About 500,000 people annually undergo periodontal procedures that involve harvesting soft tissue from the roof of the mouth to graft onto diseased areas of the gum. But according to Dr. Michael McGuire, president of the American Academy of Periodontology (AAP), all that may be about to change — thanks to the science of tissue engineering. … Read more
ABSTRACTA wide variety of prefabricated post systems are manufactured with different materials and are offered with different shapes. Post-and-core adaptation represents an important element in the biomechanical performance of the prosthetic restoration. The double taper post system was designed with the purpose of providing close canal adaptation with minimal tooth structure removal. The association of … Read more
Implant restorations in patients who are fully or partially edentulous have proven to be very successful in the last 15 years, with success rates in the 90+ percent range.This remarkable success rate has encouraged more dental practitioners to include implants as part of their restorative protocol for their patients. When clinicians first began treating patients … Read more
The purpose of the “Ruddle on Rotary” series of articles is to provide useful information that will enable dentists to predictably shape root canals for three-dimensional obturation. The information in these articles is intended to help clinicians better understand when and how to safely use NiTi rotary shaping instruments. These articles are written to enhance … Read more
Just like fiber optics in telecommunication, nickel titanium files in endodontics have made this branch of dentistry simpler, safer and less time consuming. An advance in systems and technologies like microscopes, digital x-rays, thermoplastic gutta percha and apex locators have changed this frustrating, back paining field of dentistry, making it more enjoyable, like never before.Selected … Read more
When first approached to write an article on dental ethics I was hesitant. Ask a specialist to discuss an aspect of their subspecialty and he/she could do it. But dental ethics? I am not an ethicist. I am not an academic. I am a wet gloved generalist. Besides being concerned of appearing sanctimonious, I would … Read more
Learning AssessmentQUIZ INSTRUCTIONS and answer card are found between pages 18 & 19.1.A luting cement should 1. resist microleakage2. be impervious to saliva3. inhibit plaque growth4. be biocompatibleA. 1, 2, 3B. 1 and 3C. 2 and 4D. 4 onlyE. All of the above2.In a Class II restoration, the least demineralization of the adjacent tooth surfaces … Read more
www.sacredsites.comTake a spiritual journey to sites that may have the powers to heal the body or enlighten the mind.www.travelhealth.comThis site offers general guidelines for water purification, lists specific disease risks and lists required vaccinations.www.symbols.comThis is the site for the Encyclopedia of Western Signs and Ideograms. Fully searchable, it contains more than 2,500 symbols and their … Read more
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Restorations that require cores of metal or other rigid materials can provide the strength and some of the beauty our patients demand but they do so by sacrificing tooth tissue. Advances in adhesive dentistry have produced bond strengths that have given us greater predictability when using esthetic restorative materials thereby allowing us to provide our … Read more
MedicationxerostomiasialadenitisdysgeusiastomatitisgingivitisglossitisedematonguebruxismMisc.Bupropion+0++0+00+toothache, oraledema, dysphagiamoniliasis,Nefazodone+0++++000dysphagia, periodontalabscesses, oral ulcers
Tricyclic and related antidepressant drugsAmitriptylineClomipramineDesipramineDoxepinImipramineMaprotilineNortriptylineProtriptylineTrazodoneTrimipramineSelective Serotonin Re-uptake Inhibitors (SSRIs)FluoxetineFluvoxamineParoxetineSertralineOther antidepressants drugsBupropionNefazodoneVenlafaxineMonoamine Oxidase Inhibitors (MAOIs)PhenelzineTranylcypromineMoclobemide ** a reversible inhibitor of monoamine oxidase A (RIMA)
Clinicians often resort to conservative therapies to maintain patients with near terminal dentitions as long as possible. Viewed as a laudable approach, this strategy often leads to increasingly severe periodontal disease and has been dubbed “supervised neglect”. Allowing it to get to a hopeless situation late in the patients’ lives can transform a simple procedure … Read more
Background – Major Depressive Disorder (MDD/depression) is a mental illness characterized by marked sadness, and/or a loss of interest or pleasure in daily activities may be accompanied by weight loss, sleep disturbance, difficulty concentrating, and a high suicide rate. The disorder is very common in Canada with a lifetime prevalence rate of approximately 24%. Unfortunately, half of all patients with depression never see a physician and therefore go undiagnosed and untreated. Clinical Implications – Individuals under treatment for depression and those whose illness has not been diagnosed often present to the dentist with significant oral disease. Dentists need to be cognizant of how to safely and compassionately provide care to those already receiving mental health services. They must also be familiar with the psychiatric symptoms of the disorder so that they can effectuate a timely referral to a physician of those with occult or relapsing disease. Depression is frequently associated with a disinterest in performing oral hygiene, a cariogenic diet, rampant dental decay, advanced periodontal disease, and oral dysesthesias. Antidepressants used to treat the disease cause the xerostomia and may increase the severity of dental disease. Appropriate dental management necessitates a vigorous preventive dental education program, the use of artificial salivary products, antiseptic mouthwash, daily fluoride mouth rinse, and special precautions when administering local anesthetics with vasoconstrictors and prescribing analgesics. Conclusions — Dentists invoking appropriate precautions can usually provide a full range of services to individuals with major depressive disorder thereby enhancing patient self esteem and contributing to the therapeutic milieu.
The stealth shouldered abutments are designed for any type of cement-retained restoration as well as an integrated abutment crown restoration with “Diamond Crown” by DRM Laboratories. Stealth abutments in conjunction with Bicon’s new aluminum oxide sleeves provide enhanced aesthetics with all-ceramic crowns. The stealth shouldered abutments are available in diameters of 3.5 mm, 4.0 mm, … Read more
MedicationxerostomiasialadenitisdysgeusiastomatitisgingivitisglossitisedematonguebruxismMisc.Amitriptyline++++00++00caries, cheilitis,Clomipramine++++++000dysphagia, oral ulcers,halitosis. sinusitisDesipramine+++000++0facial edemaDoxepine+0++000000Imipramine++++00++0facial edemaMaprotiline++++000+0dysphagiaNortriptyline++++00++0facial edemaProtriptyline+++000++0facial edemaTrazodone+0+000000sinusitis
In the February issue of Oral Health, Dr. Janice Goodman aptly outlined how to make a referral to a specialist. Today I will look at this issue again. This time, from the perspective of the specialist, who is on the receiving end of the referral. The two editorials could help the cause of the most … Read more
Show us where you read Oral Health. Send your photos to: Oral Health, 1450 Don Mills Rd., Don Mills, ON M3B 2X7
The objective of this project was to create a dental office designed not only for efficiency but, more importantly, to provide an environment and ambiance that emulated soothing home comfort. The premises are typical storefront: narrow (28 ft) and long (57 ft), with windows only at the front. By using glass and glass block partitions … Read more
Recent policy statements by CCRA concerning GST and medical practitioners and the fact that many dentists are still not enjoying regular and potentially significant GST refunds have inspired this article. When GST was implemented in 1991, GST compliance added 2-4 % to the expenses of operating a typical dental practice. At the same time, eligibility … Read more