Jun 5, 2018
We can improve dentistry through
cultivating better connections with our patients. As a discipline,
we have a long way to go. In this episode of The Biofilm Factor,
Dr. Ryan Nolan talks with Dr. Naif Sinada, a graduate from
Midwestern University and a practicing prosthodontist. They review
Dr. Sinada’s individualized approach to his high risk patients,
especially those that have or have had cancer. They also talk about
important but commonly neglected topics within dentistry such as
customized treatment planning, specialty training and guided
surgery. However, looking past the current lack of research and
outdated techniques, dentistry can change people’s lives.
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Host: Dr. Ryan Nolan
Guest: Dr. Naif
Bio of Dr. Naif
Dr. Naif Sinada graduated from
Midwestern University and is a practicing prosthodontist in Texas.
He completed a General
Practice Residency, published multiple papers and was featured in
the Dental Time magazine. His work as a clinician reflects his
commitment to improving oral care for his patients and his desire
to deliver the best treatment and treatment options available. He
can be reached on Instagram, Twitter, LinkedIn or Facebook
made you want to be a prosthodontist? [0:50]
Sinada works alongside anaplastologists to successfully use
Sinada describes one of his hardest cases and how it shaped the way
he approaches treatment planning. [5:13]
Sinada shares his current experience working with patients that
have or have had cancer. [7:08]
you connect with the patient, you can reach a different level of
dentistry.” -Dr. Sinada [7:54]
does Dr. Sinada approach high risk patients as a prosthodontist?
strategy of the “10% rule” in treatment approach.
Sinada talks about @prosthproblems, an instagram account, that
shows the procedures and techniques that sometimes go wrong.
does being in an immunocompromised situation affect your flora,
microbiome and body? [15:27]
- Patients undergoing chemotherapy experience the
greatest change to their microbiome. [19:56]
way we treat chemotherapy patients is going to change in the next
couple of years. [20:55]
Nolan shares his experience when his grandfather had colon cancer.
does Dr. Sinada suggest to his patients to reduce symptoms such as
dry mouth? [23:53]
all about education and actually talking with the patient.
industrial revolution brought soft food and sugar into our diet.
Sinada and Dr. Nolan share their opinions about the influence of
the modern diet. [27:55]
possibility that vegetarians break their temporaries more often
than people who incorporate meat into their diets.
is the role of socioeconomics in relation to oral systemic disease?
Type 2 Diabetes influence potential risk factors and how should
this influence be addressed? [36:26]
- Dentistry lacks research compared to other
- Dental professionals need to pay attention to
the individual and less to increasingly irrelevant
- Looking at the use of different materials
within dentistry such as zirconia, ceramic and e.max.
- Understanding All-on-4 cases and talking about
the materials that Dr. Sinada is the most comfortable using on his
may have a negative stigma but it
has brought new understanding to the work of prosthodontists.
- As a
general dentist, how do you apply the ideas of “the bone sets the
tone”, “the tissue is the issue” and “the space makes the case” to
implant dentistry? [57:12]
should foster a culture of wanting to make each other better.” -Dr.
benefit of using Instagram to uplift and unite members of the
dental community. [1:01:34]
inspires Dr. Sinada to be a better clinician? [1:02:17]
Sinada’s experience with guided surgery and his thoughts on its
Nolan’s experience with guided surgery and why he thinks it’s a
great approach. [1:08:02]
will dentistry change over the course of the next couple years?
- Understanding the situation of an individual
patient will help you to understand the proper treatment plan.
because you removed the teeth doesn’t mean the biofilm is gone.”
-Dr. Nolan [1:21:20]
success or lack of success of topical antibiotic use for
potentially problematic implants. [1:25:43]
do dentists overlook in complicated cases that should be passed off
to specialty dentists? [1:30:20]
- Overcoming the alpha mentality within
Sinada tells the story about one of his patients with a pharyngeal
to promote successful prosthetics such as reducing plaque or
changing diet. [1:36:40]
- Referring back to the episode with Dr. Stein
and the potential pneumonia risk because of biofilm buildup.
Sinada shares his research on the biofilm and its effect on
ceramics such as e.max. [1:44:18]
does patient compliance play into chlorhexidine use, antibacterial
agents or dentifrice products? [1:49:50]
oral dentifrice products reached perfection or is there still a lot
of necessary improvements? [1:53:15]
Nolan and Dr. Sinada talk about the lack of research and
development within dentistry. [1:54:20]
- Closing thoughts and information about Dr.