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Developments in dental care within the last years approximately have actually brought about unbelievable technical developments. Oral implants have come to be the treatment of selection to replace lost or missing teeth, when done under correct medical technique, success prices have exceeded 95%. When the principle of osseointegration or fusing titanium with bone was introduced to the dental area in the very early 60s by an orthopedic cosmetic surgeon called P.I. Branemark, the application of this idea was adapted to oral use; applying the treatment, however, into a oral setup was viewed as high-risk and unforeseeable. Success rates at this point in time hardly ever came close to 55-60%, and also numerous medical professionals really felt that their intro into a person's treatment plan might be also early for predictable success of a particular prosthesis. To improve success rates, modifications in the design of the dental implant surface area were introduced most without audio, professional evidence to back-up maker's cases of enhanced success prices. Through years of empirical experimentation, a titanium oral implant was developed that looked just like that of a natural tooth root.

Some 40 years later, technology within the oral implant field has actually facilitated their colloquial use amongst basic dental professionals and also specialists. When the market for dental implant dentistry took off not more than a decade earlier, numerous dental implant makers made a decision to modify the topographical surface area of the dental implant fixture with dubious cases of enhanced success prices to win market share over the major dental implant firms that currently hold 85-95% people dental implant sales.

Regrettably, there is an enormous quantity of poorly written study that is being introduced right into the dental literature with false claims of boosted success rates. In many instances, implant suppliers have made changes to the design of their implant because of boosted success prices seen with a competitor dental implant that has the appropriate study as well as clinical documents. With the dental implant industry expanding each year, this problem will never cease to exist.

As a potential dental implant candidate, there are a number of points you should find out about this industry before proceeding with therapy:

REALITY: Doctors do not need formal medical training on human beings to place oral implants.

In fact, one dental implant manufacturer particularly holds academic seminars for medical professionals wanting to put dental implants throughout a solitary weekend. That's right, in just 2 days, doctors are provided a medical training certificate which specifies that they have official training in surgical implant dental care and for that reason could place dental implants in a human topic. Unfortunately, the course does not train these medical professionals on human subjects, rather, on plastic jawbones.

TRUTH: The United States government does not need FDA authorization for a dental implant fixture to be marketed to the specialist neighborhood.

The US federal government has a governing body that looks after biomedical gadgets as well as their possible application right into the clinical as well as dental neighborhood. If, for instance, a oral implant meets specific standards required for medical placement right into the body based upon prior entries by various other producers which have actually checked the tool, after that the regulating body will certainly approve 510K clearance to the dental implant producer. 510K clearance enables dental implant manufacturers ( and also various other biomedical gadget producers) to market their gadget without the need for previous animal or human screening! If another biomedical gadget has been formerly presented with similar intent, then the literature for the initial product can be utilized to define 510K clearance.

FACT: So many implants, so little time

The competition for the oral implant market is tough, as well as after patents have run out on evaluated devices verified to be appropriate for human usage, some implant makers will duplicate the layout of these gadgets. Implant makers looking for a area in the competitive dental implant market will copy the design of an dental implant that has actually an expired patent, save for a minor modification occasionally. These implants are called duplicates and are marketed to dentists at a substantially minimized fee. In many instances, these dental implant clones have definitely NO professional paperwork to corroborate their producer's claims As a matter of fact, these firms use literary works offered by the dental implant manufacturer from whom they are duplicating!

FACT: Implant manufacturers are presenting brand-new designs into the marketplace with false insurance claims.

To stay up to date with brand-new dental implant makers that are having better overall success rates, some companies will duplicate a particular part of the rival's implant and assert that results are comparable with the recently added section. Conceptually this makes good sense, however most of the times a combination of style features are in charge of some implant makers' improved success rates. By presenting a principle that has actually revealed to boost success rates in an additional implant system (albeit with little or no scientific documents), dental implant producers can therefore keep their current clients, and also as a result doctors require not worry about having to purchase one more implant system.

FACT: Duplicate firms regularly fail and lose market share, causing withdrawal from the market place.

Oral implants are metals, and steels exhaustion. A great variety of dental implant producers that have duplicated various other systems with adequate medical documents have actually declared bankruptcy and consequently, can no longer provide their item to the oral career. In most cases when components for these implant systems stop working, it is extremely difficult or almost impossible to purchase replacement parts. This can leave the person that has had a duplicated implant placed in their jaw with the unfortunate circumstance of not being able to have it recovered.

FACT: The United States FDA does not call for dental specialists to notify their clients of the sort of dental implant being positioned.

There are greater than 90 oral implant manufacturers presently competing for market share in the United States; within these 90 or so implant makers, greater than 340 different implant styles are available!!!! However, this number is expanding, as well as in the next 10-20 years when dental implant parts are required, it will certainly be very hard for dental professionals to discern the kind of dental implant that has actually been put.

What can you do to prevent these concerns?

Firstly ... 1. Do some research study on the professional who is recommending the dental implant as well as whether she or he has experience in dental implant dentistry.

2. See to it that the specific putting the oral implant has surgical experience from an accredited specialty program or an extensive medical training course with proper training.



3. Prior to having actually the implant placed, consult with a general dentist or prosthodontist to make sure that the dental implant tooth can be effectively treatment prepared as well as eventually, correctly restored.

4. At your first surgical examination go to, ask your dentist the kind of oral implant they uses. Ask about what does it cost? research has actually been finished on that specific kind of dental implant and it's success as well as survival rates.

5. Lastly, talk to your medical professional at length as well as inquire as to the kind of dental implant being positioned as well as his/her factor for recommending that type of dental implant.

To figure out more details about this topic, please see or call Image Dental.

Image Dental

3453 Brookside Road, Suite A

Stockton, CA 95219

(209) 955-1500





Advancements in dental care within the last years or so have actually caused extraordinary technological advancements. Dental implants have actually come to be the therapy of option to replace lost or missing out on teeth, and when done under correct medical strategy, success rates have exceeded 95%. When the idea of osseointegration or fusing titanium with bone was presented to the dental community in the very early 60s by an orthopedic cosmetic surgeon referred to as P.I. Branemark, the application of this principle was adapted to dental usage; implementing the procedure, nevertheless, into a dental setup was seen as risky and also unforeseeable. Success rates now in time rarely came close to 55-60%, and also many clinicians felt that their intro right into a individual's treatment plan could be also premature for predictable success of a certain prosthesis. To enhance success prices, modifications in the layout of the oral implant surface were presented most without sound, clinical proof to back-up producer's cases of enhanced success prices. Via years of empirical trial and error, a titanium dental implant was established that looked just like that of a all-natural tooth origin.

Some 40 years later on, innovation within the dental implant area has actually promoted their colloquial usage among general dental experts and also professionals. When the market for implant dental care blew up not more than a years back, many implant manufacturers made a decision to alter the topographical surface of the implant component with unverified claims of improved success rates to win market share over the significant dental implant companies that currently hold 85-95% of US dental implant sales.

Unfortunately, there is an huge amount of improperly written research study that is being presented right into the dental literature with incorrect cases of enhanced success prices. In many circumstances, implant producers have actually made changes to the layout of their dental implant because of boosted success rates seen with a competitor implant that has the correct research study and also medical documents. With the dental implant sector growing yearly, this problem will continue to exist.

As a prospective implant candidate, there are a number of things you must learn about this market prior to proceeding with therapy:

FACT: Physicians do not require official surgical training on human beings to position oral implants.

Actually, one implant supplier in particular holds educational workshops for doctors wanting to position dental implants throughout a solitary weekend break. That's right, in just 2 days, medical professionals are given a surgical training certificate which specifies that they have official training in medical implant dental care and also consequently might put dental implants in a human subject. Sadly, the training course does not educate these physicians on human topics, rather, on plastic jawbones.

TRUTH: The United States government does not call for FDA approval for a oral implant fixture to be marketed to the professional neighborhood.

The US federal government has a controling body that manages biomedical devices as well as their prospective execution right into the medical as well as oral neighborhood. If, as an example, a oral implant fulfills certain standards needed for medical placement right into the body based upon prior submissions by other suppliers which have actually evaluated the gadget, then the governing body will provide 510K clearance to the implant supplier. 510K clearance enables oral implant makers ( and also other biomedical gadget producers) to market their gadget without the need for prior pet or human screening! If an additional biomedical gadget has been formerly introduced with similar intent, after that the literature for the preliminary item can be used to define 510K clearance.

FACT: So many implants, so little time

The competition for the dental implant market is fierce, and after patents have expired on examined devices verified to be appropriate for human use, some dental implant makers will certainly replicate the layout of these gadgets. Implant manufacturers looking for a spot in the competitive dental implant market will replicate the style of an dental implant that has actually an ended patent, save for a small modification occasionally. These implants are called duplicates and also are marketed to dental professionals at a dramatically minimized charge. In many instances, these implant clones have definitely NO scientific documentation to validate their manufacturer's claims As a matter of fact, these business utilize literary works supplied by the implant manufacturer from which they are copying!

REALITY: Implant makers are introducing new designs into the market with incorrect insurance claims.



To keep up with brand-new dental implant makers that are having far better total success rates, some business will certainly copy a certain section of the competitor's dental implant and claim that results are comparable with the newly added part. Conceptually this makes sense, but in most cases a combination of style functions are accountable for some dental implant producers' boosted success prices. By introducing a principle that has revealed to boost success rates in one more implant system (albeit with little or no scientific paperwork), implant suppliers can thus preserve their current clientele, and as a result medical professionals require not fret about having to purchase another implant system.

TRUTH: Duplicate firms regularly fail and also lose market share, causing withdrawal from the marketplace place.

Dental implants are metals, as well as steels exhaustion. A great variety of dental implant suppliers that have actually cloned other systems with adequate scientific documentation have actually gone bankrupt and therefore, can not use their product to the dental profession. In most cases when elements for these implant systems stop working, it is very challenging or virtually impossible to acquire substitute parts. This could leave the individual who has had a cloned implant put in their jaw with the unfavorable scenario of not being able to have it recovered.

REALITY: The US FDA does not require dental experts to inform their people of the sort of oral implant being placed.

There are more than 90 oral implant producers currently contending for market share in the USA; within these 90 or so implant manufacturers, more than 340 various implant styles are available!!!! Sadly, this number is growing, as well as in the next 10-20 years when dental implant elements are needed, it will be extremely challenging for dental experts to discern the kind of implant that has actually been put.

What can you do to prevent these issues?

First and foremost ... 1. Do some research on the specialist that is advising the dental implant and also whether he or she has experience in implant dental care.

2. Ensure that the specific putting the oral implant has medical experience from an approved specialized program or an comprehensive surgical training course with appropriate training.

3. Prior to having the implant placed, seek advice from a general dental professional or prosthodontist to ensure that the implant tooth can be correctly treatment planned and also ultimately, effectively brought back.

4. At your first medical assessment go to, ask your dental professional the type of oral implant he or she makes use of. Inquire about what does it cost? research has been finished on that particular particular type of dental implant as well as it's success and also survival rates.

5. Ultimately, speak to your doctor at length and also inquire regarding the sort of dental implant being placed and his/her reason for advising that type of dental implant.

To figure out even more info about this topic, please check out or call Laguna Vista Dental.

Laguna Vista Dental

7915 Laguna Blvd #150

Elk Grove, CA 95758

(916) 684-3105





Shedding a tooth could considerably interrupt your lifestyle, developing some trouble in daily tasks like consuming as well as talking. Although modern-day dental restorative treatments have actually resulted in a substantial reduction in the number of teeth removed every year, many people still have several missing out on all-natural teeth in their mouth. According to an quote, concerning 70% of American individuals aged 35-44 have actually shed at least among their natural teeth. If you are just one of them as well as seeking a long-term as well as lifelong replacement choice for a missing out on tooth, then dental implants must be your first choice!



What is a Oral Implant?

A dental implant is a component that is embedded within the jaw bone as well as changes natural teeth by supporting a prosthesis, such as a crown or detachable or fixed denture. After the placement of dental implants, bone formation takes place in the surroundings of the implant, resulting in firm anchorage and also stability of the fabricated tooth.

How Do Dental Implants Job?

The success as well as excellent resilience of oral implants depends on their capability to create direct contact with the bordering jaw bone. This procedure is referred to as osseointegration as well as ensures that any type of prosthesis that is positioned over the dental implant continues to be retained as well as stable, thereby recovering optimal functioning of the artificial tooth.

That Should Get an Implant?

As a whole, any person that has several missing out on all-natural teeth is a candidate for an dental implant. You must think about obtaining an implant if:

• You desire a long-term and resilient substitute for your missing all-natural teeth.

• You intend to restore your face esthetics by obtaining your missing teeth changed.

• You intend to eat and speak without any difficulty.

• You want to get rid of your inconvenient and also awkward dentures.

Why Are Implants Better Compared to Various other Oral Prosthetics?

Dental implants are acquiring extensive appeal as the most hassle-free and also long lasting substitute option for missing out on teeth. Allow's have a look why you may choose them over various other tooth replacement choices, such as dentures and also bridges:

• Delight in a Stunning Smile - Loss of a tooth can destroy your smile and also facial esthetics. Esthetically pleasing oral prosthesis can be positioned over the implants, thereby recovering your stunning smile and charming look.

• Resilience - Unlike the dentures and also oral bridges, dental implants are made to last permanently. If you take proper treatment of your oral wellness and abide by your dentist's guidelines pertaining to the treatment of the implants, you could expect them to function for a life time.

• Marginal Need for Tooth Preparation - Construction of teeth bridges, also for the replacement of a single tooth calls for reduction of the adjacent teeth too. On the other hand, positioning of oral implants does not need any prep work or reduction of the adjacent teeth, consequently protecting the all-natural tooth framework.

• Eat Any Food You Like - People who put on removable or fixed dentures need to stay clear of eating difficult and sticky foods. This indicates they have to lose out on much of their favorite foods. After changing your teeth with oral implants, you could appreciate every one of your preferred foods without having the anxiety of breaking or displacing your dentures.

• Improved Oral Hygiene - Preserving optimal health around oral bridges can be difficult as the bristles of the brush are unable to get rid of food fragments from beneath them. As a result, added dental hygiene steps may be called for to accomplish ideal oral wellness. Unlike dentures as well as bridges, you can cleanse your dental implants exactly the same way as you clean your natural teeth, allowing you to maintain outstanding oral hygiene and physical health.

• Convenience - Dental implants are ingrained within the jaw bone much like your natural teeth. When you change a missing tooth with a dental implant, you get the very same level of convenience, benefit and also all-natural feeling as you have with your natural teeth.

Just how are They Positioned?

Positioning of dental implants is usually executed in several stages. However, single step dental implant placement treatments are also acquiring popularity. The complying with actions are associated with the positioning of oral implants:

• Solution of a Therapy Plan - Prior to placing an dental implant, your dental professional will have a comprehensive take a look at your medical and also dental records, adhered to by executing an comprehensive clinical exam of your mouth. This is done to earn sure that you are a suitable prospect for getting an implant, and to prepare a treatment plan that is tailored inning accordance with your dental demands.

• Management of Anesthesia - Considering that dental implant positioning is a operation, your dentist will certainly anesthetize the region where the implant is to be placed, to make sure that you remain comfortable and pain-free throughout the procedure.

• Reflection of Soft Cells - In the next step, your dentist will certainly make an laceration over the oral soft cells, so as to subject the underlying jaw bone.

• Placement of the Implant - A opening is drilled inside the jaw bone, such that it is somewhat narrower compared to the real thickness of the implant. The dental implant is after that thoroughly touched or screwed right into placement by using exact and controlled pressures.

• Provision of a Prosthesis over the Implant- In case a two-step dental implant placement procedure is planned, a healing joint is positioned over the dental implant as well as the overlying soft cells are sutured to allow recovery of the medical website. As soon as recovery has actually taken place, the healing abutment is eliminated and also a prosthetic is mounted to the implant. Conversely, if prompt dental implant loading has been prepared, a prosthetic is promptly positioned over the dental implant.

Dental implants are the next best to your all-natural teeth. So bid farewell to your dentures today, and begin delighting in the comfort and also comfort of your oral implants by chatting with your dental professional about the opportunity of getting dental implants.

To discover more info concerning this topic, please go to or call All In One Dental Innovations.

All In One Dental Innovations

7046 Dublin Blvd

Dublin, CA 94568

(925) 828-9811





Substitute of missing teeth is very important as they play a huge part in supporting the cheeks as well as lips, and missing out on teeth will create a modification in facial appearance. The most effective way to prevent this change is undoubtedly to have another dental implant, as this also shields versus bone loss in the top and also reduced jaws, which consequently provides assistance for facial look. Bone loss takes place when teeth are removed as the roots stimulate the bone. Dental implants act in the same way as all-natural tooth roots and also boost the bone so that it is preserved.

Dental implants provide an appealing replacement tooth option for nearly anyone with missing out on teeth or an uncomfortable prosthetic. With the different sorts of dental implants offered and also the myriad dental implant dental care remedies, you make certain to uncover the option that best addresses your certain requirements as well as assumptions.

To figure out if dental implants are right for you, respond to these concerns:

• Do you have one or more missing teeth?

• Is your denture painful or shed?

• Has your bridge triggered the teeth that hold it in place to decay or break down?

• Are you tired of not totally sampling food?

• Is it hard to eat?

• Do you dislike using denture adhesive?

• Are you ashamed concerning the condition of your smile?

• Do you do not like having to eliminate your teeth to cleanse them?

• Are you concerned regarding the jawbone loss that occurs when teeth are missing out on?

If you answered yes to simply among these inquiries, then you owe it to on your own to discover the benefits of dental implants. Chances are, however, that you replied yes to several of these inquiries since they're all typical grievances voiced by people with missing out on teeth or a standard prosthetic that hasn't measured up to assumptions.

Determining Candidateship

Preferably, oral implant patients need to have good total health as well as great dental health and wellness. At your implant dental care consultation, the physician will certainly review your case history, talk about drugs you might be presently taking, and carry out a extensive oral test. Problems such as periodontal condition have to be resolved before implant surgical procedure to advertise optimal outcomes.



A CT-scan or X-rays of your jaw will offer details about bone thickness, mass, and also depth. Procedures to boost jawbone volume include bone grafts and also sinus lifts. Different kinds of implants are additionally offered - the mini, the thin, and the short - to suit your specific jawbone framework.

Problems that Affect Implant Success

Particular clinical conditions and also way of life choices affect the success price of dental implants. Nevertheless, if you struggle with among these conditions or engage in a habit below, that does not always suggest that you're not a prospect for dental implants.

• Unchecked diabetic issues slows down the body's healing action. Considering that implant placement is a operation, delayed recovery could prevent dental implant success. If your diabetes mellitus is managed by drug, however, you'll enjoy a excellent long-lasting diagnosis pertaining to the success and also long life of your implants.

• Smokers could intend to think about stopping prior to undergoing dental implant surgery. Cigarette smoking lowers bone top quality and also delays recovery. While smoking cigarettes does not automatically prevent you from dental implant candidacy, it does lessen the possibilities of long-term success.

• Practicing great dental health is a crucial success aspect. Correct brushing and flossing, in addition to normal brows through to the dentist are vital to achieve a great degree of dental health compatible with dental implant success as well as will go a long way towards raising the long life of your implants. As a matter of fact, your implants may last a life time with correct care.

• Oral bisphosphonate drugs used to treat osteoporosis might disrupt dental implant success. Oral dental implant clients are occasionally suggested to terminate use of these drugs prior to and also for a amount of time following dental implant surgical procedure.

• Bruxism, or teeth grinding, could damage the implants throughout the recovery procedure and decrease the long life of replacement teeth.

• Advanced age is not a factor in dental implant success. On the contrary end of the spectrum, nonetheless, dental implants are not recommended for young people whose jawbone development and growth is not yet complete.

To find out more information concerning this topic, please go to or call Dental Oasis Of Orange County

Dental Oasis Of Orange County

7777 Edinger Ave #232

Huntington Beach, CA 92647

(714) 894-7700





CASE ON POINT: Leiser v. Fletcher, ALSC 1051698-080307 (07/05/2007)

So.2d -AL

ISSUE: In a medical malpractice case, the tact that one party

should have prevailed over the other party does not always mean that the

party which should have prevailed will, in fact, prevail. That was

illustrated in this Alabama case in which despite the fact that during

the performance of a meniscotomy on a patient's knee a surgeon, who

admittedly could not see where or what he was cutting cut veins and at

least one artery outside the surgical field How did this happen? Why

didn't the patient prevail?



CASE FACTS: On August 25, 2000, Elaine Leiser injured her right

knee on an airplane while she was returning home from a trip made on

behalf of her employer, Quorum Health Resources, LLC (QHR). When her

knee did not improve and http://www.harleystreetdentalclinic.co.uk/dental-implants-london.html because her injury was considered to have

occurred on-the-job, QHR eventually referred her to Dr. Raymond

Fletcher. Dr. Fletcher treated the injury conservatively. Leiser

underwent regular physical therapy. However, when the knee still did not

show improvement, Dr. Fletcher performed a meniscectomy. Although Dr.

Fletcher was successfully able to remove the selected portions of the

lateral meniscus during the 32-minute procedure. After surgery, it was

determined that Dr. Fletcher had inadvertently cut the veins and the

artery located behind the knee capsule. As a result, Leiser underwent

six additional surgeries and was left with permanent muscle and nerve

damage to her leg. On February 21, 2002, Leiser sued QHR, seeking

workers' compensation benefits. On October 16, 2002, she amended

her complaint to add a medical malpractice claim against Dr. Fletcher

and his medical practice. Leiser's medical malpractice claim was

severed from her workers' compensation suit. Following a lengthy

period of discovery, her claim proceeded to trial. On April 21,2006, a

jury returned a verdict against Leiser and in favor of Dr. Fletcher and

his medical practice. The trial court entered a judgment on the verdict.

Leiser filed a postjudgment motion seeking judgment as a matter of law or, in the alternative, a new trial. Leiser argued that the trial court

committed reversible error by allowing Dr. Fletcher to introduce

evidence of prior acts, i.e., prior successful surgeries he had

performed, that were not the subject of the suit in question. She argued

that the trial court erred in denying her motion for judgment as a

matter of law because Dr. Fletcher failed to rebut her prima facie showing that he had violated the applicable standard of care. The trial

court denied Leiser's motion. Leiser appealed.



COURT'S OPINION: The Supreme Court of Alabama affirmed the

judgment of the trial court. The court held, inter alia, that while

Leiser presented evidence indicating that Dr. Fletcher breached the

standard of care by "cutting the popliteal blood vessels, which

were outside the surgical filed, when he could not see the tip of his

cutting instrument, when he could not see the tissue he was cutting (the

vessels), and by not properly identifying the correct tissue before he

cut it," Dr. Volkman testified that even though that may be

true--that Dr. Fletcher accidentally left the surgical field and cut the

popliteal blood vessels when he could not see either his cutting

instrument or the arterial and venous tissue being cut--those actions do

not automatically constitute a breach of the standard of care. The court

observed that although Leiser established a prima little case indicating

that Dr. Fletcher did breach the standard of care, Dr. Volksman's

testimony, combined with Dr. Fletcher's testimony regarding the

technique he used on Leiser, indicated that Dr. Fletcher did not breach

the standard of care Thus, the court decided, a factual question was

presented and that question was properly submitted to the jury.

Accordingly, the court affirmed the trial court's denial of

Leiser's motion for judgment as a matter of law or for a new trial.

LEGAL COMMENTARY: It is interesting to note that while five judges

were in the majority, there were two separate concurring opinions. One

of the concurring judges concurred in the result. The other concurred

with the rationale of the majority "in part" but concurred in

the result. That concurring judge observed that the majority refused to

reach the issue of whether the trial court exceeded its discretion in

denying Leiser's motion in limine concerning evidence of Dr.

Fletcher's prior acts and thus allowing that evidence to be

introduced at trial. The concurring judge was referring to the fact that

the trial judge allowed Dr. Fletcher to introduce evidence that he had

performed over 2,000 meniscectomies during the course of twenty years in

practice, using the same procedure he used on Leiser. The concurring

judge noted that had counsel for Leiser preserved his right to appeal

whether the trial judge had erred in allowing the foregoing testimony

submitted by Dr. Fletcher into evidence, Leiser might have had grounds

for showing the trial judge had erred in allowing the testimony of Dr.

Fletcher into evidence. By failing to preserve Leiser's right to

appeal this critical and erroneous ruling by the trial judge Leiser may

have lost her best chance at prevailing.



Meet the Editor & Publisher: A, David Tammelleo, JD, is a

nationally recognized go to my blog authority on health care law. Practicing law for

over 40 years, he concentrates in health care law with the Rhode Island firm of A. David Tammelleo & Associates. He has presented seminars

on medical, nursing and hospital law throughout the United States. In

addition to his writings as Editor of Medical Law's, Nursing

Law's & Hospital Law's Regan Reports, his legal articles

have been published in the most prestigious health law journals. A

prolific writer, his thousands of articles, as well as his achievements

as an attorney and lecturer, have won him recognition in

Martindale-Hubbell's Bar Register of Preeminent Lawyers, Marquis

Who's Who in American law, Who's Who in America and Who's

Who in the World.



Meet the Editor & Publisher: A, David Tammelleo, JD, is a

nationally recognized authority on health care law. Practicing law for

over 40 years, he concentrates in health care law with the Rhode Island

firm of A. David Tammelleo & Associates. He has presented seminars

on medical, nursing and hospital law throughout the United States. In

addition to his writings as Editor of Medical Law's, Nursing

Law's & Hospital Law's Regan Reports, his legal articles

have been published in the most prestigious health law journals. A

prolific writer, his thousands of articles, as well as his achievements

as an attorney and lecturer, have won him recognition in

Martindale-Hubbell's Bar Register of Preeminent Lawyers, Marquis

Who's Who in American law, Who's Who in America and Who's

Who in the World.



http://www.thefreelibrary.com/Surgeoncutveinsandarteryoutsidesurgicalfield-a0168333883









We know that all dentists are not created equally; we have seen the bad veneer makeovers glowing in the dark (chicklet teeth), and the dental crown smiles with black lines showing thru the gums. Did you know that a big part of these dental nightmares is determined by the ceramist that your dentist chooses to work with? Dentists can use small "boutique" style ceramists that create each tooth like a sculpture - or they can opt for a veneer from a national chain type laboratory that spits veneers out of a machine for sometimes 90 percent less cost!

In 2002 I founded Oral Design Boston, a ceramics laboratory, on Newbury street in Boston, MA with world-renowned ceramist Yasu Kawabe from Japan. From importing rare porcelain vacuumed furnaces from Germany and Hawaii, to testing microscopes and elaborate porcelain combinations -- I was involved extensively in developing the technical and laboratory portion of high end porcelain veneer fabrication. Understanding and managing every step in the process is vital to ensure superb porcelain aesthetics when dealing with high-level cosmetic dentistry. Some of the most published Cosmetic Dentists do not understand the technical aspect of veneer fabrication and proper material specifications. Critical information is frequently skipped or omitted in the dental veneering process, simply because dentists have been able to "get by" without truly understanding each and every step. This is just one of the many aspects of cosmetic dentistry that people need to investigate when choosing their cosmetic dentist -- who is their dentist's ceramist, and how involved is your dentist going to be in the laboratory process."

Truly beautiful veneers are interpreted as beautiful teeth. These veneers are stealth to everyone's eyes and subconscious. The optical properties of the porcelain are the key. When I write "optical properties" what I am saying is -- the way human eyes perceive light reflecting and passing through the veneers.

Here are facts I must elaborate and simplify before I continue:

-white is actually the absence of color

-something that is white is reflecting light back at the person looking at it

-conversely, black is absorbing all light and reflecting none

-all colors in between white and black absorb, and reflect light in different amounts, giving that object a "color."



-a ceramic toilet, a piece of Chicklet gum. a white piece of paper, and a white sock all reflect, scatter, and absorb light completely differently -- yet they are all white

So when we are creating porcelain veneers, we want to use a porcelain that reflects light, in the same manner and degree as human enamel reflects light. We also want the structure of the material (the lattice work, framing, building blocks) of the veneer to be assembled similarly to human enamel. Otherwise, even thought a material may be white, as we see above; it doesn't necessarily mean it will look like a tooth.

Dentists have choices when they decide which technician will make your porcelain veneers. Dentists can choose veneers milled by a machine from a block of engineered solid glass Lucite. Or your dentist can choose veneers made by hand, layer after layer, by a trained artists out of feldspathic porcelain. There are many laboratories, material and technicians. It is very important for you to understand this process so you can be a part of the decision making when your dentist sends your work to be fabricated.

http://www.huffingtonpost.com/thomas-p-connelly-dds/mouth-health-good-vs-bad_b_422064.html

I hate dental crowns and caps ... this statement may surprise you coming from dentist with more than 25 years experience (15 of those years as a holistic dentist). After all, caps and dentists go together like salt and pepper. Dental caps are considered by many to be the "definitive dental restoration". So how could a dentist be telling you to avoid caps and crowns?

If you've ever had a crowned tooth, you may have experienced this scenario:



* You get decay in your tooth



* An amalgam or a composite resin is installed to restore the decayed part of the tooth

* Over time, the tooth fractures or else the restoration fails

* The tooth will now be capped with gold, ceramic or ceramic fused to metal



* The process of capping the tooth kills the tooth nerve

* Dead nerves cause pain and must be managed with either a root canal or an extraction



The procedure to crown a tooth is very aggressive and may kill the tooth's nerve. Crowning involves grinding away all of the tooth's enamel and a substantial amount of the inner, living dentin. The scientific literature reveals that up to 15% of all crowned teeth will eventually need root canals or extractions because of a dead nerve. If you have a crown and did not need a root canal or an extraction, your troubles are not quite over yet.

If you're like most people, you probably believe that once a tooth is crowned it will never need any further treatment. After all, you just shelled out a lot of money because you a crown is supposed to be the most definitive way to fix a broken down tooth. You forget all about the tooth for 5 to 10 years, then out of the blue your dentist tells you that you have developed decay under the crown and it will have to be replaced. You're shocked by the news. You have questions: What do you mean the crown is bad? Crowns aren't real, how can they decay? How can a permanent crown need to be replaced? Most consumers are believe that once a tooth is capped, that tooth will never require treatment again. Their dentist defined the possibilities for caring for the damaged tooth and proposed a cap as being the best permanent alternative. And so they are alarmed when a number of years down the road they find out the cap has gone bad and requires replacement. Whenever a cap has failed, it implies that decay has developed inside the gap in between the tooth and the crown. About now most people are mystified ... how does a cap get a cavity?

When attempting to explain the reasons why your tooth needs to be worked on once again, your dentist may perhaps say things such as: "nothing lasts forever" or "the oral cavity is a really very hostile environment". He / She may even pass the responsibility on to you by implying that lousy oral hygiene and microbial plaque at the gum-line caused the crown the fail. The only problem with this answer is that if bad oral hygiene were to blame, every one of your teeth would likely be damaged by decay ... not just the single capped tooth.



I don't know about you, but this story doesn't make sense. I'll spare you from the technical mumbo gumbo, but in reality crowns are destined to fail over time. You see, natural teeth flex under pressure ... porcelain and gold crowns don't. Consequently, every time you close your pearly whites together, the tooth tries to flex at the gum line, but it is restrained by the 360 degree encasing effect of the crown.



At this point we're able to put the pieces together and clarify exactly why a number of crowns break down. Each and every time your teeth bite together (countless times daily), the tooth and the crown both want something different. Your tooth desires to bend, your cap doesn't. This struggle of rival forces creates tension at the gum-line that eventually breaches the seal in between the crown and your tooth. Once the seal pops and your crown begins to leak, bacteria rush in to the gap and then a cavity forms.



And so, what's the remedy for the issue of leaking caps? Wouldn't it seem reasonable to restore your teeth with techniques that mimic like they function in nature? That is the precise intention of the branch of dental research known as biomimetic dentistry. This is achieved by avoiding crowns on teeth and only placing flexible substances along the gum-line. By creating restored teeth that imitate the natural world, the dental restorations are not destined to leak and additionally unpredicted root canals end up being mostly avoided.

Biomimetic dental techniques are excellent substitutes to crowns, mimic the natural tooth under function, provide very long-lasting dental corrections and also radically decrease the requirement for root canals.

http://hubpages.com/health/Why-You-Shouldnt-Let-the-Dentist-Crown-Your-Tooth

Fungal Ear Infection Treatment

Credit: David Benbennick

My Experience with a Fungal Ear Infection

One morning I woke up with a "stuffy" and congested ear.


A rare strain of flesh-eating bacteria was responsible for the death of Maine teenager Benjamin LaMontagne, who died in February after routine oral surgery to have his wisdom teeth removed.

A report by the state Medical Examiner's Office, obtained by The Portland Press Herald, listed the cause of death as cervical necrotizing fasciitis, a virulent infection that can quickly turn fatal.



The type of bacteria that caused the infection, called streptococcus A, is most commonly associated with strep throat, according to the National Necrotizing Fasciitis Foundation. However, some bacterial strains can cause much more severe symptoms, especially if the bacteria can find a way to easily enter the body, for instance through an open cut. The bacteria rapidly reproduces and attacks the soft tissue surrounding muscles.

If it is not detected soon enough and treated with powerful intravenous antibiotics and surgery to remove the dead tissue, it can lead to toxic shock, organ failure and death.





LaMontagne, 18, was a talented music student who planned to start college next fall. He started to experience symptoms of the infection after having four impacted wisdom teeth extracted on Feb. 19, 2014. The swelling on his left jaw got worse, spreading to his eyes and preventing him from eating and swallowing easily.



By Feb. 22, he was dizzy and too weak to get to the bathroom, according to the report in the Press Herald. At around 11:30pm, his mother helped him to crawl to the bathroom. She then left, and when she came back, she found him breathing but not able to respond verbally. She called 911, but emergency personnel were unable to revive him.



Chances of contracting this type of severe infection through during an oral surgery are extremely low, experts say.

"I have not heard of anything like that, with necrotizing fasciitis as a result of routine oral surgery extractions," Dr. John Molinari, infection control expert for the American Dental Association, told the Bangor Daily News.



About one in 20 people who have oral surgery experiences an infection of some kind, Dr. Thomas Dodson, professor and chair of the Department of Oral and Maxillofacial Surgery at the University of Washington, told the Portland Press Herald.

However, most of those cases can be treated with oral antibiotics, and most infections are caused by the numerous bacteria that are typically present in the mouth and throat, he said.





Dodson added that, in 30 years of performing oral surgery, including tooth extractions, he has treated just three cases of necrotizing fasciitis, and has advised colleagues on three cases, none of which have been fatal. However, hospitalization is usually long and complicated, he said, and can take up to four weeks.

"Usually, they're in the (intensive care unit) for most of that time, they're going back to the operating room many times (to have dead tissue removed)," Dodson said.

The local community is mourning LaMontagne's death.

"I know he's not my son, but I feel like I watched him grow up," Julia Frothingham, who taught LaMontagne on clarinet for six years at the local high school, told Tech Times. "I'll miss not being able to see where he goes from here."



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