Utilizing granulomatous tissue as a membrane for primary closure: Introducing Leon’s Everted Gingival Pouch (LEGP) technique

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Abstract Chronic, severely localized periodontal infections at the site(s) of planned tooth extraction commonly give rise to a layer of granulomatous and epithelialized tissue encompassing the apex of the tooth root. Despite its typical disposal, this epithelialized granulomatous tissue can be effectively employed for primary closure, capitalizing on the biological mechanisms of wound healing. Introducing … Read more

Getting serious about sustainability in dentistry

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Key points Abstract As healthcare professionals in a developed country, we can no longer ignore the environmental consequences of our professional activities. The pandemic only served to increase the amount of waste we produce in delivering our services in a safe manner. This paper encompasses a literature review from 2014-2023 that identifies interventions that can … Read more

Economics of eating for oral and overall health

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The COVID-19 pandemic and the Russia-Ukraine war have led to significant global economic disruptions, sharply increasing food prices. In January 2023, food inflation in Canada was at 10.4% – this was the highest level over the past 40 years.1 This surge affected all major food groups, including fresh produce, baked goods, dairy, and meats (Fig.1).1,2 Specifically, fruits and vegetables saw … Read more

Multiple sclerosis and periodontal disease: Local factors in focus

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Autoimmune diseases occur when the body’s immune system dysregulates and mistakenly targets and attacks its cells.1 While the exact etiology remains unclear, it generally involves a genetic predisposition combined with an environmental trigger, such as bacterial or viral infections, hormonal changes, environmental toxins, certain medications, smoking, obesity, and gut dysbiosis.2,3 Even sun exposure can trigger certain autoimmune … Read more

Legal implications of AI training mandates for dental staff and hiring impact

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“Innovation distinguishes between a leader and a follower.” – Steve Jobs Artificial intelligence (AI) is not just a buzzword but a transformative force reshaping industries, notably healthcare and dentistry. Advanced computer systems now perform tasks traditionally in the domain of human intelligence, from enhancing radiographic interpretation and speech recognition for record-keeping to facilitating complex decision-making. … Read more

Fracture of dental implants with internal, conical connections: A case series

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Abstract Purpose: Fracture of dental implants, though uncommon, presents significant clinical consequences. The case reports presented explore the fracture of four dental implants in three patients. All were of the Astra Osseospeed® design with internal conical connections. All fractured at the level of the prosthetic connection, providing insight on potential contributing factors. Methods: Three patients all received … Read more

Disintermediation in periodontics: Navigating the AI transformation with precision and integrity

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In the 15th century, Johannes Gutenberg’s printing press democratized access to knowledge, sparking revolutions in science, religion, and society. Today, artificial intelligence (AI) represents a similarly transformative force, poised to reshape (among everything) the landscape of periodontics and the broader dental field. As the precision of AI tools accelerates, we find ourselves at a crossroads … Read more