Cosmetic Tribune U.S. No. 3, 2011
Is sleep dentistry for you? / Life-changing dentistry / AACD free webinars focus on accreditation
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Cosmetic TRIBUNE
The World’s Cosmetic Dentistry Newspaper · U.S. Edition
March 2011
www.dental-tribune.com
Vol. 4, No. 3
Life-changing dentistry
By Lisa Maria Samaha, DDS, FAGD, PC
Our 58-year -old patient had a
lifetime of periodontal disease and
rampant decay. As a young woman,
Donna’s dental disease was diagnosed and treatment was recommended. Having had a series of traumatic childhood dental experiences,
she was deathly afraid to proceed
with recommendations.
By the time we met Donna, this
well-educated, pleasant woman had
not received dental care in nearly
30 years. During that time, Donna
suffered a great deal of pain and
embarrassment, and many of her
teeth had fallen out on their own.
Her life had been severely impacted
by her dental disease.
Motivated for change
Donna had read stories about some
of our patients who had similar dental histories. Those stories, along
with her only child’s upcoming wedding, were the driving forces that
gave her the courage to call our
office.
Donna wanted to be able to smile
Fig. 1a
Fig. 1b
Figs. 1a, b: Over the years, Donna
had forgotten how to smile. When
first prompted to smile, this was the
best she could do. (Photos/Provided
by Dr. Samaha)
proudly at her daughter’s wedding
and not be an embarrassment to her
family.
We had three weeks to eliminate Donna’s lifetime of disease and
fashion her a new smile. Within a
couple of hours of meeting Donna,
we reviewed a treatment plan with
her. Donna was ready. We made a
place for her on our schedule the
next day.
The only condition was that
Donna would be without teeth dur-
ing her post-op healing period while
we prepared her denture. Donna
agreed. She was visibly relieved to
know that her years of dental suffering would end within 24 hours. The
next morning, Donna presented for
her full-mouth surgery.
Treatment
Because of severe periodontal infection and rampant decay, full-mouth
extractions and replacement with
maxillary and mandibular complete
dentures was necessary. Along with
extractions, a copious amount of
granulation tissue was removed, soft
tissue was biopsied and alveoloplasty and gingival recontouring were
performed.
Bone grafting and guided tissue
regeneration were performed for
maximum ridge preservation. All
treatment was accomplished in one
session, with no sedation.
Throughout her postoperative
healing, Donna required only two
doses of Motrin 800 mg for pain.
Complete dentures were delivered
one week later.
Summary
Less than three weeks transpired
from the day we met this severely
phobic patient and the day we delivered her final dentures. Donna was
elated with the transformation and
responded with tears of joy.
When she greeted her husband in
the reception room, they both cried.
g CT page 2C
Sleep dentistry is changing the
way patients with sleep disorders are
treated. Traditionally, sleep apnea
has been the exclusive responsibility
of MDs, neurologists or pulmonologists, but dentists are now focusing
their energies on how patients who
snore can improve their quality of
sleep.
When patients are diagnosed as
sleep apneic, they are usually placed
on a CPAP machine, which involves
a mask and breathing tube that they
wear while sleeping. Until recently,
surgery was one of the few alternatives to CPAP.
Dentists have started treating
sleep apneic patients because they
understand how occlusion and the
position of the jaw can influence a
patient’s airway. Many dentists offer
oral sleep apnea and anti-snoring
devices to help patients who don’t
wish to undergo CPAP treatment or
surgery.
“I now always discuss, in my
report and with my patients, whether they had loud, steady snoring,”
said Dr. Lisa Shives, a sleep expert
who authored an article about snoring for CNN Health. “If they did, I
recommend treatment, usually with
an oral appliance, sometimes with
CPAP.”
Sleep apnea awareness has grown
steadily. SLEEP Journal noted in
2008 that loud snorers are 10 times
as likely to have atherosclerosis,
which has motivated doctors and
dentists to identify treatments.
Even Dr. Mehmet Oz has jumped
on the sleep apnea bandwagon.
Recently on “The Dr. Oz Show,” Oz
explained the difference between
snoring and obstructive sleep apnea.
According to Oz, the best solutions are to lose weight and then
consider surgical solutions. Secondarily, Oz mentioned CPAP, and
finally. oral appliances to pull the
mandible forward.
“I’m seeing a growing demand in
my patient base,” reports Dr. Mark
Weiser, a Santa Barbara dentist and
member of the American Academy
of Cosmetic Dentistry who treats
sleep apnea and snoring. “But a lot
of the appliances I’m making are
(Photo/Provided by the AACD)
Is sleep dentistry for you?
for CPAP patients that can’t stand
their mask and whatnot, so they’re
going to Google and looking for
other options.”
“As a dentist, I feel I have an
opportunity to ‘bridge the gap’ so to
speak, and help catch more cases
of sleep apnea,” adds Dr. Don Lowrance, who practices in Corpus
Christi, Texas. “They’re in my chair,
and it doesn’t take that much time
to ask some simple questions that
tell whether or not a sleep study is
warranted.”
Omaha sleep apnea dentist Dr.
Roger Roubal routinely asks his
patients if they snore.
“It’s a simple question, but by asking it, we’re potentially saving lives
in the dental office.”
The American Academy of Cosmetic Dentistry will offer several
lectures on sleep apnea, among
many other dental topics, at the
annual scientific session in Boston,
May 18–21. Drs. Gary Alex, Kent
Smith, Beth Thompson and Lee Ann
Brady will focus on sleep apnea in
their lectures for the individual dentist and dental team. For more information, visit www.aacdconference.
com CT
[2] =>
2C Clinical
Fig. 2a
Cosmetic Tribune | March 2011
Fig. 2b
COSMETIC TRIBUNE
The World’s Dental Newspaper · US Edition
Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Figs. 2a–c: Donna’s best smile the day we meet
her.
Fig. 2c
Fig. 3a
Editor in Chief Cosmetic Tribune
Dr. Lorin Berland
d.berland@dental-tribune.com
Managing Editor/Designer
Implant, Endo & Lab Tribunes
Sierra Rendon
s.rendon@dental-tribune.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Figs. 3a, b: Donna sharing her true smile for
the first time in decades.
Patient testimonial
“I was so afraid the day I called to
Fig. 3b
schedule my appointment. I was so
fearful, yet I wanted to be presentable for my daughter’s wedding. She is
the most wonderful daughter a mother
could have, I would do anything for her,
so I did the hardest thing I had ever
done. I read about how you [Dr. Samaha] helped others who were deathly
afraid of dental care like me.
“This experience with you and your
team has been amazing. I felt so safe
within minutes of meeting you and
your lovely team. My previous experiences were nothing but fright, doom
and gloom, and with each new dentist I felt more and more shame. You
and your team are remarkable — you
opened your arms and your hearts to
me — hugging me and praying for me
when you knew I needed it.
“My first appointment with you
became a life-changing day. The stories
and pictures on your website gave me
the courage to come see you. I couldn’t
believe what you did for others, and
after meeting you for the first time, I
knew you could help me.
In under three weeks, I was ready
to stand tall with my daughter on her
wedding day with a bright and beautiful
smile like the smile I once had on my
own wedding day, 40 years ago.
I began to love myself too, in a brand
new way, with all the shame of a diseased smile finally cast off. And I think my husband fell in love with me all
over again. When my daughter and her husband left for the honeymoon, we felt like we were on our honeymoon, too.
My husband was amazed and touched at how you were able to do what no one else could, mainly to get me
beyond my fear. And no one can believe you did it without sedation or any drugs to calm me.
I felt uplifted and supported from the first moment I walked into your office, and the day you eliminated my
disease was one of the greatest days of my life. I can never thank you enough.
Within three weeks, my treatment was complete, and I was not only freed from decades of disease, I had my
pretty smile back. No words can express the overwhelming emotions of pure joy I felt in finding my smile again
after so many years.
Nothing can express the raw, overriding emotion my husband felt when he finally saw me with my new smile
— the one he hadn’t seen for years.”
~ Donna Atkinson
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Account Manager
Mark Eisen
m.eisen@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Sales & Marketing Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia E. Wehkamp
j.wehkamp@dental-tribune.com
C.E. International Sales Manager
Christiane Ferret
c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Tel.: (212) 244-7181
Fax: (212) 244-7185
Published by Dental Tribune America
© 2011 Dental Tribune America, LLC
All rights reserved.
Cosmetic Tribune strives to maintain
utmost accuracy in its news and clinical reports. If you find a factual error or
content that requires clarification, please
contact Group Editor Robin Goodman at
r.goodman@dental-tribune.com.
Cosmetic Tribune cannot assume responsibility for the validity of product claims
or for typographical errors. The publisher also does not assume responsibility
for product names or statements made
by advertisers. Opinions expressed by
authors are their own and may not reflect
those of Dental Tribune America.
Tell us what
you think!
Do you have general comments or criticism you would like to share? Is there
a particular topic you would like to see
articles about in Cosmetic Tribune?
Let us know by e-mailing feedback@
dental-tribune.com. We look forward to
hearing from you!
[3] =>
Cosmetic Tribune | March 2011
AACD News
3C
AACD free webinars focus on accreditation
The American Academy of Cosmetic Dentistry (AACD) continues to offer
free webinars focusing on accreditation through the AACD Webinar Series.
The series, sponsored by Ivoclar
Vivadent, features many speakers
scheduled to appear at the AACD’s
27th Annual Scientific Session in Boston later this spring. The session will
take place May 18–21 at the Hynes
Convention Center in Boston.
Participants can register for individual webinars in the series by visiting
www.aacd.com/index.php?module=
cms&page=501. No special equipment
or programming is needed. Past webinars have been archived on the AACD
website. Upcoming webinars include:
• “Composite Mirroring: Aiding with
Accreditation and Beyond,” by Brian
LeSage, DDS, on March 7 from 12 to
1 p.m. CST. Participants will review
Family member testimonial
“Sometimes it is hard to deal
with reality, and Donna was literally paralyzed by her fear of
dental care. Donna’s way was to
keep her lips pursed and hope
that no one noticed. She finally
agreed to go for help just three
weeks before our daughter’s
wedding because of what she
had read about how you helped
others with fears like hers.
“I was so proud of Donna
making the commitment to
begin care with you, yet I could
only guess how difficult the surgery was going to be for her.
That night, I could see and feel
her fear, yet I was helpless; but
she was determined.
“The next morning, I had prepared myself and fully expected
to see her pain afterward. It
never happened. Instead, I saw
pure relief and happiness in
Donna’s eyes. And there was
absolutely no lingering pain following the surgery you did.
“She had so much peace about
the whole process because of
each of you. Her new smile, just
two weeks later, was the best
gift Donna could have given our
daughter and me.”
~ Carl Atkinson,
(Donna’s husband)
* Sadly, several months
later, Carl was diagnosed with
Alzheimer’s.
Contact info
Lisa Marie Samaha, DDS, FAGD
251 Nat Turner Blvd.
Newport News, Va. 23606
Tel.: (757) 223-9270
samahadds@pwdentalarts.com
www.PWDentalArts.com
multiple smile design principles and
tie them into the accreditation examination criteria, evaluate fault with
compromise reviewed cases and learn
to correct and manage many of the
AACD accreditation criteria parameters, and discuss contour, finishing,
and polishing to create a seamless,
undetectable and appropriate luster to
direct composite restorations.
• “Advanced Accreditation Webinar: Case Type IV and V,” by Brian
LeSage, DDS, on April 11, from 10 a.m.
to 12 p.m. CST. Attendees will understand how cases for accreditation are
judged based on specific criteria, learn
to discern fine details in judging cosmetic dentistry and present cosmetic
dentistry cases for feedback.
• “Cosmetic Pearls for the General
Practitioner,” by Marty Zase, DMD, on
April 11, from 12 to 1 p.m. CST. Participants will learn to eliminate sensitivity with bleaching and bonding procedures, learn to utilize ovate pontics
to make natural-looking bridges and
build confidence in cosmetic restorations.
Archived webinars include:
• “Indirect Porcelain Veneers: Cutting-Edge Concepts, Techniques and
Materials,” by Dennis Wells, DDS.
Attendees will understand what constitutes an ideal case for accreditation, how to accurately determine the
degree of preparation needed to optimize the final result and maximize
the amount of enamel remaining and
various successful accreditation case
components and how to achieve them
clinically.
• “Advanced Accreditation Webinar: Case Type III,” by Betsy Bakeman,
DDS. Participants will understand how
cases for accreditation are judged
based on specific criteria, how to discern fine details in judging cosmetic
dentistry, and they will have the opportunity to present cosmetic dentistry
cases for feedback.
• “Advanced Accreditation Webinar:
Case Types I & II,” by Nils Olson, DDS.
Olson provides an in-depth analysis of
how accreditation cases are judged.
This webinar is especially helpful for
members working toward accreditation. CT
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/ Life-changing dentistry
/ AACD free webinars focus on accreditation
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