence showing that individuals who abuse prescription opioids often use leftover pills that were prescribed for friends or family members. The study, published in Drug and Alcohol Dependence, suggests the availability of prescription disposal kiosks in pharmacies and small financial incentives may increase proper disposal of opioids by more than 20%.

“When translated to the broad US population, our findings suggest that more than 100 million opioid pills prescribed to patients following surgical removal of impacted wisdom teeth are not used, leaving the door open for possible abuse or misuse by patients, or their friends or family,” said lead author Brandon C. Maughan, MD, MHS, MSHP, an emergency physician and health services researcher at The Lewin Group, a health policy consulting firm, who conducted the study while serving as a Robert Wood Johnson Foundation Clinical Scholar at the Perelman School of Medicine at the University of Pennsylvania. “Given the increasing concern about prescription opioid abuse in the United States, all prescribers – including physicians, oral surgeons and dental clinicians – have a responsibility to limit opioid exposure, to explain the risks of opioid misuse, and educate patients on proper drug disposal.”

In the study, researchers examined prescription opioid use for 79 patients after dental impaction surgery, and how a small financial incentive and information about a pharmacy-based drug disposal program would affect patients’ willingness to properly dispose of unused medications. Researchers also tested the effectiveness of using a text message-based platform to collect data on pain and prescription medication use.

During enrollment, participants received a debit card preloaded with $10. Surveys assessing pain levels and medication use were delivered via text message every day for the first week following surgery, and again on days 14 and 21 following surgery. For each survey completed, the participant would receive an addition $3 credit on the debit card (a possible $27 total). Patients who completed a follow-up health interview received an additional $10.

Just 24 hours after surgery, patients reported an average pain score of 5 out of 10 while taking pain medication. By the second day, more than half (51%) reported a low pain score (0-3 out of 10), and by the fifth day, almost 80% had a low pain score.

The majority of patients (94%) received a prescription for an opioid medication to manage pain, with 82% also receiving a prescription-strength nonsteroidal anti-inflammatory drug (NSAID), and 78% received a prescription antibiotic. On average, participants who did not have post-surgical complications (93%) received prescriptions containing 28 opioid pills, but three weeks following surgery had only used 13, leaving more than 1,000 unused opioid pills. Only five patients used all of the prescribed pills.

“Results of our study show within five days of surgery, most patients are experiencing relatively little pain, and yet, most still had well over half of their opioid prescription left,” said Elliot V. Hersh, DMD, MS, PhD, a professor in the department of Oral & Maxillofacial Surgery and Pharmacology at Penn Dental Medicine, and a co-author on the study. “Research shows that prescription-strength NSAIDs, like ibuprofen, combined with acetaminophen, can offer more effective pain relief and fewer adverse effects than opioid-containing medications. While opioids can play a role in acute pain management after surgery, they should only be added in limited quantities for more severe pain.”

Additional results showed that offering information specific to a drug disposal program led to a 22% increase in the number of patients who had either properly disposed of or planned to properly dispose leftover opioids. Patients in the control arm received routine postoperative instructions with a controlled substance information sheet including details about the risks of keeping unused opioids and explained that a study hotline was available for information on drug disposal. Comparatively, participants in the intervention arm received the same instructions along with a one-page overview of a pharmacy-based drug disposal program.

“Expanding the availability of drug disposal mechanisms to community locations that patients regularly visit – such as grocery stores and retail pharmacies – may substantially increase the use of these programs,” Maughan said. “By providing a one-page information sheet coupled with a small financial incentive patients were significantly more interested in proper disposal of unused opioid pills. The results suggest that future trials might also use similar low-intensity and low-cost interventions to reduce the misuse of opioid medications.”

Other co-authors on the study include Lee R. Carrasco from the department of Oral & Maxillofacial Surgery and Pharmacology at Penn Dental Medicine, Frances S. Shofer, Kathryn J. Wanner, and Elizabeth Archer from the department of Emergency Medicine at Penn Medicine, and Karin V. Rhodes from the Hofstra Northwell School of Medicine. The study was funded by a grant from the Leonard Davis Institute of Health Economics.

Oral Health America and Septodont Want You to Develop a Healthy Fall Routine

Posted on September 23, 2016

CHICAGO, September 23 – There are approximately 2.5 million grandfamilies with children residing fulltime in their grandparents’ homes. Grandfamilies face unique challenges, including those related to oral health as demonstrated by Oral Health America’s 2016 Public Opinion Poll conducted by Wakefield Research shows that 70% of grandparents reported that they believed it was harder for them to keep up with information surrounding children’s oral health than it was for younger parents.

That’s why OHA engages all Americans about the importance of good oral health as part of its annual public awareness campaign, Fall for Smiles. Oral Health America’s Fall for Smiles campaign, which focuses on the oral health of families encourages everyone to spread the word about the positive effects of daily brushing and flossing, regular dental visits, eating a healthy diet and avoiding tobacco products.

Septodont supportsFall for Smiles with a downloadable brushing chart to help families talk about the importance of toothbrushing. Other free downloadable resources include an interactive quiz, coloring sheet and tips for the whole family.

Fall for Smiles is generously sponsored by 3M; Trident; Oral Healthcare Can’t Wait, an initiative of Dental Trade Alliance; Patterson Dental; Hu-Friedy; Midmark Corporation; SciCan, Inc.; Septodont USA; Sunstar Americas, Inc.; Whip Mix Corporation; the Organization for Safety, Asepsis and Prevention; National Dental Association; Crosstex Dentapure and Trident.

Learn more about Fall for Smiles and register to attend the webinar at oralhealthamerica.org/fallforsmiles.

 

Test Your Wisdom Tooth with Oral Health America and SciCan

Posted on September 22, 2016

CHICAGO, September 21 – Whether by choice, by culture or by need, grandfamilies are more commonplace with one-in-ten children residing fulltime in their grandparents’ homes. Grandfamilies face unique challenges, including those related to oral health as demonstrated by Oral Health America’s 2016 Public Opinion Poll conducted by Wakefield Research shows that 70% of grandparents reported that they believed it was harder for them to keep up with information surrounding children’s oral health than it was for younger parents.

That’s why OHA engages all Americans about the importance of good oral health as part of its annual public awareness campaign, Fall for Smiles. Oral Health America’s Fall for Smiles campaign, which focuses on the oral health of families encourages everyone to spread the word about the positive effects of daily brushing and flossing, regular dental visits, eating a healthy diet and avoiding tobacco products.

SciCan supports Fall for Smiles with interactive quiz to test your oral health knowledge. The downloadable quiz is available online to share with friends and family. Other free downloadable resources include a brushing chart, coloring sheet and tips for the whole family. Take the quiz here. 

Fall for Smiles is generously sponsored by 3M; Trident; Oral Healthcare Can’t Wait, an initiative of Dental Trade Alliance; Patterson Dental; Hu-Friedy; Midmark Corporation; SciCan, Inc.; Septodont USA; Sunstar Americas, Inc.; Whip Mix Corporation; the Organization for Safety, Asepsis and Prevention; National Dental Association; Crosstex Dentapure and Trident.

Learn more about Fall for Smiles and register to attend the webinar at oralhealthamerica.org/fallforsmiles.

 

 

 

Sterngold Now Offers ABF Waxes

Posted on September 22, 2016

Attleboro, MA –ABF Waxes are now available in the U.S. through Sterngold. ABF waxes are characterized by their unique composition that guarantees exceptional properties during use. As their name indicates these waxes make it possible to create the esthetics that will provide your Wax-up with character. A light version to ensure basic coloring and a dark version to generate typical shade in the fissures. In the liquid stage these waxes still remain opaque. For more information or to order online visit www.sterngold.com. 

 

 

 

 

Breathable N2O Nasal Hood Liners Eliminate Facial Contact

Posted on September 22, 2016

Ultra-soft Safe-hood Nasal Hood Liners slip over all nitrous oxide nasal hoods to provide a breathable barrier that reduces surface contact while filtering airborne microbes and other residual contaminants. Polypropylene liners are fluid-resistant, odor-free and latex-free. Available in sky blue or mint green color.

For over three decades, Practicon has partnered with dental professionals to advance patient care, increase productivity and profitability, and heighten professional enjoyment by bringing “practical innovations” to dentistry. Practicon’s growing product line ranges from hard-to-find problem solvers to cost-effective everyday supplies. 

3M to Donate to Give Kids a Smile Program

Posted on September 22, 2016

The ADA Foundation and 3M announced that 3M will donate 3,000 introductory sealant kits to the ADA Foundation for use during the 2017 Give Kids A Smile (GKAS) program. The donation, which has an estimated fair market value of $250,000, will help Give Kids A Smile volunteers place more than 400,000 sealants on underserved kids’ teeth in 2017.

“In our collaborations with oral health professionals around the world, we see the importance that our customers place on giving back to their communities, and it is one we share wholeheartedly,” says John Tobin, director, U.S. Sales and Marketing, 3M Oral Care. “We are proud to partner with the ADA Foundation and the 2017 Give Kids A Smile program to help kids keep healthy smiles for life.” 

Each sealant kit can provide approximately 140 sealant applications and includes two 1.2 ml 3M™ Clinpro™ Sealant syringes, one 3 ml 3M™ Scotchbond™ Etchant syringe, 20 sealant syringe tips, and 25 etchant syringe tips. A sealant kit will be included in each of the 3,000 Henry Schein Dental professional kits distributed to those who register and are awarded product for Give Kids A Smile programs in January 2017.

“Give Kids A Smile Programs from around the country have been asking for sealant material because they are highly effective and a safe means of preventive dental care,” says Dr. Jeff Dalin, ADA Foundation Give Kids A Smile Committee member. “We love working with 3M and are excited about the opportunity of getting their Clinpro Sealant into the hands of our wonderful volunteers. A lot of kids will benefit greatly from this generous donation of product."

The ADA Foundation will celebrate Give Kids A Smile’s 15th anniversary in 2017. For more information about Give Kids A Smile or to sign up your Give Kids A Smile program, visit adafoundation.org/GKAS. To make a donation to Give Kids A Smile, visit adafoundation.org

Aurident to Distribute Shining 3D Scanners

Posted on September 22, 2016

Aurident, Inc has entered into an agreement with Shinning 3D Tech Co LTD to distribute and service Shining 3D scanners in the North America.

Three cost-effective, highly efficient, advanced technology scanners are available.

"The DSX model is a very low-cost, reliable blue light scanner, ideal for any size laboratory," Aurident says in a release. "The DS200+ model is a high-production, competitively priced scanner capable of scanning a full arch in 6 seconds. The DS300 model scanner is capable of scanning fully articulated models."

All Shining 3D scanners use exocad CAD software available from Aurident. Aurident will also arrange for financing or leasing options for scanners and software at very favorable terms.

For more information on Shining 3D scanners, call Aurident at 800-422-7373 or visit www.aurident.com.

Glidewell to Use Only Obsidian for PFMs

Posted on September 22, 2016

Glidewell Laboratories has announced that production of conventional feldspathic PFMs will cease companywide effective October 1, 2016. All future PFM cases prescribed from the laboratory will use Obsidian® lithium silicate ceramic in place of feldspathic porcelain.

When compared to conventional PFMs, Obsidian Pressed to Metal crowns and bridges represent a higher standard of care in ceramo-metal restorations, the company says in a release, adding that Obsidian lithium silicate ceramic exhibits over four times the flexural strength and two times the chip resistance of traditional porcelains.

"The material polishes beautifully and is kinder to opposing dentition than previous PFM ceramics," the release says. "The increased toughness of Obsidian makes it ideal for bridges, cases with insufficient vertical space for full-contour zirconia, and screw-retained restorations.  

"Obsidian’s greater translucency matches shades and blends more naturally with real dentition. Obsidian Pressed to Metal restorations also enable a new level of marginal precision, with tolerances as tight as 20 microns. Each metal understructure is digitally designed and then fabricated with a computer-controlled selective laser sintering machine, which uses a laser to bind metal powder into a 3D shape. This precision established with these techniques helps prevent bacterial invasion and cement washout in delivered restorations."

Jim Glidewell, CDT, says, “Obsidian Pressed to Metal crowns are without question the next step in the evolution of PFMs.”

Obsidian Pressed to Metal restorations are priced at the current PFM rate of $109 per unit for non-precious alloy and at a reduced rate of $116 per unit for white noble alloy.

For more information about Obsidian lithium silicate ceramic, visit http://www.obsidianceramic.com.

Arfona, Valplast Make 3D Printing Breakthrough

Posted on September 22, 2016

Arfona and Valplast have entered into a joint distribution agreement that brings extrusion-based 3D printing to the dental industry with the introduction of the r.Pod® Desktop 3D Printer. Capable of printing thermoplastic filament, the r.Pod prints flexible partial dentures, study models, custom impression trays, and soft tissue gingiva for implant models. The r.Pod is optimized for printing Valplast® flexible nylon resin for partial dentures and appliances and represents an evolutionary step in CAD/CAM dentistry. 

Though typically not used in dentistry because of limitations on resolution, extrusion-based printing can offer a number of advantages over more common resin-type printers. By printing thermoplastic resins, the r.Pod can create end-use parts and dental appliances as opposed to prototypes or diagnostic appliances that are typically printed on DLP and SLA printers.

“The ability to create end-use parts is the most exciting feature of the r.Pod printer," says Arfona CEO Justin Marks, CDT. "In the past, thermoplastics had to be either injection molded or vacuum formed, but the possibility to now 3D print them opens up a whole new world of CAD/CAM materials that didn’t exist before. This is particularly interesting for laboratories that work with digital impressions because now there is now a completely digital workflow for restorations like Valplast that in the past required traditional fabrication techniques.”

The r.Pod is a dual extrusion 3D printer, containing two nozzles that can be used to print parts with removable support material or multicolor/multimaterial parts. The process for designing 3D printable Valplast partials has been validated using the 3Shape RPD module while other CAD systems are currently being tested. 

“We are thrilled that technicians can now move past the rapid prototyping stage and directly into additive manufacturing for Valplast appliances,” says CEO Peter Nagy of Valplast International Corp. “Our knowledge of flexible partial denture fabrication coupled with the most cutting edge technology is a slam dunk for labs who wish to go fully digital in their removables department.”

The r.Pod Desktop 3D Printer is available for pre-order exclusively from Arfona LLC and Valplast Corporation from now through the end of November with the first deliveries scheduled for December 2016. Further information is available at http://www.arfona.com or http://www.valplast.com and on the companies’ respective social media pages. 

Nowak Adds New Representative

Posted on September 22, 2016

Shawn Nowak, President of Nowak Dental Supply based in Carriere, Mississippi, announced that Sabrina Chmieleski will be joining the Nowak Dental team as a Regional Sales Representative.

Chmieleski has 17 years of experience in the dental industry and will be covering the West Coast, helping dental laboratories to grow.

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