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Brand New To The 2019 Extravaganza:

A complete hygiene program, as presented by Janet Press


  • Christine Taxin
  • Teresa Duncan
  • Lois Banta
  • Jan Palmer
  • Janet Press
  • Dr. Judith Shub
  • Cynthia Kluck-Nygren

Ticket pricing information:

  1. 1st attendee – $1295
  2. 2nd attendee – $995
  3. Each additional – $575

Click here to register

Hotel reservation information:
Palms Casino Resort/Palms Place Resort & Spa
4321 W. Flamingo Road
Las Vegas, NV 89103, US
We are now accepting hotel reservations for our upcoming event. Through this website you can book, modify or cancel your hotel reservations at any time and receive updated information about the event. We look forward to seeing you!
Book Online
Guests may also call in to make their reservations. Call our reservations department at 1.866.942.7777 and reference the Links2Success event, or reference booking code CALNK19.
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Effect of Flap and Flapless Implant Surgical Techniques on Soft and Hard Tissue Profile in Single-Stage Dental Implants

Anumala D, Haritha M, Sailaja S, Prasuna E, Sravanthi G, Reddy NR. Effect of Flap and Flapless Implant Surgical Techniques on Soft and Hard Tissue Profile in Single-Stage Dental Implants. J Orofac Sci [serial online] 2019 [cited 2019 Aug 13];11:11-5. Available from:

Introduction: Over the past 30 years, flap designs for implant surgery have been modified and atraumatic technique was introduced. It has several potential advantages, including reduction of complications at the patient level. The aim of the present study to compare the soft tissue profile and heights of crestal bone levels around the single-stage implants after single-piece implant placement with two different surgical techniques, that is, open flap procedure and flapless (FL) procedure.  

Materials and Methods: Thirty participants were randomly selected and categorized into two groups. Group 1 (flap technique) and Group 2 (flapless technique) consisted of 15 participants each. All of these participants underwent evaluation of soft tissue parameters of papillary index, probing pocket depth, sulcus bleeding index, and hard tissue evaluation such as crestal bone levels by radiovisiography at 0, 3, and 6 months.  

Results: All clinical parameters improved in FL technique when compared with the flap technique.  

Conclusion: The results concluded that the FL implant surgery results in lesser loss of interproximal bone and also results in better soft tissue changes when compared with the flap technique. However, controlled, further studies are needed to confirm this possibility.

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Evaluation of Eating Disorders Using “SCOFF Questionnaire” Among Young Female Cohorts and Its Dental Implications − An Exploratory Study

Rungta N, Kudpi RS. Evaluation of Eating Disorders Using “SCOFF Questionnaire” Among Young Female Cohorts and Its Dental Implications − An Exploratory Study. J Orofac Sci [serial online] 2019 [cited 2019 Aug 13];11:27-31. Available from:

Introduction: Eating disorders can cause serious changes in eating habits that can lead to major, even life-threatening, health problems. This may cause devastating effects on teeth.

Materials and Methods: The present study was conducted to assess eating disorders among 15 to 17-year-old female cohorts. The SCOFF [sick, control, one stone (1 stone is 6.3 kg), fat, and food] Questionnaire was distributed among the consented female cohorts. The study comprised five questions. The oral health examination was carried out using mouth mirror and WHO probe. The presence or absence of dental caries, dental erosion, gingivitis, as well as the body mass index was documented. The pamphlets regarding healthy dietary habits and ill effects of acidic foods were distributed to the participants after the oral health examination.

 Results: A total of 200 young female cohorts with mean age 15.85 ± 0.59 were screened. The prevalence of eating disorders according to the SCOFF Questionnaire was 10.5%. Those who had an eating disorder showed higher body mass index (19.21 ± 2.16) compared to those without it (17.51 ± 2.62). This showed statistical significance with P value equal to 0.005. However, there was no statistically significant difference in the dental caries experience among cohorts with disorders to without disorders.  

Conclusion: Although there was no difference in caries experience among cohorts with eating disorder to without disorder, it is the dentists’ duty to educate the person before they develop dental symptoms.

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Intraoral Scanning and Digital Impression Techniques in Dentistry

 Mupparapu M. Intraoral Scanning and Digital Impression Techniques in Dentistry. J Orofac Sci [serial online] 2019 [cited 2019 Aug 13];11:1-2. Available from:

Based on the available evidence on the introduction of intraoral scanning (IOS) techniques in the dental profession dating back to the early 1980s, it is fair to say now that the technology is more mature than ever. IOS has become integral part of many restorative, implantology, and orthodontic procedures for capturing surface details of teeth for fabrication of inlays, onlays, or crowns (both laboratory-based and chair-side) as well as applications in implantology for fabrication of custom abutments or screw-retained crowns and surgical guides for accurate placement of root form implants. In orthodontics, the intraoral scanners are being used for digital storage and on-demand model production in 3D printers, digital impressions, 3D aligner treatment plans, to name but a few. Many of these digital impression techniques are drawn into lab-based services for fabrication of restorations and hence the companies that offer these services have invested in the development of the digital impression systems via scanners as well as in the development of logistics for digital transmissions and fabrication of restorations, crowns, and surface coverages used for aligning teeth.

The technologies differ in the acquisition of images and their storage, although the end products are quite similar. For example, the CEREC system (Serona, Bensheim, Germany) is designed in 1987 with the concept of “triangulation of light.”[1] Since surfaces with uneven light dispersion reduce the accuracy of the scans, opaque power coating of titanium dioxide is recommended for the scanning. One of the latest generations of CEREC scanners called CEREC ACBluecam uses LED blue diode as its light source.[1]

Another system called the LAVA C.O.S. system (3M ESPE, Seefeld, Germany) was introduced to clinical dentistry in 2008 that works using the principle of active wavefront sampling based on a single-lens camera. Three sensors capture data simultaneously, creating more than 2400 data sets to increase the surface accuracy. This system has the smallest scanner tip in the market with 13.2 mm width. This system also needs opaque power coating.[1]

The iTero system (Cadent Inc., New Jersey) came to the market in 2007. This system captures images based on laser and optical scanning using the principle of parallel confocal imaging. The iTero is an open software system in the treatment of crowns, FPDs, implants, aligners, and retainers. The system exports digital image files in .STL format that can be shared by other labs equipped with CAD/CAM systems.[1]

The E4D system (D4D Technologies, LLC, Richardson, TX) uses the principle of optical coherence tomography and confocal microscopy. Using red laser as a light source and micromirrors to vibrate 20,000 cycles per second, it creates a digital 3D impression that is also interactive. This system is power free.[1]

Finally, the TRIOS system (3Shape, Copenhagen, Denmark) introduced in 2011 uses the principle of ultrafast optical sectioning and confocal microscopy. Since it acquires up to 3000 images per second, movement artifacts are reduced or minimized. Like the iTero and E4D, this is also a power-free system.[1]

In a study conducted by Syrek et al.,[2] the authors concluded that the ceramic crowns fabricated from a digital impression had a better fit than those made from conventional impressions.

Overall, optical impressions reduced patient discomfort, are time-effective, simplify clinical protocols, and allow better communication with the lab and patients. Although the literature supports the use of intraoral scanners for accurate capture of dental topography and fabrication of inlays, onlays, coping, frameworks, single crowns and fixed partial dentures, smile designing, post and core fabrication as well as removable of partial prosthesis and obturators, it does not support the use of IOS in long-span restorations with natural teeth or implants as yet. The utilization of IOS in implant dentistry is also well documented and use of IOS orthodontics for fabrication of aligners and custom-made devices is on the rise. Total elimination of traditional impression techniques is a good possibility in the near future.

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Dental plaque pH in predicting caries relapse after general anaesthesia – an exploratory study

First published: 11 August 2019



Numerous caries risk assessment tools have been proposed in the literature, with few validated in preschool children especially those receiving oral rehabilitation under general anaesthesia (GA). Past caries experience, the best predictor thus far, may not be a reliable indicator after effective clinical intervention. Hence, this longitudinal study was aimed to explore the potential role of plaque pH in predicting future caries incidence after GA among preschool children.


Oral examination, plaque pH measurements and questionnaire survey were performed, among pre‐schoolers indicated for GA, at baseline (n = 92), 6‐month (6M; n = 83), 12‐month (12M; n = 79) and 24‐month (24M; n = 66) recall visits after GA. Multivariable logistic regression and receiver‐operating characteristic analysis were performed to evaluate the predictive value of models with plaque pH and past caries experience.


Individuals with low resting plaque pH at 6M and 12M were shown to be at high risk of 1‐year caries incidence at 12M [relative risk (RR) 1.41, 95% confidence interval (CI) 1.09–1.48] and 24M (RR 1.61, 95% CI 1.22–1.73) recall visit, respectively. Moreover, plaque pH demonstrated a statistically significant predictive value in the 12M and 24M models (12M/24M: 85%/77%) compared with past caries experience, which was not a significant predictor in both models (both P > 0.05).


Plaque pH may be a promising prognostic and predictive marker for early identification of high‐risk children undergoing oral rehabilitation under GA.

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Oral lesions and associated factors in breast cancer survivors

First published: 12 August 2019




To evaluate the prevalence of oral lesions (OL) and associated factors among survivors of breast cancer (BC).


A cross‐sectional study involving 150 BC survivors was conducted at a public hospital in southern Brazil. Data were collected on socioeconomic aspects, treatment characteristics and oral problems. The decayed, missing and filled teeth index and the occurrence of OL were evaluated. Logistic regression was performed to determine independent variables associated with the outcome.


24% of the women had at least 1 OL and 33.3% of these had more than one lesion. Melanotic macule was the most prevalent lesion. Duration of tamoxifen use, radiotherapy, missing teeth and xerostomia were associated with the occurrence of OL (P < .05). In the adjusted analysis, women with more than 13 missing teeth and xerostomia had 2.39‐fold (95% confidence interval [CI], 1.06‐5.40) and 2.71‐fold (95% CI, 1.14‐6.42), respectively, greater odds of exhibiting OL.


Approximately 1/4 of the BC survivors exhibited OL, which were associated with tooth loss and xerostomia. These findings could assist in the establishment of oral health strategies for women with BC.

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