Dental Sealants and Fissurotomy


By some accounts, 80% of tooth decay begins in the pits and fissures of teeth. Toothbrush bristles may not be able to completely remove food from those areas. Dental sealants and fissurotomy techniques may help protect against these types of cavities. This animation opens by describing the epidemic nature of pit & fissure cavities, and the impetus for their prevention. Pits and fissures are shown in cross-section, and dissolution of tooth enamel in the inaccessible fissures is illustrated- ultimately progressing to caries in dentin. Prophylactic odontotomy (fissurotomy) is described as a potentially viable means of eliminating deep fissures, along with use of microabrasion handpieces to debride the grooves. Sealants are applied, stressing the importance of good moisture control. Microleakage is discussed as a possible consequence of maintaining poor moisture control during placement, followed by caries progression which may be difficult to observe clinically. Finally, a failing sealant is shown, which illustrates the most common problems associated with sealants.


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Announcing ToothIQ Mobile


ToothIQ announces 180+ animated dental videos for mobile devices, coming January 1, 2011. Great patient education. Patients: take us with you every time you visit your dentist! Dentists: Wait until you see ToothIQ Pro for 2011!


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Brushing Problem Areas


Cleaning your teeth effectively means getting to know your mouth's tricky spots, where food and bacterial plaque get trapped. Common problem areas are discussed, including crowded/overlapped teeth; the gingival sulcus (gumline); interproximal areas (between teeth); deep pits and fissures (especially upper back teeth); and around dental restorations. Non-dental reasons for maintaining a healthy mouth are given, including heart disease, stroke, diabetes and peripheral vascular health. Caries and periodontal disease are also discussed.


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Brushing the Gumline and Contact Areas


Brushing the gumline (sulcular brushing) is important to prevent gumline cavities and periodontal disease.


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Bone Resorption


Bone resorption is a common complication of tooth removal—one which makes it challenging to replace the teeth esthetically. Fortunately, dentistry has been at the forefront of development in bone science, and offers several common techniques to avoid bone resorption and reconstruct resorption defects. This animation illustrates removal of a lower molar tooth, and the subsequent bone resorption which takes place. Pressure resorption of an edentulous area is shown under a removable partial denture. Compromised placement of a dental implant into an atrophic area of the mandible is animated, and compared with a fixed bridge as a restorative option. Bone resorption in the esthetic zone is then illustrated, showing the cosmetic compromises which must be made if bone grafting is not undertaken prior to restoring the edentulous area. Compromises in implant placement are shown. Sinus pneumatization is animated, and sinus elevation is briefly mentioned as an option. A block cortical graft is quickly shown, followed by placement of a dental implant and restoration with a crown. The animation closes by showing a socket graft to preserve alveolar bone following an extraction.


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Gingival Recession


Gums may recede for any of several reasons, including thin tissue, abnormal position of teeth in the dental arch; malocclusion; inappropriate expansion orthodontics; heavy bite stress; and periodontal disease.


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Kids Cavity Movie


Teaching children about tooth decay should give them a real understanding of the process- in kid friendly terms. This animation illustrates causes and progression of pit & fissure and interproximal tooth decay; cavity preparation with traditional high speed rotary handpiece, laser, and microabrasion handpieces; and restoration of Class II (interproximal) cavities with both silver amalgam and tooth colored composite resin fillings. Nothing sharp or scary is shown.


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Periodontal Disease


Nearly three fourths of adults have some degree of periodontal disease. Aside from the traditionally discussed dental complications of gum recession, tooth root decay, tooth loss, bite collapse and bad breath, there are now well documented medical complications of periodontal disease, such as heart disease, stroke, diabetes, and peripheral vascular disease.


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Flossing


Neither brushing your teeth, nor rinsing with mouthwash removes bacteria-rich "biofilm" from between your teeth. The only effective way to clean between your teeth is to floss properly every day. Proper floss technique is discussed, including proper adaptation of floss to the teeth, use of an up and down motion extending beneath the gumline (sulcus); floss winding technique; and prevention of floss cuts.


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Abscess


Describes common causes of dental abscesses, including cracked teeth, leaking dental restorations and lateral root canals. The body's response to an abscess is illustrated, including increased blood flow to the tooth (hyperemia) to deliver immune-competent cells. Death of the pulp tissues (necrosis) is discussed. Abscess is described as a true dental emergency, requiring urgent care. Common treatments are discussed, including antibiotics, endodontic (root canal) therapy, and tooth removal (extraction).


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Use of an Interdental Brush


If you have fixed bridgework, braces or other dental work which connects adjacent teeth, cleaning under and around it with an interdental brush can prevent tooth decay and gum disease. While their use may seem intuitive, many people are unaware that plaque accumulates under bridge connectors, around orthodontic brackets, etc. This animation describes use of an interdental brush to avoid recurrent caries around fixed bridge retainer margins, and the resulting failure of expensive dental work.


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cone-beam-ct-trailer-youtube.mov


Coming Thursday, January 13, 2011 to ToothIQ TV...


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Interproximal Decay


Interproximal decay (decay on the smooth surfaces between teeth) requires removal of a significant amount of healthy tooth structure to access the problem areas. This animation illustrates prevention of this type of cavity through flossing and shows the amount of tooth removal required. The progression of interproximal decay is shown with a transparent view through the enamel.


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Tooth Decay (Dental Caries) ~ Espanol


ESPANOL VERSION ~ This animation illustrates pit & fissure and interproximal tooth decay, and how to avoid getting them. It uses special visual effects, including transparent views through teeth to effectively demonstrate where problems occur and the best ways to prevent them.


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iPad for Dentistry


www.phelandentalseminars.com and www.smiletoremember.com. Dr. Stephen Phelan demonstrates using keynote with the Apple iPad for patient education.


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how to use a dental floss by jupz


how to use a dental floss by jupz special request from fans all over the world for more info email planetworx@yahoo.com


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Dental and Systemic Health


Dental health is linked to diseases like cardiovascular disease, diabetes and some cancers by a common link-- inflammation. Here is what you need to know and what you can do to help yourself optimize both your dental and systemic health.


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