This case report describes a rare instance of a five-year-old pediatric patient who exhibited extreme refusal to eat or drink for approximately 1 week following anesthesia for full-mouth dental restorations.
I’m sitting at my desk on a Sunday afternoon in March, contemplating the past 24 months. It was around this time in 2020 that I travelled to Malaysia for an annual academic meeting at IMU, our partner university in Kuala Lumpur. I had a slight concern about a newly emerging respiratory virus but believed that … Read more
Introduction Altered sensation in the head and neck can be associated with a broad array of local, regional, and systemic etiologies. Though there are multiple cranial and cervical peripheral nerves supplying the craniofacial region, neurosensory disturbance of the inferior alveolar nerve (IAN), its terminal branches, and the lingual nerve are most likely to present in … Read more
Oral and maxillofacial surgeons and, indeed, all of the dental profession have been living with the COVID-19 pandemic for over sixteen months. The first few months were particularly difficult. Oral and maxillofacial surgical care, and dental care in general, was limited to emergency management only. Despite lockdown and severe restrictions, the ethical commitment in our … Read more
I wish to thank Joan Hutchings for her timely article but perhaps not for the reasons that she might think. She offers a quote from the Royal College of Dental Surgeons of Ontario (RCDSO) which states adamantly that, “…dental offices are at high risk for spreading COVID-19 given the aerosol generating nature of dental procedures…” … Read more
As you enjoy this issue of Oral Health, I would ask that you all observe a moment to honour and celebrate the life of a champion of our Profession. An Oral Health consultant and contributor for over a decade, Dr. Howard Ian Holmes, passed away peacefully on April 18, 2021. Many of you that are … Read more
INTRODUCTION Studies on occupational stress in healthcare professionals are not new, however limited information is available on stress impact and ultimately burnout in oral and maxillofacial surgeons and residents.1,2 Occupational stress is the outcome of the clash between job-related factors interacting with personal factors with a resulting change to the individuals’ physical or psychological state.2 … Read more
Introduction: Desmoid tumor (DT), desmoid fibromatosis (DF) or aggressive fibromatosis, is a rare, benign, but locally aggressive, soft tissue tumor.1 The most common sites are the abdominal wall, mesentery, and chest wall.2 Approximately 7-15% of DTs occur in the head and neck with the most common subsite being the supraclavicular fossa. It appears, particularly in … Read more
Cannabis and cannabinoid medicine has been around for centuries. A growing number of countries have created a legal framework within which cannabis and its plant extracts are now legally accessible. Although it would be great to embrace cannabis today as the molecule that might revolutionize medicine and improve the lives of millions of Canadians suffering … Read more
Dental professionals must consider themselves the experts in pathological conditions of the oral cavity. This includes not only the teeth, but also the soft tissues and bone surrounding the teeth. There are no medical specialties that have comparable training and experience in the diagnosis and management of conditions affecting the oral cavity that dentists and … Read more
These days, being “social” is good business. Here’s a quick look at why dental professionals shouldn’t dismiss social media as an integral (and fun) part of their broader marketing strategy. Instagram Why? Because instant connection with your existing and potential future patients provides great practice benefits. In five words, this is your immediate future. (And … Read more
The rise of the digital age has transformed orthodontics as we know it.1 Due to its increasing popularity, Clear Aligner Therapy (CAT) has become a mainstay of contemporary orthodontics.2 This trend is largely due to the growing demand among prospective patients for more esthetic alternatives to traditional brackets and wires, including those presenting with dentofacial … Read more
In the 1990s, I initiated a resident exchange between our program at the University of Toronto and the same Oral & Maxillofacial Surgical program at the University of Witswatersrand in Johannesburg, South Africa (RSA). The registrar (resident) from their university (“Wits” for short) and I would switch posts for 3 months, performing the duties we … Read more
Viewpoint: As we entered 2020, many of us were looking forward to future travel plans, CAOMS courses and events, using our recently purchased tools and keeping on with our routines. In a few short months, we have been inundated with chat boards, editorials, news media, web blasts, and our government updates. Differing opinions, inconsistent information, … Read more
Since 2000 more than 4 million robotic-assisted surgeries have taken place across multiple medical specialties including Cardiovascular, Neurology, and Orthopedics. Until the launch of Yomi, the first and only FDA cleared robot-assisted dental surgery system, dentistry has not been able to benefit from this revolutionary technology. Successfully placing dental implants requires careful pre-operative planning and a high … Read more
The goal of the implant surgeon is to place an implant in the ideal position, that will support a prosthesis with the best long-term prognosis, while managing important anatomical landmarks. With the aid of Cone Beam CT scans the implant surgeon is able to evaluate, in three dimensions, the ridge, important anatomy, as well as … Read more
Canal disinfection, controlled memory nickel titanium, CBCT imaging, surgical microscopes, among other advances, have changed the clinical practice of endodontics dramatically in the past 20 years. CBCT provides a three-dimensional pre-operative guide to canal anatomy, which is subsequently interpreted through the microscope clinically (Fig. 1). Controlled memory nickel titanium instruments provide a faster, more predictable, … Read more
Abstract Obstructive sleep apnea (OSA) is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. OSA has been associated with increased morbidity and mortality rates as well as decreased quality-of-life. Certain patients with maxillomandibular abnormalities, such as mandibular retrognathia, suffer from moderate to severe OSA. Although continuous positive … Read more
The general dentist may often encounter patients that have undergone maxillofacial surgery at some point in the past. These patients may present with findings that include the presence of fixation hardware that is placed during surgical procedures. This hardware may not always be seen clinically. Consequently, radiological imaging is one of the key tools used … Read more
Introduction Dentists are bombarded with numerous products from our dental suppliers’ trying to sell us on the fantasy of an “atraumatic tooth extraction”, promising to improve on what we were taught in dental school. This is all in an effort to benefit our practice and the patient’s future implant site. It is our responsibility to … Read more