• Innovative CAD/CAM Protocol for Fabricating Screw-Retained Implant Resin Provisionals

      Fay, Guadalupe Garcia; Hack, Gary, D.D.S. (2018)
      Intraoral scanners and the use of Computer-Aided Design and Manufacturing (CAD/CAM) produces dental restorations that have a high level of accuracy which equals or exceeds that achievable utilizing the conventional fabrication process. There are various ways of fabricating an implant provisional restoration, but this usually involves a multiple series of steps if done in a conventional manner. With the advent of digital dentistry there are less steps involved thus facilitating an easier process, however, if the suggested milling units are not available there is a possibility of utilizing an alternative process. The purpose of the study was to develop an innovative CAD/CAM protocol. To mill a screw-retained provisional crown using Sirona’s CAD/CAM systems, normally a Telio® CAD A16 provisional resin block and the use of an MCXL Milling Machine and Omnicam is needed. A16 are cross-linked poly methyl methacrylate (PMMA) blocks indicated for the fabrication of long-term temporaries by means of the CAD/CAM technique. These blocks have a pre-drilled, machined perforation to allow the milled block to accept a TiBase abutment on one surface, and another machined perforation on the opposing surface to allow the insertion of the implant screw. Our objective was to develop a protocol to mill a provisional screw-retained restoration using Sirona’s Compact Milling Machine (CMM) with a BlueC
    • An Interprofessional Collaboration To Implement Diabetes Screening In A University Dental Hygiene Clinic

      Idzik, Shannon; Hack, Gary, D.D.S.; Bode, Claire; Manski, Marion; Cartee, Deborah (2016)
      The purpose of this project was to implement diabetes screening for patients with diabetes risk factors during their hygiene appointments at the dental school clinic. Diabetes is an epidemic in the U.S. 18 Million are currently effected and it is expected to rise over the next few years. One third of those with diabetes are asymptomatic and undiagnosed. There is literature to support screening for diabetes in non-primary care settings. There is a bidirectional relationship between diabetes and periodontal disease. Many patients with diabetes have at least one diabetes risk factor. A significant number of people see the dentist at least once a year.
    • Screening for Diabetes: The Maryland Experience

      Hack, Gary, D.D.S. (2018)
      86 million Americans are pre-diabetic, and 90% of these individuals are unaware of their condition and many will convert to frank diabetes without intervention. This looming epidemic will bankrupt our health care system without intervention. The dental office is an ideal place for diabetes monitoring and screening. It is estimated that over 28% of patients presenting to the dental office have undiagnosed diabetes or prediabetes. Preparation of oral healthcare providers to have a positive impact on this epidemic is essential along with knowledge of devices needed to screen for and monitor diabetes/prediabetes such as glucometers and HbA1C devices.