Pediatric Dentistry

Importance of Early Multidisciplinary Care in Pediatric Dentistry

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Dental and medical professionals have historically kept separate practices. Dentists have struggled to integrate into the medical community outside of the hospital setting. Traditionally, limited information is given to parents by pediatricians and family physicians with regards to infant oral health and general pediatric dentistry. Recently, there has been a trend towards multidisciplinary outpatient clinics … Read more

Management of a 12-Year-Old-Male with a Class III Malocclusion and Canine Impaction

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INTRODUCTON As dental practitioners, we are continuously challenged to rely on our knowledge and experience to guide us when making recommendations to our patients. A thorough clinical exam is essential to narrowing in on a diagnosis. Additionally, an appropriately timed radiograph can prevent undesired sequala. The following case illustrates the value of routine orthodontic radiography … Read more

Revolutionizing Minimally Invasive Dentistry with Resin Infiltration

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Interproximal incipient caries, white spot lesions, fluorosis, hypo-mineralization. What would you do if it was your child, your friend, yourself? Would you cut into the tooth to place an intra-coronal restoration? Would you look for alternate treatment options? We all know that intra-coronal restorations come with removal of plenty of healthy tooth structure to access … Read more

Erosive Potential of At-Home Carbonated Beverages

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Abstract Objective: The objective of this study was to assess the effects of at-home carbonation systems on the pH of water, apple juice, and orange juice as it relates to enamel dissolution at a critical pH. Methods: A 2x3x8 fractional factorial design was employed to determine the effects of at-home carbonation machines on water, apple … Read more

Autism On the Rise: Coping in the Dental Office

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The U.S. Department of Education reports on its website that an astonishing 1 in 59 children in the United States are affected by Autism Spectrum Disorder (ASD) – a far cry from the figure of 1 in 2,500 that had been the accepted prevalence when I entered the dental profession more than three decades ago. … Read more

Maximizing the Lifespan of Dental Implants Placed in Young Individuals: The Role of Oral Neutrophils in Peri-Implant Diseases

Maximizing the Lifespan of Dental Implants Placed in Young Individuals: The Role of Oral Neutrophils in Peri-Implant Diseases

Introduction Dental implants are an increasingly popular treatment choice in young individuals with dento-facial anomalies characterized by missing teeth such as oligodontia and cleft lip and palate. Although dental implants may represent a predictable treatment option in the short term, over the long term the risk of peri-implant disease cannot be overlooked due to its … Read more

Managing Hemifacial Microsomia with Total Custom TMJ Replacement

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Introduction: The Oral and Maxillofacial Surgery program at the University of Toronto supports the Cleft Lip Palate and Craniofacial Program at Holland Bloorview Kids Rehabilitation Hospital in numerous ways. The program’s director, residents and the Temporomandibular Joint and Orthognathic Surgery Fellows work collaboratively with staff orthodontist Dr James Noble and the chief of Dentistry, Dr. … Read more

Green Teeth? The Many Shades of Congenital Syphilis

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It is a disease that you will learn about in dental school, but rarely see in actual practice. And given the many, varied features of congenital syphilis, when you do encounter your first case, you may need to review this condition and its presentation. Syphilis, generally, is on the rise in Canada. Between 2005 and … Read more

Interceptive Treatment for Patients with Maxillary Dysplasia

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Orthodontic treatment can be described in 3 main groups based on the timing of treatment delivery as follows: 1) interceptive treatment, 2) comprehensive treatment, 3) adjunctive/limited treatment. Interceptive orthodontics describes orthodontic treatment that occurs during the mixed dentition stage of development. When interceptive treatment is done at the appropriate stage of growth and development (eg. … Read more

Plugged in for Success: Electric Handpieces are the Future. Here’s Why.

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I know that quite a number of dentists remain committed to air-driven handpieces. It was what you used in school. You have established clinical workflows in place with equipment you trust. What I also know is that no matter how long you’ve been practising, whether you’re a high-tech CEREC user or still mixing up alginate, … Read more

Management of Benign Odontogenic Lesions in the Paediatric Patient

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Abstract The identification of lesions within the osseous structures in children is essential to ensure timely surgical intervention, and to minimize or correct hindrances to the development of a healthy dentition and bone structure. These lesions tend to present in the absence of symptoms, are slowly growing, and are commonly identified either as a secondary … Read more

Étude de cas : Présentation d’une Malformation Artérioveineuse à la Mandibule

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Résumé Les malformations artérioveineuses (MAV) sont des lésions vasculaires rares issues d’artères et de veines qui présentent des défauts structuraux d’origine congénitale. Leurs présentations clinique et radiographique particulières en rendent l’identification et le diagnostic complexes par les professionnels dentaires. Cette étude de cas révèle l’histoire d’un jeune homme de 14 ans, autrement en santé, s’étant … Read more

Presentation of a Mandibular Arteriovenous Malformation: A Case Study Report

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Abstract Arteriovenous malformations (AVMs) are rare vascular lesions composed of arteries and veins with congenital structural defects. Their ambiguous clinical and radiographic presentations make their recognition and diagnosis challenging for dental professionals. A healthy 14-year-old male presented to The Hospital for Sick Children (SickKids) in Toronto, Ontario with a chief concern of hematogenous malignancy that … Read more

Paediatric Anaesthesia Neurotoxicity: Bring Back the Papoose Board?

Paediatric Anaesthesia Neurotoxicity: Bring Back the Papoose Board?

Every day children of all ages are sedated or anaesthetized for dental treatment both in the hospital and more commonly now in the dental office. The use of physical restraint for a dental procedure in a child has largely been replaced or significantly reduced with the use of sedative or general anaesthetic drugs. Previously it … Read more

Early Orthodontic Treatment

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Early orthodontic treatment refers to orthodontic intervention before the eruption of permanent dentition (except third molars) is complete.1 In orthodontic literature, the benefits of early orthodontic treatment have been a topic of much debate.2-10 Some clinicians may prefer to defer orthodontic treatment to the adolescent age period, however many others attempt to intervene in the … Read more

Keep Calm and Don’t Vape

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It is difficult these days to walk down the street and not have a cloud of smoke engulf your face from a nearby electronic vaping device. My first response to this occurrence is to hold my breath or attempt to dodge the cloud altogether. When I am unable to do so, I am always shocked … Read more