Abstract Stainless steel crowns or preformed metal crowns have become the standard for the restoration of primary teeth with extensive caries; however, they remain underutilized on permanent teeth. In this paper, we review the literature on the use of these crowns on permanent molars, and with the help of a case, discuss the indications, efficacy, … Read more
Many dentists do not see or treat preschoolers and infants for various reasons, from being uncomfortable to lacking the essential experience. All these factors result in pediatric patients being a neglected population. If you do not feel comfortable treating this population, do not neglect these patients, but refer them to a practitioner who will be … Read more
Abstract The use of a pacifier in newborns is a common practice. Extended use of the pacifier can cause deviation of the craniofacial growth in children, as well to create oral dysfunctions such as mouth breathing and tongue thrusting. In this paper the authors present an appliance designed to stop the pacifier habit and to … Read more
Background and Context Like many health fields, dentistry has been characterized throughout the years for innovating and improving upon existing interventions. Established and “classical” approaches, materials and techniques have often stood the test of time compared to more innovative and so-called “cutting-edge” technologies. In pediatric dentistry, this has proven to be true, especially when it … Read more
If you are thinking, “this article is not applicable to me”, then please consider the list of questions below: The relevance of this article extends beyond care for persons of disabilities because patients who were once healthy in your dental practice will age and may develop disabilities (temporary or permanent). Access to dental care is … Read more
Identifying the etiology of acute facial swelling in children can be a challenge due to growth and development, complex regional anatomy, and difficulty with obtaining a thorough history. We present a case report from rural Alberta that highlights these challenges. In particular, this case demonstrates the necessity for open communication with the child’s family and … Read more
1. “Is the cleaning really necessary today?” Many parents do not see the benefits of dental prophylaxis as they see it as treatment they can easily do themselves at home. The goal of dental prophylaxis is to remove supragingival plaque, stains, and calculus from the patient’s teeth. It provides an opportunity for oral hygiene instruction … Read more
Following orthodontic treatment, retention is fundamental in maintaining teeth in their corrected positions. Irrespective of the patient’s age, underlying malocclusion, or type of mechanotherapy used, retention is necessary to preserve the final alignment and occlusion. Without retention, there is a natural tendency for teeth to relapse back towards the original malocclusion. This article will highlight … Read more
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The other day I had a young patient with severe anxiety in my office for a new patient examination. When the young child entered the waiting room, they were tightly clinging to their mother. Upon first impression, our pediatric dental team was not too optimistic that we were going to be able to even look … Read more
Abstract Severe mandibular hypoplasia, or micrognathia is a debilitating condition that hinders neonatal breathing, feeding, growth and development. This condition predisposes children to prolonged early life hospital admission, airway embarrassment, obstructive sleep apnea, feeding difficulties, speech delay and caregiver burnout. Many conservative and surgical approaches have been utilized to treat neonates and children for severe … Read more
Letter to the Editor: What is palatal expansion? If you search it on the internet, a palate expander – also called an orthodontic or palatal expander – is an oral device used to widen a narrow upper jaw. The inference is that the upper jaw just widens in a two-dimensional or along an axial plane. … Read more
Should parents stay or should they go? Does your office have a policy about parents being in the treatment room with the child? Decades ago, it was recommended that parents stay out of the dental operatory as it was believed that a parent’s anxiety would be transferred to the child.1 Times have changed and so … Read more
When I returned from my first trip over seas since 2019, I realized the true price of what we do for a living. After spending ten days in Italy drinking wine and travelling through the beautiful countryside, I realized that I was tired from how hard I had been working over the last two and … Read more
A 9-year-old female patient visited the orthodontic office for an initial consultation. She presented with a Class II malocclusion, crowding, and high/blocked out canines on the panorex. (Fig. 1A) The patient was placed on a reassessment schedule and returned 16 months later. She presented with an improved arch form that resulted in decreased crowding. A … Read more
We are all aware that treating children in our dental practice can be extremely challenging. Whether it be their inability to sit long enough to complete their dental treatment or their anticipation or generalized anxiety, these factors and many more add to the difficulty in treating our pediatric patients. Not only is the experience difficult … Read more
Dens invaginatus, also known as dens in dente, is an embryological anomaly that occurs during tooth formation. The condition results in invagination of the amelodental structure within the pulp that can look like a ‘tooth within a tooth’ on radiographic evaluation, hence the nomenclature.1 The reported prevalence of adult teeth affected with dens invaginatus is … Read more
Abstract Orofacial granulomatosis (OFG) is a chronic inflammatory condition with unclear etiopathogenesis that presents with recurrent and/or persistent swelling in the orofacial region. This article describes a case of 14-year-old female with a chief complaint of recurrent swelling of the lips, hyperplastic maxillary anterior gingivae, angular cheilitis, and painful linear ulcerations. The lesion was biopsied, … Read more
Odontomas represent the most common odontogenic tumor, with a prevalence that exceeds that of all other odontogenic tumors combined.1 The designation of odontoma as a tumor is misleading; the entity is in fact a hamartoma with limited growth potential. Growth of the lesion ceases following maturation of the lesional tissues.2,3 Odontomas arise from both odontogenic … Read more
In this episode of Weekly Wisdom, Dr. Sanj Mohanta shares her tips for treating pediatric patients. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
COVID-19 has certainly turned our world upside down. Nowhere is this truer than in the dental profession. Dental offices all over our country have had to step up measures to ensure that our patients and staff are safe. In fact, dentistry has been a success story with how well we have all done to prevent … Read more