Introduction Approximately 90% or more of oral cancers are squamous cell carcinomas (OSCCs). These often begin as potentially malignant oral lesions such as a white patch (leukoplakia; Fig. 1), or red patch (erythroplakia; Fig. 2), 1 which progress to an invasive cancer.1 Although the term “premalignant” is widely used for such lesions, the term “potentially … Read more
What an amazing world we live in – constant information at our fingertips…news…views…and more…till we plead for a break. We are constantly plugged into some device spewing data and opinion at us, so that we start to confuse opinion for fact and our own opinions become suspect. What are they really based on? The 24/7 … Read more
In order for implant therapy to be successful there is a need for the dental implant to be adequately integrated into host bone in the proper position in three dimensions. For this to be achieved, adequate height and volume of alveolar bone is required. However, the alveolar ridge is prone to resorption following extraction of … Read more
Keywords Composite Resin, Gloss retention, Tooth Brushing, Surface Roughness Abstract The surface gloss and average surface roughness (Ra) of eleven RBCs was measured after brushing with Colgate Optic White toothpaste. It was found that toothbrushing with a dentifrice had the least effect on the surface of Mosaic Enamel and Filtek Supreme Ultra composites, and the greatest … Read more
As a society we are in the midst of a popular growing obsession with mindfulness as the secret to health, happiness and success in any field of human endeavour, including dentistry! What was a fringe movement in our busy society is now becoming an increasingly prominent part of our cultural landscape. Cultivating “mindfulness” into your … Read more
Introduction Looking at online forums that discuss dental implants, one cannot help but notice a heavy emphasis on the surgical aspect of implant prosthodontics with the prosthodontic phase often overlooked or barely discussed. It is our opinion that this line of thinking often results in multiple (sometimes unnecessary) surgical procedures that may yield outcomes that … Read more
Introduction The severely worn dentition often poses a challenge to the restorative clinician. Diagnosis and treatment planning involve multidisciplinary and in-depth evaluation of etiological, esthetic, occlusal, functional and preventive factors. Modern dentistry has made tremendous progress in areas of decay prevention, treatment of periodontitis and preservation of the natural dentition. Patients in general are more … Read more
Introduction With ever-evolving digital technologies in dentistry, the level of sophistication and accuracy that can be accomplished today is unsurpassed. Dental laboratories seem to be leading the charge as they embrace the predictability of CAD/CAM generated fixed restorations. Similarly, many clinicians are replacing traditional impression materials with intraoral scanners. However, the consistent management of the … Read more
Introduction Dental implants are at risk of technical complications such as abutment screw loosening, stripping and fracture. If fractured, the screw must be removed without damage to the internal implant connection to preserve the implant’s prosthetic function and maintain prosthodontic restoration 1. Abutment screw fracture can be the result of unobserved screw loosening due to … Read more
Valued continuing education courses, exciting daily entertainment and endless networking opportunities – it was a packed three days at Dentsply Sirona World 2018 in Orlando. The Ultimate Dental Meeting offered CE courses in 12 specialized tracks, with some of the biggest names in the industry leading the sessions. On the show floor there was no … Read more
The following case presentation will illustrate an anterior maxillary reconstruction with the use of dental implants and fixed prosthodontics. Our patient (P.C.) presented to the office with the pre-existing dental treatment done over 10 years ago as illustrated in Figures 1 and 2. Due to a large diastema between 11 and 21, the previous practitioner … Read more
Introduction Successfully treating patients with missing or non-restorable teeth with a fixed prosthesis can be one of the finest services rendered to dental patients. This art and science of replacing missing teeth or those with hopeless prognosis requires a thoughtful combination of many aspects of dentistry, including patient education, prevention of further dental disease, sound … Read more
Introduction Aesthetic tooth-colored restorations for both anterior and posterior teeth have been in the highest demand in recent years. This increasing demand motivated the dental industries to enhance the aesthetic and mechanical properties of restorative materials. These efforts lead to the introduction of contemporary ceramics such as lithium disilicate glass-ceramic (also known as IPS e.max … Read more
Upon insertion of a newly fabricated dental prosthesis, it drops intraorally and fits perfectly requiring minor adjustments. The patient looked in the mirror following this insertion and was delighted with the final aesthetics results. The patient states, “It looks and feels perfect, just like my natural teeth”. As dentists, we take full credit and thanks … Read more
Exposure to ionizing radiation and its potential risks are often major concerns of our patients. Ambiguity and confusion exist among the general public, mainly due to the risks discussed in the media and from spurious online information. This leads to confusion, fear, and avoidance by the patient. Therefore, this review aims to attenuate the ambiguity … Read more
Knowledge is forever advancing. In my early days when my computer froze, I used to think “What did I do wrong now.” Today I think “What is wrong with this computer!” No, it’s not always the clinician that is to blame for problems. Many systems that we have come to use daily, are simply flawed. … Read more
Preamble Recently, the Royal College of Dental Surgeons of Ontario (RCDSO) welcomed comments on its draft document “Standard of Practice: Infection Prevention and Control in the Dental Office.” This critique is based on a thorough reading of the proposed Standard of Practice (referred to as the Standard) and its accompanying references. In addition, the author … Read more
Diet and Peridontal Health Many epidemiological studies have shown positive associations between specific nutrients – including calcium, vitamins C and D, specific fatty acids – and periodontal health. 1,2 Protein is a much less studied nutrient from this perspective although it serves as a building block for bone and the periodontium, and also assists with … Read more
In 2013 the RCDSO introduced the mandatory Practice Enhancement Tool (PET) for licenced Ontario dentist to be exercised every five years: “a computer based self-assessment program … that allows members to evaluate and assess their practice, knowledge, skill and judgement”. 1 At the same time the RCDSO introduced the mandatory requirement for 15 Category 1 … Read more
Introduction With advances in dental materials, instruments, imaging and minimally invasive surgical techniques, one may question the use of the intra-oral block autograft as a practical and relevant method of ridge augmentation. This article will discuss a case report outlining pre-operative and surgical protocols for performing the mandibular ramus block autograft and shed new light … Read more