Caleb Sears was a healthy six-year-old boy in California that went to his oral surgeon’s office for a routine extraction under general anaesthesia (GA). Unfortunately, Caleb did not survive the procedure. He suffered hypoxic brain damage and he was not able to be resuscitated. Caleb’s death lead to the introduction of Caleb’s Law which was … Read more
Dental anaesthesiologists are dental specialists who administer deep sedation or general anaesthesia (DS/GA) to patients in order to facilitate dental treatment. The indications for DS/GA in dentistry are vast and include, but are not limited to: anxiety associated with dental treatment, pre-cooperative age, traumatic or extensive dental procedures, as well as patients with cognitive impairment … Read more
Recently the Royal College of Dental Surgeons of Ontario chose to update the Standard of Practice for the Use of Sedation and Anaesthesia in Dental Practice. While this was a semi-scheduled review (the document is revised roughly every five years), the context for this latest revision is different from the others in recent memory. Caleb’s … Read more
The largest dental conference in North America is back this spring. Hosting at the Vancouver Convention Centre in British Columbia, the Pacific Dental Conference will have over 300 exhibiting companies and over 200 opportunities for hands-on courses and lectures. Over 150 sessions will keep you engaged in your area of choice, or allow you to … Read more
As many of you know, Fall, 2011 saw the 100th anniversary of Oral Health, the publication for all practicing dentists in Canada, as well as 3rd and 4th year dental students and dental labs. That first issue was sent to 500 subscribers: it now reaches close to 22,000. It was an immediate success; advertisers and … Read more
Introduction Over the last decade it has been noted that there is an increasing incidence of white marks on erupting teeth. Some of this is due to a condition called Molar Incisor Hypoplasia (MIH) where both erupting incisors and first molars have white spots present. The prevalence of MIH has been documented to be in … Read more
One of the greatest challenges in paediatric dentistry is aesthetic restoration of the primary maxillary dentition. We are faced with both a restorative and behaviour management challenge due to the lack of cooperation often exhibited by young children. These patients often present to the dentist between the ages of two and three with decay on … Read more
Crowding, or tooth size arch length deficiency, is one of the most common reasons that people seek orthodontic treatment for themselves or their children. As permanent mandibular anterior teeth erupt a primary tooth may become over-retained leading to a double row of “shark teeth”, causing parents a great deal of concern. While this may be … Read more
Sixteen years ago, Titley and Farkouh (2001) published a paper in this journal entitled “The Stainless Steel Crown – An Underused Restoration in Paediatric Dentistry.” A review of the current literature indicates that stainless steel crowns (SSC’s) continue to be the restoration of choice by paediatric dentists for heavily decayed primary molar teeth. On the … Read more
Every day we come to the rescue of our patients by taking them out of pain, combating the results of an accident, reversing the ravages of time or simply getting them ready for a special day in their lives. We become heroes to our patients. We can do this simply and easily because of the … Read more
Evidence-Based Medicine Since the 1980s, when McMaster Medical School in Canada termed the process of integrating scientific information into medical practice, Evidence-Based Medicine (EBM), it was formally adapted by the Evidence-Based Medicine Working Group, and a new paradigm for medical practice emerged. 1 Later, other health fields, like oral health care, began incorporating the same … Read more
The task of repairing restorations has historically been an unproductive procedure in the dental practice. Dental professionals have learned through extensive personal experience that repairs, whether intra- or extra-oral, have a very poor prognosis. In fact, no matter how carefully the fractured ceramic or composite surface was roughed, cleaned, dried, primed, and bonded, the repair … Read more
Pediatric dentistry has seen considerable improvements in materials and treatment options over the past few years. While other dental specialties have experienced tremendous developments in their materials and methods over the past forty years, pediatric dentistry has seemed to evolve much more slowly. Although we have enjoyed success with the treatments of the past, less invasive … Read more
Glass ionomers have enjoyed many firsts in dentistry. They were the first materials designed to resist recurrent decay. They were the first bioactive materials, which release fluoride in an acidic environment and recharge or replace lost fluoride ions when they are re-introduced back into the oral environment. They were the first easy to use bulk-fill … Read more
Introduction & Background Bisphosphonates are a class of medications that prevent the loss of bone mass. Not only are they used extensively in the treatment of metabolic bone disease such as osteoporosis, but they have been shown to decrease risk of fracture and bone pain in lung, breast, and other metastatic cancer. They are grouped … Read more
Dental implants have emerged as the standard of care for replacing a single tooth in healthy patients. In the US alone more than 35 million Americans are edentulous and 178 million are missing at least one tooth. 1 According to the Levin group it is estimated that the number of dental implants received by patients … Read more
A 42-year-old male client presented with generalized chronic moderate to severe marginal gingivitis and generalized chronic moderate to advanced periodontitis. He reported that non-surgical periodontal therapy, by means of scaling and root planing, had failed to prevent increased clinical attachment loss and he was referred to a periodontist for pocket reduction surgery. After consultation, the … Read more
Antibiotics used for the treatment of periodontal disease have come under increasing scrutiny in recent years. One concern lies in the rise of bacteria resistant to antibiotics, complicating treatment and posing general health risks. Some patients want to avoid antibiotics and their side effects altogether. Many dentists have raised concerns about antibiotic long-term efficacy. An … Read more
Few studies have described ZIKV manifestations in the mouth of infected patients. Recently, Brasil et al. reported local hyperemia and petechiae on the hard palate of an infected patient. 1 Some viruses are transmitted through saliva, including herpes simplex virus types 1 and 2 (HSV1, HSV2) and cytomegalovirus (CMV). 2 Notably, HSV and ZIKV display … Read more
It is important for the clinician who is restoring an implant, whether it be with a single crown, a fixed or removable prosthesis, to understand the mechanics of a threaded fastener or a screw and why screws may become loose. The prevalence of screw loosening has been reported to be between 5 and 8.8% after … Read more