Topics of the day:
1. Pro Seal
I am also wondering if anybody has been useing ProSeal for over 2 years and if they have seen a dramatic decrease in decalcification. I won't tell you how long that I have had in the refrigerator. I have been useing a flouride varnish for a long time. I cannot tell any clinical difference but it sure makes me feel good to place on their plaque ridden teeth. Also Paul said a mouthful and I do agree with his assessment of osseointegrated vs titanium screws.
I have started using flouride varnish on a great number of my patients with astonishing success (My evidence is only empirical with a nod to my good friend Dr. Thomas. There are some studies, however, that support its effectiveness). Being a dual trained pediatric dentist and orthodontist, I have been aware of the varnish for quite some time. I began to treatment plan varnish application for patients with poor oral hygiene just as I would treatment plan for the use of elastics, etc. Parents and patients were told the teeth would be painted. The down side of varnish is the yellow/gold color (esthetics) and the stickiness of the material (don't spill it on the floor). I think the most telling proof of its effectiveness is my staff. They were skeptical at first and saw its application as just another step they had to perform. I had empowered them to paint varnish on any and all patients they felt could benefit from its application. After several cases were debonded with little or no decalcification, they became believers and apply readily. Hope this helps.
John Christensen Durham, NC
I did a medline search and had the AAO library do a search and I could not find an article that dealt with what happens if teeth are moved with only 1/2 root development, or 3/4 development. All of the articles assumed full root development and dealt mostly with creating space and clever ways to bring teeth into the arch. Nothing on when to attach and what happens if you attach and pull before complete root formation,
Now for the questions for the group:
1) Does anyone know of any articles dealing with this subject? I especially would like some case reports on what happens when a tooth is attached and moved with 1/2 or less root development.
2) Any anecdotal stories out there from the combined million or so years of clinical practice this study club taps into?
I await any and all replies.
John McDonald Orthodontist Salem, Oregon
PS The Library service that the AAO provides is really great. You give them a subject or a question and they will send you a lot of articles. All it takes is a phone call. It is a nice resource to have.
Dear Dr. Thomas:
Yesterday night, I tried to browse some articles to make up my mind about what you had commented.
As you said there had been lots of articles that supported your opinion, for instance, Byloff FK, Karcher H, Clar E, Stoff F: An implant to eliminate anchorage loss during molar distalization: a case report involving the Graz implant-supported pendulum. Int J Adult Orthodon Orthognath Surg. 2000 Summer;15(2):129-37. That article explains the Graz Implant-Supported Pendulum "non-integrated" GISP.
What I found out that at first I "dodged" anything about non-integrated implants because I had an opinion and a conviction that integration is essential in fulfilling reliable anchorage. Perhaps, it had been a kind of "preconception".
American Journal of Orthodontics and Dentofacial Orthopedics Table of Contents for June 2004, Vol. 125, No. 6 http://www.mosby.com/scripts/om.dll/serve?db=c&id=od
Concerted effort needed to clarify complex issues for general public
Contents Editor's choice David L. Turpin, DDS, MSD
Readers' Forum Ask us Gary R. Wolf, DDS, MSD
The apically repositioned flap and unerupted teeth Marc B. Ackerman, DMD
Author's response Robert L. Vanarsdall, DDS
Editor's response David L. Turpin
Treatment of missing lateral incisors William M. Hang, DDS, MSD
Editors' response David L. Turpin
Readers' Services Editorial board
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