
thegumdr.com > Periodontal
Updates > November 2006
 Dr. Rick Newhart Updates
No
flu shot party
Unfortunately,
the WV Health Department will not allow us to host more than our own office for flu shots
this year. Please call the Health Department
at 485-7374 for
more information about flu immunizations.
3
CE Seminars Coming Up
The
Blennerhassett Dental Society is having their monthly meeting on October 25 at 6:00
pm,
at the Parkersburg Country Club. Dr. Mark Byron will be speaking about The Mystery
of Diagnosing Endodontically Involved Teeth. At the WVU Auditorium in Charleston
Memorial
Hospital,
Dr. Douglas Damm is speaking in the morning on Bisphosphonates, Metamphetamines,
Osteonecrosis, and other oral complications. In the afternoon, Dr. Joseph Bee is
speaking on Portable Dentistry. Also, The Addicted Brain seminar
is being held on November 17 at the Charleston
Civic
Center.
Superior
Genial Spinal Foramen and its Canal
Vandewalle
et al. (IJOMI2006;21:581-586) studied the characteristics of the superior genial spinal
foramen which is located on the lingual aspect at the midline of the mandible just
superior to the genial protuberance. The foramen was present in 98% of over 380 dry human
cadaver mandibles that were dissected. The size of the foramen varied from .6 to .7mm and
contained a distinct branch of the lingual artery and the lingual nerve. Vandewalle states
that the artery was a sufficient size to cause significant hemorrhage during surgery
procedures if it is inadvertently severed, along with a possibility of neurosensory
disturbances to the tongue. In conclusion, Vandewalle states that identification and
localization of the superior genial spinal foramen is suggested during implant surgery for
implant patients on the lower arch. Dr. Newhart frequently places implants in
edentulous mandibles and has carefully encountered and worked around this anatomical
structure.
Implant
Allergy?
Flatebo
et al. (JOP2006;77:1201-1210) studied the immunological effects of implant placement in 13
patients age 21-29 years at the time of gingival healing collar placement. The patients
were monitored for six- months after implant placement and biopsies were taken with a 6mm
punch, yielding 26 specimens of the 13 patients. Specimens were subject sustained to
evaluate for an immunological reaction to dental implants being placed. Their findings
indicate a lack of immunological response in any of their patients and they conclude in a
small sample size that tissue sensitive reactions to titanium implants were not observed. Dr.
Newhart is pleased that this study, even though small, confirms the lack of any type of
immunological response to dental implants.
Periodontal
Disease in HIV Infected Women
Alves
et al. (JOP2006;77:773-779) studied the relationship between HIV status, viral load, and
CD4 count in 584 HIV-seropositive women compared to 151 HIV-seronegative women over a
6-month period from 1995-2002. Authors used the Womens Interagency HIV Study (WIHS),
which is considered the largest and most detailed study involving women and HIV disease in
dental health. There was no consistent effect
of periodontal status from HIV viral load status and CD4 count between the HIV infected
women. However, they did find a 10-fold increase in tooth loss risk in HIV infected women
compared to non-infected women. Regular dental visits and proper oral hygiene instructions
appear to be just as affective for the HIV-positive women as in HIV-negative women in
improving their periodontal health. Dr. Newhart feels that this study is very
positive in that it would indicate that HIV-infected women with periodontal problems can
be helped and will respond to therapy as well as their non-seropositive counter parts.
A
good name is rather to be chosen than great riches, and loving favor rather than silver
and gold.
The
rich and poor meet together: the Lord is the maker of them all.
By
humility and the fear of the Lord are riches, and honor, and life.
Proverbs
22:1-2 & 4
Thank
you for your continued referral of dental implant and periodontal patients!
Please
visit our website at: thegumdr.com
Dr.
Richard Newhart, Periodontist
Dental
Implant Placement
1308
Market Street
Parkersburg,
WV
26101
(304)
422-4867
Dr.
Newharts periodontal update is a referenced literature and research review and
newsletter. Dr. Newhart is not claiming to perform, endorse, or achieve the results of
every surgical technique or procedure published in this newsletter. Dr. Newhart is a
licensed periodontal specialist, who has significant post-doctoral implant and periodontal
education & training.
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