Justin Rust

Tuesday, April 30, 2019

New poster stresses need for more e-cigarette research

Another warning about the potentially harmful effects of electronic cigarettes (e-cigarettes) has been issued. A new poster from a prestigious European conference details what is contained in e-cigarettes, and the authors urge more research on this subject.


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Related Reading:
FDA commissioner resigns
CDC: Teen e-cigarette use rose sharply from 2017
FDA proposes limits on e-cigarette sales to kids
FDA plans to stop e-cigarette sales to kids
Report: Effects of e-cigs on oral health still uncertain
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Monday, April 29, 2019

7 lessons I learned during my first CAAPID cycle

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Patient communication improves perio treatment outcomes

Talking with patients about their periodontal disease risk may encourage them to become active participants in their oral care, according to a new study in the Journal of Periodontology.


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Related Reading:
Study tests success of nonsurgical perio treatment
New AAP staging system aims to improve perio treatment
Why aren't perio risk assessment tools more widely used?
Data show perio production rising in U.S. practices
Perio treatment has hidden benefit for diabetes patients
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Do's and don'ts for holding your team accountable

True accountability is giving people the tools to help them develop as professionals so that they can do their jobs. Unfortunately, most leaders don't understand how to instill a sense of accountability in their teams. But if you desire to have a great team, accountability is key. And it begins with you, Dr. Roger P. Levin notes in his latest Practice Success tip.


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Related Reading:
Do's and don'ts for teamwork: Encourage teamwork
3 practical ways to improve team performance
Do's and don'ts to help guide your front desk team to success
Do's and don'ts for good teamwork: Guide your team toward success
Do's and don'ts for better team communication: Improve practice communication
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Friday, April 26, 2019

Kids' dental diseases linked to cardio trouble later on

Experiencing dental disease as a child may be an independent risk factor for cardiovascular disease later in life, according to the findings of a long-term study published on April 26. The study casts doubt on the arbitrary divide between oral health and overall health, experts noted.


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Related Reading:
Study links periodontitis to higher blood pressure
Is there a link between periodontitis and metabolic syndrome?
New studies link perio health to kidney health
Poor oral hygiene linked to increased heart disease risk
Tooth loss in middle age linked to heart disease
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Thursday, April 25, 2019

Smartphone app helps patients brush better in new study

A smartphone application could be the perfect tool to help your patients brush better. A new study found that patients who used an application with brushing feedback experienced a 70% reduction in plaque within just four weeks.


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Related Reading:
Does a hybrid toothbrush offer the best of both worlds?
Do your patients know when to replace their toothbrushes?
Millennials don't know how to brush their teeth
Review: Soft-bristle toothbrushes may be safer
Can a high-tech toothbrush improve teens' oral health?
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Wednesday, April 24, 2019

What does diversity mean to you?

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Floss, interdental cleaners show benefit in new review

Dentists and hygienists tell their patients every day to use dental floss or an interdental cleaner to clean between their teeth. However, how much evidence is there that these devices, plus toothbrushing, do their jobs well? Researchers updated a comprehensive review of these devices' effectiveness to find out.


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Related Reading:
Millennials don't know how to brush their teeth
AADR 2018: Ultrasonic toothbrushes stand up to the test
Should you recommend flossing to your patients? It depends
7 ways to talk with your patients about flossing
ADA VP sees benefit of flossing controversy
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Tuesday, April 23, 2019

CDC report questions rise of dental fluorosis

A new publication from the U.S. Centers for Disease Control and Prevention (CDC) casts doubt on the reliability of previously reported data that suggested that U.S. dental fluorosis was on the rise among U.S. children.


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Related Reading:
Infographic: Best states for children's dental health 2019
Benefits of nonfluoride agents in kids remain unclear
IADR 2017: Lower water fluoridation level effective in preventing caries
New fluoridation society provides help to fight myths
Second Opinion: No real debate on community water fluoridation
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Monday, April 22, 2019

How to get volunteer opportunities as a foreign-trained dentist

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Do's and don'ts for keeping control of overhead

Keeping control of overhead is as important as increasing production, Dr. Roger P. Levin notes in his latest Practice Success tip. By focusing on overhead and keeping it within or below an acceptable range, practices will almost immediately have an understanding of their current state and know what to do to improve performance.


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Related Reading:
Do's and don'ts for keeping control of inventory
5 things you should know about overhead
Do's and don'ts for understanding your overhead
Do's and don'ts for budgeting: Develop a comprehensive budget
Dos and don'ts for controlling overhead: Reward staff members for cost-cutting ideas
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Infographic: Best states for children's dental health 2019

Iowa is the best U.S. state for children's dental health in 2019, according to a new report from personal finance website WalletHub. WalletHub ranked all 50 U.S. states and the District of Columbia based on 33 indicators of oral and overall health.


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Related Reading:
Study: Dentist Medicaid participation lower than expected
Video from Chicago Midwinter 2019: Tips for Children's Dental Health Month
CDC survey: U.S. kids brush at 1 year but use too much toothpaste
Children's oral health and screening laws: 5 key takeaways
New report ranks kids' dental health in U.S. states
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Friday, April 19, 2019

Results mixed for cold therapy after tooth extraction

Can cold therapy help patients after third-molar surgery? The results of a recent scientific review are mixed. While cold may be helpful for managing swelling, its other benefits are questionable.


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Related Reading:
Vibrations and cold may ease kids' injection pain
Questionnaire helps distinguish between types of orofacial pain
Does laser therapy boost healing after tooth extraction?
Exparel significantly reduces pain after implant surgery
Opioids for third-molar extractions linked to persistent use
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Thursday, April 18, 2019

Why dental students get better rates with CommonBond

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Can a mouthwash relieve oral mucositis pain?

More than 80% of patients with head and neck cancer develop painful oral mucositis during radiation treatment. Researchers compared two frequently used mouthwashes with a placebo mouthwash to measure the pain relief they provided.


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Related Reading:
FDA fast-tracks Galera's oral mucositis therapy
Leaders in Dentistry: Dr. Elizabeth Feldman
Doxepin rinse may help relieve oral mucositis pain
Study: Humidifying mouth, throat during radiotherapy cuts mucositis
Mouthwash compounds may inhibit oral cancer cells
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Second Opinion: Should your practice be concerned about the measles outbreak?

The U.S. is experiencing a sharp increase in the number of measles cases in 2019, according to the U.S. Centers for Disease Control and Prevention. In this Second Opinion column, hygienist Corinne Jameson-Kuehl writes that dental practitioners need to be aware of the signs and symptoms of measles to prevent its spread within the dental office and the community.


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Related Reading:
Measles outbreaks reported in 20 U.S. states in 2019
Practice Rescue: 3 tips to hiring the right candidate
Practice Rescue: Ways employees hijack your business culture
Is constant employee turnover dooming your office?
Are the holes in your schedule haunting you?
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Wednesday, April 17, 2019

Use your smartphone for a smart financial start

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Empathy is the missing link in patient care

Could paying attention to one aspect of healthcare increase a patient's chances of recovery? What if this were not some new technology or device but rather taking the time to listen to your patients and understand their feelings? Periodontist Dr. Alvin Danenberg suggests empathy might be a key to helping patients heal.


Read more on DrBicuspid.com


Related Reading:
Patients need to be proactive for their health
What is functional dentistry?
Winning the battle, losing the war against gum disease
Sometimes you have to go outside the box
Exercise and dental health are interlinked
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Western Dental moves up top DSO list

Western Dental has jumped three spots in DrBicuspid.com's twice-a-year update of the list of the largest dental service/support organizations (DSOs) in the U.S. The DSO has added more than 50 practices since the last update. How did the other DSOs on our list rank? Find out in our updated list.


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Related Reading:
DSOs, private equity, and the future: An interview with Michael Roub
Smile Brands invests in DecisionOne Dental
DentaQuest launches new payment model with Texas DSO
Western Dental acquires 63 practices from Guardian insurance
Great Expressions, DCA move up in list of largest DSOs
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Tuesday, April 16, 2019

Top 3 career needs for new dentists

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Have you shifted your caries management paradigm?

The current surgical model of caries management relies on symptomatic treatment via drilling and filling. However, the authors of a new review article in Dentistry Journal suggest practitioners should be refocusing their caries management using a medical model centered around prevention, timely intervention, and support of natural healing.


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Related Reading:
CAMBRA gets an update for its 21st anniversary
Preventive approach for caries works in real world
Carious tissue removal strategies get an update
The truth about implementing CAMBRA
Are patients satisfied with noninvasive treatment?
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Monday, April 15, 2019

My path to private practice after serving in the Army

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Do's and don'ts for practice communication: Promote effective communication

As the practice leader, you are responsible for keeping team members informed and inspired, notes Dr.&nbspRoger P. Levin in his latest Practice Success tip. Outline the day's schedule in the morning meeting, frequently thank and compliment staff, or give encouragement when challenges arise, he advises. Just make sure that every interaction is clear and positive.


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Related Reading:
Do's and don'ts for better team communication: Improve practice communication
Do's and don'ts for practice communication: Keep the team informed
Do's and don'ts for scripting: The power of positive communication
Dos and don'ts for communication: Learn to listen better
Dos and don'ts for communication: Become fluent in body language
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Dental infections cost Texas $1.7B, 196 lives

Hospital admissions charges because of nontraumatic dental infections cost Texas $1.7 billion over 10 years, according to a new analysis of inpatient hospital data. These infections also cost nearly 200 Texans their lives.


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Related Reading:
Can guidelines reduce unneeded CT for dental infections?
Continuing education improves physicians' oral health knowledge
ED physicians not confident treating dental trauma
Infographic: Toothache and U.S. emergency department visits
4 trends for dental care in the emergency department
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Friday, April 12, 2019

New research focuses on endo pain relief issues

New research on pain control and management for patients was presented on April 11 at the 2019 American Association of Endodontists annual meeting in Montreal. The presentations included research on the use of photodynamic therapy, persistent pain after root end surgery, and the link between depression and postoperative pain.


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Related Reading:
Which file is best for canal glide path preparation?
AAE releases new patient video
AAE 2016 highlights
AAE 2016: Studies evaluate pain control for endo treatments
AAE 2016: Study evaluates anesthetics for endo treatments
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Thursday, April 11, 2019

8 tips for DAT success

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Study tests success of nonsurgical perio treatment

Is a nonsurgical treatment approach successful when treating patients with periodontal pocket depth of 5 mm or more? A study of more than 1,100 patients sought to find out. The researchers conclusions may change how you approach treating these patients.


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Related Reading:
New AAP staging system aims to improve perio treatment
Why aren't perio risk assessment tools more widely used?
Data show perio production rising in U.S. practices
Perio treatment has hidden benefit for diabetes patients
Legal Cases: Brain abscess from alleged failure to treat perio disease
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Wednesday, April 10, 2019

Using innovative marketing strategies in dentistry

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Study compares 6 CBCT units for evaluating buccal bone

The evaluation of buccal bone can be difficult as panoramic or periapical images may underestimate the amount of bone available. Cone-beam CT (CBCT) units can be useful for making an accurate diagnosis, but is any particular system on the market more accurate?


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Related Reading:
Does CBCT top panoramic images for accuracy?
CBCT demonstrates superiority for periodontal evaluation
Which patient characteristics lead to CBCT motion artifacts?
A clinician's journey into the third dimension: Part 4 -- Implantology cases
ADA 2015: 3D imaging allows dentists to do more
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Tuesday, April 9, 2019

Saying ‘no’ as a path to time management

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New-patient interview aids treatment acceptance

New patients want to know that your practice is interested in their oral health, not just trying to get them to accept expensive treatments. Practice management consultant Sally McKenzie suggests conducting a new-patient interview to learn what they like and don't like about their oral health.


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Related Reading:
Don't let debt damage your practice
3 reasons you should be using scripts for patient calls
4 ways to use patient complaints to grow your practice
4 tips to improve collections in your practice
How to educate team members about practice economics
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Monday, April 8, 2019

Why you should get involved in advocacy

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Study: Dentist Medicaid participation lower than expected

Obtaining accurate data on which dentists see Medicaid patients and how many patients they treat can be difficult. Researchers looked at these issues, and their findings suggest that Medicaid participation rates may be much lower than previously believed, they reported in a study published in the Journal of the American Dental Association.


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Related Reading:
Children's oral health and screening laws: 5 key takeaways
3 states vote to expand Medicaid
Why is it so difficult to estimate access to dental care?
Record number of kids participate in Medicaid/CHIP
Second Opinion: Ga. must correct dental care disparities
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Do's and don'ts for creating an efficient office

Every day there are a thousand different things that can create inefficiency in your office. Poor communication, scheduling, or systems can throw any practice off its game. Working efficiently doesn't just happen. It takes proper planning and focus. Dr. Roger P. Levin offers tips for creating a more efficient office.


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Related Reading:
Do's and don'ts for delegating for greater success
Do's and don'ts for making decisions: Make the best decisions for your practice
Do's and don'ts for office efficiency: Break through the bottlenecks
Dos and don'ts for systems improvement: Moving beyond tasks to targets
Dos and don'ts for efficient scheduling: Consider automating appointment confirmation
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Friday, April 5, 2019

CDC: Half of adults don't know what dental sealants do

Dental sealants are one of the most commonly used tools to help prevent dental decay, but more than half of U.S. adults don't know that. A recent survey published by the U.S. Centers for Disease Control and Prevention found that 46% of adults could not answer a basic question about the nature of dental sealants.


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Related Reading:
Do resins in sealants pose a long-term health issue?
Review finds sealants are effective for premolars, too
Do sealants deliver as promised for caries prevention?
Study: Fluoride varnish as effective as sealant for caries prevention
Video from Chicago Midwinter 2017: Dr. Charlie Czerepak on pediatric dentistry issues
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Thursday, April 4, 2019

5 reasons why new hires don't work out

Dr. Roger P. Levin often reminds dentists that the staff they have now likely is not the staff they will retire with. Hiring the right staff is a process, he notes in his latest column. He details five reasons why some new hires do not work out and how to improve your hiring process.


Read more on DrBicuspid.com


Related Reading:
5 practical questions to ask yourself about dental insurance
5 things you should know about leadership
5 things you should know about overhead
5 practical ways to increase your practice's revenue
5 practical factors in increasing case acceptance
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Seize the marketing advantage with teledentistry: Part 2

Teledentistry at one time may have been thought of as exclusively a public health service. However, as the technology has evolved and the costs involved lowered, the opportunity for this service to add to your practice's revenue has grown. Part 2 of this series by Michael Ventriello focuses on how to promote the benefits to your current and prospective patients.


Read more on DrBicuspid.com


Related Reading:
Seize the marketing advantage with teledentistry: Part 1
Teledentistry: Creating the ideal referral relationship
What do you need to know about teledentistry? Part 1
Do dentists need to doctor up on the oral-systemic link?
Do dentists need to doctor up on oral cancer?
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Wednesday, April 3, 2019

What to expect during residency

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FDA proposes limiting fluoride in bottled water

The U.S. Food and Drug Administration (FDA) has proposed a rule to lower the allowable level of fluoride in bottled water. The new level of 0.7 mg/L parts per million is the same as the standard set by the Department of Health and Human Services in 2015 for community water systems.


Read more on DrBicuspid.com


Related Reading:
Water fluoridation may reduce caries disparities
U.S. surgeon general endorses community water fluoridation
Dental groups applaud fluoride recommendation; opposition remains
HHS recommends single level for fluoridation in new report
CDC offers new educational materials on water fluoridation
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Patients need to be proactive for their health

A patient came into periodontist Dr. Alvin Danenberg's office saying he wanted to become healthy. It's a good first step, writes Dr. Danenberg, but this patient must also stop smoking and other behaviors if he is going to have a chance to become healthy. Patients have to be willing to participate in their own healthcare, he notes.


Read more on DrBicuspid.com


Related Reading:
What is functional dentistry?
Winning the battle, losing the war against gum disease
Sometimes you have to go outside the box
Why do our kids have tooth decay?
Exercise and dental health are interlinked
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Tuesday, April 2, 2019

How to land your dream job

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CDT code changes require practice flexibility: Part 2

In the second part of her series on updates to the Codes on Dental Procedures and Nomenclature (CDT codes), Christine Alfano of Vyne details some of the changes to codes that deal with preventive, periodontal, and other treatments.


Read more on DrBicuspid.com


Related Reading:
CDT code changes require practice flexibility: Part 1
New codes and fee assessments go hand in hand
Time to update your CDT codes
Coding case study: Midyear changes can impact your reimbursement
Coding narratives: No need for frustration
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Can guidelines reduce unneeded CT for dental infections?

Emergency physicians overuse conventional CT scans to rule out dangerous dental infections in patients, a recent study has found. Is a set of standardized guidelines the answer to reducing unnecessary radiation exposure for these patients?


Read more on DrBicuspid.com


Related Reading:
Does CBCT top panoramic images for accuracy?
AAP: More studies needed for CBCT guidelines
Antibiotic guidelines for everyday dentistry
Study: Dentists need to consider diagnostic task in CBCT use
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Monday, April 1, 2019

Look before you leap: Lobby Day 2019

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Do porcelain laminate veneers last well over the long term?

Porcelain laminate veneers can provide dependable, conservative treatment for anterior teeth with aesthetic problems. However, issues such as porcelain fracture and chipping can mar results, and long-term clinical data are limited. To learn more, researchers investigated the long-term performance of this restorative option.


Read more on DrBicuspid.com


Related Reading:
How do chairside CAD/CAM veneers perform after 5 years?
Feldspathic veneers fare well in 20-year study
Mandibular veneers perform as well as maxillary
Er:YAG lasers effective in debonding porcelain veneers
Porcelain laminate veneers shine in 7-year study
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Do's and don'ts for education: Create opportunities for learning

Whether it's for you, your staff, or your patients, educational opportunities are a great benefit to your practice, Dr. Roger P. Levin notes in his latest Practice Success tip. Business education helps improve your management skills. Continuing education can keep your staff up to date with the latest technology and techniques, and dental education will help teach your patients the value of proper dental care.


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Related Reading:
Do's and don'ts for education: Make business education a priority
Do's and don'ts for the hygienist: Remember your value to the practice
Do's and don'ts for leadership: Add new skills
Dos and don'ts for leadership: Traits of the successful practice leader
Dos and don'ts for patient communication: Help your patients understand their oral health
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