Evolution and economics in dental office design May 18, 2008
Posted by Dentist.Com in Office Design.Tags: Add new tag, Americans With Disabilities Act, dental office design, ergonomics
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Pat Carter and Jeff Carter, DDS
Most people would agree that designing an effective dental facility requires an intimate understanding of dentistry and a thoughtful identification of the design objectives for a specific practice. That statement alone involves a multitude of details and design decisions that can be quite overwhelming (assuming you want to attend to all the details and get it “right”). And while that is the primary part of the designing process, evolving factors outside of the control of practitioners will greatly impact the design and economics of current and future facilities.
What are some of those factors?
• Regulatory factors
In the early 1990s, the Occupational Safety and Health Administration (OSHA) regulations required appropriate labeling, storage, and inventory access to certain regulated dental materials and drugs. It also mandated protective eyewear, gloves, and gowns for the dental staff; appropriate disposal of biohazardous materials; and compliance with sterilization processes to protect the general public (your patients). In response, dental office design began to include appropriately sized and accessible storage and inventory areas, staff areas with changing rooms and storage for gowns, appropriately labeled and located disposal drops, and thoughtfully conceived central sterilization areas.
Designing for young children – a competitive advantage May 18, 2008
Posted by Dentist.Com in Office Design.Tags: children's waiting rooms, pediatric office design, waiting room design
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Renee Reback
Providing creative waiting rooms and play spaces for children is an important consideration in today`s competitive marketplace. Given the current high U.S. birth rate, the census forecasts a total of over 40 million children under the age of 10 during the next decade. With a much stronger focus on the benefits of preventative dental care and early treatment, odds are that a significant portion of them will be in your waiting rooms. With some forethought and professional advice, designing space and providing the appropriate products to engage children can offer benefits beyond occupying them while in your office.
James Barnard is president of Playscapes Children`s Environments, a company that designs and manufactures children`s furniture and activities with emphasis on its use in the medical environment. “When you design for children in a health-care environment,” Barnard says, “you`re really designing for four separate clients – children, their parents, staff, and the facility owner. They all have separate needs which should be taken into account.”
Jay Levitt, DDS, is the owner of four Dentistry for Children PC practices outside Atlanta, Ga. Dr. Levitt worked with professionals to help him create waiting areas that function as more than just a place to sit and wait.
“Our waiting area is designed to communicate how important our patients are to us,” Dr. Levitt emphasized. “I not only want everything to look terrific, [but] I want an environment that makes our patients feel comfortable. We used to have staff bring in old books, puzzles, and games, but small pieces were lost and the game or puzzle became worthless. We now select more durable equipment without small pieces that can be lost or swallowed.”
Dental Office Design and productivity for the rest of us May 17, 2008
Posted by Dentist.Com in Office Design.Tags: architects, architecture, dental office design, dental offices, office designers, office redesign
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by David J. Ahearn, DDS
In every practitioner’s life there comes a time when it is clear that a physical office change must occur. For some doctors, this happens early in practice; for others, a reawakening occurs later in the practice life that makes this transition desirable. Nevertheless, it is a point through which every dedicated caregiver crosses at some time.
Because office redesign is such a rare event, we do not gain enough knowledge or experience to do justice to this critical task. For example, we place composites every day, and, as a result, our trade journals have hundreds of articles about them each month. Our knowledge is great in such areas — not so regarding future office planning.
Dental supply companies frequently will supply you with a floor plan at no up-front cost. Unfortunately, they can’t be expected to spend a great deal of time on productivity enhancements that only an actual practitioner would understand, nor can they be expected to labor long and hard to save you money. These plans tend to be simple to draw and very expensive to equip. It isn’t the supplier’s fault. Everything costs money and there is no such thing as a free lunch. This is a reasonable choice for practices that are relocating but not expanding, or for offices that are simply purchasing new equipment to replace outdated hardware rather than re-engineering or re-invigorating their practices.
High-end office designers offer great service and have the benefit of prior dental practice experience. They are noted for creating “image” practices for those dentists who desire them. Design costs alone for such offices can run into the tens of thousands of dollars as each step in the design process is individually handled. Moreover, due to the one-of-a-kind nature of the design, it is common for a project to take up to two years to complete.
UK Dentists offering Botox alongside fillings May 17, 2008
Posted by Dentist.Com in -GEN. INFO, -GEN. INFO.Tags: Botox injections
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Telegraph News
A growing number of dentists who have left the NHS are setting up lucrative sidelines in beauty treatment, offering Botox injections alongside fillings and check-ups.
One in four dentists are now able to offer the cosmetic injections to freeze facial muscles, as well as anti-ageing fillers and facial peels, a survey found.
The leading cosmetic training body for dentists, run by Dr Bob Khanna, has taught 4,000 of England’s 20,000 dentists procedures such as Botox, while experts said a conservative estimate would suggest one in four are either offering “cosmetic injectables” or preparing to enter the market.
The survey included NHS dentists, some of whom do private work that could include beauty treatments.
More than 1,000 dentists have left the NHS since the Government’s introduction two years ago of a contract that many claim loses them money.
Almost half the population in England – more than 23 million people – had no NHS dental care in the two years to last September.
But increasingly, those paying privately for the perfect smile appear to be open to cosmetic work.
Electronic Prescribing Legislation May 17, 2008
Posted by Dentist.Com in -GEN. INFO.Tags: e-prescribing, electronic prescribing
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Investigative reporter Darrell Pruitt, DDS
The article below states that the AMA “has been considered the largest barrier to enacting e-prescribing legislation” because of the group’s “concerns over the cost of adopting and implementing the technology”
What does the ADA say? They are all for e-prescribing, no questions asked. Darrell
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Kaiser Daily Health Policy Report
AMA Officials Outline Provisions Physicians Would Accept in Electronic Prescribing Legislation
The American Medical Association on Friday discussed a set of standards that physicians would accept for any electronic prescribing requirement under Medicare, CongressDaily reports. According to CongressDaily, AMA “has been considered the largest barrier to enacting e-prescribing legislation” because of the group’s “concerns over the cost of adopting and implementing the technology” (Edney, CongressDaily, 5/9).
Some consumer, labor, insurer and business groups have said that the Medicare package that the Senate Finance Committee is drafting should include language to require physicians participating in Medicare to e-prescribe, CQ HealthBeat reports. In addition, separate legislation (S 2408, HR 4296) would require e-prescribing in Medicare and would offer payment incentives to encourage e-prescribing adoption. AMA officials announced the proposal at a forum sponsored by the Brookings Institution’s Engelberg Center for Health Care Reform (Carey, CQ HealthBeat, 5/9).
Health Insurance Fraud in the News May 17, 2008
Posted by Dentist.Com in NEWS.Tags: Andrew M. Cuomo, Health Insurance Fraud, New York State attorney general
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Inquiry Set on Health Care Billing
Andrew M. Cuomo, New York State attorney general, announced an inquiry into health insurance
New York Times-By REED ABELSON
It is a common medical puzzler. The benefits statement arrives from the insurance company, saying that although the doctor has charged, say, $200 for that recent office visit, only $80 is covered — and the consumer is obliged to pick up the balance.
That gap may be too big, according to critics of the health insurance industry, whose ranks were joined Wednesday by the New York State attorney general, Andrew M. Cuomo.
Mr. Cuomo announced a sweeping investigation into whether health insurance companies have systematically forced patients to pay more than they should when using doctors and hospitals outside their insurer’s networks.
….. (Read the rest of this article)
Substance found in chewing gum could be labeled toxic May 17, 2008
Posted by Dentist.Com in NEWS.Tags: Acetic acid ethenyl ester, chewing gum, toxic chewing gum, vinyl acetate
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Amy Husser
Canwest News Service
OTTAWA -A substance used to make chewing gum could soon be declared toxic by the federal government after an international agency found that it might cause cancer in lab rats.
On May 17, the government will publish a list of 17 substances that may be labeled as toxic in a draft report on risk assessment. Acetic acid ethenyl ester, or vinyl acetate – commonly used as a base in some chewing gums – could be on that list, Health Canada said Monday.
The substance is a colourless liquid with a strong, sweet scent that can be used as a flavouring agent. When made into a polymer, it becomes useful in the production of chewing gum.
However, tests completed by the International Agency for Research on Cancer found evidence that vinyl acetate could be linked to instances of cancer in rats. No similar results have been found in humans.
For this reason, the substance is classified as a “potentially high hazard substance” by Health Canada.
“The problem with cancer-causing things is we don’t always know that there is a safe dose. Certainly, less is better,” says Dr. Kapil Khatter, an adviser with Enivironmental Defence. His organization will likely push for the government to encourage alternatives, which Khatter says are available.
The federal government is conducting the study on vinyl acetate as part of a larger review of 200 substances called the Chemicals Management Plan to determine what actions, if any, are necessary to protect human health. Vinyl acetate is classified as a “potentially high hazard substance” because of the findings related to its carcinogenic nature.
Following the publication of the report, the public will have 60 days to comment before a final report is issued, at which point Ottawa is required to implement control measures. This could include further study.
Last month, retailers across Canada voluntarily pulled baby bottles containing bisphenol A off the shelves when that substance was part of a similar assessment.
Vinyl acetate is also used in the production of perfumes, deodorizers and paints and sealants, among other things.
No Wisdom In Routinely Pulling Wisdom Teeth, Study Says May 17, 2008
Posted by Dentist.Com in -GEN. INFO.Tags: asymptomatic wisdom teeth, extractions, impacted wisdom teeth, oral surgery, third molars
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ScienceDaily — No reliable studies exist to support removal of trouble-free impacted wisdom teeth, according to a systematic review of evidence. Despite this surprising lack of data, extraction of third molars has long been considered appropriate care in most developed countries.
“Watchful monitoring” of asymptomatic wisdom teeth may be a more appropriate strategy, suggest review authors led by Dr. Dirk Mettes of Radboud University Medical Centre Nijmegen in the Netherlands. Furthermore, they add, health risks and cost-effectiveness of surgery deserve greater consideration.
“Prudent decision-making, with adherence to specified indicators for removal, may reduce the number of surgical procedures by 60 percent or more,” the authors say.
The review appears in the most recent issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.
Impacted wisdom teeth can cause inflammation of the gum, gum and bone disease, damage to adjacent teeth and development of cysts and tumors. General agreement exists that removal is appropriate when pain or problems occur.However, the benefits of surgery are much less clear when it comes to removal of disease-free impacted wisdom teeth. Despite of a thorough review of the literature, the reviewers found no data to support this treatment approach.
Bug Responsible For Bad Breath Found May 11, 2008
Posted by Dentist.Com in -GEN. INFO, -GEN. INFO.Tags: bad breath, halitosis, Solobacterium moorei
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NEW YORK (Reuters) - Solobacterium moorei is the organism largely responsible for chronic bad breath, or halitosis, biologists reported Saturday at the annual meeting of the American Association for Dental Research in Dallas.
In a previous study of eight patients with halitosis and five without, S. moorei was “always found in patients with halitosis and never in patients who did not have this problem,” Dr. Violet I. Haraszthy, who was involved in both studies, noted in a telephone interview with Reuters Health. “A number of other studies have also found this bacterium in halitosis patients.”
Haraszthy points out that, at present, “not much is known about this particular organism.”
“As we identify and find out more about the bacteria that cause bad breath, we can develop treatments to reduce their numbers in the mouth,” Clark added in a university-issued statement.
As reported Friday on Reuters Health, the same team of investigators has found that brushing twice a day with antibacterial toothpaste and using a toothbrush with a built-in tongue scraper can eliminate chronic bad breath.
Arginine Candies May Reduce Caries May 11, 2008
Posted by Dentist.Com in -GEN. INFO, -GEN. INFO.Tags: arginine bicarbonate, arginine candy, BasicMints, CaviStat
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State University of New York (SUNY)
Candies containing a novel formula of arginine bicarbonate and calcium carbonate reduced decayed, missing, and filled surfaces by two thirds in a new study on children’s molars.
In the study — published in the March issue of the Journal of Clinical Dentistry — 96 Venezuelan children aged 10 and 11 sucked four mints fortified with CaviStat per day. A control group of 99 children sucked on sugarless mints without CaviStat. At the end of a year, the CaviStat group had 61.7 percent fewer decayed, missing, or filled surfaces in molars than the placebo group, the researchers reported.
Arginine is an amino acid that causes bacteria to produce base, counteracting the acid that demineralizes teeth, the researchers write. The bicarbonate produces an additional buffering effect, while the calcium carbonate provides a source of calcium to replace any that is dissolved in acid.
The study was funded by Ortek, where lead researcher Israel Kleinberg, D.D.S., Ph.D., a SUNY professor of oral biology, serves on the board of directors.
